12,632 research outputs found
Complexity-entropy analysis at different levels of organization in written language
Written language is complex. A written text can be considered an attempt to
convey a meaningful message which ends up being constrained by language rules,
context dependence and highly redundant in its use of resources. Despite all
these constraints, unpredictability is an essential element of natural
language. Here we present the use of entropic measures to assert the balance
between predictability and surprise in written text. In short, it is possible
to measure innovation and context preservation in a document. It is shown that
this can also be done at the different levels of organization of a text. The
type of analysis presented is reasonably general, and can also be used to
analyze the same balance in other complex messages such as DNA, where a
hierarchy of organizational levels are known to exist
PALLIATIVE CARE ELDERLY PATIENTS WITH SLEEPING DISORDERS ARE POORLY TREATED
Background: Sleep disorders are frequent in patients with advanced cancer receiving palliative-care, especially in elderly patients (1). Sleep disorders during palliative-care may be related with anxiety, opioids related central-sleep apnoea or corticoids therapy between others (2). Our aim was to quantify the effectiveness of hypnotic medication in the sleep quality in advanced cancer receiving palliative-care elderly patients.
Material and methods: A descriptive cross-sectional study was conducted in elderly patients with advanced cancer receiving palliative-care exploring their sleep quantity and quality (approved by Local Ethical Committee). Patients who were in our palliative care program and didn´t have any exclusion criteria: Age below 60 years, with ability to communicate effectively, and without cognitive failure and/or delirium, and/or psychotic illness. The Pittsburgh Sleep Quality Index (PSQI) questionnaire and EVA scales were used to measured sleep quality and pain and anxiety levels. Patient under corticoids treatment were compared with other non-sleep disorders risky treatment. Results are expressed as mean ± sem. and were compared by Student t test and ANOVA test followed by Bonferroni post-test.
Results: Patients, N=138, 63.8% male, aged 70.9±1.1 years old with diagnostic of 28.3% gastro-intestinal, 15.9% mama/gynaecological , 13% pulmonary, 12.3% urinary, 6.5% liver, 4.3% central nervous system, 1.4% pancreatic, and 18.1% others types of terminal cancer were enrolled. Patients were treated with no oncologic treatment (78.3%), chemotherapy (12.3%), radiotherapy (5.1%), hormone therapy (3.6%), or immunotherapy (0.7%). 54.3% were treated with corticoids vs. 20.3% under other sleep disorders risky treatment and 25.4% with no treatment. The sleep disturbances prevalence were 81.2% in the total population and 90.4% in patients treated with corticoids (p<0.05). However a 54.3% of the patients received benzodiazepines, zolpidem or chlormethiazole. 65.2% of the patients need more than three times rescue hypnotic medication during the last week. Bad sleeper showed significantly higher intensity of pain, asthenia, sadness, anxiety, nausea, dyspnea and discomfort.
Discussion: Sleep disorders may be primary or, more commonly, a secondary symptom of the advancing disease process. Multiple pharmacologic and non-pharmacologic interventions may be used for the management of sleep disturbances in palliative medicine. However, many patients do not seek medical attention for sleep disturbances, and health care providers tend to under-diagnose this condition and under-treat it when diagnosed, thus missing an opportunity to improve the quality of life of patients already suffering from the burden of terminal disease. The diversity of patients under palliative care makes management of sleep disorders particularly challenging and highly needed to be individualized.
Conclusion. Elderly patients with advanced cancer subjected to palliative care received insufficient hypnotic medication especially under corticoids co-treatment.
References: (1) Sateia MJ and Lang BJ. 2008. Curr Oncol Rep 10(4):309-18. (2) Yennurajalingam S et al. 2011. J Pain Symptom Manage 41(1):49-56.University of Malaga. Campus of International Excellence Andalucia Tech
About the isocurvature tension between axion and high scale inflationary models
The present work suggests that the isocurvature tension between axion and
high energy inflationary scenarios may be avoided by considering a double field
inflationary model involving the hidden Peccei-Quinn Higgs and the Standard
Model one. Some terms in the lagrangian we propose explicitly violate the
Peccei-Quinn symmetry but, at the present era, their effect is completely
negligible. The resulting mechanism allows a large value for the axion
constant, of the order , thus the axion isocurvature fluctuations
are suppressed even when the scale of inflation is very high, of the
order of . This numerical value is typical in Higgs
inflationary models. An analysis about topological defect formation in this
scenario is also performed, and it is suggested that, under certain
assumptions, their effect is not catastrophic from the cosmological point of
view
A Game Theoretical Approach to Sharing Penalties and Rewards in Projects
This paper analyzes situations in which a project consisting of several activities is not realized according to plan. If the project is expedited, a reward arises. Analogously, a penalty arises if the project is delayed. This paper considers the case of arbitrary monotonic reward and penalty functions on the total expedition and delay, respectively. Attention is focused on how to divide the total reward (penalty) among the activities: the core of a corresponding cooperative project game determines a set of stable allocations of the total reward (penalty). In the definition of project games, surplus (cost) sharing mechanisms are used to take into account the specific characteristics of the reward (penalty) function at hand. It turns outs that project games are related to bankruptcy and taxation games. This relation allows us to establish the nonemptiness of the core of project games.Project planning;delay;expedition;cost sharing mechanism;surplus sharing mechanism;bankruptcy problems;taxation problems;cooperative game;core
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