Matter Power Spectra in Viable f(R)f(R) Gravity Models with Massive Neutrinos

We investigate the matter power spectra in the power law and exponential types of viable $f(R)$ theories along with massive neutrinos. The enhancement of the matter power spectrum is found to be a generic feature in these models. In particular, we show that in the former type, such as the Starobinsky model, the spectrum is magnified much larger than the latter one, such as the exponential model. A greater scale of the total neutrino mass, $\Sigma m_{\nu}$, is allowed in the viable $f(R)$ models than that in the $\Lambda$CDM one. We obtain the constraints on the neutrino masses by using the CosmoMC package with the modified MGCAMB. Explicitly, we get $\Sigma m_{\nu} < 0.451 \ (0.214)\ \mathrm{eV}$at 95the corresponding one for the$\Lambda$CDM model is$\Sigma m_{\nu} < 0.200\ \mathrm{eV}$. Furthermore, by treating the effective number of neutrino species$N_{\mathrm{eff}}$as a free parameter along with$\Sigma m_{\nu}$, we find that$N_{\mathrm{eff}} = 3.78^{+0.64}_{-0.84} (3.47^{+0.74}_{-0.60})$and$\Sigma m_{\nu} = 0.533^{+0.254}_{-0.411}$($< 0.386) \ \mathrm{eV}$ at 95% C.L. in the Starobinsky (exponential) model.Comment: 15 pages, 5 figures, updated version accepted by PL

An Evaluation of Taiwanese B&B Service Quality Using the IPA Model

According to a December 2011 report released by Taiwan’s Tourism Bureau, there were 3,763 bed-and-breakfast guesthouses (B&B) in Taiwan, 3,367 of which were legal with a combined 13,389 rooms, increasing by 96 percent from December 2006. It seems that the B&B sector is quite a popular target for investors. As the word-of-mouth advertising has been considered one of the most influential marketing methods, those who invest in B&Bs must manage to utilize their limited resources to improve customer satisfaction in a fast-growing and competitive market. The best marketing approach in reaching out to B&B customers, as suggested by this study’s author, would be word-of-mouth adverting. A PZB framed questionnaire is used in this study to explore the expectations and satisfaction of B&B customers both before and after the accommodation period, with the Importance-Performance Analysis (IPA) model applied to analyze and measure the service quality. Findings from the questionnaire survey showed 3 out of the totally 23 service factors falling in the “concentrated concerned” quadrant (i.e., tidiness, architectural characteristics, and reasonable rates); 6 factors falling in the “continued maintenance” quadrant (i.e., adequate parking place, commitment to customers, handling of customers’ opinions, legality of B&B, grievance handling, and the local specialties-ordering service); 10 factors falling in the “low priority” quadrant (i.e., modern facilities, safety devices, availability of breakfast, security of online reservations); 4 factors falling in the “over-strived” quadrant (i.e., the availability of custom-made services, the ability to grasp customers’ needs, the availability of tour packages, and the availability of experiences regarding local industries)

Pancreatic Tail Cancer with Sole Manifestation of Left Flank Pain: A Very Rare Presentation

Pancreatic cancer is sometimes called a “silent disease” because it often causes no symptoms in the early stage. The symptoms can be quite vague and various depending on the location of cancer in the pancreas. The anatomic site distribution is 78% in the head of the pancreas, 11% in the body, and 11% in the tail. Pancreatic cancer is rarely detected in the early stage, and it is very uncommon to diagnose pancreatic tail cancer during an emergency department visit. The manifestation of pancreatic tail cancer as left flank pain is very rare and has seldom been identified in the literature. We present a case of pancreatic tail cancer with the sole manifestation of dull left flank pain. Having negative findings on an ultrasound study initially, this female patient was misdiagnosed as having possible acute gastritis, urolithiasis or muscle strain after she received gastroendoscopy and colonofiberscopy. Her symptoms persisted for several months and she visited our emergency department due to an acute exacerbation of a persistent dull pain in the left flank area. Radiographic evaluation with computed tomography was performed, and pancreatic tail tumor with multiple metastases was found unexpectedly. We review the literature and discuss this rare presentation of pancreatic tail cancer

Relationships between stress, coping and depressive symptoms among overseas university preparatory Chinese students: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Mental health problems in young people are an important public health issue. Students leaving their hometown and family at a young age to pursue better educational opportunities overseas are confronted with life adjustment stress, which in turn affects their mental health and academic performance. This study aimed to examine the relationships among stress, coping strategies, and depressive symptoms using the stress coping framework in overseas Chinese university preparatory students in Taiwan.</p> <p>Methods</p> <p>A cross-sectional study was conducted at an overseas Chinese university preparatory institute in Taiwan. Of enrolled overseas Chinese university preparatory students at 2009, 756 completed a structured questionnaire measuring stress, strategies for coping with it, and the Center for Epidemiologic Studies Depression Scale.</p> <p>Results</p> <p>High levels of stress significantly predicted the adoption of active, problem-focused coping strategies (<it>R</it>²= 0.13<!-- entity --><it>, p </it>< .01) and passive, emotion-focused coping strategies (<it>R</it>²= 0.24<!-- entity --><it>, p </it>< .01). Acceptable CFI, SRMR, and RMSEA values from the structural equation modeling analysis demonstrated that the model satisfactorily fits the stress coping framework, after active coping strategies were eliminated from the model. Results from the Sobel test revealed that passive coping strategies mediated the relation between stress and depressive symptoms (<it>z </it>= 8.06, <it>p </it>< .001).</p> <p>Conclusion</p> <p>Our study results suggested that stress is associated with coping strategies and depressive symptoms and passive strategies mediate the relation between stress and depressive symptoms in overseas Chinese university preparatory students.</p

Emergency Open Cardiac Massage via Subxyphoid Approach in Ruptured Type A Aortic Dissection

Patient sustained cardiac tamponade caused by rupture of type A aortic dissection may result in sudden death. Pericardiocentesis is a lifesaving procedure; nevertheless, blood may occlude the catheter and fail to relieve the pressure. However, open-chest cardiac massage in resuscitation has been studied in animal models by some medical centers and laboratories with inspiring results. We report a 58-year-old woman who was transferred from a local hospital with the diagnosis of cardiac tamponade caused by ruptured type A aortic dissection. Pulseless electrical activity followed by cardiac arrest occurred thereafter. Successful resuscitation in the emergency department was achieved using open cardiac massage through the sub-xyphoid region by opening a pericardial window. Therefore, in unstable patients with cardiac tamponade due to aortic dissection, this resuscitative procedure is feasible, safe and efficient

Precise Latency Calculation for Audio-Video Synchronization

Synchronization between the audio and video tracks in recording equipment is usually achieved using an audio-first approach. In this approach, the timestamp of a target video frame is compared to the timestamp of the sound emitted during that frame, timestamps being counted in units of video frames. Videos have a relatively low sampling rate, e.g., a 60 frame-per-sec video has frames separated by 16.67 milliseconds. Thus, the measurement of audio-video asynchrony is imprecise. This disclosure describes video-first techniques for audio-video synchronization. A target video frame is captured, and its timestamp is mapped to the audio track. The audio track has millisecond-level time resolution due to high audio-sampling rates. Using the audio track, the timestamp of the sound (pulse) emitted during the target video frame is determined to millisecond accuracy. Timestamps of the target video frame and of the audio pulse are differenced to obtain a high-precision estimate of audio-video asynchrony

Aberrant KDM5B expression promotes aggressive breast cancer through MALAT1 overexpression and downregulation of hsa-miR-448

Relative expression of KDM5B, MALAT1, SNAIL, Vimentin and miR 448 normalized against GAPDH in MCF10A WT, MCF10A OE, MDA-MB-231 WT and MDA-MB-231 KD cells. Data are representative of 3 independent experiments and analyzed by student’s t-test. All data are shown as mean ± SEM. WT, wild type; OE, KDM5B overexpressed; KD, knockdown using shKDM5B clone II. (DOCX 519 kb

Use of sodium bicarbonate for acute dizziness after minor head injury

AbstractObjectiveDizziness after minor head injury (mHI) is common. In some eastern countries, it is treated with 7% sodium bicarbonate solution (SB). This prospective study evaluated the clinical efficacy of SB compared with normal saline (NS).Material and methodsFrom April 2009 to April 2010, we performed a prospective observational study on 228 patients (68% female, 32% male) with acute dizziness after mHI. At the emergency physician’s discretion, intravenous SB (1 mL/kg) in NS (250 mL) or NS (250 mL) was administered to 166 patients and 62 patients, respectively, as empiric antidizziness therapy. Outcome measures were severity of dizziness and treatment response, which were measured by a visual analog scale. Various characteristics were compared between treatment groups. Any continued dizziness of the patients during follow-up was also compared with their pre-injury condition, such as prior psychiatric disorders and the presence of vertigo.ResultsThe SB group had their visual analog scale scores reduced by 25.4% compared with 24.6% in the NS group. Both groups showed a statistically significant reduction in dizziness (p < 0.001); however, the dizziness improvement did not differ significantly between the two treatment groups (p = 0.699). Sixty-four patients (28.1%) suffered from continued dizziness during follow-up (mean period, 22.4 ± 28.9 days). The prevalence of continued dizziness was higher in patients with prior psychiatric disorders, although this was not statistically significant (40% vs. 27.2%, p = 0.276), whereas patients with prior vertigo did not experience a higher dizziness relapse rate (27% vs. 28.2%).ConclusionsSB and NS administrations are both effective individually when treating patients with acute dizziness from mHI; however, both results may be attributable to the placebo effect. Therefore more research is necessary to understand the complex conditions that determine the effects of SB on this disorder