Topology, Entropy and Witten Index of Dilaton Black Holes

We have found that for extreme dilaton black holes an inner boundary must be introduced in addition to the outer boundary to give an integer value to the Euler number. The resulting manifolds have (if one identifies imaginary time) topology $S^1 \times R \times S^2$ and Euler number $\chi = 0$ in contrast to the non-extreme case with $\chi=2$. The entropy of extreme $U(1)$ dilaton black holes is already known to be zero. We include a review of some recent ideas due to Hawking on the Reissner-Nordstr\"om case. By regarding all extreme black holes as having an inner boundary, we conclude that the entropy of {\sl all} extreme black holes, including $[U(1)]^2$ black holes, vanishes. We discuss the relevance of this to the vanishing of quantum corrections and the idea that the functional integral for extreme holes gives a Witten Index. We have studied also the topology of ``moduli space'' of multi black holes. The quantum mechanics on black hole moduli spaces is expected to be supersymmetric despite the fact that they are not HyperK\"ahler since the corresponding geometry has torsion unlike the BPS monopole case. Finally, we describe the possibility of extreme black hole fission for states with an energy gap. The energy released, as a proportion of the initial rest mass, during the decay of an electro-magnetic black hole is 300 times greater than that released by the fission of an ${}^{235} U$ nucleus.Comment: 51 pages, 4 figures, LaTeX. Considerably extended version. New sections include discussion of the Witten index, topology of the moduli space, black hole sigma model, and black hole fission with huge energy releas

Dynamics of Extreme Black Holes and Massive String States

In a recent paper, Duff and Rahmfeld argued that certain massive $N_R=1/2$ states of the four-dimensional heterotic string correspond to extreme black hole solutions. We provide further, dynamical, evidence for this identification by comparing the scattering of these elementary string states with that of the corresponding extreme black holes, in the limit of low velocities.Comment: 18 pages, harvma

Single-Molecule Analysis of G Protein-Coupled Receptor Stoichiometry: Approaches and Limitations.

How G protein-coupled receptors (GPCRs) are organized at the cell surface remains highly contentious. Single-molecule (SM) imaging is starting to inform this debate as receptor behavior can now be visualized directly, without the need for interpreting ensemble data. The limited number of SM studies of GPCRs undertaken to date have strongly suggested that dimerization is at most transient, and that most receptors are monomeric at any given time. However, even SM data has its caveats and needs to be interpreted carefully. Here, we discuss the types of SM imaging strategies used to examine GPCR stoichiometry and consider some of these caveats. We also emphasize that attempts to resolve the debate ought to rely on orthogonal approaches to measuring receptor stoichiometry

Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?

The terms health, health-related quality of life (HRQoL), and quality of life (QoL) are used interchangeably. Given that these are three key terms in the literature, their appropriate and clear use is important. This paper reviews the history and definitions of the terms and considers how they have been used. It is argued that the definitions of HRQoL in the literature are problematic because some definitions fail to distinguish between HRQoL and health or between HRQoL and QoL. Many so-called HRQoL questionnaires actually measure self-perceived health status and the use of the phrase QoL is unjustified. It is concluded that the concept of HRQoL as used now is confusing. A potential solution is to define HRQoL as the way health is empirically estimated to affect QoL or use the term to only signify the utility associated with a health state

Friendship activities of adults with intellectual disability in supported accommodation in northern England

Background Despite there being considerable evidence to suggest that friendships are central to health and well-being, relatively little attention had been paid to the friendships of people with intellectual disabilities. Methods Friendship activities involving people with and without intellectual disabilities were measured over the preceding month in a sample of 1542 adults with intellectual disabilities receiving supported accommodation in nine geographical localities in Northern England. Results The results of the study indicate: (1) low levels of friendship activities among people with intellectual disabilities in supported accommodation; (2) people with intellectual disabilities are more likely to be involved in activities with friends who also have intel lectual disabilities than with friends who do not have intellectual disabilities; (3) most friendship activities take place in the public domain rather than in more private settings (e.g. at home); (4) the setting in which a person lives is a more significant determinant of the form and content of activities with their friends than the characteristics of participants. Conclusions Further attention needs to be given to research and practice initiatives aimed at increasing the levels of friendship activities of people with intellectual disabilities

Prevalence of challenging behaviour in adults with intellectual disabilities, correlates, and association with mental health

Purpose of Review To summarise findings about the prevalence and correlates of challenging behaviour in adults with intellectual disabilities from robust research. We also describe findings on the interplay between challenging behaviour and mental health. Recent Findings Recent studies that have utilised psychometrically evaluated tools, with clear operational definitions, show similar findings on the prevalence of challenging behaviour of about 1 in every 5–6 adults known to services. We describe common correlates identified such as communication impairments, severity of intellectual disability, and living in institutional settings or congregate care. We also describe the complex and multifaceted relationship between challenging behaviour and mental health. Summary Based on recent studies, we propose a revised framework model to help understand challenging behaviour. We propose a number of areas where more research is required, particularly the development of risk tools clinicians can utilise in practice

Improving Quality of Life Outcomes in Supported Accommodation for People with Intellectual Disability: What Makes a Difference?

Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. Methods: A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Results: Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. Conclusions: The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains