What makes for a 'good' or 'bad' paediatric diabetes service from the viewpoint of children, young people, carers and clinicians? A synthesis of qualitative findings

Background: There is mounting evidence that experience of care is a crucial part of the pathway for successful management of long-term conditions. Design and objectives: To carry out (1) a systematic mapping of qualitative evidence to inform selection of studies for the second stage of the review; and (2) a narrative synthesis addressing the question, What makes for a ‘good’ or a ‘bad’ paediatric diabetes service from the viewpoint of children, young people, carers and clinicians? Results: The initial mapping identified 38 papers. From these, the findings of 20 diabetes-focused papers on the views on care of ≥650 children, parents and clinicians were synthesised. Only five studies included children under 11 years. Children and young people across all age groups valued positive, non-judgemental and relationship-based care that engaged with their social, as well as physical, health. Parents valued provision responsive to the circumstances of family life and coordinated across services. Clinicians wanting to engage with families beyond a child's immediate physical health described finding this hard to achieve in practice. Limitations: Socioeconomic status and ethnicity were poorly reported in the included studies. Conclusions: In dealing with diabetes, and engaging with social health in a way valued by children, parents and clinicians, not only structural change, such as more time for consultation, but new skills for reworking relations in the consultation may be required

MSW-like Enhancements without Matter

We study the effects of a scalar field, coupled only to neutrinos, on oscillations among weak interaction current eigenstates. The effect of a real scalar field appears as effective masses for the neutrino mass eigenstates, the same for \nbar as for \n. Under some conditions, this can lead to a vanishing of $\delta m^2$, giving rise to MSW-like effects. We discuss some examples and show that it is possible to resolve the apparent discrepancy in spectra required by r-process nucleosynthesis in the mantles of supernovae and by Solar neutrino solutions.Comment: 9 pages, latex, 1 figur

Multichannel oscillations and relations between LSND, KARMEN and MiniBooNE, with and without CP violation

We show by examples that multichannel mixing can affect both the parameters extracted from neutrino oscillation experiments, and that more general conclusions derived by fitting the experimental data under the assumption that only two channels are involved in the mixing. Implications for MiniBooNE are noted and an example based on maximal CP violation displays profound implications for the two data sets (muon-neutrino and muon-antineutrino) of that experiment.Comment: 5 pages 4 figure

Children of divorce: Educational interventions

The purpose of this study is to 1) identify developmental responses to divorce, 2) identify the changes in life style and family functioning caused by divorce, and 3) identify how educators can effectively intervene when appropriate. This paper relates the developmental responses of children to divorce from preschool age through adolescence as reviewed in the longintudinal studies of Judith Wallerstein and colleagues, and other studies and articles. The review of literature, as it relates divorce to the effect on children\u27s academic progress, highlights the lack of studies with this focus and the need for further research in the area

Systematic Theoretical Search for Dibaryons in a Relativistic Model

A relativistic quark potential model is used to do a systematic search for quasi-stable dibaryon states in the $u$, $d$, and $s$ three flavor world. Flavor symmetry breaking and channel coupling effects are included and an adiabatic method and fractional parentage expansion technique are used in the calculations. The relativistic model predicts dibaryon candidates completely consistent with the nonrelativistic model.Comment: 12 pages, latex, no figure

Spin-1/2 Ising-Heisenberg model with the pair XYZ Heisenberg interaction and quartic Ising interactions as the exactly soluble zero-field eight-vertex model

The spin-1/2 Ising-Heisenberg model with the pair XYZ Heisenberg interaction and quartic Ising interactions is exactly solved by establishing a precise mapping relationship with the corresponding zero-field (symmetric) eight-vertex model. It is shown that the Ising-Heisenberg model with the ferromagnetic Heisenberg interaction exhibits a striking critical behavior, which manifests itself through re-entrant phase transitions as well as continuously varying critical exponents. The changes of critical exponents are in accordance with the weak universality hypothesis in spite of a peculiar singular behavior to emerge at a quantum critical point of the infinite order, which occurs at the isotropic limit of the Heisenberg interaction. On the other hand, the Ising-Heisenberg model with the antiferromagnetic Heisenberg interaction surprisingly exhibits less significant changes of both critical temperatures as well as critical exponents upon varying a strength of the exchange anisotropy in the Heisenberg interaction.Comment: 11 pages, 9 figure

Elementary excitations in the gapped phase of a frustrated S=1/2 spin ladder: from spinons to the Haldane triplet

We use the variational matrix-product ansatz to study elementary excitations in the S=1/2 ladder with additional diagonal coupling, equivalent to a single S=1/2 chain with alternating exchange and next-nearest neighbor interaction. In absence of alternation the elementary excitation consists of two free S=1/2 particles ("spinons") which are solitons in the dimer order. When the nearest-neighbor exchange alternates, the "spinons" are confined into one S=1 excitation being a soliton in the generalized string order. Variational results are found to be in a qualitative agreement with the exact diagonalization data for 24 spins. We argue that such an approach gives a reasonably good description in a wide range of the model parameters.Comment: RevTeX, 13 pages, 11 embedded figures, uses psfig and multico

Zero-Temperature Phase Transitions of Antiferromagnetic Ising Model of General Spin on a Triangular Lattice

We map the ground-state ensemble of antiferromagnetic Ising model of spin-S on a triangular lattice to an interface model whose entropic fluctuations are proposed to be described by an effective Gaussian free energy, which enables us to calculate the critical exponents of various operators in terms of the stiffness constant of the interface. Monte Carlo simulations for the ground-state ensemble utilizing this interfacial representation are performed to study both the dynamical and the static properties of the model. This method yields more accurate numerical results for the critical exponents. By varying the spin magnitude in the model, we find that the model exhibits three phases with a Kosterlitz-Thouless phase transition at 3/2<S_{KT}<2 and a locking phase transition at 5/2 < S_L \leq 3. The phase diagram at finite temperatures is also discussed.Comment: 15 pages, LaTeX; 10 figures in PostScript files; The revised version appears in PRB (see Journal-ref). New electronic address of first author, [email protected]