Involuntary And Patient-Initiated Delays In Medical Care During The COVID-19 Pandemic

This paper uses data from a new, nationally representative survey to study delays in non–COVID-related medical care among US adults during the COVID-19 pandemic. We expand on prior research by taking a comprehensive look at the many reasons patients may have experienced delays in medical care and by studying the longer-run implications of these delays for patients’ self-reported health, use of telemedicine, feelings of regret, and likelihood of delaying care again in the future. Classifying delays in care broadly as involuntary (those due to availability or “supply-side” constraints) or patient-initiated (those due to patient concerns or “demand-side” constraints), we document important differences across demographic groups in the propensity to delay care for these reasons. In contrast to most prior work on this topic, our analyses can disentangle differences in the likelihood of delaying care from differences in pre-pandemic care-seeking behavior. We also demonstrate that the types of medical care that were delayed during the pandemic differed based on whether the delay was involuntary or patient-initiated, as did the duration of the delays and their associations with self-reported health, telemedicine use, and feelings of regret

Fluctuation superconductivity limited noise in a transition-edge sensor

In order to investigate the origin of the until now unaccounted excess noise and to minimize the uncontrollable phenomena at the transition in X-ray microcalorimeters we have developed superconducting transition-edge sensors into an edgeless geometry, the so-called Corbino disk (CorTES), with superconducting contacts in the centre and at the outer perimeter. The measured rms current noise and its spectral density can be modeled as resistance noise resulting from fluctuations near the equilibrium superconductor-normal metal boundaryComment: 9 pages, 4 figures.; Corrections to text and equations; replaced the affected figures. Added reference [12

The Gelfand map and symmetric products

If A is an algebra of functions on X, there are many cases when X can be regarded as included in Hom(A,C) as the set of ring homomorphisms. In this paper the corresponding results for the symmetric products of X are introduced. It is shown that the symmetric product Sym^n(X) is included in Hom(A,C) as the set of those functions that satisfy equations generalising f(xy)=f(x)f(y). These equations are related to formulae introduced by Frobenius and, for the relevant A, they characterise linear maps on A that are the sum of ring homomorphisms. The main theorem is proved using an identity satisfied by partitions of finite sets.Comment: 14 pages, Late

De-regulation of JNK and JAK/STAT signaling in ESCRT-II mutant tissues cooperatively contributes to neoplastic tumorigenesis

Multiple genes involved in endocytosis and endosomal protein trafficking in Drosophila have been shown to function as neoplastic tumor suppressor genes (nTSGs), including Endosomal Sorting Complex Required for Transport-II (ESCRT-II) components vacuolar protein sorting 22 (vps22), vps25, and vps36. However, most studies of endocytic nTSGs have been done in mosaic tissues containing both mutant and non-mutant populations of cells, and interactions among mutant and non-mutant cells greatly influence the final phenotype. Thus, the true autonomous phenotype of tissues mutant for endocytic nTSGs remains unclear. Here, we show that tissues predominantly mutant for ESCRT-II components display characteristics of neoplastic transformation and then undergo apoptosis. These neoplastic tissues show upregulation of c-Jun N-terminal Kinase (JNK), Notch, and Janus Kinase (JAK)/Signal Transducer and Activator of Transcription (STAT) signaling. Significantly, while inhibition of JNK signaling in mutant tissues partially inhibits proliferation, inhibition of JAK/STAT signaling rescues other aspects of the neoplastic phenotype. This is the first rigorous study of tissues predominantly mutant for endocytic nTSGs and provides clear evidence for cooperation among de-regulated signaling pathways leading to tumorigenesis

An Atlas of the circumnuclear regions of 75 Seyfert galaxies in the near-UV with HST Advanced Camera for Surveys

We present an atlas of the central regions of 75 Seyfert galaxies imaged in the near-UV with the Advanced Camera for Surveys of the Hubble Space Telescope at an average resolution of ~10pc. These data complement archival high resolution data from the Space Telescope at optical and near-IR wavelengths, creating an extremely valuable dataset for astronomers with a broad range of scientific interests. Our goal is to investigate the nature of the near-UV light in these objects, its relation to the circumnuclear starburst phenomenon, and the connection of this to the evolution and growth of the galaxy bulge and central black hole. In this paper, we describe the near-UV morphology of the objects and characterize the near-UV emission. We estimate the size and the luminosity of the emitting regions and extract the luminosity profile. We also determine the presence of unresolved compact nuclei. In addition, the circumnuclear stellar cluster population is identified, and the contribution of the stellar clusters to the total light, at this wavelength, is estimated. The size of the sample allows us to draw robust statistical conclusions. We find that {Seyfert 1} galaxies are completely dominated by its bright and compact nucleus, that remains point-like at this resolution, while we find almost no unresolved nucleus in Seyfert 2. The Seyfert types 1 and 2 are quite segregated in an asymmetry vs compactness plot. Stellar clusters are found somewhat more frequently in Sy2 (in ~70% of the galaxies) than in Sy1 (~57%), and contribute more to the total light in Sy2, but this two differences seem to be mostly due to the large contribution of the compact nucleus in Sy1, as the luminosity distribution of the clusters is similar in both Sy types.Comment: Accepted for publication in AJ, 58 pages, 20 figures. High-resolution figures for all the objects are available at http://www.iaa.es/~manuel/publications/paper01.htm

Measuring the Density Matrix by Local Addressing

We introduce a procedure to measure the density matrix of a material system. The density matrix is addressed locally in this scheme by applying a sequence of delayed light pulses. The procedure is based on the stimulated Raman adiabatic passage (STIRAP) technique. It is shown that a series of population measurements on the target state of the population transfer process yields unambiguous information about the populations and coherences of the addressed states, which therefore can be determined.Comment: 4 pages, 1 figur

Lagrangian approach to a symplectic formalism for singular systems

We develop a Lagrangian approach for constructing a symplectic structure for singular systems. It gives a simple and unified framework for understanding the origin of the pathologies that appear in the Dirac-Bergmann formalism, and offers a more general approach for a symplectic formalism, even when there is no Hamiltonian in a canonical sense. We can thus overcome the usual limitations of the canonical quantization, and perform an algebraically consistent quantization for a more general set of Lagrangian systems.Comment: 30 page

Modeling self-organization of communication and topology in social networks

This paper introduces a model of self-organization between communication and topology in social networks, with a feedback between different communication habits and the topology. To study this feedback, we let agents communicate to build a perception of a network and use this information to create strategic links. We observe a narrow distribution of links when the communication is low and a system with a broad distribution of links when the communication is high. We also analyze the outcome of chatting, cheating, and lying, as strategies to get better access to information in the network. Chatting, although only adopted by a few agents, gives a global gain in the system. Contrary, a global loss is inevitable in a system with too many liarsComment: 6 pages 7 figures, Java simulation available at http://cmol.nbi.dk/models/inforew/inforew.htm