Bibliotherapy: tracing the roots of a moral therapy movement in the United States from the early nineteenth century to the present

Introduction: Hospital libraries, including ones designed for patient use, share a common history with hospitals in the evolution of health care delivery 1. The library as a component of the early “insane asylum” in the United States is well documented, and many had been established by the mid-nineteenth century. While these libraries certainly existed as a means of recreation for asylum patients, this historical communication will demonstrate they also served as a center for “bibliotherapy,” the use of reading as a means of healing

Triceps Activation Amplitudes during Functional Activities

Objective: To investigate the muscular activation amplitudes of three regions of triceps musculature during functional activities. We hypothesized that the medial and lateral triceps would be greatest in the terminal 30° arc of extension activities. Design: Cross sectional. Setting: Musculoskeletal Clinical Laboratory. Participants: 20 healthy subjects recruited from a sample of convenience. Intervention: Fine wire electromyograhical (EMG) electrodes were placed into the medial, central, and lateral triceps to measure muscular activation amplitude and two dimensional electrogoniometric kinematic activity was recorded during functional activities associated with activities of daily living. Main Outcome Measure(s): Root mean squared amplitudes of triceps muscles normalized to maximal voluntary isometric contractions that are sub-divided into 30° arcs of motion. Results: The medial triceps generated significantly more EMG activity during the terminal 30° arc of supine extension (54±11%MVIC, p\u3c.05) and during the pushing activity (29±7% MVIC, p\u3c.01). The lateral triceps remained relatively constant throughout all arcs, while the central triceps consistently generated the lowest EMG activation level across all functional tasks. Conclusion: The hypothesis is partially supported as the medial triceps generated more activity in two of the three tasks during the terminal 30° of extension. The lateral portion is activated consistently throughout the extension motion and acts as a dynamic stabilizer during extension activities. These results indicate that the constant activity of the lateral insertion of the triceps, in conjunction with the terminal extension activity of the medial insertion, play a primary role in terminal elbow extension, especially in anti-gravity and load bearing activities. This new data has implications for surgical approaches to the elbow, management of elbow injuries, and rehabilitation of this joint

Cross-language frame semantics transfer in bilingual corpora

Abstract. Recent work on the transfer of semantic information across languages has been recently applied to the development of resources annotated with Frame information for different non-English European languages. These works are based on the assumption that parallel corpora annotated for English can be used to transfer the semantic information to the other target languages. In this paper, a robust method based on a statistical machine translation step augmented with simple rule-based post-processing is presented. It alleviates problems related to preprocessing errors and the complex optimization required by syntax-dependent models of the cross-lingual mapping. Different alignment strategies are here in-vestigated against the Europarl corpus. Results suggest that the quality of the de-rived annotations is surprisingly good and well suited for training semantic role labeling systems.

Variation in use of the 2-week referral pathway for suspected cancer: cross-sectional analysis

Background: A 2-Week Wait (2WW) referral pathway for earlier diagnosis of suspected cancer was introduced in England in 2000. Nevertheless, a significant proportion of patients with cancer are diagnosed by other routes (detection rate), only a small proportion of 2WW referrals have cancer (conversion rate) and there is considerable between-practice variation. Aim: This study examined use by practices of the 2WW referral in relation to all cancer diagnoses. Design and setting: A cross-sectional analysis of data extracted from the Cancer Waiting Times Database for all 2WW referrals in 2009 and for all patients receiving a first definitive treatment in the same year. Method: The age standardised referral ratio, conversion rate, and detection rate were calculated for all practices in England and the correlation coefficient for each pair of measures. The median detection rate was calculated for each decile of practices ranked by conversion rate and vice versa, performing nonparametric tests for trend in each case. Results: Data for 8049 practices, 865 494 referrals, and 224 984 cancers were analysed. There were significant correlations between referral ratio and conversion rate (inverse) and detection rate (direct). There was also a direct correlation between conversion and detection rates. There was a significant trend in conversion rate for deciles of detection rate, and vice versa, with a marked difference between the lowest and higher deciles. Conclusion: There is a consistent relationship between 2WW referral conversion rate and detection rate that can be interpreted as representing quality of clinical practice. The 2WW referral rate should not be a measure of quality of clinical care

Constitutive Soil Properties for Unwashed Sand and Kennedy Space Center

Accurate soil models are required for numerical simulations of land landings for the Orion Crew Exploration Vehicle. This report provides constitutive material models for one soil, unwashed sand, from NASA Langley's gantry drop test facility and three soils from Kennedy Space Center (KSC). The four soil models are based on mechanical and compressive behavior observed during geotechnical laboratory testing of remolded soil samples. The test specimens were reconstituted to measured in situ density and moisture content. Tests included: triaxial compression, hydrostatic compression, and uniaxial strain. A fit to the triaxial test results defines the strength envelope. Hydrostatic and uniaxial tests define the compressibility. The constitutive properties are presented in the format of LS-DYNA Material Model 5: Soil and Foam. However, the laboratory test data provided can be used to construct other material models. The four soil models are intended to be specific to the soil conditions discussed in the report. The unwashed sand model represents clayey sand at high density. The KSC models represent three distinct coastal sand conditions: low density dry sand, high density in-situ moisture sand, and high density flooded sand. It is possible to approximate other sands with these models, but the results would be unverified without geotechnical tests to confirm similar soil behavior

Constitutive Soil Properties for Cuddeback Lake, California and Carson Sink, Nevada

Accurate soil models are required for numerical simulations of land landings for the Orion Crew Exploration Vehicle. This report provides constitutive material modeling properties for four soil models from two dry lakebeds in the western United States. The four soil models are based on mechanical and compressive behavior observed during geotechnical laboratory testing of remolded soil samples from the lakebeds. The test specimens were reconstituted to measured in situ density and moisture content. Tests included: triaxial compression, hydrostatic compression, and uniaxial strain. A fit to the triaxial test results defines the strength envelope. Hydrostatic and uniaxial tests define the compressibility. The constitutive properties are presented in the format of LS-DYNA Material Model 5: Soil and Foam. However, the laboratory test data provided can be used to construct other material models. The four soil models are intended to be specific only to the two lakebeds discussed in the report. The Cuddeback A and B models represent the softest and hardest soils at Cuddeback Lake. The Carson Sink Wet and Dry models represent different seasonal conditions. It is possible to approximate other clay soils with these models, but the results would be unverified without geotechnical tests to confirm similar soil behavior

A novel methodology for in vivo endoscopic phenotyping of colorectal cancer based on real-time analysis of the mucosal lipidome: a prospective observational study of the iKnife

Background: This pilot study assessed the diagnostic accuracy of rapid evaporative ionization mass spectrometry (REIMS) in colorectal cancer (CRC) and colonic adenomas. Methods: Patients undergoing elective surgical resection for CRC were recruited at St. Mary’s Hospital London and The Royal Marsden Hospital, UK. Ex vivo analysis was performed using a standard electrosurgery handpiece with aspiration of the electrosurgical aerosol to a Xevo G2-S iKnife QTof mass spectrometer (Waters Corporation). Histological examination was performed for validation purposes. Multivariate analysis was performed using principal component analysis and linear discriminant analysis in Matlab 2015a (Mathworks, Natick, MA). A modified REIMS endoscopic snare was developed (Medwork) and used prospectively in five patients to assess its feasibility during hot snare polypectomy. Results: Twenty-eight patients were recruited (12 males, median age 71, range 35–89). REIMS was able to reliably distinguish between cancer and normal adjacent mucosa (NAM) (AUC 0.96) and between NAM and adenoma (AUC 0.99). It had an overall accuracy of 94.4 % for the detection of cancer versus adenoma and an adenoma sensitivity of 78.6 % and specificity of 97.3 % (AUC 0.99) versus cancer. Long-chain phosphatidylserines (e.g., PS 22:0) and bacterial phosphatidylglycerols were over-expressed on cancer samples, while NAM was defined by raised plasmalogens and triacylglycerols expression and adenomas demonstrated an over-expression of ceramides. REIMS was able to classify samples according to tumor differentiation, tumor budding, lymphovascular invasion, extramural vascular invasion and lymph node micrometastases (AUC’s 0.88, 0.87, 0.83, 0.81 and 0.81, respectively). During endoscopic deployment, colonoscopic REIMS was able to detect target lipid species such as ceramides during hot snare polypectomy. Conclusion: REIMS demonstrates high diagnostic accuracy for tumor type and for established histological features of poor prognostic outcome in CRC based on a multivariate analysis of the mucosal lipidome. REIMS could augment endoscopic and imaging technologies for precision phenotyping of colorectal cancer

Exploiting Lexical Conceptual Structure for paraphrase generation

Abstract. Lexical Conceptual Structure (LCS) represents verbs as semantic structures with a limited number of semantic predicates. This paper attempts to exploit how LCS can be used to explain the regularities underlying lexical and syntactic paraphrases, such as verb alternation, compound word decomposition, and lexical derivation. We propose a paraphrase generation model which transforms LCSs of verbs, and then conduct an empirical experiment taking the paraphrasing of Japanese light-verb constructions as an example. Experimental results justify that syntactic and semantic properties of verbs encoded in LCS are useful to semantically constrain the syntactic transformation in paraphrase generation.

Abdominal cancer symptoms: evaluation of the impact of a regional public awareness campaign.

Objective: A regional ‘Be Clear on Cancer’ (BCoC) campaign developed by Public Health England aimed to promote public awareness of key abdominal cancer symptoms in people aged 50 years and over. Methods: Data were analysed for metrics at different stages in the patient care pathway including public awareness, GP attendance and referrals, to cancer diagnosis. Results: There was significantly higher recognition of the BCoC abdominal campaign in the campaign region compared to the control area (Post Campaign/Control, n = 401/406; 35% vs. 24%, p [less than] 0.05). The campaign significantly improved knowledge of ‘bloating’ as a symptom (p = 0.03) compared to pre-campaign levels. GP attendances for abdominal symptoms increased significantly by 5.8% (p = 0. 03), although the actual increase per practice was small (average 16.8 visits per week in 2016 to 17.7 in 2017). Urgent GP referrals for suspected abdominal cancer increased by 7.6%, compared to a non-significant change (0.05%) in the control area. For specific abdominal cancers, the number diagnosed were similar to or higher than the median in the campaign area but not in the control area in people aged 50 and over: colorectal (additional n = 61 cancers), pancreatic (additional n = 102) and stomach cancers (additional n = 17). Conclusions: This campaign had a modest impact on public awareness of abdominal cancer symptoms, GP attendances and cancers diagnosed