Prevention of the development of psychological distress following a motor vehicle crash: Study protocol for a randomized controlled trial

© 2016 Guest et al. Background: It is estimated that up to 50 % of motor vehicle crash survivors develop significant psychological distress, such as depressive mood and anxiety, within 6 months of the crash. Associated impacts include loss of employment, delayed return to work, financial and familial stress, and increased medical and compensation costs. The major aim of this research is to investigate the efficacy of interventions for preventing the development of psychological distress following a motor vehicle crash. The efficacy of two brief interventions will be examined: a cognitive behaviour therapy (CBT) programme, targeting mood and anxiety, and a lifestyle programme, targeting sleep, diet and physical activity. Methods/design: This is a randomized, controlled multisite study. Participants include at least 180 adults injured in a motor vehicle crash who have entered a compensation process. Research will compare outcomes in three groups randomly assigned to: one group of 60 adults, who receive a brief email-delivered CBT programme, with one session every 2 weeks for 10 weeks and telephone contact every 2 weeks; a second group of 60 adults, who receive a brief email-delivered lifestyle intervention involving one session every 2 weeks for 10 weeks with telephone contact; and an active waiting-list control group of 60 adults who are provided claims processing-related reading material along with telephone contact every 2 weeks for 10 weeks. Participants will be recruited within 12 weeks of the motor vehicle crash, and will be comprehensively assessed before and after treatment, and 6 and 12 months post-injury. Assuming an α probability level of 0.05 and a power of 80 %, at least 180 participants will be recruited. The primary outcome measure is the presence and severity of psychological distress or disorder. Secondary outcome measures include assessment of self-efficacy, resilience employment status, social activity and support, lifestyle and physical health factors, along with process outcome measures of treatment acceptability, feasibility and generalizability. Discussion: This study will determine whether brief email-delivered interventions distributed soon after the injury and entry into the claims process can be effective in preventing the development of psychological distress. Trial registration: ANZCTR, ACTRN12615000326594. Registered on 9 April 2015

Complex energy approaches for calculating isobaric analogue states

Two methods the complex energy shell model (CXSM) and the complex scaling (CS) approach were used for calculating isobaric analog resonances (IAR) in the Lane model. The IAR parameters calculated by the CXSM and the CS methods were checked against the parameters extracted from the direct numerical solution of the coupled channel Lane equations (CC). The agreement with the CC results was generally better than 1 keV for both methods and for each partial waves concerned. Similarities and differences of the CXSM and the CS methods are discussed. CXSM offers a direct way to study the configurations of the IAR wave function in contrast to the CS method.Comment: 3 figure

Is My Exercise Partner Similar Enough? Partner Characteristics as a Moderator of the Köhler Effect in Exergames

Objective: Recent research has shown the Köhler motivation gain effect (working at a task with a more capable partner where one's performance is indispensable to the group) leads to greater effort in partnered exercise videogame play. The purpose of this article was to examine potential moderators of the Köhler effect by exploring dissimilarities in one's partner's appearance, namely, having an older partner (compared with a same-age partner) and having a heavier-weight partner (compared with a same-weight partner). Subjects and Methods: One hundred fifty-three male and female college students completed a series of plank exercises using the “EyeToy: Kinetic™” for the PlayStation® 2 (Sony, Tokyo, Japan). Participants first completed the exercises individually and, after a rest, completed the same exercises with a virtually present partner. Exercise persistence, subjective effort, self-efficacy beliefs, enjoyment, and intentions to exercise were recorded and analyzed. Results: A significant Köhler motivation gain was observed in all partner conditions (compared with individual controls) such that participants with a partner held the plank exercises longer (P<0.001) and reported higher subjective effort (P<0.01). These results were unmoderated by partner's age and weight, with one exception: Males tended to persist longer when paired with an obese partner (P=0.08). Conclusions: These results suggest that differences in age and weight do not attenuate the Köhler effect in exergames and may even strengthen it

Variability and origin of seismic anisotropy across eastern Canada: evidence from shear-wave splitting measurements

Measurements of seismic anisotropy in continental regions are frequently interpreted with respect to past tectonic processes, preserved in the lithosphere as “fossil” fabrics. Models of the present-day sublithospheric flow (often using absolute plate motion as a proxy) are also used to explain the observations. Discriminating between these different sources of seismic anisotropy is particularly challenging beneath shields, whose thick (≥200 km) lithospheric roots may record a protracted history of deformation and strongly influence underlying mantle flow. Eastern Canada, where the geological record spans ∼3 Ga of Earth history, is an ideal region to address this issue. We use shear wave splitting measurements of core phases such as SKS to define upper mantle anisotropy using the orientation of the fast-polarization direction ϕ and delay time δt between fast and slow shear wave arrivals. Comparison with structural trends in surface geology and aeromagnetic data helps to determine the contribution of fossil lithospheric fabrics to the anisotropy. We also assess the influence of sublithospheric mantle flow via flow directions derived from global geodynamic models. Fast-polarization orientations are generally ENE-WSW to ESE-WNW across the region, but significant lateral variability in splitting parameters on a ≤100 km scale implies a lithospheric contribution to the results. Correlations with structural geologic and magnetic trends are not ubiquitous, however, nor are correlations with geodynamically predicted mantle flow directions. We therefore consider that the splitting parameters likely record a combination of the present-day mantle flow and older lithospheric fabrics. Consideration of both sources of anisotropy is critical in shield regions when interpreting splitting observations

Irreversible and reversible modes of operation of deterministic ratchets

We discuss a problem of optimization of the energetic efficiency of a simple rocked ratchet. We concentrate on a low-temperature case in which the particle's motion in a ratchet potential is deterministic. We show that the energetic efficiency of a ratchet working adiabatically is bounded from above by a value depending on the form of ratchet potential. The ratchets with strongly asymmetric potentials can achieve ideal efficiency of unity without approaching reversibility. On the other hand we show that for any form of the ratchet potential a set of time-protocols of the outer force exist under which the operation is reversible and the ideal value of efficiency is also achieved. The mode of operation of the ratchet is still quasistatic but not adiabatic. The high values of efficiency can be preserved even under elevated temperatures

Irradiation of Materials with Short, Intense Ion pulses at NDCX-II

We present an overview of the performance of the Neutralized Drift Compression Experiment-II (NDCX-II) accelerator at Berkeley Lab, and report on recent target experiments on beam driven melting and transmission ion energy loss measurements with nanosecond and millimeter-scale ion beam pulses and thin tin foils. Bunches with around 10^11 ions, 1-mm radius, and 2-30 ns FWHM duration have been created with corresponding fluences in the range of 0.1 to 0.7 J/cm^2. To achieve these short pulse durations and mm-scale focal spot radii, the 1.1 MeV He+ ion beam is neutralized in a drift compression section, which removes the space charge defocusing effect during final compression and focusing. The beam space charge and drift compression techniques resemble necessary beam conditions and manipulations in heavy ion inertial fusion accelerators. Quantitative comparison of detailed particle-in-cell simulations with the experiment play an important role in optimizing accelerator performance.Comment: 15 pages, 7 figures. revised manuscript submitted to Laser and Particle Beam

A bounded degree SOS hierarchy for polynomial optimization

We consider a new hierarchy of semidefinite relaxations for the general polynomial optimization problem $(P):\:f^{\ast}=\min \{\,f(x):x\in K\,\}$ on a compact basic semi-algebraic set $K\subset\R^n$. This hierarchy combines some advantages of the standard LP-relaxations associated with Krivine's positivity certificate and some advantages of the standard SOS-hierarchy. In particular it has the following attractive features: (a) In contrast to the standard SOS-hierarchy, for each relaxation in the hierarchy, the size of the matrix associated with the semidefinite constraint is the same and fixed in advance by the user. (b) In contrast to the LP-hierarchy, finite convergence occurs at the first step of the hierarchy for an important class of convex problems. Finally (c) some important techniques related to the use of point evaluations for declaring a polynomial to be zero and to the use of rank-one matrices make an efficient implementation possible. Preliminary results on a sample of non convex problems are encouraging

Infrastructureless pedestrian navigation to assess the response of Alzheimer's patients to visual cues

The aim of the study was to understand how patients with dementia were able to navigate in a domestic environment, and whether the presence of visual cues could assist in route finding. A simulated domestic environment was created in the Pedestrian Accessibility and Movement Environment Laboratory (PAMELA) comprising three different types of corridors and an open room with three doors. Three groups of subjects were studied: i) posterior cortical atrophy; ii) typical Alzheimer’s disease; iii) age- and gender matched controls. Foot-mounted inertial measurement units (IMUs) were used to measure accelerations in 3D. Data from the sensors was transmitted wirelessly to a laptop computer. Local accelerations were converted to global accelerations, and double integration was performed to calculate displacement; corrections for sensor drift were performed during this process

Accretion, Primordial Black Holes and Standard Cosmology

Primordial Black Holes evaporate due to Hawking radiation. We find that the evaporation time of primordial black holes increase when accretion of radiation is included.Thus depending on accretion efficiency more and more number of primordial black holes are existing today, which strengthens the idea that the primordial black holes are the proper candidate for dark matter.Comment: 11 pages, 3 figure

Penile Epidermal Inclusion Cyst

We report a case of epidermal inclusion cyst in a 32-year-old male. This was a complication of circumcision that was neglected over years to form stones and urethrocutaneous fistula. Complete excision of the cyst and repair of the fistula were performed successfully. Histopathological examination confirmed our diagnosis