A Study Of The Impact Of Discharge Information For Surgical Patients

AIM OF THE STUDY: To establish whether the routine information surgical patients receive about the management of pain and wound care during their hospitalization is sufficient for them to care for themselves without seeking assistance from a health professional or health care agency. BACKGROUND: While there has been considerable evidence suggesting cost benefits of discharge information the health care environment is constantly changing. Contemporary issues such as increased patient participation, extensive use of technology, reduction in health care expenditure, and greater awareness of consumer rights necessitate further inquiry into the appropriateness of discharge information. METHOD: One hundred and fifty-eight adult patients discharged within a week of their operation participated in the study. A written questionnaire was distributed within 24 hours prior to discharge and a telephone interview conducted 1 to 2 weeks after discharge. At the time of discharge the majority of patients had received information. FINDINGS: Those patients who had received information were less likely to access a health facility than those who had not received information. However, the telephone interview, revealed that there was no evidence that patients who believed they were well informed within 24 hours of discharge about the management of their wound, still felt well informed 1 to 2 weeks later. CONCLUSION: Nurses need to be aware that patients who leave the hospital with little or no discharge information may not be confident in the management of their health condition and therefore may access a health facility, if even just for reassurance

Potential Harmonics Expansion Method for Trapped Interacting Bosons : Inclusion of Two-Body Correlation

We study a system of $A$ identical interacting bosons trapped by an external field by solving ab initio the many-body Schroedinger equation. A complete solution by using, for example, the traditional hyperspherical harmonics (HH) basis develops serious problems due to the large degeneracy of HH basis, symmetrization of the wave function, calculation of the matrix elements, etc. for large $A$. Instead of the HH basis, here we use the "potential harmonics" (PH) basis, which is a subset of HH basis. We assume that the contribution to the orbital and grand orbital [in $3(A-1)$-dimensional space of the reduced motion] quantum numbers comes only from the interacting pair. This implies inclusion of two-body correlations only and disregard of all higher-body correlations. Such an assumption is ideally suited for the Bose-Einstein condensate (BEC), which is extremely dilute. Unlike the $(3A-4)$ hyperspherical variables in HH basis, the PH basis involves only three {\it{active}} variables. It drastically reduces the number of coupled equations and calculation of the potential matrix becomes tremendously simplified, as it involves integrals over only three variables for any $A$. One can easily incorporate realistic atom-atom interactions in a straight forward manner. We study the ground and excited state properties of the condensate for both attractive and repulsive interactions for various particle number.Comment: 36 pages, 7 included figures, plain late

The parity-violating asymmetry in the 3He(n,p)3H reaction

The longitudinal asymmetry induced by parity-violating (PV) components in the nucleon-nucleon potential is studied in the charge-exchange reaction 3He(n,p)3H at vanishing incident neutron energies. An expression for the PV observable is derived in terms of T-matrix elements for transitions from the {2S+1}L_J=1S_0 and 3S_1 states in the incoming n-3He channel to states with J=0 and 1 in the outgoing p-3H channel. The T-matrix elements involving PV transitions are obtained in first-order perturbation theory in the hadronic weak-interaction potential, while those connecting states of the same parity are derived from solutions of the strong-interaction Hamiltonian with the hyperspherical-harmonics method. The coupled-channel nature of the scattering problem is fully accounted for. Results are obtained corresponding to realistic or chiral two- and three-nucleon strong-interaction potentials in combination with either the DDH or pionless EFT model for the weak-interaction potential. The asymmetries, predicted with PV pion and vector-meson coupling constants corresponding (essentially) to the DDH "best values" set, range from -9.44 to -2.48 in units of 10^{-8}, depending on the input strong-interaction Hamiltonian. This large model dependence is a consequence of cancellations between long-range (pion) and short-range (vector-meson) contributions, and is of course sensitive to the assumed values for the PV coupling constants.Comment: 19 pages, 15 tables, revtex

On-sky multi-wavelength phasing of segmented telescopes with the Zernike phase contrast sensor

Future Extremely Large Telescopes will adopt segmented primary mirrors with several hundreds of segments. Cophasing of the segments together is essential to reach high wavefront quality. The phasing sensor must be able to maintain very high phasing accuracy during the observations, while being able to phase segments dephased by several micrometers. The Zernike phase contrast sensor has been demonstrated on-sky at the Very Large Telescope. We present the multi-wavelength scheme that has been implemented to extend the capture range from \pmlambda/2 on the wavefront to many micrometers, demonstrating that it is successful at phasing mirrors with piston errors up to \pm4.0 micron on the wavefront. We discuss the results at different levels and conclude with a phasing strategy for a future Extremely Large Telescope.Comment: 17 pages, 8 figures, 2 tables. Accepted for publication in Applied Optics; he final publised version is available on the OSA website: http://www.opticsinfobase.org/abstract.cfm?msid=13671

Condenser-free contrast methods for transmitted-light microscopy

Phase contrast microscopy allows the study of highly transparent yet detail-rich specimens by producing intensity contrast from phase objects within the sample. Presented here is a generalized phase contrast illumination schema in which condenser optics are entirely abrogated, yielding a condenser- free yet highly effective method of obtaining phase contrast in transmitted-light microscopy. A ring of light emitting diodes (LEDs) is positioned within the light-path such that observation of the objective back focal plane places the il- luminating ring in appropriate conjunction with the phase ring. It is demonstrated that true Zernike phase contrast is obtained, whose geometry can be flexibly manipulated to provide an arbitrary working distance between illuminator and sample. Condenser-free phase contrast is demonstrated across a range of magnifications (4–100×), numerical apertures (0.13–1.65NA) and conventional phase positions. Also demonstrated is condenser-free darkfield microscopy as well as combinatorial contrast including Rheinberg illumination and simultaneous, colour-contrasted, brightfield, darkfield and Zernike phase contrast. By providing enhanced and arbitrary working space above the preparation, a range of concurrent imaging and electrophysiological techniques will be technically facilitated. Condenser-free phase contrast is demonstrated in conjunction with scanning ion conductance microscopy (SICM), using a notched ring to admit the scanned probe. The compact, versatile LED illumination schema will further lend itself to novel next-generation transmitted-light microscopy designs. The condenser-free illumination method, using rings of independent or radially-scanned emitters, may be exploited in future in other electromagnetic wavebands, including X-rays or the infrared

A comparative evaluation of interest point detectors and local descriptors for visual SLAM

Abstract In this paper we compare the behavior of different interest points detectors and descriptors under the conditions needed to be used as landmarks in vision-based simultaneous localization and mapping (SLAM). We evaluate the repeatability of the detectors, as well as the invariance and distinctiveness of the descriptors, under different perceptual conditions using sequences of images representing planar objects as well as 3D scenes. We believe that this information will be useful when selecting an appropriat

Bandwidth enhancement for parametric amplifiers operated in chirped multi-beam mode

In this paper we discuss the bandwidth enhancement that can be achieved in multi-Joule optical parametric chirped pulse amplification (OPCPA) systems exploiting the tunability of parametric amplification. In particular, we consider a pair of single pass amplifiers based on potassium dideuterium phosphate (DKDP), pumped by the second harmonic of Nd:glass and tuned to amplify adjacent regions of the signal spectrum. We demonstrate that a bandwidth enhancement up to 50% is possible in two configurations; in the first case, one of the two amplifiers is operated near its non-collinear broadband limit; to allow for effective recombination and recompression of the outgoing signals this configuration requires filtering and phase manipulation of the spectral tail of the amplified pulses. In the second case, effective recombination can be achieved simply by spectral filtering: in this configuration, the optimization of the parameters of the amplifiers (pulse, crystal orientation and crystal length) does not follow the recipes of non-collinear OPCPA.Comment: 11 pages, 5 figures. To appear in Opt.Com

Near-Infrared Imaging of a z=6.42 Quasar Host Galaxy With the Hubble Space Telescope Wide Field Camera 3

We report on deep near-infrared F125W (J) and F160W (H) Hubble Space Telescope Wide Field Camera 3 images of the z=6.42 quasar J1148+5251 to attempt to detect rest-frame near-ultraviolet emission from the host galaxy. These observations included contemporaneous observations of a nearby star of similar near-infrared colors to measure temporal variations in the telescope and instrument point spread function (PSF). We subtract the quasar point source using both this direct PSF and a model PSF. Using direct subtraction, we measure an upper limit for the quasar host galaxy of m_J>22.8, m_H>23.0 AB mag (2 sigma). After subtracting our best model PSF, we measure a limiting surface brightness from 0.3"-0.5" radius of mu_J > 23.5, mu_H > 23.7 AB magarc (2 sigma). We test the ability of the model subtraction method to recover the host galaxy flux by simulating host galaxies with varying integrated magnitude, effective radius, and S\'ersic index, and conducting the same analysis. These models indicate that the surface brightness limit (mu_J > 23.5 AB magarc) corresponds to an integrated upper limit of m_J > 22 - 23 AB mag, consistent with the direct subtraction method. Combined with existing far-infrared observations, this gives an infrared excess log(IRX) > 1.0 and corresponding ultraviolet spectral slope beta > -1.2\pm0.2. These values match those of most local luminous infrared galaxies, but are redder than those of almost all local star-forming galaxies and z~6 Lyman break galaxies.Comment: 6 pages, 4 figures, Accepted to ApJ

Precise Wavefront Correction with an Unbalanced Nulling Interferometer for Exo-Planet Imaging Coronagraphs

Very high dynamical range coronagraphs targeting direct exo-planet detection (10^9 - 10^10 contrast) at small angular separation (few lambda/D units) usually require an input wavefront quality on the order of ten thousandths of wavelength RMS. We propose a novel method based on a pre-optics setup that behaves partly as a low-efficiency coronagraph, and partly as a high-sensitivity wavefront aberration compensator (phase and amplitude). The combination of the two effects results in a highly accurate corrected wavefront. First, an (intensity-) unbalanced nulling interferometer (UNI) performs a rejection of part of the wavefront electric field. Then the recombined output wavefront has its input aberrations magnified. Because of the unbalanced recombination scheme, aberrations can be free of phase singular points (zeros) and can therefore be compensated by a downstream phase and amplitude correction (PAC) adaptive optics system, using two deformable mirrors. In the image plane, the central star's peak intensity and the noise level of its speckled halo are reduced by the UNI-PAC combination: the output-corrected wavefront aberrations can be interpreted as an improved compensation of the initial (eventually already corrected) incident wavefront aberrations. The important conclusion is that not all the elements in the optical setup using UNI-PAC need to reach the lambda/10000 rms surface error quality.Comment: Accepted for publication in A&

Experimental verification of the Heisenberg uncertainty principle for hot fullerene molecules

The Heisenberg uncertainty principle for material objects is an essential corner stone of quantum mechanics and clearly visualizes the wave nature of matter. Here we report a demonstration of the Heisenberg uncertainty principle for the most massive, complex and hottest single object so far, the fullerene molecule C70 at a temperature of 900 K. We find a good quantitative agreement with the theoretical expectation: dx * dp = h, where dx is the width of the restricting slit, dp is the momentum transfer required to deflect the fullerene to the first interference minimum and h is Planck's quantum of action.Comment: 4 pages, 4 figure