The social cognition of medical knowledge, with special reference to childhood epilepsy

This paper arose out of an engagement in medical communication courses at a Gulf university. It deploys a theoretical framework derived from a (critical) sociocognitive approach to discourse analysis in order to investigate three aspects of medical discourse relating to childhood epilepsy: the cognitive processes that are entailed in relating different types of medical knowledge to their communicative context; the types of medical knowledge that are constituted in the three different text types analysed; and the relationship between these different types of medical knowledge and the discursive features of each text type. The paper argues that there is a cognitive dimension to the human experience of understanding and talking about one specialized from of medical knowledge. It recommends that texts be studied in medical communication courses not just in terms of their discrete formal features but also critically, in terms of the knowledge which they produce, transmit and reproduce

Anomalous Fisher-like zeros for the canonical partition function of noninteracting fermions

Noninteracting fermions, placed in a system with a continuous density of states, may have zeros in the $N$-fermion canonical partition function on the positive real $\beta$ axis (or very close to it), even for a small number of particles. This results in a singular free energy, and instability in other thermal properties of the system. In the context of trapped fermions in a harmonic oscillator, these zeros are shown to be unphysical. By contrast, similar bosonic calculations with continuous density of states yield sensible results.Noninteracting fermions, placed in a system with a continuous density of states yield sensible results.Comment: 5 pages and 5 figure

Position-dependent shear-induced austenite-martensite transformation in double-notched TRIP and dual-phase steel samples

While earlier studies on transformation-induced-plasticity (TRIP) steels focused on the determination of the austenite-to-martensite decomposition in uniform deformation or thermal fields, the current research focuses on the determination of the local retained austenite-to-martensite transformation behaviour in an inhomogeneous yet carefully controlled shear-loaded region of double-notched TRIP and dual-phase (DP) steel samples. A detailed powder analysis has been performed to simultaneously monitor the evolution of the phase fraction and the changes in average carbon concentration of metastable austenite together with the local strain components in the constituent phases as a function of the macroscopic stress and location with respect to the shear band. The metastable retained austenite shows a mechanically induced martensitic transformation in the localized shear zone, which is accompanied by an increase in average carbon concentration of the remaining austenite due to a preferred transformation of the austenite grains with the lowest carbon concentration. At the later deformation stages the geometry of the shear test samples results in the development of an additional tensile component. The experimental strain field within the probed sample area is in good agreement with finite element calculations. The strain development observed in the low-alloyed TRIP steel with metastable austenite is compared with that of steels with the same chemical composition containing either no austenite (a DP grade) or stable retained austenite (a TRIP grade produced at a long bainitic holding time). The transformation of metastable austenite under shear is a complex interplay between the local microstructure and the evolving strain fields

Atomic quasi-Bragg diffraction in a magnetic field

We report on a new technique to split an atomic beam coherently with an easily adjustable splitting angle. In our experiment metastable helium atoms in the |{1s2s}^3S_1 M=1> state diffract from a polarization gradient light field formed by counterpropagating \sigma^+ and \sigma^- polarized laser beams in the presence of a homogeneous magnetic field. In the near-adiabatic regime, energy conservation allows the resonant exchange between magnetic energy and kinetic energy. As a consequence, symmetric diffraction of |M=0> or |M=-1> atoms in a single order is achieved, where the order can be chosen freely by tuning the magnetic field. We present experimental results up to 6th order diffraction (24 \hbar k momentum splitting, i.e., 2.21 m/s in transverse velocity) and present a simple theoretical model that stresses the similarity with conventional Bragg scattering. The resulting device constitutes a flexible, adjustable, large-angle, three-way coherent atomic beam splitter with many potential applications in atom optics and atom interferometry.Comment: 4 pages, 5 figure

Evaluation of pain incidence and pain management in a South African paediatric trauma unit

Objectives. To evaluate pain incidence and pain management in a South African paediatric trauma unit, and to compare the usefulness of 5 different assessment tools. Design. A prospective observational study, using the Numerical Rating Scale for pain (NRS pain), Numerical Rating Scale for anxiety (NRS anxiety), the Alder Hey Triage Pain Score (AHTPS), the COMFORT behaviour scale and the Touch Visual Pain Scale (TVPS). All patients were assessed at admission; those who were hospitalised were again assessed every 3 hours until discharge. Results. A total of 165 patients, with a mean age of 5.3 years (range 0 - 13), were included. NRS scores were indicative of moderate to severe pain in 13.3% of the patients, and no pain in 24% at admission. Two-thirds of the patients received no analgesics; for them, NRS pain, AHTPS and TVP scores were lower than the scores for the other children. Conclusion. Pain and anxiety incidences in this paediatric trauma unit are relatively low. Implementation of a standard pain assessment tool in the emergency department triage system can improve pain management. The AHTPS is the most promising for use in non-Western settings

Global-scale regionalization of hydrologic model parameters

Current state-of-the-art models typically applied at continental to global scales (hereafter called macroscale) tend to use a priori parameters, resulting in suboptimal streamflow (Q) simulation. For the first time, a scheme for regionalization of model parameters at the global scale was developed. We used data from a diverse set of 1787 small-to-medium sized catchments ( 10-10,000 km(2)) and the simple conceptual HBV model to set up and test the scheme. Each catchment was calibrated against observed daily Q, after which 674 catchments with high calibration and validation scores, and thus presumably good-quality observed Q and forcing data, were selected to serve as donor catchments. The calibrated parameter sets for the donors were subsequently transferred to 0.5 degrees grid cells with similar climatic and physiographic characteristics, resulting in parameter maps for HBV with global coverage. For each grid cell, we used the 10 most similar donor catchments, rather than the single most similar donor, and averaged the resulting simulated Q, which enhanced model performance. The 1113 catchments not used as donors were used to independently evaluate the scheme. The regionalized parameters outperformed spatially uniform (i.e., averaged calibrated) parameters for 79% of the evaluation catchments. Substantial improvements were evident for all major Koppen-Geiger climate types and even for evaluation catchments>5000 km distant from the donors. The median improvement was about half of the performance increase achieved through calibration. HBV with regionalized parameters outperformed nine state-of-the-art macroscale models, suggesting these might also benefit from the new regionalization scheme. The produced HBV parameter maps including ancillary data are available via

Evaluation and bias correction of satellite rainfall data for drought monitoring in Indonesia

The accuracy of three satellite rainfall products (TMPA 3B42RT, CMORPH and PERSIANN) was investigated through comparison with grid cell average ground station rainfall data in Indonesia, with a focus on their ability to detect patterns of low rainfall that may lead to drought conditions. Each of the three products underestimated rainfall in dry season months. The CMORPH and PERSIANN data differed most from ground station data and were also very different from the TMPA 3B42RT data. It proved possible to improve TMPA 3B42RT estimates by applying a single empirical bias correction equation that was uniform in space and time. For the six regions investigated, this reduced the root mean square error for estimates of dry season rainfall totals by a mean 9% (from 44 to 40 mm) and for annual totals by 14% (from 77 to 66 mm). The resulting errors represent 10% and 3% of mean dry season and annual rainfall, respectively. The accuracy of these bias corrected TMPA 3B42RT data is considered adequate for use in real-time drought monitoring in Indonesia. Compared to drought monitoring with only ground stations, this use of satellite-based rainfall estimates offers important advantages in terms of accuracy, spatial coverage, timeliness and cost efficiency

Economic Development and Infrastructure: The Case of Balochistan Province

In designing a future road network, public budget constraints force administrations to make choices. The objective of economic development requires that both efficiency and equity are taken into account. The present analysis operationalises these two concepts by social and economic accessibility in Balochistan. It suggests priorities which can serve as an input for the design of the future road network