109 research outputs found

    Controllable Non-Markovianity for a Spin Qubit in Diamond

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    We present a flexible scheme to realize non-artificial non-Markovian dynamics of an electronic spin qubit, using a nitrogen-vacancy center in diamond where the inherent nitrogen spin serves as a regulator of the dynamics. By changing the population of the nitrogen spin, we show that we can smoothly tune the non-Markovianity of the electron spin's dynamic. Furthermore, we examine the decoherence dynamics induced by the spin bath to exclude other sources of non-Markovianity. The amount of collected measurement data is kept at a minimum by employing Bayesian data analysis. This allows for a precise quantification of the parameters involved in the description of the dynamics and a prediction of so far unobserved data points.Comment: 12 pages, 9 figure, including supplemental materia

    A critical narrative analysis of shared decision-making in acute, inpatient mental health care

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    Shared decision-making (SDM) is a high priority in healthcare policy and is complementary to the recovery philosophy in mental health care. This agenda has been operationalised within the Values-Based Practice (VBP) framework, which offers a theoretical and practical model to promote democratic interprofessional approaches to decision-making. However, these are limited by a lack of recognition of the implications of power implicit within the mental health system. This study considers issues of power within the context of decision-making and examines to what extent decisions about patients? care on acute in-patient wards are perceived to be shared. Focus groups were conducted with 46 mental health professionals, service users, and carers. The data were analysed using the framework of critical narrative analysis (CNA). The findings of the study suggested each group constructed different identity positions, which placed them as inside or outside of the decision-making process. This reflected their view of themselves as best placed to influence a decision on behalf of the service user. In conclusion, the discourse of VBP and SDM needs to take account of how differentials of power and the positioning of speakers affect the context in which decisions take place

    Informed, Involved and Influential: The 3 I's model of Shared Decision Making in Mental Health Care

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    Collaboration between service users and mental health professionals is at the heart of values based practice and shared decision making. However, there has been limited analysis of the implications of these approaches within a healthcare context that involves depriving service users of their freedom. This article proposes a framework that aims to promote shared decision making which acknowledges, all participants must be Informed, Involved and Influential in the decision-making process. However, these are fluid; they refer to a sliding scale of influence that moves between these different positions depending on context, capacity and desire to influence

    Comparison of mortality hazard ratios associated with health behaviours in Canada and the United States:a population-based linked health survey study

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    Background Modern health surveillance and planning requires an understanding of how preventable risk factors impact population health, and how these effects vary between populations. In this study, we compare how smoking, alcohol consumption, diet and physical activity are associated with all-cause mortality in Canada and the United States using comparable individual-level, linked population health survey data and identical model specifications. Methods The Canadian Community Health Survey (CCHS) (2003–2007) and the United States National Health Interview Survey (NHIS) (2000, 2005) linked to individual-level mortality outcomes with follow up to December 31, 2011 were used. Consistent variable definitions were used to estimate country-specific mortality hazard ratios with sex-specific Cox proportional hazard models, including smoking, alcohol, diet and physical activity, sociodemographic indicators and proximal factors including disease history. Results A total of 296,407 respondents and 1,813,884 million person-years of follow-up from the CCHS and 58,232 respondents and 497,909 person-years from the NHIS were included. Absolute mortality risk among those with a ‘healthy profile’ was higher in the United States compared to Canada, especially among women. Adjusted mortality hazard ratios associated with health behaviours were generally of similar magnitude and direction but often stronger in Canada. Conclusion Even when methodological and population differences are minimal, the association of health behaviours and mortality can vary across populations. It is therefore important to be cautious of between-study variation when aggregating relative effect estimates from differing populations, and when using external effect estimates for population health research and policy development

    Brazing techniques for the fabrication of biocompatible carbon-based electronic devices

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    Prototype electronic devices have been critical to the discovery and demonstration of the unique properties of new materials, including composites based on carbon nanotubes (CNT) and graphene. However, these devices are not typically constructed with durability or biocompatibility in mind, relying on conductive polymeric adhesives, mechanical clamps or crimps, or solders for electrical connections. In this paper, two key metallization techniques are presented that employ commercially-available brazing alloys to fabricate electronic devices based on diamond and carbonaceous wires. Investigation of the carbon - alloy interfacial interactions was utilized to guide device fabrication. The interplay of both chemical ( adhesive ) and mechanical ( cohesive ) forces at the interface of different forms of carbon was exploited to fabricate either freestanding or substrate-fixed carbonaceous electronic devices. Elemental analysis in conjunction with scanning electron microscopy of the carbon - alloy interface revealed the chemical nature of the Ag alloy bond and the mechanical nature of the Au alloy bond. Electrical characterization revealed the non-rectifying nature of the carbon - Au alloy interconnects. Finally, electronic devices were fabricated, including a Au circuit structure embedded in a polycrystalline diamond substrate
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