90 research outputs found

    Measurement of the inclusive and dijet cross-sections of b-jets in pp collisions at sqrt(s) = 7 TeV with the ATLAS detector

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    The inclusive and dijet production cross-sections have been measured for jets containing b-hadrons (b-jets) in proton-proton collisions at a centre-of-mass energy of sqrt(s) = 7 TeV, using the ATLAS detector at the LHC. The measurements use data corresponding to an integrated luminosity of 34 pb^-1. The b-jets are identified using either a lifetime-based method, where secondary decay vertices of b-hadrons in jets are reconstructed using information from the tracking detectors, or a muon-based method where the presence of a muon is used to identify semileptonic decays of b-hadrons inside jets. The inclusive b-jet cross-section is measured as a function of transverse momentum in the range 20 < pT < 400 GeV and rapidity in the range |y| < 2.1. The bbbar-dijet cross-section is measured as a function of the dijet invariant mass in the range 110 < m_jj < 760 GeV, the azimuthal angle difference between the two jets and the angular variable chi in two dijet mass regions. The results are compared with next-to-leading-order QCD predictions. Good agreement is observed between the measured cross-sections and the predictions obtained using POWHEG + Pythia. MC@NLO + Herwig shows good agreement with the measured bbbar-dijet cross-section. However, it does not reproduce the measured inclusive cross-section well, particularly for central b-jets with large transverse momenta.Comment: 10 pages plus author list (21 pages total), 8 figures, 1 table, final version published in European Physical Journal

    Are chiropractors in the uk primary healthcare or primary contact practitioners?: a mixed methods study

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    <p>Abstract</p> <p>Background</p> <p>One of the debates regarding the role of chiropractors is whether or not they should be considered as primary healthcare practitioners. Primary care is often used to describe chiropractic but without any definition of what is meant by the term. Primary healthcare itself has many definitions and this adds to the problem. Existing research literature, based mostly in the USA, suggests that the use of the title "primary healthcare professional" by chiropractors is central to the identity of the profession. It has also been suggested that the concept of primary care is misused by chiropractors because they have not examined the concept in detail and thus do not understand it. For the sake of quality of patient care and for the legitimacy of the profession, chiropractors in the UK need to agree on their healthcare role. This study aimed to examine the opinions of chiropractors towards the use of the term primary healthcare when applied to chiropractic practice within the UK.</p> <p>Methods</p> <p>A sequential study of exploratory design was used; this model is characterised by an initial phase of qualitative data collection and analysis that precedes and informs the quantitative phase of data collection and analysis. In this study, interviews with members of chiropractic teaching faculty were used to inform the development of a questionnaire used to survey the opinions of chiropractors in the UK.</p> <p>Results</p> <p>There was a general consensus of opinion that chiropractors are primary contact practitioners, who work in a primary healthcare setting and that to be able to fulfil this healthcare role, chiropractors must be able to diagnose patients and refer when required. Participants did not feel that chiropractors are able to treat all of the most common medical conditions that present in a primary healthcare setting.</p> <p>Conclusions</p> <p>The findings of this study suggest that chiropractors in the UK view their role as one of a primary contact healthcare practitioner and that this view is held irrespective of the country in which they were educated or the length of time in practice.</p> <p>Further research needs to be developed to evaluate the findings of the current study within a wider healthcare context. In particular the opinions of other healthcare professionals towards the role of chiropractors in healthcare, need to be examined in more detail.</p

    The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments

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    <p>Abstract</p> <p>Background</p> <p>The disruptive potential of the Nurse Practitioner (NP) is evident in their ability to offer services traditionally provided by primary care practitioners and their provision of a health promotion model of care in response to changing health trends. No study has qualitatively investigated the role of the Emergency NP in Australia, nor the impact of Information and Communication Technology (ICT) on this disruptive workforce innovation. This study aimed to investigate ways in which Nurse Practitioners (NP) have incorporated the use of ICT as a mechanism to support their new clinical role within Emergency Departments.</p> <p>Methods</p> <p>A cross-sectional qualitative study was undertaken in the Emergency Departments (EDs) of two large Australian metropolitan public teaching hospitals. Semi-structured, in-depth interviews were conducted with five nurse practitioners, four senior physicians and five senior nurses. Transcribed interviews were analysed using a grounded theory approach to develop themes in relation to the conceptualisation of the ED nurse practitioner role and the influences of ICT upon the role. Member checking of results was achieved by revisiting the sites to clarify findings with participants and further explore emergent themes.</p> <p>Results</p> <p>The role of the ENP was distinguished from those of Emergency nurses and physicians by two elements: advanced practice and holistic care, respectively. ICT supported the advanced practice dimension of the NP role in two ways: availability and completeness of electronic patient information enhanced timeliness and quality of diagnostic and therapeutic decision-making, expediting patient access to appropriate care. The ubiquity of patient data sourced from a central database supported and improved quality of communication between health professionals within and across sites, with wider diffusion of the Electronic Medical Record holding the potential to further facilitate team-based, holistic care.</p> <p>Conclusions</p> <p>ICT is a facilitator through which the disruptive impact of NPs can be extended. However, integration of ICT into work practices without detracting from provider-patient interaction is crucial to ensure utilisation of such interventions and realisation of potential benefits.</p

    A study of home deaths in Japan from 1951 to 2002

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    BACKGROUND: Several surveys in Japan have indicated that most terminally ill Japanese patients would prefer to die at home or in a homelike setting. However, there is a great disparity between this stated preference and the reality, since most Japanese die in hospital. We report here national changes in home deaths in Japan over the last 5 decades. Using prefecture data, we also examined the factors in the medical service associated with home death in Japan. METHODS: Published data on place of death was obtained from the vital statistics compiled by the Ministry of Health, Labor and Welfare of Japan. We analyzed trends of home deaths from 1951 to 2002, and describe the changes in the proportion of home deaths by region, sex, age, and cause of death. Joinpoint regression analysis was used for trend analysis. Logistic regression analysis was performed to identify secular trends in home deaths, and the impact of age, sex, year of deaths and cause of deaths on home death. We also examined the association between home death and medical service factors by multiple regression analysis, using home death rate by prefectures in 2002 as a dependent variable. RESULTS: A significant decrease in the percentage of patients dying at home was observed in the results of joinpoint regression analysis. Older patients and males were more likely to die at home. Patients who died from cancer were less likely to die at home. The results of multiple regression analysis indicated that home death was related to the number of beds in hospital, ratio of daily occupied beds in general hospital, the number of families in which the elderly were living alone, and dwelling rooms. CONCLUSION: The pattern of the place of death has not only been determined by social and demographic characteristics of the decedent, but also associated with the medical service in the community

    Performance of the ATLAS Trigger System in 2010

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    Proton-proton collisions at sqrt{s} = 7 TeV and heavy ion collisions at sqrt{s_NN} = 2.76 TeV were produced by the LHC and recorded using the ATLAS experiment's trigger system in 2010. The LHC is designed with a maximum bunch crossing rate of 40 MHz and the ATLAS trigger system is designed to record approximately 200 of these per second. The trigger system selects events by rapidly identifying signatures of muon, electron, photon, tau lepton, jet, and B meson candidates, as well as using global event signatures, such as missing transverse energy. An overview of the ATLAS trigger system, the evolution of the system during 2010 and the performance of the trigger system components and selections based on the 2010 collision data are shown. A brief outline of plans for the trigger system in 2011 is presente

    Measurement of the transverse momentum distribution of [Z over γ*] bosons in proton-proton collisions at √s = 7 TeV with the ATLAS detector

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    A measurement of the [Z over γ*] transverse momentum (p[Z over T]) distribution in proton–proton collisions at √s = 7 TeV is presented using [Z over γ*] →e[superscript +]e[superscript −] and [Z over γ*] →μ[superscript +]μ[superscript −] decays collected with the ATLAS detector in data sets with integrated luminosities of 35 pb[superscript −1] and 40 pb[superscript −1], respectively. The normalized differential cross sections are measured separately for electron and muon decay channels as well as for their combination up to p[Z over T] of 350 GeV for invariant dilepton masses 66 GeV<m[subscript ℓℓ]<116 GeV. The measurement is compared to predictions of perturbative QCD and various event generators. The prediction of resummed QCD combined with fixed order perturbative QCD is found to be in good agreement with the data.United States. Dept. of EnergyNational Science Foundation (U.S.)Brookhaven National LaboratoryEuropean Organization for Nuclear Researc

    Measurement of event-shape observables in Z -> l(+)l(-) events in pp collisions at root s=7 TeV with the ATLAS detector at the LHC

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    Event-shape observables measured using charged particles in inclusive Z-boson events are presented, using the electron and muon decay modes of the Z bosons. The measurements are based on an integrated luminosity of 1.1 fb(-1) of proton-proton collisions recorded by the ATLAS detector at the LHC at a centre-of-mass energy root s = 7 TeV. Charged-particle distributions, excluding the lepton-antilepton pair from the Z-boson decay, are measured in different ranges of transverse momentum of the Z boson. Distributions include multiplicity, scalar sum of transverse momenta, beam thrust, transverse thrust, spherocity, and F-parameter, which are in particular sensitive to properties of the underlying event at small values of the Z-boson transverse momentum. The measured observables are compared with predictions from PYTHIA 8, Sherpa, and HERWIG 7. Typically, all three Monte Carlo generators provide predictions that are in better agreement with the data at high Z-boson transverse momenta than at low Z-boson transverse momenta, and for the observables that are less sensitive to the number of charged particles in the event

    KC 4.1: Rural heritage and urban-rural linkages in the ICOMOS SDGs Policy Guidance

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    This Knowledge Café aims to provide a discussion platform to contribute to the drafting of a new ICOMOS SDGs Policy Guidance, from the perspective of rural heritage, landscapes and rural-urban linkages. While 50%-plus of global populations are urban dwellers, we tend to forget that the other half dwell in rural places. One of the 7 Priority Actions of the ICOMOS SDGs Working Group in 2018 is the preparation of a consolidated policy statement, as an effective tool for advocacy and communication to wider society and the development world. Based on the need to boost the role of cultural heritage in sustainable development processes, this would be a robust Policy Guidance document, serving to improve the recognition of the role of cultural heritage protection, particularly as defined by SDG 11.4 and the New Urban Agenda. The ICOMOS SDGs Working Group aims to launch this document at the 10th World Urban Forum in 2020 and at the High-Level Political Forum in 2021. The new Policy Guidance aims to emphasize “heritage as a resource, a strategic opportunity”, using the framework of the 3 dimensions of sustainability, economic, social, environmental, and propose adding the 4th dimension of ‘culture’ through an appropriate approach. The document should be based on solid scientific expertise sourced from ICOMOS membership. The Symposium on Rural Heritage: Landscapes and Beyond is a prime opportunity to involve some of this membership, ensuring a diverse and inclusive range of expertise in heritage informs the Policy Guidance. Rural heritage and landscapes, including rural-urban linkages, have great relevance for the intersection of cultural heritage and sustainable development, touching on many SDGs and issues raised in the New Urban Agenda, not to mention the Historic Urban Landscape Recommendation. To cite some examples of this inter-connectedness, the “inter-related categories of continuity and change” addressed during the Symposium, provide the following links: - under ‘Rural Culture’ to SDG 11.4 (change management for tangible rural heritage), SDG 1.5, 2.4, 11.5, 11.b, 13.1 (risk of loss of intangible rural traditions/ practices), SDG 8.9, SDG 12.b (rural cultural tourism), SDG 16.7, 16.a, 17.9, 17.15, 17.17 (identity of people and places); - under ‘Rural economics’ to SDG 1 (poverty eradication), SDG2 (food security), SDG3 (rural agricultural heritage), SDG 8 (improvement of markets and opportunities for rural traditional tools, techniques and rural heritage tourism), SDG 8 (infrastructure, services to small enterprises), SDG 11 (spatial form, territorial policies); - under ‘Rural Environment’ to SDG 6 (water), 13 and 15 (desertification, climate-induced severe weather events, biodiversity, forest management); and - under ‘Rural Society’ to SDG 1 (poverty alleviation) SDG 2 (agriculture), SDG 3.8, 3.c (health services), SDG 16, 17 (bottom-up governance). - Some case studies from ‘Moroccan Rural Heritage’ can be proposed during the session from participants who may have relevant knowledge, to demonstrate these links. The Knowledge Café will feature two speakers, Ege Yildirim and Patricia O’Donnell, giving the conceptual framework of the session, followed by Ilaria Rosetti presenting the method of open discussion, whereby breakout groups (e.g. 3-4 groups of 5-6) can discuss the links of rural heritage issues to the various 17 Goals and Targets under them, concluding with short reporting from each group, to be compiled and disseminated later by the conveners
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