325 research outputs found
Cultural differences in intimacy: The influence of gender-role ideology and individualism-collectivism
Two studies examined emotional intimacy in European Canadian and Chinese Canadian dating relationships. Cultural differences in gender-role ideology and individualismâcollectivism
were hypothesized to differentially contribute to selfdisclosure and responsiveness, and in turn, intimacy. Study 1 revealed that Chinese Canadiansâ lower intimacy relative to European Canadians was mediated by their greater gender-role traditionalism but not by their individualism or collectivism. Study 2 further linked greater gender-role traditionalism to
lower self-disclosure, and in turn, lower intimacy. Results also revealed that Chinese Canadiansâ lower intimacy mediated their lower relationship satisfaction and higher rate of relationship termination in Study 1, but that Chinese Canadians were not any more likely to terminate their relationships in Study 2
The hodograph method applicability in the problem of long-scale nonlinear dynamics of a thin vortex filament near a flat boundary
Hamiltonian dynamics of a thin vortex filament in ideal incompressible fluid
near a flat fixed boundary is considered at the conditions that at any point of
the curve determining shape of the filament the angle between tangent vector
and the boundary plane is small, also the distance from a point on the curve to
the plane is small in comparison with the curvature radius. The dynamics is
shown to be effectively described by a nonlinear system of two
(1+1)-dimensional partial differential equations. The hodograph transformation
reduces that system to a single linear differential equation of the second
order with separable variables. Simple solutions of the linear equation are
investigated at real values of spectral parameter when the filament
projection on the boundary plane has shape of a two-branch spiral or a smoothed
angle, depending on the sign of .Comment: 9 pages, revtex4, 6 eps-figure
Lepton Flavor Non-Conservation
In the present work we review the most prominent lepton flavor violating
processes (\mu \ra e\gamma, \mu \ra 3e, conversion,
oscillations etc), in the context of unified gauge theories. Many currently
fashionable extensions of the standard model are considered, such as: {\it i)}
extensions of the fermion sector (right-handed neutrino); {\it ii)} minimal
extensions involving additional Higgs scalars (more than one isodoublets,
singly and doubly charged isosinglets, isotriplets with doubly charged members
etc.); {\it iii)} supersymmetric or superstring inspired unified models
emphasizing the implications of the renormalization group equations in the
leptonic sector. Special attention is given to the experimentaly most
interesting conversion in the presence of nuclei. The relevant
nuclear aspects of the amplitudes are discussed in a number of fashionable
nuclear models. The main features of the relevant experiments are also
discussed, and detailed predictions of the above models are compared to the
present experimental limits.Comment: (IOA-300/93, review article, 83p, 6 epsf figures , available upon
request from [email protected])
Implementation of mandatory opioid prescribing limits in North Carolina: healthcare administrator and prescriber perspectives
Background: Recent increases in state laws to reduce opioid prescribing have demonstrated a need to understand how they are interpreted and implemented in healthcare systems. The purpose of this study was to explore the systems, strategies, and resources that hospital administrators and prescribers used to implement the 2017 North Carolina Strengthen Opioid Prevention (STOP) Act opioid prescribing limits, which limited initial prescriptions to a five (for acute) or seven (for post-surgical) daysâ supply. Methods: We interviewed 14 hospital administrators and 38 prescribers with degrees in medicine, nursing, pharmacy, business administration and public health working across North Carolina. Interview guides, informed by the Consolidated Framework for Implementation Research, explored barriers and facilitators to implementation. Interview topics included communication, resources, and hospital system support. Interviews were recorded and transcribed, then analyzed using flexible coding, integrating inductive and deductive coding, to inform analytic code development and identify themes. Results: We identified three main themes around implementation of STOP act mandated prescribing limits: organizational communication, prescriber education, and changes in the electronic medical record (EMR) systems. Administrators reflected on implementation in the context of raising awareness and providing reminders to facilitate changes in prescriber behavior, operationalized through email and in-person communications as well as dedicated resources to EMR changes. Prescribers noted administrative communications about prescribing limits often focused on legality, suggesting a directive of the organizationâs policy rather than a passive reminder. Prescribers expressed a desire for more spaces to have their questions answered and resources for patient communications. While hospital administrators viewed compliance with the law as a priority, prescribers reflected on concerns for adequately managing their patientsâ pain and limited time for clinical care. Conclusions: Hospital administrators and prescribers approached implementation of the STOP act prescribing limits with different mindsets. While administrators were focused on policy compliance, prescribers were focused on their patientsâ needs. Strategies to implement the mandate then had to balance patient needs with policy compliance. As states continue to legislate to prevent opioid overdose deaths, understanding how laws are implemented by healthcare systems and prescribers will improve their effectiveness through tailoring and maximizing available resources
The MACHO Project 2nd Year LMC Microlensing Results and Dark Matter Implications
The MACHO Project is searching for galactic dark matter in the form of
massive compact halo objects (Machos). Millions of stars in the Large
Magellanic Cloud (LMC), Small Magellanic Cloud (SMC), and Galactic bulge are
photometrically monitored in an attempt to detect rare gravitational
microlensing events caused by otherwise invisible Machos. Analysis of two years
of photometry on 8.5 million stars in the LMC reveals 8 candidate microlensing
events, far more than the event expected from lensing by low-mass stars
in known galactic populations. From these eight events we estimate the optical
depth towards the LMC from events with 2 < \that < 200 days to be
\tau_2^{200} \approx 2.9 ^{+1.4}_{-0.9} \ten{-7}. This exceeds the optical
depth of 0.5\ten{-7} expected from known stars and is to be compared with an
optical depth of 4.7\ten{-7} predicted for a ``standard'' halo composed
entirely of Machos. The total mass in this lensing population is \approx
2^{+1.2}_{-0.7} \ten{11} \msun (within 50 kpc from the Galactic center). Event
timescales yield a most probable Macho mass of 0.5^{+0.3}_{-0.2}\msun,
although this value is quite model dependent.Comment: 10 pages, 6 epsf figures and style file included, 451k, also at
http://wwwmacho.mcmaster.ca/Pubs/Pubs.html; To appear in the Proceedings of
"Sources and Detection of Dark Matter in the Universe", Santa Monica, CA,
Feb., 199
A Binary Lensing Event Toward the LMC: Observations and Dark Matter Implications
The MACHO collaboration has recently analyzed 2.1 years of photometric data
for about 8.5 million stars in the Large Magellanic Cloud (LMC). This analysis
has revealed 8 candidate microlensing events and a total microlensing optical
depth of . This significantly
exceeds the number of events (1.1) and the microlensing optical depth predicted
from known stellar populations: , but it is
consistent with models in which about half of the standard dark halo mass is
composed of Machos of mass \sim 0.5 \msun. One of these 8 events appears to
be a binary lensing event with a caustic crossing that is partially resolved
which allows us to estimate the distance to the lenses. If the source star is
not a short period binary star, then we show that the lens system is very
likely to reside in the LMC. However, if we assume that the optical depth for
LMC-LMC lensing is large enough to account for our entire lensing signal, then
the binary event does not appear to be consistent with lensing of a single LMC
source star by a binary residing in the LMC. Thus, while the binary lens may
indeed reside in the LMC, there is no indication that most of the lenses reside
in the LMC.Comment: 5 pages, 3 postscript figures included; To appear in the Proceedings
of the Dark Matter '96 Conference held in Santa Monica, CA, Feb., 199
Development and validation of an electronic health records-based opioid use disorder algorithm by expert clinical adjudication among patients with prescribed opioids
Background: In the US, over 200 lives are lost from opioid overdoses each day. Accurate and prompt diagnosis of opioid use disorders (OUD) may help prevent overdose deaths. However, international classification of disease (ICD) codes for OUD are known to underestimate prevalence, and their specificity and sensitivity are unknown. We developed and validated algorithms to identify OUD in electronic health records (EHR) and examined the validity of OUD ICD codes. Methods: Through four iterations, we developed EHR-based OUD identification algorithms among patients who were prescribed opioids from 2014 to 2017. The algorithms and OUD ICD codes were validated against 169 independent âgold standardâ EHR chart reviews conducted by an expert adjudication panel across four healthcare systems. After using 2014â2020 EHR for validating iteration 1, the experts were advised to use 2014â2017 EHR thereafter. Results: Of the 169 EHR charts, 81 (48%) were reviewed by more than one expert and exhibited 85% expert agreement. The experts identified 54 OUD cases. The experts endorsed all 11 OUD criteria from the Diagnostic and Statistical Manual of Mental Disorders-5, including craving (72%), tolerance (65%), withdrawal (56%), and recurrent use in physically hazardous conditions (50%). The OUD ICD codes had 10% sensitivity and 99% specificity, underscoring large underestimation. In comparison our algorithm identified OUD with 23% sensitivity and 98% specificity. Conclusions and relevance: This is the first study to estimate the validity of OUD ICD codes and develop validated EHR-based OUD identification algorithms. This work will inform future research on early intervention and prevention of OUD
Planck intermediate results. VIII. Filaments between interacting clusters
About half of the baryons of the Universe are expected to be in the form of
filaments of hot and low density intergalactic medium. Most of these baryons
remain undetected even by the most advanced X-ray observatories which are
limited in sensitivity to the diffuse low density medium. The Planck satellite
has provided hundreds of detections of the hot gas in clusters of galaxies via
the thermal Sunyaev-Zel'dovich (tSZ) effect and is an ideal instrument for
studying extended low density media through the tSZ effect. In this paper we
use the Planck data to search for signatures of a fraction of these missing
baryons between pairs of galaxy clusters. Cluster pairs are good candidates for
searching for the hotter and denser phase of the intergalactic medium (which is
more easily observed through the SZ effect). Using an X-ray catalogue of
clusters and the Planck data, we select physical pairs of clusters as
candidates. Using the Planck data we construct a local map of the tSZ effect
centered on each pair of galaxy clusters. ROSAT data is used to construct X-ray
maps of these pairs. After having modelled and subtracted the tSZ effect and
X-ray emission for each cluster in the pair we study the residuals on both the
SZ and X-ray maps. For the merging cluster pair A399-A401 we observe a
significant tSZ effect signal in the intercluster region beyond the virial
radii of the clusters. A joint X-ray SZ analysis allows us to constrain the
temperature and density of this intercluster medium. We obtain a temperature of
kT = 7.1 +- 0.9, keV (consistent with previous estimates) and a baryon density
of (3.7 +- 0.2)x10^-4, cm^-3. The Planck satellite mission has provided the
first SZ detection of the hot and diffuse intercluster gas.Comment: Accepted by A&
Weber and church governance: religious practice and economic activity
The debate about the relationship between religion and economic activity in the wake of Weber has been cast largely in terms of belief and values. This article suggests an alternative focus on practice. It argues that taken for granted practices of church governance formed to-hand resources for the organization of economic activity. The argument is developed through an examination of the historical development of church governance practices in the Presbyterian Church of Scotland, with particular emphasis on the way in which theological belief gave rise to practices of accountability and record keeping. In turn such practices contributed to a âculture of organizationâ which had implications for economic activity. A focus on governance practices can help to illuminate enduring patterns of difference in the organization of economic activity
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