Isotopic Scaling of Heavy Projectile Residues from the collisions of 25 MeV/nucleon 86Kr with 124Sn, 112Sn and 64Ni, 58Ni

The scaling of the yields of heavy projectile residues from the reactions of 25 MeV/nucleon 86Kr projectiles with 124Sn,112Sn and 64Ni, 58Nitargets is studied. Isotopically resolved yield distributions of projectile fragments in the range Z=10-36 from these reaction pairs were measured with the MARS recoil separator in the angular range 2.7-5.3 degrees. The velocities of the residues, monotonically decreasing with Z down to Z~26-28, are employed to characterize the excitation energy. The yield ratios R21(N,Z) for each pair of systems are found to exhibit isotopic scaling (isoscaling), namely, an exponential dependence on the fragment atomic number Z and neutron number N. The isoscaling is found to occur in the residue Z range corresponding to the maximum observed excitation energies. The corresponding isoscaling parameters are alpha=0.43 and beta=-0.50 for the Kr+Sn system and alpha=0.27 and beta=-0.34 for the Kr+Ni system. For the Kr+Sn system, for which the experimental angular acceptance range lies inside the grazing angle, isoscaling was found to occur for Z<26 and N<34. For heavier fragments from Kr+Sn, the parameters vary monotonically, alpha decreasing with Z and beta increasing with N. This variation is found to be related to the evolution towards isospin equilibration and, as such, it can serve as a tracer of the N/Z equilibration process. The present heavy-residue data extend the observation of isotopic scaling from the intermediate mass fragment region to the heavy-residue region. Such high-resolution mass spectrometric data can provide important information on the role of isospin in peripheral and mid-peripheral collisions, complementary to that accessible from modern large-acceptance multidetector devices.Comment: 8 pages, 6 figures, submitted to Phys. Rev.

Mass Parameterizations and Predictions of Isotopic Observables

We discuss the accuracy of mass models for extrapolating to very asymmetric nuclei and the impact of such extrapolations on the predictions of isotopic observables in multifragmentation. We obtain improved mass predictions by incorporating measured masses and extrapolating to unmeasured masses with a mass formula that includes surface symmetry and Coulomb terms. We find that using accurate masses has a significant impact on the predicted isotopic observables.Comment: 12 pages, 4 figure

‘So just to go through the options...’: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies services

This article considers patient choice in mental healthcare services, specifically the ways that choice is enabled or constrained in patient–practitioner spoken interaction. Using the method of conversation analysis (CA), we examine the language used by practitioners when presenting treatment delivery options to patients entering the NHS Improving Access to Psychological Therapies (IAPT) service. Analysis of 66 recordings of telephone‐delivered IAPT assessment sessions revealed three patterns through which choice of treatment delivery mode was presented to patients: presenting a single delivery mode; incrementally presenting alternative delivery modes, in response to patient resistance; and parallel presentation of multiple delivery mode options. We show that a distinction should be made between (i) a choice to accept or reject the offer of a single option and (ii) a choice that is a selection from a range of options. We show that the three patterns identified are ordered in terms of patient‐centredness and shared decision‐making. Our findings contribute to sociological work on healthcare interactions that has identified variability in, and variable consequences for, the ways that patients and practitioners negotiate choice and shared decision‐making. Findings are discussed in relation to tensions between the political ideology of patient choice and practical service delivery constraints

Sociocultural considerations in aging men's health: implications and recommendations for the clinician

http://dx.doi.org/10.1016/j.jomh.2009.07.00

Phenotypic expansion of the BPTF-related neurodevelopmental disorder with dysmorphic facies and distal limb anomalies

Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL), defined primarily by developmental delay/intellectual disability, speech delay, postnatal microcephaly, and dysmorphic features, is a syndrome resulting from heterozygous variants in the dosage-sensitive bromodomain PHD finger chromatin remodeler transcription factor BPTF gene. To date, only 11 individuals with NEDDFL due to de novo BPTF variants have been described. To expand the NEDDFL phenotypic spectrum, we describe the clinical features in 25 novel individuals with 20 distinct, clinically relevant variants in BPTF, including four individuals with inherited changes in BPTF. In addition to the previously described features, individuals in this cohort exhibited mild brain abnormalities, seizures, scoliosis, and a variety of ophthalmologic complications. These results further support the broad and multi-faceted complications due to haploinsufficiency of BPTF.Genetics of disease, diagnosis and treatmen

A century of trends in adult human height

Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries