4,798 research outputs found

    PES6 COST EFFECTIVENESS OF LATANOPROST IN FIRST LINE TREATMENT OF PRIMARY OPEN ANGLE GLAUCOMA IN THE UK

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    "If chemists don’t do it, who is going to?" Peer-driven occupational change and the emergence of green chemistry

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    Occupational membership guides what people do, how they think of themselves, and how they interact in organizations and with society. While a rich literature explains how occupations adapt in response to external triggers for change, we have limited insight into how occupational incumbents, absent external triggers, work to influence how their peers do their work. We investigate the emergence and growth of “green chemistry,” an effort by chemists to encourage other chemists to reduce the health, safety, and environmental impacts of chemical products and processes. We find that advocates simultaneously advanced normalizing, moralizing, and pragmatizing frames for green chemistry and that each frame resonated differently with chemists in their various occupational roles. While this pluralistic approach generated broad acceptance of the change effort, it also exposed tensions, which threatened the coherence of the change. Divergent responses of advocates to these tensions contribute to a persistent state of pluralism and dynamism in the change effort. We discuss implications for theory on occupational change arising from our attention to internally-generated peer-driven change, heterogeneity within occupations, and change efforts that moralize occupational work.Meyer Fund for Sustainability grant (University of Oregon

    Baseline characteristics and treatment-emergent risk factors associated with cerebrovascular event and death with risperidone in dementia patients

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    BACKGROUND: Use of antipsychotics to treat behavioural symptoms of dementia has been associated with increased risks of mortality and stroke. Little is known about individual patient characteristics that might be associated with bad or good outcomes. AIMS: We examined the risperidone clinical trial data to look for individual patient characteristics associated with these adverse outcomes. METHOD: Data from all double-blind randomised controlled trials of risperidone in dementia patients (risperidone n = 1009, placebo n = 712) were included. Associations between characteristics and outcome were analysed based on crude incidences and exposure-adjusted incidence rates, and by time-to-event analyses using Cox proportional hazards regression. Interactions between treatment (risperidone or placebo) and characteristic were analysed with a Cox proportional hazards regression model with main effects for treatment and characteristic in addition to the interaction term. RESULTS: Baseline complications of depression (treatment by risk factor interaction on cerebrovascular adverse event (CVAE) hazard ratio (HR): P = 0.025) and delusions (P = 0.043) were associated with a lower relative risk of CVAE in risperidone-treated patients (HR = 1.47 and 0.54, respectively) compared to not having the complication (HR = 5.88 and 4.16). For mortality, the only significant baseline predictor in patients treated with risperidone was depression, which was associated with a lower relative risk (P<0.001). The relative risk of mortality was increased in risperidone patients treated with anti-inflammatory medications (P = 0.021). CONCLUSIONS: Only anti-inflammatory medications increased mortality risk with risperidone. The reduced risks of CVAE in patients with comorbid depression and delusions, and of mortality with depression, may have clinical implications when weighing the benefits and risks of treatment with risperidone in patients with dementia

    Cultural molding, shielding, and shoring at Oilco: the role of culture in the integration of routines

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    We explore how organizational culture shapes an organization’s integration and enactment of an external routine that is not a cultural fit. Attending to employees’ use of culture as a repertoire of strategies of action, we found that the use of familiar cultural strategies of action shaped the routine’s artifacts and expectations even before it was performed, a process we call cultural molding. Subsequently, employees drew differently on cultural strategies of action as they performed the routine, generating patterns of workarounds or hindered performances. In response to these patterns, they undertook additional cultural work to either shield their workarounds and protect them from scrutiny or shore up hindered performances. We contribute to the routine dynamics literature by highlighting the effortful cultural work involved in integrating coveted routines, furthering our understanding of routines as truces and the embeddedness of routines.Social Sciences and Humanities Research Council of Canada [Grant 430-2012-195

    Polyandrous females avoid costs of inbreeding

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    Why do females typically mate with more than one male? Female mating patterns have broad implications for sexual selection, speciation and conflicts of interest between the sexes, and yet they are poorly understood. Matings inevitably have costs, and for females, the benefits of taking more than one mate are rarely obvious. One possible explanation is that females gain benefits because they can avoid using sperm from genetically incompatible males, or invest less in the offspring of such males. It has been shown that mating with more than one male can increase offspring viability, but we present the first clear demonstration that this occurs because females with several mates avoid the negative effects of genetic incompatibility. We show that in crickets, the eggs of females that mate only with siblings have decreased hatching success. However, if females mate with both a sibling and a non-sibling they avoid altogether the low egg viability associated with sibling matings. If similar effects occur in other species, inbreeding avoidance may be important in understanding the prevalence of multiple mating

    Friends of hot Jupiters. II. No correspondence between hot-Jupiter spin-orbit misalignment and the incidence of directly imaged stellar companions

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    This is the final version of the article. Available from American Astronomical Society / IOP Publishing via the DOI in this record.Multi-star systems are common, yet little is known about a stellar companion's influence on the formation and evolution of planetary systems. For instance, stellar companions may have facilitated the inward migration of hot Jupiters toward to their present day positions. Many observed short-period gas giant planets also have orbits that are misaligned with respect to their star's spin axis, which has also been attributed to the presence of a massive outer companion on a non-coplanar orbit. We present the results of a multi-band direct imaging survey using Keck NIRC2 to measure the fraction of short-period gas giant planets found in multi-star systems. Over three years, we completed a survey of 50 targets ("Friends of Hot Jupiters") with 27 targets showing some signature of multi-body interaction (misaligned or eccentric orbits) and 23 targets in a control sample (well-aligned and circular orbits). We report the masses, projected separations, and confirmed common proper motion for the 19 stellar companions found around 17 stars. Correcting for survey incompleteness, we report companion fractions of 48% ± 9%, 47% ± 12%, and 51% ± 13% in our total, misaligned/eccentric, and control samples, respectively. This total stellar companion fraction is 2.8σ larger than the fraction of field stars with companions approximately 50-2000 AU. We observe no correlation between misaligned/eccentric hot Jupiter systems and the incidence of stellar companions. Combining this result with our previous radial velocity survey, we determine that 72% ± 16% of hot Jupiters are part of multi-planet and/or multi-star systems.This work was supported by NASA grant NNX14AD24G. H.N. is grateful for funding support from the Natural Sciences and Engineering Research Council of Canada. J.A.J. gratefully acknowledges support from generous fellowships from the David & Lucile Packard and Alfred P. Sloan foundations

    Selective 5HT3 antagonists and sensory processing: A systematic review

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    Ondansetron is a selective serotonin (5HT3) receptor antagonist that is under evaluation as an adjunctive treatment for schizophrenia, and a novel treatment for hallucinations in Parkinson’s disease. Ondansetron reverses sensory gating deficits and improves visuoperceptual processing in animal models of psychosis, but it is unclear to what extent preclinical findings have been replicated in humans. We systematically reviewed human studies that evaluated the effects of ondansetron and other 5HT3 receptor antagonists on sensory gating deficits or sensory processing. Of 11 eligible studies, eight included patients with schizophrenia who were chronically stable on antipsychotic medication; five measured sensory gating using the P50 suppression response to a repeated auditory stimulus; others included tests of visuoperceptual function. Three studies in healthy participants included tests of visuoperceptual and sensorimotor function. A consistent and robust finding (five studies) was that ondansetron and tropisetron (5HT3 antagonist and α7-nicotinic receptor partial agonist) improved sensory gating in patients with schizophrenia. Tropisetron also improved sustained visual attention in non-smoking patients. There was inconsistent evidence of the effects of 5HT3 antagonists on other measures of sensory processing, but interpretation was limited by the small number of studies, methodological heterogeneity and the potential confounding effects of concomitant medication in patients. Despite these limitations, we found strong evidence that selective 5HT3 antagonists (with or without direct α7-nicotinic partial agonist effects) improved sensory gating. Future studies should investigate how this relates to potential improvement in neurocognitive symptoms in antipsychotic naive patients with prodromal or milder symptoms, in order to understand the clinical implications

    Probing elastic and inelastic breakup contributions to intermediate-energy two-proton removal reactions

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    The two-proton removal reaction from 28Mg projectiles has been studied at 93 MeV/u at the NSCL. First coincidence measurements of the heavy 26Ne projectile residues, the removed protons and other light charged particles enabled the relative cross sections from each of the three possible elastic and inelastic proton removal mechanisms to be determined. These more final-state-exclusive measurements are key for further interrogation of these reaction mechanisms and use of the reaction channel for quantitative spectroscopy of very neutron-rich nuclei. The relative and absolute yields of the three contributing mechanisms are compared to reaction model expectations - based on the use of eikonal dynamics and sd-shell-model structure amplitudes.Comment: Accepted for publication in Physical Review C (Rapid Communication

    Elastic breakup cross sections of well-bound nucleons

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    The 9Be(28Mg,27Na) one-proton removal reaction with a large proton separation energy of Sp(28Mg)=16.79 MeV is studied at intermediate beam energy. Coincidences of the bound 27Na residues with protons and other light charged particles are measured. These data are analyzed to determine the percentage contributions to the proton removal cross section from the elastic and inelastic nucleon removal mechanisms. These deduced contributions are compared with the eikonal reaction model predictions and with the previously measured data for reactions involving the re- moval of more weakly-bound protons from lighter nuclei. The role of transitions of the proton between different bound single-particle configurations upon the elastic breakup cross section is also quantified in this well-bound case. The measured and calculated elastic breakup fractions are found to be in good agreement.Comment: Phys. Rev. C 2014 (accepted
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