Parking to achieve conscious competence: A reflection about practice development in the context of people with learning disabilities using hospital services

In qualifying as a learning disability nurse during the Project 2000 era, I was influenced by the Health of the Nation for people with learning disabilities (Department of Health, 1995). This document inspired my curiosity as to how to ensure individuals with learning disabilities received similar care to those of the general population. Combining this with experiences of services which practised within more rigid boundaries, prompted me to develop my skills in advocating for people with learning disabilities, enabling individuals to have their say, and more recently to work in partnership co-producing and facilitating training. This reflection draws upon several influential processes; the trust’s specialist nurse review; attending the International Practice Development School; the service reorganisation; along with exploring the role with other specialist nurses, leading me to consider areas for development both for myself and the organisation. These influences have led me to focus on clinical leadership; developing a framework for clinical staff to provide care that is person centred and adapted to their needs and that of their family; and the possibility of developing a system of clinical links

Momentum Maps and Measure-valued Solutions (Peakons, Filaments and Sheets) for the EPDiff Equation

We study the dynamics of measure-valued solutions of what we call the EPDiff equations, standing for the {\it Euler-Poincar\'e equations associated with the diffeomorphism group (of $\mathbb{R}^n$ or an $n$-dimensional manifold $M$)}. Our main focus will be on the case of quadratic Lagrangians; that is, on geodesic motion on the diffeomorphism group with respect to the right invariant Sobolev $H^1$ metric. The corresponding Euler-Poincar\'e (EP) equations are the EPDiff equations, which coincide with the averaged template matching equations (ATME) from computer vision and agree with the Camassa-Holm (CH) equations in one dimension. The corresponding equations for the volume preserving diffeomorphism group are the well-known LAE (Lagrangian averaged Euler) equations for incompressible fluids. We first show that the EPDiff equations are generated by a smooth vector field on the diffeomorphism group for sufficiently smooth solutions. This is analogous to known results for incompressible fluids--both the Euler equations and the LAE equations--and it shows that for sufficiently smooth solutions, the equations are well-posed for short time. In fact, numerical evidence suggests that, as time progresses, these smooth solutions break up into singular solutions which, at least in one dimension, exhibit soliton behavior. With regard to these non-smooth solutions, we study measure-valued solutions that generalize to higher dimensions the peakon solutions of the (CH) equation in one dimension. One of the main purposes of this paper is to show that many of the properties of these measure-valued solutions may be understood through the fact that their solution ansatz is a momentum map. Some additional geometry is also pointed out, for example, that this momentum map is one leg of a natural dual pair.Comment: 27 pages, 2 figures, To Alan Weinstein on the occasion of his 60th Birthda

Variational Principles for Lagrangian Averaged Fluid Dynamics

The Lagrangian average (LA) of the ideal fluid equations preserves their transport structure. This transport structure is responsible for the Kelvin circulation theorem of the LA flow and, hence, for its convection of potential vorticity and its conservation of helicity. Lagrangian averaging also preserves the Euler-Poincar\'e (EP) variational framework that implies the LA fluid equations. This is expressed in the Lagrangian-averaged Euler-Poincar\'e (LAEP) theorem proven here and illustrated for the Lagrangian average Euler (LAE) equations.Comment: 23 pages, 3 figure

Singular solutions of a modified two-component Camassa-Holm equation

The Camassa-Holm equation (CH) is a well known integrable equation describing the velocity dynamics of shallow water waves. This equation exhibits spontaneous emergence of singular solutions (peakons) from smooth initial conditions. The CH equation has been recently extended to a two-component integrable system (CH2), which includes both velocity and density variables in the dynamics. Although possessing peakon solutions in the velocity, the CH2 equation does not admit singular solutions in the density profile. We modify the CH2 system to allow dependence on average density as well as pointwise density. The modified CH2 system (MCH2) does admit peakon solutions in velocity and average density. We analytically identify the steepening mechanism that allows the singular solutions to emerge from smooth spatially-confined initial data. Numerical results for MCH2 are given and compared with the pure CH2 case. These numerics show that the modification in MCH2 to introduce average density has little short-time effect on the emergent dynamical properties. However, an analytical and numerical study of pairwise peakon interactions for MCH2 shows a new asymptotic feature. Namely, besides the expected soliton scattering behavior seen in overtaking and head-on peakon collisions, MCH2 also allows the phase shift of the peakon collision to diverge in certain parameter regimes.Comment: 25 pages, 11 figure

A Discrete Theory of Connections on Principal Bundles

Connections on principal bundles play a fundamental role in expressing the equations of motion for mechanical systems with symmetry in an intrinsic fashion. A discrete theory of connections on principal bundles is constructed by introducing the discrete analogue of the Atiyah sequence, with a connection corresponding to the choice of a splitting of the short exact sequence. Equivalent representations of a discrete connection are considered, and an extension of the pair groupoid composition, that takes into account the principal bundle structure, is introduced. Computational issues, such as the order of approximation, are also addressed. Discrete connections provide an intrinsic method for introducing coordinates on the reduced space for discrete mechanics, and provide the necessary discrete geometry to introduce more general discrete symmetry reduction. In addition, discrete analogues of the Levi-Civita connection, and its curvature, are introduced by using the machinery of discrete exterior calculus, and discrete connections.Comment: 38 pages, 11 figures. Fixed labels in figure

Magnetic Field Limits on SGRs

We measure the period and spin-down rate for SGR 1900+14 during the quiescient period two years before the recent interval of renewed burst activity. We find that the spin-down rate doubled during the burst activity which is inconsistent with both mangetic dipole driven spin down and a magnetic field energy source for the bursts. We also show that SGRs 1900+14 and 1806-20 have braking indices of $\sim$1 which indicate that the spin-down is due to wind torques and not magnetic dipole radiation. We further show that a combination of dipole radiation, and wind luminosity, coupled with estimated ages and present spin parameters, imply that the magnetic fields of SGRs 1900+14 and 1806-20 are less than the critical field of 4$\times10^{13}$ G and that the efficiency for conversion of wind luminosity to x-ray luminosity is <2%.Comment: 5 pages, 2 figures submitted to 5th Huntsville GRB Symposium proceeding

Discrete Mechanics and Optimal Control Applied to the Compass Gait Biped

This paper presents a methodology for generating locally optimal control policies for simple hybrid mechanical systems, and illustrates the method on the compass gait biped. Principles from discrete mechanics are utilized to generate optimal control policies as solutions of constrained nonlinear optimization problems. In the context of bipedal walking, this procedure provides a comparative measure of the suboptimality of existing control policies. Furthermore, our methodology can be used as a control design tool; to demonstrate this, we minimize the specific cost of transport of periodic orbits for the compass gait biped, both in the fully actuated and underactuated case