Swift observations of the SFXT SAX J1818.6-1703 in outburst

We present the Swift observations of the supergiant fast X-ray transient (SFXT) SAX J1818.6-1703 collected during the most recent outburst, which occurred on May 6 2009. In particular, we present broad-band spectroscopic and timing analysis as well as a Swift/XRT light curve that spans more than two weeks of observations. The broad-band spectral models and length of the outburst resemble those of the prototype of the SFXT class, XTE J1739-302, further confirming SAX J1818.6-1703 as a member of this class.Comment: Proceedings of 'X-Ray Astronomy 2009, Present Status, multiwavelength approach and future perspectives', September 7 - 11, 2009, Bologna, Ital

Swift/XRT monitoring of the Supergiant Fast X-ray Transient IGR J18483-0311 for an entire orbital period

IGR J18483-0311 is an X-ray pulsar with transient X-ray activity, belonging to the new class of High Mass X-ray Binaries called Supergiant Fast X-ray Transients. This system is one of the two members of this class, together with IGR J11215-5952, where both the orbital (18.52d) and spin period (21s) are known. We report on the first complete monitoring of the X-ray activity along an entire orbital period of a Supergiant Fast X-ray Transient. These Swift observations, lasting 28d, cover more than one entire orbital phase consecutively. They are a unique data-set, which allows us to constrain the different mechanisms proposed to explain the nature of this new class of X-ray transients. We applied the new clumpy wind model for blue supergiants developed by Ducci et al. (2009), to the observed X-ray light curve. Assuming an eccentricity of e=0.4, the X-ray emission from this source can be explained in terms of the accretion from a spherically symmetric clumpy wind, composed of clumps with different masses, ranging from 10^{18}g to 5x 10^{21}g.Comment: Accepted for publication in MNRAS. 7 pages, 7 figures, 2 table

Improving the cancer adult patient support network (iCAN): a pilot study on a communication model and modified focus group

BackgroundMany consider that cancer has the greatest impact of any disease in the world, and it can drastically limit patients' quality of life. Combating such a life-threatening disease can pose many challenges to daily life, highlighted by demonstrating the need to discuss one's health status within a focus group and encourage treatment compliance.Aimthe purposes of this study were to share the authors' experience of a modified focus group in an Oral Medicine Unit, termed "Improving Cancer Adult Patients Support Network" (iCAN), and to evaluate how effective communication could improve patients' quality of life and empower them by virtue of enhanced knowledge and an awareness of cancer management.Methodsthe paper adhered to the COREQ checklist regarding its reporting procedures. The iCAN format was precisely reproduced four times with four groups, consisting of 12 adult male and female patients with solid cancers. They discussed several main topics relating to cancer treatment, as chosen by a majority of the participants. Four specialists were involved in the discussion of the selected topics The iCAN format was faithfully reproduced during each meeting, with the participants in the roles of moderator and health specialists. Finally, a satisfaction questionnaire was administered.Resultsthe most reliable results demonstrated a marked change in lifestyle and eating habits in more than 50% of participants. More than 80% were unaware of the side effects of cancer treatments in general and the oral mucosa in particular. Each meeting reported a maximum degree of satisfaction experienced by the participants.ConclusioniCAN focus group meetings appear to have facilitated a process of narrative interviewing, thereby improving the doctor-patient relationship underlying the humanization of the care process

Improving the cancer adult patient support network (iCAN): a pilot study on a communication model and modified focus group

BackgroundMany consider that cancer has the greatest impact of any disease in the world, and it can drastically limit patients' quality of life. Combating such a life-threatening disease can pose many challenges to daily life, highlighted by demonstrating the need to discuss one's health status within a focus group and encourage treatment compliance.Aimthe purposes of this study were to share the authors' experience of a modified focus group in an Oral Medicine Unit, termed "Improving Cancer Adult Patients Support Network" (iCAN), and to evaluate how effective communication could improve patients' quality of life and empower them by virtue of enhanced knowledge and an awareness of cancer management.Methodsthe paper adhered to the COREQ checklist regarding its reporting procedures. The iCAN format was precisely reproduced four times with four groups, consisting of 12 adult male and female patients with solid cancers. They discussed several main topics relating to cancer treatment, as chosen by a majority of the participants. Four specialists were involved in the discussion of the selected topics The iCAN format was faithfully reproduced during each meeting, with the participants in the roles of moderator and health specialists. Finally, a satisfaction questionnaire was administered.Resultsthe most reliable results demonstrated a marked change in lifestyle and eating habits in more than 50% of participants. More than 80% were unaware of the side effects of cancer treatments in general and the oral mucosa in particular. Each meeting reported a maximum degree of satisfaction experienced by the participants.ConclusioniCAN focus group meetings appear to have facilitated a process of narrative interviewing, thereby improving the doctor-patient relationship underlying the humanization of the care process

Regular breakfast consumption and type 2 diabetes risk markers in 9- to 10-year-old children in the child heart and health study in England (CHASE): a cross-sectional analysis.

BACKGROUND: Regular breakfast consumption may protect against type 2 diabetes risk in adults but little is known about its influence on type 2 diabetes risk markers in children. We investigated the associations between breakfast consumption (frequency and content) and risk markers for type 2 diabetes (particularly insulin resistance and glycaemia) and cardiovascular disease in children. METHODS AND FINDINGS: We conducted a cross-sectional study of 4,116 UK primary school children aged 9-10 years. Participants provided information on breakfast frequency, had measurements of body composition, and gave fasting blood samples for measurements of blood lipids, insulin, glucose, and glycated haemoglobin (HbA1c). A subgroup of 2,004 children also completed a 24-hour dietary recall. Among 4,116 children studied, 3,056 (74%) ate breakfast daily, 450 (11%) most days, 372 (9%) some days, and 238 (6%) not usually. Graded associations between breakfast frequency and risk markers were observed; children who reported not usually having breakfast had higher fasting insulin (percent difference 26.4%, 95% CI 16.6%-37.0%), insulin resistance (percent difference 26.7%, 95% CI 17.0%-37.2%), HbA1c (percent difference 1.2%, 95% CI 0.4%-2.0%), glucose (percent difference 1.0%, 95% CI 0.0%-2.0%), and urate (percent difference 6%, 95% CI 3%-10%) than those who reported having breakfast daily; these differences were little affected by adjustment for adiposity, socioeconomic status, and physical activity levels. When the higher levels of triglyceride, systolic blood pressure, and C-reactive protein for those who usually did not eat breakfast relative to those who ate breakfast daily were adjusted for adiposity, the differences were no longer significant. Children eating a high fibre cereal breakfast had lower insulin resistance than those eating other breakfast types (p for heterogeneity <0.01). Differences in nutrient intakes between breakfast frequency groups did not account for the differences in type 2 diabetes markers. CONCLUSIONS: Children who ate breakfast daily, particularly a high fibre cereal breakfast, had a more favourable type 2 diabetes risk profile. Trials are needed to quantify the protective effect of breakfast on emerging type 2 diabetes risk. Please see later in the article for the Editors' Summary

Validity of a food frequency questionnaire to assess nutritional intake among Sri Lankan adults

Sri Lanka is undergoing nutritional transition and diet-related chronic diseases are emerging as an important health problem. Currently, no validated food frequency questionnaire (FFQ) exists to measure habitual dietary intake of Sri Lankan adults. The purpose of the study is to assess the validity of a semi-quantitative FFQ and 7-day weighed-intake dietary records (7DWR), designed to assess dietary intake among Sri Lankan adults. Dietary intake was measured using both a FFQ and 7DWR. The FFQ consisted of 8 food groups containing the main foods comprising the diet of Sri Lankan adults, a total of 85 items and 12 color photographs to identify serving size. One hundred healthy adults were randomly recruited from a community sample and administrated the FFQ followed by completion of the 7DWR. Paired sample t tests, Pearson’s correlation coefficients, kappa test and Bland–Altman analysis were conducted to determine correlation and the level of agreement for energy and micronutrients. Seventy-seven participants completed both the FFQ and 7DWR. Estimated mean energy intake (SD) from FFQ (1794 ± 398 kcal) and 7DWR (1698 ± 333 kcal, p < 0.001) were significantly different due to a significant overestimation of carbohydrate (11.5 g/day, p < 0.001) and to some extent fat (5.7 g/day, ns). Significant positive correlations (p < 0.05) were found between the FFQ and 7DWR for energy (r = 0.39), carbohydrate (r = 0.47), protein (r = 0.26), fat (r = 0.17) and dietary fiber (r = 0.32). Bland–Altman graphs indicated fairly good agreement between methods with no relationship between bias and average intake of each nutrient examined. Based on these findings, the FFQ appears to be an acceptable tool for assessing the nutrient intake of Sri Lankans and will assist proper categorization of individuals by dietary intake