Risk Is More Than Just a Number

Summarizes efforts by the Health Council of the Netherlands to develop a national risk management approach

Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer

Objective: The aim of the present study was to test the association between psychosocial factors and delay in uptake of treatment and treatment non-adherence in Indonesian women with breast cancer. Methods: Seventy consecutive patients with breast cancer who were treated at the Hasan Sadikin Hospital in Indonesia were recruited. They completed a demographic form, the non-adherence questionnaire, the Breast Cancer Knowledge Test, the Brief Illness Perception Questionnaire, the Multidimensional Health Locus of Control Scales, the Satisfaction with Cancer Information Profile and the Distress Thermometer. Results: Seventeen (24%) out of 70 patients reported that they had delayed initiating treatment at the hospital, and nine (13%) out of 70 patients had missed two or more consecutive treatment sessions. In the bivariate analyses, we found no significant differences on any of the psychological variables between patients who delayed initiating treatment and those patients who did not, whereas patients who had missed two or more consecutive sessions had lower satisfaction with the type and timing of information provided and more negative illness perceptions than patients who had not missed their sessions. In multivariate regression analyses, consulting a traditional healer before diagnosis was associated with treatment delay (β = 1.27, p = 0.04). More negative illness perceptions (β = 0.10, p = 0.02) and whether a traditional healer had been consulted after diagnosis (β = 1.67, p = 0.03) were associated with missing treatment sessions. Conclusions: Indonesian health professionals need to be aware of patients' negative illness perceptions and their unrealistic belief in traditional healers

Quality of life and maladjustment associated with hair loss in women with alopecia androgenetica

Quality of life and maladjustment related to hair loss were studied by means of a standardized interview in a group of 58 women with alopecia androgenetica who applied for treatment at the Department of Dermatology. The hair loss was found to have a negative influence on the quality of life on the majority of them. In 88%, hair loss had negative effects on their daily life; in about 75%, the hair problems were manifested in negative self-esteem and about 50% experienced social problems. General psychosocial maladjustment in relation to hair loss was indicated in almost one-third of the women

First electron beam polarization measurements with a Compton polarimeter at Jefferson Laboratory

A Compton polarimeter has been installed in Hall A at Jefferson Laboratory. This letter reports on the first electron beam polarization measurements performed during the HAPPEX experiment at an electron energy of 3.3 GeV and an average current of 40 $\mu$A. The heart of this device is a Fabry-Perot cavity which increased the luminosity for Compton scattering in the interaction region so much that a 1.4% statistical accuracy could be obtained within one hour, with a 3.3% total error

Carbonates from the ancient world's longest aqueduct:A testament of Byzantine water management

The fourth‐ and fifth‐century aqueduct system of Constantinople is, at 426 km, the longest water supply line of the ancient world. Carbonate deposits in the aqueduct system provide an archive of both archaeological developments and palaeo‐environmental conditions during the depositional period. The 246‐km‐long aqueduct line from the fourth century used springs from a small aquifer, whereas a 180‐km‐long fifth‐century extension to the west tapped a larger aquifer. Although historical records testify at least 700 years of aqueduct activity, carbonate deposits in the aqueduct system display less than 27 years of operation. This implies that the entire system must have been cleaned of carbonate, presumably during regular campaigns. A 50‐km‐long double‐aqueduct section in the central part of the system may have been a costly but practical solution to allow repairs and cleaning of the aqueducts of carbonate to ascertain a continuous water supply to the city. The fifth‐century channel was commonly contaminated with clay, caused by the nature of the aqueduct system and possible local damage to the channel. This clay‐rich water could have been one of the reasons for the construction of large reservoirs in Constantinople. imageLeverhulme Trust http://dx.doi.org/10.13039/501100000275Deutsche Forschungsgemeinschaft http://dx.doi.org/10.13039/50110000165

The Longitudinal Polarimeter at HERA

The design, construction and operation of a Compton back-scattering laser polarimeter at the HERA storage ring at DESY are described. The device measures the longitudinal polarization of the electron beam between the spin rotators at the HERMES experiment with a fractional systematic uncertainty of 1.6%. A measurement of the beam polarization to an absolute statistical precision of 0.01 requires typically one minute when the device is operated in the multi-photon mode. The polarimeter also measures the polarization of each individual electron bunch to an absolute statistical precision of 0.06 in approximately five minutes. It was found that colliding and non-colliding bunches can have substantially different polarizations. This information is important to the collider experiments H1 and ZEUS for their future longitudinally polarized electron program because those experiments use the colliding bunches only.Comment: 21 pages (Latex), 14 figures (EPS

Tensor Analyzing Powers for Quasi-Elastic Electron Scattering from Deuterium

We report on a first measurement of tensor analyzing powers in quasi-elastic electron-deuteron scattering at an average three-momentum transfer of 1.7 fm$^{-1}$. Data sensitive to the spin-dependent nucleon density in the deuteron were obtained for missing momenta up to 150 MeV/$c$ with a tensor polarized $^2$H target internal to an electron storage ring. The data are well described by a calculation that includes the effects of final-state interaction, meson-exchange and isobar currents, and leading-order relativistic contributions.Comment: 4 pages, 3 figure

The influence of maternal vulnerability and parenting stress on chronic pain in adolescents in a general population sample:The TRAILS study

Investigating possible psychosocial predictors of unexplained chronic pain in adolescents is crucial in understanding its development and prevention. A general population sample of adolescents (n = 2230) from the TRAILS cohort study was investigated longitudinally to assess the influence of maternal vulnerability, in terms of anxiety, depression and stress, and parenting stress at age 10-12 years, on the presence of chronic pain at age 12-15 years. Of these adolescents, 269 (12.9%) reported experiencing chronic pain, of which 77% reported severe chronic pain and 22% reported multiple chronic pain. Maternal anxiety, maternal stress and higher levels of parenting stress were related to chronic pain at a later age. Subgroup analyses showed similar results for adolescents with severe chronic pain. Mediation analyses indicated that parenting stress mediates the effect between maternal anxiety, or stress, and chronic pain. The findings suggest that interventions to diminish maternal feelings of anxiety and stress, while in turn adjusting maternal behaviour, may prevent the development of chronic pain in adolescence

Effects of power tension and forms drive belt balancing products in process at zarezonansnom balancing machines pendulum

We developed two programs, "Vein Growth" and "Fringe Growth", to investigate progressive growth of crystals in dilation sites (veins and strain fringes). Even though these models are based on a simple anisotropic growth function, they produce complex textures that compare well with natural examples of veins and strain fringes. In our simulations the most important factor that controls the crystal shape in the dilation site is the roughness of the growth surface (defined by asperities on the wall-rock of veins or core-object of fringe structures) and the amplitude of these asperities relative to the width of the dilation site after an opening-event. Fibrous crystals (crystals with a high length to width ratio) which can track the opening trajectory of the dilation site will develop if grain boundaries of crystals are locked to asperities on the wall-rock of veins or core-object of fringes. This happens only if the amplitude of the asperities is large relative to single opening steps of the dilation site and if crystals grow fast enough to close the site. The width of fibres depends on the number of initial nuclei and on the distance of adjacent asperities on the wall-rock- or core-object surface. Our simulations suggest that single fibres should not be used for structural analysis especially in the case of strain fringes since relative rotation between fringes and core-object influences fibre-growth directions. We discuss the implications of our modelling results for the use of crystal textures in veins and strain fringes for structural analysis