Assessing somatization in urologic chronic pelvic pain syndrome

BACKGROUND: This study examined the prevalence of somatization disorder in Urological Chronic Pelvic Pain Syndrome (UCPPS) and the utility of two self-report symptom screening tools for assessment of somatization in patients with UCPPS. METHODS: The study sample included 65 patients with UCPPS who enrolled in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Study at Washington University. Patients completed the PolySymptomatic PolySyndromic Questionnaire (PSPS-Q) (n = 64) and the Patient Health Questionnaire-15 Somatic Symptom Severity Scale (PHQ-15) (n = 50). Review of patient medical records found that only 47% (n = 30) contained sufficient documentation to assess Perley-Guze criteria for somatization disorder. RESULTS: Few (only 6.5%) of the UCPPS sample met Perley-Guze criteria for definite somatization disorder. Perley-Guze somatization disorder was predicted by definite PSPS-Q somatization with at least 75% sensitivity and specificity. Perley-Guze somatization disorder was predicted by severe (\u3e 15) PHQ-15 threshold that had \u3e 90% sensitivity and specificity but was met by only 16% of patients. The moderate (\u3e 10) PHQ-15 threshold had higher sensitivity (100%) but lower specificity (52%) and was met by 52% of the sample. CONCLUSIONS: The PHQ-15 is brief, but it measures symptoms constituting only one dimension of somatization. The PSPS-Q uniquely captures two conceptual dimensions inherent in the definition of somatization disorder, both number of symptoms and symptom distribution across multiple organ systems, with relevance for UCPPS as a syndrome that is not just a collection of urological symptoms but a broader syndrome with symptoms extending beyond the urological system

Rotating Leaks in the Stadium Billiard

The open stadium billiard has a survival probability, $P(t)$, that depends on the rate of escape of particles through the leak. It is known that the decay of $P(t)$ is exponential early in time while for long times the decay follows a power law. In this work we investigate an open stadium billiard in which the leak is free to rotate around the boundary of the stadium at a constant velocity, $\omega$. It is found that $P(t)$ is very sensitive to $\omega$. For certain $\omega$ values $P(t)$ is purely exponential while for other values the power law behaviour at long times persists. We identify three ranges of $\omega$ values corresponding to three different responses of $P(t)$. It is shown that these variations in $P(t)$ are due to the interaction of the moving leak with Marginally Unstable Periodic Orbits (MUPOs)

H3++H_3^{++} molecular ions can exist in strong magnetic fields

Using the variational method it is shown that for magnetic fields $B\geq 10^{11}$ G there can exist a molecular ion $H_3^{++}$.Comment: LaTeX, 7 pp, 1 table, 4 figures. Title modified. Consideration of the longitudinal size of the system was adde

A review of near-wall Reynolds-stress

The advances made in second-order near-wall turbulence closures are summarized. All closures examined are based on some form of high Reynolds number models for the Reynolds stress and the turbulent kinetic energy dissipation rate equations. Consequently, most near-wall closures proposed to data attempt to modify the high Reynolds number models for the dissipation rate equation so that the resultant models are applicable all the way to the wall. The near-wall closures are examined for their asymptotic behavior so that they can be compared with the proper near-wall behavior of the exact equations. A comparison of the closure's performance in the calculation of a low Reynolds number plane channel flow is carried out. In addition, the closures are evaluated for their ability to predict the turbulence statistics and the limiting behavior of the structure parameters compared to direct simulation data

Quantum integrable system with two color components in two dimensions

The Davey-Stewartson 1(DS1) system[9] is an integrable model in two dimensions. A quantum DS1 system with 2 colour-components in two dimensions has been formulated. This two-dimensional problem has been reduced to two one-dimensional many-body problems with 2 colour-components. The solutions of the two-dimensional problem under consideration has been constructed from the resulting problems in one dimensions. For latters with the $\delta$-function interactions and being solved by the Bethe ansatz, we introduce symmetrical and antisymmetrical Young operators of the permutation group and obtain the exact solutions for the quantum DS1 system. The application of the solusions is discussed.Comment: 14 pages, LaTeX fil

Precautionary Measures for Credit Risk Management in Jump Models

Sustaining efficiency and stability by properly controlling the equity to asset ratio is one of the most important and difficult challenges in bank management. Due to unexpected and abrupt decline of asset values, a bank must closely monitor its net worth as well as market conditions, and one of its important concerns is when to raise more capital so as not to violate capital adequacy requirements. In this paper, we model the tradeoff between avoiding costs of delay and premature capital raising, and solve the corresponding optimal stopping problem. In order to model defaults in a bank's loan/credit business portfolios, we represent its net worth by Levy processes, and solve explicitly for the double exponential jump diffusion process and for a general spectrally negative Levy process.Comment: 31 pages, 4 figure

Global Nonradial Instabilities of Dynamically Collapsing Gas Spheres

Self-similar solutions provide good descriptions for the gravitational collapse of spherical clouds or stars when the gas obeys a polytropic equation of state, $p=K\rho^\gamma$ (with $\gamma\le 4/3$). We study the behaviors of nonradial perturbations in the similarity solutions of Larson, Penston and Yahil, which describe the evolution of the collapsing cloud prior to core formation. Our global stability analysis reveals the existence of unstable bar-modes ($l=2$) when $\gamma\le 1.09$. In particular, for the collapse of isothermal spheres, which applies to the early stages of star formation, the $l=2$ density perturbation relative to the background, $\delta\rho({\bf r},t)/\rho(r,t)$, increases as $(t_0-t)^{-0.352}\propto \rho_c(t)^{0.176}$, where $t_0$ denotes the epoch of core formation, and $\rho_c(t)$ is the cloud central density. Thus, the isothermal cloud tends to evolve into an ellipsoidal shape (prolate bar or oblate disk, depending on initial conditions) as the collapse proceeds. In the context of Type II supernovae, core collapse is described by the $\gamma\simeq 1.3$ equation of state, and our analysis indicates that there is no growing mode (with density perturbation) in the collapsing core before the proto-neutron star forms, although nonradial perturbations can grow during the subsequent accretion of the outer core and envelope onto the neutron star. We also carry out a global stability analysis for the self-similar expansion-wave solution found by Shu, which describes the post-collapse accretion (``inside-out'' collapse) of isothermal gas onto a protostar. We show that this solution is unstable to perturbations of all $l$'s, although the growth rates are unknown.Comment: 28 pages including 7 ps figures; Minor changes in the discussion; To be published in ApJ (V.540, Sept.10, 2000 issue