450 research outputs found

    “I’m in a very good frame of mind”: A qualitative exploration of the experience of standing frame use in people with progressive multiple sclerosis

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    This is the final version. Available on open access from BMJ Publishing Group via the DOI in this recordData sharing: The SUMS study protocol and statistical analysis plan are publicly available at https://www.plymouth.ac.uk/research/sums. Individual participant data that underlie the results will be made available (after de-identification) on a controlled access basis, subject to suitable data sharing agreements. Requests for data sharing should be made to the Chief Investigator (CI; J Freeman) in the first instance.The study aim was to explore the experiences of people with progressive multiple sclerosis (MS) and their standing assistants during their participation in SUMS, a randomised controlled trial (RCT) of a home-based, self-managed standing frame programme. Design A qualitative approach, using audio diary methodology was used to collect data contemporaneously. Diary data were transcribed verbatim and analysed using thematic analysis. Setting Participants were recruited from eight health-care organisations in two regions of the United Kingdom. The intervention was home-based. Participants As part of the RCT, 140 participants were randomly allocated to either usual care or usual care plus a standing frame programme. Using a sampling matrix 12 people with progressive MS (six female, aged 35–71 years, Expanded Disability Status Scale 6.5-8.0) and eight standing assistants (four female) kept audio diaries of their experiences. Intervention The standing frame programme involved two face-to-face home-based physiotherapy sessions to set up the standing frame programme, supplemented by educational material designed to optimise self-efficacy. Participants were encouraged to stand for at least 30 minutes, three times a week for the 36 week study period. Results Four main themes were identified: “Feeling like the old me”; “Noticing a difference”; “I want to do it right” and “You have a good day, you have a bad day”. Conclusions Supported standing helped people with progressive MS feel more like their old selves and provided a sense of normality and enjoyment. People noticed improvements in physical and psychological symptoms, which were often associated with increased participation in activities they valued. Provision of support from a physiotherapist and recognition of the variable nature of the condition were highlighted as factors to consider when establishing a standing programme.National Institute for Health Research (NIHR

    Causarum Investigatio and the Two Bell's Theorems of John Bell

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    "Bell's theorem" can refer to two different theorems that John Bell proved, the first in 1964 and the second in 1976. His 1964 theorem is the incompatibility of quantum phenomena with the joint assumptions of Locality and Predetermination. His 1976 theorem is their incompatibility with the single property of Local Causality. This is contrary to Bell's own later assertions, that his 1964 theorem began with the assumption of Local Causality, even if not by that name. Although the two Bell's theorems are logically equivalent, their assumptions are not. Hence, the earlier and later theorems suggest quite different conclusions, embraced by operationalists and realists, respectively. The key issue is whether Locality or Local Causality is the appropriate notion emanating from Relativistic Causality, and this rests on one's basic notion of causation. For operationalists the appropriate notion is what is here called the Principle of Agent-Causation, while for realists it is Reichenbach's Principle of common cause. By breaking down the latter into even more basic Postulates, it is possible to obtain a version of Bell's theorem in which each camp could reject one assumption, happy that the remaining assumptions reflect its weltanschauung. Formulating Bell's theorem in terms of causation is fruitful not just for attempting to reconcile the two camps, but also for better describing the ontology of different quantum interpretations and for more deeply understanding the implications of Bell's marvellous work.Comment: 24 pages. Prepared for proceedings of the "Quantum [Un]speakables II" conference (Vienna, 2014), to be published by Springe

    Assessment of a home-based standing frame programme in people with progressive multiple sclerosis (SUMS): a pragmatic, multi-centre, randomised, controlled trial and cost-effectiveness analysis

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    People severely impaired with progressive multiple sclerosis spend much of their day sitting, with very few options to improve motor function. As a result, secondary physical and psychosocial complications can occur. Effective and feasible self-management strategies are needed to reduce sedentary behaviour and enhance motor function. In this study, we aimed to assess the clinical and cost effectiveness of a home-based, self-managed, standing frame programme.31301748This article is freely available via Open Access. Click on the Publisher URL to access the full-text.Publishe

    Optical and HI properties of isolated galaxies in the 2MIG catalog. I. General relationships

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    We analyze empirical relationships between the optical, near infrared, and HI characteristics of isolated galaxies from the 2MIG Catalog covering the entire sky. Data on morphological types, K_S-, and B-magnitudes, linear diameters, HI masses, and rotational velocities are examined. The regression parameters, dispersions, and correlation coefficients are calculated for pairs of these characteristics. The resulting relationships can be used to test the hierarchical theory of galaxy formation through numerous mergers of cold dark matter.Comment: 18 pages, 11 figures, 5 table

    A catalog of Kazarian galaxies

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    The entire Kazarian galaxies (KG) catalog is presented which combines extensive new measurements of their optical parameters with a literature and database search. The measurements were made using images extracted from the STScI Digitized Sky Survey (DSS) of Jpg(blue), Fpg(red) and Ipg(NIR) band photographic sky survey plates obtained by the Palomar and UK Schmidt telescopes. We provide accurate coordinates, morphological type, spectral and activity classes, blue apparent diameters, axial ratios, position angles, red, blue and NIR apparent magnitudes, as well as counts of neighboring objects in a circle of radius 50 kpc from centers of KG. Special attention was paid to the individual descriptions of the galaxies in the original Kazarian lists, which clarified many cases of misidentifications of the objects, particularly among interacting systems. The total number of individual Kazarian objects in the database is now 706. We also include the redshifts which are now available for 404 galaxies and the 2MASS infrared magnitudes for 598 KG. The database also includes extensive notes, which summarize information about the membership of KG in different systems of galaxies, and about revised activity classes and redshifts. An atlas of several interesting subclasses of KG is also presented.Comment: 15 pages, 5 figures, 1 table, Accepted in Astrophysics, Vol. 53, No. 1, 2010 (English translation of Astrofizika

    Does publication bias inflate the apparent efficacy of psychological treatment for major depressive disorder? A systematic review and meta-analysis of US national institutes of health-funded trials

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    Background The efficacy of antidepressant medication has been shown empirically to be overestimated due to publication bias, but this has only been inferred statistically with regard to psychological treatment for depression. We assessed directly the extent of study publication bias in trials examining the efficacy of psychological treatment for depression. Methods and Findings We identified US National Institutes of Health grants awarded to fund randomized clinical trials comparing psychological treatment to control conditions or other treatments in patients diagnosed with major depressive disorder for the period 1972–2008, and we determined whether those grants led to publications. For studies that were not published, data were requested from investigators and included in the meta-analyses. Thirteen (23.6%) of the 55 funded grants that began trials did not result in publications, and two others never started. Among comparisons to control conditions, adding unpublished studies (Hedges’ g = 0.20; CI95% -0.11~0.51; k = 6) to published studies (g = 0.52; 0.37~0.68; k = 20) reduced the psychotherapy effect size point estimate (g = 0.39; 0.08~0.70) by 25%. Moreover, these findings may overestimate the "true" effect of psychological treatment for depression as outcome reporting bias could not be examined quantitatively. Conclusion The efficacy of psychological interventions for depression has been overestimated in the published literature, just as it has been for pharmacotherapy. Both are efficacious but not to the extent that the published literature would suggest. Funding agencies and journals should archive both original protocols and raw data from treatment trials to allow the detection and correction of outcome reporting bias. Clinicians, guidelines developers, and decision makers should be aware that the published literature overestimates the effects of the predominant treatments for depression

    Germline MC1R status influences somatic mutation burden in melanoma

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    The major genetic determinants of cutaneous melanoma risk in the general population are disruptive variants (R alleles) in the melanocortin 1 receptor (MC1R) gene. These alleles are also linked to red hair, freckling, and sun sensitivity, all of which are known melanoma phenotypic risk factors. Here we report that in melanomas and for somatic C>T mutations, a signature linked to sun exposure, the expected single-nucleotide variant count associated with the presence of an R allele is estimated to be 42% (95% CI, 15-76%) higher than that among persons without an R allele. This figure is comparable to the expected mutational burden associated with an additional 21 years of age. We also find significant and similar enrichment of non-C>T mutation classes supporting a role for additional mutagenic processes in melanoma development in individuals carrying R alleles
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