Assessing the quality of written information provision for surgical procedures:A case study in oesophagectomy

OBJECTIVE: To examine the content and quality of written information provided by surgical centres for patients undergoing oesophagectomy for cancer. DESIGN: Cross-sectional study of the content of National Health Service (NHS) patient information leaflets (PILs) about oesophageal cancer surgery, using a modified framework approach. DATA SOURCES: Written information leaflets from 41 of 43 cancer centres undertaking surgery for oesophageal cancer in England and Wales (response rate 95.3%). ELIGIBILITY CRITERIA: All English language versions of PILs about oesophagectomy. RESULTS: 32 different PILs were identified, of which 2 were generic tools (Macmillan ‘understanding cancer of the gullet’ and EIDO ‘oesophagectomy’). Although most PILs focused on describing in-hospital adverse events, information varied widely and was often misleading. Just 1 leaflet described survival benefits of surgery and 2 mentioned the possibility of disease recurrence. CONCLUSIONS: Written information provided for patients by NHS cancer centres undertaking oesophagectomy is inconsistent and incomplete. It is recommended that surgeons work together with patients to agree on standards of information provision of relevance to all stakeholders’ needs

Population of neutron unbound states via two-proton knockout reactions

The two-proton knockout reaction 9Be(26Ne,O2p) was used to explore excited unbound states of 23O and 24O. In 23O a state at an excitation energy of 2.79(13) MeV was observed. There was no conclusive evidence for the population of excited states in 24O.Comment: 6 pages, 3 figures, Proc. 9th Int. Spring Seminar on Nucl. Phys. Changing Facets of Nuclear Structure, May 20-34, 200

Analyticity and Integrabiity in the Chiral Potts Model

We study the perturbation theory for the general non-integrable chiral Potts model depending on two chiral angles and a strength parameter and show how the analyticity of the ground state energy and correlation functions dramatically increases when the angles and the strength parameter satisfy the integrability condition. We further specialize to the superintegrable case and verify that a sum rule is obeyed.Comment: 31 pages in harvmac including 9 tables, several misprints eliminate

Eudaimonistic Argumentation

Virtue theories have lately enjoyed a modest vogue in the study of argumentation, echoing the success of more far-reaching programmes in ethics and epistemology. Virtue theories of argumentation (VTA) comprise several conceptually distinct projects, including the provision of normative foundations for argument evaluation and a renewed focus on the character of good arguers. Perhaps the boldest of these is the pursuit of the fully satisfying argument, the argument that contributes to human flourishing. This project has an independently developed epistemic analogue: eudaimonistic virtue epistemology. Both projects stress the importance of widening the range of cognitive goals beyond, respectively, cogency and knowledge; both projects emphasize social factors, the right sort of community being indispensable for the cultivation of the intellectual virtues necessary to each project. This paper proposes a unification of the two projects by arguing that the intellectual good life sought by eudaimonistic virtue epistemologists is best realized through the articulation of an account of argumentation that contributes to human flourishing

The role of pressure anisotropy in the turbulent intracluster medium

In low-density plasma environments, such as the intracluster medium (ICM), the Larmour frequency is much larger than the ion-ion collision frequency. In such a case, the thermal pressure becomes anisotropic with respect to the magnetic field orientation and the evolution of the turbulent gas is more correctly described by a kinetic approach. A possible description of these collisionless scenarios is given by the so-called kinetic magnetohydrodynamic (KMHD) formalism, in which particles freely stream along the field lines, while moving with the field lines in the perpendicular direction. In this way a fluid-like behavior in the perpendicular plane is restored. In this work, we study fast growing magnetic fluctuations in the smallest scales which operate in the collisionless plasma that fills the ICM. In particular, we focus on the impact of a particular evolution of the pressure anisotropy and its implications for the turbulent dynamics of observables under the conditions prevailing in the ICM. We present results from numerical simulations and compare the results which those obtained using an MHD formalism.Comment: 7 pages, 14 figures, Journal of Physics: Conference Serie

The Rise Time of Type Ia Supernovae from the Supernova Legacy Survey

We compare the rise times of nearby and distant Type Ia supernovae (SNe Ia) as a test for evolution using 73 high-redshift spectroscopically-confirmed SNe Ia from the first two years of the five year Supernova Legacy Survey (SNLS) and published observations of nearby SN. Because of the ``rolling'' search nature of the SNLS, our measurement is approximately 6 times more precise than previous studies, allowing for a more sensitive test of evolution between nearby and distant supernovae. Adopting a simple $t^2$ early-time model (as in previous studies), we find that the rest-frame $B$ rise times for a fiducial SN Ia at high and low redshift are consistent, with values $19.10^{+0.18}_{-0.17}({stat}) \pm 0.2 ({syst})$ and $19.58^{+0.22}_{-0.19}$ days, respectively; the statistical significance of this difference is only 1.4 \sg . The errors represent the uncertainty in the mean rather than any variation between individual SN. We also compare subsets of our high-redshift data set based on decline rate, host galaxy star formation rate, and redshift, finding no substantive evidence for any subsample dependence.Comment: Accepted for publication in AJ; minor changes (spelling and grammatical) to conform with published versio

Parallel electric field generation by Alfven wave turbulence

{This work aims to investigate the spectral structure of the parallel electric field generated by strong anisotropic and balanced Alfvenic turbulence in relation with the problem of electron acceleration from the thermal population in solar flare plasma conditions.} {We consider anisotropic Alfvenic fluctuations in the presence of a strong background magnetic field. Exploiting this anisotropy, a set of reduced equations governing non-linear, two-fluid plasma dynamics is derived. The low-$\beta$ limit of this model is used to follow the turbulent cascade of the energy resulting from the non-linear interaction between kinetic Alfven waves, from the large magnetohydrodynamics (MHD) scales with $k_{\perp}\rho_{s}\ll 1$ down to the small "kinetic" scales with $k_{\perp}\rho_{s} \gg 1$, $\rho_{s}$ being the ion sound gyroradius.} {Scaling relations are obtained for the magnitude of the turbulent electromagnetic fluctuations, as a function of $k_{\perp}$ and $k_{\parallel}$, showing that the electric field develops a component parallel to the magnetic field at large MHD scales.} {The spectrum we derive for the parallel electric field fluctuations can be effectively used to model stochastic resonant acceleration and heating of electrons by Alfven waves in solar flare plasma conditions

Exploring Neutron-Rich Oxygen Isotopes with MoNA

The Modular Neutron Array (MoNA) was used in conjunction with a large-gap dipole magnet (Sweeper) to measure neutron-unbound states in oxygen isotopes close to the neutron dripline. While no excited states were observed in 24O, a resonance at 45(2) keV above the neutron separation energy was observed in 23O.Comment: 6 pages, 4 Figures, submitted to Proc. Int. Conf. on Proton Emitting Nuclei and Related Topics, PROCON0

Energy distributions from three-body decaying many-body resonances

We compute energy distributions of three particles emerging from decaying many-body resonances. We reproduce the measured energy distributions from decays of two archetypal states chosen as the lowest $0^{+}$ and $1^{+}$-resonances in $^{12}$C populated in $\beta$-decays. These states are dominated by sequential, through the $^{8}$Be ground state, and direct decays, respectively. These decay mechanisms are reflected in the ``dynamic'' evolution from small, cluster or shell-model states, to large distances, where the coordinate or momentum space continuum wavefunctions are accurately computed.Comment: 4 pages, 4 figures. Accepted for publication in Physical Review Letter