1,038 research outputs found
Higher Curvature Gravity and the Holographic fluid dual to flat spacetime
Recent works have demonstrated that one can construct a (d+2) dimensional
solution of the vacuum Einstein equations that is dual to a (d+1) dimensional
fluid satisfying the incompressible Navier-Stokes equations. In one important
example, the fluid lives on a fixed timelike surface in the flat Rindler
spacetime associated with an accelerated observer. In this paper, we show that
the shear viscosity to entropy density ratio of the fluid takes the universal
value 1/4\pi in a wide class of higher curvature generalizations to Einstein
gravity. Unlike the fluid dual to asymptotically anti-de Sitter spacetimes,
here the choice of gravitational dynamics only affects the second order
transport coefficients. We explicitly calculate these in five-dimensional
Einstein-Gauss-Bonnet gravity and discuss the implications of our results.Comment: 13 pages; v2: modified abstract, added references; v3: added
clarifying comments, modified discussio
A single low-energy, iron-poor supernova as the source of metals in the star SMSS J 031300.36-670839.3
The element abundance ratios of four low-mass stars with extremely low
metallicities indicate that the gas out of which the stars formed was enriched
in each case by at most a few, and potentially only one low-energy, supernova.
Such supernovae yield large quantities of light elements such as carbon but
very little iron. The dominance of low-energy supernovae is surprising, because
it has been expected that the first stars were extremely massive, and that they
disintegrated in pair-instability explosions that would rapidly enrich galaxies
in iron. What has remained unclear is the yield of iron from the first
supernovae, because hitherto no star is unambiguously interpreted as
encapsulating the yield of a single supernova. Here we report the optical
spectrum of SMSS J031300.36- 670839.3, which shows no evidence of iron (with an
upper limit of 10^-7.1 times solar abundance). Based on a comparison of its
abundance pattern with those of models, we conclude that the star was seeded
with material from a single supernova with an original mass of ~60 Mo (and that
the supernova left behind a black hole). Taken together with the previously
mentioned low-metallicity stars, we conclude that low-energy supernovae were
common in the early Universe, and that such supernovae yield light element
enrichment with insignificant iron. Reduced stellar feedback both chemically
and mechanically from low-energy supernovae would have enabled first-generation
stars to form over an extended period. We speculate that such stars may perhaps
have had an important role in the epoch of cosmic reionization and the chemical
evolution of early galaxies.Comment: 28 pages, 6 figures, Natur
Does publication bias inflate the apparent efficacy of psychological treatment for major depressive disorder? A systematic review and meta-analysis of US national institutes of health-funded trials
Background The efficacy of antidepressant medication has been shown empirically to be overestimated due to publication bias, but this has only been inferred statistically with regard to psychological treatment for depression. We assessed directly the extent of study publication bias in trials examining the efficacy of psychological treatment for depression. Methods and Findings We identified US National Institutes of Health grants awarded to fund randomized clinical trials comparing psychological treatment to control conditions or other treatments in patients diagnosed with major depressive disorder for the period 1972–2008, and we determined whether those grants led to publications. For studies that were not published, data were requested from investigators and included in the meta-analyses. Thirteen (23.6%) of the 55 funded grants that began trials did not result in publications, and two others never started. Among comparisons to control conditions, adding unpublished studies (Hedges’ g = 0.20; CI95% -0.11~0.51; k = 6) to published studies (g = 0.52; 0.37~0.68; k = 20) reduced the psychotherapy effect size point estimate (g = 0.39; 0.08~0.70) by 25%. Moreover, these findings may overestimate the "true" effect of psychological treatment for depression as outcome reporting bias could not be examined quantitatively. Conclusion The efficacy of psychological interventions for depression has been overestimated in the published literature, just as it has been for pharmacotherapy. Both are efficacious but not to the extent that the published literature would suggest. Funding agencies and journals should archive both original protocols and raw data from treatment trials to allow the detection and correction of outcome reporting bias. Clinicians, guidelines developers, and decision makers should be aware that the published literature overestimates the effects of the predominant treatments for depression
A pragmatic cluster randomised trial evaluating three implementation interventions
Background
Implementation research is concerned with bridging the gap between evidence and practice through the study of methods to promote the uptake of research into routine practice. Good quality evidence has been summarised into guideline recommendations to show that peri-operative fasting times could be considerably shorter than patients currently experience. The objective of this trial was to evaluate the effectiveness of three strategies for the implementation of recommendations about peri-operative fasting.
Methods
A pragmatic cluster randomised trial underpinned by the PARIHS framework was conducted during 2006 to 2009 with a national sample of UK hospitals using time series with mixed methods process evaluation and cost analysis. Hospitals were randomised to one of three interventions: standard dissemination (SD) of a guideline package, SD plus a web-based resource championed by an opinion leader, and SD plus plan-do-study-act (PDSA). The primary outcome was duration of fluid fast prior to induction of anaesthesia. Secondary outcomes included duration of food fast, patients' experiences, and stakeholders' experiences of implementation, including influences. ANOVA was used to test differences over time and interventions.
Results
Nineteen acute NHS hospitals participated. Across timepoints, 3,505 duration of fasting observations were recorded. No significant effect of the interventions was observed for either fluid or food fasting times. The effect size was 0.33 for the web-based intervention compared to SD alone for the change in fluid fasting and was 0.12 for PDSA compared to SD alone. The process evaluation showed different types of impact, including changes to practices, policies, and attitudes. A rich picture of the implementation challenges emerged, including inter-professional tensions and a lack of clarity for decision-making authority and responsibility.
Conclusions
This was a large, complex study and one of the first national randomised controlled trials conducted within acute care in implementation research. The evidence base for fasting practice was accepted by those participating in this study and the messages from it simple; however, implementation and practical challenges influenced the interventions' impact. A set of conditions for implementation emerges from the findings of this study, which are presented as theoretically transferable propositions that have international relevance. Trial registration ISRCTN18046709 - Peri-operative Implementation Study Evaluation (POISE
Rotating black holes with equal-magnitude angular momenta in d=5 Einstein-Gauss-Bonnet theory
We construct rotating black hole solutions in Einstein-Gauss-Bonnet theory in
five spacetime dimensions. These black holes are asymptotically flat, and
possess a regular horizon of spherical topology and two equal-magnitude angular
momenta associated with two distinct planes of rotation. The action and global
charges of the solutions are obtained by using the quasilocal formalism with
boundary counterterms generalized for the case of Einstein-Gauss-Bonnet theory.
We discuss the general properties of these black holes and study their
dependence on the Gauss-Bonnet coupling constant . We argue that most
of the properties of the configurations are not affected by the higher
derivative terms. For fixed the set of black hole solutions terminates
at an extremal black hole with a regular horizon, where the Hawking temperature
vanishes and the angular momenta attain their extremal values. The domain of
existence of regular black hole solutions is studied. The near horizon geometry
of the extremal solutions is determined by employing the entropy function
formalism.Comment: 25 pages, 7 figure
Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals
n Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,
unless otherwise statedThis paper presents independent research funded by the National Institute
for Health Research (NIHR) under the Programme Grants for Applied
Research programme (RP-PG-1209-10038).
Local Entropy Current in Higher Curvature Gravity and Rindler Hydrodynamics
In the hydrodynamic regime of field theories the entropy is upgraded to a
local entropy current. The entropy current is constructed phenomenologically
order by order in the derivative expansion by requiring that its divergence is
non-negative. In the framework of the fluid/gravity correspondence, the entropy
current of the fluid is mapped to a vector density associated with the event
horizon of the dual geometry. In this work we consider the local horizon
entropy current for higher-curvature gravitational theories proposed in
arXiv:1202.2469, whose flux for stationary solutions is the Wald entropy. In
non-stationary cases this definition contains ambiguities, associated with
absence of a preferred timelike Killing vector. We argue that these ambiguities
can be eliminated in general by choosing the vector that generates the subset
of diffeomorphisms preserving a natural gauge condition on the bulk metric. We
study a dynamical, perturbed Rindler horizon in Einstein-Gauss-Bonnet gravity
setting and compute the bulk dual solution to second order in fluid gradients.
We show that the corresponding unambiguous entropy current at second order has
a manifestly non-negative divergence.Comment: 28 pages, 2 appendices; v2: added references, fixed typos, one
clarifying commen
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