Podiatry services for patients with arthritis: an unmet need

Foot problems are extremely common in patients with rheumatoid arthritis (RA). There is ample evidence that foot pain, either alone or as a comorbidity, contributes significantly to disability. Despite the high prevalence of foot disease in RA, this problem is often trivialised or underappreciated. The inequity in foot health provision for patients with rheumatic disorders in New Zealand has recently been highlighted. Expertise in dealing with foot problems is often limited among healthcare professionals, and it has been argued that better integration of podiatric services into rheumatology services would be beneficial. The aim of this paper is to highlight the major issues related to foot care for patients with arthritis and provide key recommendations that should implemented to improve access to podiatric services in New Zealand

Examining the relationship between pubertal stage, adolescent health behaviours and stress

Background. This paper examines the associations between puberty and three important health behavlours (smoking, food intake and exercise) and explores whether these associations are mediated by puberty's relationship to stress and psychological difficulties.Method. Data were taken from the first year of the ongoing, 5-year, Health and Behaviours in Teenagers Study (HABITS). This is a school-based study set in 36 schools in London. In the first year of the study, 4320 students (2578 boys, 1742 girls) in their first year of secondary education took part.Results. Among girls, being more pubertally advanced was associated with a greater likelihood of having tried smoking. Among boys, being more pubertally advanced was associated with a greater likelihood of having tried smoking, a higher intake of high-fat food and higher levels of exercise. More pubertally advanced girls experienced more stress but not more psychological difficulties. There were no associations between puberty and either stress or psychological difficulties in boys. Stress and psychological difficulties were associated with health behaviours in girls and boys, but neither of these factors mediated the relationship between pubertal stage and health behaviours found in girls.Conclusions. These results suggest that the onset of puberty has a marked effect on the development of health behaviours. Puberty was related to an acceleration of the development of unhealthy behaviours, except for exercise behaviour in boys, where advanced puberty was associated with more exercise. These changes were unrelated to adolescent issues of stress and a causal explanation for these associations must be sought elsewhere

Deadlock detection of Java Bytecode

This paper presents a technique for deadlock detection of Java programs. The technique uses typing rules for extracting infinite-state abstract models of the dependencies among the components of the Java intermediate language -- the Java bytecode. Models are subsequently analysed by means of an extension of a solver that we have defined for detecting deadlocks in process calculi. Our technique is complemented by a prototype verifier that also covers most of the Java features.Comment: Pre-proceedings paper presented at the 27th International Symposium on Logic-Based Program Synthesis and Transformation (LOPSTR 2017), Namur, Belgium, 10-12 October 2017 (arXiv:1708.07854

Effect Of Ethanolic Extract From Elaeophorbia drupifera Leaves On The Gastrointestinal Smooth Muscle Of The Rabbi

The crude extract from E. drupifera leaves was prepared using standard methods. The rabbit intestine was removed and separated into three segments (duodenum, jejunum and ileum). About 3-4cm of each segment was mounted in an organ bath containing Tyrode solution at 37 ± 1oC. The spontaneous and rhythmic contractions were recorded and the effects of the crude extract (2-g/ml) on the tissue responses were investigated. The effect of Ca2+ concentration and temperature of the bathing fluid were also studied. From the results, the extract (2-300g/ml) increased the amplitudes of contractions in a dose-dependent manner. However, regional differences occurred in the responsiveness of the tissue preparations. The ED50 values were found to be 25.12, 44.67 and 15.85 μg/ml for the duodenum, jejunum and ileum respectively. Certain conditions such as calcium availability and increase in bath temperature favoured the action of the extract on the tissue preparations. Drugs like mepyramine or methysergide failed to influence the action of the extract. However, the extract-induced contractions were prevented or blocked by noradrenaline or atropine sulphate. The contractions were however ameliorated by the addition of acetyleholine or neostigmine to the bath solution. From the results, it is likely that the extract causes increased contractions of the tissue preparation via acetylcholine-like agent, which stimulates the muscarinic cholinoceptors. Key words: E. drupifera, extract, leaves, intestinal contractions, increase, cholinergic. Nigerian Journal of Physiological Sciences Vol.19(1&2) 2004: 60-6

Conductance interaction identification by means of Boltzmann distribution and mutual information analysis in conductance-based neuron models

Conductance interaction identification by means of Boltzmann distribution and mutual information analysis in conductance-based neuron models

Group Strategyproof Pareto-Stable Marriage with Indifferences via the Generalized Assignment Game

We study the variant of the stable marriage problem in which the preferences of the agents are allowed to include indifferences. We present a mechanism for producing Pareto-stable matchings in stable marriage markets with indifferences that is group strategyproof for one side of the market. Our key technique involves modeling the stable marriage market as a generalized assignment game. We also show that our mechanism can be implemented efficiently. These results can be extended to the college admissions problem with indifferences

Policy-based management for body-sensor networks

Accepted versio

Self-adaptation of Mutation Rates in Non-elitist Populations

The runtime of evolutionary algorithms (EAs) depends critically on their parameter settings, which are often problem-specific. Automated schemes for parameter tuning have been developed to alleviate the high costs of manual parameter tuning. Experimental results indicate that self-adaptation, where parameter settings are encoded in the genomes of individuals, can be effective in continuous optimisation. However, results in discrete optimisation have been less conclusive. Furthermore, a rigorous runtime analysis that explains how self-adaptation can lead to asymptotic speedups has been missing. This paper provides the first such analysis for discrete, population-based EAs. We apply level-based analysis to show how a self-adaptive EA is capable of fine-tuning its mutation rate, leading to exponential speedups over EAs using fixed mutation rates.Comment: To appear in the Proceedings of the 14th International Conference on Parallel Problem Solving from Nature (PPSN

Bilateral invasive lobular breast cancer in a female teenager: A rare finding of a common disease - Case report and review of literature

Management of cancer patients in low-resource communities presents enormous challenges. Breast cancer is a public health problem in Cameroon and occurs mostly in elderly women. The predominant histological type is a duct carcinoma. Lobular carcinoma in teenagers is rare. In this report we present a case of bilateral invasive lobular carcinoma of the breast that was confirmed on biopsies in a 22-year-old female. We present this rare finding and review the pathological, clinical and radiographic challenges of the disease. Nodules in the breast from patients of any age should be submitted for histology. Public education is beneficial and should be intensified