642 research outputs found
Relation between the 4d superconformal index and the S^3 partition function
A relation between the 4d superconformal index and the S^3 partition function
is studied with focus on the 4d and 3d actions used in localization. In the
case of vanishing Chern-Simons levels and round S^3 we explicitly show that the
3d action is obtained from the 4d action by dimensional reduction up to terms
which do not affect the exact results. By combining this fact and a recent
proposal concerning a squashing of S^3 and SU(2) Wilson line, we obtain a
formula which gives the partition function depending on the Weyl weight of
chiral multiplets, real mass parameters, FI parameters, and a squashing
parameter as a limit of the index of a parent 4d theory.Comment: 20 pages, LaTeX; v2: comments added; v3: minor corrections, version
published in JHE
An E7 Surprise
We explore some curious implications of Seiberg duality for an SU(2)
four-dimensional gauge theory with eight chiral doublets. We argue that two
copies of the theory can be deformed by an exactly marginal quartic
superpotential so that they acquire an enhanced E7 flavor symmetry. We argue
that a single copy of the theory can be used to define an E7-invariant
superconformal boundary condition for a theory of 28 five-dimensional free
hypermultiplets. Finally, we derive similar statements for three-dimensional
gauge theories such as an SU(2) gauge theory with six chiral doublets or Nf=4
SQED.Comment: 27 page
The Large N Limit of Toric Chern-Simons Matter Theories and Their Duals
We compute the large N limit of the localized three dimensional free energy
of various field theories with known proposed AdS duals. We show that
vector-like theories agree with the expected supergravity results, and with the
conjectured F-theorem. We also check that the large N free energy is preserved
by the three dimensional Seiberg duality for general classes of vector like
theories. Then we analyze the behavior of the free energy of chiral-like
theories by applying a new proposal. The proposal is based on the restoration
of a discrete symmetry on the free energy before the extremization. We apply
this procedure at strong coupling in some examples and we discuss the results.
We conclude the paper by proposing an alternative geometrical expression for
the free energy.Comment: 40 pages, 7 figures, using jheppub.sty, references adde
An assessment of validity and responsiveness of generic measures of health-related quality of life in hearing impairment
This article is made available through the Brunel Open Access Publishing Fund. This article is distributed under the terms of the
Creative Commons Attribution License which permits any use, distribution,
and reproduction in any medium, provided the original
author(s) and the source are credited.Purpose: This review examines psychometric performance of three widely used generic preference-based measures, that is, EuroQol 5 dimensions (EQ-5D), Health Utility Index 3 (HUI3) and Short-form 6 dimensions (SF-6D) in patients with hearing impairments.
Methods: A systematic search was undertaken to identify studies of patients with hearing impairments where health state utility values were measured and reported. Data were extracted and analysed to assess the reliability, validity (known group differences and convergent validity) and responsiveness of the measures across hearing impairments.
Results: Fourteen studies (18 papers) were included in the review. HUI3 was the most commonly used utility measures in hearing impairment. In all six studies, the HUI3 detected difference between groups defined by the severity of impairment, and four out of five studies detected statistically significant changes as a result of intervention. The only study available suggested that EQ-5D only had weak ability to discriminate difference between severity groups, and in four out of five studies, EQ-5D failed to detected changes. Only one study involved the SF-6D; thus, the information is too limited to conclude on its performance. Also evidence for the reliability of these measures was not found.
Conclusion: Overall, the validity and responsiveness of the HUI3 in hearing impairment was good. The responsiveness of EQ-5D was relatively poor and weak validity was suggested by limited evidence. The evidence on SF-6D was too limited to make any judgment. More head-to-head comparisons of these and other preference measures of health are required.Medical Research Counci
Exploring Curved Superspace
We systematically analyze Riemannian manifolds M that admit rigid
supersymmetry, focusing on four-dimensional N=1 theories with a U(1)_R
symmetry. We find that M admits a single supercharge, if and only if it is a
Hermitian manifold. The supercharge transforms as a scalar on M. We then
consider the restrictions imposed by the presence of additional supercharges.
Two supercharges of opposite R-charge exist on certain fibrations of a
two-torus over a Riemann surface. Upon dimensional reduction, these give rise
to an interesting class of supersymmetric geometries in three dimensions. We
further show that compact manifolds admitting two supercharges of equal
R-charge must be hyperhermitian. Finally, four supercharges imply that M is
locally isometric to M_3 x R, where M_3 is a maximally symmetric space.Comment: 39 pages; minor change
User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner
Background:
The rigorous elicitation of user needs is a crucial step for both medical device design and purchasing. However, user needs elicitation is often based on qualitative methods whose findings can be difficult to integrate into medical decision-making. This paper describes the application of AHP to elicit user needs for a new CT scanner for use in a public hospital.
Methods:
AHP was used to design a hierarchy of 12 needs for a new CT scanner, grouped into 4 homogenous categories, and to prepare a paper questionnaire to investigate the relative priorities of these. The questionnaire was completed by 5 senior clinicians working in a variety of clinical specialisations and departments in the same Italian public hospital.
Results:
Although safety and performance were considered the most important issues, user needs changed according to clinical scenario. For elective surgery, the five most important needs were: spatial resolution, processing software, radiation dose, patient monitoring, and contrast medium. For emergency, the top five most important needs were: patient monitoring, radiation dose, contrast medium control, speed run, spatial resolution.
Conclusions:
AHP effectively supported user need elicitation, helping to develop an analytic and intelligible framework of decision-making. User needs varied according to working scenario (elective versus emergency medicine) more than clinical specialization. This method should be considered by practitioners involved in decisions about new medical technology, whether that be during device design or before deciding whether to allocate budgets for new medical devices according to clinical functions or according to hospital department
How robust are value judgements of health inequality aversion? Testing for framing and cognitive effects
Background: Empirical studies have found that members of the public are inequality averse and value health gains for disadvantaged groups with poor health many times more highly than gains for better off groups. However, these studies typically use abstract scenarios that involve unrealistically large reductions in health inequality, and face-to-face survey administration. It is not known how robust these findings are to more realistic scenarios or anonymous online survey administration.
Methods: This study aimed to test the robustness of questionnaire estimates of inequality aversion by comparing the following: (1) small versus unrealistically large health inequality reductions; (2) population-level versus individual-level descriptions of health inequality reductions; (3) concrete versus abstract intervention scenarios; and (4) online versus face to face mode of administration. Fifty-two members of the public participated in face-to-face discussion groups, while 83 members of the public completed an online survey. Participants were given a questionnaire instrument with different scenario descriptions for eliciting aversion to social inequality in health.
Results: The median respondent was inequality averse under all scenarios. Scenarios involving small rather than unrealistically large health gains made little difference in terms of inequality aversion, as did population-level rather than individual-level scenarios. However, the proportion expressing extreme inequality aversion fell 19 percentage points when considering a specific health intervention scenario rather than an abstract scenario, and was 11-21 percentage points lower among online public respondents compared to the discussion group.
Conclusions: Our study suggests that both concrete scenarios and online administration reduce the proportion expressing extreme inequality aversion but still yield median responses implying substantial health inequality aversion
The episodic random utility model unifies time trade-off and discrete choice approaches in health state valuation
ABSTRACT:
BACKGROUND: To present an episodic random utility model that unifies time trade-off and discrete choice approaches in health state valuation.
METHODS: First, we introduce two alternative random utility models (RUMs) for health preferences: the episodic RUM and the more common instant RUM. For the interpretation of time trade-off (TTO) responses, we show that the episodic model implies a coefficient estimator, and the instant model implies a mean slope estimator. Secondly, we demonstrate these estimators and the differences between the estimates for 42 health states using TTO responses from the seminal Measurement and Valuation in Health (MVH) study conducted in the United Kingdom. Mean slopes are estimates with and without Dolan's transformation of worse-than-death (WTD) responses. Finally, we demonstrate an exploded probit estimator, an extension of the coefficient estimator for discrete choice data that accommodates both TTO and rank responses.
RESULTS: By construction, mean slopes are less than or equal to coefficients, because slopes are fractions and, therefore, magnify downward errors in WTD responses. The Dolan transformation of WTD responses causes mean slopes to increase in similarity to coefficient estimates, yet they are not equivalent (i.e., absolute mean difference = 0.179). Unlike mean slopes, coefficient estimates demonstrate strong concordance with rank-based predictions (Lin's rho = 0.91). Combining TTO and rank responses under the exploded probit model improves the identification of health state values, decreasing the average width of confidence intervals from 0.057 to 0.041 compared to TTO only results.
CONCLUSION: The episodic RUM expands upon the theo
Chronic non-specific low back pain - sub-groups or a single mechanism?
Copyright 2008 Wand and O'Connell; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: Low back pain is a substantial health problem and has subsequently attracted a
considerable amount of research. Clinical trials evaluating the efficacy of a variety of interventions
for chronic non-specific low back pain indicate limited effectiveness for most commonly applied
interventions and approaches.
Discussion: Many clinicians challenge the results of clinical trials as they feel that this lack of
effectiveness is at odds with their clinical experience of managing patients with back pain. A
common explanation for this discrepancy is the perceived heterogeneity of patients with chronic
non-specific low back pain. It is felt that the effects of treatment may be diluted by the application
of a single intervention to a complex, heterogeneous group with diverse treatment needs. This
argument presupposes that current treatment is effective when applied to the correct patient.
An alternative perspective is that the clinical trials are correct and current treatments have limited
efficacy. Preoccupation with sub-grouping may stifle engagement with this view and it is important
that the sub-grouping paradigm is closely examined. This paper argues that there are numerous
problems with the sub-grouping approach and that it may not be an important reason for the
disappointing results of clinical trials. We propose instead that current treatment may be ineffective
because it has been misdirected. Recent evidence that demonstrates changes within the brain in
chronic low back pain sufferers raises the possibility that persistent back pain may be a problem of
cortical reorganisation and degeneration. This perspective offers interesting insights into the
chronic low back pain experience and suggests alternative models of intervention.
Summary: The disappointing results of clinical research are commonly explained by the failure of
researchers to adequately attend to sub-grouping of the chronic non-specific low back pain
population. Alternatively, current approaches may be ineffective and clinicians and researchers may
need to radically rethink the nature of the problem and how it should best be managed
Precision Spectroscopy and Higher Spin symmetry in the ABJM model
We revisit Kaluza-Klein compactification of 11-d supergravity on S^7/Z_k
using group theory techniques that may find application in other flux vacua
with internal coset spaces. Among the SO(2) neutral states, we identify
marginal deformations and fields that couple to the recently discussed
world-sheet instanton of Type IIA on CP^3. We also discuss charged states, dual
to monopole operators, and the Z_k projection of the Osp(4|8) singleton and its
tensor products. In particular, we show that the doubleton spectrum may account
for N=6 higher spin symmetry enhancement in the limit of vanishing 't Hooft
coupling in the boundary Chern-Simons theory.Comment: 44 page
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