Classical stability of a homogeneous, anisotropic inflating space-time

We study the classical stability of an anisotropic space-time seeded by a spacelike, fixed norm, dynamical vector field in a vacuum-energy-dominated inflationary era. It serves as a model for breaking isotropy during the inflationary era. We find that, for a range of parameters, the linear differential equations for small perturbations about the background do not have a growing mode. We also examine the energy of fluctuations about this background in flat-space. If the kinetic terms for the vector field do not take the form of a field strength tensor squared then there is a negative energy mode and the background is unstable. For the case where the kinetic term is of the form of a field strength tensor squared we show that perturbations about the background have positive energy at lowest order.Comment: 12 pages, no figures; references added, content in section V revised and some clarification made in text; minor typos corrected, v4 closely resembles version published in Phys. Rev. D; in v5 - incorrect argument in section V removed and one reference adde

Crew Resource Management and Its Possible Role in Nursing Risk Management

Crew Resource Management (CRM) was introduced within the aviation industry in the late 1970s after an aircraft ran out of fuel whilst the pilots were trying to solve an undercarriage problem. To reduce such errors and ultimately lower the probability of failure and the severity of risks that occur, training in CRM was rolled out across the whole industry. It has been successful over the last few years in major reductions in the number of crashes and fatalities in the commercial aviation sector. Nursing has similar concerns in that errors can ultimately result in fatalities. There are parallels in the needs and expectations of pilots and nurses to assess risk, reduce risk and deliver reliable and dependable professional services. In this paper the parallels of pilots and nurses demands are compared to assess if the lessons learned in aviation can assist nurses deliver procedures with lower risks. The analysis will draw on the demands and expectations and how they both deal with risk, challenging errors and ensuring that identified risks are not overlooked or ignored. Finally, suggestions of adopting, sharing and benchmarking between these two industries can adopt best practices so that both industries can learn from each other

Stimulating Multiple-Demand Cortex Enhances Vocabulary Learning

It is well established that networks within multiple-demand cortex (MDC) become active when diverse skills and behaviors are being learnt. However, their causal role in learning remains to be established. In the present study, we first performed functional magnetic resonance imaging on healthy female and male human participants to confirm that MDC was most active in the initial stages of learning a novel vocabulary, consisting of pronounceable nonwords (pseudowords), each associated with a picture of a real object. We then examined, in healthy female and male human participants, whether repetitive transcranial magnetic stimulation of a frontal midline node of the cingulo-opercular MDC affected learning rates specifically during the initial stages of learning. We report that stimulation of this node, but not a control brain region, substantially improved both accuracy and response times during the earliest stage of learning pseudoword– object associations. This stimulation had no effect on the processing of established vocabulary, tested by the accuracy and response times when participants decided whether a real word was accurately paired with a picture of an object. These results provide evidence that noninvasive stimulation to MDC nodes can enhance learning rates, thereby demonstrating their causal role in the learning process. We propose that this causal role makes MDC candidate target for exper- imental therapeutics; for example, in stroke patients with aphasia attempting to reacquire a vocabulary

Chiral Perturbation Theory for τ→ρπντ\tau \to \rho \pi\nu_\tau, τ→K∗πντ\tau \to K^* \pi \nu_\tau, and τ→ωπντ\tau \to \omega \pi \nu_\tau

We use heavy vector meson $SU(2)_L \times SU(2)_R$ chiral perturbation theory to predict differential decay distributions for $\tau \rightarrow \rho \pi \nu_\tau$ and $\tau \rightarrow K^* \pi \nu_\tau$ in the kinematic region where $p_V \cdot p_\pi/m_V$ (here $V = \rho$ or $K^*$) is much smaller than the chiral symmetry breaking scale. Using the large number of colors limit we also predict the rate for $\tau \rightarrow \omega \pi \nu_\tau$ in this region (now $V = \omega$). Comparing our prediction with experimental data, we determine one of the coupling constants in the heavy vector meson chiral Lagrangian.Comment: 14 pages, latex 2e. We include the decay of the tau into the omega, pi minus and the tau neutrino, and extract a value for the coupling constant g2, using experimental dat

Risk factors for wound infection in surgery for spinal metastasis

Wound infection rates are generally higher in patients undergoing surgery for spinal metastasis. Risk factors of wound infection in these patients are poorly understood. Purpose To identify demographic and clinical variables that may be associated with patients experiencing a higher wound infection rate. Study design Retrospective study with prospectively collected data of spinal metastasis patients operated consecutively at a University Teaching Hospital, adult spine division which is a tertiary referral centre for complex spinal surgery. Patient sample Ninety-eight patients were all surgically treated, consecutively from January 2009 to September 2011. Three patients had to be excluded due to inadequate data. Outcome measures Physiological measures, with presence or absence of microbiologically proven infection. Methods Various demographic and clinical data were recorded, including age, serum albumin level, blood total lymphocyte count, corticosteroid intake, Malnutrition Universal Screening Tool (MUST) score, neurological disability, skin closure material used, levels of surgery and administration of peri-operative corticosteroids. No funding was received from any sources for this study and as far as we are aware, there are no potential conflict of interest-associated biases in this study. Results Higher probabilities of infection were associated with low albumin level, seven or more levels of surgery, use of delayed/non-absorbable skin closure material and presence of neurological disability. Of these factors, levels of surgery were found to be statistically significant at the 5 % significance level. Conclusion Risk of infection is high (17.9 %) in patients undergoing surgery for spinal metastasis. Seven or more vertebral levels of surgery increase the risk of infection significantly (p < 0.05). Low albumin level and presence of neurological disability appear to show a trend towards increased risk of infection. Use of absorbable skin closure material, age, low lymphocyte count, peri-operative administration of corticosteroids and MUST score do not appear to influence the risk of infection

Chiral effective action with heavy quark symmetry

We derive an effective action combining chiral and heavy quark symmetry, using approximate bosonization techniques of QCD. We explicitly show that the heavy-quark limit is compatible with the large $N_c$ (number of color) limit in the meson sector, and derive specific couplings between the light and heavy mesons ($D$, $D^*$, ...) and their chiral partners. The relevance of this effective action to solitons with heavy quarks describing heavy baryons is discussed.Comment: 14 pages, SUNY-NTG-92/2

Black Holes with a Generalized Gravitational Action

Microscopic black holes are sensitive to higher dimension operators in the gravitational action. We compute the influence of these operators on the Schwarzschild solution using perturbation theory. All (time reversal invariant) operators of dimension six are included (dimension four operators don't alter the Schwarzschild solution). Corrections to the relation between the Hawking temperature and the black hole mass are found. The entropy is calculated using the Gibbons-Hawking prescription for the Euclidean path integral and using naive thermodynamic reasoning. These two methods agree, however, the entropy is not equal to 1/4 the area of the horizon.Comment: plain tex(uses phyzzx.tex), 8 pages, CALT-68-185

Explorations in anatomy: the remains from Royal London Hospital

This paper considers the faunal remains from recent excavations at the Royal London Hospital. The remains date to the beginning of the 19th century and offer an insight into the life of the hospital's patients and practices of the attached medical school. Many of the animal remains consist of partially dissected skeletons, including the unique finds of Hermann's tortoise (Testudo hermanni) and Cercopithecus monkey. The hospital diet and developments in comparative anatomy are discussed by integrating the results with documentary research. They show that zooarchaeological study of later post-medieval material can significantly enhance our understanding of the exploitation of animals in this perio