A pragmatic 2 × 2 × 2 factorial cluster randomized controlled trial of educational outreach visiting and case conferencing in palliative care—methodology of the Palliative Care Trial [ISRCTN 81117481]

The demand for palliative care is increasing, yet there are few data on the best models of care nor well-validated interventions that translate current evidence into clinical practice. Supporting multidisciplinary patient-centered palliative care while successfully conducting a large clinical trial is a challenge. The Palliative Care Trial (PCT) is a pragmatic 2 x 2 x 2 factorial cluster randomized controlled trial that tests the ability of educational outreach visiting and case conferencing to improve patient-based outcomes such as performance status and pain intensity. Four hundred sixty-one consenting patients and their general practitioners (GPs) were randomized to the following: (1) GP educational outreach visiting versus usual care, (2) Structured patient and caregiver educational outreach visiting versus usual care and (3) A coordinated palliative care model of case conferencing versus the standard model of palliative care in Adelaide, South Australia (3:1 randomization). Main outcome measures included patient functional status over time, pain intensity, and resource utilization. Participants were followed longitudinally until death or November 30, 2004. The interventions are aimed at translating current evidence into clinical practice and there was particular attention in the trial's design to addressing common pitfalls for clinical studies in palliative care. Given the need for evidence about optimal interventions and service delivery models that improve the care of people with life-limiting illness, the results of this rigorous, high quality clinical trial will inform practice. Initial results are expected in mid 2005. (c) 2005 Elsevier Inc. All rights reserved.

International business research and risky investments, an analysis of FDI in conflict zones

The purpose of this paper is to examine the determinants of a firm's strategy to invest in a conflict location. To the best of our knowledge, this has not been done before. We examine this using a standard model of international business, overlaid with the fundamental approach to corporate social responsibility. We start with the population of multinationals who have chosen to invest in low income countries with weak institutions. We then split this sample in order to distinguish between firms that have invested in conflict regions compared to those that have not. Our analysis then proceeds to explain the decision of those firms to invest in conflict locations using a simple Probit model. We find that countries with weaker institutions and less concern about corporate social responsibility (CSR) are more likely to invest in conflict regions. Finally, firms with more concentrated ownership are more likely to invest in such locations. © 2012 Elsevier Ltd.

Classification of Chenopodium Genus Populations and Species Based on Continuous and Categorical Variables

2000 Mathematics Subject Classification: 62P10, 62H30

Biologically inspired features for scene classification in video surveillance

Inspired by human visual cognition mechanism, this paper first presents a scene classification method based on an improved standard model feature. Compared with state-of-the-art efforts in scene classification, the newly proposed method is more robust, more selective, and of lower complexity. These advantages are demonstrated by two sets of experiments on both our own database and standard public ones. Furthermore, occlusion and disorder problems in scene classification in video surveillance are also first studied in this paper. © 2010 IEEE.

Disformal scalars as dark matter candidates: Branon phenomenology

Scalar particles coupled to the Standard Model fields through a disformal coupling arise in different theories, such as massive gravity or braneworld models. We will review the main phenomenology associated with such particles. Distinctive disformal signatures could be measured at colliders and with astrophysical observations. The phenomeno-logical relevance of the disformal coupling demands the introduction of a set of symmetries, which may ensure the stability of these new degrees of freedom. In such a case, they constitute natural dark matter candidates since they are generally massive and weakly coupled. We will illustrate these ideas by paying particular attention to the branon case, since these questions arise naturally in braneworld models with low tension, where they were first discussed.

A Search for a New Particle Decaying to Pairs of Weak Gauge Bosons with the ATLAS Detector

A search for new heavy resonances decaying to boson pairs (WZ, WW or ZZ) using 20.3 inverse femtobarns of proton-proton collision data at a center of mass energy of 8 TeV is presented. The data were recorded by the ATLAS detector at the Large Hadron Collider (LHC) in 2012. The analysis combines several search channels with the leptonic, semi-leptonic and fully hadronic final states. The diboson invariant mass spectrum is studied for local excesses above the Standard Model background prediction, and no significant excess is observed for the combined analysis. 95$\%$ confidence limits are set on the cross section times branching ratios for three signal models: an extended gauge model with a heavy W boson, a bulk Randall-Sundrum model with a spin-2 graviton, and a simplified model with a heavy vector triplet. Among the individual search channels, the fully-hadronic channel is predominantly presented where boson tagging technique and jet substructure cuts are used. Local excesses are found in the dijet mass distribution around 2 TeV, leading to a global significance of 2.5 standard deviations. This deviation from the Standard Model prediction results in many theory explanations, and the possibilities could be further explored using the LHC Run 2 data.

Fermion Mass Generation without Spontaneous Symmetry Breaking

The conventional mechanism of fermion mass generation in the Standard Model involves Spontaneous Symmetry Breaking (SSB). In this thesis, we study an alternate mechanism for the generation of fermion masses that does not require SSB, in the context of lattice field theories. Being inherently strongly coupled, this mechanism requires a non-perturbative approach like the lattice approach.

In order to explore this mechanism, we study a simple lattice model with a four-fermion interaction that has massless fermions at weak couplings and massive fermions at strong couplings, but without any spontaneous symmetry breaking. Prior work on this type of mass generation mechanism in 4D, was done long ago using either mean-field theory or Monte-Carlo calculations on small lattices. In this thesis, we have developed a new computational approach that enables us to perform large scale quantum Monte-Carlo calculations to study the phase structure of this theory. In 4D, our results confirm prior results, but differ in some quantitative details of the phase diagram. In contrast, in 3D, we discover a new second order critical point using calculations on lattices up to size $ 60^3$. Such large scale calculations are unprecedented. The presence of the critical point implies the existence of an alternate mechanism of fermion mass generation without any SSB, that could be of interest in continuum quantum field theory.

A Combined Molecular Cloning and Mass Spectrometric Method to Identify, Characterize, and Design Frenatin Peptides from the Skin Secretion of Litoria infrafrenata

Amphibian skin secretions are unique sources of bioactive molecules, particularly bioactive peptides. In this study, the skin secretion of the white-lipped tree frog (Litoria infrafrenata) was obtained to identify peptides with putative therapeutic potential. By utilizing skin secretion-derived mRNA, a cDNA library was constructed, a frenatin gene was cloned and its encoded peptides were deduced and confirmed using RP-HPLC, MALDI-TOF and MS/MS. The deduced peptides were identified as frenatin 4.1 (GFLEKLKTGAKDFASAFVNSIKGT) and a post-translationally modified peptide, frenatin 4.2 (GFLEKLKTGAKDFASAFVNSIK.NH2). Antimicrobial activity of the peptides was assessed by determining their minimal inhibitory concentrations (MICs) using standard model microorganisms. Through studying structure–activity relationships, analogues of the two peptides were designed, resulting in synthesis of frenatin 4.1a (GFLEKLKKGAKDFASALVNSIKGT) and frenatin 4.2a (GFLLKLKLGAKLFASAFVNSIK.NH2). Both analogues exhibited improved antimicrobial activities, especially frenatin 4.2a, which displayed significant enhancement of broad spectrum antimicrobial efficiency. The peptide modifications applied in this study, may provide new ideas for the generation of leads for the design of antimicrobial peptides with therapeutic applications.

Search for Pair-Produced Supersymmetric Top Quark Partners with the ATLAS Experiment

Searches for the supersymmetric partner of the top quark (stop) are motivated by natural supersymmetry, where the stop has to be light to cancel the large radiative corrections to the Higgs boson mass. This thesis presents three different searches for the stop at √s = 8 TeV and √s = 13 TeV using data from the ATLAS experiment at CERN’s Large Hadron Collider. The thesis also includes a study of the primary vertex reconstruction performance in data and simulation at √s = 7 TeV using tt and Z events. All stop searches presented are carried out in final states with a single lepton, four or more jets and large missing transverse energy. A search for direct stop pair production is conducted with 20.3 fb−1 of data at a center-of-mass energy of √s = 8 TeV. Several stop decay scenarios are considered, including those to a top quark and the lightest neutralino and to a bottom quark and the lightest chargino. The sensitivity of the analysis is also studied in the context of various phenomenological MSSM models in which more complex decay scenarios can be present. Two different analyses are carried out at √s = 13 TeV. The first one is a search for both gluino-mediated and direct stop pair production with 3.2 fb−1 of data while the second one is a search for direct stop pair production with 13.2 fb−1 of data in the decay scenario to a bottom quark and the lightest chargino. The results of the analyses show no significant excess over the Standard Model predictions in the observed data. Consequently, exclusion limits are set at 95% CL on the masses of the stop and the lightest neutralino.

Measurement of the Z and W production cross section in pp collisions at LHC using a bayesian approach

L’obiettivo di tutto il mio lavoro è stato quello di misurare le sezioni d’urto di produzione dei bosoni deboli W ± e Z nei loro decadimenti leptonici (e, μ) coi dati raccolti dal rivelatore ATLAS a LHC con un’energia del centro di massa di √s = 13 TeV relativi all’estate 2015. Gli eventi selezionati sono gli stessi di quelli del recente articolo della Collaborazione ATLAS sullo stesso argomento, in modo anche da poter operare un confronto tra i risultati ottenuti. Confronto peraltro necessario, poichè i risultati sono stati ottenuti con due metodologie differenti: tradizionale (classica) per l’articolo, bayesiana in questa tesi. L’approccio bayesiano permette di combinare i vari canali e di trattare gli effetti sistematici in modo del tutto naturale. I risultati ottenuti sono in ottimo accordo con le predizioni dello Standard Model e con quelli pubblicati da ATLAS.

Myths and Realities of Inter-professional Working

Introduction: Childhood cancers are rare and community based health care professionals have limited experience in caring for these children and often even less experience in providing their palliative care. It is well recognised that the provision of palliative care falls beyond the remit of any one profession, thus inter professional working is the standard model. This qualitative study aims to examine the experiences of the range of health care professionals involved in providing palliative care at home for children with cancer, focusing on how knowledge is exchanged; the level of communication and support both interprofessionally and at the community/specialist interface. It also aims to examine interprofessional collaboration in palliative care; identifying healthcare professional's perceptions of problems involved, interprofessional boundaries, specific areas of the organisation or provision of care that could be enhanced through changes in practice, support issues and the educational needs of health professionals. Methods The study involves three types of data collection; in-depth interviews, facilitated case discussion (FCD) and field notes from up to 20 cases (a "case" refers to the provision of palliative care to one child). Cases are selected from children who were treated at one regional childhood caner centre. For each case the community based health care professionals (for example the GP, community nurse or health visitor) involved in the care of the child at home are invited to participate in a one-to-one tape recorded in-depth interview followed by a group discussion in the form of a FCD. Field notes are completed following each interview. Data analysis follows a grounded theory approach. The term "social worlds theory" (SWT) his used to define a type of social organisation with no fixed or formal boundaries (such as membership boundaries), for example the range of health professionals that work together to provide palliative care. The boundaries of SW's are determined by the interaction and communication between recognised organisations, such as community nursing teams and general practitioners. SWT examines encounters between different professional groups and can be used to extend knowledge in both the organisation (for example general practice) and the content of what is being provisioned (for example, palliative care). The use of SWT in the analysis of the data is through examining the ethos of the different professions and the associated individual approaches to palliative care, exploring how this determines their roles in the provision of palliative care. Results 10 cases have so far been completed: 47 1:1 interviews (with a range of between 2-7 health care professionals being involved in each case): ( 9 x GP, 19 x CCN, 4 x DN, 3 x HV, 1 x HV assistant 7 x paediatric palliative care nurses, 1 x home support worker, 1 x OT, 1 x physiotherapist, 1 x community paediatrician) and 5 x FCD. The range of participants in the FCDs reflected that of the individual interview sampler. Data obtained to date gives clear insight into the personal experience of the individual health care professional in providing palliative care. Two themes emerging from the data will be focused upon: the continuity of care provision throughout treatment and palliation and the emotional burden experiences by the health care professional. Conclusions SWT can provide a useful framework in examining the social worlds of a disparate group of health care professionals working together for the first and maybe, the only time. A wide variation in the continuity of care provision has been found not only between professions, but also within professions. The emotional burden is evident across the professions.

Critère de validation croisée pour le choix des modèles des petits domaines au niveau des unités

Ce mémoire s’intéresse à l’étude du critère de validation croisée pour le choix des modèles relatifs aux petits domaines. L’étude est limitée aux modèles de petits domaines au niveau des unités. Le modèle de base des petits domaines est introduit par Battese, Harter et Fuller en 1988. C’est un modèle de régression linéaire mixte avec une ordonnée à l’origine aléatoire. Il se compose d’un certain nombre de paramètres : le paramètre β de la partie fixe, la composante aléatoire et les variances relatives à l’erreur résiduelle. Le modèle de Battese et al. est utilisé pour prédire, lors d’une enquête, la moyenne d’une variable d’intérêt y dans chaque petit domaine en utilisant une variable auxiliaire administrative x connue sur toute la population. La méthode d’estimation consiste à utiliser une distribution normale, pour modéliser la composante résiduelle du modèle. La considération d’une dépendance résiduelle générale, c’est-à-dire autre que la loi normale donne une méthodologie plus flexible. Cette généralisation conduit à une nouvelle classe de modèles échangeables. En effet, la généralisation se situe au niveau de la modélisation de la dépendance résiduelle qui peut être soit normale (c’est le cas du modèle de Battese et al.) ou non-normale. L’objectif est de déterminer les paramètres propres aux petits domaines avec le plus de précision possible. Cet enjeu est lié au choix de la bonne dépendance résiduelle à utiliser dans le modèle. Le critère de validation croisée sera étudié à cet effet.

Produção de charginos no ilc

O principal objetivo desta dissertação é a produção de charginos (partículas supersimétricascarregadas) leves no futuro acelerador internacional linear de e +e− (ILC) para diferentescenários de quebra de supersimetria. Charginos são partículas constituídas pela mistura docampo Wino carregado com o Higgsino carregado. A principal motivação para se estudar teorias supersimétricas deve-se ao grande número de problemas do Modelo Padrão (SM) que esta consegue solucionar, entre eles: massa dos neutrinos, matéria escura fria e o ajuste-fine (finetuning). Além disso, estudamos os princípios fundamentais que norteam a física de partículas,isto é, o princípio de gauge e o mecanismo de Higgs.

A durabilidade dos clássicos do design como instrumento de apoio ao processo de conceção de produto: 10 princípios para o projeto

A presente investigação identifica o caminho seguido no estudo que se centrou na durabilidade dos produtos como estratégia para a prevenção/redução dos impactes ambientais provocados pela excessiva produção e consumo das sociedades ocidentais. O trabalho baseou-se primeiramente na reunião de argumentos que justificassem a necessidade da investigação. A partir dos conhecimentos obtidos sobre as consequências do descarte prematuro de produtos, incluindo a produção de resíduos e utilização de recursos naturais, a investigação foi direcionada para as estratégias que motivam a redução do consumo pelo aumento da vida útil do produto. A durabilidade de alguns produtos designados de Clássicos do Design motivou o desenvolvimento da investigação. Depois de definido o universo que se enquadra nesta categoria, foi selecionada uma amostra que se considerou representativa e criou-se uma base de dados onde se sistematizou os conteúdos relevantes a conhecer. Através da análise qualitativa e quantitativa da amostra desses produtos, obteve-se uma matriz operativa composta por 10 princípios que pode ser introduzida no processo de design de novos produtos para aquisição de um tempo de vida útil inicial potencialmente maior. Os resultados da aplicação prática da estratégia desenvolvida, a tese, determinarão no futuro a conceção e produção de artefactos que se pretende apresentar à indústria nacional.

Measurement of Wγγ Cross Section and Limits on Anomalous Quartic Gauge Couplings in Proton-Proton Collisions at 8 TeV with the CMS detector

Present the measurement of a rare Standard Model processes, pp →W±γγ for the leptonic decays of the W±. The measurement is made with 19.4 fb−1 of 8 TeV data collected in 2012 by the CMS experiment. The measured cross section is consistent with the Standard Model prediction and has a significance of 2.9σ. Limits are placed on dimension-8 Effective Field Theories of anomalous Quartic Gauge Couplings. The analysis has particularly sensitivity to the fT,0 coupling and a 95% confidence limit is placed at −35.9 < fT,0/Λ4< 36.7 TeV−4. Studies of the pp →Zγγ process are also presented. The Zγγ signal is in strict agreement with the Standard Model and has a significance of 5.9σ.