252 research outputs found

    Mental Health Care Consumption and Outcomes: Considering Preventative Strategies Across Race and Class

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    In previous work (Richman 2007), we found that even under conditions of equal insurance coverage and access to mental healthcare providers, whites and high-income individuals consume more outpatient mental health services than nonwhites and low-income individuals. We follow-up that study to determine (1) whether nonwhite and low-income individuals obtain medical substitutes to mental healthcare, and (2) whether disparate consumption leads to disparate health outcomes. We find that nonwhites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners over mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. We further are unable to find any evidence that this leads to adverse health outcomes. These findings echo concern expressed in Richman (2007) that low-income and nonwhite individuals might be paying for health services that primarily benefit their white and more affluent coworkers

    Granular Rheology in Zero Gravity

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    We present an experimental investigation on the rheological behavior of model granular media made of nearly elastic spherical particles. The experiments are performed in a cylindrical Couette geometry and the experimental device is placed inside an airplane undergoing parabolic flights to cancel the effect of gravity. The corresponding curves, shear stress versus shear rate, are presented and a comparison with existing theories is proposed. The quadratic dependence on the shear rate is clearly shown and the behavior as a function of the solid volume fraction of particles exhibits a power law function. It is shown that theoretical predictions overestimate the experiments. We observe, at intermediate volume fractions, the formation of rings of particles regularly spaced along the height of the cell. The differences observed between experimental results and theoretical predictions are discussed and related to the structures formed in the granular medium submitted to the external shear.Comment: 10 pages, 6 figures to be published in Journal of Physics : Condensed Matte

    Heavy-light decay constants---MILC results with the Wilson action

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    We present the current status of our ongoing calculations of pseudoscalar meson decay constants for mesons that contain one light and one heavy quark (f_B, f_{B_s}, f_D, f_{D_s}). We are currently generating new gauge configurations that include dynamical quarks and calculating the decay constants. In addition, we have several new results for the static approximation. Those results, as well as several refinements to the analysis, are new since Lattice '96. Our current (still preliminary) value for f_B is 156 +- 11 +- 30 +- 14 MeV, where the first error is from statistical and fitting errors, the second error is an estimate of other systematic errors within the quenched approximation and the third error is an estimate of the quenching error. For the ratio f_{B_s}/f_B, we get 1.11 +- 0.02 +- 0.03 +- 0.07.Comment: 8 pages, 9 figures, LaTeX, uses espcrs2, epsf, Invited talk presented by S. Gottlieb at Lattice QCD on Parallel Computers, University of Tsukuba, March, 1997, to appear in the proceeding

    Size-resolved particle measurements of polybrominated diphenyl ethers indoors: Implications for sources and human exposure

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    Polybrominated diphenyl ethers (PBDEs) are flame retardant polymer additives that are widely detected in outdoor and indoor environments. Release of PBDEs from consumer products leads to high concentrations indoors, but mechanisms of release are poorly understood. While ingestion of dust is a well-studied indoor PBDE exposure route, the importance of inhalation exposure is uncertain. To address these unknowns, dust was collected from household vacuum cleaners, and suspended particulate matter (PM) was collected from the same homes in St. John’s, Canada using a cascade impactor. Size-fractionated PM samples (0.01-18 µm diameter) were analysed for PBDEs. The sum of PBDEs in all PM ranged from 8.7 ± 0.5 to 15.7 ± 0.5 pg/m3, with >50% of PBDE mass in respirable PM (<1 µm). Mass loadings as a function of particle size suggested both abrasion and off-gassing led to the presence of PBDEs in PM. Variability in the PM mass loadings indicated emission mechanisms were both product- and location-dependent. Congener profiles in co-located vacuum dust and PM samples were different, indicating vacuum dust cannot accurately predict PBDE congeners in respirable PM. A calculated lower limit inhalation exposure to PBDEs (0.19 ng/day) is lower than exposure via diet or ingestion of dust, although the different biochemical pathways for inhalation compared to ingestion may have biological effects. This work highlights the importance of contaminant analysis in size-fractionated PM to assess human exposure via inhalation compared to traditional vacuum dust methods

    Monitoring extinction risk and threats of the world’s fishes based on the Sampled Red List Index

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    Global biodiversitytargets require us to identify species at risk of extinction and quantify status and trends of biodiversity. The Red List Index (RLI) tracks trends in the conservation status of entire species groups over time by monitoring changes in categories assigned to species. Here, we calculate this index for the world’s fishes in 2010, using a sampled approach to the RLI based on a randomly selected sample of 1,500 species, and also present RLI splits for freshwater and marine systems separately. We further compare specific traits of a worldwide fish list to our sample to assess its representativeness. Overall, 15.1% of species in the sample were estimated to be threatened with extinction, resulting in a sampled RLI of 0.914 for all species, 0.968 in marine and 0.862 in freshwater ecosystems. Our sample showed fishing as the principal threat for marine species, and pollution by agricultural and forestry effluents for freshwater fishes. The sampled list provides a robust representation for tracking trends in the conservation status of the world’s fishes, including disaggregated sampled indices for marine and freshwater fish. Reassessment and backcasting of this index is urgent to check the achievement of the commitments proposed in global biodiversity targets

    Monitoring Extinction Risk and Threats of the World\u27s Fishes Based on the Sampled Red List Index

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    Global biodiversitytargets require us to identify species at risk of extinction and quantify status and trends of biodiversity. The Red List Index (RLI) tracks trends in the conservation status of entire species groups over time by monitoring changes in categories assigned to species. Here, we calculate this index for the world’s fishes in 2010, using a sampled approach to the RLI based on a randomly selected sample of 1,500 species, and also present RLI splits for freshwater and marine systems separately. We further compare specific traits of a worldwide fish list to our sample to assess its representativeness. Overall, 15.1% of species in the sample were estimated to be threatened with extinction, resulting in a sampled RLI of 0.914 for all species, 0.968 in marine and 0.862 in freshwater ecosystems. Our sample showed fishing as the principal threat for marine species, and pollution by agricultural and forestry effluents for freshwater fishes. The sampled list provides a robust representation for tracking trends in the conservation status of the world’s fishes, including disaggregated sampled indices for marine and freshwater fish. Reassessment and backcasting of this index is urgent to check the achievement of the commitments proposed in global biodiversity targets

    In-depth clinical and biological exploration of DNA Damage Immune Response (DDIR) as a biomarker for oxaliplatin use in colorectal cancer

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    PURPOSE: The DNA Damage Immune Response (DDIR) assay was developed in breast cancer (BC) based on biology associated with deficiencies in homologous recombination and Fanconi Anemia (HR/FA) pathways. A positive DDIR call identifies patients likely to respond to platinum-based chemotherapies in breast and oesophageal cancers. In colorectal cancer (CRC) there is currently no biomarker to predict response to oxaliplatin. We tested the ability of the DDIR assay to predict response to oxaliplatin-based chemotherapy in CRC and characterised the biology in DDIR-positive CRC. METHODS: Samples and clinical data were assessed according to DDIR status from patients who received either 5FU or FOLFOX within the FOCUS trial (n=361, stage 4), or neo-adjuvant FOLFOX in the FOxTROT trial (n=97, stage 2/3). Whole transcriptome, mutation and immunohistochemistry data of these samples were used to interrogate the biology of DDIR in CRC. RESULTS: Contrary to our hypothesis, DDIR negative patients displayed a trend towards improved outcome for oxaliplatin-based chemotherapy compared to DDIR positive patients. DDIR positivity was associated with Microsatellite Instability (MSI) and Colorectal Molecular Subtype 1 (CMS1). Refinement of the DDIR signature, based on overlapping interferon-related chemokine signalling associated with DDIR positivity across CRC and BC cohorts, further confirmed that the DDIR assay did not have predictive value for oxaliplatin-based chemotherapy in CRC. CONCLUSIONS: DDIR positivity does not predict improved response following oxaliplatin treatment in CRC. However, data presented here suggests the potential of the DDIR assay in identifying immune-rich tumours that may benefit from immune checkpoint blockade, beyond current use of MSI status

    Catching Element Formation In The Act

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    Gamma-ray astronomy explores the most energetic photons in nature to address some of the most pressing puzzles in contemporary astrophysics. It encompasses a wide range of objects and phenomena: stars, supernovae, novae, neutron stars, stellar-mass black holes, nucleosynthesis, the interstellar medium, cosmic rays and relativistic-particle acceleration, and the evolution of galaxies. MeV gamma-rays provide a unique probe of nuclear processes in astronomy, directly measuring radioactive decay, nuclear de-excitation, and positron annihilation. The substantial information carried by gamma-ray photons allows us to see deeper into these objects, the bulk of the power is often emitted at gamma-ray energies, and radioactivity provides a natural physical clock that adds unique information. New science will be driven by time-domain population studies at gamma-ray energies. This science is enabled by next-generation gamma-ray instruments with one to two orders of magnitude better sensitivity, larger sky coverage, and faster cadence than all previous gamma-ray instruments. This transformative capability permits: (a) the accurate identification of the gamma-ray emitting objects and correlations with observations taken at other wavelengths and with other messengers; (b) construction of new gamma-ray maps of the Milky Way and other nearby galaxies where extended regions are distinguished from point sources; and (c) considerable serendipitous science of scarce events -- nearby neutron star mergers, for example. Advances in technology push the performance of new gamma-ray instruments to address a wide set of astrophysical questions.Comment: 14 pages including 3 figure
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