4,082 research outputs found
A new self-understanding as chemo sufferer - a phenomenological study of everyday life with chemotherapy induced neuropathy among survivors after colorectal cancer
PURPOSE: To explore the essential meaning of how sensory disturbances caused by Oxaliplatin influence self-understanding and freedom to live an everyday life among survivors after colorectal cancer. METHODS: Data was generated by means of a semi-structured individual interview with eight survivors after colorectal cancer who continued to experience chemotherapy-induced peripheral neuropathy at least one year after completing chemotherapy with Oxaliplatin. Data analysis was guided by existential phenomenology and descriptive life-world research. RESULTS: The essential meaning was structured by four constituents. 1) An unpleasant fluctuating sensation which is impossible to ignore, 2) Breaking through of noise and pain despite struggling to keep them at bay, 3) Continuously feeling ill despite being cured, and 4) Bodily constraints that impact self-understanding and limit enjoyment of life. CONCLUSION: The survivors used distraction to keep the sensory disturbances at bay but were forced to adapt to a new self-understanding as sufferers after chemotherapy despite being cured of their cancer disease. This way of being-in-the-world was understood by survivors, their families and healthcare professionals as a necessary price to pay to be alive. However, marked as sufferer after chemotherapy, the participants’ everyday style of experience and life revealed as an ill health condition, which limited their ability to accomplish everyday activities as before and their freedom to realize their potential—the “I can”
Ballistic nanofriction
Sliding parts in nanosystems such as Nano ElectroMechanical Systems (NEMS)
and nanomotors, increasingly involve large speeds, and rotations as well as
translations of the moving surfaces; yet, the physics of high speed nanoscale
friction is so far unexplored. Here, by simulating the motion of drifting and
of kicked Au clusters on graphite - a workhorse system of experimental
relevance -- we demonstrate and characterize a novel "ballistic" friction
regime at high speed, separate from drift at low speed. The temperature
dependence of the cluster slip distance and time, measuring friction, is
opposite in these two regimes, consistent with theory. Crucial to both regimes
is the interplay of rotations and translations, shown to be correlated in slow
drift but anticorrelated in fast sliding. Despite these differences, we find
the velocity dependence of ballistic friction to be, like drift, viscous
Comparing High Dimensional Word Embeddings Trained on Medical Text to Bag-of-Words For Predicting Medical Codes
Word embeddings are a useful tool for extracting knowledge from the free-form text contained in electronic health records, but it has become commonplace to train such word embeddings on data that do not accurately reflect how language is used in a healthcare context. We use prediction of medical codes as an example application to compare the accuracy of word embeddings trained on health corpora to those trained on more general collections of text. It is shown that both an increase in embedding dimensionality and an increase in the volume of health-related training data improves prediction accuracy. We also present a comparison to the traditional bag-of-words feature representation, demonstrating that in many cases, this conceptually simple method for representing text results in superior accuracy to that of word embeddings
Poroelastic Modelling of CSF circulation via the incorporation of experimentally derived microscale water transport properties
We outline how multicompartmental poroelasticity is applied to the study of dementia. We utilize a
3D version of our poroelastic code to investigate the effects within parenchymal tissue. This system
is coupled with multiple pipelines within the VPH-DARE@IT project which account for
patient/subject-specific boundary conditions in the arterial compartment, in addition to both an
image segmentation-mesh and integrated cardiovascular system model pipeline respectively. This
consolidated template allows for the extraction of boundary conditions to run CFD simulations for
the ventricles. Finally, we outline some experimental results that will help inform the MPET system
Tapentadol in the management of chronic low back pain: a novel approach to a complex condition?
Chronic pain affects approximately 1 in 5 people in Europe, and around half of sufferers receive inadequate pain management. The most common location is the lower back. Pharmacological treatment of this condition is challenging because of the range of causative mechanisms and the difficulty of balancing analgesic efficacy and tolerability. An international panel of clinical pain specialists met in September, 2009, to discuss the treatment of chronic low back pain, and to review preclinical and clinical data relating to the new analgesic, tapentadol. A lack of consensus exists on the best treatment for low back pain. The range of regularly prescribed pharmacological agents extends from nonopioids (paracetamol, NSAIDs, and COX-2 inhibitors) to opioids, antidepressants and anticonvulsants. Pain relief may be compromised, however, by an undetected neuropathic component or intolerable side effects. Treatment is potentially life-long and effective analgesics are urgently needed, with demonstrable long-term safety. Combining separate agents with different mechanisms of action could overcome the limitations of present pharmacological therapy, but clinical evidence for this approach is currently lacking. Tapentadol combines μ-opioid agonism with noradrenaline reuptake inhibition in a single molecule. There is strong evidence of synergistic antinociception between these two mechanisms of action. In preclinical and clinical testing, tapentadol has shown efficacy against both nociceptive and neuropathic pain. Preclinical data indicate that tapentadol’s μ-opioid agonism makes a greater contribution to analgesia in acute pain, while noradrenaline reuptake inhibition makes a greater contribution in chronic neuropathic pain models. Tapentadol also produces fewer adverse events than oxycodone at equianalgesic doses, and thus may have a ‘μ-sparing effect’. Current evidence indicates that tapentadol’s efficacy/tolerability ratio may be better than those of classical opioids. However, further research is needed to establish its role in pain management
Generating new dualities through the orbifold equivalence: a demonstration in ABJM and four-dimensional quivers
We show that the recently proposed large equivalence between ABJM
theories with Chern-Simons terms of different rank and level,
U(N_1)_{k_1}\times U(N_1)_{-k_1} and U(N_2)_{k_2}\times U(N_2)_{-k_2}, but the
same value of N' =N_1 k_1=N_2 k_2, can be explained using planar equivalence in
the mirror duals. The combination of S-dualities and orbifold equivalence can
be applied to other cases as well, with very appealing results. As an example
we show that two different quiver theories with k nodes can be easily shown to
be Seiberg dual through the orbifold equivalence, but it requires order k^2
steps to give a proof when Seiberg duality is performed node by node.Comment: 18 pages, 7 figures, minor changes and references adde
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