Schwarzschild black hole levitating in the hyperextreme Kerr field

The equilibrium configurations between a Schwarzschild black hole and a hyperextreme Kerr object are shown to be described by a three-parameter subfamily of the extended double-Kerr solution. For this subfamily, its Ernst potential and corresponding metric functions, we provide a physical representation which employs as arbitrary parameters the individual Komar masses and relative coordinate distance between the sources. The calculation of horizon's local angular velocity induced in the Schwarzschild black hole by the Kerr constituent yields a simple expression inversely proportional to the square of the distance parameter.Comment: 6 pages, 1 figure; improved versio

Lifestyle gambling, indebtedness and anxiety: A deviant leisure perspective

While once subject to wide-ranging state control, gambling has successfully culturally embedded itself within the normalised and legitimised forms of leisure such as the night-time economy, sports fandom and online forums of socialisation. Consequently, this article argues that existing research which conceptualises gambling as separate from everyday life is largely obsolete in the contemporary context. We argue here that gambling has become an integral feature of the wider masculine weekend leisure experience, intimately connected to an infantilised consumer identity that is peculiar to late-capitalism. This article, drawing upon ongoing ethnographic research among what we term ‘lifestyle gamblers’, utilises a deviant leisure perspective to problematise the myriad harms that emerge from this relationship, situated within a broader critique of consumerism and global capitalism. While social gambling is defended fiercely by the industry, this article argues that an identity-based culture of sports-betting that attaches fragile social and cultural capital to the allure of the gambling win encourages the chasing of losses and impulsive betting. Underscored by a culture of readily available and high-interest credit, we explore how gamblers in a technologically accelerated culture develop a pathological relationship to money as it becomes desublimated and loses its symbolic value. Such processes, exacerbated by the promise of consumer culture, have the potential to cast these young adults into a paralysing reality of indebtedness that is fraught with depression, stress, domestic instability and destructive behaviours of consumption

General practitioners' perceptions on home medicines reviews: A qualitative analysis

Background: Home Medicines Review (HMR) is an Australian initiative introduced in 2001 to improve quality use of medicines. Medication management services such as HMRs have the potential to reduce medication related problems. In 2011, changes to the HMR program were introduced to allow for referrals directly to accredited pharmacists in addition to the community pharmacy referral model. These changes were introduced to improve efficiency of the process. This study explored the perceptions of Western Australian general practitioners (GPs) on benefits and barriers of the HMR service and process, including their insights into the direct referral model. Methods: Purposive sampling of GPs who had experience ensured that participants had a working knowledge of the HMR service. Semi structured interviews with 24 GPs from 14 metropolitan Western Australian medical centres between March and May 2013. Transcribing and thematic analysis of data were performed. Results: Most GPs had positive attitudes towards the HMR service. Main perceived benefits of the service were poly-pharmacy reduction and education for both the GP and patient. Strategies identified to improve the service were introduction of a standard HMR report template for pharmacists and better use of technology. Whilst reliability and GPs' familiarity were the main perceived benefits of the direct referral model, a number of GPs agreed that patient unfamiliarity with the HMR pharmacist was a barrier. Conclusions: Despite recognition of the value of the HMR service participating GPs were of the opinion that there are aspects of the HMR service that could be improved. As one of the success factors of HMRs is relying on GPs to utilise this service, this study provides valuable insight into issues that need to be addressed to improve HMR uptake

Review on exact and perturbative deformations of the Einstein-Straus model : uniqueness and rigidity results

The Einstein-Straus model consists of a Schwarzschild spherical vacuole in a Friedman-Lema^ tre-Robertson-Walker (FLRW) dust spacetime (with or without ). It constitutes the most widely accepted model to answer the question of the in uence of large scale (cosmological) dynamics on local systems. The conclusion drawn by the model is that there is no in uence from the cosmic background, since the spher- ical vacuole is static. Spherical generalizations to other interior matter models are commonly used in the construction of lumpy inhomogeneous cosmological models. On the other hand, the model has proven to be reluctant to admit non-spherical generalizations. In this review, we summarize the known uniqueness results for this model. These seem to indicate that the only reasonable and realistic non- spherical deformations of the Einstein-Straus model require perturbing the FLRW background. We review results about linear perturbations of the Einstein-Straus model, where the perturbations in the vacuole are assumed to be stationary and axially symmetric so as to describe regions (voids in particular) in which the matter has reached an equilibrium regime.M.M. acknowledges financial support under the projects FIS2012-30926 (MICINN) and P09-FQM-4496 (J. Andalucia-FEDER). F. M. thanks the warm hospitality from Instituto de Fisica, UERJ, Rio de Janeiro, Brasil, projects PTDC/MAT/108921/2008 and CERN/FP/123609/2011 from Fundacao para a Ciencia e a Tecnologia (FCT), as well as CMAT, Univ. Minho, for support through FEDER funds Programa Operacional Factores de Competitividade (COMPETE) and Portuguese Funds from FCT within the project PEst-C/MAT/UI0013/2011. R. V. thanks the kind hospitality from the Universidad de Salamanca, where parts of this work have been produced, and financial support from project IT592-13 of the Basque Government, and FIS2010-15492 from the MICINN

Parathyroid autotransplantation in extensive head and neck resections: case series report

Permanent or temporary hypoparathyroidism may be a debilitating result of radical cervical surgery, as noted most commonly following thyroid or parathyroid surgery. However, it can also be the outcome of any surgical procedure involving bilateral extensive manipulation of the anterior neck triangle, especially in order to ensure oncologically adequate surgical margins

TweetLID : a benchmark for tweet language identification

Language identification, as the task of determining the language a given text is written in, has progressed substantially in recent decades. However, three main issues remain still unresolved: (1) distinction of similar languages, (2) detection of multilingualism in a single document, and (3) identifying the language of short texts. In this paper, we describe our work on the development of a benchmark to encourage further research in these three directions, set forth an evaluation framework suitable for the task, and make a dataset of annotated tweets publicly available for research purposes. We also describe the shared task we organized to validate and assess the evaluation framework and dataset with systems submitted by seven different participants, and analyze the performance of these systems. The evaluation of the results submitted by the participants of the shared task helped us shed some light on the shortcomings of state-of-the-art language identification systems, and gives insight into the extent to which the brevity, multilingualism, and language similarity found in texts exacerbate the performance of language identifiers. Our dataset with nearly 35,000 tweets and the evaluation framework provide researchers and practitioners with suitable resources to further study the aforementioned issues on language identification within a common setting that enables to compare results with one another

High prevalence of vitamin D deficiency among children aged 1 month to 16 years in Hangzhou, China

<p>Abstract</p> <p>Background</p> <p>Recent studies have suggested that vitamin D deficiency in children is widespread. But the vitamin D status of Chinese children is seldom investigated. The objective of the present study was to survey the serum levels of 25-hydroxyvitamin D [25(OH)D] in more than 6,000 children aged 1 month to 16 years in Hangzhou (latitude: 30°N), the capital of Zhejiang Province, southeast China.</p> <p>Methods</p> <p>The children aged 1 month to 16 years who came to the child health care department of our hospital, the children's hospital affiliated to Zhejiang university school of medicine, for health examination were taken blood for 25(OH) D measurement. Serum 25(OH) D levels were determined by direct enzyme-linked immunosorbent assay and categorized as < 25, < 50, and < 75 nmol/L.</p> <p>Results</p> <p>A total of 6,008 children aged 1 month to 16 years participated in this cross-sectional study. All the subjects were divided into subgroups according to their age: 0-1y, 2-5y, 6-11y and 12-16y representing infancy, preschool, school age and adolescence stages respectively. The highest mean level of serum 25(OH)D was found in the 0-1y stage (99 nmol/L) and the lowest one was found in 12-16y stage (52 nmol/L). Accordingly, the prevalence of serum 25(OH)D levels of < 75 nmol/L and < 50 nmol/L were at the lowest among infants (33.6% and 5.4% respectively) and rose to the highest among adolescents (89.6% and 46.4% respectively). The mean levels of serum 25(OH)D and the prevalence of vitamin D deficiency changed according to seasons. In winter and spring, more than 50% of school age children and adolescents had a 25(OH)D level at < 50 nmol/L. If the threshold is changed to < 75 nmol/L, all of the adolescents (100%) had low 25(OH)D levels in winter and 93.7% school age children as well.</p> <p>Conclusions</p> <p>The prevalence of vitamin D deficiency and insufficiency among children in Hangzhou Zhejiang province is high, especially among children aged 6-16 years. We suggest that the recommendation for vitamin D supplementation in Chinese children should be extended to adolescence.</p

The role of rewards and demands in burnout among surgical nurses

Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees’ development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence) in burnout among surgical nurses. Materials and Methods: The study was conducted in 2009 and 2010 with 263 nurses who worked in surgical wards and clinics in hospitals in Southern Poland. The hypotheses were tested by the use of measures of demands and rewards (Effort-Reward Imbalance Questionnaire by Siegrist) and burnout syndrome (Maslach Burnout Inventory). A cross-sectional, correlational study design was applied. Results: Nurses experienced the largest deficiencies in salary and prestige. Exhaustion was explained by stronger demands and lack of respect (large effect). Depersonalization was explained by stronger demands, lack of respect and greater job security (medium effect). Reduced personal achievement was explained by more demands and greater job security (small effect). Conclusions: Excessive demands and lack of esteem are key reasons for burnout among surgical nurses. Job security can increase burnout when too many resources are invested and career opportunities do not appear. These results may help to improve human resource management in the healthcare sector

Genetic Diversity and Antimicrobial Resistance of Escherichia coli from Human and Animal Sources Uncovers Multiple Resistances from Human Sources

Escherichia coli are widely used as indicators of fecal contamination, and in some cases to identify host sources of fecal contamination in surface water. Prevalence, genetic diversity and antimicrobial susceptibility were determined for 600 generic E. coli isolates obtained from surface water and sediment from creeks and channels along the middle Santa Ana River (MSAR) watershed of southern California, USA, after a 12 month study. Evaluation of E. coli populations along the creeks and channels showed that E. coli were more prevalent in sediment compared to surface water. E. coli populations were not significantly different (P = 0.05) between urban runoff sources and agricultural sources, however, E. coli genotypes determined by pulsed-field gel electrophoresis (PFGE) were less diverse in the agricultural sources than in urban runoff sources. PFGE also showed that E. coli populations in surface water were more diverse than in the sediment, suggesting isolates in sediment may be dominated by clonal populations.Twenty four percent (144 isolates) of the 600 isolates exhibited resistance to more than one antimicrobial agent. Most multiple resistances were associated with inputs from urban runoff and involved the antimicrobials rifampicin, tetracycline, and erythromycin. The occurrence of a greater number of E. coli with multiple antibiotic resistances from urban runoff sources than agricultural sources in this watershed provides useful evidence in planning strategies for water quality management and public health protection