Embolization of the superior rectal artery: another management option for hemorrhoids

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The unbinding transition of mixed fluid membranes

A phenomenological model for the unbinding transition of multi-component fluid membranes is proposed, where the unbinding transition is described using a theory analogous to Flory-Huggins theory for polymers. The coupling between the lateral phase separation of inclusion molecules and the membrane-substrate distance explains the phase coexistence between two unbound phases as observed in recent experiments by Marx et al. [Phys. Rev. Lett. 88, 138102 (2002)]. Bellow a critical end-point temperature, we find that the unbinding transition becomes first-order for multi-component membranes.Comment: 7 pages, 3 eps figure

Factors affecting the vaccination choices of pregnant women for their children. A systematic review of the literature

In recent years, an increase in vaccine hesitancy has led to a decrease in vaccination coverage in several countries. We conducted a systematic review of studies that assessed knowledge of and attitudes toward pediatric vaccinations, and the vaccination choices and their determinants among pregnant women. A total of 6,277 records were retrieved, and 16 full texts were included in the narrative synthesis. The published literature on the topic shows that, overall, pregnant women believe that vaccines are important for the protection of their children and the community, but various concerns and misunderstandings persist around vaccine safety and efficacy, which reduce the trust of expectant mothers in immunization. Nevertheless, such attitudes and choices vary depending on the vaccine being considered and the corresponding determinants should therefore be studied in the context of each specific vaccination. Further research on this topic is needed, particularly in non-western countries

CP violation in scatterings, three body processes and the Boltzmann equations for leptogenesis

We obtain the Boltzmann equations for leptogenesis including decay and scattering processes with two and three body initial or final states. We present an explicit computation of the CP violating scattering asymmetries. We analyze their possible impact in leptogenesis, and we discuss the validity of their approximate expressions in terms of the decay asymmetry. In scenarios in which the initial heavy neutrino density vanishes, the inclusion of CP asymmetries in scatterings can enforce a cancellation between the lepton asymmetry generated at early times and the asymmetry produced at later times. We argue that a sizeable amount of washout is crucial for spoiling this cancellation, and we show that in the regimes in which the washouts are particularly weak, the inclusion of CP violation in scatterings yields a reduction in the final value of the lepton asymmetry. In the strong washout regimes the inclusion of CP violation in scatterings still leads to a significant enhancement of the lepton asymmetry at high temperatures; however, due to the independence from the early conditions that is characteristic of these regimes, the final value of the lepton asymmetry remains approximately unchanged.Comment: 24 pages, 6 figures. One appendix added. Some numerical results and corresponding figures (mainly fig. 3) corrected. Final version to be published in JHE

Does e-learning policy drive change in Higher Education?: A case study relating models of organisational change to e-learning implementation

Due to the heightened competition introduced by the potential global market and the need for structural changes within organisations delivering e-content, e-learning policy is beginning to take on a more significant role within the context of educational policy per se. For this reason, it is becoming increasingly important to establish what effect such policies have and how they are achieved. This paper addresses this question, illustrating five ways in which change is understood (Fordist, evolutionary, ecological, community of practice and discourse-oriented) and then using this range of perspectives to explore how e-learning policy drives change (both organisational and pedagogic) within a selected higher education institution. The implications of this case are then discussed, and both methodological and pragmatic conclusions are drawn, considering the relative insights offered by the models and ways in which change around e-learning might be supported or promoted

Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalisation

Background: The 30-item Self-Management Ability Scale (SMAS) measures self-management abilities (SMA). Objectives of this study were to (1) validate the SMAS among older people shortly after hospitalisation and (2) shorten the SMAS while maintaining adequate validity and reliability. Methods: Our study was conducted among older individuals (>= 65) who had recently been discharged from a hospital. Three months after hospital admission, 296/456 patients (65% response) were interviewed in their homes. We tested the instrument by means of structural equation modelling, and examined its validity and reliability. In addition, we tested internal consistency of the SMAS and SMAS-S among a study sample of patients at risk for cardiovascular diseases. Results: After eliminating 12 items, the confirmatory factor analyses revealed good indices of fit with the resulting 18-item SMAS (SMAS-S). To estimate construct validity of the instrument, we looked at correlations between SMAS subscale scores and overall well-being scores as measured by Social Product Function (SPF-IL) and Cantril's ladder. All SMAS subscales of the original and short version significantly correlated with SPF-IL scores (all at p <= 0.001) and Cantril's ladder (for the cognitive well-being subscale p <= 0.01; all other subscales at p <= 0.001). The findings indicated validity. Analyses of the SMAS and SMAS-S in the sample of patients at risk for cardiovascular diseases showed that both instruments are reliable. Conclusions: The psychometric properties of both the SMAS and SMAS-S are good. The SMAS-S is a promising alternate instrument to evaluate self-management abilities

A Two-Phase ASP Encoding for Solving Rehabilitation Scheduling

The rehabilitation scheduling process consists of planning rehabilitation physiotherapy sessions for patients, by assigning proper operators to them in a certain time slot of a given day, taking into account several requirements and optimizations, e.g., patient’s preferences and operator’s work balancing. Being able to efficiently solve such problem is of upmost importance, in particular after the COVID-19 pandemic that significantly increased rehabilitation’s needs. In this paper, we present a solution to rehabilitation scheduling based on Answer Set Programming (ASP), which proved to be an effective tool for solving practical scheduling problems. Results of experiments performed on both synthetic and real benchmarks, the latter provided by ICS Maugeri, show the effectiveness of our solution

The relations between research in Science teaching and teacher education: representations

This study was conducted with the objective of investigating representations of researchers from the area of the teaching of Physics about the possible influence of the research in the area of Science teaching upon the way in which teachers are educated in Brazil. For that, an analysis was made of the answers to a question formulated in interviews made with 13 researchers from the field of the teaching of Physics, which were indicated by their peers through an electronic mail sent to researchers in Science teaching, including the subareas of Biology, Physics, Geosciences and Chemistry. The discourse analysis developed in France by Michel Pêcheux, based on elements obtained mainly from publications by Eni Orlandi in Brazil, gave the theoretical support to the study. The representations that the selected discourses allowed to infer suggest that the above-mentioned influence is small. However, factors of great import were mentioned, including factors internal to the area, as well as factors associated to public policies. A wide diversity of positions among the researchers interviewed could also be observed. On the whole, the factors mentioned by the interviewees constitute a wide configuration scenario of representations that can be an element for reflection to other researchers. We believe that these representations have the potential to contribute to the appearance of effective influences in the form of the development of public policies, without the need for prescriptions and with fewer and fewer empty recommendations.Este estudo foi realizado com o objetivo de investigar representações de pesquisadores da área de ensino de Física sobre a possível interferência da pesquisa da área de ensino de Ciências na maneira como se formam professores no Brasil. Para tal, foram analisadas as respostas a uma questão formulada em entrevistas a treze pesquisadores do ensino da Física, indicados por seus pares por meio de correio eletrônico encaminhado a pesquisadores do ensino de Ciências, incluindo as subáreas de Biologia, Física, Geociências e Química. A análise de discurso desenvolvida na França por Michel Pêcheux, a partir de subsídios obtidos principalmente em publicações de Eni Orlandi no Brasil, foi o apoio teórico que sustentou o estudo. As representações que os discursos selecionados permitem inferir evidenciam pequena influência. Entretanto, foram enunciados fatores de grande abrangência, incluindo desde aqueles internos à própria área, quanto fatores associados a políticas públicas. Também se observou uma diversidade de posições entre os pesquisadores entrevistados. No conjunto, os fatores abordados pelos entrevistados constituem um amplo quadro configurativo de representações que pode ser elemento de reflexão para outros pesquisadores. Acreditamos que essas representações têm potencial de contribuição para efetivas interferências na forma de realização de políticas públicas, sem a necessidade do uso de prescrições e cada vez menos com recomendações vazias.33534