Does mammographic screening and a negative result affect attitudes towards future breast screening?

OBJECTIVES:To investigate the impact of an experience of a benign mammographic result on intention to seek medical help immediately in the case of breast abnormalities, and on intentions and thoughts about future participation in screening. SETTING:The Dutch Breast Cancer Screening Programme for women aged 50¿69. METHODS:Subjects were women who were invited for an initial breast examination: 223 women filled out a questionnaire about 10 days before and about 6 weeks after their initial breast examination. To be able to control for possible test effects, another group of 293 women filled out a questionnaire only after mammography. Changes in thoughts and intentions were examined. RESULTS:Most women were very satisfied with the course of their initial breast examination, although pain or discomfort was often mentioned. No clues to suggest false reassurance were found: more than 99% of the women would consider the possibility of breast cancer if they felt a lump in one of their breasts. In such a situation, most women intended to seek medical help within a week. These variables were not influenced by the experience of mammography with a benign result. In general, women were very positive about (repeat) participation, both before and after screening. After screening, the average woman perceived fewer costs in participating, and perceived her own ability to engage in future screening as higher. However, the experience of pain and anxiety during the initial screening did lead to reverse effects. Women who were less satisfied about their treatment by the staff were more likely to change their intentions to reparticipate in a negative way. CONCLUSIONS:As, in general, women became more positive about regular participation after they had attended breast cancer screening, efforts to improve first round attendance must be continued. At the same time, the screening organisations must continue to prioritise the high level of client friendliness throughout the screening. No evidence for detrimental effects of screening through false reassurance among participants was found

ROSAT Detection and High Precision Localization of X-ray Sources in the November 19, 1978 Gamma-Ray Burst Error Box

We report on observations of the 1978, November 19 Gamma-Ray Burst source, performed with the ROSAT X-ray HRI experiment. Two sources were detected, one of which is possibly variable. The latter source is identical to the source discovered in 1981 by the EINSTEIN satellite, and recently detected by ASCA. The precise localization of these sources is given, and our data are compared with optical, radio and previous X-ray data.Comment: 10 pages with 2 figures, Accepted for publication in the Astrophysical Journal (Letters), Latex, aastex macros neede

Implementing collaborative improvement, top-down, bottom-up, or both?

The research presented in this paper was aimed at increasing the current understanding of the process of developing collaborative improvement in Extended Manufacturing Enterprises (EME). Based on action research and action learning of three EMEs involving a total of thirteen companies from five European countries, the present study identifies three different approaches to collaborative improvement (CoI), that is, inter-organisational continuous improvement. One approach to CoI focuses on learning at a practical level, developing this knowledge into strategic and theoretical knowledge. We call this the bottom-up learning-bydoing approach. Another approach focuses on goal alignment and assessment to provide a foundation for improvement before actually improving. We call this the top-down directive approach. Yet another approach focuses on shared goals/vision and meeting on equal terms, and joint work in a non-directive matter. This is the laissez-faire approach. The different approaches influence the collaborative improvement results achieved, and how and why they do so is the question addressed this article

Design of fibre reinforced PV concepts for building integrated applications

Fibre reinforced polymers present an interesting encapsulation medium for PV-modules. Glass fibres can provide increased strength and stiffness to thin polymer layers overcoming the brittleness and limited deformability of glass-panes. Glass fibre reinforced polymers allows for transparency over a broad range of the solar spectrum while the material properties and integral production processes create possibilities for novel product concepts with embedded PV technology. To explore such possibilities, innovative design methods were used to design novel PV product concepts for applications in the build environment.\ud In our paper three conceptual designs are presented; (1) a thin film module with an adjoining interconnection system functioning as structural element for geodetic roofing structures, (2) a PV lamella with single-axis tracking utilizing a linear concentration effect caused by the geometry of the product and the materials applied, and (3) a prepreg PV-material which allows for easy shaping during the production of PV modules with complex geometries. Each concept employs a specific PV technology and demonstrates a possible application aimed at a specific market. In this way we show the potential of integration of PV technology in fibre reinforced composites. The paper will be illustrated by concept renderings

Studies on tableting properties of lactose. Part III. The consolidation behaviour of sieve fractions of crystalline a-lactose\ud monohydrate

The consolidation and compaction behaviour of sieve fractions of crystalline α-lactose monohydrate were studied. From mercury porosimetry measurements tablet pore surface areas were derived. At a certain compaction load it appeared that tablets compressed from small particles were generally stronger and showed a larger surface area than compacts prepared from coarse sieve fractions. By plotting compact strength against pore surface area, a unique linear relationship was obtained. From these results it can be concluded that the actual tablet surface area, being a function of both the initial particle size and applied compaction pressure, is responsible for the compact strength

Integrals over Products of Distributions and Coordinate Independence of Zero-Temperature Path Integrals

In perturbative calculations of quantum-statistical zero-temperature path integrals in curvilinear coordinates one encounters Feynman diagrams involving multiple temporal integrals over products of distributions, which are mathematically undefined. In addition, there are terms proportional to powers of Dirac delta-functions at the origin coming from the measure of path integration. We give simple rules for integrating products of distributions in such a way that the results ensure coordinate independence of the path integrals. The rules are derived by using equations of motion and partial integration, while keeping track of certain minimal features originating in the unique definition of all singular integrals in $1 - \epsilon$ dimensions. Our rules yield the same results as the much more cumbersome calculations in 1- epsilon dimensions where the limit epsilon --> 0 is taken at the end. They also agree with the rules found in an independent treatment on a finite time interval.Comment: Author Information under http://www.physik.fu-berlin.de/~kleinert/institution.html . Latest update of paper (including all PS fonts) at http://www.physik.fu-berlin.de/~kleinert/33

Early Archean spherule beds of possible impact origin from Barberton, South Africa: A detailed mineralogical and geochemical study

The Barberton Greenstone belt is a 3.5- to 3.2-Ga-old formation situated in the Swaziland Supergroup near Barberton, northeast Transvaal, South Africa. The belt includes a lower, predominantly volcanic sequence, and an upper sedimentary sequence (e.g., the Fig Tree Group). Within this upper sedimentary sequence, Lowe and Byerly identified a series of different beds of spherules with diameters of around 0.5-2 mm. Lowe and Byerly and Lowe et al. have interpreted these spherules to be condensates of rock vapor produced by large meteorite impacts in the early Archean. We have collected a series of samples from drill cores from the Mt. Morgan and Princeton sections near Barberton, as well as samples taken from underground exposures in the Sheba and Agnes mines. These samples seem much better preserved than the surface samples described by Lowe and Byerly and Lowe et al. Over a scale of just under 30 cm, several well-defined spherule beds are visible, interspaced with shales and/or layers of banded iron formation. Some spherules have clearly been deposited on top of a sedimentary unit because the shale layer shows indentions from the overlying spherules. Although fresher than the surface samples (e.g., spherule bed S-2), there is abundant evidence for extensive alteration, presumably by hydrothermal processes. In some sections of the cores sulfide mineralization is common. For our mineralogical and petrographical studies we have prepared detailed thin sections of all core and underground samples (as well as some surface samples from the S-2 layer for comparison). For geochemical work, layers with thicknesses in the order of 1-5 mm were separated from selected core and underground samples. The chemical analyses are being performed using neutron activation analysis in order to obtain data for about 35 trace elements in each sample. Major elements are being determined by XRF and plasma spectrometry. To clarify the history of the sulfide mineralization, sulfur isotopic compositions are being determined