System-level and patient-level explanations for non-attendance at diabetic retinopathy screening in Sutton and Merton (London, UK): a qualitative analysis of a service evaluation

Objectives: Non-attendance at diabetic retinopathy screening has financial implications for screening programmes and potential clinical costs to patients. We sought to identify explanations for why patients had never attended a screening appointment (never attendance) in one programme. Design: Qualitative analysis of a service evaluation. Setting: One South London (UK) diabetic eye screening programme. Participants and procedure: Patients who had been registered with one screening programme for at least 18 months and who had never attended screening within the programme were contacted by telephone to ascertain why this was the case. Patients’ general practices were also contacted for information about why each patient may not have attended. Framework analysis was used to interpret responses. Results: Of the 296 patients, 38 were not eligible for screening and of the 258 eligible patients, 159 were not contactable (31 of these had phone numbers that were not in use). We obtained reasons from patients/general practices/clinical notes for non-attendance for 146 (57%) patients. A number of patient-level and system-level factors were given to explain non-attendance. Patient-level factors included having other commitments, being anxious about screening, not engaging with any diabetes care and being misinformed about screening. System-level factors included miscommunication about where the patient lives, their clinical situation and practical problems that could have been overcome had their existence been shared between programmes. Conclusions: This service evaluation provides unique insight into the patient-level and system-level reasons for never attendance at diabetic retinopathy screening. Improved sharing of relevant information between providers has the potential to facilitate increased uptake of screening. Greater awareness of patient-level barriers may help providers offer a more accessible service

Evidence of ongoing radial migration in NGC 6754: Azimuthal variations of the gas properties

Understanding the nature of spiral structure in disk galaxies is one of the main, and still unsolved questions in galactic astronomy. However, theoretical works are proposing new testable predictions whose detection is becoming feasible with recent development in instrumentation. In particular, streaming motions along spiral arms are expected to induce azimuthal variations in the chemical composition of a galaxy at a given galactic radius. In this letter we analyse the gas content in NGC 6754 with VLT/MUSE data to characterise its 2D chemical composition and H$\alpha$ line-of-sight velocity distribution. We find that the trailing (leading) edge of the NGC 6754 spiral arms show signatures of tangentially-slower, radially-outward (tangentially-faster, radially-inward) streaming motions of metal-rich (poor) gas over a large range of radii. These results show direct evidence of gas radial migration for the first time. We compare our results with the gas behaviour in a $N$-body disk simulation showing spiral morphological features rotating with a similar speed as the gas at every radius, in good agreement with the observed trend. This indicates that the spiral arm features in NGC 6754 may be transient and rotate similarly as the gas does at a large range of radii.Comment: 8 pages, 4 figures, accepted for publication in ApJL 2016 September 2

On the analyticity and Gevrey class regularity up to the boundary for the Euler Equations

We consider the Euler equations in a three-dimensional Gevrey-class bounded domain. Using Lagrangian coordinates we obtain the Gevrey-class persistence of the solution, up to the boundary, with an explicit estimate on the rate of decay of the Gevrey-class regularity radius

On the flow map for 2D Euler equations with unbounded vorticity

In Part I, we construct a class of examples of initial velocities for which the unique solution to the Euler equations in the plane has an associated flow map that lies in no Holder space of positive exponent for any positive time. In Part II, we explore inverse problems that arise in attempting to construct an example of an initial velocity producing an arbitrarily poor modulus of continuity of the flow map.Comment: http://iopscience.iop.org/0951-7715/24/9/013/ for published versio

Development of singularities for the compressible Euler equations with external force in several dimensions

We consider solutions to the Euler equations in the whole space from a certain class, which can be characterized, in particular, by finiteness of mass, total energy and momentum. We prove that for a large class of right-hand sides, including the viscous term, such solutions, no matter how smooth initially, develop a singularity within a finite time. We find a sufficient condition for the singularity formation, "the best sufficient condition", in the sense that one can explicitly construct a global in time smooth solution for which this condition is not satisfied "arbitrary little". Also compactly supported perturbation of nontrivial constant state is considered. We generalize the known theorem by Sideris on initial data resulting in singularities. Finally, we investigate the influence of frictional damping and rotation on the singularity formation.Comment: 23 page

H-alpha Kinematics of the SINGS Nearby Galaxies Survey. II

This is the second part of an H-alpha kinematics follow-up survey of the Spitzer Infrared Nearby Galaxies Survey (SINGS) sample. The aim of this program is to shed new light on the role of baryons and their kinematics and on the dark/luminous matter relation in the star forming regions of galaxies, in relation with studies at other wavelengths. The data for 37 galaxies are presented. The observations were made using Fabry-Perot interferometry with the photon-counting camera FaNTOmM on 4 different telescopes, namely the Canada-France-Hawaii 3.6m, the ESO La Silla 3.6m, the William Herschel 4.2m, and the Observatoire du mont Megantic 1.6m telescopes. The velocity fields are computed using custom IDL routines designed for an optimal use of the data. The kinematical parameters and rotation curves are derived using the GIPSY software. It is shown that non-circular motions associated with galactic bars affect the kinematical parameters fitting and the velocity gradient of the rotation curves. This leads to incorrect determinations of the baryonic and dark matter distributions in the mass models derived from those rotation curves.Comment: 18 pages, 5 figures, 4 tables. Accepted for publication in MNRAS. All high-res. figures are available at http://www.astro.umontreal.ca/fantomm/singsII

Formation of singularities in solutions to ideal hydrodynamics of freely cooling inelastic gases

We consider solutions to the hyperbolic system of equations of ideal granular hydrodynamics with conserved mass, total energy and finite momentum of inertia and prove that these solutions generically lose the initial smoothness within a finite time in any space dimension $n$ for the adiabatic index $\gamma \le 1+\frac{2}{n}.$ Further, in the one-dimensional case we introduce a solution depending only on the spatial coordinate outside of a ball containing the origin and prove that this solution under rather general assumptions on initial data cannot be global in time too. Then we construct an exact axially symmetric solution with separable time and space variables having a strong singularity in the density component beginning from the initial moment of time, whereas other components of solution are initially continuous.Comment: 13 pages, 3 figure

The Triangulum Extended (TREX) Survey: The Stellar Disk Dynamics of M33 as a Function of Stellar Age

Triangulum, M33, is a low mass, relatively undisturbed spiral galaxy that offers a new regime in which to test models of dynamical heating. In spite of its proximity, the dynamical heating history of M33 has not yet been well constrained. In this work, we present the TREX Survey, the largest stellar spectroscopic survey across the disk of M33. We present the stellar disk kinematics as a function of age to study the past and ongoing dynamical heating of M33. We measure line of sight velocities for ~4,500 disk stars. Using a subset, we divide the stars into broad age bins using Hubble Space Telescope and Canada-France-Hawaii-Telescope photometric catalogs: massive main sequence stars and helium burning stars (~80 Myr), intermediate mass asymptotic branch stars (~1 Gyr), and low mass red giant branch stars (~4 Gyr). We compare the stellar disk dynamics to that of the gas using existing HI, CO, and Halpha kinematics. We find that the disk of M33 has relatively low velocity dispersion (~16 km/s), and unlike in the Milky Way and Andromeda galaxies, there is no strong trend in velocity dispersion as a function of stellar age. The youngest disk stars are as dynamically hot as the oldest disk stars and are dynamically hotter than predicted by most M33 like low mass simulated analogs in Illustris. The velocity dispersion of the young stars is highly structured, with the large velocity dispersion fairly localized. The cause of this high velocity dispersion is not evident from the observations and simulated analogs presented here.Comment: 27 pages, 15 figures, 6 table

Discovery of a new M32-like "Compact Elliptical" galaxy in the halo of the Abell 496 cD galaxy

Aims: ``Compact ellipticals'' are so rare that a search for M32 analogs is needed to ensure the very existence of this class. Methods: We report here the discovery of A496cE, a M32 twin in the cluster Abell 496, located in the halo of the central cD. Results: Based on CFHT and HST imaging we show that the light profile of A496cE requires a two component fit: a Sersic bulge and an exponential disc. The spectrum of A496cE obtained with the ESO-VLT FLAMES/Giraffe spectrograph can be fit by a stellar synthesis spectrum dominated by old stars, with high values of [Mg/Fe] and velocity dispersion. Conclusions: The capture of A496cE by the cD galaxy and tidal stripping of most of its disc are briefly discussed.Comment: 4 pages, 4 figures, accepted for publication in A&A Letter