Hubble Space Telescope observations of the NUV transit of WASP-12b

We present new observations of four closely-spaced NUV transits of the hot Jupiter-like exoplanet WASP-12b using HST/COS, significantly increasing the phase resolution of the observed NUV light curve relative to previous observations, while minimising the temporal variation of the system. We observe significant excess NUV absorption during the transit, with mean normalised in-transit fluxes of $F_\mathrm{norm}\simeq0.97$, i.e. $\simeq$2-5 $\sigma$ deeper than the optical transit level of $\simeq0.986$ for a uniform stellar disk (the exact confidence level depending on the normalisation method used). We further observe an asymmetric transit shape, such that the post-conjunction fluxes are overall $\simeq$2-3 $\sigma$ higher than pre-conjunction values, and characterised by rapid variations in count rate between the pre-conjunction and out of transit levels. We do not find evidence for an early ingress to the NUV transit as suggested by earlier HST observations. However, we show that the NUV count rate observed prior to the optical transit is highly variable, but overall $\simeq$2.2-3.0 $\sigma$ below the post-transit values and comparable in depth to the optical transit, possibly forming a variable region of NUV absorption from at least phase $\phi\simeq$0.83, limited by the data coverage.Comment: Accepted into the Astrophysical Journa

Cutaneous Conditions Leading to Dermatology Consultations in the Emergency Department

<p>Introduction: We established the most common cutaneous diseases that received dermatology consultation in the adult emergency department (ED) and identified differentiating clinical characteristics of dermatoses that required hospital admission.</p> <p>Methods: A retrospective chart review of 204 patients presenting to the ED who received dermatology consultations at Los Angeles County/University of Southern California Medical Center, an urban tertiary care teaching hospital.</p> <p>Results: Of all patients, 18% were admitted to an inpatient unit primarily for their cutaneous disease, whereas 82% were not. Of nonadmitted patients, the most commonly diagnosed conditions were eczematous dermatitis not otherwise specified (8.9%), scabies (7.2%), contact dermatitis (6.6%), cutaneous drug eruption (6.0%), psoriasis vulgaris (4.2%), and basal cell carcinoma (3.6%). Of patients admitted for their dermatoses, the most highly prevalent conditions were erythema multiforme major/Stevens-Johnson syndrome (22%), pemphigus vulgaris (14%), and severe cutaneous drug eruption (11%). When compared with those of nonadmitted patients, admitted skin conditions were more likely to be generalized (92% vs 72%; P = 0.0104), acute in onset (< 1 month duration) (81% vs 51%; P = 0.0005), painful (41% vs 15%; P = 0.0009), blistering (41% vs 7.8%; P < 0.0001), and ulcerated or eroded (46% vs 7.8%; P < 0.0001). They were more likely to involve the mucosa (54% vs 7.2%; P < 0.0001) and less likely to be pruritic (35% vs 58%; P = 0.0169).</p> <p>Conclusion: We have described a cohort of patients receiving dermatologic consultation in the ED of a large urban teaching hospital. These data identify high-risk features of more severe skin disease and may be used to refine curricula in both emergency and nonemergency cutaneous disorders for emergency physicians. [West J Emerg Med. 2011;12(4):551–555.]</p

Extended chiral algebras and the emergence of SU(2) quantum numbers in the Coulomb gas

We study a set of chiral symmetries contained in degenerate operators beyond the `minimal' sector of the c(p,q) models. For the operators h_{(2j+2)q-1,1}=h_{1,(2j+2)p-1} at conformal weight [ (j+1)p-1 ][ (j+1)q -1 ], for every 2j \in N, we find 2j+1 chiral operators which have quantum numbers of a spin j representation of SU(2). We give a free-field construction of these operators which makes this structure explicit and allows their OPEs to be calculated directly without any use of screening charges. The first non-trivial chiral field in this series, at j=1/2, is a fermionic or para-fermionic doublet. The three chiral bosonic fields, at j=1, generate a closed W-algebra and we calculate the vacuum character of these triplet models.Comment: 23 pages Late

Telehealth and Mobile Health Applied To IntegratedBehavioral Care: OpportunitiesFor Progress In New Hampshire

This paper is an accompanying document to a webinar delivered on May 16, 2017, for the New Hampshire Citizens Health Initiative (Initiative). As integrated behavioral health efforts in New Hampshire gain traction, clinicians, administrators, payers, and policy makers are looking for additional efficiencies in delivering high quality healthcare. Telehealth and mobile health (mHealth) have the opportunity to help achieve this while delivering a robust, empowered patient experience. The promise of video-based technology was first made in 1964 as Bell Telephone shared its Picturephone® with the world. This was the first device with audio and video delivered in an integrated technology platform. Fast-forward to today with Skype, FaceTime, and webinar tools being ubiquitous in our personal and business lives, but often slow to be adopted in the delivery of medicine. Combining technology-savvy consumers with New Hampshire’s high rate of electronic health record (EHR) technology adoption, a fairly robust telecommunications infrastructure, and a predominately rural setting, there is strong foundation for telehealth and mHealth expansion in New Hampshire’s integrated health continuum

Integrating Behavioral Health & Primary Care in New Hampshire: A Path Forward to Sustainable Practice & Payment Transformation

New Hampshire residents face challenges with behavioral and physical health conditions and the interplay between them. National studies show the costs and the burden of illness from behavioral health conditions and co-occurring chronic health conditions that are not adequately treated in either primary care or behavioral health settings. Bringing primary health and behavioral health care together in integrated care settings can improve outcomes for both behavioral and physical health conditions. Primary care integrated behavioral health works in conjunction with specialty behavioral health providers, expanding capacity, improving access, and jointly managing the care of patients with higher levels of acuity In its work to improve the health of NH residents and create effective and cost-effective systems of care, the NH Citizens Health Initiative (Initiative) created the NH Behavioral Health Integration Learning Collaborative (BHI Learning Collaborative) in November of 2015, as a project of its Accountable Care Learning Network (NHACLN). Bringing together more than 60 organizations, including providers of all types and sizes, all of the state’s community mental health centers, all of the major private and public insurers, and government and other stakeholders, the BHI Learning Collaborative built on earlier work of a NHACLN Workgroup focused on improving care for depression and co-occurring chronic illness. The BHI Learning Collaborative design is based on the core NHACLN philosophy of “shared data and shared learning” and the importance of transparency and open conversation across all stakeholder groups. The first year of the BHI Learning Collaborative programming included shared learning on evidence-based practice for integrated behavioral health in primary care, shared data from the NH Comprehensive Healthcare Information System (NHCHIS), and work to develop sustainable payment models to replace inadequate Fee-for-Service (FFS) revenues. Provider members joined either a Project Implementation Track working on quality improvement projects to improve their levels of integration or a Listen and Learn Track for those just learning about Behavioral Health Integration (BHI). Providers in the Project Implementation Track completed a self-assessment of levels of BHI in their practice settings and committed to submit EHR-based clinical process and outcomes data to track performance on specified measures. All providers received access to unblinded NHACLN Primary Care and Behavioral Health attributed claims data from the NHCHIS for provider organizations in the NH BHI Learning Collaborative. Following up on prior work focused on developing a sustainable model for integrating care for depression and co-occurring chronic illness in primary care settings, the BHI Learning Collaborative engaged consulting experts and participants in understanding challenges in Health Information Technology and Exchange (HIT/HIE), privacy and confidentiality, and workforce adequacy. The BHI Learning Collaborative identified a sustainable payment model for integrated care of depression in primary care. In the process of vetting the payment model, the BHI Learning Collaborative also identified and explored challenges in payment for Substance Use Disorder Screening, Brief Intervention and Referral to Treatment (SBIRT). New Hampshire’s residents will benefit from a health care system where primary care and behavioral health are integrated to support the care of the whole person. New Hampshire’s current opiate epidemic accentuates the need for better screening for behavioral health issues, prevention, and treatment referral integrated into primary care. New Hampshire providers and payers are poised to move towards greater integration of behavioral health and primary care and the Initiative looks forward to continuing to support progress in supporting a path to sustainable integrated behavioral and primary care

Extended multiplet structure in Logarithmic Conformal Field Theories

We use the process of quantum hamiltonian reduction of SU(2)_k, at rational level k, to study explicitly the correlators of the h_{1,s} fields in the c_{p,q} models. We find from direct calculation of the correlators that we have the possibility of extra, chiral and non-chiral, multiplet structure in the h_{1,s} operators beyond the `minimal' sector. At the level of the vacuum null vector h_{1,2p-1}=(p-1)(q-1) we find that there can be two extra non-chiral fermionic fields. The extra indicial structure present here permeates throughout the entire theory. In particular we find we have a chiral triplet of fields at h_{1,4p-1}=(2p-1)(2q-1). We conjecture that this triplet algebra may produce a rational extended c_{p,q} model. We also find a doublet of fields at h_{1,3p-1}=(\f{3p}{2}-1)(\f{3q}{2}-1). These are chiral fermionic operators if p and q are not both odd and otherwise parafermionic.Comment: 24 pages LATEX. Minor corrections and extra reference

Extended chiral algebras in the SU(2)_0 WZNW model

We investigate the W-algebras generated by the integer dimension chiral primary operators of the SU(2)_0 WZNW model. These have a form almost identical to that found in the c=-2 model but have, in addition, an extended Kac-Moody structure. Moreover on Hamiltonian reduction these SU(2)_0 W-algebras exactly reduce to those found in c=-2. We explicitly find the free field representations for the chiral j=2 and j=3 operators which have respectively a fermionic doublet and bosonic triplet nature. The correlation functions of these operators accounts for the rational solutions of the Knizhnik-Zamolodchikov equation that we find. We explicitly compute the full algebra of the j=2 operators and find that the associativity of the algebra is only guaranteed if certain null vectors decouple from the theory. We conjecture that these algebras may produce a quasi-rational conformal field theory.Comment: 18 pages LATEX. Minor corrections. Full j=2 algebra adde

Extreme 54Cr-rich nano-oxides in the CI chondrite Orgueil -Implication for a late supernova injection into the Solar System

Systematic variations in 54Cr/52Cr ratios between meteorite classes (Qin et al., 2010a; Trinquier et al., 2007) point to large scale spatial and/or temporal isotopic heterogeneity in the solar protoplanetary disk. Two explanations for these variations have been proposed, with important implications for the formation of the Solar System: heterogeneous seeding of the disk with dust from a supernova, or energetic-particle irradiation of dust in the disk. The key to differentiating between them is identification of the carrier(s) of the 54Cr anomalies. Here we report the results of our recent NanoSIMS imaging search for the 54Cr-rich carrier in the acid-resistant residue of the CI chondrite Orgueil. A total of 10 regions with extreme 54Cr-excesses ({\delta}54Cr values up to 1500 %) were found. Comparison between SEM, Auger and NanoSIMS analyses showed that these 54Cr-rich regions are associated with one or more sub-micron (typically less than 200 nm) Cr oxide grains, most likely spinels. Because the size of the NanoSIMS primary O- ion beam is larger than the typical grain size on the sample mount, the measured anomalies are lower limits, and we estimate that the actual 54Cr enrichments in three grains are at least 11 times Solar and in one of these may be as high as 50 times Solar. Such compositions strongly favor a Type II supernova origin. The variability in bulk 54Cr/52Cr between meteorite classes argues for a heterogeneous distribution of the 54Cr carrier in the solar protoplanetary disk following a late supernova injection event. Such a scenario is also supported by the O-isotopic distribution and variable abundances in different planetary materials of other presolar oxide and silicate grains from supernovae

Thin, fine and with sensitivity: a metamethodology of intuitions

Do philosophers use intuitions? Should philosophers use intuitions? Can philosophical methods (where intuitions are concerned) be improved upon? In order to answer these questions we need to have some idea of how we should go about answering them. I defend a way of going about methodology of intuitions: a metamethodology. I claim the following: (i) we should approach methodological questions about intuitions with a thin conception of intuitions in mind; (ii) we should carve intuitions finely; and, (iii) we should carve to a grain to which we are sensitive in our everyday philosophising. The reason is that, unless we do so, we don’t get what we want from philosophical methodology. I argue that what we want is information that will aid us in formulating practical advice concerning how to do philosophy responsibly/well/better