Equity for All: Providing Accessible Healthcare for Patients Living with Disabilities

At the end of this activity, students will be able to: Identify relevant resources to assist patients living with disabilities Recommend appropriate patient-specific resources to minimize barriers to health Identify strategies to enhance the healthcare experience of patients living with disabilities Describe the policies that currently exist to enhance care for patients living with disabilitieshttps://digitalcommons.chapman.edu/pharmacy_books/1027/thumbnail.jp

Neural Attention and Evaluative Responses to Gay and Lesbian Couples

The goal of the current study was to examine whether differential neural attentional capture and evaluative responses for out-group homosexual relative to in-group heterosexual targets occur during social categorization. To this end, 36 heterosexual participants were presented with pictures of heterosexual and homosexual couples in a picture-viewing task that was designed to assess implicit levels of discomfort toward homosexuality and explicit evaluations of pleasantness toward the images. Neural activity in the form of electroencephalogram was recorded during the presentation of the pictures, and event-related potentials resulting from these stimuli were examined. Participants also completed questionnaires that assessed the degree to which they socialized with gays and lesbians. Results demonstrated that relative to straight couples, larger P2 amplitude was observed in response to gay but not to lesbian couples. However, both gay and lesbian couples yielded a larger late positive potential than straight couples. Moreover, the degree to which participants differentially directed early neural attention to out-group lesbian versus in-group straight couples was related to their familiarity with homosexual individuals. This work, which provides an initial understanding of the neural underpinnings of attention toward homosexual couples, suggests that differences in the processing of sexual orientation can occur as early as 200 ms and may be moderated by familiarity

X-Ray Synchrotron White Beam Excitation of Auger Electrons

Auger electron spectra have been measured at the Cornell High Energy Synchrotron Source (CHESS), using the full white beam x-ray spectrum as the excitation source. Ordinary Auger spectra obtained in the laboratory with an electron beam source must employ derivative techniques to distinguish the Auger structures from the large background due to the excitation beam. The synchrotron white beam eliminates this source of background and produces signal rates as high as 107 cps. Superior signal-to-background ratios are found for Auger peaks above a few hundred eV, and count rates are large enough to suggest microprobe applications. X-ray induced Auger satellite peaks were observed with intensities much greater than the electron-induced counterpart; this anomaly is not completely understood

Deep Structure of Siletzia in the Puget Lowland: Imaging an Obducted Plateau and Accretionary Thrust Belt With Potential Fields

Detailed understanding of crustal components and tectonic history of forearcs is important due to their geological complexity and high seismic hazard. The principal component of the Cascadia forearc is Siletzia, a composite basaltic terrane of oceanic origin. Much is known about the lithology and age of the province. However, glacial sediments blanketing the Puget Lowland obscure its lateral extent and internal structure, hindering our ability to fully understand its tectonic history and its influence on modern deformation. In this study, we apply map-view interpretation and two-dimensional modeling of aeromagnetic and gravity data to the magnetically stratified Siletzia terrane revealing its internal structure and characterizing its eastern boundary. These analyses suggest the contact between Siletzia (Crescent Formation) and the Eocene accretionary prism trends northward under Lake Washington. North of Seattle, this boundary dips east where it crosses the Kingston arch, whereas south of Seattle the contact dips west where it crosses the Seattle uplift (SU). This westward dip is opposite the dip of the Eocene subduction interface, implying obduction of Siletzia upper crust at this southern location. Elongate pairs of high and low magnetic anomalies over the SU suggest imbrication of steeply-dipping, deeply rooted slices of Crescent Formation within Siletzia. We hypothesize these features result from duplication of Crescent Formation in an accretionary fold-thrust belt during the Eocene. The active Seattle fault divides this Eocene fold-thrust belt into two zones with different structural trends and opposite frontal ramp dips, suggesting the Seattle fault may have originated as a tear fault during accretion

Special Considerations in Randomized Trials Investigating Neonatal Surgical Treatments

Randomized controlled trials (RCTs) are challenging, but are the studies most likely to change practice and benefit patients. RCTs investigating neonatal surgical therapies are rare. The Necrotizing Enterocolitis Surgery Trial (NEST) was the first surgical RCT conducted by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN), and multiple lessons were learned. NEST was conducted over a 7.25-year enrollment period and the primary outcome was death or neurodevelopmental impairment (NDI) at 18-22 months corrected age. Surgical investigators designing clinical trials involving neonatal surgical treatments have many considerations to include, including how to study eligible but non-randomized patients, heterogeneity of treatment effect, use of frequentist and Bayesian analyses, assessment of generalizability, and anticipating criticisms during peer review. Surgeons are encouraged to embrace these challenges and seek innovative methods to acquire evidence that will be used to improve patient outcomes

Mathematical Constraint on Functions with Continuous Second Partial Derivatives

A new integral identity for functions with continuous second partial derivatives is derived. It is shown that the value of any function f(r,t) at position r and time t is completely determined by its previous values at all other locations r' and retarded times t'<t, provided that the function vanishes at infinity and has continuous second partial derivatives. Functions of this kind occur in many areas of physics and it seems somewhat surprising that they are constrained in this way.Comment: 10 pages, 6 figure

Evaluating the Shinumo-Sespe drainage connection: Arguments against the “old” (70–17 Ma) Grand Canyon models for Colorado Plateau drainage evolution

The provocative hypothesis that the Shinumo Sandstone in the depths of Grand Canyon was the source for clasts of orthoquartzite in conglomerate of the Sespe Formation of coastal California, if verified, would indicate that a major river system flowed southwest from the Colorado Plateau to the Pacific Ocean prior to opening of the Gulf of California, and would imply that Grand Canyon had been carved to within a few hundred meters of its modern depth at the time of this drainage connection. The proposed Eocene Shinumo-Sespe connection, however, is not supported by detrital zircon nor paleomagnetic-inclination data and is refuted by thermochronology that shows that the Shinumo Sandstone of eastern Grand Canyon was \u3e60 °C (∼1.8 km deep) and hence not incised at this time. A proposed 20 Ma (Miocene) Shinumo-Sespe drainage connection based on clasts in the Sespe Formation is also refuted. We point out numerous caveats and non-unique interpretations of paleomagnetic data from clasts. Further, our detrital zircon analysis requires diverse sources for Sespe clasts, with better statistical matches for the four “most-Shinumo-like” Sespe clasts with quartzites of the Big Bear Group and Ontario Ridge metasedimentary succession of the Transverse Ranges, Horse Thief Springs Formation from Death Valley, and Troy Quartzite of central Arizona. Diverse thermochronologic and geologic data also refute a Miocene river pathway through western Grand Canyon and Grand Wash trough. Thus, Sespe clasts do not require a drainage connection from Grand Canyon or the Colorado Plateau and provide no constraints for the history of carving of Grand Canyon. Instead, abundant evidence refutes the “old” (70–17 Ma) Grand Canyon models and supports a \u3c6 Ma Grand Canyon

Characterizing kernels of operators related to thin-plate magnetizations via generalizations of Hodge decompositions

Recently developed scanning magnetic microscopes measure the magnetic field in a plane above a thin-plate magnetization distribution. These instruments have broad applications in geoscience and materials science, but are limited by the requirement that the sample magnetization must be retrieved from measured field data, which is a generically nonunique inverse problem. This problem leads to an analysis of the kernel of the related magnetization operators, which also has relevance to the 'equivalent source problem' in the case of measurements taken from just one side of the magnetization. We characterize the kernel of the operator relating planar magnetization distributions to planar magnetic field maps in various function and distribution spaces (e.g., sums of derivatives of Lp (Lebesgue spaces) or bounded mean oscillation (BMO) functions). For this purpose, we present a generalization of the Hodge decomposition in terms of Riesz transforms and utilize it to characterize sources that do not produce a magnetic field either above or below the sample, or that are magnetically silent (i.e. no magnetic field anywhere outside the sample). For example, we show that a thin-plate magnetization is silent (i.e. in the kernel) when its normal component is zero and its tangential component is divergence free. In addition, we show that compactly supported magnetizations (i.e. magnetizations that are zero outside of a bounded set in the source plane) that do not produce magnetic fields either above or below the sample are necessarily silent. In particular, neither a nontrivial planar magnetization with fixed direction (unidimensional) compact support nor a bidimensional planar magnetization (i.e. a sum of two unidimensional magnetizations) that is nontangential can be silent. We prove that any planar magnetization distribution is equivalent to a unidimensional one. We also discuss the advantages of mapping the field on both sides of a magnetization, whenever experimentally feasible. Examples of source recovery are given along with a brief discussion of the Fourier-based inversion techniques that are utilized

How to share a quantum secret

We investigate the concept of quantum secret sharing. In a ((k,n)) threshold scheme, a secret quantum state is divided into n shares such that any k of those shares can be used to reconstruct the secret, but any set of k-1 or fewer shares contains absolutely no information about the secret. We show that the only constraint on the existence of threshold schemes comes from the quantum "no-cloning theorem", which requires that n < 2k, and, in all such cases, we give an efficient construction of a ((k,n)) threshold scheme. We also explore similarities and differences between quantum secret sharing schemes and quantum error-correcting codes. One remarkable difference is that, while most existing quantum codes encode pure states as pure states, quantum secret sharing schemes must use mixed states in some cases. For example, if k <= n < 2k-1 then any ((k,n)) threshold scheme must distribute information that is globally in a mixed state.Comment: 5 pages, REVTeX, submitted to PR

The impact of life tables adjusted for smoking on the socio-economic difference in net survival for laryngeal and lung cancer.

BACKGROUND: Net survival is a key measure in cancer control, but estimates for cancers that are strongly associated with smoking may be biased. General population life tables represent background mortality in net survival, but may not adequately reflect the higher mortality experienced by smokers. METHODS: Life tables adjusted for smoking were developed, and their impact on net survival and inequalities in net survival for laryngeal and lung cancers was examined. RESULTS: The 5-year net survival estimated with smoking-adjusted life tables was consistently higher than the survival estimated with unadjusted life tables: 7% higher for laryngeal cancer and 1.5% higher for lung cancer. The impact of using smoking-adjusted life tables was more pronounced in affluent patients; the deprivation gap in 5-year net survival for laryngeal cancer widened by 3%, from 11% to 14%. CONCLUSIONS: Using smoking-adjusted life tables to estimate net survival has only a small impact on the deprivation gap in survival, even when inequalities are substantial. Adjusting for the higher, smoking-related background mortality did increase the estimates of net survival for all deprivation groups, and may be more important when measuring the public health impact of differences or changes in survival, such as avoidable deaths or crude probabilities of death