Understanding the cognitive processes associated with sexual fantasies: towards a dual process model

This thesis proposes a theoretical model of sexual thoughts and fantasies; the Dual-Process of Sexual Thinking (DPM-ST). In brief, the DPM-ST argues that associative processes generate spontaneous sexual thoughts, whereas controlled processes underlie the act of sexual fantasising. The empirical chapters aimed to empirically test some of the DPM-ST's main assumptions using offender and non-offender samples. In Chapter 3, support was found for the hypothesis that child abusers hold distorted sex-related associations. The results of Chapter 4 supported the idea that the use of deviant sexual fantasies is more likely if individuals have a greater proclivity to fantasise and hold explicit attitudes related to the deviant sexual fantasy. Chapter 5 supported the hypothesis that sexual fantasising is a controlled process requiring working memory resources. The results of Chapter 6 did not support the hypothesis that sexually fantasising about dominance activates 'self-powerful' associations. In Chapter 7, the results supported the hypothesis that abusers who repeatedly use sexual fantasies about children hold a stronger association between 'children' and 'sexual fantasy'. Finally, Chapter 8 concluded the thesis by discussing the findings in terms of their theoretical and clinical implications. The limitations of the thesis are also outlined, along with various ideas for future research

Ultralow phase noise microwave generation with an Er:fiber-based optical frequency divider

We present an optical frequency divider based on a 200 MHz repetition rate Er:fiber mode-locked laser that, when locked to a stable optical frequency reference, generates microwave signals with absolute phase noise that is equal to or better than cryogenic microwave oscillators. At 1 Hz offset from a 10 GHz carrier, the phase noise is below -100 dBc/Hz, limited by the optical reference. For offset frequencies > 10 kHz, the phase noise is shot noise limited at -145 dBc/Hz. An analysis of the contribution of the residual noise from the Er:fiber optical frequency divider is also presented.Comment: 4 pages, 3 figure

Examining the Potential Impact of SWOT Observations In an Ocean Analysis-Forecasting System

NASA\u27s Surface Water and Ocean Topography (SWOT) satellite, scheduled for launch in 2020, will provide observations of sea surface height anomaly (SSHA) at a significantly higher spatial resolution than current satellite altimeters. This new observation type is expected to improve the ocean model mesoscale circulation. The potential improvement that SWOT will provide is investigated in this work by way of twin-data assimilation experiments using the Navy Coastal Ocean Model four-dimensional variational data assimilation (NCOM-4DVAR) system in its weak constraint formulation. Simulated SWOT observations are sampled from an ocean model run (referred to as the nature run) using an observation-simulator program provided by the SWOT science team. The SWOT simulator provides realistic spatial coverage, resolution, and noise characteristics based on the expected performance of the actual satellite. Twin-data assimilation experiments are run for a two-month period during which simulated observations are assimilated into a separate model (known as the background model) in a series of 96-h windows. The final condition of each analysis window is used to initialize a new 96-h forecast, and each forecast is compared to the nature run to determine the impact of the assimilated data. It is demonstrated here that the simulated SWOT observations help to constrain the model mesoscale to be more consistent with the nature run than the assimilation of traditional altimeter observations alone. The findings of this study suggest that data from SWOT may have a substantial impact on improving the ocean model forecast of mesoscale features and surface ocean velocity

A multi-disciplinary Delphi method to identify consensus in the management of intracranial germ cell tumours

The management of intracranial germ-cell tumours is complex because of varied clinical presentations, tumour sites, treatments and outcomes, and the need for multidisciplinary input. Participants of the 2013 Third International CNS Germ Cell Tumour Symposium (Cambridge, UK) agreed to undertake a multidisciplinary Delphi process to identify consensus in the clinical management of intracranial germ-cell tumours. 77 delegates from the symposium were selected as suitable experts in the field and were invited to participate in the Delphi survey, of which 64 (83%) responded to the invitation. Invited participants represented multiple disciplines from Asia, Australasia, Europe, and the Americas. 38 consensus statements encompassing aspects of intracranial germ-cell tumour work-up, staging, treatment, and follow-up were prepared. To achieve consensus, statements required at least 70% agreement from at least 60% of respondents. Overall, 34 (89%) of 38 statements met consensus criteria. This international Delphi approach has defined key areas of consensus that will help guide and streamline clinical management of patients with intracranial germ-cell tumours. Additionally, the Delphi approach identified areas of different understanding and clinical practice internationally in the management of these tumours, areas which should be the focus of future collaborative studies. Such efforts should translate into improved patient outcomes.This is the accepted manuscript. It is currently embargoed pending publication

A New Mechanism for Generating a Single Transverse Spin Asymmetry

We propose a new mechanism for generating a single transverse spin asymmetry (STSA) in polarized proton-proton and proton-nucleus collisions in the high-energy scattering approximation. In this framework the STSA originates from the q->q G splitting in the projectile (proton) light-cone wave function followed by a perturbative (C-odd) odderon interaction, together with a C-even interaction, between the projectile and the target. We show that some aspects of the obtained expression for the STSA of the produced quarks are in qualitative agreement with experiment: STSA decreases with decreasing projectile x_F and is a non-monotonic function of the transverse momentum k_T. In our framework the STSA peaks at k_T near the saturation scale Q_s. Our mechanism predicts that the quark STSA in proton-nucleus collisions should be much smaller than in proton-proton collisions. We also observe that in our formalism the STSA for prompt photons is zero.Comment: 28 pages, 17 figues; v2: minor corrections, a subsection, discussion and references added; v3: minor corrections and a new figure added; v4: minor corrections; v5: minor corrections in figure

Protective Effects of C-Type Natriuretic Peptide on Linear Growth and Articular Cartilage Integrity in a Mouse Model of Inflammatory Arthritis

Objective: The C-type natriuretic peptide (CNP) signaling pathway is a major contributor to postnatal skeletal growth in humans. This study was undertaken to investigate whether CNP signaling could prevent growth delay and cartilage damage in an animal model of inflammatory arthritis. Methods: We generated transgenic mice that overexpress CNP (B6.SJL-Col2a1-NPPC) in chondrocytes. We introduced the CNP transgene into mice with experimental systemic inflammatory arthritis (K/BxN T cell receptor [TCR]) and determined the effect of CNP overexpression in chondrocytes on the severity of arthritis, cartilage damage, and linear growth. We also examined primary chondrocyte cultures for changes in gene and protein expression resulting from CNP overexpression. Results: K/BxN TCR mice exhibited linear growth delay (P < 0.01) compared to controls, and this growth delay was correlated with the severity of arthritis. Diminished chondrocyte proliferation and matrix production was also seen in K/BxN TCR mice. Compared to non–CNP-transgenic mice, K/BxN TCR mice with overexpressed CNP had milder arthritis, no growth delay, and less cartilage damage. Primary chondrocytes from mice overexpressing CNP were less sensitive to inflammatory cytokines than wild-type mouse chondrocytes. Conclusion: CNP overexpression in chondrocytes can prevent endochondral growth delay and protect against cartilage damage in a mouse model of inflammatory arthritis. Pharmacologic or biologic modulation of the CNP signaling pathway may prevent growth retardation and protect cartilage in patients with inflammatory joint diseases, such as juvenile idiopathic arthritis

Chronotropic incompetence predicts mortality in severe obstructive pulmonary disease

We evaluated the prevalence of chronotropic incompetence (CI), a marker of autonomic dysfunction, and its prognostic value in patients with chronic obstructive pulmonary disease (COPD). We performed a retrospective analysis of 449 patients with severe COPD who underwent a cardiopulmonary exercise test, after excluding patients with lung volume reduction surgery, left ventricular dysfunction and those not in sinus rhythm. CI was defined as percent predicted heart rate reserve (%HRR). Events were defined as death or lung transplant during a median follow-up of 68 months. Median age was 61 years; median percent predicted forced expiratory volume in one second (%FEV1) of 25% and median %HRR of 33%. The hazard ratio for an event in the lowest quartile of %HRR, taking the highest quartile as reference, was of 3.2 (95% confidence interval: 2.1-4.8; p < 0.001). In a multivariate regression model, %HRR was an independent predictor of events. In conclusion, Cl was an independent and powerful outcome predictor in patients with severe COPD. (C) 2013 Elsevier B.V. All rights reserved

Telehealth and Mobile Health Applied To IntegratedBehavioral Care: OpportunitiesFor Progress In New Hampshire

This paper is an accompanying document to a webinar delivered on May 16, 2017, for the New Hampshire Citizens Health Initiative (Initiative). As integrated behavioral health efforts in New Hampshire gain traction, clinicians, administrators, payers, and policy makers are looking for additional efficiencies in delivering high quality healthcare. Telehealth and mobile health (mHealth) have the opportunity to help achieve this while delivering a robust, empowered patient experience. The promise of video-based technology was first made in 1964 as Bell Telephone shared its Picturephone® with the world. This was the first device with audio and video delivered in an integrated technology platform. Fast-forward to today with Skype, FaceTime, and webinar tools being ubiquitous in our personal and business lives, but often slow to be adopted in the delivery of medicine. Combining technology-savvy consumers with New Hampshire’s high rate of electronic health record (EHR) technology adoption, a fairly robust telecommunications infrastructure, and a predominately rural setting, there is strong foundation for telehealth and mHealth expansion in New Hampshire’s integrated health continuum

A one-dimensional numerical model for the momentum exchange in regenerative pumps

The regenerative pump is a rotor-dynamic turbomachine capable of developing high heads at low flow rates and low specific speeds. In spite of their low efficiency, usually less than 50 %, they have found a wide range of applications as compact single-stage pumps with other beneficial features. The potential of a modified regenerative pump design is presented for consideration of the performance improvements. In this paper the fluid dynamic behaviour of the novel design was predicted using a one-dimensional model developed by the authors. Unlike most one-dimensional models previously published for regenerative pumps, the momentum exchange is computed numerically. Previous one-dimensional models relied on experimental data and correction factors; the model presented in this paper demonstrates accurate prediction of the pump performance characteristics without the need for correction with experimental data. The validity of this approach is highlighted by the comparison of computed and measured results for two different regenerative pump standards. The pump performance is assessed numerically without the need of correction factors or other experimental data. This paper presents an approach for regenerative pumps using a physically valid geometry model and by resolving the circulatory velocity in peripheral direction

A Weight-Loss Intervention Augmented by a Wearable Device in Rural Older Adults with Obesity: A Feasibility Study

Background Older persons with obesity aged 65+ residing in rural areas have reduced access to weight management programs due to geographic isolation. The ability to integrate technology into health promotion interventions shows a potential to reach this underserved population. Methods A 12-week pilot in 28 older rural adults with obesity (body mass index [BMI] ≥ 30 kg/m2) was conducted at a community aging center. The intervention consisted of individualized, weekly dietitian visits focusing on behavior therapy and caloric restriction with twice weekly physical therapist-led group strengthening training classes in a community-based aging center. All participants were provided a Fitbit Flex 2. An aerobic activity prescription outside the strength training classes was provided. Results Mean age was 72.9 ± 5.3 years (82% female). Baseline BMI was 37.1 kg/m2, and waist circumference was 120.0 ± 33.0 cm. Mean weight loss (pre/post) was 4.6 ± 3.2 kg (4.9 ± 3.4%; p \u3c .001). Of the 40 eligible participants, 33 (75%) enrolled, and the completion rate was high (84.8%). Objective measures of physical function improved at follow-up: 6-minute walk test improved: 35.7 ± 41.2 m (p \u3c .001); gait speed improved: 0.10 ± 0.24 m/s (p = .04); and five-times sit-to-stand improved by 2.1 seconds (p \u3c .001). Subjective measures of late-life function improved (5.2 ± 7.1 points, p = .003), as did Patient-Reported Outcome Measurement Information Systems mental and physical health scores (5.0 ± 5.7 and 4.4 ± 5.0, both p \u3c .001). Participants wore their Fitbit 93.9% of all intervention days, and were overall satisfied with the trial (4.5/5.0, 1–5 low–high) and with Fitbit (4.0/5.0). Conclusions A multicomponent obesity intervention incorporating a wearable device is feasible and acceptable to older adults with obesity, and potentially holds promise in enhancing health