1,234 research outputs found
The impact of screen-detection upon international differences in survival from breast cancer: a comparison of the West Midlands, England, and New South Wales, Australia (poster presentation)
Is there evidence of a ‘cured’ sub-population amongst women with screen-detected breast cancer? Results from New South Wales, Australia, and the West Midlands region of England (oral presentation)
On Semiclassical Limits of String States
We explore the relation between classical and quantum states in both open and
closed (super)strings discussing the relevance of coherent states as a
semiclassical approximation. For the closed string sector a gauge-fixing of the
residual world-sheet rigid translation symmetry of the light-cone gauge is
needed for the construction to be possible. The circular target-space loop
example is worked out explicitly.Comment: 12 page
Patterns of primary care and mortality among patients with schizophrenia or diabetes: a cluster analysis approach to the retrospective study of healthcare utilization
Abstract Background Patients with schizophrenia have difficulty managing their medical healthcare needs, possibly resulting in delayed treatment and poor outcomes. We analyzed whether patients reduced primary care use over time, differentially by diagnosis with schizophrenia, diabetes, or both schizophrenia and diabetes. We also assessed whether such patterns of primary care use were a significant predictor of mortality over a 4-year period. Methods The Veterans Healthcare Administration (VA) is the largest integrated healthcare system in the United States. Administrative extracts of the VA's all-electronic medical records were studied. Patients over age 50 and diagnosed with schizophrenia in 2002 were age-matched 1:4 to diabetes patients. All patients were followed through 2005. Cluster analysis explored trajectories of primary care use. Proportional hazards regression modelled the impact of these primary care utilization trajectories on survival, controlling for demographic and clinical covariates. Results Patients comprised three diagnostic groups: diabetes only (n = 188,332), schizophrenia only (n = 40,109), and schizophrenia with diabetes (Scz-DM, n = 13,025). Cluster analysis revealed four distinct trajectories of primary care use: consistent over time, increasing over time, high and decreasing, low and decreasing. Patients with schizophrenia only were likely to have low-decreasing use (73% schizophrenia-only vs 54% Scz-DM vs 52% diabetes). Increasing use was least common among schizophrenia patients (4% vs 8% Scz-DM vs 7% diabetes) and was associated with improved survival. Low-decreasing primary care, compared to consistent use, was associated with shorter survival controlling for demographics and case-mix. The observational study was limited by reliance on administrative data. Conclusion Regular primary care and high levels of primary care were associated with better survival for patients with chronic illness, whether psychiatric or medical. For schizophrenia patients, with or without comorbid diabetes, primary care offers a survival benefit, suggesting that innovations in treatment retention targeting at-risk groups can offer significant promise of improving outcomes.http://deepblue.lib.umich.edu/bitstream/2027.42/78274/1/1472-6963-9-127.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78274/2/1472-6963-9-127.pdfPeer Reviewe
Impact of mental health problems on case fatality in male cancer patients
Background: Although mortality rates are elevated in psychiatric patients relative to their healthy counterparts, little is known about the impact of mental health on survival in people with cancer. / Methods and results: Among 16 498 Swedish men with cancer, survival was worse in those with a history of psychiatric hospital admissions: multiply-adjusted hazard ratio (95% confidence interval) comparing cancer mortality in men with and without psychiatric admissions: 1.59 (1.39, 1.83). / Conclusion: Survival in cancer patients is worse among those with a history of psychiatric disease. The mechanisms underlying this association should be further explored
A cross-sectional survey of mental health clinicians’ knowledge, attitudes, and practice relating to tobacco dependence among young people with mental disorders
BACKGROUND: Mental health services in England are smoke-free by law and expected to provide comprehensive support to patients who smoke. Although clinicians’ knowledge in this area is reported to be limited, research exploring the issue in Child and Adolescent Mental Health Services (CAMHS) is lacking. This study aimed to investigate the knowledge, attitudes, and practice of clinicians working within specialist and highly specialist Child and Adolescent Mental Health Services (CAMHS) relating to tobacco dependence, its treatment and its relation to mental disorder.
METHODS: A cross-sectional survey of clinicians working across all CAMHS teams of a large UK National Health Service mental health Trust.
RESULTS: Sixty clinicians (50% response rate) completed the survey. Less than half (48.3%) believed that addressing smoking was part of their responsibility, and half (50%) asserted confidence in supporting patients in a cessation attempt. Misconceptions relating to smoking were present across all staff groups: e.g. only 40% of respondents were aware of potential interactions between smoking and antipsychotic medications, although psychiatrists were more knowledgeable than non-medical clinicians (91.6% vs 27.1%; OR 3.4, p < .001). Self-reported attendance at smoking-related training was significantly associated with more proactive clinical practice.
CONCLUSIONS: There is a need to improve clinicians’ knowledge, capacity and confidence in effectively identifying, motivating, supporting and treating young smokers in the context of treatment for mental disorders.
ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-014-0618-x) contains supplementary material, which is available to authorized users
SUSY, the Third Generation and the LHC
We develop a bottom-up approach to studying SUSY with light stops and
sbottoms, but with other squarks and sleptons heavy and beyond reach of the
LHC. We discuss the range of squark, gaugino and Higgsino masses for which the
electroweak scale is radiatively stable over the "little hierarchy" below ~ 10
TeV. We review and expand on indirect constraints on this scenario, in
particular from flavor and CP tests. We emphasize that in this context,
R-parity violation is very well motivated. The phenomenological differences
between Majorana and Dirac gauginos are also discussed. Finally, we focus on
the light subsystem of stops, sbottom and neutralino with R-parity, in order to
probe the current collider bounds. We find that 1/fb LHC bounds are mild and
large parts of the motivated parameter space remain open, while the 10/fb data
can be much more decisive.Comment: 42 pages, 8 figures, 1 table. V2: minor corrections, references adde
On staying grounded and avoiding Quixotic dead ends
The 15 articles in this special issue on The Representation of Concepts illustrate the rich variety of theoretical positions and supporting research that characterize the area. Although much agreement exists among contributors, much disagreement exists as well, especially about the roles of grounding and abstraction in conceptual processing. I first review theoretical approaches raised in these articles that I believe are Quixotic dead ends, namely, approaches that are principled and inspired but likely to fail. In the process, I review various theories of amodal symbols, their distortions of grounded theories, and fallacies in the evidence used to support them. Incorporating further contributions across articles, I then sketch a theoretical approach that I believe is likely to be successful, which includes grounding, abstraction, flexibility, explaining classic conceptual phenomena, and making contact with real-world situations. This account further proposes that (1) a key element of grounding is neural reuse, (2) abstraction takes the forms of multimodal compression, distilled abstraction, and distributed linguistic representation (but not amodal symbols), and (3) flexible context-dependent representations are a hallmark of conceptual processing
Quantum Fluctuations and the Unruh Effect in Strongly-Coupled Conformal Field Theories
Through the AdS/CFT correspondence, we study a uniformly accelerated quark in
the vacuum of strongly-coupled conformal field theories in various dimensions,
and determine the resulting stochastic fluctuations of the quark trajectory.
From the perspective of an inertial observer, these are quantum fluctuations
induced by the gluonic radiation emitted by the accelerated quark. From the
point of view of the quark itself, they originate from the thermal medium
predicted by the Unruh effect. We scrutinize the relation between these two
descriptions in the gravity side of the correspondence, and show in particular
that upon transforming the conformal field theory from Rindler space to the
open Einstein universe, the acceleration horizon disappears from the boundary
theory but is preserved in the bulk. This transformation allows us to directly
connect our calculation of radiation-induced fluctuations in vacuum with the
analysis by de Boer et al. of the Brownian motion of a quark that is on average
static within a thermal medium. Combining this same bulk transformation with
previous results of Emparan, we are also able to compute the stress-energy
tensor of the Unruh thermal medium.Comment: 1+31 pages; v2: reference adde
Anti-cancer effect of pristimerin by inhibition of HIF-1α involves the SPHK-1 pathway in hypoxic prostate cancer cells
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