Women and Chronic Renal Failure: Some Neglected Issues

It has been assumed until recently that chronic renal failure is more prevalent among men than among women, but data now indicate that at least half of all renal patients are women. The literature continues to focus on adjustment problems of male patients, especially sexual adjustment and job-loss problems, and to assume that women can adjust more easily because of their ability to maintain the homemaker role. However, women patients whose work status is that of homemaker are found to have the highest depression scores, and job loss results in low satisfaction for those who have held meaningful outside jobs. Women patients are not necessarily more satisfied with their sexual life than are men patients. Questions can also be raised about women patients\u27 access to treatment alternatives associated with optimal patient outcomes

Results of the ESO-SEST Key Programme on CO in the Magellanic Clouds. IX. The giant LMC HII region complex N11

We present maps and a catalogue containing the J=1-0 12CO parameters of 29 individual molecular clouds in the second-brightest LMC star formation complex, N11. In the southwestern part of N11, molecular clouds occur in a ring or shell surrounding the major OB star association LH9. In the northeastern part, a chain of molecular clouds delineates the rim of one of the so-called supergiant shells in the LMC. The well-defined clouds have dimensions close to those of the survey beam (diameters of 25 pc or less). Some of the clouds were also observed in J=2-1 12CO, and in the lower two transitions of 13CO. Clouds mapped with a twice higher angular resolution in J=2-1 12CO show substructure with dimensions once again comparable to those of the mapping beam. The few clouds for which we could model physical parameters have fairly warm (T(kin) = 60 - 150 K) and moderately dense (n(H2) = 3000 cm-3) gas. The northeastern chain of CO clouds, although lacking in diffuse intercloud emission, is characteristic of the more quiescent regions of the LMC and appears to have been subject to relatively little photo-processing. The clouds forming part of the southwestern shell or ring, however, are almost devoid of diffuse intercloud emission and also exhibit other characteristics of an extreme photon-dominated region (PDR).Comment: 14 pages; accepted for publication in A&

How We Met Our Data Librarian: Designing, Recruiting, and Implementing a New Position

Strategic support for a range of data management needs has emerged as a campus-level priority at UVM, as at many other colleges and universities. In Spring 2017, the UVM Libraries reconfigured the vacant position of “Science Librarian” as “Science and Data Librarian” with new responsibilities for supporting data management. This presentation will describe a case study of how the UVM Libraries aligned these responsibilities with campus needs and initiatives; what we learned about data librarianship from the recruitment process; and the opportunities for an incoming librarian shaping the course of new library services

Nocturnal sleep, daytime sleepiness, and quality of life in stable patients on hemodialysis

BACKGROUND: Although considerable progress has been made in the treatment of chronic kidney disease, compromised quality of life continues to be a significant problem for patients receiving hemodialysis (HD). However, in spite of the high prevalence of sleep complaints and disorders in this population, the relationship between these problems and quality of life remains to be well characterized. Thus, we studied a sample of stable HD patients to explore relationships between quality of life and both subjective and objective measures of nocturnal sleep and daytime sleepiness METHODS: The sample included forty-six HD patients, 24 men and 22 women, with a mean age of 51.6 (10.8) years. Subjects underwent one night of polysomnography followed the next morning by a Multiple Sleep Latency Test (MSLT), an objective measure of daytime sleepiness. Subjects also completed: 1) a brief nocturnal sleep questionnaire; 2) the Epworth Sleepiness Scale; and, 3) the Quality of Life Index (QLI, Dialysis Version) which provides an overall QLI score and four subscale scores for Health & Functioning (H&F), Social & Economic (S&E), Psychological & Spiritual (P&S), and Family (F). (The range of scores is 0 to 30 with higher scores indicating better quality of life.) RESULTS: The mean (standard deviation; SD) of the overall QLI was 22.8 (4.0). The mean (SD) of the four subscales were as follows: H&F – 21.1 (4.7); S&E – 22.0 (4.8); P&S – 24.5 (4.4); and, F – 26.8 (3.5). H&F (r(s )= -0.326, p = 0.013) and F (r(s )= -0.248, p = 0.048) subscale scores were negatively correlated with periodic limb movement index but not other polysomnographic measures. The H&F subscale score were positively correlated with nocturnal sleep latency (r(s )= 0.248, p = 0.048) while the H&F (r(s )= 0.278, p = 0.030) and total QLI (r(s )= 0.263, p = 0.038) scores were positively associated with MSLT scores. Both of these latter findings indicate that higher life quality is associated with lower sleepiness levels. ESS scores were unrelated to overall QLI scores or the subscale scores. Subjective reports of difficulty falling asleep and waking up too early were significantly correlated with all four subscale scores and overall QLI. Feeling rested in the morning was positively associated with S&E, P&S, and Total QLI scores. CONCLUSION: Selected measures of both poor nocturnal sleep and increased daytime sleepiness are associated with decreased quality of life in HD patients, underscoring the importance of recognizing and treating these patients' sleep problems

Fine structure in the gamma-ray sky

The EGRET results for gamma-ray intensities in and near the Galactic Plane have been analysed in some detail. Attention has been concentrated on energies above 1 GeV and the individual intensities in a $4^\circ$ longitude bin have been determined and compared with the large scale mean found from a nine-degree polynomial fit. Comparison has been made of the observed standard deviation for the ratio of these intensities with that expected from variants of our model. The basic model adopts cosmic ray origin from supernova remnants, the particles then diffusing through the Galaxy with our usual 'anomalous diffusion'. The variants involve the clustering of SN, a frequency distribution for supernova explosion energies, and 'normal', rather than 'anomalous' diffusion. It is found that for supernovae of unique energy, and our usual anomalous diffusion, clustering is necessary, particularly in the Inner Galaxy. An alternative, and preferred, situation is to adopt the model with a frequency distribution of supernova energies. The results for the Outer Galaxy are such that no clustering is required.Comment: 10 pages, 4 figures, 1 table, accepted for publication in J.Phys.G: Nucl.Part.Phy