61 research outputs found
Topological Charge and The Spectrum of Exactly Massless Fermions on the Lattice
The square root of the positive definite hermitian operator in Neuberger's proposal of exactly massless quarks on the lattice is
implemented by the recursion formula with Y_0 = \Id, where converges to
quadratically. The spectrum of the lattice Dirac operator for single massless
fermion in two dimensional background U(1) gauge fields is investigated. For
smooth background gauge fields with non-zero topological charge, the exact zero
modes with definite chirality are reproduced to a very high precision on a
finite lattice and the Index Theorem is satisfied exactly. The fermionic
determinants are also computed and they are in good agreement with the
continuum exact solution.Comment: 18 pages (LaTeX), 2 figures (EPS
Who should be prioritized for renal transplantation?: Analysis of key stakeholder preferences using discrete choice experiments
Background
Policies for allocating deceased donor kidneys have recently shifted from allocation based on Human Leucocyte Antigen (HLA) tissue matching in the UK and USA. Newer allocation algorithms incorporate waiting time as a primary factor, and in the UK, young adults are also favoured. However, there is little contemporary UK research on the views of stakeholders in the transplant process to inform future allocation policy. This research project aimed to address this issue.
Methods
Discrete Choice Experiment (DCE) questionnaires were used to establish priorities for kidney transplantation among different stakeholder groups in the UK. Questionnaires were targeted at patients, carers, donors / relatives of deceased donors, and healthcare professionals. Attributes considered included: waiting time; donor-recipient HLA match; whether a recipient had dependents; diseases affecting life expectancy; and diseases affecting quality of life.
Results
Responses were obtained from 908 patients (including 98 ethnic minorities); 41 carers; 48 donors / relatives of deceased donors; and 113 healthcare professionals. The patient group demonstrated statistically different preferences for every attribute (i.e. significantly different from zero) so implying that changes in given attributes affected preferences, except when prioritizing those with no rather than moderate diseases affecting quality of life. The attributes valued highly related to waiting time, tissue match, prioritizing those with dependents, and prioritizing those with moderate rather than severe diseases affecting life expectancy. Some preferences differed between healthcare professionals and patients, and ethnic minority and non-ethnic minority patients. Only non-ethnic minority patients and healthcare professionals clearly prioritized those with better tissue matches.
Conclusions
Our econometric results are broadly supportive of the 2006 shift in UK transplant policy which emphasized prioritizing the young and long waiters. However, our findings suggest the need for a further review in the light of observed differences in preferences amongst ethnic minorities, and also because those with dependents may be a further priority.</p
Search for lepton flavor violating decays of a heavy neutral particle in p(p)over-bar collisions at root s=1.8 TeV
We report on a search for a high mass, narrow width particle that decays directly to emu, etau, or mutau. We use approximately 110 pb(-1) of data collected with the Collider Detector at Fermilab from 1992 to 1995. No evidence of lepton flavor violating decays is found. Limits are set on the production and decay of sneutrinos with R-parity violating interactions
A grounded theory study: Exploring health care professionals decision making when managing end stage heart failure care
Aim: To explore how healthcare professionals in an acute medical setting make decisions when managing the care of patients diagnosed with end stage heart failure, and how these decisions impact directly on the patient's end of life experience.
Design: A constructivist grounded theory approach was adopted.
Method: A purposive sample was used to recruit participants that included 16 registered nurses, 15 doctors and 16 patients. Data were collected using semi-structured interviews and focus groups over a 12-month period of fieldwork concluding in 2017. The interviews were recorded and transcribed and the data were analysed using constant comparison and QSR NVivo.
Findings: Four theoretical categories emerged from the data to explain how healthcare professionals and patients negotiated the process of decision making when considering end of life care. These were: signposting symptoms, organizing care, being informed and recognizing dying. The themes revolved around a core category ‘a vicious cycle of heart failure care’.
Conclusion: Healthcare professionals need to engage in informed decision making with patients to break this ‘vicious cycle of care’ by identifying key stages in the terminal phase of heart failure and correctly signposting the patient to the most suitable healthcare care professional for intervention.
Impact: This study provides a theoretical framework to explain a ‘vicious cycle of care’ for patients diagnosed with end stage heart failure. This theory grounded in data demonstrates the need for both acute and primary care to design an integrative end of life care pathway for heart failure patients which addresses the need for early shared decision making between the healthcare professional, family and the patient when it comes to end of life conversations
Impacts of travel activity and urbanicity on exposures to ambient oxides of nitrogen and on exposure disparities
Search for the supersymmetric partner of the top quark in dilepton events from p(p)over-bar collisions at root s=1.8 TeV
We have searched for the supersymmetric partner of the top quark (stop) in
107 pb^{-1} of p-pbar collisions at \sqrt{s}= 1.8 TeV collected by the Collider
Detector at Fermilab (CDF). Within the framework of the Minimal Supersymmetric
extension of the Standard Model (MSSM) each of the pair-produced stops is
assumed to decay into a lepton, bottom quark and supersymmetric neutrino. Such
a scenario would give rise to events with two leptons, two hadronic jets, and a
substantial imbalance of transverse energy. No evidence of such a stop signal
has been found. We calculate a 95% confidence level (C.L.) upper limit on the
stop production cross section, which excludes stop masses in the region
(80<m_{\stop}<135 GeV/c^2) in the mass plane of stop versus sneutrino.Comment: 7 pages, 5 figures. Submitted to Physical Review Letter
Central pseudorapidity gaps in events with a leading antiproton at the Fermilab tevatron (p)over-barp collider
We report a measurement of the fraction of events with a large pseudorapidity gap Deltaeta within the pseudorapidity region available to the proton dissociation products X in (p) over bar +p-->(p) over bar +X. For a final state (p) over bar of fractional momentum loss xi((p) over bar) and 4-momentum transfer squared t((p) over bar) within 0.063 is found to be 0.246+/-0.001 (stat)+/-0.042 (syst) [0.184+/-0.001 (stat)+/-0.043 (syst)]. Our results are compared with gap fractions measured in minimum bias (p) over barp collisions and with theoretical expectations
Health impact assessment on the benefits of reducing PM2.5 using mortality data from 28 European cities
Search for a W(') boson decaying to a top and bottom quark pair in 1.8 TeV p(p)over-bar collisions
We report the results of a search for a W(') boson produced in p (p)
over bar collisions at a center-of-mass energy of 1.8 TeV using a 106
pb(-1) data sample recorded by the Collider Detector at Fermilab. We
observe no significant excess of events above background for a W(')
boson decaying to a top and bottom quark pair. In a model where this
boson would mediate interactions involving a massive right-handed
neutrino (nu(R)) and have standard model strength couplings, we use
these data to exclude a W(') boson with mass between 225 and 536
GeV/c(2) at 95\% confidence level for M(W)(')>M(nuR) and between 225 and
566 GeV/c(2) at 95\% confidence level for M(W)(')<M(nuR)
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