Evaluation of a Phosphate Management Protocol to Achieve Optimum Serum Phosphate Levels in Hemodialysis Patients

Original article can be found at: http://www.sciencedirect.com/science/journal/10512276 Copyright National Kidney Foundation, Inc. DOI: 10.1053/j.jrn.2008.05.003To evaluate the effectiveness of a protocol designed to optimize serum phosphate levels in patients undergoing regular hemodialysis (HD).Peer reviewe

Validation of the English and Chinese versions of the Quick-FLIC quality of life questionnaire.

A useful measure of quality of life should be easy and quick to complete. Recently, we reported the development and validation of a shortened Chinese version of the Functional Living Index-Cancer (FLIC), which we called the Quick-FLIC. In the present study of 327 English-speaking and 221 Chinese-speaking cancer patients, we validated the English version of the Quick-FLIC and further assessed the Chinese version. The 11 Quick-FLIC items were administered alongside the 11 remaining items of the full FLIC, but there appeared to be little context effect. Validity of the English version of the Quick-FLIC was attested by its strong correlation with two other measures of quality of life, and its ability to detect differences between patients with different performance status and treatment status (each P<0.001). Its internal consistency (alpha=0.86) and test-retest reliability (intraclass correlation=0.76) were also satisfactory. The measure was responsive to changes in performance status (P<0.001). The Chinese version showed similar characteristics. The Quick-FLIC behaved in ways that are highly comparable with the FLIC, even though the Quick-FLIC comprised only 11 items whereas the FLIC comprised 22. Further research is required to see whether the use of shorter instruments can improve data quality and response rates, but the fact that shorter instruments place less burden on the patients is itself inherently important

The spectroscopic evolution of the γ\gamma-ray emitting classical nova Nova Mon 2012. I. Implications for the ONe subclass of classical novae

Nova Mon 2012 was the first classical nova to be detected as a high energy $\gamma$-ray transient, by Fermi-LAT, before its optical discovery. We study a time sequence of high resolution optical echelle spectra (Nordic Optical Telescope) and contemporaneous NOT, STIS UV, and CHIRON echelle spectra (Nov 20/21/22). We use [O III] and H$\beta$ line fluxs to constrain the properties of the ejecta. We derive the structure from the optical and UV line profiles and compare our measured line fluxes for with predictions using Cloudy with abundances from other ONe novae. Mon 2012 is confirmed as an ONe nova. We find E(B-V)=0.85$\pm$0.05 and hydrogen column density $\approx 5\times 10^{21}$ cm$^{-2}$. The corrected continuum luminosity is nearly the same in the entire observed energy range as V1974 Cyg, V382 Mon, and Nova LMC 2000 at the same epoch after outburst. The distance, about 3.6 kpc, is quite similar to V1974 Cyg. The line profiles can be modeled using an axisymmetric bipolar geometry for the ejecta with various inclinations of the axis to the line of sight, 60 \le i \le 80 degrees, an opening angle of \approx$70 deg, inner radius$\Delta R/R(t)\approx 0.4$for permitted lines and less filled for forbidden lines. The filling factor$f\approx 0.1-0.3$implying M(ejecta)$\leq 6\times 10^{-5}$M$_\odot$. The ONe novae appear to comprise a single physical class with bipolar high mass ejecta, similarly enhanced abundances, and a common spectroscopic evolution within a narrow range of luminosities. The detected$\gamma$-ray emission may be a generic phenomenon, common to all ONe novae, possibly to all classical novae, and connected with acceleration and emission processes within the ejecta (abstract severely truncated).Comment: Submitted to A&A 9/1/2013; Accepted 27/2/2013 (in press

The “Journey” of Doctoral Study in Applied Psychology: Lived Experiences of Students in Counseling, Clinical, and School Psychology

A qualitative methodology was adopted to explore the lived experiences of doctoral level students in applied psychology. A total of 15 students ranging in age from 24 to 43, who were at varying levels of their doctoral education, participated in individual semi-structured interviews exploring themes related to influences for the pursuit of graduate study, experiences in their program of study, and general reflections of the graduate school journey. All interviews were conducted from a constructivist-interpretivist model, transcribed verbatim, and analyzed using a phenomenological coding approach (Creswell, 2012; Moustakas, 1994). Emergent broad themes included antecedents leading to graduate study, current experience of doctoral education, and reflections on the doctoral experience. Implications for future research are discussed and recommendations for graduate programs based on findings are provided