803 research outputs found
CMB temperature anisotropy at large scales induced by a causal primordial magnetic field
We present an analytical derivation of the Sachs Wolfe effect sourced by a
primordial magnetic field. In order to consistently specify the initial
conditions, we assume that the magnetic field is generated by a causal process,
namely a first order phase transition in the early universe. As for the
topological defects case, we apply the general relativistic junction conditions
to match the perturbation variables before and after the phase transition which
generates the magnetic field, in such a way that the total energy momentum
tensor is conserved across the transition and Einstein's equations are
satisfied. We further solve the evolution equations for the metric and fluid
perturbations at large scales analytically including neutrinos, and derive the
magnetic Sachs Wolfe effect. We find that the relevant contribution to the
magnetic Sachs Wolfe effect comes from the metric perturbations at
next-to-leading order in the large scale limit. The leading order term is in
fact strongly suppressed due to the presence of free-streaming neutrinos. We
derive the neutrino compensation effect dynamically and confirm that the
magnetic Sachs Wolfe spectrum from a causal magnetic field behaves as
l(l+1)C_l^B \propto l^2 as found in the latest numerical analyses.Comment: 31 pages, 2 figures, minor changes, matches published versio
Magnetic fields from inflation: the transition to the radiation era
We compute the contribution to the scalar metric perturbations from
large-scale magnetic fields which are generated during inflation. We show that
apart from the usual passive and compensated modes, the magnetic fields also
contribute to the constant mode from inflation. This is different from the
causal (post inflationary) generation of magnetic fields where such a mode is
absent and it might lead to significant, non-Gaussian CMB anisotropies.Comment: 19 pages, no figures. v2: Substantially revised version with
different conclusions. v3: one reference added, matches version accepted for
publication in PR
Nationwide introduction of a new competency framework for undergraduate medical curricula: a collaborative approach.
Switzerland recently introduced PROFILES, a revised version of its national outcomes reference framework for the undergraduate medical curriculum. PROFILES is based on a set of competencies adapted from the CanMEDS framework and nine entrustable professional activities (EPAs) that students have to be able to perform autonomously in the context of a predefined list of clinical situations. The nationwide implementation of such a competency- and EPA-based approach to medical education is a complex process that represents an important change to the organisation of undergraduate training in the various medical schools. At the same time, the concepts underlying PROFILES also have to be reflected at the level of the Federal Licencing Examination (FLE) and the national accreditation process. The vice-deans for education mandated a Swiss Working Group for PROFILES Implementation (SWGPI) to elaborate a guide presenting the principles and best practices based on the current scientific literature, to ensure the coherence between the future developments of the medical curricula and the evolution of the FLE, and to propose a coordinated research agenda to evaluate the implementation process. On the basis of the literature and analysis of our national context, we determined the key elements important for a successful implementation. They can be grouped into several areas including curricular design and governance, the assessment system and entrustment process, faculty development and change management. We also identified two dimensions that will be of particular importance to create synergies and facilitate exchange between the medical schools: a systematic approach to curriculum mapping and the longitudinal integration of an e-portfolio to support the student learning process. The nationwide collaborative approach to define strategies and conditions for the implementation of a new reference framework has allowed to develop a shared understanding of the implications of PROFILES, to promote the establishment of Swiss mapping and e-portfolio communities, and to establish the conditions necessary for ensuring the continuous alignment of the FLE with the evolving medical curricula
Первичный умлаут в немецком языке (на материале древних текстов)
Статья из специализированного выпуска научного журнала "Культура народов Причерноморья", материалы которого объединены общей темой "Язык и Мир" и посвящены общим вопросам Языкознания и приурочены к 80-летию со дня рождения Николая Александровича Рудякова.Стаття із спеціалізованого випуску наукового журналу "Культура народов Причерноморья", матеріали якого поєднані загальною темою "Мова і Світ" і присвячені загальним питанням мовознавства і приурочені до 80-річчя з дня народження Миколи Олександровича Рудякова
Effect of Peculiar Motion in Weak Lensing
We study the effect of peculiar motion in weak gravitational lensing. We
derive a fully relativistic formula for the cosmic shear and the convergence in
a perturbed Friedmann Universe. We find a new contribution related to galaxies
peculiar velocity. This contribution does not affect cosmic shear in a
measurable way, since it is of second order in the velocity. However, its
effect on the convergence (and consequently on the magnification, which is a
measurable quantity) is important, especially for redshifts z < 1. As a
consequence, peculiar motion modifies also the relation between the shear and
the convergence.Comment: 11 pages, 7 figures; v2: discussion on the reduced shear added (5.C),
additional references, version accepted in PRD; v3: mistakes corrected in
eqs. (26), (31), (33) and (44); results unchange
Individual training at the undergraduate level to promote competence in breaking bad news in oncology
Training medical students in breaking bad news (BBN) in oncology may be key to improve patient care in an area where many physicians tend to be uncomfortable. Given the lack of evidence in the literature, this study aimed to assess empirically the impact of 2 teaching strategies to prepare students for the task of BBN in oncology: one-to-one simulated patient (SP) training with individual feedback (intervention group) vs small-group SP training with collective feedback (comparison group).
Fourth-year students (N = 236) were randomly assigned to the intervention or comparison group. The SP videotaped interviews were analyzed with respect to BBN communication performance, rated using the Calgary-Cambridge checklist of teaching objectives for BBN; verbal interaction behaviors, coded with the Roter interaction analysis system; and 7 nonverbal behaviors.
Students in the intervention group scored significantly higher after than before the training on the overall evaluation of the interview (P < .001) as well as on process skills (P < .001); they also obtained significantly higher scores compared to students in the comparison group on the overall evaluation of the interview (P < .001) and on process skills (P < .001).
This study supports an individualized BBN teaching strategy and contributes to efforts to find the best way to train and reach the largest number of future physicians to improve communication competences in oncology
Dipolar modulation in the size of galaxies: The effect of Doppler magnification
archiveprefix: arXiv primaryclass: astro-ph.CO slaccitation: %%CITATION = ARXIV:1610.05946;%%archiveprefix: arXiv primaryclass: astro-ph.CO slaccitation: %%CITATION = ARXIV:1610.05946;%%archiveprefix: arXiv primaryclass: astro-ph.CO slaccitation: %%CITATION = ARXIV:1610.05946;%%archiveprefix: arXiv primaryclass: astro-ph.CO slaccitation: %%CITATION = ARXIV:1610.05946;%%archiveprefix: arXiv primaryclass: astro-ph.CO slaccitation: %%CITATION = ARXIV:1610.05946;%
Effect of lensing non-Gaussianity on the CMB power spectra
Observed CMB anisotropies are lensed, and the lensed power spectra can be calculated accurately assuming the lensing deflections are Gaussian. However, the lensing deflections are actually slightly non-Gaussian due to both non-linear large-scale structure growth and post-Born corrections. We calculate the leading correction to the lensed CMB power spectra from the non-Gaussianity, which is determined by the lensing bispectrum. The lowest-order result gives ∼0.3% corrections to the BB and EE polarization spectra on small-scales, however we show that the effect on EE is reduced by about a factor of two by higher-order Gaussian lensing smoothing, rendering the total effect safely negligible for the foreseeable future. We give a simple analytic model for the signal expected from skewness of the large-scale lensing field; the effect is similar to a net demagnification and hence a small change in acoustic scale (and therefore out of phase with the dominant lensing smoothing that predominantly affects the peaks and troughs of the power spectrum)
Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training.
Successful Plastic Surgery Residency training is subjected to evolving society pressure of lower hourly work weeks imposed by external committees, labor laws, and increased public awareness of patient care quality. Although innovative measures for simulation training of surgery are appearing, there is also the realization that basic anatomy training should be re-enforced and cadaver dissection is of utmost importance for surgical techniques.In the development of new technology for implantable neurostimulatory electrodes for the management of phantom limb pain in amputee patients, a design of a cadaveric model has been developed with detailed steps for innovative transfascicular insertion of electrodes. Overall design for electrode and cable implantation transcutaneous was established and an operating protocol devised.Microsurgery of the nerves of the upper extremities for interfascicular electrode implantation is described for the first time. Design of electrode implantation in cadaver specimens was adapted with a trocar delivery of cables and electrodes transcutaneous and stabilization of the electrode by suturing along the nerve. In addition, the overall operating arena environment with specific positions of the multidisciplinary team necessary for implantable electrodes was elaborated to assure optimal operating conditions and procedures during the organization of a first-in-man implantation study.Overall importance of plastic surgery training for new and highly technical procedures is of importance and particularly there is a real need to continue actual cadaveric training due to patient variability for nerve anatomic structures
Near Scale Invariance with Modified Dispersion Relations
We describe a novel mechanism to seed a nearly scale invariant spectrum of
adiabatic perturbations during a non-inflationary stage. It relies on a
modified dispersion relation that contains higher powers of the spatial
momentum of matter perturbations. We implement this idea in the context of a
massless scalar field in an otherwise perfectly homogeneous universe. The
couplings of the field to background scalars and tensors give rise to the
required modification of its dispersion relation, and the couplings of the
scalar to matter result in an adiabatic primordial spectrum. This work is meant
to explicitly illustrate that it is possible to seed nearly scale invariant
primordial spectra without inflation, within a conventional expansion history.Comment: 7 pages and no figures. Uses RevTeX
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