HD152843 b & c: the masses and orbital periods of a sub-Neptune and a super-puff Neptune

We present the characterisation of the two transiting planets around HD 152843 (TOI 2319, TIC 349488688) using an intensive campaign of HARPS-N radial velocities, and two sectors of TESS data. These data reveal a unique and fascinating system: HD 152843 b and c have near equal masses of around 9 M$_\oplus$ but differing radii of $3.05 \pm 0.11$ R$_\oplus$ and $5.94^{+0.18}_{-0.16}$ R$_\oplus$ , respectively, and orbital periods of $11.62071^{+9.6e-05}_{-0.000106}$ days and $19.502104^{+7.4e-05}_{-8.5e-05}$ days. This indicates that HD 152843 c is in the lowest fifth percentile in density of the known exoplanet population, and has the longest orbital period among these low density planets. Further, HD 152843 c's radius places it in the Saturn valley, the observed lack of planets larger than Neptune, but smaller than Saturn. The orbital periods of these planets indicate they are near a 5:3 mean motion resonance, indicating the possibility of transit timing variations, and hints at the possibility of interaction with a third planet at some point in the evolution of this system. Further, the brightness of the host star and the low density of HD 152843 c make it a key target for atmospheric characterisation.Comment: Submitted for review to the Monthly Notices of the Royal Astronomical Society. 13 pages, 16 figure

A systematic review of the effectiveness of art therapy delivered in school-based settings to children aged 5–12 years

Background: School-based art therapy aims to facilitate children's personal change and growth through the use of visual arts media, such as drawing, painting, sculpture, clay, or digital art. Aims: To identify and synthesise the types of school-based art therapy interventions, and appraise the effectiveness for children aged 5-12. Methods: Systematic searching through ten major electronic databases, grey literature, and contact with experts in the field. Results: Six completed and two on-going studies were identified. Art therapy was delivered to children with asthma, behavioural disorders, oppositional defiant disorders, separation anxiety disorders, learning disorders, and disruptive behaviours. All interventions were delivered over 7-25 sessions, and lasted 40-60' per session. The sample sizes ranged between 20-109 participants, involving 247 participants in total. Conclusions: Art therapy can be effective in improving children's quality of life; anxiety; self-concept; problem-solving skills, attitudes towards school; emotional and behavioural difficulties. The follow-up findings were also promising; though confirmatory evidence is needed. Implications: The risk of bias was high and unclear, highlighting the importance of following standardised reporting guidelines. Future research needs to focus on the identification of primary outcomes and measures that are tailored to art therapy interventions, and explore the (cost-) effectiveness of shorter versus longer durations of treatment

The Public Health Impact of Coccidioidomycosis in Arizona and California

The numbers of reported cases of coccidioidomycosis in Arizona and California have risen dramatically over the past decade, with a 97.8% and 91.1% increase in incidence rates from 2001 to 2006 in the two states, respectively. Of those cases with reported race/ethnicity information, Black/African Americans in Arizona and Hispanics and African/Americans in California experienced a disproportionately higher frequency of disease compared to other racial/ethnic groups. Lack of early diagnosis continues to be a problem, particularly in suspect community-acquired pneumonia, underscoring the need for more rapid and sensitive tests. Similarly, the inability of currently available therapeutics to reduce the duration and morbidity of this disease underscores the need for improved therapeutics and a preventive vaccine

Conclusion: The future of cognitive-behavioral approaches in primary care

The purpose of this handbook was to provide a comprehensive and detailed overview of the applications of cognitive-behavioral approaches in primary care. Based on the information provided in this book, we can draw a number of conclusions. (PsycINFO Database Record (c) 2012 APA, all rights reserved). (chapter

Use of selective vs standard sheep blood agar for the diagnosis of hemolytic streptococcus group A pharyngitis

The purpose of this study was to determine whether selective media used in a primary care physician\u27s office could be accurately interpreted when compared with a reference laboratory utilizing standard sheep blood agar

Precept-assist: A computerized, data-based evaluation system

Background and Objectives: Traditional methods of resident evaluation have several limitations, including recall bias and memory decay. We developed a real-time, computerized, data-based evaluation system and determined 1) the feasibility of using such a system in an ambulatory care teaching center and 2) the types of evaluation data such a computer-based evaluation system provides to residency directors, faculty, and residents. Methods: We developed Precept-Assist, a computerized, data-based evaluation system. Reports from the system provide quantitative data, summative reports, and qualitative comments regarding specific competencies of residents. Following each precepting encounter between a faculty member and a resident, the faculty member entered into the system an array of coded information on the resident\u27s level of performance, competencies achieved, and procedural skills. Results: We have entered more than 15,000 pieces of evaluative data on 4,504 precepting encounters. The average time to enter data was about 40 seconds per encounter. Reports were generated to monitor each resident\u27s progress through the program. The information was used to generate learning plans tailored to each resident\u27s needs. Conclusions: Precept-Assist was useful for evaluating the performance of residents in this study

Handbook of cognitive behavioral approaches in primary care

The American Psychological Association, National Institutes of Health, and the National Institute of Mental Health have strongly advocated for the integration of psychology and primary care, as the new, cutting-edge approach to health care delivery. To address this need for integration, this seminal text provides both psychologists and physicians with thorough descriptions of common psychological and medical problems that arise in primary care, and identifies cognitive-behavioral techniques to overcome these barriers. Issues discussed include ethical dilemmas and nonadherence, as well as the treatment of behavioral and medical problems such as smoking, overeating, suicide risk, hypertension, asthma, diabetes, chronic pain, and more. The book also elucidates the roles and functions of the cognitive-behavioral clinician in the primary care setting, offering guidance on issues such as how to mentally prepare patients for stressful medical procedures, provide patient-centered care, enhance cultural competence, and more. Key features: Discusses how to improve collaboration between mental health providers and primary care physicians. Includes guidelines for using cognitive-behavioral models with patients suffering from substance abuse, medical phobias, insomnia, and eating disorders. Provides important information on training primary care residents. Assists in elucidating the consultation process in primary care. (PsycINFO Database Record (c) 2012 APA, all rights reserved). (cover

Essential hypertension

Hypertension, the silent killer, is a serious, asymptomatic, prevalent, and major public health problem commonly found in the primary care setting. The following topics are discussed: assessment and diagnostic issues; incidence and clinical manifestations in primary care setting; cognitive-behavioral case conceptualization; identifying and addressing obstacles to treatment; points of collaboration with physician and family; development and implementation of an empirically based treatment plan; evaluation of treatment outcomes; and considerations with special populations/diversity issues. (PsycINFO Database Record (c) 2012 APA, all rights reserved). (create

Factors influencing program selection among family practice residents

Factors on which family practice residents base their judgments about ranking programs are identified. Questionnaires were mailed to 1,810 first-year family practice residents who participated in the 1981 matching program; 830 (46 percent) responded. The questionnaire items were factor analyzed, and nine factors accounting for 59.4 percent of the variance emerged. Reliability for the questionnaire was estimated to be .82 using coefficient alpha. Factor scores for the nine subscales were computed and employed as dependent variables in several multivariate analyses of variance. Significant differences for sex, age, race, and geographical region were found on various factors; these findings indicated differences in what those groups considered important when selecting a residency