3,191 research outputs found
Edge-Based Compartmental Modeling for Infectious Disease Spread Part III: Disease and Population Structure
We consider the edge-based compartmental models for infectious disease spread
introduced in Part I. These models allow us to consider standard SIR diseases
spreading in random populations. In this paper we show how to handle deviations
of the disease or population from the simplistic assumptions of Part I. We
allow the population to have structure due to effects such as demographic
detail or multiple types of risk behavior the disease to have more complicated
natural history. We introduce these modifications in the static network
context, though it is straightforward to incorporate them into dynamic
networks. We also consider serosorting, which requires using the dynamic
network models. The basic methods we use to derive these generalizations are
widely applicable, and so it is straightforward to introduce many other
generalizations not considered here
Parasympathetic functions in children with sensory processing disorder.
The overall goal of this study was to determine if parasympathetic nervous system (PsNS) activity is a significant biomarker of sensory processing difficulties in children. Several studies have demonstrated that PsNS activity is an important regulator of reactivity in children, and thus, it is of interest to study whether PsNS activity is related to sensory reactivity in children who have a type of condition associated with sensory processing disorders termed sensory modulation dysfunction (SMD). If so, this will have important implications for understanding the mechanisms underlying sensory processing problems of children and for developing intervention strategies to address them. The primary aims of this project were: (1) to evaluate PsNS activity in children with SMD compared to typically developing (TYP) children, and (2) to determine if PsNS activity is a significant predictor of sensory behaviors and adaptive functions among children with SMD. We examine PsNS activity during the Sensory Challenge Protocol; which includes baseline, the administration of eight sequential stimuli in five sensory domains, recovery, and also evaluate response to a prolonged auditory stimulus. As a secondary aim we examined whether subgroups of children with specific physiological and behavioral sensory reactivity profiles can be identified. Results indicate that as a total group the children with severe SMD demonstrated a trend for low baseline PsNS activity, compared to TYP children, suggesting this may be a biomarker for SMD. In addition, children with SMD as a total group demonstrated significantly poorer adaptive behavior in the communication and daily living subdomains and in the overall Adaptive Behavior Composite of the Vineland than TYP children. Using latent class analysis, the subjects were grouped by severity and the severe SMD group had significantly lower PsNS activity at baseline, tones and prolonged auditory. These results provide preliminary evidence that children who demonstrate severe SMD may have physiological activity that is different from children without SMD, and that these physiological and behavioral manifestations of SMD may affect a child\u27s ability to engage in everyday social, communication, and daily living skills
A Vehicular Traffic Flow Model Based on a Stochastic Acceleration Process
A new vehicular traffic flow model based on a stochastic jump process in
vehicle acceleration and braking is introduced. It is based on a master
equation for the single car probability density in space, velocity and
acceleration with an additional vehicular chaos assumption and is derived via a
Markovian ansatz for car pairs. This equation is analyzed using simple driver
interaction models in the spatial homogeneous case. Velocity distributions in
stochastic equilibrium, together with the car density dependence of their
moments, i.e. mean velocity and scattering and the fundamental diagram are
presented.Comment: 27 pages, 6 figure
Characteristics of successfully implemented telemedical applications
<p>Abstract</p> <p>Background</p> <p>There has been an increased interest in the use of telemedical applications in clinical practice in recent years. Considerable effort has been invested in trials and experimental services. Yet, surprisingly few applications have continued beyond the research and development phase. The aim of this study is to explore characteristics of successfully implemented telemedical applications.</p> <p>Methods</p> <p>An extensive search of telemedicine literature was conducted in order to identify relevant articles. Following a defined selection process, a small number of articles were identified that described characteristics of successfully implemented telemedical applications. These articles were analysed qualitatively, drawing on central procedures from Grounded Theory (GT), including condensation and categorisation. The analysis resulted in a description of features found to be of importance for a successful implementation of telemedicine. Subsequently, these features were discussed in light of Science and Technology studies (STS) and the concept of 'social negotiation'.</p> <p>Results</p> <p>Telemedical applications introduced into routine practice are typically characterised by the following six features: 1) local service delivery problems have been clearly stated, 2) telemedicine has been seen as a benefit, 3) telemedicine has been seen as a solution to political and medical issues, 4) there was collaboration between promoters and users, 5) issues regarding organizational and technological arrangements have been addressed, and 6) the future operation of the service has been considered.</p> <p>Conclusion</p> <p>Our findings support research arguing that technologies are not fixed entities moving from invention through diffusion and into routine use. Rather, it is the interplay between technical and social factors that produces a particular outcome. The success of a technology depends on how this interplay is managed during the process of implementation.</p
Two stage cracking of metallic bi layers on polymer substrates under tension
Cu Nb nanoscale metallic multilayers have been extensively investigated to understand how their mechanical behavior is influenced by the individual layer thickness. The general observed trend is that the yield stress of the multilayer increases with decreasing layer thickness. Important mechanical behaviors that have not been studied in depth are the fracture of these multilayers and adhesion energy between the multilayer films and their substrate. Here, the influences of the layer thickness, layer order, and initial residual stresses of Cu Nb multilayers on polyimide were examined using in situ x ray diffraction and confocal laser scanning microscopy under tensile loading. With these techniques, it was possible to calculate the stresses developing in the individual materials and measure buckles that could be used to evaluate the interfacial adhesion. Layer thickness, deposition order, and the initial residual stresses were not shown to influence the initial fracture strains of the Cu Nb multilayer systems under tensile loading conditions. However, the adhesion energy between the multilayer and substrate was affected by the layer deposition order and by the initial residual stresse
Development of a fidelity measure for research on the effectiveness of the Ayres Sensory Integration intervention.
OBJECTIVE: We developed a reliable and valid fidelity measure for use in research on Ayres Sensory Integration (ASI) intervention.
METHOD: We designed a fidelity instrument to measure structural and process aspects of ASI intervention. Because scoring of process involves subjectivity, we conducted a series of reliability and validity studies on the process section. Raters were trained to score therapist strategies observed in video recordings of adult-child dyads. We examined content validity through expert ratings.
RESULTS: Reliability of the process section was strong for total fidelity score (ICC = .99, Cronbach\u27s alpha = .99) and acceptable for most items. Total score significantly differentiated ASI from four alternative interventions. Expert ratings indicated strong agreement that items in the structural and process sections represent ASI intervention. CONCLUSION. The Ayres Sensory Integration Fidelity Measure has strong content validity. The process section is reliable and valid when scored by trained raters with expertise in ASI
Designing a complex intervention for dementia case management in primary care
Background: Community-based support will become increasingly important for people with dementia, but currently services are fragmented and the quality of care is variable. Case management is a popular approach to care co-ordination, but evidence to date on its effectiveness in dementia has been equivocal. Case management interventions need to be designed to overcome obstacles to care co-ordination and maximise benefit. A successful case management methodology was adapted from the United States (US) version for use in English primary care, with a view to a definitive trial. Medical Research Council guidance on the development of complex interventions was implemented in the adaptation process, to capture the skill sets, person characteristics and learning needs of primary care based case managers. Methods: Co-design of the case manager role in a single NHS provider organisation, with external peer review by professionals and carers, in an iterative technology development process. Results: The generic skills and personal attributes were described for practice nurses taking up the case manager role in their workplaces, and for social workers seconded to general practice teams, together with a method of assessing their learning needs. A manual of information material for people with dementia and their family carers was also created using the US intervention as its source. Conclusions: Co-design produces rich products that have face validity and map onto the complexities of dementia and of health and care services. The feasibility of the case manager role, as described and defined by this process, needs evaluation in âreal lifeâ settings
Between overt and covert research: concealment and disclosure in an ethnographic study of commercial hospitality
This article examines the ways in which problems of concealment emerged in an ethnographic study of a suburban bar and considers how disclosure of the research aims, the recruitment of informants, and elicitation of information was negotiated throughout the fieldwork. The case study demonstrates how the social context and the relationships with specific informants determined overtness or covertness in the research. It is argued that the existing literature on covert research and covert methods provides an inappropriate frame of reference with which to understand concealment in fieldwork. The article illustrates why concealment is sometimes necessary, and often unavoidable, and concludes that the criticisms leveled against covert methods should not stop the fieldworker from engaging in research that involves covertness
Universality in Systems with Power-Law Memory and Fractional Dynamics
There are a few different ways to extend regular nonlinear dynamical systems
by introducing power-law memory or considering fractional
differential/difference equations instead of integer ones. This extension
allows the introduction of families of nonlinear dynamical systems converging
to regular systems in the case of an integer power-law memory or an integer
order of derivatives/differences. The examples considered in this review
include the logistic family of maps (converging in the case of the first order
difference to the regular logistic map), the universal family of maps, and the
standard family of maps (the latter two converging, in the case of the second
difference, to the regular universal and standard maps). Correspondingly, the
phenomenon of transition to chaos through a period doubling cascade of
bifurcations in regular nonlinear systems, known as "universality", can be
extended to fractional maps, which are maps with power-/asymptotically
power-law memory. The new features of universality, including cascades of
bifurcations on single trajectories, which appear in fractional (with memory)
nonlinear dynamical systems are the main subject of this review.Comment: 23 pages 7 Figures, to appear Oct 28 201
Three Dimensional Numerical General Relativistic Hydrodynamics I: Formulations, Methods, and Code Tests
This is the first in a series of papers on the construction and validation of
a three-dimensional code for general relativistic hydrodynamics, and its
application to general relativistic astrophysics. This paper studies the
consistency and convergence of our general relativistic hydrodynamic treatment
and its coupling to the spacetime evolutions described by the full set of
Einstein equations with a perfect fluid source. The numerical treatment of the
general relativistic hydrodynamic equations is based on high resolution shock
capturing schemes. These schemes rely on the characteristic information of the
system. A spectral decomposition for general relativistic hydrodynamics
suitable for a general spacetime metric is presented. Evolutions based on three
different approximate Riemann solvers coupled to four different discretizations
of the Einstein equations are studied and compared. The coupling between the
hydrodynamics and the spacetime (the right and left hand side of the Einstein
equations) is carried out in a treatment which is second order accurate in {\it
both} space and time. Convergence tests for all twelve combinations with a
variety of test beds are studied, showing consistency with the differential
equations and correct convergence properties. The test-beds examined include
shocktubes, Friedmann-Robertson-Walker cosmology tests, evolutions of
self-gravitating compact (TOV) stars, and evolutions of relativistically
boosted TOV stars. Special attention is paid to the numerical evolution of
strongly gravitating objects, e.g., neutron stars, in the full theory of
general relativity, including a simple, yet effective treatment for the surface
region of the star (where the rest mass density is abruptly dropping to zero).Comment: 45 pages RevTeX, 34 figure
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