Cognitive-behavioral factors associated with sleep quality in chronic pain patients

People with chronic pain commonly complain of sleep disturbance. This study reports the characteristics of the pain and sleep of a large sample of patients with chronic pain (n = 160). This study compared subgroups of good sleepers with pain (n = 48) and poor sleepers with pain (n = 108). Poor sleepers with pain were younger and reported more pain, pain-related disability, depression, pain-related anxiety, and dysfunctional beliefs about sleep. Using simultaneous regression analysis, this study examined the roles of pain, dysfunctional beliefs about sleep, pain-related disability, depression, and pain-related anxiety in predicting concurrent sleep quality. The findings are relevant to the development of models of sleep disturbance comorbid with chronic pain

Thyroxine treatment in patients with symptoms of hypothyroidism but thyroid function tests within the reference range: randomised double blind placebo controlled crossover trial

OBJECTIVES: To determine whether thyroxine treatment is effective in patients with symptoms of hypothyroidism but with thyroid function tests within the reference range, and to investigate the effect of thyroxine treatment on psychological and physical wellbeing in healthy participants. DESIGN: Randomised double blind placebo controlled crossover trial. SETTING: Outpatient clinic in a general hospital. Participants: 25 patients with symptoms of hypothyroidism who had thyroid function tests within the reference range, and 19 controls. Methods: Participants were given thyroxine 100 microgram or placebo to take once a day for 12 weeks. Washout period was six weeks. They were then given the other to take once a day for 12 weeks. All participants were assessed physiologically and psychologically at baseline and on completion of each phase. MAIN OUTCOME MEASURES: Thyroid function tests, measures of cognitive function and of psychological and physical wellbeing. RESULTS: 22 patients and 19 healthy controls completed the study. At baseline, patients' scores on 9 out of 15 psychological measures were impaired when compared with controls. Patients showed a significantly greater response to placebo than controls in 3 out of 15 psychological measures. Healthy participants had significantly lower scores for vitality when taking thyroxine compared to placebo (mean (SD) 60 (17) v 73 (16), P<0.01). However, patients' scores from psychological tests when taking thyroxine were no different from those when taking placebo except for a poorer performance on one visual reproduction test when taking thyroxine. Serum concentrations of free thyroxine increased and those of thyroid stimulating hormone decreased in patients and controls while they were taking thyroxine, confirming compliance with treatment. Although serum concentrations of free triiodothyronine increased in patients and controls taking thyroxine, the difference between the response to placebo and to thyroxine was significant only in the controls. CONCLUSIONS: Thyroxine was no more effective than placebo in improving cognitive function and psychological wellbeing in patients with symptoms of hypothyroidism but thyroid function tests within the reference range. Thyroxine did not improve cognitive function and psychological wellbeing in healthy participants

Bias in beliefs about the self is associated with depressive but not anxious mood

Background: Biases in beliefs about the self are associated with psychopathology and depressive and anxious mood, but it is not clear if both negative and positive beliefs are associated with depression or anxiety. We examined these relationships in people who present with a wide range of depressive and anxious mood across diagnostic categories. Methods: We probed positive and negative beliefs about the self with a task in which 74 female participants with either Affective Disorder (depression and/or anxiety), Borderline Personality Disorder or no psychiatric history indicated the degree to which 60 self-related words was “like them” or “not like them”. Depressive and anxious mood were assessed with the Beck Depression Inventory–II and the Beck Anxiety Inventory. Results: The participants with no psychiatric history (n=25) reported a positive bias in their beliefs about the self, the participants with Affective Disorder (n=23) reported no bias, and the participants with BPD (n=26) reported a negative bias. Two hierarchical multiple regressions demonstrated that the positive and negative beliefs contributed additively to the ratings of depression (corrected for anxiety), but did not contribute to the ratings of anxiety (corrected for depression). Limitations: Despite the apparent small sample size, the regression analyses indicated adequate sampling. Anxiety is a much more heterogeneous condition than is depression, so it may be difficult to find relevant self-descriptors. Only measures of endorsement were used. Conclusions: Biases in beliefs about the self are associated with depressed, but not anxious mood, across diagnostic categorie

Multipole Amplitudes of Pion Photoproduction on Nucleons up to 2GeV within Dispersion Relations and Unitary Isobar Model

Two approaches for analysis of pion photo- and electroproduction on nucleons in the resonance energy region are checked at $Q^2=0$ using the results of GWU(VPI) partial-wave analysis of photoproduction data. The approaches are based on dispersion relations and unitary isobar model. Within dispersion relations good description of photoproduction multipoles is obtained up to $W=1.8 GeV$. Within unitary isobar model, modified with increasing energy by incorporation of Regge poles, and with unified Breit-Wigner parametrization of resonance contributions, good description of photoproduction multipoles is obtained up to $W=2 GeV$.Comment: 23 pages, LaTe

Dressing the nucleon in a dispersion approach

We present a model for dressing the nucleon propagator and vertices. In the model the use of a K-matrix approach (unitarity) and dispersion relations (analyticity) are combined. The principal application of the model lies in pion-nucleon scattering where we discuss effects of the dressing on the phase shifts.Comment: 17 pages, using REVTeX, 6 figure

Symptomatic Sinus Node Disease: Natural History After Permanent Ventricular Pacing *

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75403/1/j.1540-8159.1979.tb03650.x.pd

Non-standard Hamiltonian effects on neutrino oscillations

We investigate non-standard Hamiltonian effects on neutrino oscillations, which are effective additional contributions to the vacuum or matter Hamiltonian. Since these effects can enter in either flavor or mass basis, we develop an understanding of the difference between these bases representing the underlying theoretical model. In particular, the simplest of these effects are classified as ``pure'' flavor or mass effects, where the appearance of such a ``pure'' effect can be quite plausible as a leading non-standard contribution from theoretical models. Compared to earlier studies investigating particular effects, we aim for a top-down classification of a possible ``new physics'' signature at future long-baseline neutrino oscillation precision experiments. We develop a general framework for such effects with two neutrino flavors and discuss the extension to three neutrino flavors, as well as we demonstrate the challenges for a neutrino factory to distinguish the theoretical origin of these effects with a numerical example. We find how the precision measurement of neutrino oscillation parameters can be altered by non-standard effects alone (not including non-standard interactions in the creation and detection processes) and that the non-standard effects on Hamiltonian level can be distinguished from other non-standard effects (such as neutrino decoherence and decay) if we consider specific imprint of the effects on the energy spectra of several different oscillation channels at a neutrino factory.Comment: 30 pages, 6 figures, LaTeX, final version, published in Eur.Phys.J.

The Weak Charge of the Proton and New Physics

We address the physics implications of a precision determination of the weak charge of the proton, QWP, from a parity violating elastic electron proton scattering experiment to be performed at the Jefferson Laboratory. We present the Standard Model (SM) expression for QWP including one-loop radiative corrections, and discuss in detail the theoretical uncertainties and missing higher order QCD corrections. Owing to a fortuitous cancellation, the value of QWP is suppressed in the SM, making it a unique place to look for physics beyond the SM. Examples include extra neutral gauge bosons, supersymmetry, and leptoquarks. We argue that a QWP measurement will provide an important complement to both high energy collider experiments and other low energy electroweak measurements. The anticipated experimental precision requires the knowledge of the order alpha_s corrections to the pure electroweak box contributions. We compute these contributions for QWP, as well as for the weak charges of heavy elements as determined from atomic parity violation.Comment: 22 pages of LaTeX, 5 figure

Performance Issues in U.S.–China Joint Ventures

Based on an in-depth study of U.S.-China joint ventures, this article offers some insights into the performance of such international business relationships. While the conventional literature treats government as an amorphous aspea of the political-legal environment, in this case government is an active participant and influence in the performance of international joint ventures (UVs). It has both a constraining and enabling effect on LJV structure, strategy, and performance. For example, limits can be placed on ownership shares of joint ventures and on prices of the output. At the same time, government can cooperate with LJVs and foreign parent companies by creating partners for foreign parent companies, acting as major customers, and improving financial performance by lowering taxes

Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results