‘They hear “Africa” and they think that there can’t be any good services’ – perceived context in cross-national learning: a qualitative study of the barriers to Reverse Innovation.

BACKGROUND: Country-of-origin of a product can negatively influence its rating, particularly if the product is from a low-income country. It follows that how non-traditional sources of innovation, such as low-income countries, are perceived is likely to be an important part of a diffusion process, particularly given the strong social and cognitive boundaries associated with the healthcare professions. METHODS: Between September and December 2014, we conducted eleven in-depth face-to-face or telephone interviews with key informants from innovation, health and social policy circles, experts in international comparative policy research and leaders in Reverse Innovation in the United States. Interviews were open-ended with guiding probes into the barriers and enablers to Reverse Innovation in the US context, specifically also to understand whether, in their experience translating or attempting to translate innovations from low-income contexts into the US, the source of the innovation matters in the adopter context. Interviews were recorded, transcribed and analyzed thematically using the process of constant comparison. RESULTS: Our findings show that innovations from low-income countries tend to be discounted early on because of prior assumptions about the potential for these contexts to offer solutions to healthcare problems in the US. Judgments are made about the similarity of low-income contexts with the US, even though this is based oftentimes on flimsy perceptions only. Mixing levels of analysis, local and national, leads to country-level stereotyping and missed opportunities to learn from low-income countries. CONCLUSIONS: Our research highlights that prior expectations, invoked by the Low-income country cue, are interfering with a transparent and objective learning process. There may be merit in adopting some techniques from the cognitive psychology and marketing literatures to understand better the relative importance of source in healthcare research and innovation diffusion. Counter-stereotyping techniques and decision-making tools may be useful to help decision-makers evaluate the generalizability of research findings objectively and transparently. We suggest that those interested in Reverse Innovation should reflect carefully on the value of disclosing the source of the innovation that is being proposed, if doing so is likely to invoke negative stereotypes

Quark Description of Hadronic Phases

We extend our proposal that major universality classes of hadronic matter can be understood, and in favorable cases calculated, directly in the microscopic quark variables, to allow for splitting between strange and light quark masses. A surprisingly simple but apparently viable picture emerges, featuring essentially three phases, distinguished by whether strangeness is conserved (standard nuclear matter), conserved modulo two (hypernuclear matter), or locked to color (color flavor locking). These are separated by sharp phase transitions. There is also, potentially, a quark phase matching hadronic K-condensation. The smallness of the secondary gap in two-flavor color superconductivity corresponds to the disparity between the primary dynamical energy scales of QCD and the much smaller energy scales of nuclear physics.Comment: 21 pages, 2 figure

Fluoroscopic X-Ray Shoe Fitting Devices

Exposure to X-rays or other radiation over and above a certain cumulative tolerance limit can be damaging to the human body. This fact is thoroughly explained in Mr. Humphrey\u27s article on Radiation in this issue of this law review. But a person thus injured by x-ray radiation from so-called fluoroscopic fitting machines in shoe stores will find it virtually impossible to make out a cause of action in negligence against the owners and operators of the machines. Yet, use of such machines now is known to be seriously harmful, unless that use is closely controlled

Fluoroscopic X-Ray Shoe Fitting Devices

Exposure to X-rays or other radiation over and above a certain cumulative tolerance limit can be damaging to the human body. This fact is thoroughly explained in Mr. Humphrey\u27s article on Radiation in this issue of this law review. But a person thus injured by x-ray radiation from so-called fluoroscopic fitting machines in shoe stores will find it virtually impossible to make out a cause of action in negligence against the owners and operators of the machines. Yet, use of such machines now is known to be seriously harmful, unless that use is closely controlled

Gauge coupling flux thresholds, exotic matter and the unification scale in F-SU(5) GUT

We explore the gauge coupling relations and the unification scale in F-theory SU(5) GUT broken down to the Standard Model by an internal U(1)Y gauge flux. We consider variants with exotic matter representations which may appear in these constructions and investigate their role in the effective field theory model. We make a detailed investigation on the conditions imposed on the extraneous matter to raise the unification scale and make the color triplets heavy in order to avoid fast proton decay. We also discuss in brief the implications on the gaugino masses.Comment: 20 pages, 3 figures, references and extended comments on KK thresholds effects adde

Quark mass dependence of the nucleon axial-vector coupling constant

We study the quark mass expansion of the axial-vector coupling constant g_A of the nucleon. The aim is to explore the feasibility of chiral effective field theory methods for extrapolation of lattice QCD results - so far determined at relatively large quark masses corresponding to pion masses larger than 0.6 GeV - down to the physical value of the pion mass. We compare two versions of non-relativistic chiral effective field theory: One scheme restricted to pion and nucleon degrees of freedom only, and an alternative approach which incorporates explicit Delta(1230) resonance degrees of freedom. It turns out that, in order to approach the physical value of g_A in a leading-one-loop calculation, the inclusion of the explicit Delta(1230) degrees of freedom is crucial. With information on important higher order couplings constrained from analyses of inelastic pion production processes, a chiral extrapolation function for g_A is obtained, which works well from the chiral limit across the physical point into the region of present lattice data. The resulting enhancement of our extrapolation function near the physical pion mass is found to arise from an interplay between long- and short- distance physics.Comment: 21 pages, LaTeX, 7 figure

Energy States of Colored Particle in a Chromomagnetic Field

The unitary transformation, which diagonalizes squared Dirac equation in a constant chromomagnetic field is found. Applying this transformation, we find the eigenfunctions of diagonalized Hamiltonian, that describe the states with definite value of energy and call them energy states. It is pointed out that, the energy states are determined by the color interaction term of the particle with the background chromofield and this term is responsible for the splitting of the energy spectrum. We construct supercharge operators for the diagonal Hamiltonian, that ensure the superpartner property of the energy states.Comment: 25 pages, some calculation details have been removed, typos correcte

Right Handed Weak Currents in Sum Rules for Axialvector Constant Renormalization

The recent experimental results on deep inelastic polarized lepton scattering off proton, deuteron and $^{3}$He together with polari% zed neutron $\beta$-decay data are analyzed. It is shown that the problem of Ellis-Jaffe and Bjorken sum rules deficiency and the neutron paradox could be solved simultaneously by assuming the small right handed current (RHC) admixture in the weak interaction Lagrangian. The possible RHC impact on pion-nucleon $\sigma$-term and Gamow-Teller sum rule for $(p,n)$ nuclear reactions is pointed out.Comment: to be published in Phys. Rev. Lett. LaTeX, 8 pages, 21 k

The Dichotomous Nucleon: Some Radical Conjectures for the Large Nc Limit

We discuss some problems with the large Nc approximation for nucleons which arise if the axial coupling of the nucleon to pions is large, g_A \sim Nc. While g_A \sim Nc in non-relativistic quark and Skyrme models, it has been suggested that Skyrmions may collapse to a small size, r \sim 1/f_pi \sim Lambda_QCD^{-1}/sqrt(Nc). (This is also the typical scale over which the string vertex moves in a string vertex model of the baryon.) We concentrate on the case of two flavors, where we suggest that to construct a nucleon with a small axial coupling, that most quarks are bound into colored diquark pairs, which have zero spin and isospin. For odd Nc, this leaves one unpaired quark, which carries the spin and isospin of the nucleon. If the unpaired quark is in a spatial wavefunction orthogonal to the wavefunctions of the scalar diquarks, then up to logarithms of Nc, the unpaired quark only costs an energy \sim Lambda_QCD. This naturally gives g_A \sim 1 and has other attractive features. In nature, the wavefunctions of the paired and unpaired quarks might only be approximately orthogonal; then g_A depends weakly upon Nc. This dichotomy in wave functions could arise if the unpaired quark orbits at a size which is parametrically large in comparison to that of the diquarks. We discuss possible tests of these ideas from numerical simulations on the lattice, for two flavors and three and five colors; the extension of our ideas to more than three or more flavors is not obvious, though.Comment: Published version in Nucl. Phys.

Further functional determinants

Functional determinants for the scalar Laplacian on spherical caps and slices, flat balls, shells and generalised cylinders are evaluated in two, three and four dimensions using conformal techniques. Both Dirichlet and Robin boundary conditions are allowed for. Some effects of non-smooth boundaries are discussed; in particular the 3-hemiball and the 3-hemishell are considered. The edge and vertex contributions to the $C_{3/2}$ coefficient are examined.Comment: 25 p,JyTex,5 figs. on request