How do adults with cystic fibrosis cope following a diagnosis of diabetes?

The official published version of the article can be obtained from the link below.Aim. This paper is a report of a study examining the experience of adults with cystic fibrosis in adapting to the diagnosis of diabetes, a second chronic illness. Background. Diabetes is a common complication of cystic fibrosis; the onset signifies the development of a second chronic illness. Both cystic fibrosis and diabetes are complex conditions, which require daily treatment schedules as part of their management. However, it is unclear how people already living with cystic fibrosis respond to the diagnosis of diabetes. Method. A qualitative method was chosen to obtain an ‘insider’ experience of adjusting to a second chronic illness. Semi-structured interviews were conducted in 2004 with 22 adults with cystic fibrosis-related diabetes. The data were analysed using interpretative phenomenological analysis. Findings. Four recurring themes were identified: emotional response to diagnosis of diabetes, looking for an understanding, learning to live with diabetes, and limiting the impact of diagnosis. Having cystic fibrosis appeared helpful in limiting the impact of the diagnosis of diabetes. Juggling conflicting dietary demands of cystic fibrosis and diabetes coupled with the lack of practical professional advice available was seen as one of the biggest challenges in adapting to diabetes. Conclusion. Healthcare professionals need increased awareness of diabetes amongst adults with cystic fibrosis and provide adequate support and structured evidence-based education throughout the course of the illness, particularly in relation to diet. Nevertheless, patients’ familiarity with regular daily routines and problem-solving attitudes, already developed in the context of cystic fibrosis, may be drawn on to limit the impact of diabetes

Low density gas dynamic wall boundary conditions

Low density nozzles or large expansion ratio nozzles used in space experience rarefaction effects near their exit in the form of velocity slip and temperature jump at the walls. In addition, the boundary layers become very thick and there is a very strong viscous/inviscid interaction. For these reasons no existing design technique has been found to accurately predict the nozzle flow properties up to the nozzle exit. The objective of this investigation was to examine the slip boundary conditions and formulate them in a form appropriate for use with a full Navier-Stokes numerical code. The viscous/inviscid interaction would automatically be accounted for by using a compressible Navier-Stokes code. Through examination of the interaction of molecules with solid surfaces, a model for the distribution function of the reflected molecules has been determined and this distribution function has been used to develop a new slip boundary condition that can be shown to yield more realistic surface boundary conditions

Protoplanet Dynamics in a Shear-Dominated Disk

The velocity dispersion, or eccentricity distribution, of protoplanets interacting with planetesimals is set by a balance between dynamical friction and viscous stirring. We calculate analytically the eccentricity distribution function of protoplanets embedded in a cold, shear-dominated planetesimal swarm. We find a distinctly non-Rayleigh distribution with a simple analytical form. The peak of the distribution lies much lower than the root-mean-squared value, indicating that while most of the bodies have similarly small eccentricities, a small subset of the population contains most of the thermal energy. We also measure the shear-dominated eccentricity distribution using numerical simulations. The numerical code treats each protoplanet explicitly and adds an additional force term to each body to represent the dynamical friction of the planetesimals. Without fitting any parameters, the eccentricity distribution of protoplanets in the N-body simulation agrees with the analytical results. This distribution function provides a useful tool for testing hybrid numerical simulations of late-stage planet formation.Comment: 8 pages, 2 figure

Inclusive Diffraction at HERA

New precision measurements of inclusive diffractive deep-inelastic ep scattering interactions, performed by the H1 and ZEUS collaborations at the HERA collider, are discussed. A new set of diffractive parton distributions, determined from recent high precision H1 data, is presented.Comment: 5 pages, to appear in the proceedings of the 31st Intl. Conference on High Energy Physics ICHEP 2002, Amsterdam, July 200

Structure Functions are not Parton Probabilities

We explain why contrary to common belief, the deep inelastic scattering structure functions are not related to parton probabilities in the target.Comment: 4 pages. Invited talk presented during the `International Light-Cone Workshop', Trento, ECT, September 3-11, 2001. Updated Report-Number

Calculation of TMD Evolution for Transverse Single Spin Asymmetry Measurements

The Sivers transverse single spin asymmetry (TSSA) is calculated and compared at different scales using the TMD evolution equations applied to previously existing extractions. We apply the Collins-Soper-Sterman (CSS) formalism, using the version recently developed by Collins. Our calculations rely on the universality properties of TMD-functions that follow from the TMD-factorization theorem. Accordingly, the non-perturbative input is fixed by earlier experimental measurements, including both polarized semi-inclusive deep inelastic scattering (SIDIS) and unpolarized Drell-Yan (DY) scattering. It is shown that recent COMPASS measurements are consistent with the suppression prescribed by TMD evolution.Comment: 4 pages, 2 figures. Version published in Physical Review Letter

Spin effects in the fragmentation of a transversely polarized quark

An azimuthal dependence of pions produced in polarized Deep Inelastic Scattering, gamma^* - p(transv. polarized) -> pion + X, has been recently observed and might be related to the so-called Collins effect. We discuss in details, for a general spin configuration of the nucleon, the kinematics of the process and methods of extracting information on the fragmentation properties of a polarized quark. Assuming that the observed azimuthal dependence is indeed due to Collins effect, we derive a lower bound estimate for the size of the quark analysing power, which turns out to be large.Comment: 18+1 pages, LaTeX, 5 eps figures, uses epsfig.sty; v2: Some technical problems in dimensions of Figs. 2 and 3 remove

Measuring transversity densities in singly polarized hadron-hadron and lepton-hadron collisions

We show how the transverse polarization of a quark initiating a jet can be probed by the azimuthal distribution of two hadrons (of large $z$) in the jet. This permits a twist 2 asymmetry in hard processes when only one of the initial particles is polarized transversely. Applications to hadron-hadron and lepton-hadron scattering are discussed.Comment: 16 pages, LaTeX + EPSF, 2 postscript figures. PSU/TH/10

GRANGER CAUSALITY AND U.S. CROP AND LIVESTOCK PRICES

Agricultural economists have recently been attracted to procedures suggested by Granger and others which allow observed data to reveal causal relationships. Results of this study indicate that "causality" tests can be ambiguous in identifying behavioral relationships between agricultural price variables. Caution is suggested when using such procedures for model choice.Demand and Price Analysis,