102 research outputs found
The CIPRUS study, a nurse-led psychological treatment for patients with undifferentiated somatoform disorder in primary care: study protocol for a randomised controlled trial
Background: Up to a third of patients presenting medically unexplained physical symptoms in primary care may have a somatoform disorder, of which undifferentiated somatoform disorder (USD) is the most common type. Psychological interventions can reduce symptoms associated with USD and improve functioning. Previous research has either been conducted in secondary care or interventions have been provided by general practitioners (GPs) or psychologists in primary care. As efficiency and cost-effectiveness are imperative in primary care, it is important to investigate whether nurse-led interventions are effective as well. The aim of this study is to examine the effectiveness and cost-effectiveness of a short cognitive behavioural therapy (CBT)-based treatment for patients with USD provided by mental health nurse practitioners (MHNPs), compared to usual care. Methods: In a cluster randomised controlled trial, 212 adult patients with USD will be assigned to the intervention or care as usual. The intervention group will be offered a short, individual CBT-based treatment by the MHNP in addition to usual GP care. The main goal of the intervention is that patients become less impaired by their physical symptoms and cope with symptoms in a more effective way. In six sessions patients will receive problem-solving treatment. The primary outcome is improvement in physical functioning, measured by the physical component summary score of the RAND-36. Secondary outcomes include health-related quality of life measured by the separate subscales of the RAND-36, somatization (PHQ-15) and symptoms of depression and anxiety (HADS). Problem-solving skills, health anxiety, illness perceptions, coping, mastery and working alliance will be assessed as potential mediators. Assessments will be done at 0, 2, 4, 8 and 12 months. An economic evaluation will be conducted from a societal perspective with quality of life as the primary outcome measure assessed by the EQ-5D-5L. Health care, patient and lost productivity costs will be assessed with the Tic-P. Discussion: We expect that the intervention will improve physical functioning and is cost-effective compared to usual care. If so, more patients might successfully be treated in general practice, decreasing the number of referrals to specialist care. Trial registration: Dutch Trial Registry, identifier: NTR4686, Registered on 14 July 2014. Ă© 2017 The Author(s)
Mapping Genetic Diversity of Cherimoya (Annona cherimola Mill.): Application of Spatial Analysis for Conservation and Use of Plant Genetic Resources
There is a growing call for inventories that evaluate geographic patterns in diversity of plant genetic resources maintained on farm and in species' natural populations in order to enhance their use and conservation. Such evaluations are relevant for useful tropical and subtropical tree species, as many of these species are still undomesticated, or in incipient stages of domestication and local populations can offer yet-unknown traits of high value to further domestication. For many outcrossing species, such as most trees, inbreeding depression can be an issue, and genetic diversity is important to sustain local production. Diversity is also crucial for species to adapt to environmental changes. This paper explores the possibilities of incorporating molecular marker data into Geographic Information Systems (GIS) to allow visualization and better understanding of spatial patterns of genetic diversity as a key input to optimize conservation and use of plant genetic resources, based on a case study of cherimoya (Annona cherimola Mill.), a Neotropical fruit tree species. We present spatial analyses to (1) improve the understanding of spatial distribution of genetic diversity of cherimoya natural stands and cultivated trees in Ecuador, Bolivia and Peru based on microsatellite molecular markers (SSRs); and (2) formulate optimal conservation strategies by revealing priority areas for in situ conservation, and identifying existing diversity gaps in ex situ collections. We found high levels of allelic richness, locally common alleles and expected heterozygosity in cherimoya's putative centre of origin, southern Ecuador and northern Peru, whereas levels of diversity in southern Peru and especially in Bolivia were significantly lower. The application of GIS on a large microsatellite dataset allows a more detailed prioritization of areas for in situ conservation and targeted collection across the Andean distribution range of cherimoya than previous studies could do, i.e. at province and department level in Ecuador and Peru, respectively
Observation of Two New Excited Îb0 States Decaying to Îb0 K-Ï+
Two narrow resonant states are observed in the Îb0K-Ï+ mass spectrum using a data sample of proton-proton collisions at a center-of-mass energy of 13 TeV, collected by the LHCb experiment and corresponding to an integrated luminosity of 6 fb-1. The minimal quark content of the Îb0K-Ï+ system indicates that these are excited Îb0 baryons. The masses of the Îb(6327)0 and Îb(6333)0 states are m[Îb(6327)0]=6327.28-0.21+0.23±0.12±0.24 and m[Îb(6333)0]=6332.69-0.18+0.17±0.03±0.22 MeV, respectively, with a mass splitting of Îm=5.41-0.27+0.26±0.12 MeV, where the uncertainties are statistical, systematic, and due to the Îb0 mass measurement. The measured natural widths of these states are consistent with zero, with upper limits of Î[Îb(6327)0]<2.20(2.56) and Î[Îb(6333)0]<1.60(1.92) MeV at a 90% (95%) credibility level. The significance of the two-peak hypothesis is larger than nine (five) Gaussian standard deviations compared to the no-peak (one-peak) hypothesis. The masses, widths, and resonant structure of the new states are in good agreement with the expectations for a doublet of 1D Îb0 resonances
Precise determination of the B-s(0)-B-s(-0) oscillation frequency
Mesons comprising a beauty quark and a strange quark can oscillate between
particle (B0s) and antiparticle (B0s) flavour eigenstates, with a frequency
given by the mass difference between heavy and light mass eigenstates, deltams.
Here we present ameasurement of deltams using B0s2DsPi decays produced in
proton-proton collisions collected with the LHCb detector at the Large Hadron
Collider. The oscillation frequency is found to be deltams = 17.7683 +- 0.0051
+- 0.0032 ps-1, where the first uncertainty is statistical and the second
systematic. This measurement improves upon the current deltams precision by a
factor of two. We combine this result with previous LHCb measurements to
determine deltams = 17.7656 +- 0.0057 ps-1, which is the legacy measurement of
the original LHCb detector.Comment: All figures and tables, along with any supplementary material and
additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2021-005.html (LHCb
public pages
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Study of the and states in decays
The decays are studied using a data
set corresponding to an integrated luminosity of 9fb collected with the
LHCb detector in proton-proton collisions between 2011 and 2018. Precise
measurements of the ratios of branching fractions with the intermediate
, and states are reported. The decay
of with is observed for the first time with a significance of 5.1
standard deviations. The mass differences between the ,
and states are measured to be resulting in the
most precise determination of the mass. The width of the
state is found to be below 5.2MeV at 90\% confidence level. The
Breit-Wigner width of the state is measured to be which is inconsistent with zero by 5.5 standard deviations
Search for the doubly heavy baryons Omega(0)(bc) and Xi(0)(bc) decaying to Lambda(+)(c)pi(-) and Xi(+)(c)pi-
Abstract available from publisher's website
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Searches for rare B-s(0) and B-0 decays into four muons
Searches for rare and decays into four muons are performed
using proton-proton collision data recorded by the LHCb experiment,
corresponding to an integrated luminosity of 9 . Direct decays
and decays via light scalar and resonances are considered. No evidence
for the six decays searched for is found and upper limits at the 95% confidence
level on their branching fractions ranging between and
are set
Angular Analysis of the B+ -> K*(+)mu(+) mu(-) Decay
We present an angular analysis of the
B
+
â
K
*
+
(
â
K
0
S
Ï
+
)
Ό
+
Ό
â
decay using
9
â
â
fb
â
1
of
p
p
collision data collected with the LHCb experiment. For the first time, the full set of
C
P
-averaged angular observables is measured in intervals of the dimuon invariant mass squared. Local deviations from standard model predictions are observed, similar to those in previous LHCb analyses of the isospin-partner
B
0
â
K
*
0
Ό
+
Ό
â
decay. The global tension is dependent on which effective couplings are considered and on the choice of theory nuisance parameters
- âŠ