Relationship Between Scholastic and Health Behaviors and Reading Level in Adolescent Females

This was a study of 102 adolescent females, 12-20 years of age, presenting to a central city clinic for medical care. Participants completed an oral questionnaire that included demographics, and questions regarding scholastic history, sexual behavior, and substance use. Each subject completed the Accuracy Level Test (ALT), a reading test. The subject\u27s reading test grade level was subtracted from her appropriate grade in school to give a reading delay level (RDL). The mean reading grade level for all subjects was 6.7 ±2.6 and the average reading delay was 4.5 ±2.5 grades. Poor school attenders had greater reading delays (5.8 ±3.4 grades behind vs. 4.3 ±2.2 for good attenders

Pediatric Oncology Nurses’ Perceptions of Prognosis-Related Communication

Background Disclosure of prognosis-related information is an essential aspect of communication with pediatric patients with cancer and their families. The nurse is believed to play an important role in this process, but nurse perceptions and experiences have not been well-described. Purpose Provide an exploration of pediatric oncology nurses’ experiences with prognosis-related communication (PRC). Method Mixed-methods, multiphase design. This paper highlights the qualitative portion of the study. Findings Three themes were identified: Importance of collaboration, impact of PRC, and delivery of prognostic information. Discussion Collaboration is a critical element of PRC. Nurses are often not included in the disclosure process, which limits the ability of nurses to fully function in their roles, compromising patient, family, and nurse outcomes. A paradigm shift is required to empower nurses to be more active participants. More education of physicians and nurses is necessary to consistently engage nurses in PRC and prepare nurses for critical conversations

Finiteness properties of cubulated groups

We give a generalized and self-contained account of Haglund-Paulin's wallspaces and Sageev's construction of the CAT(0) cube complex dual to a wallspace. We examine criteria on a wallspace leading to finiteness properties of its dual cube complex. Our discussion is aimed at readers wishing to apply these methods to produce actions of groups on cube complexes and understand their nature. We develop the wallspace ideas in a level of generality that facilitates their application. Our main result describes the structure of dual cube complexes arising from relatively hyperbolic groups. Let H_1,...,H_s be relatively quasiconvex codimension-1 subgroups of a group G that is hyperbolic relative to P_1,...,P_r. We prove that G acts relatively cocompactly on the associated dual CAT(0) cube complex C. This generalizes Sageev's result that C is cocompact when G is hyperbolic. When P_1,...,P_r are abelian, we show that the dual CAT(0) cube complex C has a G-cocompact CAT(0) truncation.Comment: 58 pages, 12 figures. Version 3: Revisions and slightly improved results in Sections 7 and 8. Several theorem numbers have changed from the previous versio

Ultrafast Insulator-Metal Phase Transition in VO2 Studied by Multiterahertz Spectroscopy

The ultrafast photoinduced insulator-metal transition in VO2 is studied at different temperatures and excitation fluences using multi-THz probe pulses. The spectrally resolved mid-infrared response allows us to trace separately the dynamics of lattice and electronic degrees of freedom with a time resolution of 40 fs. The critical fluence of the optical pump pulse which drives the system into a long-lived metallic state is found to increase with decreasing temperature. Under all measurement conditions we observe a modulation of the eigenfrequencies of the optical phonon modes induced by their anharmonic coupling to the coherent wave packet motion of V-V dimers at 6.1 THz. Furthermore, we find a weak quadratic coupling of the electronic response to the coherent dimer oscillation resulting in a modulation of the electronic conductivity at twice the frequency of the wave packet motion. The findings are discussed in the framework of a qualitative model based on an approximation of local photoexcitation of the vanadium dimers from the insulating state.Comment: 10 pages, 8 figures submitted to Physical Review

Unravelling the Dodecahedral Spaces

The hyperbolic dodecahedral space of Weber and Seifert has a natural non-positively curved cubulation obtained by subdividing the dodecahedron into cubes. We show that the hyperbolic dodecahedral space has a 6-sheeted irregular cover with the property that the canonical hypersurfaces made up of the mid-cubes give a very short hierarchy. Moreover, we describe a 60-sheeted cover in which the associated cubulation is special. We also describe the natural cubulation and covers of the spherical dodecahedral space (aka Poincar\'e homology sphere).Comment: 15 pages + 6 pages appendix, 7 figures, 4 table

Impact of pasireotide on postoperative pancreatic fistulas following distal resections

Purpose Postoperative pancreatic fistula (POPF), a difficult complication after surgery, can cause peripancreatic fluid collection and infections in the operative area. In addition, pancreatic fluid is corrosive and can lead to postoperative bleeding. Clinically significant grade B and C fistulas (CR-POPF) increase postoperative morbidity, resulting in a prolonged hospital stay. Delaying adjuvant therapy due to fistula formation in cancer patients can affect their prognosis. In this study, we aimed to determine if pasireotide affects fistula formation, and the severity of other complications in patients following pancreatic distal resections. Data and methods Between 2000 and 2016, 258 distal pancreatectomies were performed at Helsinki University Hospital and were included in our analysis. Pasireotide was administered to patients undergoing distal resections between July 2014 and December 2016. Patients received 900-mu g pasireotide administered twice daily perioperatively. Other patients who received octreotide treatment were analyzed separately. Complications such as fistulas (POPF), delayed gastric emptying (DGE), postpancreatectomy hemorrhage (PPH), reoperations, and mortality were recorded and analyzed 90 days postoperatively. Results Overall, 47 (18%) patients received pasireotide and 31 (12%) octreotide, while 180 patients (70%) who received neither constituted the control group. There were 40 (16%) clinically relevant grade B and C POPFs: seven (15%) in the pasireotide group, three (10%) in the octreotide group, and 30 (17%) in the control group (p = 0.739). Severe complications categorized as Clavien-Dindo grade III or IV were recorded in 64 (25%) patients: 17 (27%) in the pasireotide group, 4 (6%) in the octreotide group, and 43 (67%) in the control group (p = 0.059). We found no 90-day mortality. Conclusions In this study, pasireotide did not reduce clinically relevant POPFs or severe complications following pancreatic distal resection.Peer reviewe