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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 âinsiderâ 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, patientsâ 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
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
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,
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
Post-Impact Thermal Evolution of Porous Planetesimals
Impacts between planetesimals have largely been ruled out as a heat source in
the early Solar System, by calculations that show them to be an inefficient
heat source and unlikely to cause global heating. However, the long-term,
localized thermal effects of impacts on planetesimals have never been fully
quantified. Here, we simulate a range of impact scenarios between planetesimals
to determine the post-impact thermal histories of the parent bodies, and hence
the importance of impact heating in the thermal evolution of planetesimals. We
find on a local scale that heating material to petrologic type 6 is achievable
for a range of impact velocities and initial porosities, and impact melting is
possible in porous material at a velocity of > 4 km/s. Burial of heated
impactor material beneath the impact crater is common, insulating that material
and allowing the parent body to retain the heat for extended periods (~
millions of years). Cooling rates at 773 K are typically 1 - 1000 K/Ma,
matching a wide range of measurements of metallographic cooling rates from
chondritic materials. While the heating presented here is localized to the
impact site, multiple impacts over the lifetime of a parent body are likely to
have occurred. Moreover, as most meteorite samples are on the centimeter to
meter scale, the localized effects of impact heating cannot be ignored.Comment: 38 pages, 9 figures, Revised for Geochimica et Cosmochimica Acta
(Sorry, they do not accept LaTeX
Parametrized post-Newtonian virial theorem
Using the parametrized post-Newtonian equations of hydrodynamics, we derive
the tensor form of the parametrized post-Newtonian virial theorem.Comment: 10 pages, submitted to CQ
Wiring Viterbi decoders (splitting deBruijn graphs)
A new Viterbi decoder, capable of decoding convolutional codes with constraint lengths up to 15, is under development for the Deep Space Network (DSN). A key feature of this decoder is a two-level partitioning of the Viterbi state diagram into identical subgraphs. The larger subgraphs correspond to circuit boards, while the smaller subgraphs correspond to Very Large Scale Integration (VLSI) chips. The full decoder is built from identical boards, which in turn are built from identical chips. The resulting system is modular and hierarchical. The decoder is easy to implement, test, and repair because it uses a single VLSI chip design and a single board design. The partitioning is completely general in the sense that an appropriate number of boards or chips may be wired together to implement a Viterbi decoder of any size greater than or equal to the size of the module
Superposition as memory: unlocking quantum automatic complexity
Imagine a lock with two states, "locked" and "unlocked", which may be
manipulated using two operations, called 0 and 1. Moreover, the only way to
(with certainty) unlock using four operations is to do them in the sequence
0011, i.e., where . In this scenario one might think that the
lock needs to be in certain further states after each operation, so that there
is some memory of what has been done so far. Here we show that this memory can
be entirely encoded in superpositions of the two basic states "locked" and
"unlocked", where, as dictated by quantum mechanics, the operations are given
by unitary matrices. Moreover, we show using the Jordan--Schur lemma that a
similar lock is not possible for .
We define the semi-classical quantum automatic complexity of a
word as the infimum in lexicographic order of those pairs of nonnegative
integers such that there is a subgroup of the projective unitary
group PU with and with such that, in terms of a
standard basis and with , we have
and for all with . We show that is
unbounded and not constant for strings of a given length. In particular, and
.Comment: Lecture Notes in Computer Science, UCNC (Unconventional Computation
and Natural Computation) 201
The physics of twisted magnetic tubes rising in a stratified medium: two dimensional results
The physics of a twisted magnetic flux tube rising in a stratified medium is
studied using a numerical MHD code. The problem considered is fully
compressible (no Boussinesq approximation), includes ohmic resistivity, and is
two dimensional, i.e., there is no variation of the variables in the direction
of the tube axis. We study a high plasma beta case with small ratio of radius
to external pressure scaleheight. The results obtained can therefore be of
relevance to understand the transport of magnetic flux across the solar
convection zone.Comment: To be published in ApJ, Vol. 492, Jan 10th, 1998; 25 pages, 16
figures. NEW VERSION: THE PREVIOUS ONE DIDN'T PRINT CORRECTLY. The style file
overrulehere.sty is include
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