Coming Out Late:The Impact on Individuals\u27 Social Networks

Social support is a key factor influencing older adults’ health and well-being. Disclosing one’s lesbian, gay, or bisexual identity at any age has great potential for altering, if not destroying, existing relationships with family, friends, and others. With long-established social roles and personal relationships, the potential risks may be accentuated for those who come out in mid- or later-life. Yet, researchers have paid scant attention to this phenomenon. This exploratory qualitative study examines the impact of coming out “late” on older adults’ social networks. In-depth interviews were conducted with a sample of fourteen older adults who disclosed their non-heterosexual identity at or after age 39. Interviews inquired about participants’ past and present social networks and the coming out process, particularly the influence of coming out “off time.” Findings show coming out is a dynamic, continuous, and non-linear process that simultaneously characterizes and is characterized by social network gains and losses

Moment Analysis and Zipf Law

The moment analysis method and nuclear Zipf's law of fragment size distributions are reviewed to study nuclear disassembly. In this report, we present a compilation of both theoretical and experimental studies on moment analysis and Zipf law performed so far. The relationship of both methods to a possible critical behavior or phase transition of nuclear disassembly is discussed. In addition, scaled factorial moments and intermittency are reviewed.Comment: Caption of Fig.6 was corrected. Review paper for WCI (World Consensus Initiative) Book "Dynamics and Thermodynamics with Nuclear Degrees of Freedom", published in Euorpean Physics Journal A as part of the Topical Volume. 16 pages, 21 figure

A Bayesian localised conditional auto-regressive model for estimating the health effects of air pollution

Estimation of the long-term health effects of air pollution is a challenging task, especially when modeling spatial small-area disease incidence data in an ecological study design. The challenge comes from the unobserved underlying spatial autocorrelation structure in these data, which is accounted for using random effects modeled by a globally smooth conditional autoregressive model. These smooth random effects confound the effects of air pollution, which are also globally smooth. To avoid this collinearity a Bayesian localized conditional autoregressive model is developed for the random effects. This localized model is flexible spatially, in the sense that it is not only able to model areas of spatial smoothness, but also it is able to capture step changes in the random effects surface. This methodological development allows us to improve the estimation performance of the covariate effects, compared to using traditional conditional auto-regressive models. These results are established using a simulation study, and are then illustrated with our motivating study on air pollution and respiratory ill health in Greater Glasgow, Scotland in 2011. The model shows substantial health effects of particulate matter air pollution and nitrogen dioxide, whose effects have been consistently attenuated by the currently available globally smooth models

Determinants of General Practitioners' Wages in England

We analyse the determinants of annual net income and wages (annual net income/hours) of general practitioners (GPs) using a unique, anonymised, non-disclosive dataset derived from tax returns for 21,657 GPs in England for the financial year 2002/3. The average GP had a gross income of £189,300, incurred expenses of £115,600, and earned an annual net income of £73,700. The mean wage was £35 per hour. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether or not they worked in a Primary Medical Service (PMS) practice, and the characteristics of the local population (limiting long term illness rate, proportion from ethnic minorities, population density, Index of Multiple Deprivation 2000). The findings have implications for discrimination by GP gender and country of qualification, economies of scale by practice size, incentives for competition for patients, compensating differentials for local population characteristics, and the attractiveness of PMS versus General Medical Services contracts.Physician, family. General practitioner. Income. Wages. Contract.

The Nature of the Chemical Process. 1. Symmetry Evolution - Revised Information Theory, Similarity Principle and Ugly Symmetry

Three laws of information theory have been proposed. Labeling by introducing nonsymmetry and formatting by introducing symmetry are defined. The function L (L=lnw, w is the number of microstates, or the sum of entropy and information, L=S+I) of the universe is a constant (the first law of information theory). The entropy S of the universe tends toward a maximum (the second law law of information theory). For a perfect symmetric static structure, the information is zero and the static entropy is the maximum (the third law law of information theory). Based on the Gibbs inequality and the second law of the revised information theory we have proved the similarity principle (a continuous higher similarity-higher entropy relation after the rejection of the Gibbs paradox) and proved the Curie-Rosen symmetry principle (a higher symmetry-higher stability relation) as a special case of the similarity principle. Some examples in chemical physics have been given. Spontaneous processes of all kinds of molecular interaction, phase separation and phase transition, including symmetry breaking and the densest molecular packing and crystallization, are all driven by information minimization or symmetry maximization. The evolution of the universe in general and evolution of life in particular can be quantitatively considered as a series of symmetry breaking processes. The two empirical rules - similarity rule and complementarity rule - have been given a theoretical foundation. All kinds of periodicity in space and time are symmetries and contribute to the stability. Symmetry is beautiful because it renders stability. However, symmetry is in principle ugly because it is associated with information loss.Comment: 29 pages, 14 figure

Uterus at a price: Disability insurance and hysterectomy

Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, referred to as inducement and timing effects. Using National Health Insurance data between 1997 and 2011, we estimate these effects on surgery hazards by difference-in-difference and bunching-smoothing polynomial methods. For Government Employee and Labor Insurance, inducement is 11-12% of all hysterectomies, and timing 20% of inducement. For oophorectomies, both effects are insignificant. Enrollees' behaviors are consistent with rational choices. Each surgery qualifies an enrollee for the same benefit, but oophorectomy has more adverse health consequences than hysterectomy. Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5 pap smears per enrollee.Accepted manuscrip

Information entropy in fragmenting systems

The possibility of facing critical phenomena in nuclear fragmentation is a topic of great interest. Different observables have been proposed to identify such a behavior, in particular, some related to the use of information entropy as a possible signal of critical behavior. In this work we critically examine some of the most widespread used ones comparing its performance in bond percolation and in the analysis of fragmenting Lennard Jones Drops.Comment: 3 pages, 3 figure

Primary and submovement control of aiming in C6 tetraplegics following posterior deltoid transfer

Background: Upper limb motor control in fast, goal-directed aiming is altered in tetraplegics following posterior-deltoid musculotendinous transfer. Specifically, movements have similar end-point accuracy but longer duration and lower peak velocity than those of age-matched, neurotypical controls. Here, we examine in detail the interplay between primary movement and submovement phases in five C6 tetraplegic and five control participants. Methods: Aiming movements were performed in two directions (20 cm away or toward), with or without vision. Trials that contained a submovement phase (i.e., discontinuity in velocity, acceleration or jerk) were identified. Discrete kinematic variables were then extracted on the primary and submovements phases. Results: The presence of submovements did not differ between the tetraplegic (68%) and control (57%) groups, and almost all submovements resulted from acceleration and jerk discontinuities. Tetraplegics tended to make a smaller amplitude primary movement, which had lower peak velocity and greater spatial variability at peak velocity. This was followed by a larger amplitude and longer duration secondary submovement. Peak velocity of primary movement was not related to submovement incidence. Together, the primary and submovement phases of both groups were equally effective in reducing end-point error. Conclusions: C6 tetraplegic participants exhibit some subtle differences in measures of motor behaviour compared to control participants, but importantly feedforward and feedback processes work effectively in combination to achieve accurate goal-directed aiming. Keywords: Tetraplegia, Aiming, Submovement, Upper-limb control, Muscle transfe