64 research outputs found

    A closer look to the sgoldstino interpretation of the diphoton excess

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    Abstract: We revisit the sgoldstino interpretation of the diphoton excess in the context of gauge mediation. While the bound on the gluino mass might seem to make the sgoldstino contribution to the diphoton excess unobservable, we show that the interpretation is viable in a thin, near critical region of the parameter space. This regime gives rise to drastic departures from the standard gauge mediation picture. While the fermion messengers lie in the (10-100) TeV range, some scalar messengers are significantly lighter and are responsible for the sgoldstino production and decay. Their effective coupling to the sgoldstino is correspondingly enhanced, and a non-perturbative regime is triggered when light and heavy messenger masses differ by a factor 73 4\u3c0. We also comment on the possible role of an R-axion and on the possibility to decouple the sfermions in this context. \ua9 2016, The Author(s)

    Barriers to effective discharge planning: a qualitative study investigating the perspectives of frontline healthcare professionals

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    <p>Abstract</p> <p>Background</p> <p>Studies have shown that effective discharge planning is one of the key factors related to the quality of inpatient care and unnecessary hospital readmission. The perception and understanding of hospital discharge by health professionals is important in developing effective discharge planning. The aims of this present study were to explore the perceived quality of current hospital discharge from the perspective of health service providers and to identify barriers to effective discharge planning in Hong Kong.</p> <p>Methods</p> <p>Focus groups interviews were conducted with different healthcare professionals who were currently responsible for coordinating the discharge planning process in the public hospitals. The discussion covered three main areas: current practice on hospital discharge, barriers to effective hospital discharge, and suggested structures and process for an effective discharge planning system.</p> <p>Results</p> <p>Participants highlighted that there was no standardized hospital-wide discharge planning and policy-driven approach in public health sector in Hong Kong. Potential barriers included lack of standardized policy-driven discharge planning program, and lack of communication and coordination among different health service providers and patients in both acute and sub-acute care provisions which were identified as mainly systemic issues. Improving the quality of hospital discharge was suggested, including a multidisciplinary approach with clearly identified roles among healthcare professionals. Enhancement of health professionals' communication skills and knowledge of patient psychosocial needs were also suggested.</p> <p>Conclusions</p> <p>A systematic approach to develop the structure and key processes of the discharge planning system is critical in ensuring the quality of care and maximizing organization effectiveness. In this study, important views on barriers experienced in hospital discharge were provided. Suggestions for building a comprehensive, system-wide, and policy-driven discharge planning process with clearly identified staff roles were raised. Communication and coordination across various healthcare parties and provisions were also suggested to be a key focus.</p

    Non-pharmacological care for patients with generalized osteoarthritis: design of a randomized clinical trial

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    <p>Abstract</p> <p>Background</p> <p>Non-pharmacological treatment (NPT) is a useful treatment option in the management of hip or knee osteoarthritis. To our knowledge however, no studies have investigated the effect of NPT in patients with generalized osteoarthritis (GOA). The primary aim of this study is to compare the effectiveness of two currently existing health care programs with different intensity and mode of delivery on daily functioning in patients with GOA. The secondary objective is to compare the cost-effectiveness of both interventions.</p> <p>Methods/Design</p> <p>In this randomized, single blind, clinical trial with active controls, we aim to include 170 patients with GOA. The experimental intervention consist of six self-management group sessions provided by a multi-disciplinary team (occupational therapist, physiotherapist, dietician and specialized nurse). The active control group consists of two group sessions and four sessions by telephone, provided by a specialized nurse and physiotherapist. Both therapies last six weeks. Main study outcome is daily functioning during the first year after the treatment, assessed on the Health Assessment Questionnaire. Secondary outcomes are health related quality of life, specific complaints, fatigue, and costs. Illness cognitions, global perceived effect and self-efficacy, will also be assessed for a responder analysis. Outcome assessments are performed directly after the intervention, after 26 weeks and after 52 weeks.</p> <p>Discussion</p> <p>This article describes the design of a randomized, single blind, clinical trial with a one year follow up to compare the costs and effectiveness of two non-pharmacological interventions with different modes of delivery for patients with GOA.</p> <p>Trial registration</p> <p>Dutch Trial Register NTR2137</p

    A megaxion at 750 GeV as a first hint of low scale string theory

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    Journal of High Energy Physics 2016.7 (2016): 021 reproduced by permission of Scuola Internazionale Superiore di Studi Avanzati (SISSA)Low scale string models naturally have axion-like pseudoscalars which couple directly to gluons and photons (but not W’s) at tree level. We show how they typically get tree level masses in the presence of closed string fluxes, consistent with the axion discrete gauge symmetry, in a way akin of the axion monodromy of string inflation and relaxion models. We discuss the possibility that the hints for a resonance at 750 GeV recently reported at ATLAS and CMS could correspond to such a heavy axion state (megaxion). Adjusting the production rate and branching ratios suggest the string scale to be of order Ms ≈ 7–104 TeV, depending on the compactification geometry. If this interpretation was correct, one extra Z’ gauge boson could be produced before reaching the string threshold at LHC and future collidersThis work is partially supported by the grants FPA2012-32828 and FPA2015-65929-P from the MINECO, the ERC Advanced Grant SPLE under contract ERC-2012-ADG-20120216-320421, the Consolider-Ingenio 2010 programme under grant MULTIDARK CSD2009-00064 and the grant SEV-2012-0249 of the “Centro de Excelencia Severo Ochoa” Programm

    Host Specialization and Dispersal in Avian Haemosporidians

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    In order to be able to understand the ecological and evolutionary processes involved in the emergence of infectious diseases, one needs to comprehend how parasites arrive at new geographical areas and how they manage to maintain viable populations and even expand their ranges. We discuss host specificity in avian haemosporidians and how encounter and compatibility filters affect the dispersal of avian haemosporidians, and how these filters affect avian haemosporidian assemblages at different spatial and evolutionary scales. There are at least three important barriers to the dispersal of avian haemosporidians: (i) geographic barriers, (ii) environmental barriers, and (iii) interspecies barriers. In this chapter, we discuss the factors involved in these barriers and their effects on the structure of avian haemosporidian assemblages. Host specificity plays an important role in parasite dispersal, and in the case of avian haemosporidians that are vector-borne parasites, it needs to be evaluated both at the vector and bird host levels. Understanding the effects of these factors on host–vector–parasite dynamics is important to unravel the dispersal and diversification mechanisms of avian haemosporidians. We end this chapter reviewing host specialization in avian haemosporidians of tropical regions, discussing the mechanisms involved in the dispersal and specialization of these parasites and point out important research gaps that need attention
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