1,299 research outputs found

    Economics of Marital Instability

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    This paper focuses on the causes of divorce. Section I developsa theoretical analysis of marital dissolution incorporating uncertaintyabout the outcomes of marital decisions into a framework of utilitymaximization and the marriage market. Section II explores the implica-tions of the theoretical analysis with cross-sectional data,primarilythe 1967 Survey of Economic Opportunity and the Terman sample. Therelevance of both the theoretical and empirical analyses in explainingthe recent acceleration in the U.S. divorce rate is discussed.

    Telerehabilitation for aphasia – protocol of a pragmatic, exploratory, pilot randomized controlled trial

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    Background The Cochrane review on the effectiveness of speech and language therapy for aphasia following stroke suggests intensity of therapy is a key predictor for outcome. Current aphasia services cannot provide intervention at the intensity observed within trial contexts because of resource limitations. Telerehabilitation could widen access to speech-language pathologists (SLPs) in geographically remote contexts and reduce the time spent on travel by the therapist and patient. The current academic literature within this field is in its infancy, with few trials of speech and language therapy (SLT) delivered by videoconference. Our pilot randomized controlled trial (RCT) will explore feasibility aspects and effectiveness of telerehabilitation for aphasia in addition to standard SLT. Method/design Our study is a pragmatic, exploratory, pilot randomized controlled trial, where participants will be randomized to a telerehabilitation group or a control group. Both groups receive standard SLT (usual care) but the telerehabilitation group receives an additional 5 h of telerehabilitation per week over 4 weeks through videoconference. This additional telerehabilitation focuses on spoken language with an emphasis on word naming. We aim to include 40 patients in each group, with inclusion criteria being aphasia any time post stroke. Participants will be assessed blindly at pre-randomization (baseline), and 4 weeks and 4 months after randomization. The primary endpoint is naming ability 3 months after the completed intervention, measured by the Norwegian Basic Aphasia Assessment (NGA) naming subtest. Secondary endpoints include other subtests of the NGA, the VAST (Verb and Sentence Test) subtest sentence production, Communicative Effectiveness Index (CETI) and the Stroke and Aphasia Quality of Life scale (SAQOL-39). Experiences of patients and SLPs with telerehabilitation are assessed using questionnaires and semi-structured interviews. Statistical between group comparisons will be in line with an intention-to-treat analysis. Discussion This pilot RCT of intensive language training by videoconference will contribute new scientific evidence to the field of aphasia telerehabilitation. Here, we describe our trial which will explore the feasibility of telerehabilitation for aphasia as an intervention, our choice of primary and secondary outcome measures and proposed analyses. Our trial will provide information for the development and delivery of future definitive RCTs. Trial registration ClinicalTrials.gov, ID: NCT02768922 . Registered on 11 May 2016. Last updated on 17 November 2017

    Mediators and Cytokines in Persistent Allergic Rhinitis and Nonallergic Rhinitis with Eosinophilia Syndrome

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    Background: Patients with nonallergic rhinitis with eosinophilia syndrome (NARES) show typical symptoms of persistent allergic rhinitis (PAR). The aim of the present study was to compare nasal cytokine patterns between NARES and PAR. Methods: Nasal secretions of 31 patients suffering from NARES, 20 patients with PAR to house dust mite and 21 healthy controls were collected using the cotton wool method and analyzed for interleukin (IL)-1 beta, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12, IL-13, IL-17, granulocyte-macrophage colony-stimulating factor (GM-CSF), granulocyte colony-stimulating factor (G-CSF), interferon-gamma (IFN-gamma), tumor necrosis factor-alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1) and macrophage inflammatory protein-1 beta (MIP-1 beta) by Bio-Plex Cytokine Assay as well as eosinophil cationic protein (ECP) and tryptase by UniCAP-FEIA. Results: NARES and PAR presented elevated levels of tryptase, while ECP was markedly increased solely in NARES compared to both the controls and PAR. Elevated levels of IL-1 beta, IL-17, IFN-gamma, TNF-alpha and MCP-1 were found in NARES compared to the controls as well as PAR. MIP-1 beta was elevated in NARES and PAR, while IL-4, IL-6 and G-CSF showed increased levels in NARES, and IL-5 was elevated in PAR only. Conclusions: In patients with NARES and PAR, eosinophils and mast cells appear to be the pivotal cells of inflammation, reflected by high levels of tryptase and ECP as well as IL-5 and GM-CSF as factors for eosinophil migration and survival. The elevated levels of proinflammatory cytokines in NARES may indicate the chronic, self-perpetuating process of inflammation in NARES which seems to be more pronounced than in PAR. IL-17 might be a factor for neutrophilic infiltration or be responsible for remodeling processes in NARES. Copyright (C) 2012 S. Karger AG, Base

    Decoding Complexity: Exploring Human-AI Concordance in Qualitative Coding

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    Qualitative data analysis provides insight into the underlying perceptions and experiences within unstructured data. However, the time-consuming nature of the coding process, especially for larger datasets, calls for innovative approaches, such as the integration of Large Language Models (LLMs). This short paper presents initial findings from a study investigating the integration of LLMs for coding tasks of varying complexity in a real-world dataset. Our results highlight the challenges inherent in coding with extensive codebooks and contexts, both for human coders and LLMs, and suggest that the integration of LLMs into the coding process requires a task-by-task evaluation. We examine factors influencing the complexity of coding tasks and initiate a discussion on the usefulness and limitations of incorporating LLMs in qualitative research

    How did the beginnings of the global COVID-19 pandemic affect mental well-being?

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    The present study aims to investigate longitudinal changes in mental well-being as well as the role of individual differences in personality traits (Big Five) and the level of Personality Organisation during the first lockdown of the COVID-19 pandemic in Germany. Overall, 272 adults (Mage= 36.94, SDage= 16.46; 68.62% female, 23.45% male, 0.69% non-binary) took part in our study with four weekly surveys during the lockdown as well as a follow-up one month after restrictions were lifted. To analyse the development of mental well-being during and shortly after the first lockdown in Germany latent growth curve models (LGCM) were calculated. The considered facets of well-being differ by their trajectory. Additionally, results suggest that the lockdown did not affect all facets to the same extent. While Life Satisfaction decreases in the short term as a reaction to the lockdown, Stress and Psychological Strain were reduced after the second week of contact restrictions. When adding personality characteristics, our results showed that Neuroticism and Conscientiousness were the two dimensions associated most strongly with SWB during the first month of the pandemic. Thus, our research suggests that personality traits should be considered when analysing mental well-being

    EXPRESSION OF A FUNCTIONAL CHIMERIC lg-MHC CLASS II PROTEIN

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    composed of the a- and Ăź-chains of the MHC class I1 I-E molecule fused to antibody V regions derived from anti-human CD4 mAb MT310. Expression vectors were constructed containing the functional, rearranged gene segments coding for the V region domains of the antibody H and L chains in place of the first domains of the complete structural genes of the I-E a- and Ăź-chains, respectively. Celltsr ansfected with both hybrid genes expressed a stable protein product on the cell surface. The chimeric molecule exhibited the idiotype of the antibody MT310 as shown by binding to the anti-idiotypic mAb 20-46. A protein of the anticipated molecular mass was immunoprecipitated witha nti-mouse IgG antiserum. Furthermore, human soluble CD4 did bind to thetr ansfected cell line, demonstrating that the chimeric protein possessed the binding capacity of the original mAb. Thus, the hybrid molecule retained: 1) the properties of a MHC class I1 protein with regardt o correct chain assembly and transport to the cell surface: as well as 2) the Ag binding capacity of the antibody genes used. Thgee neration of hybrid MHC class I1 molecules with highly specific, non-MHC-restricted bindingc apacities will be useful for studying MHC class 11-mediated effector functions such as selection of the T cell repertoire in thymus of transgenic mice

    The Sol-gel process for nano-technologies : new nanocomposites with interesting optical and mechanical properties

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    Various nanocomposite systems have been synthesized by sol-gel routes. For this reason, prefabricated nanoparticles (SiO2 sols or boehmite powder) have been dispersed after surface modification in sol-gel-derived organically modified or polymeric ligand matrices. In all cases, a significant effect on dispersibility by surface modification could be observed. After curing, the mechanical or optical properties depend strongly on the dispersion and surface modification. Using these results, composites to be used in chip coupling and as hard coatings on polycarbonate and CR 39 have been developed
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