Virtual patient design : exploring what works and why : a grounded theory study

Objectives: Virtual patients (VPs) are online representations of clinical cases used in medical education. Widely adopted, they are well placed to teach clinical reasoning skills. International technology standards mean VPs can be created, shared and repurposed between institutions. A systematic review has highlighted the lack of evidence to support which of the numerous VP designs may be effective, and why. We set out to research the influence of VP design on medical undergraduates. Methods: This is a grounded theory study into the influence of VP design on undergraduate medical students. Following a review of the literature and publicly available VP cases, we identified important design properties. We integrated them into two substantial VPs produced for this research. Using purposeful iterative sampling, 46 medical undergraduates were recruited to participate in six focus groups. Participants completed both VPs, an evaluation and a 1-hour focus group discussion. These were digitally recorded, transcribed and analysed using grounded theory, supported by computer-assisted analysis. Following open, axial and selective coding, we produced a theoretical model describing how students learn from VPs. Results: We identified a central core phenomenon designated ‘learning from the VP’. This had four categories: VP Construction; External Preconditions; Student–VP Interaction, and Consequences. From these, we constructed a three-layer model describing the interactions of students with VPs. The inner layer consists of the student's cognitive and behavioural preconditions prior to sitting a case. The middle layer considers the VP as an ‘encoded object’, an e-learning artefact and as a ‘constructed activity’, with associated pedagogic and organisational elements. The outer layer describes cognitive and behavioural change. Conclusions: This is the first grounded theory study to explore VP design. This original research has produced a model which enhances understanding of how and why the delivery and design of VPs influence learning. The model may be of practical use to authors, institutions and researchers

Nonlinear Integral-Equation Formulation of Orthogonal Polynomials

The nonlinear integral equation P(x)=\int_alpha^beta dy w(y) P(y) P(x+y) is investigated. It is shown that for a given function w(x) the equation admits an infinite set of polynomial solutions P(x). For polynomial solutions, this nonlinear integral equation reduces to a finite set of coupled linear algebraic equations for the coefficients of the polynomials. Interestingly, the set of polynomial solutions is orthogonal with respect to the measure x w(x). The nonlinear integral equation can be used to specify all orthogonal polynomials in a simple and compact way. This integral equation provides a natural vehicle for extending the theory of orthogonal polynomials into the complex domain. Generalizations of the integral equation are discussed.Comment: 7 pages, result generalized to include integration in the complex domai

Feasibility study of an Integrated Program for Aerospace vehicle Design (IPAD). Volume 3: Support of the design process

The user requirements for computer support of the IPAD design process are identified. The user-system interface, language, equipment, and computational requirements are considered

On quantization of nondispersive wave packets

Canonical commutation relations for the Bateman-Hillion type nondispersive wave packets are constructedComment: LaTeX, 10 page

A probabilistic approach to some results by Nieto and Truax

In this paper, we reconsider some results by Nieto and Truax about generating functions for arbitrary order coherent and squeezed states. These results were obtained using the exponential of the Laplacian operator; more elaborated operational identities were used by Dattoli et al. \cite{Dattoli} to extend these results. In this note, we show that the operational approach can be replaced by a purely probabilistic approach, in the sense that the exponential of derivatives operators can be identified with equivalent expectation operators. This approach brings new insight about the kinks between operational and probabilistic calculus.Comment: 2nd versio

On O-X mode conversion in 2D inhomogeneous plasma with a sheared magnetic field

The conversion of an ordinary wave to an extraordinary wave in a 2D inhomogeneous slab model of the plasma confined by a sheared magnetic field is studied analytically.Comment: sub. to PPC

Self-force of a point charge in the space-time of a symmetric wormhole

We consider the self-energy and the self-force for an electrically charged particle at rest in the wormhole space-time. We develop general approach and apply it to two specific profiles of the wormhole throat with singular and with smooth curvature. The self-force for these two profiles is found in manifest form; it is an attractive force. We also find an expression for the self-force in the case of arbitrary symmetric throat profile. Far from the throat the self-force is always attractive.Comment: 18 pages, 3 figures Comments: corrected pdf, enlarged pape

Green's function of a finite chain and the discrete Fourier transform

A new expression for the Green's function of a finite one-dimensional lattice with nearest neighbor interaction is derived via discrete Fourier transform. Solution of the Heisenberg spin chain with periodic and open boundary conditions is considered as an example. Comparison to Bethe ansatz clarifies the relation between the two approaches.Comment: preprint of the paper published in Int. J. Modern Physics B Vol. 20, No. 5 (2006) 593-60

Closed form representation for a projection onto infinitely dimensional subspace spanned by Coulomb bound states

The closed form integral representation for the projection onto the subspace spanned by bound states of the two-body Coulomb Hamiltonian is obtained. The projection operator onto the $n^2$ dimensional subspace corresponding to the $n$-th eigenvalue in the Coulomb discrete spectrum is also represented as the combination of Laguerre polynomials of $n$-th and $(n-1)$-th order. The latter allows us to derive an analog of the Christoffel-Darboux summation formula for the Laguerre polynomials. The representations obtained are believed to be helpful in solving the breakup problem in a system of three charged particles where the correct treatment of infinitely many bound states in two body subsystems is one of the most difficult technical problems.Comment: 7 page