The stability of the O(N) invariant fixed point in three dimensions

We study the stability of the O(N) fixed point in three dimensions under perturbations of the cubic type. We address this problem in the three cases $N=2,3,4$ by using finite size scaling techniques and high precision Monte Carlo simulations. It is well know that there is a critical value $2<N_c<4$ below which the O(N) fixed point is stable and above which the cubic fixed point becomes the stable one. While we cannot exclude that $N_c<3$, as recently claimed by Kleinert and collaborators, our analysis strongly suggests that $N_c$ coincides with 3.Comment: latex file of 18 pages plus three ps figure

Critical thermodynamics of three-dimensional MN-component field model with cubic anisotropy from higher-loop \epsilon expansion

The critical thermodynamics of an $MN$-component field model with cubic anisotropy relevant to the phase transitions in certain crystals with complicated ordering is studied within the four-loop \ve expansion using the minimal subtraction scheme. Investigation of the global structure of RG flows for the physically significant cases M=2, N=2 and M=2, N=3 shows that the model has an anisotropic stable fixed point with new critical exponents. The critical dimensionality of the order parameter is proved to be equal to $N_c^C=1.445(20)$, that is exactly half its counterpart in the real hypercubic model.Comment: 9 pages, LaTeX, no figures. Published versio

The stability of a cubic fixed point in three dimensions from the renormalization group

The global structure of the renormalization-group flows of a model with isotropic and cubic interactions is studied using the massive field theory directly in three dimensions. The four-loop expansions of the \bt-functions are calculated for arbitrary $N$. The critical dimensionality $N_c=2.89 \pm 0.02$ and the stability matrix eigenvalues estimates obtained on the basis of the generalized Pad$\acute{\rm e}$-Borel-Leroy resummation technique are shown to be in a good agreement with those found recently by exploiting the five-loop \ve-expansions.Comment: 18 pages, LaTeX, 5 PostScript figure

Developing the content of two behavioural interventions : using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1

Background: Evidence shows that antibiotics have limited effectiveness in the management of upper respiratory tract infection (URTI) yet GPs continue to prescribe antibiotics. Implementation research does not currently provide a strong evidence base to guide the choice of interventions to promote the uptake of such evidence-based practice by health professionals. While systematic reviews demonstrate that interventions to change clinical practice can be effective, heterogeneity between studies hinders generalisation to routine practice. Psychological models of behaviour change that have been used successfully to predict variation in behaviour in the general population can also predict the clinical behaviour of healthcare professionals. The purpose of this study was to design two theoretically-based interventions to promote the management of upper respiratory tract infection (URTI) without prescribing antibiotics. Method: Interventions were developed using a systematic, empirically informed approach in which we: selected theoretical frameworks; identified modifiable behavioural antecedents that predicted GPs intended and actual management of URTI; mapped these target antecedents on to evidence-based behaviour change techniques; and operationalised intervention components in a format suitable for delivery by postal questionnaire. Results: We identified two psychological constructs that predicted GP management of URTI: "Self-efficacy," representing belief in one's capabilities, and "Anticipated consequences," representing beliefs about the consequences of one's actions. Behavioural techniques known to be effective in changing these beliefs were used in the design of two paper-based, interactive interventions. Intervention 1 targeted self-efficacy and required GPs to consider progressively more difficult situations in a "graded task" and to develop an "action plan" of what to do when next presented with one of these situations. Intervention 2 targeted anticipated consequences and required GPs to respond to a "persuasive communication" containing a series of pictures representing the consequences of managing URTI with and without antibiotics. Conclusion: It is feasible to systematically develop theoretically-based interventions to change professional practice. Two interventions were designed that differentially target generalisable constructs predictive of GP management of URTI. Our detailed and scientific rationale for the choice and design of our interventions will provide a basis for understanding any effects identified in their evaluation. Trial registration: Clinicaltrials.gov NCT00376142This study is funded by the European Commission Research Directorate as part of a multi-partner program: Research Based Education and Quality Improvement (ReBEQI): A Framework and tools to develop effective quality improvement programs in European healthcare. (Proposal No: QLRT-2001-00657)

A longitudinal study of the faecal microbiome and metabolome of periparturient mares

Periparturient mares are at increased risk of colic including large colon volvulus, which has a high mortality rate. Alterations in colonic microbiota related to either physiological or management changes, or both, that occur at this time have been suggested as potential causes for increased colic risk in this population of horses. Although the effect of management changes on the horse faecal microbiota has been investigated, limited work has been conducted to investigate changes in faecal microbiota structure and function in the periparturient period. The objectives of the current study were to investigate temporal stability of the faecal microbiota and volatile organic compounds (VOCs) of the faecal metabolome in periparturient mares

Translating clinicians' beliefs into implementation interventions (TRACII) : a protocol for an intervention modeling experiment to change clinicians' intentions to implement evidence-based practice

Background: Biomedical research constantly produces new findings, but these are not routinely incorporated into health care practice. Currently, a range of interventions to promote the uptake of emerging evidence are available. While their effectiveness has been tested in pragmatic trials, these do not form a basis from which to generalise to routine care settings. Implementation research is the scientific study of methods to promote the uptake of research findings, and hence to reduce inappropriate care. As clinical practice is a form of human behaviour, theories of human behaviour that have proved to be useful in other settings offer a basis for developing a scientific rationale for the choice of interventions. Aims: The aims of this protocol are 1) to develop interventions to change beliefs that have already been identified as antecedents to antibiotic prescribing for sore throats, and 2) to experimentally evaluate these interventions to identify those that have the largest impact on behavioural intention and behavioural simulation. Design: The clinical focus for this work will be the management of uncomplicated sore throat in general practice. Symptoms of upper respiratory tract infections are common presenting features in primary care. They are frequently treated with antibiotics, and research evidence is clear that antibiotic treatment offers little or no benefit to otherwise healthy adult patients. Reducing antibiotic prescribing in the community by the "prudent" use of antibiotics is seen as one way to slow the rise in antibiotic resistance, and appears safe, at least in children. However, our understanding of how to do this is limited. Participants will be general medical practitioners. Two theory-based interventions will be designed to address the discriminant beliefs in the prescribing of antibiotics for sore throat, using empirically derived resources. The interventions will be evaluated in a 2 × 2 factorial randomised controlled trial delivered in a postal questionnaire survey. Two outcome measures will be assessed: behavioural intention and behavioural simulation.This study is funded by the European Commission Research Directorate as part of a multi-partner program: Research Based Education and Quality Improvement (ReBEQI): A Framework and tools to develop effective quality improvement programs in European healthcare. (Proposal No: QLRT-2001-00657)

Stability of 3D Cubic Fixed Point in Two-Coupling-Constant \phi^4-Theory

For an anisotropic euclidean $\phi^4$-theory with two interactions [u (\sum_{i=1^M {\phi}_i^2)^2+v \sum_{i=1}^M \phi_i^4] the $\beta$-functions are calculated from five-loop perturbation expansions in $d=4-\varepsilon$ dimensions, using the knowledge of the large-order behavior and Borel transformations. For $\varepsilon=1$, an infrared stable cubic fixed point for $M \geq 3$ is found, implying that the critical exponents in the magnetic phase transition of real crystals are of the cubic universality class. There were previous indications of the stability based either on lower-loop expansions or on less reliable Pad\'{e approximations, but only the evidence presented in this work seems to be sufficently convincing to draw this conclusion.Comment: Author Information under http://www.physik.fu-berlin.de/~kleinert/institution.html . Paper also at http://www.physik.fu-berlin.de/~kleinert/kleiner_re250/preprint.htm

Responsiveness of primary care services: development of a patient-report measure - qualitative study and initial quantitative pilot testing

Background Primary care service providers do not always respond to the needs of diverse groups of patients, and so certain patients groups are disadvantaged. General practitioner (GP) practices are increasingly encouraged to be more responsive to patients’ needs in order to address inequalities. Objectives (1) Explore the meaning of responsiveness in primary care. (2) Develop a patient-report questionnaire for use as a measure of patient experience of responsiveness by a range of primary care organisations (PCOs). (3) Investigate methods of population mapping available to GP practices. Design setting PCOs, including GP practices, walk-in centres and community pharmacies. Participants Patients and staff from 12 PCOs in the East Midlands in the development stage, and 15 PCOs across three different regions of England in stage 3. Interventions To investigate what responsiveness means, we conducted a literature review and interviews with patients and staff in 12 PCOs. We developed, tested and piloted the use of a questionnaire. We explored approaches for GP practices to understand the diversity of their populations. Main outcome measures (1) Definition of primary care responsiveness. (2) Three patient-report questionnaires to provide an assessment of patient experience of GP, pharmacy and walk-in centre responsiveness. (3) Insight into challenges in collecting diversity data in primary care. Results The literature covers three overlapping themes of service quality, inequalities and patient involvement. We suggest that responsiveness is achieved through alignment between service delivery and patient needs, involving strategies to improve responsive service delivery, and efforts to manage patient expectations. We identified three components of responsive service delivery: proactive population orientation, reactive population orientation and individual patient orientation. PCOs tend to utilise reactive strategies rather than proactive approaches. Questionnaire development involved efforts to include patients who are ‘seldom heard’. The questionnaire was checked for validity and consistency and is available in three versions (GP, pharmacy, and walk-in centre), and in Easy Read format. We found the questionnaires to be acceptable to patients, and to have content validity. We produced some preliminary evidence of reliability and construct validity. Measuring and improving responsiveness requires PCOs to understand the characteristics of their patient population, but we identified significant barriers and challenges to this. Conclusions Responsiveness is a complex concept. It involves alignment between service delivery and the needs of diverse patient groups. Reactive and proactive strategies at individual and population level are required, but PCOs mainly rely on reactive approaches. Being responsive means giving good care equally to all, and some groups may require extra support. What this extra support is will differ in different patient populations, and so knowledge of the practice population is essential. Practices need to be motivated to collect and use diversity data. Future work needed includes further evaluation of the patient-report questionnaires, including Easy Read versions, to provide further evidence of their quality and acceptability; research into how to facilitative the use of patient experience data in primary care; and implementation of strategies to improve responsiveness, and evaluation of effectivene

Critical Behavior of the Supersolid transition in Bose-Hubbard Models

We study the phase transitions of interacting bosons at zero temperature between superfluid (SF) and supersolid (SS) states. The latter are characterized by simultaneous off-diagonal long-range order and broken translational symmetry. The critical phenomena is described by a long-wavelength effective action, derived on symmetry grounds and verified by explicit calculation. We consider two types of supersolid ordering: checkerboard (X) and collinear (C), which are the simplest cases arising in two dimensions on a square lattice. We find that the SF--CSS transition is in the three-dimensional XY universality class. The SF--XSS transition exhibits non-trivial new critical behavior, and appears, within a $d=3-\epsilon$ expansion to be driven generically first order by fluctuations. However, within a one--loop calculation directly in $d=2$ a strong coupling fixed point with striking ``non-Bose liquid'' behavior is found. At special isolated multi-critical points of particle-hole symmetry, the system falls into the 3d Ising universality class.Comment: RevTeX, 24 pages, 16 figures. Also available at http://www.cip.physik.tu-muenchen.de/tumphy/d/T34/Mitarbeiter/frey.htm

The N-component Ginzburg-Landau Hamiltonian with cubic anisotropy: a six-loop study

We consider the Ginzburg-Landau Hamiltonian with a cubic-symmetric quartic interaction and compute the renormalization-group functions to six-loop order in d=3. We analyze the stability of the fixed points using a Borel transformation and a conformal mapping that takes into account the singularities of the Borel transform. We find that the cubic fixed point is stable for N>N_c, N_c = 2.89(4). Therefore, the critical properties of cubic ferromagnets are not described by the Heisenberg isotropic Hamiltonian, but instead by the cubic model at the cubic fixed point. For N=3, the critical exponents at the cubic and symmetric fixed points differ very little (less than the precision of our results, which is $\lesssim 1$ in the case of $\gamma$ and $\nu$). Moreover, the irrelevant interaction bringing from the symmetric to the cubic fixed point gives rise to slowly-decaying scaling corrections with exponent $\omega_2=0.010(4)$. For N=2, the isotropic fixed point is stable and the cubic interaction induces scaling corrections with exponent $\omega_2 = 0.103(8)$. These conclusions are confirmed by a similar analysis of the five-loop $\epsilon$-expansion. A constrained analysis which takes into account that $N_c = 2$ in two dimensions gives $N_c = 2.87(5)$.Comment: 29 pages, RevTex, new refs added, Phys. Rev. B in pres