Validation of the Chinese Version of the Problem Areas in Diabetes (PAID-C) Scale

OBJECTIVE To examine the psychometric properties of a Chinese version of the Problem Areas In Diabetes (PAID-C) scale.\ud \ud RESEARCH DESIGN AND METHODS The reliability and validity of the PAID-C were evaluated in a convenience sample of 205 outpatients with type 2 diabetes. Confirmatory factor analysis, Bland-Altman analysis, and Spearman's correlations facilitated the psychometric evaluation.\ud \ud RESULTS Confirmatory factor analysis confirmed a one-factor structure of the PAID-C (χ2/df ratio = 1.894, goodness-of-fit index = 0.901, comparative fit index = 0.905, root mean square error of approximation = 0.066). The PAID-C was associated with A1C (rs = 0.15; P < 0.05) and diabetes self-care behaviors in general diet (rs = −0.17; P < 0.05) and exercise (rs = −0.17; P < 0.05). The 4-week test-retest reliability demonstrated satisfactory stability (rs = 0.83; P < 0.01).\ud \ud CONCLUSIONS The PAID-C is a reliable and valid measure to determine diabetes-related emotional distress in Chinese people with type 2 diabetes

Possible Treatment of Parkinson's Disease with Intrathecal Medication in the MPTP Model

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73916/1/j.1749-6632.1988.tb31828.x.pd

Stellar-Mass Black Holes in the Solar Neighborhood

We search for nearby, isolated, accreting, ``stellar-mass'' (3 to $100M_\odot$) black holes. Models suggest a synchrotron spectrum in visible wavelengths and some emission in X-ray wavelengths. Of 3.7 million objects in the Sloan Digital Sky Survey Early Data Release, about 150,000 objects have colors and properties consistent with such a spectrum, and 87 of these objects are X-ray sources from the ROSAT All Sky Survey. Thirty-two of these have been confirmed not to be black-holes using optical spectra. We give the positions and colors of these 55 black-hole candidates, and quantitatively rank them on their likelihood to be black holes. We discuss uncertainties the expected number of sources, and the contribution of blackholes to local dark matter.Comment: Replaced with version accepted by ApJ. 40 pages, 8 figure

Cosmic Renaissance: The First Sources of Light

I review recent progress in understanding the formation of the first stars and quasars. The initial conditions for their emergence are given by the now firmly established model of cosmological structure formation. Numerical simulations of the collapse and fragmentation of primordial gas indicate that the first stars formed at redshifts z ~ 20 - 30, and that they were predominantly very massive, with M_* > 100 M_sun. Important uncertainties, however, remain. Paramount among them is the accretion process, which builds up the final stellar mass by incorporating part of the diffuse, dust-free envelope into the central protostellar core. The first quasars, on the other hand, are predicted to have formed later on, at z ~ 10, in more massive dark matter halos, with total masses, ~ 10^8 M_sun, characteristic of dwarf galaxies.Comment: 16 pages, 7 figures, invited review, to appear in PASP, Feb. 200

Discreet element modeling of under sleeper pads using a box test

It has recently been reported that under sleeper pads (USPs) could improve ballasted rail track by decreasing the sleeper settlement and reducing particle breakage. In order to find out what happens at the particle-pad interface, discrete element modelling (DEM) is used to provide micro mechanical insight. The same positive effects of USP are found in the DEM simulations. The evidence provided by DEM shows that application of a USP allows more particles to be in contact with the pad, and causes these particles to transfer a larger lateral load to the adjacent ballast but a smaller vertical load beneath the sleeper. This could be used to explain why the USP helps to reduce the track settlement. In terms of particle breakage, it is found that most breakage occurs at the particle-sleeper interface and along the main contact force chains between particles under the sleeper. The use of USPs could effectively reduce particle abrasion that occurs in both of these regions

Searching for stellar mass black holes in the solar neighborhood

We propose a strategy for searching for isolated stellar mass black holes in the solar neighborhood with the Sloan Digital Sky Survey. Due to spherical accretion of the inter-stellar medium and the ambient magnetic field, an isolated black hole is expected to emit a blended, thermal synchrotron spectrum with a roughly flat peak from the optical down to the far infra-red. We find that the Sloan Survey will be able to detect isolated black holes, in the considered mass range of 1--100$M_{\odot}$, out to a few hundred parsecs, depending on the local conditions of the ISM. We also find that the black holes are photmetrically distinguishable from field stars and they have a photometry similar to QSOs. They can be further singled out from QSO searches because they have a featureless spectrum with no emission lines. The Sloan Survey will likely find hundreds of objects that meet these criteria, and to further reduce the number of candidates, we suggest other selection criteria such as infra-red searches and proper motion measurements. Estimates indicate that dozens of black holes may exist out to a few hundred parsecs. If no black hole candidates are found in this survey, important limits can be placed on the local density of black holes and the halo fraction in black holes, especially for masses greater than about $20 M_{\odot}$.Comment: Latex, 7 pages, 3 postscript figures, submitted to ApJ Letters. Also available at http://fnas08.fnal.gov

Tropical river suspended sediment and solute dynamics in storms during an extreme drought

Droughts, which can strongly affect both hydrologic and biogeochemical systems, are projected to become more prevalent in the tropics in the future. We assessed the effects of an extreme drought during 2015 on stream water composition in the Luquillo Mountains of Puerto Rico. We demonstrated that drought base flow in the months leading up to the study was sourced from trade-wind orographic rainfall, suggesting a resistance to the effects of an otherwise extreme drought. In two catchments (Mameyes and Icacos), we sampled a series of four rewetting events that partially alleviated the drought. We collected and analyzed dissolved constituents (major cations and anions, organic carbon, and nitrogen) and suspended sediment (inorganic and organic matter (particulate organic carbon and particulate nitrogen)). The rivers appeared to be resistant to extreme drought, recovering quickly upon rewetting, as (1) the concentration-discharge (C-Q) relationships deviated little from the long-term patterns; (2) “new water” dominated streamflow during the latter events; (3) suspended sediment sources had accumulated in the channel during the drought flushed out during the initial events; and (4) the severity of the drought, as measured by the US drought monitor, was reduced dramatically after the rewetting events. Through this interdisciplinary study, we were able to investigate the impact of extreme drought through rewetting events on the river biogeochemistry