2,726 research outputs found
Wave Breaking and the Generation of Undular Bores in an Integrable Shallow Water System
The generation of an undular bore in the vicinity of a wave‐breaking point is considered for the integrable Kaup–Boussinesq (KB) shallow water system. In the framework of the Whitham modulation theory, an analytic solution of the Gurevich–Pitaevskii type of problem for a generic “cubic” breaking regime is obtained using a generalized hodograph transform, and a further reduction to a linear Euler–Poisson equation. The motion of the undular bore edges is investigated in detail
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Action, actor, context, target, time (AACTT): a framework for specifying behaviour
BACKGROUND: Designing implementation interventions to change the behaviour of healthcare providers and other professionals in the health system requires detailed specification of the behaviour(s) targeted for change to ensure alignment between intervention components and measured outcomes. Detailed behaviour specification can help to clarify evidence-practice gaps, clarify who needs to do what differently, identify modifiable barriers and enablers, design interventions to address these and ultimately provides an indicator of what to measure to evaluate an intervention's effect on behaviour change. An existing behaviour specification framework proposes four domains (Target, Action, Context, Time; TACT), but insufficiently clarifies who is performing the behaviour (i.e. the Actor). Specifying the Actor is especially important in healthcare settings characterised by multiple behaviours performed by multiple different people. We propose and describe an extension and re-ordering of TACT to enhance its utility to implementation intervention designers, practitioners and trialists: the Action, Actor, Context, Target, Time (AACTT) framework. We aim to demonstrate its application across key steps of implementation research and to provide tools for its use in practice to clarify the behaviours of stakeholders across multiple levels of the healthcare system. METHODS AND RESULTS: We used French et al.'s four-step implementation process model to describe the potential applications of the AACTT framework for (a) clarifying who needs to do what differently, (b) identifying barriers and enablers, (c) selecting fit-for-purpose intervention strategies and components and (d) evaluating implementation interventions. CONCLUSIONS: Describing and detailing behaviour using the AACTT framework may help to enhance measurement of theoretical constructs, inform development of topic guides and questionnaires, enhance the design of implementation interventions and clarify outcome measurement for evaluating implementation interventions
Evolution of solitary waves and undular bores in shallow-water flows over a gradual slope with bottom friction
This paper considers the propagation of shallow-water solitary and nonlinear periodic waves over a gradual slope with bottom friction in the framework of a variable-coefficient Korteweg-de Vries equation. We use the Whitham averaging method, using a recent development of this theory for perturbed integrable equations. This general approach enables us not only to improve known results on the adiabatic evolution of isolated solitary waves and periodic wave trains in the presence of variable topography and bottom friction, modelled by the Chezy law, but also, importantly, to study the effects of these factors on the propagation of undular bores, which are essentially unsteady in the system under consideration. In particular, it is shown that the combined action of variable topography and bottom friction generally imposes certain global restrictions on the undular bore propagation so that the evolution of the leading solitary wave can be substantially different from that of an isolated solitary wave with the same initial amplitude. This non-local effect is due to nonlinear wave interactions within the undular bore and can lead to an additional solitary wave amplitude growth, which cannot be predicted in the framework of the traditional adiabatic approach to the propagation of solitary waves in slowly varying media
Intramolecular Radical Cyclization Reactions — Scope and Limitations for Electrochemical Processes
Radical-anions formed by one electron attachment to aryl halides undergo cleavage of the carbon-halogen bond in a unimolecular process to give an aryl σ-radical and halide ion. Aryl σ-radicals are highly reactive intermediates and the objective of our work is to find conditions under which they can be trapped in an intramolecular reaction by an adjacent phenyl or alkene substituent. Further steps lead to a stable cyclised product and the process is of interest in synthesis. The corresponding intermolecular reactions between phenyl radicals and either benzene or an alkene have been shown to have bimolecular rate constants1 in the range 105 to 108 M−1s−1 so that the related intramolecular and unimolecular processes are expected to be very fast. Alternative reactions for the aryl σ-radical intermediates include abstraction of a hydrogen atom from the solvent and further electron transfer at the electrode surface to form a carbanion which undergoes protonation
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How do hospitals respond to feedback about blood transfusion practice? A multiple case study investigation
National clinical audits play key roles in improving care and driving system-wide change. However, effects of audit and feedback depend upon both reach (e.g. relevant staff receiving the feedback) and response (e.g. staff regulating their behaviour accordingly). This study aimed to investigate which hospital staff initially receive feedback and formulate a response, how feedback is disseminated within hospitals, and how responses are enacted (including barriers and enablers to enactment). Using a multiple case study approach, we purposively sampled four UK hospitals for variation in infrastructure and resources. We conducted semi-structured interviews with staff from transfusion-related roles and observed Hospital Transfusion Committee meetings. Interviews and analysis were based on the Theoretical Domains Framework of behaviour change. We coded interview transcripts into theoretical domains, then inductively identified themes within each domain to identify barriers and enablers. We also analysed data to identify which staff currently receive feedback and how dissemination is managed within the hospital. Members of the hospital’s transfusion team initially received feedback in all cases, and were primarily responsible for disseminating and responding, facilitated through the Hospital Transfusion Committee. At each hospital, key individuals involved in prescribing transfusions reported never having received feedback from a national audit. Whether audits were discussed and actions explicitly agreed in Committee meetings varied between hospitals. Key enablers of action across all cases included clear lines of responsibility and strategies to remind staff about recommendations. Barriers included difficulties disseminating to relevant staff and needing to amend feedback to make it appropriate for local use. Appropriate responses by hospital staff to feedback about blood transfusion practice depend upon supportive infrastructures and role clarity. Hospitals could benefit from support to disseminate feedback systematically, particularly to frontline staff involved in the behaviours being audited, and practical tools to support strategic decision-making (e.g. action-planning around local response to feedback)
Soliton formation from a pulse passing the zero-dispersion point in a nonlinear Schr\"odinger equation
We consider in detail the self-trapping of a soliton from a wave pulse that
passes from a defocussing region into a focussing one in a spatially
inhomogeneous nonlinear waveguide, described by a nonlinear Schrodinger
equation in which the dispersion coefficient changes its sign from normal to
anomalous. The model has direct applications to dispersion-decreasing nonlinear
optical fibers, and to natural waveguides for internal waves in the ocean. It
is found that, depending on the (conserved) energy and (nonconserved) mass of
the initial pulse, four qualitatively different outcomes of the pulse
transformation are possible: decay into radiation; self-trapping into a single
soliton; formation of a breather; and formation of a pair of counterpropagating
solitons. A corresponding chart is drawn on a parametric plane, which
demonstrates some unexpected features. In particular, it is found that any kind
of soliton(s) (including the breather and counterpropagating pair) eventually
decays into pure radiation with the increase of the energy, the initial mass
being kept constant. It is also noteworthy that a virtually direct transition
from a single soliton into a pair of symmetric counterpropagating ones seems
possible. An explanation for these features is proposed. In two cases when
analytical approximations apply, viz., a simple perturbation theory for broad
initial pulses, or the variational approximation for narrow ones, comparison
with the direct simulations shows reasonable agreement.Comment: 18 pages, 10 figures, 1 table. Phys. Rev. E, in pres
Channelling the force of audit and feedback : averting the dark side
Funding EMD is funded through a personal fellowship from the Healthcare Improvement Studies Institute, supported by the Health Foundation’s grant to the University of Cambridge. JMG holds a Canada Research Chair in Health Knowledge Transfer and Uptake. NMI holds a Canada Research Chair in Implementation of Evidence-based PracticePeer reviewedPostprin
Stable embedded solitons
Stable embedded solitons are discovered in the generalized third-order
nonlinear Schroedinger equation. When this equation can be reduced to a
perturbed complex modified KdV equation, we developed a soliton perturbation
theory which shows that a continuous family of sech-shaped embedded solitons
exist and are nonlinearly stable. These analytical results are confirmed by our
numerical simulations. These results establish that, contrary to previous
beliefs, embedded solitons can be robust despite being in resonance with the
linear spectrum.Comment: 2 figures. To appear in Phys. Rev. Let
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