129 research outputs found
Adiabatic response for Lindblad dynamics
We study the adiabatic response of open systems governed by Lindblad
evolutions. In such systems, there is an ambiguity in the assignment of
observables to fluxes (rates) such as velocities and currents. For the
appropriate notion of flux, the formulas for the transport coefficients are
simple and explicit and are governed by the parallel transport on the manifold
of instantaneous stationary states. Among our results we show that the response
coefficients of open systems, whose stationary states are projections, is given
by the adiabatic curvature.Comment: 33 pages, 4 figures, accepted versio
Recommended Medical and Non-Medical Factors to Assess Military Preventable Deaths: Subject Matter Experts Provide Valuable Insights
INTRODUCTION: Historically, there has been variability in the methods for determining preventable death within the US Department of Defense. Differences in methodologies partially explain variable preventable death rates ranging from 3% to 51%. The lack of standard review process likely misses opportunities for improvement in combat casualty care. This project identified recommended medical and non-medical factors necessary to (1) establish a comprehensive preventable death review process and (2) identify opportunities for improvement throughout the entire continuum of care.
METHODS: This qualitative study used a modified rapid assessment process that includes the following steps: (1) identification and recruitment of US government subject matter experts (SMEs); (2) multiple cycles of data collection via key informant interviews and focus groups; (3) consolidation of information collected in these interviews; and (4) iterative analysis of data collected from interviews into common themes. Common themes identified from SME feedback were grouped into the following subject areas: (1) prehospital, (2) in-hospital and (3) forensic pathology.
RESULTS: Medical recommendations for military preventable death reviews included the development, training, documentation, collection, analysis and reporting of the implementation of the Tactical Combat Casualty Care Guidelines, Joint Trauma System Clinical Practice Guidelines and National Association of Medical Examiners autopsy standards. Non-medical recommendations included training, improved documentation, data collection and analysis of non-medical factors needed to understand how these factors impact optimal medical care.
CONCLUSIONS: In the operational environment, medical care must be considered in the context of non-medical factors. For a comprehensive preventable death review process to be sustainable in the military health system, the process must be based on an appropriate conceptual framework implemented consistently across all military services
Measurement of the Nucleon Structure Function F2 in the Nuclear Medium and Evaluation of its Moments
We report on the measurement of inclusive electron scattering off a carbon
target performed with CLAS at Jefferson Laboratory. A combination of three
different beam energies 1.161, 2.261 and 4.461 GeV allowed us to reach an
invariant mass of the final-state hadronic system W~2.4 GeV with four-momentum
transfers Q2 ranging from 0.2 to 5 GeV2. These data, together with previous
measurements of the inclusive electron scattering off proton and deuteron,
which cover a similar continuous two-dimensional region of Q2 and Bjorken
variable x, permit the study of nuclear modifications of the nucleon structure.
By using these, as well as other world data, we evaluated the F2 structure
function and its moments. Using an OPE-based twist expansion, we studied the
Q2-evolution of the moments, obtaining a separation of the leading-twist and
the total higher-twist terms. The carbon-to-deuteron ratio of the leading-twist
contributions to the F2 moments exhibits the well known EMC effect, compatible
with that discovered previously in x-space. The total higher-twist term in the
carbon nucleus appears, although with large systematic uncertainites, to be
smaller with respect to the deuteron case for n<7, suggesting partial parton
deconfinement in nuclear matter. We speculate that the spatial extension of the
nucleon is changed when it is immersed in the nuclear medium.Comment: 37 pages, 15 figure
Horizontal Branch Stars: The Interplay between Observations and Theory, and Insights into the Formation of the Galaxy
We review HB stars in a broad astrophysical context, including both variable
and non-variable stars. A reassessment of the Oosterhoff dichotomy is
presented, which provides unprecedented detail regarding its origin and
systematics. We show that the Oosterhoff dichotomy and the distribution of
globular clusters (GCs) in the HB morphology-metallicity plane both exclude,
with high statistical significance, the possibility that the Galactic halo may
have formed from the accretion of dwarf galaxies resembling present-day Milky
Way satellites such as Fornax, Sagittarius, and the LMC. A rediscussion of the
second-parameter problem is presented. A technique is proposed to estimate the
HB types of extragalactic GCs on the basis of integrated far-UV photometry. The
relationship between the absolute V magnitude of the HB at the RR Lyrae level
and metallicity, as obtained on the basis of trigonometric parallax
measurements for the star RR Lyrae, is also revisited, giving a distance
modulus to the LMC of (m-M)_0 = 18.44+/-0.11. RR Lyrae period change rates are
studied. Finally, the conductive opacities used in evolutionary calculations of
low-mass stars are investigated. [ABRIDGED]Comment: 56 pages, 22 figures. Invited review, to appear in Astrophysics and
Space Scienc
Bias with respect to socioeconomic status: A closer look at zip code matching in a pneumococcal vaccine effectiveness study
In 2010, 13-valent pneumococcal conjugate vaccine (PCV13) was introduced in the US for prevention of invasive pneumococcal disease in children. Individual-level socioeconomic status (SES) is a potential confounder of the estimated effectiveness of PCV13 and is often controlled for in observational studies using zip code as a proxy. We assessed the utility of zip code matching for control of SES in a post-licensure evaluation of the effectiveness of PCV13 (calculated as [1-matched odds ratio]*100). We used a directed acyclic graph to identify subsets of confounders and collected SES variables from birth certificates, geocoding, a parent interview, and follow-up with medical providers. Cases tended to be more affluent than eligible controls (for example, 48.3% of cases had private insurance vs. 44.6% of eligible controls), but less affluent than enrolled controls (52.9% of whom had private insurance). Control of confounding subsets, however, did not result in a meaningful change in estimated vaccine effectiveness (original estimate: 85.1%, 95% CI 74.8–91.9%; adjusted estimate: 82.5%, 95% CI 65.6–91.1%). In the context of a post-licensure vaccine effectiveness study, zip code appears to be an adequate, though not perfect, proxy for individual SES
School-Based Programs to Reduce Bullying and Victimization
School bullying has serious short-term and long-term effects on children’s physical
and mental health. Various anti-bullying programs have been implemented world
wide and, more rarely, evaluated. Previous narrative reviews, summarizing the work
done on bullying prevention, as well as previous meta-analyses of anti-bullying
programs, are limited. The definition of school bullying includes several key
elements: physical, verbal, or psychological attack or intimidation that is intended
to cause fear, distress, or harm to the victim; an imbalance of power (psychological
or physical), with a more powerful child (or children) oppressing less powerful ones;
and repeated incidents between the same children over a prolonged period. School
bullying can occur in school or on the way to or from school. It is not bullying when
two persons of the same strength (physical, psychological, or verbal) victimize each
other. This report presents a systematic review and meta-analysis of the effectiveness of
programs designed to reduce school bullying perpetration and victimization (i.e.
being bullied). The authors indicate the pitfalls of previous reviews and explain in
detail how the present systematic review and meta-analysis addresses the gaps in
the existing literature on bullying prevention
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