Satisfaction and quality of life in women who undergo breast surgery: a qualitative study to develop conceptual model

Background: In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life. Methods: We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically. Results: The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery. Conclusion: Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research

Religiosity-Spirituality And Risky Drinking Over The Transition To College: A Multi-Wave Longitudinal Study

Although the relationship between religiosity-spirituality and risky alcohol use is one of the most frequently studied topics in mental health, relatively little is known about how these variables relate to each other over time, especially during specific developmental periods such as the transition from high school to college. This study analyzed three waves of self-report data collected from a sample (N=623) of college students over a two-year period. Analyses examined (1) the stability of religiosity-spirituality and risky drinking over the transition to college, (2) the magnitude and direction of relationships between religiosity-spirituality and risky drinking, (3) the degree to which third variables account for relationships between religiosity-spirituality and risky drinking, and (4) the degree to which observed relationships between religiosity-spirituality and risky drinking extend to multiple, alternative measures of these constructs. Religiosity-spirituality and risky drinking demonstrated a high degree of stability over the transition to college. Consistent with previous literature, religiosity-spirituality predicted risky drinking, but risky drinking did not predict religiosity-spirituality. Relationships between religiosity-spirituality and risky drinking were observed across multiple alternative measures of the constructs and remained significant even after controlling for race and conduct disorder symptoms. In conclusion, religiosity-spirituality is a stable and important correlate and predictor of risky drinking, as well as a potential target for prevention and intervention during the transition to college

Experimental performance of a 16.10-centimeter-tip-diameter sweptback centrifugal compressor designed for a 6:1 pressure ratio

A backswept impeller with design mass flow rate of 1.033 kg/sec was tested with both a vaned diffuser and a vaneless diffuser to establish stage and impeller characteristics. Design stage pressure ratio of 5.9:1 was attained at a flow slightly lower than the design value. Flow range at design speed was 6 percent of choking flow. Impeller axial tip clearance at design speed was varied to determine effect on stage and impeller performance

Experimental performance of a 13.65-centimeter-tip-diameter tandem-bladed sweptback centrifugal compressor designed for a pressure ratio of 6

A 13.65 cm tip diameter backswept centrifugal impeller having a tandem inducer and a design mass flow rate of 0.907 kg/sec was experimentally investigated to establish stage and impeller characteristics. Tests were conducted with both a cascade diffuser and a vaneless diffuser. A pressure ratio of 5.9 was obtained near surge for the smallest clearance tested. Flow range at design speed was 6.3 percent for the smallest clearance test. Impeller exit to shroud axial clearance at design speed was varied to determine the effect on stage and impeller performance

Heavy quark action on the anisotropic lattice

We investigate the $O(a)$ improved quark action on anisotropic lattice as a potential framework for the heavy quark, which may enable precision computation of hadronic matrix elements of heavy-light mesons. The relativity relations of heavy-light mesons as well as of heavy quarkonium are examined on a quenched lattice with spatial lattice cutoff $a_\sigma^{-1} \simeq$ 1.6 GeV and the anisotropy $\xi=4$. We find that the bare anisotropy parameter tuned for the massless quark describes both the heavy-heavy and heavy-light mesons within 2% accuracy for the quark mass $a_\sigma m_Q < 0.8$, which covers the charm quark mass. This bare anisotropy parameter also successfully describes the heavy-light mesons in the quark mass region $a_\sigma m_Q \leq 1.2$ within the same accuracy. Beyond this region, the discretization effects seem to grow gradually. The anisotropic lattice is expected to extend by a factor $\xi$ the quark mass region in which the parameters in the action tuned for the massless limit are applicable for heavy-light systems with well controlled systematic errors.Comment: 11 pages, REVTeX4, 11 eps figure

Rotating Shadowband Spectroradiometer (RSS) Handbook

The rotating shawdowband spectroradiometer (RSS) implements the same automated shadowbanding technique used by the multifilter rotating shadowband radiometer (MFRSR), and so it too provides spectrally-resolved, direct-normal, diffuse-horizontal, and total-horizontal irradiances, and can be calibrated in situ via Langley regression. The irradiance spectra are measured simultaneously at all spectral elements (pixels) in 360-nm to 1050-nm range

Compact fermion to qubit mappings

Mappings between fermions and qubits are valuable constructions in physics. To date only a handful exist. In addition to revealing dualities between fermionic and spin systems, such mappings are indispensable in any quantum simulation of fermionic physics on quantum computers. The number of qubits required per fermionic mode, and the locality of mapped fermionic operators strongly impact the cost of such simulations. We present a fermion to qubit mapping that outperforms all previous local mappings in both the qubit to mode ratio and the locality of mapped operators. In addition to these practically useful features, the mapping bears an elegant relationship to the toric code, which we discuss. Finally, we consider the error mitigating properties of the mapping—which encodes fermionic states into the code space of a stabilizer code. Although there is an implicit tradeoff between low weight representations of local fermionic operators, and high distance code spaces, we argue that fermionic encodings with low-weight representations of local fermionic operators can still exhibit error mitigating properties which can serve a similar role to that played by high code distances. In particular, when undetectable errors correspond to “natural” fermionic noise. We illustrate this point explicitly both for this encoding and the Verstraete-Cirac encoding

Charmed hadron physics in quenched anisotropic lattice QCD

We investigate the anisotropic lattice with $O(a)$ improved quark action as a candidate of framework in which we can treat both the heavy and light quark region in the same manner and systematically reduce the systematic uncertainties. To examine applicability of anisotropic lattice, we calculate the charmed meson spectrum and decay constants in quenched approximation. We find consistent result with most advanced results on isotropic lattices.Comment: 3 pages, 1 figure, contribution to Fifth KEK Topical Conference - Frontiers in Flavor Physics -, Tsukuba, Japan, November 20-22, 200

Evolution of Plastic Strain During a Flow Forming Process

The distribution of equivalent plastic strain through the thickness of several AISI 1020 steel plates formed under different conditions over a smooth cylindrical mandrel using a single-roller forward flow forming operation was studied by measuring the local micro-indentation hardness of the deformed material. The equivalent plastic strain was higher at the inner and outer surfaces and lowest at the center of the workpiece. Empirical expressions are presented which describe the contribution of the roller and mandrel to the total local equivalent plastic strain within the flow formed part. The dependence of these expressions upon the thickness reduction during flow forming is discussed.Comment: 13 pages, 9 figure