1,166 research outputs found

    Ni induced few-layer graphene growth at low temperature by pulsed laser deposition

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    Author name used in this publication: K. H. Wong2010-2011 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

    Relativistic Generalization of the Gamow Factor for Fermion Pair Production or Annihilation

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    In the production or annihilation of a pair of fermions, the initial-state or final-state interactions often lead to significant effects on the reaction cross sections. For Coulomb-type interactions, the Gamow factor has been traditionally used to take into account these effects. However the Gamow factor needs to be modified when the magnitude of the coupling constant or the relative velocity of two particles increases. We obtain the relativistic generalization of the Gamow factor in terms of the overlap of the Feynman amplitude with the relativistic wave function of two fermions with an attractive Coulomb-type interaction. An explicit form of the corrective factor is presented for the spin-singlet S-wave state. While the corrective factor approaches the Gamow factor in the non-relativistic limit, we found that the Gamow factor significantly over-estimates the effects when the coupling constant or the velocity is large.Comment: 16 pages, 4 figures in LaTe

    A tale of two cities: effects of air pollution on hospital admissions in Hong Kong and London compared.

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    The causal interpretation of reported associations between daily air pollution and daily admissions requires consideration of residual confounding, correlation between pollutants, and effect modification. If results obtained in Hong Kong and London--which differ in climate, lifestyle, and many other respects--were similar, a causal association would be supported. We used identical statistical methods for the analysis in each city. Associations between daily admissions and pollutant levels were estimated using Poisson regression. Nonparametric smoothing methods were used to model seasonality and the nonlinear dependence of admissions on temperature, humidity, and influenza admissions. For respiratory admissions (> or = 65 years of age), significant positive associations were observed with particulate matter < 10 microm in aerodynamic diameter (PM(10), nitrogen dioxide, sulfur dioxide, and ozone in both cities. These associations tended to be stronger at shorter lags in Hong Kong and at longer lags in London. Associations were stronger in the cool season in Hong Kong and in the warm season in London, periods during which levels of humidity are at their lowest in each city. For cardiac admissions (all ages) in both cities, significant positive associations were observed for PM(10), NO(2), and SO(2) with similar lag patterns. Associations tended to be stronger in the cool season. The associations with NO(2) and SO(2) were the most robust in two-pollutant models. Patterns of association for pollutants with ischemic heart disease were similar in the two cities. The associations between O(3) and cardiac admissions were negative in London but positive in Hong Kong. We conclude that air pollution has remarkably similar associations with daily cardiorespiratory admissions in both cities, in spite of considerable differences between cities in social, lifestyle, and environmental factors. The results strengthen the argument that air pollution causes detrimental short-term health effects

    A qualitative study of the views of patients with long-term conditions on family doctors in Hong Kong

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    &lt;b&gt;Background&lt;/b&gt; Primary care based management of long-term conditions (LTCs) is high on the international healthcare agenda, including the Asia-Pacific region. Hong Kong has a 'mixed economy' healthcare system with both public and private sectors with a range of types of primary care doctors. Recent Hong Kong Government policy aims to enhance the management of LTCs in primary care possibly based on a 'family doctor' model. Patients' views on this are not well documented and the aim of the present study was to explore the views of patients with LTCs on family doctors in Hong Kong.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Methods&lt;/b&gt; The views of patients (with a variety of LTCs) on family doctors in Hong Kong were explored. Two groups of participants were interviewed; a) those who considered themselves as having a family doctor, b) those who considered themselves as not having a family doctor (either with a regular primary care doctor but not a family doctor or with no regular primary care doctor). In-depth individual semi-structured interviews were carried out with 28 participants (10 with a family doctor, 10 with a regular doctor, and 8 with no regular doctor) and analysed using the constant comparative method.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Results&lt;/b&gt; Participants who did not have a family doctor were familiar with the concept but regarded it as a 'luxury item' for the rich within the private healthcare system. Those with a regular family doctor (all private) regarded having one as important to their and their family's health. Participants in both groups felt that as well as the more usual family medicine specialist or general practitioner, traditional Chinese medicine practitioners also had the potential to be family doctors. However most participants attended the public healthcare system for management of their LTCs whether they had a family doctor or not. Cost, perceived need, quality, trust, and choice were all barriers to the use of family doctors for the management of their LTCs.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Conclusions&lt;/b&gt; Important barriers to the adoption of a 'family doctor' model of management of LTCs exist in Hong Kong. Effective policy implementation seems unlikely unless these complex barriers are addressed

    Evidence for non-hadronic interactions of charm degrees of freedom in heavy-ion collisions at relativistic energies

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    Within the Hadron-String Dynamics (HSD) transport approach we study the suppression pattern of charmonia at RHIC with respect to centrality and rapidity employing various model concepts such as variants of the 'comover absorption' model or the 'charmonium melting' scenario. We find that especially the ratio of the forward to mid-rapidity nuclear modification factors of J/Psi (R_AA (forward) / R_AA (mid)) cannot be explained by the interactions with 'formed' comoving mesons or by the 'color screening mechanism' alone. Only when incorporating interactions of the c or c-bar quark with a pre-hadronic medium satisfactory results are obtained. A detailed comparison to the PHENIX data demonstrates that non-hadronic interactions are mandatory to describe the narrowing of the J/Psi rapidity distribution from p+p to central Au+Au collisions. The Psi' to J/Psi ratio is found to be crucial in disentangling the different charmonium absorption scenarios especially in the RHIC energy range. Furthermore, a comparison of the transport calculations to the statistical model of Gorenstein and Gazdzicki as well as the statistical hadronization model of Andronic et al. shows differences in the energy dependence as well as centrality dependence of the J/Psi to pion ratio which may be exploited experimentally to disentangle different concepts. We find additionally that the collective flow of charm in the HSD transport appears compatible with the data at SPS energies but substantially underestimates the data at top RHIC energies such that the large elliptic flow v_2 of charm seen experimentally has to be attributed to early interactions of non-hadronic degrees of freedom.Comment: 35 pages, 16 Figs, v2: additional figure and corresponding changes to the tex

    Inclusive and Direct Photons in S + Au Central Collisions at 200A GeV/c

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    A hadron and string cascade model, JPCIAE, which is based on LUND string model, PYTHIA event generator especially, is used to study both inclusive photon production and direct photon production in 200A GeV S + Au central collisions. The model takes into account the photon production from the partonic QCD scattering process, the hadronic final-state interaction, and the hadronic decay and deals with them consistently. The results of JPCIAE model reproduce successfully both the WA93 data of low p_T inclusive photon distribution and the WA80 data of transverse momentum dependent upper limit of direct photon. The photon production from different decay channels is investigated for both direct and inclusive photons. We have discussed the effects of the partonic QCD scattering and the hadronic final-state interaction on direct photon production as well.Comment: 6 pages with 5 figure

    Preliminary results of trial NPC-0501 evaluating the therapeutic gain by changing from concurrent-adjuvant to induction-concurrent chemoradiotherapy, changing from fluorouracil to capecitabine, and changing from conventional to accelerated radiotherapy fractionation in patients with locoregionally advanced nasopharyngeal carcinoma

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    © 2014 American Cancer Society. BACKGROUND A current recommendation for locoregionally advanced nasopharyngeal carcinoma (NPC) is conventional fractionated radiotherapy with concurrent cisplatin plus adjuvant cisplatin and fluorouracil (PF). In this randomized trial, the authors evaluated the potential therapeutic benefit from changing to an induction-concurrent chemotherapy sequence, replacing fluorouracil with oral capecitabine, and/or using accelerated rather than conventional radiotherapy fractionation. METHODS Patients with stage III through IVB, nonkeratinizing NPC were randomly allocated to 1 of 6 treatment arms. The protocol was amended in 2009 to permit confining randomization to the conventional fractionation arms. The primary endpoint was progression-free survival. Secondary endpoints included overall survival and safety. RESULTS In total, 803 patients were accrued, and 706 patients were randomly allocated to all 6 treatment arms. Comparisons of induction PF versus adjuvant PF did not indicate a significant improvement. Unadjusted comparisons of induction cisplatin and capecitabine (PX) versus adjuvant PF indicated a favorable trend in progression-free survival for the conventional fractionation arm (P = .045); analyses that were adjusted for other significant factors and fractionation reflected a significant reduction in the hazards of disease progression (hazard ratio [HR], 0.54; 95% confidence interval [CI], 0.36-0.80) and death (HR, 0.42; 95% CI, 0.25-0.70). Unadjusted comparisons of induction sequences versus adjuvant sequences did not reach statistical significance, but adjusted comparisons indicated favorable improvements by induction sequence. Comparisons of induction PX versus induction PF revealed fewer toxicities (neutropenia and electrolyte disturbance), unadjusted comparisons of efficacy were statistically insignificant, but adjusted analyses indicated that induction PX had a lower hazard of death (HR, 0.57; 95% CI, 0.34-0.97). Changing the fractionation from conventional to accelerated did not achieve any benefit but incurred higher toxicities (acute mucositis and dehydration). CONCLUSIONS Preliminary results indicate that the benefit of changing to an induction-concurrent sequence remains uncertain; replacing fluorouracil with oral capecitabine warrants further validation in view of its convenience, favorable toxicity profile, and favorable trends in efficacy; and accelerated fractionation is not recommended for patients with locoregionally advanced NPC who receive chemoradiotherapy.postprin

    The epidemiology and natural history of depressive disorders in Hong Kong's primary care

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    Background: Depressive disorders are commonly managed in primary care and family physicians are ideally placed to serve as central providers to these patients. Around the world, the prevalence of depressive disorders in patients presenting to primary care is between 10-20%, of which around 50% remain undiagnosed. In Hong Kong, many barriers exist preventing the optimal treatment and management of patients with depressive disorders. The pathways of care, the long term outcomes and the factors affecting prognosis of these patients requires closer examination. Methods/Design. The aim of this study is to examine the prevalence, incidence and natural history of depressive disorders in primary care and the factors influencing diagnosis, management and outcomes using a cross-sectional study followed by a longitudinal cohort study. Doctors working in primary care settings across Hong Kong have been invited to participate in this study. On one day each month over twelve months, patients in the doctor's waiting room are invited to complete a questionnaire containing items on socio-demography, co-morbidity, family history, previous doctor-diagnosed mental illness, recent mental and other health care utilization, symptoms of depression and health-related quality of life. Following the consultation, the doctors provide information regarding presenting problem, whether they think the patient has depression, and if so, whether the diagnosis is new or old, and the duration of the depressive illness if not a new diagnosis. If the doctor detects a depressive disorder, they are asked to provide information regarding patient management. Patients who consent are followed up by telephone at 2, 12, 26 and 52 weeks. Discussion. The study will provide information regarding cross-sectional prevalence, 12 month incidence, remission rate, outcomes and factors affecting outcomes of patients with depressive disorders in primary care. The epidemiology, outcomes, pathways of care, predictors for prognosis and service needs for primary care patients with depressive disorders will be described and recommendations made for policy and service planning. © 2011 Chin et al; licensee BioMed Central Ltd.published_or_final_versio
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