324 research outputs found

    DDT and Breast Cancer Trends

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    Involutions on Banach Spaces and Reflexivity

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    spaces. E is said to be finitely representable in F if, given e> 0 and a finite dimensional subspace E0 of E, there exists a subspace F0 of F such that d(E0, F0) _< 1 + e, where d(E0, F0) = inf { T T-1 ß T is an isomorphism from E0 onto F0} denotes the Banach-Mazur distance coefficient. E is said to be super-reflexive if every Banach space which is finitely representable in E is re-flexive. Super-reflexivity has been characterized in terms of the notion of J-convexity: suppose that n> _ 1 and that e> 0; E is said to be J(n, e)-convex if, for all Xl,..., x, • in the unit ball of E, we have inf Xl q-'' ' q- Xk-- Xk+l..... Xn I-- • 7 /-- e. l<k<n--1 The "if " part of the following theorem was proved in [12] and [5], and the "only if " part was proved in [10]. TnEOaEM A. E is super-ret•exive //'and only iœE is J(n, e)-convex for some n> 1 ande> 0

    On the Approach to the Equilibrium and the Equilibrium Properties of a Glass-Forming Model

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    In this note we apply some theoretical predictions that arise in the mean field framework for a large class of infinite range models to structural glasses and we present a first comparison of these predictions with numerical results.Comment: 22 pages, 15 figure

    Equilibrium configurations of two charged masses in General Relativity

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    An asymptotically flat static solution of Einstein-Maxwell equations which describes the field of two non-extreme Reissner - Nordstr\"om sources in equilibrium is presented. It is expressed in terms of physical parameters of the sources (their masses, charges and separating distance). Very simple analytical forms were found for the solution as well as for the equilibrium condition which guarantees the absence of any struts on the symmetry axis. This condition shows that the equilibrium is not possible for two black holes or for two naked singularities. However, in the case when one of the sources is a black hole and another one is a naked singularity, the equilibrium is possible at some distance separating the sources. It is interesting that for appropriately chosen parameters even a Schwarzschild black hole together with a naked singularity can be "suspended" freely in the superposition of their fields.Comment: 4 pages; accepted for publication in Phys. Rev.

    Increasing incidence of Epstein‐Barr virus–related nasopharyngeal carcinoma in the United States

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152902/1/cncr32517_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152902/2/cncr32517.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152902/3/cncr32517-sup-0001-FigS1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152902/4/cncr32517-sup-0002-FigS2.pd

    Design and Evaluation of Path Planning Decision Support for Planetary Surface Exploration

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    Human intent is an integral part of real-time path planning and re-planning, thus any decision aiding system must support human-automation interaction. The appropriate balance between humans and automation for this task has previously not been adequately studied. In order to better understand task allocation and collaboration between humans and automation for geospatial path problem solving, a prototype path planning aid was developed and tested. The focus was human planetary surface exploration, a high risk, time-critical domain, but the scenario is representative of any domain where humans path plan across uncertain terrain. Three visualizations, including elevation contour maps, a novel visualization called levels of equal costs, and a combination of the two were tested along with two levels of automation. When participants received the lower level of automation assistance, their path costs errors were less than 35% of the optimal, and they integrated manual sensitivity analysis strategies. When participants used the higher level of automation assistance, path costs errors were reduced to a few percentages, and they saved on average 1.5 minutes in the task. However, this increased performance came at the price of decreased situation awareness and automation bias.We would like to acknowledge the NASA Harriett G. Jenkins Predoctoral Fellowship and the Office of Naval Research for sponsoring this research

    Ward Identities, B-> \rho Form Factors and |V_ub|

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    The exclusive FCNC beauty semileptonic decay B-> \rho is studied using Ward identities in a general vector meson dominance framework, predicting vector meson couplings involved. The long distance contributions are discussed which results to obtain form factors and |V_ub|. A detailed comparison is given with other approaches.Comment: 30 pages+four postscript figures, an Appendix adde

    Just regionalisation: rehabilitating care for people with disabilities and chronic illnesses

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    BACKGROUND: Regionalised models of health care delivery have important implications for people with disabilities and chronic illnesses yet the ethical issues surrounding disability and regionalisation have not yet been explored. Although there is ethics-related research into disability and chronic illness, studies of regionalisation experiences, and research directed at improving health systems for these patient populations, to our knowledge these streams of research have not been brought together. Using the Canadian province of Ontario as a case study, we address this gap by examining the ethics of regionalisation and the implications for people with disabilities and chronic illnesses. The critical success factors we provide have broad applicability for guiding and/or evaluating new and existing regionalised health care strategies. DISCUSSION: Ontario is in the process of implementing fourteen Local Health Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to address systematically the unmet diverse care needs of people with disabilities and chronic illnesses. The core of this paper provides a series of composite case vignettes illustrating integration opportunities relevant to these populations, namely: (i) rehabilitation and services for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv) community support services; (v) children's health; (vi) health promotion; and (vii) mental health and addiction services. For each vignette, we interpret the governing principles developed by the LHINs – equitable access based on patient need, preserving patient choice, responsiveness to local population health needs, shared accountability and patient-centred care – and describe how they apply. We then offer critical success factors to guide the LHINs in upholding these principles in response to the needs of people with disabilities and chronic illnesses. SUMMARY: This paper aims to bridge an important gap in the literature by examining the ethics of a new regionalisation strategy with a focus on the implications for people with disabilities and chronic illnesses across multiple sites of care. While Ontario is used as a case study to contextualize our discussion, the issues we identify, the ethical principles we apply, and the critical success factors we provide have broader applicability for guiding and evaluating the development of – or revisions to – a regionalised health care strategy

    Utility of routine data sources for feedback on the quality of cancer care: an assessment based on clinical practice guidelines

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    Background Not all cancer patients receive state-of-the-art care and providing regular feedback to clinicians might reduce this problem. The purpose of this study was to assess the utility of various data sources in providing feedback on the quality of cancer care. Methods Published clinical practice guidelines were used to obtain a list of processes-of-care of interest to clinicians. These were assigned to one of four data categories according to their availability and the marginal cost of using them for feedback. Results Only 8 (3%) of 243 processes-of-care could be measured using population-based registry or administrative inpatient data (lowest cost). A further 119 (49%) could be measured using a core clinical registry, which contains information on important prognostic factors (e.g., clinical stage, physiological reserve, hormone-receptor status). Another 88 (36%) required an expanded clinical registry or medical record review; mainly because they concerned long-term management of disease progression (recurrences and metastases) and 28 (11.5%) required patient interview or audio-taping of consultations because they involved information sharing between clinician and patient. Conclusion The advantages of population-based cancer registries and administrative inpatient data are wide coverage and low cost. The disadvantage is that they currently contain information on only a few processes-of-care. In most jurisdictions, clinical cancer registries, which can be used to report on many more processes-of-care, do not cover smaller hospitals. If we are to provide feedback about all patients, not just those in larger academic hospitals with the most developed data systems, then we need to develop sustainable population-based data systems that capture information on prognostic factors at the time of initial diagnosis and information on management of disease progression
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