An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, and Spiritual Care Competence

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way repeated-measures analysis of variance, linear regression, and partial correlation. Statistically significant differences were found in nurses’ attitudes toward and knowledge of spiritual care and nurses’ perceived spiritual care competence. There was a positive relationship between change scores in nurses’ attitudes toward and knowledge of spiritual care and nurses’ spiritual care competence. Online spiritual care educational programs may exert a lasting impact on nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes

A New Approach to Large-Scale Nuclear Structure Calculations

A new approach to large-scale nuclear structure calculations, based on the Density Matrix Renormalization Group (DMRG), is described. The method is tested in the context of a problem involving many identical nucleons constrained to move in a single large-j shell and interacting via a pairing plus quadrupole interaction. In cases in which exact diagonalization of the hamiltonian is possible, the method is able to reproduce the exact results for the ground state energy and the energies of low-lying excited states with extreme precision. Results are also presented for a model problem in which exact solution is not feasible.Comment: 6 pages + 1 eps figur

Efficacy and effectiveness of dihydroartemisinin-piperaquine versus artesunate-mefloquine in falciparum malaria: an open-label randomised comparison.

BACKGROUND: Artemisinin-based combinations are judged the best treatments for multidrug-resistant Plasmodium falciparum malaria. Artesunate-mefloquine is widely recommended in southeast Asia, but its high cost and tolerability profile remain obstacles to widespread deployment. To assess whether dihydroartemisinin-piperaquine is a suitable alternative to artesunate-mefloquine, we compared the safety, tolerability, efficacy, and effectiveness of the two regimens for the treatment of uncomplicated falciparum in western Myanmar (Burma). METHODS: We did an open randomised comparison of 3-day regimens of artesunate-mefloquine (12/25 mg/kg) versus dihydroartemisinin-piperaquine (6.3/50 mg/kg) for the treatment of children aged 1 year or older and in adults with uncomplicated falciparum malaria in Rakhine State, western Myanmar. Within each group, patients were randomly assigned supervised or non-supervised treatment. The primary endpoint was the PCR-confirmed parasitological failure rate by day 42. Failure rates at day 42 were estimated by Kaplan-Meier survival analysis. This study is registered as an International Standard Randomised Controlled Trial, number ISRCTN27914471. FINDINGS: Of 652 patients enrolled, 327 were assigned dihydroartemisinin-piperaquine (156 supervised and 171 not supervised), and 325 artesunate-mefloquine (162 and 163, respectively). 16 patients were lost to follow-up, and one patient died 22 days after receiving dihydroartemisinin-piperaquine. Recrudescent parasitaemias were confirmed in only two patients; the day 42 failure rate was 0.6% (95% CI 0.2-2.5) for dihydroartemisinin-piperaquine and 0 (0-1.2) for artesunate-mefloquine. Whole-blood piperaquine concentrations at day 7 were similar for patients with observed and non-observed dihydroartemisinin-piperaquine treatment. Gametocytaemia developed more frequently in patients who had received dihydroartemisinin-piperaquine than in those on artesunate-mefloquine: day 7, 18 (10%) of 188 versus five (2%) of 218; relative risk 4.2 (1.6-11.0) p=0.011. INTERPRETATION: Dihydroartemisinin-piperaquine is a highly efficacious and inexpensive treatment of multidrug-resistant falciparum malaria and is well tolerated by all age groups. The effectiveness of the unsupervised treatment, as in the usual context of use, equalled its supervised efficacy, indicating good adherence without supervision. Dihydroartemisinin-piperaquine is a good alternative to artesunate-mefloquine

X-ray and Radio Interactions in the Cores of Cooling Flow Clusters

We present high resolution ROSAT x-ray and radio observations of three cooling flow clusters containing steep spectrum radio sources at their cores. All three systems exhibit strong signs of interaction between the radio plasma and the hot intracluster medium. Two clusters, A133 and A2626, show enhanced x-ray emission spatially coincident with the radio source whereas the third cluster, A2052, exhibits a large region of x-ray excess surrounding much of the radio source. Using 3-D numerical simulations, we show that a perturbed jet propagating through a cooling flow atmosphere can give rise to amorphous radio morphologies, particularly in the case where the jet was ``turned off'' and allowed to age passively. In addition, the simulated x-ray surface brightness produced both excesses and deficits as seen observationally.Comment: 25 pages, 10 figures, accepted for publication in A

Orbital Order Effect of Two-Dimensional Spin Gap System for CaV4O9

Effects of possible orbital order in magnetic properties of two-dimensional spin gap system for CaV$_4$O$_9$ are investigated theoretically. After analyzing experimental data, we show that single orbital models assumed in the literature are insufficient to reproduce the data. To understand the origin of the discrepancy, we assume that in $d^1$ state of V, $d_{xz}$ and $d_{yz}$ orbitals have substantial contributions in the lowest-energy atomic level which leads to a double-degeneracy. We study possible configurations of the orbital order. By exact diagonalization and perturbation expansion, we calculate the susceptibility, wavenumber dependence of low-lying excitations and equal-time spin-spin correlations which is related to integrated intensity of the neutron inelastic scattering. These quantities sensitively depend on the configuration of the orbital order. The calculated results for some configurations of the orbital order reproduce many experimental results much better than the previous single-orbital models. However some discrepancy still remains to completely reproduce all of the reported experimental results. To understand the origin of these discrepancies, we point out the possible importance of the partially occupied $d_{xy}$ orbital in addition to orbital order of partially filled $d_{xz}$ and $d_{yz}$ orbitals.Comment: 19 pages LATEX, 15 postscript figures, using jpsj.sty,to be published in J.Phys.Soc.Jpn. Vol.67 No.2 (1998

Butterfly diagram of a Sun-like star observed using asteroseismology

Stellar magnetic fields are poorly understood but are known to be important for stellar evolution and exoplanet habitability. They drive stellar activity, which is the main observational constraint on theoretical models for magnetic field generation and evolution. Starspots are the main manifestation of the magnetic fields at the stellar surface. In this study we measure the variation of their latitude with time, called a butterfly diagram in the solar case, for the solar analogue HD 173701 (KIC 8006161). To that effect, we use Kepler data, to combine starspot rotation rates at different epochs and the asteroseismically determined latitudinal variation of the stellar rotation rates. We observe a clear variation of the latitude of the starspots. It is the first time such a diagram is constructed using asteroseismic data.Comment: 8 pages, 4 figures, accepted in A&A Letter

Thermodynamics of the (1,1/2) Ferrimagnet in Finite Magnetic Fields

We investigate the specific heat and magnetisation of a ferrimagnet with gS=1 and S=1/2 spins in a finite magnetic field using the transfer matrix DMRG down to T=0.025J. Ferromagnetic gapless and antiferromagnetic gapped excitations for H=0 lead to rich thermodynamics for H > 0. While the specific heat is characterized by a generic double peak structure, magnetisation reveals two critical fields, Hc1=1.76(1) and Hc2=3.00(1) with square-root behaviour in the T=0 magnetisation. Simple analytical arguments allow to understand these experimentally accessible findings.Comment: 5 pages, 7 eps figures, uses RevTeX, submitted to PR

Pairing Correlations on t-U-J Ladders

Pairing correlations on generalized t-U-J two-leg ladders are reported. We find that the pairing correlations on the usual t-U Hubbard ladder are significantly enhanced by the addition of a nearest-neighbor exchange interaction J. Likewise, these correlations are also enhanced for the t-J model when the onsite Coulomb interaction is reduced from infinity. Moreover, the pairing correlations are larger on a t-U-J ladder than on a t-Jeff ladder in which Jeff has been adjusted so that the two models have the same spin gap at half-filling. This enhancement of the pairing correlations is associated with an increase in the pair-binding energy and the pair mobility in the t-U-J model and point to the importance of the charge transfer nature of the cuprate systems

Heisenberg exchange in magnetic monoxides

The superexchange intertacion in transition-metal oxides, proposed initially by Anderson in 1950, is treated using contemporary tight-binding theory and existing parameters. We find also a direct exchange for nearest-neighbor metal ions, larger by a factor of order five than the superexchange. This direct exchange arises from Vddm coupling, rather than overlap of atomic charge densities, a small overlap exchange contribution which we also estimate. For FeO and CoO there is also an important negative contribution, related to Stoner ferromagnetism, from the partially filled minority-spin band which broadens when ionic spins are aligned. The corresponding J1 and J2 parameters are calculated for MnO, FeO, CoO, and NiO. They give good accounts of the Neel and the Curie-Weiss temperatures, show appropriate trends, and give a reasonable account of their volume dependences. For MnO the predicted value for the magnetic susceptibility at the Neel temperature and the crystal distortion arising from the antiferromagnetic transition were reasonably well given. Application to CuO2 planes in the cuprates gives J=1220oK, compared to an experimental 1500oK, and for LiCrO2 gives J1=4 50oK compared to an experimental 230oK.Comment: 21 pages, 1 figure, submitted to Phys. Rev. B 1/19/07. Realized J=4V^2/U applies generally, as opposed to J=2V^2/U from one-electron theory (1/28 revision