546 research outputs found
International Tourism and Culture Change in the Western Caribbean: Temporary and Non-Acculturative Systems
The few studies on international tourism and culture change have emphasized the direct effects of tourism on the host society. Recent research on western Caribbean islands indicates that under the stimulation of economic developments arising from tourism, in-migration from adjacent mainlands has effectively stifled, at least temporarily, the onslaught of acculturation by North Americans. On Cozumel Island, Mexico, Mayan-speakers from the Yucatán Peninsula have fortified Cozumeleño culture; in the Bay Islands, Honduras, Spanish-speaking mainlanders are the primary change agents
Travelers’ diarrhea and other gastrointestinal symptoms among Boston-area international travelers
INTRODUCTION: Travelers' diarrhea (TD) and non-TD gastrointestinal (GI) symptoms are common among international travelers. In a study of short-term travelers from Switzerland to developing countries, the most common symptom experienced was severe diarrhea (8.5%) followed by vomiting or abdominal cramps (4%).1 GI illnesses were the most frequently reported diagnoses (34%) among ill-returned travelers to GeoSentinel clinics.2 Of those returning to U.S. GeoSentinel clinics, acute diarrhea (30%) was the most common diagnosis.3 In one cohort of U.S. travelers, 46% reported diarrhea.4 GI illnesses can last from 2 days to weeks or longer,5 disrupting plans during travel or after returning home. Eighty percent of those who experienced diarrhea during travel treated themselves with medication and 6% sought medical care.
METHODS: The Boston Area Travel Medicine Network (BATMN) is a research collaboration of travel clinics in the greater Boston area representing urban-, suburban-, academic-, and university-affiliated facilities. A convenience sample of travelers ≥ 18 years of age attending three BATMN clinics between 2009 and 2011 for pre-travel consultations completed pre-travel surveys, at least one survey weekly during travel, and a post-travel survey 2–4 weeks after return. Travelers were asked to complete a survey at the end of each week of their trip. Institutional review board approvals were obtained at all sites and the Centers for Disease Control and Prevention, and participants provided written informed consent. Information collected included demographic and trip characteristics, vaccines and medications recommended/prescribed before travel, medications taken during travel, dietary practices during travel (consumption of tap water, ice in drinks, unpasteurized dairy products, and salads), symptoms experienced, and impact of illness during and after travel. Vaccinations, prescriptions, and travel health advice given during the pre-travel consultation were recorded by a clinician, and the remainder of the surveys were completed by the traveler. Data were entered into a password-protected database (CS Pro, U.S. Census Bureau, Washington, DC).
RESULTS: We enrolled 987 travelers; 628 (64%) completed all three parts (pre-, during, and post-travel) and were included in the study. Comparison of the 628 to the 359 who did not complete all three parts (noncompleters) revealed no differences, except that completion rates were higher for white travelers than all other racial/ethnic groups (P < 0.001) and for older travelers (median age 47 years versus 32 years in noncompleters, P < 0.001).11 Of those 628 travelers, 208 (33%) experienced TD, 45 (7%) experienced non-TD GI symptoms, 147 (23%) experienced non-GI symptoms, and 228 (36%) did not experience any symptoms during or after travel. Of the 208 with TD, 140 (67%) reported diarrhea as their only symptom, whereas 33 (16%) also experienced nausea/vomiting, 23 (11%) abdominal pain, and 27 (13%) fever (Table 1). Of the 45 who reported non-TD GI symptoms, 21 (47%) experienced nausea/vomiting, 19 (42%) experienced constipation, and 10 (22%) experienced abdominal pain during or after travel (Table 2). Almost all travelers (99%) received advice about food and water precautions and diarrhea management during pre-travel consultation
A [SU(6)] FLAVOR MODEL WITHOUT MIRROR FERMIONS
We introduce a three family extension of the Pati-Salam model which is
anomaly-free and contains in a single irreducible representation the known
quarks and leptons without mirror fermions. Assuming that the breaking of the
symmetry admits the implementation of the survival hypothesis, we calculate the
mass scales using the renormalization group equation. Finally we show that the
proton remains perturbatively stable.Comment: Z PHYS. C63, 339 (1994
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Relationship between premature ventricular complexes and depressive symptoms in non-ST-elevation acute coronary syndrome
Aims: Depression is a recognized risk marker for mortality among acute coronary syndrome (ACS) patients. We hypothesized that ventricular arrhythmia detected by inpatient telemetry monitoring is more frequent among ACS patients with elevated depressive symptoms compared to those without depressive symptoms.
Methods and results: We analysed data from patients enrolled in a prospective observational study of depression in ACS. Telemetry recordings during the index admission (average recording 21.3±3.0 hours) were analysed for frequent premature ventricular complexes (PVCs), defined as ≥10 per hour. The self-report Beck Depression Inventory (BDI) was used to assess depressive symptoms. Among 200 ACS patients, frequent PVCs were observed in 29% of patients with moderate depressive symptoms (BDI ≥10), 27% of those with mild symptoms (BDI 5–9), and only 11% of those with no/minimal symptoms (p=0.02). Log-transformed PVCs per hour were associated with depressive symptom category (p=0.008). In a multivariable logistic regression model that included age, gender, left ventricular ejection fraction, cardiovascular risk score, heart rate, and QT interval, mild symptoms (OR 3.02, 95% 0.97–9.43, p=0.058) and moderate-severe symptoms (OR 3.94, 95% CI 1.27–12.22, p=0.018) were associated with frequent PVCs.
Conclusions: In this sample of ACS patients, depressive symptoms were independently associated with frequent PVCs during inpatient telemetry monitoring
HLA-DPB1 associations differ between DRB1*03 positive anti-Jo-1 and anti-PM-Scl antibody positive idiopathic inflammatory myopathy.
Stability of the Scalar Potential and Symmetry Breaking in the Economical 3-3-1 Model
A detailed study of the criteria for stability of the scalar potential and
the proper electroweak symmetry breaking pattern in the economical 3-3-1 model,
is presented. For the analysis we use, and improve, a method previously
developed to study the scalar potential in the two-Higgs-doublet extension of
the standard model. A new theorem related to the stability of the potential is
stated. As a consequence of this study, the consistency of the economical 3-3-1
model emerges.Comment: to be published in EPJ C, 13 page
Summer CO2 evasion from streams and rivers in the Kolyma River basin, north-east Siberia
Inland water systems are generally supersaturated in carbon dioxide (CO2) and are increasingly recognized as playing an important role in the global carbon cycle. The Arctic may be particularly important in this respect, given the abundance of inland waters and carbon contained in Arctic soils; however, a lack of trace gas measurements from small streams in the Arctic currently limits this understanding.We investigated the spatial variability of CO2 evasion during the summer low-flow period from streams and rivers in the northern portion of the Kolyma River basin in north-eastern Siberia. To this end, partial pressure of carbon dioxide (pCO2) and gas exchange velocities (k) were measured at a diverse set of streams and rivers to calculate CO2 evasion fluxes.
We combined these CO2 evasion estimates with satellite remote sensing and geographic information system techniques to calculate total areal CO2 emissions. Our results show that small streams are substantial sources of atmospheric CO2 owing to high pCO2 and k, despite being a small portion of total inland water surface area. In contrast, large rivers were generally near equilibrium with atmospheric CO2. Extrapolating our findings across the Panteleikha-Ambolikha sub-watersheds demonstrated that small streams play a major role in CO2 evasion, accounting for 86% of the total summer CO2 emissions from inland waters within these two sub-watersheds. Further expansion of these regional CO2 emission estimates across time and space will be critical to accurately quantify and understand the role of Arctic streams and rivers in the global carbon budget
Non SUSY Unification in Left-Right Models
We explore in a model independent way the possibility of achieving the non
supersymmetric gauge coupling unification within left-right symmetric models,
with the minimal particle content at the left-right mass scale which could be
as low as 1 TeV in a variety of models, and with a unification scale M in the
range GeV GeV.Comment: 18 pages, Latex file, uses epsf style, four figures. Submitted for
publication to Phys. Rev. D on Oct. 13, 199
The Muon Anomalous Magnetic Moment: A Harbinger For "New Physics"
QED, Hadronic, and Electroweak Standard Model contributions to the muon
anomalous magnetic moment, a_mu = (g_mu-2)/2, and their theoretical
uncertainties are scrutinized. The status and implications of the recently
reported 2.6 sigma experiment vs.theory deviation a_mu^{exp}-a_mu^{SM} =
426(165) times 10^{-11} are discussed. Possible explanations due to
supersymmetric loop effects with m_{SUSY} \simeq 55 sqrt{tan beta} GeV,
radiative mass mechanisms at the 1--2 TeV scale and other ``New Physics''
scenarios are examined.Comment: 24 page
Extinction risk and conservation of the world\u27s sharks and rays
The rapid expansion of human activities threatens ocean-wide biodiversity. Numerous marine animal populations have declined, yet it remains unclear whether these trends are symptomatic of a chronic accumulation of global marine extinction risk. We present the first systematic analysis of threat for a globally distributed lineage of 1,041 chondrichthyan fishes—sharks, rays, and chimaeras. We estimate that one-quarter are threatened according to IUCN Red List criteria due to overfishing (targeted and incidental). Large-bodied, shallow-water species are at greatest risk and five out of the seven most threatened families are rays. Overall chondrichthyan extinction risk is substantially higher than for most other vertebrates, and only one-third of species are considered safe. Population depletion has occurred throughout the world’s ice-free waters, but is particularly prevalent in the Indo-Pacific Biodiversity Triangle and Mediterranean Sea. Improved management of fisheries and trade is urgently needed to avoid extinctions and promote population recovery
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