An X-ray survey of nine historical novae

The Einstein Observatory imaging proportional counter was used to search for X-ray emission from nine nearby historical novae. Six of the novae were detected with estimated X-ray intensities between .1 to 4 keV of 10 to the -13th power to 10 to the -11th power ergs/sq cm-s, comparable to the intensities of previously detected cataclysmic variables. The X-ray intensity of one of the novae, V603 Aql, varies over times of several hundred seconds. The data suggest a correlation between the decay rate of the historical outburst and the current X-ray luminosity. Alternatively, the X-ray luminosity may be related to the inclination of the binary system

A 2 component X-ray spectrum from SMC X-1

Both HEAO-1 A2 and Einstein SSS observations of SMC X-1 are presented. An unpulsed soft component is found with a blackbody temperature of 0.16 keV and an area for the emission region of 10 to the 15th power sq cm to 10 to the 17th power sq cm. The hard X-ray component is pulsed; the phase averaged spectrum is a power law with alpha approximately 0.5 keV up to 17 keV above which it steepens. The SSS sets an upper limit of 4 x 10 to the 21st power H cm/2 to any absorption and is consistent with that expected from the wind of SK160. Absorption dips with a timescale of several hundred seconds are seen immediately following an eclipse exit and are probably caused by inhomogeneities in the wind of SK160

Rapid X-ray variability from the Seyfert 1 Galaxy NGC 4051

Strong variable X-ray emission from the nearby low luminosity Seyfert 1 galaxy NGC 4051 was discovered during observations with the imaging proportional counter of the Einstein Observatory. During one 2304 second observation, the X-ray flux more than doubled in an approximately linear fashion, and a 70% increase for 150 seconds was seen during another 968 second observation. Evidence is presented which demonstrates that the X-ray spectrum of NGC 4051 is unusually soft compared to Seyfert 1 galaxies or QSOs. The emission mechanism is probably not synchrotron or synchrotron self-Compton, but the emission can be plausibly explained by various black hole accretion models

Recruitment of a Large Community of Pediatricians in a Collaborative Research Project

To investigate the effects of an educational program on the compliance-enhancing behavior of pediatricians and the subsequent regimen adherence of their patients, it was necessary to enlist the participation of a large number of pediatric practitioners. The physicians had to be motivated to attend two evenings of tutorial training; to enroll their patients in the project; and to complete detailed study documents. Ultimately, 90 of the 97 pediatricians practicing in the community took part. The following factors are felt to have contributed to the widespread participation of the pediatricians: 1) the subject was interesting and of relevance to clinical practice; 2) the study was designed so as not to interfere with office routine; 3) major demands were not made on the patients; 4) due consideration was given to the value of the physicians' participation; and 5) communication between the investigators and the practitioners was facilitated by a liaison pediatrician.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68140/2/10.1177_000992288902800502.pd

Contraceptive behavior among unmarried young women: A theoretical framework for research

Adoption of the most effective methods of contraception requires individual decision-making and negotiation with contraceptive providers. In order to take account of both behavioral elements, a two-dimensional framework for understanding contraceptive adoption and continuation by unmarried young is proposed, incorporating a "social-psychological model" of individual decision-making and an "interpersonal model" of factors affecting provider-client interaction. The social-psychological model is based on an earlier value-expectancy theory of behavior motivation as applied to health-related behaviors. The interpersonal model is derived from conflict-bargaining perspectives on professional-client interaction; it is suggested that expectations for this interaction are based on a limited number of internalized "models": the "professional"; the "bureaucratic"; the "commercial"; and the "parental." Insofar as client and professional "models" disagree, communication may break down and client understanding and/or acceptance of provider advice cannot be assured. The components of the social-psychological and interpersonal models are described in detail, and a combined framework is proposed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43514/1/11111_2005_Article_BF01255864.pd

The doctor-patient relationship and counseling for preventive care

Theories and research related to the doctor-patient relationship have developed in a context of therapeutic care. This context is an increasingly inadequate definition of the boundaries of the doctor-patient relationship, as expectations grow for the physician's role in counseling for disease prevention and health promotion. This paper reviews the literature of the doctor-patient relationship, and extends its application to this newer context. Suggestions are discussed for overcoming some of the obstacles to the successful incorporation of counseling for preventive care in daily medical practice. Doctors and patients will benefit from a clarified understanding of their counseling responsibilities in disease prevention and health promotion as the theoretical and practical complexities of providing health care in medical institutions are examined.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26811/1/0000367.pd

The Nearby Neutron Star RX J0720.4-3125 from Radio to X-rays

We present radio, optical, ultraviolet, and X-ray observations of the isolated, thermally-emitting neutron star RX J0720.4-3125 using the Parkes radio telescope, the Very Large Array, the Hubble Space Telescope, and the Chandra X-ray Observatory. From these data we show that the optical/UV spectrum of RX J0720.4-3125 is not well fit by a Rayleigh-Jeans tail as previously thought, but is instead best fit by either a single non-thermal power-law or a combination of a Rayleigh-Jeans tail and a non-thermal power-law. Taken together with the X-ray spectrum, we find the best model for RX J0720.4-3125 to be two blackbodies plus a power-law, with the cool blackbody implying a radius of 11-13 km at an assumed distance of 300 pc. This is similar to many middle aged (10^{5-6} yr) radio pulsars such as PSR B0656+14, evidence supporting the hypothesis that RX J0720.4-3125 is likely to be an off-beam radio pulsar. The radio data limit the flux at 1.4 GHz to be <0.24 mJy, or a luminosity limit of 4*pi*d^2*F < 3e25*d_300^2 ergs/s, and we see no sign of extended nebulosity, consistent with expectations for a pulsar like RX J0720.4-3125.Comment: 13 pages, 9 figures. Uses emulateapj5.sty and onecolfloat5.sty. Accepted for publication in Ap

Contingency contracting to enhance patient compliance: A review

Researchers and practitioners have expressed considerable interest in contingency contracting as a promising intervention strategy for enlisting patient cooperation, particularly with regard to long-term treatment regimens. After brief examination of the theoretical background, the authors summarize advantages of contracting, describe elements essential to the development of a contract, and enumerate those ingredients in the contracting process thought to be critical for achieving optimal results. They review relevant research efforts in terms of their designs, methods, target and contracted health-related behaviors, contingencies employed, and initial and follow-up results. On the basis of this review, current issues regarding contingency contracting are raised, and practical considerations for large-scale application are noted along with recommendations for future research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/24976/1/0000403.pd

Correlates of mothers' use of medications for their children

This study examines the extent, determinants and quality of mothers' independent use of medications for treating their children's symptoms. Data on mother-initiated medication behavior (MIMB) were obtained from a stratified systematic random sample of 500 mothers of children presenting for a well child visit at two pediatric ambulatory care sites. Six expert pediatric judges each rated every reported medication use (N = 3908) along three dimensions (usefulness, correctness and harmfulness or helpfulness) and also evaluated the overall appropriateness of each mother's MIMB. Results indicate that: (1) mothers keep available and use for children a considerable variety of different medications and medical appliances; (2) a positive linear relationship exists between mothers' socioeconomic status (SES) and degree of MIMB; (3) mothers' attitudes toward medications and toward their children's health are associated with the number of categories of medications and appliances they possess and use; (4) the combination of SES and attitudinal characteristics accounts for substantial portions of the variance in MIMB; and (5) judges' ratings show only minimal-level support of MIMB (extending to mothers in all SES groups) and are linearly related to SES (P &lt; 0.001). These findings emphasize the need for health care providers to review MIMB, and to provide advice concerning use and misuse of mother-initiated treatments.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26329/1/0000416.pd

The Health Belief Model Applied to Understanding Diabetes Regimen Compliance

Inadequate adherence to prescribed treatment plans is perhaps the most serious obstacle to achieving success ful therapeutic outcomes, and non compliance by diabetic patients is no exception. This is partly based on pa tients' realization that compliance does not necessarily result in lack of illness. A psychosocial framework for under standing patient compliance is the Health Belief Model, which is based upon the value an individual places on the identified goal and the likelihood that compliance will achieve that goal. This Model has been useful to explain noncompliance, to make an "educa tional diagnosis," and for designing compliance-enhancing interventions.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68410/2/10.1177_014572178501100108.pd