Assessing somatization in urologic chronic pelvic pain syndrome

BACKGROUND: This study examined the prevalence of somatization disorder in Urological Chronic Pelvic Pain Syndrome (UCPPS) and the utility of two self-report symptom screening tools for assessment of somatization in patients with UCPPS. METHODS: The study sample included 65 patients with UCPPS who enrolled in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Study at Washington University. Patients completed the PolySymptomatic PolySyndromic Questionnaire (PSPS-Q) (n = 64) and the Patient Health Questionnaire-15 Somatic Symptom Severity Scale (PHQ-15) (n = 50). Review of patient medical records found that only 47% (n = 30) contained sufficient documentation to assess Perley-Guze criteria for somatization disorder. RESULTS: Few (only 6.5%) of the UCPPS sample met Perley-Guze criteria for definite somatization disorder. Perley-Guze somatization disorder was predicted by definite PSPS-Q somatization with at least 75% sensitivity and specificity. Perley-Guze somatization disorder was predicted by severe (\u3e 15) PHQ-15 threshold that had \u3e 90% sensitivity and specificity but was met by only 16% of patients. The moderate (\u3e 10) PHQ-15 threshold had higher sensitivity (100%) but lower specificity (52%) and was met by 52% of the sample. CONCLUSIONS: The PHQ-15 is brief, but it measures symptoms constituting only one dimension of somatization. The PSPS-Q uniquely captures two conceptual dimensions inherent in the definition of somatization disorder, both number of symptoms and symptom distribution across multiple organ systems, with relevance for UCPPS as a syndrome that is not just a collection of urological symptoms but a broader syndrome with symptoms extending beyond the urological system

Employers' Attitudes and Practices on the Hiring of Immigrants

A social issue to emerge in relation to skilled immigration is the severe difficulties many immigrants encounter in finding employment. A mixed method study on employers’ experiences, practices and policy regarding employing recent immigrants was conducted. A postal survey produced 246 questionnaires (previously reported). Follow-up unstructured interview were conducted with a sub-et of 19 employers who wished to further discuss the matter, the focus of this paper. Results showed that in spite of overall positive experiences with immigrant employees, when recruiting employers were influenced to a large extent by previous New Zealand work experience and to a slightly lesser extent by New Zealand qualifications. When practices of recruiting were discussed in the interviews, a complex web of reasoning on the part of employers emerged that had the end result of severely disadvantaging immigrant applicants, particularly those from non-English speaking countries, relative to New Zealander applicants The issues raised by employers that were used to the detriment of immigrant applicants included English language and communication, cultured fit and the manner in which immigrants approached companies for employment. Interview participants also commented on how immigrants could make themselves more employable, advice that paradoxically highlighted the Catch-22 situation many immigrant applicants find themselves in. Research is needed into the dimensions of disadvantage faced by immigrants, including the real differences and their impacts between local and immigrant applicants. Research is also needed into mangers’ and work teams’ acceptance and management of diversity in the workplace

XML Labels Compression using Prefix-Encodings

XML is the de-facto standard for data representation and communication over the web, and so there is a lot of interest in querying XML data and most approaches require the data to be labelled to indicate structural relationships between elements. This is simple when the data does not change but complex when it does. In the day-to-day management of XML databases over the web, it is usual that more information is inserted over time than deleted. Frequent insertions can lead to large labels which have a detrimental impact on query performance and can cause overflow problems. Many researchers have shown that prefix encoding usually gives the highest compression ratio in comparison to other encoding schemes. Nonetheless, none of the existing prefix encoding methods has been applied to XML labels. This research investigates compressing XML labels via different prefix-encoding methods in order to reduce the occurrence of any overflow problems and improve query performance. The paper also pre sents a comparison between the performances of several prefix-encodings in terms of encoding/decoding time and compressed code size

Synergistic angular and spectral estimation of aerosol properties using CHRIS/PROBA-1 and simulated Sentinel-3~data

A method has been developed to estimate Aerosol Optical Depth (AOD), Fine Mode Fraction (FMF) and Single Scattering Albedo (SSA) over land surfaces using simulated Sentinel-3 data. The method uses inversion of a coupled surface/atmosphere radiative transfer model, and includes a general physical model of angular surface reflectance. An iterative process is used to determine the optimum value of the aerosol properties providing the best fit of the corrected reflectance values for a number of view angles and wavelengths with those provided by the physical model. A method of estimating AOD using only angular retrieval has previously been demonstrated on data from the ENVISAT and PROBA-1 satellite instruments, and is extended here to the synergistic spectral and angular sampling of Sentinel-3 and the additional aerosol properties. The method is tested using hyperspectral, multi-angle Compact High Resolution Imaging Spectrometer (CHRIS) images. The values obtained from these CHRIS observations are validated using ground based sun-photometer measurements. Results from 22 image sets using the synergistic retrieval and improved aerosol models show an RMSE of 0.06 in AOD, reduced to 0.03 over vegetated targets

On the formation and evolution of magnetic chemically peculiar stars in the solar neighborhood

In order to put strict observational constraints on the evolutionary status of the magnetic chemically peculiar stars (CP2) of the upper main sequence, we have investigated a well established sample of galactic field CP2 objects within a radius of 200pc from the Sun in the (X,Y) plane. In total, 182 stars with accurate parallax measurements from the Hipparcos satellite were divided into Si, SiCr and SrCrEu subgroups based on classification resolution data from the literature. Primarily, it was investigated if the CP2 phenomenon occurs at very early stages of the stellar evolution, significantly before these stars reach 30% of their life-time on the main sequence. This result is especially important for theories dealing with stellar dynamos, angular momentum loss during the pre- as well as main sequence and stellar evolutionary codes for CP2 stars. For the calibration of the chosen sample, the well-developed framework of the Geneva 7-color and Stromgren uvbybeta photometric system was used. We are able to show that the CP2 phenomenon occurs continuously at the zero age main sequence for masses between 1.5 and 4.5M(sun}. The magnetic field strengths do not vary significantly during the evolution towards the terminal age main sequence. Only the effective temperature and magnetic field strength seem to determine the kind of peculiarity for those stars. We found several effects during the evolution of CP2 stars at the main sequence, i.e. there are two "critical" temperatures where severe changes take place. There is a transition between Si, SiCr and SrCrEu stars at 10000K whereas a significant decrease to almost zero of evolved SrCrEu objects with masses below 2.25M(sun) at 8000K occurs.Comment: 7 pages, 4 figures, accepted by A&

Climate Forcing by the Volcanic Eruption of Mount Pinatubo. Revised edition

We determine the volcano climate sensitivity and response time for the Mount Pinatubo eruption. This is achieved using observational measurements of the temperature anomalies of the lower troposphere and the aerosol optical density (AOD) in combination with a radiative forcing proxy for AOD. Using standard linear response theory we find sensitivity = 0.18 +- 0.04 K/(W/m2), which implies a negative feedback of -1.0 +- 0.4. The intrinsic response time is 5.8+-1.0 months. Both results are contrary to the conventional paradigm that includes long response times and positive feedback. In addition, we analyze the outgoing longwave radiation during the Pinatubo eruption and find that its time dependence follows the forcing much more closely than the temperature, and even has an amplitude equal to that of the AOD proxy. This finding is independent of the response time and feedback results.Comment: 22 pages, including 4 figures. Revised version of a paper [Douglass D. H. and R. S. Knox (2005), Climate forcing by the volcano eruption of Mount Pinatubo. Geophys. Res. Lett. 32, L05710.doi: 10.1029/2004GL022119]. Revision is based on subsequent comments and replies to appear in the same journal. Quantitative results have only minor change