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Enhancement of superconductivity by frustrating the charge order
We study strong electron-phonon interacting systems where the geometry of the crystalline lattice frustrates the formation of charge order. Our results show that under such condition, high-Tc superconductivity can occur in a wide range of electron-phonon coupling strengths. This result is obtained by studying the Holstein model on triangular lattice using sign-problem-free quantum Monte Carlo method
Eudaimonistic Argumentation
Virtue theories have lately enjoyed a modest vogue in the study of argumentation, echoing the success of more far-reaching programmes in ethics and epistemology. Virtue theories of argumentation (VTA) comprise several conceptually distinct projects, including the provision of normative foundations for argument evaluation and a renewed focus on the character of good arguers. Perhaps the boldest of these is the pursuit of the fully satisfying argument, the argument that contributes to human flourishing. This project has an independently developed epistemic analogue: eudaimonistic virtue epistemology. Both projects stress the importance of widening the range of cognitive goals beyond, respectively, cogency and knowledge; both projects emphasize social factors, the right sort of community being indispensable for the cultivation of the intellectual virtues necessary to each project. This paper proposes a unification of the two projects by arguing that the intellectual good life sought by eudaimonistic virtue epistemologists is best realized through the articulation of an account of argumentation that contributes to human flourishing
The meaning and challenge of voluntary counselling and testing (VCT) for counsellors: report of the Kenya Association of Professional Counsellors (KAPC) conference for sub-Saharan Africa
A large number of voluntary counselling and testing (VCT) sites are being opened in sub-Saharan Africa. The services provided by these sites are playing an increasingly important role in the prevention of HIV/AIDS. The sites offer many possibilities and it is crucial that they provide the optimum services for clients. Counselling is an integral part of these services, yet it receives little attention. Counsellors need to be consulted if the optimum services are to be provided, but they are rarely consulted for their professional opinion. Accordingly, the Kenya Association of Professional Counsellors (KAPC) organised a 3-day conference in September 2002 to provide counsellors, drawn from the sub-Saharan region, with a forum to identify VCT-related issues and discuss their implications. The main aim of the conference was for counsellors to arrive at a consensual position regarding HIV/AIDS and what improvements they thought could be made for the VCT services to clients. The counsellors identified the issues that they considered important and this paper presents those issues together with recommendations regarding improvements.
Key words:Voluntary counselling and testing (VCT), conference report, sub-Saharan Africa.
Les sens et le défi de la consultation et du dépistage volontaires (VCT) auprÚs des conseillers: le rapport de la conférence sur l'Afrique subsaharienne de l'Association de Conseillers Professionnels du Kenya (KAPC)
RĂSUMĂ
Un grand nombre de sites de consultation et de dĂ©pistage volontaires (VCT) sont mis en place en Afrique subsaharienne. Les services pourvus dans ces sites jouent un rĂŽle encore plus important dans la prĂ©vention du VIH/SIDA. Les sites offrent beaucoup de possibilitĂ©s et il est crucial qu'ils pourvoient des services les meilleurs aux clients. La consultation psychologique fait partie intĂ©grante de ces services, malgrĂ© qu'elle reçoit trĂšs peu d'attention. Les conseillers psychologiques doivent ĂȘtre consultĂ©s si on veut optimiser les services fournis. Malheureusement, ils sont rarement consultĂ©s pour leur opinion professionnelle. En consĂ©quence, l'Association des Conseillers Professionnels du Kenya (KAPC) a organisĂ© une confĂ©rence sur 3 jours, en septembre 2002, afin de donner aux conseillers, venus de la rĂ©gion subsaharienne, un forum Ă l'intĂ©rieur duquel ils peuvent identifier les problĂšmes et discuter leurs implications. Le but principal de cette confĂ©rence Ă©tait de permettre les conseillers Ă se mettre d'accord sur le VIH/SIDA d'une maniĂšre unanime et de proposer une amĂ©lioration de services de VCT mis Ă disposition des clients. Les conseillers ont identifiĂ© des problĂšmes considĂ©rĂ©s primordiaux. Cette communication prĂ©sente ces problĂšmes et les recommandations liĂ©es aux amĂ©liorations proposĂ©es.
Mots clés : Consultation et dépistage volontaires (VCT), rapport de conférence, Afrique subsaharienne.
Sahara J Vol.1(3) 2004: 175-18
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A behavioral comparison of male and female adults with high functioning autism spectrum conditions
Autism spectrum conditions (ASC) affect more males than females in the general population. However, within ASC it is unclear if there are phenotypic sex differences. Testing for similarities and differences between the sexes is important not only for clinical assessment but also has implications for theories of typical sex differences and of autism. Using cognitive and behavioral measures, we investigated similarities and differences between the sexes in age- and IQ-matched adults with ASC (high-functioning autism or Asperger syndrome). Of the 83 (45 males and 38 females) participants, 62 (33 males and 29 females) met Autism Diagnostic Interview-Revised (ADI-R) cut-off criteria for autism in childhood and were included in all subsequent analyses. The severity of childhood core autism symptoms did not differ between the sexes. Males and females also did not differ in self-reported empathy, systemizing, anxiety, depression, and obsessive-compulsive traits/symptoms or mentalizing performance. However, adult females with ASC showed more lifetime sensory symptoms (pâ=â0.036), fewer current socio-communication difficulties (pâ=â0.001), and more self-reported autistic traits (pâ=â0.012) than males. In addition, females with ASC who also had developmental language delay had lower current performance IQ than those without developmental language delay (p<0.001), a pattern not seen in males. The absence of typical sex differences in empathizing-systemizing profiles within the autism spectrum confirms a prediction from the extreme male brain theory. Behavioral sex differences within ASC may also reflect different developmental mechanisms between males and females with ASC. We discuss the importance of the superficially better socio-communication ability in adult females with ASC in terms of why females with ASC may more often go under-recognized, and receive their diagnosis later, than males
Sun exposure to the eyes: predicted UV protection effectiveness of various sunglasses.
The aim of this study was to assess solar ultraviolet radiation (UVR) doses received by the eyes in different exposure situations, and to predict the sun protection effectiveness provided by various styles of sunglasses at facial, periorbital, and ocular skin zones including the cornea and accounting for different head positions. A 3D numeric model was optimized to predict direct, diffuse and reflected erythemally weighted UVR doses received at various skin zones. Precisely defined facial, periorbital, and ocular skin zones, sunglasses (goggles, medium-, and large-sized sunglasses) and three head positions were modeled to simulate daily (08:00-17:00) and midday (12:00-14:00) UVR doses. The shading from sunglasses' frame and lenses' UVR transmission were used to calculate a predictive protection factor (PPF [%]). Highest ocular daily UVR doses were estimated at the uncovered cornea (1718.4 J/m <sup>2</sup> ). Least sun protection was provided by middle-sized sunglasses with highest midday dose at the white lateral (290.8 J/m <sup>2</sup> ) and lateral periorbital zones (390.9 J/m <sup>2</sup> ). Goggles reached almost 100% protection at all skin zones. Large-sized sunglasses were highly effective in winter; however, their effectiveness depended on diffuse UVR doses received. In "looking-up" head positions highest midday UVR doses were received at the unprotected cornea (908.1 J/m <sup>2</sup> ), totally protected when large-sized sunglasses are used. All tested sunglass lenses fully blocked UVR. Sunglasses' protection effectiveness is strongly influenced by geometry, wearing position, head positions, and exposure conditions. Sunglasses do not totally block UVR and should be combined with additional protection means. 3D modeling allows estimating UVR exposure of highly sensitive small skin zones, chronically exposed and rarely assessed
Language and social/emotional problems identified at a universal developmental assessment at 30 months
Non peer reviewedPublisher PD
A multi-scale brain map derived from whole-brain volumetric reconstructions
Animal nervous system organization is crucial for all body functions and its disruption can lead to severe cognitive and behavioural impairment1. This organization relies on features across scalesâfrom the localization of synapses at the nanoscale, through neurons, which possess intricate neuronal morphologies that underpin circuit organization, to stereotyped connections between different regions of the brain2. The sheer complexity of this organ means that the feat of reconstructing and modelling the structure of a complete nervous system that is integrated across all of these scales has yet to be achieved. Here we present a complete structureâfunction model of the main neuropil in the nematode Caenorhabditis elegansâthe nerve ringâwhich we derive by integrating the volumetric reconstructions from two animals with corresponding3 synaptic and gap-junctional connectomes. Whereas previously the nerve ring was considered to be a densely packed tract of neural processes, we uncover internal organization and show how local neighbourhoods spatially constrain and support the synaptic connectome. We find that the C. elegans connectome is not invariant, but that a precisely wired core circuit is embedded in a background of variable connectivity, and identify a candidate reference connectome for the core circuit. Using this reference, we propose a modular network architecture of the C. elegans brain that supports sensory computation and integration, sensorimotor convergence and brain-wide coordination. These findings reveal scalable and robust features of brain organization that may be universal across phyla
A prospective cohort study assessing clinical referral management & workforce allocation within a UK regional medical genetics service
Abstract
Ensuring patient access to genomic information in the face of increasing demand requires clinicians to develop innovative ways of working. This paper presents the first empirical prospective observational cohort study of UK multi-disciplinary genetic service delivery. It describes and explores collaborative working practices including the utilisation and role of clinical geneticists and non-medical genetic counsellors. Six hundred and fifty new patients referred to a regional genetics service were tracked through 850 clinical contacts until discharge. Referral decisions regarding allocation of lead health professional assigned to the case were monitored, including the use of initial clinical contact guidelines. Significant differences were found in the cases led by genetic counsellors and those led by clinical geneticists. Around a sixth, 16.8% (109/650) of referrals were dealt with by a letter back to the referrer or re-directed to another service provider and 14.8% (80/541) of the remaining patients chose not to schedule an appointment. Of the remaining 461 patients, genetic counsellors were allocated as lead health professional for 46.2% (213/461). A further 61 patients did not attend. Of those who did, 86% (345/400) were discharged after one or two appointments. Genetic counsellors contributed to 95% (784/825) of total patient contacts. They provided 93.7% (395/432) of initial contacts and 26.8% (106/395) of patients were discharged at that point. The information from this study informed a planned service re-design. More research is needed to assess the effectiveness and efficiency of different models of collaborative multi-disciplinary working within genetics services. Keywords (MeSH terms)
Genetic Services, Genetic Counseling, Interdisciplinary Communication, Cohort Studies, Delivery of Healthcare, Referral and Consultation
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