A study to explore the professional conceptualization and challenges of self-management in children and adolescents with lymphedema

Background: The aim of this study was to explore the professional experience of caring for children and adolescents with lymphedema and to explore the way in which they understand and implement self-management strategies and the influence of their own self-efficacy beliefs on this process. Methods and Results: Participants were recruited during an educational camp for children with lymphedema. Three individual semistructured focus groups were undertaken in English, French, and Italian with simultaneous translation. Data were analyzed using interpretative phenomenological analysis (IPA). Analysis of the data produced three superordinate themes: professional concepts of self-management, professional practice, and redefining the cornerstone of lymphedema care. An additional seven subthemes were as follows: readiness to self-management, professional perspectives on self-management, defining success and treatment failure, emotional burden, traditional views on complex decongestive therapy, new ways to practice, and sole practitioner versus multidisciplinary teams. Conclusions: The purpose of the study was to explore the challenges professionals face when introducing self-management to children and adolescents with lymphedema and their parents and to explore their own sense of self-efficacy in approaching this. The research allowed in-depth discussion about the ways they conceptualize self-management and faced professional challenges. The research highlighted the need to define what is considered an acceptable outcome within a complex and uncertain condition and the self-management strategies that are needed to support this

Modelled subglacial floods and tunnel valleys control the life cycle of transitory ice streams

Ice streams are corridors of fast-flowing ice that control mass transfers from continental ice sheets to oceans. Their flow speeds are known to accelerate and decelerate, their activity can switch on and off, and even their locations can shift entirely. Our analogue physical experiments reveal that a life cycle incorporating evolving subglacial meltwater routing and bed erosion can govern this complex transitory behaviour. The modelled ice streams switch on and accelerate when subglacial water pockets drain as marginal outburst floods (basal decoupling). Then they decelerate when the lubricating water drainage system spontaneously organizes itself into channels that create tunnel valleys (partial basal recoupling). The ice streams surge or jump in location when these water drainage systems maintain low discharge but they ultimately switch off when tunnel valleys have expanded to develop efficient drainage systems. Beyond reconciling previously disconnected observations of modern and ancient ice streams into a single life cycle, the modelling suggests that tunnel valley development may be crucial in stabilizing portions of ice sheets during periods of climate change

Anomalous J/ψJ/\psi suppression in Pb-Pb interactions at 158 GeV per nucleon

The Drell-Yan and J/psi cross-sections measured in Pb-Pb collisions are compared with the values extrapolated from the results obtained in proton and light ion induced reactions. While the Drell-Yan production exhibits the normal expected behaviour, the yield of J/psi in Pb-Pb interactions is abnormally low, as it lies 9 standard deviations below the expected value. Moreover, the departure from the expected behaviour increases significantly from peripheral to central collisions. (C) 1997 Elsevier Science B.V

Results on Charmonium States in Pb-Pb Interactions

We present cross-sections for J/$\psi$, $\psi^{\prime}$ and Drell-Yan production in lead-lead interactions at 158 GeV/nucleon. The Pb-Pb data, when compared with previous results obtained with lighter target or projectiles, show a similar behaviour for Drell-Yan, but exhibit an anomalous J/$\psi$ suppression, which increases with centrality

Charmonium production in Pb-Pb collisions

NA50The elaboration of specific media-planning is necessary to communicate with an opinion leader. Opinion leaders in 27 product categories are selected from a 10,000 sample of French representative consumers. Magazine is the favorite media of opinion leaders; the more important is the number of product categories in which a consumer is leaders, the greater the media consumption. Leaders do not systematically prefer the Internet, their preference appears to be category specific. However, a second study conducted among 600 brand website visitors shows that brand sites represent a major information source for the leaders

Intermediate mass dimuons in NA38/NA50

The NA38/NA50 experiments have measured, at the CERN SPS, the dimuon production in proton-nucleus and nucleus-nucleus collisions. In this paper it is shown that the mass continuum between the $\phi$ and the $J/{\psi}$ can be satisfactorily described, after having removed the combinatorial background due to uncorrelated $\pi$ and $K$ decays, as a sum of two contributions, namely the Drell-Yan process and the semi-leptonic decay of pairs of charmed mesons, whose mass shape in the acceptance of the experiment has been evaluated using PYTHIA. However, in order to describe the A - B (namely S - U and Pb - Pb) mass spectra, the dimuon yield from open charm decays, which in $p$ - A collisions is found to be consistent with direct open charm measurements from other CERN and FNAL experiments, has to be enhanced with respect to a linear extrapolation of $p$ - A results. The size of the enhancement smoothly increases from peripheral S - U to central Pb - Pb interactions, reaching a factor $\sim$ 3 in central Pb - Pb collisions. The $P_{T}$ distributions of the events in the mass continuum are also compatible with the hypothesis of open charm enhancement in A - B collisions

Strangeness measurements in NA50 experiment with Pb projectiles

NA5

Transverse momentum distributions of J/ψ,ψ′J/\psi,\psi', Drell-Yan and continuum dimuons produced in Pb-Pb interactions at the SPS

NA50Muon pairs produced in Pb-Pb interactions at 158~GeV/$c$ per nucleon are used to study the transverse momentum distributions of the \jpsi, \psip\ and dimuons in the mass continuum. In particular, the dependence of these distributions on the centrality of the Pb-Pb collision is investigated in detail