A qualitative perspective on multiple health behaviour change: views of smoking cessation advisors who promote physical activity

There are mixed views on whether smoking cessation advisors should focus only on quitting smoking or also promote simultaneous health behaviour changes (e.g. diet, physical activity), but no studies have qualitatively examined the views and vicarious experiences of such health professionals. Semi-structured interviews were conducted with 11 trained smoking cessation advisors who promote physical activity to their clients. The data were categorised into themes using thematic analysis supported by qualitative data analysis software. We report themes that were related to why advisors promote multiple health behaviour change and issues in timing. Physical activity could be promoted as a cessation aid and also as part of a holistic lifestyle change consistent with a non-smoker identity, thereby increasing feelings of control and addressing fear of weight gain. Multiple changes were promoted pre-quit, simultaneously and post-quit, and advisors asserted that it is important to focus on the needs and capabilities of individual clients when deciding how to time multiple changes. Also, suggesting that PA was a useful and easily performed cessation aid rather than a new behaviour (i.e. structured exercise that may seem irrelevant) may help some clients to avoid a sense of overload

All in or A` la carte: Preferences of Medical Tourists Towards Value of Co-Creation

Patients Beyond Borders (2014) defines a medical tourist as anyone who travels across international borders for the purpose of receiving nonemergency medical care. It has been estimated that the market size in USD ranges from 38.5 to 55 billion based upon eleven million cross-border patients worldwide spending an average of 3,500 – to 5,000 USD per visit. Further, Patients Beyond Borders suggests that the top Medical tourism destinations are Costa Rica, India, Israel, Malaysia, Mexico, South Korea, Taiwan, Thailand, Turkey and the United States

Generating indicative-informative summaries with SumUM

We present and evaluate SumUM, a text summarization system that takes a raw technical text as input and produces an indicative informative summary. The indicative part of the summary identifies the topics of the document, and the informative part elaborates on some of these topics according to the reader's interest. SumUM motivates the topics, describes entities, and defines concepts. It is a first step for exploring the issue of dynamic summarization. This is accomplished through a process of shallow syntactic and semantic analysis, concept identification, and text regeneration. Our method was developed through the study of a corpus of abstracts written by professional abstractors. Relying on human judgment, we have evaluated indicativeness, informativeness, and text acceptability of the automatic summaries. The results thus far indicate good performance when compared with other summarization technologies

Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization

The diagnosis and management of ischemic symptoms in patients after coronary artery bypass surgery can be challenging. It has been hypothesized that persistent branches of the internal mammary artery can divert flow from the left anterior descending artery and cause symptoms. We present a case in which successful coil embolization of a side branch improved flow and clinical symptoms. Side branch embolization might be a useful treatment option and should be considered in the management of symptomatic patients with a patent mammary graft

Is the `IR Coincidence' Just That?

(Abridged) Motch (1985) suggested that in the hard state of GX 339-4 the soft X-ray power-law extrapolated backward in energy agrees with the IR flux. Corbel & Fender (2002) showed that the hard state radio power-law extrapolated forward in energy meets the extrapolated X-ray power-law at an IR break, which was explicitly observed twice in GX 339-4. This `IR coincidence' has been cited as further evidence that a jet might make a significant contribution to the X-rays in hard state systems. We explore this hypothesis with a series of simultaneous radio/X-ray observations of GX 339-4, taken during its 1997, 1999, and 2002 hard states. We fit these spectra, in detector space, with a simple, but remarkably successful, doubly broken power-law that requires an IR spectral break. For these observations, the break position and the integrated radio/IR flux have stronger dependences upon the X-rays than the simplest jet predictions. If one allows for a softening of the X-ray power law with increasing flux, then the jet model agrees with the correlation. We also find evidence that the radio/X-ray fcorrelation previously observed in GX 339-4 shows a `parallel track' for the 2002 hard state. The slope of the 2002 correlation is consistent with prior observations; however, the radio amplitude is reduced. We then examine the correlation in Cyg X-1 through the use of radio data, obtained with the Ryle radio telescope, and RXTE data, from the ASM and pointed observations. We again find evidence of `parallel tracks', and here they are associated with `failed transitions' to the soft state. We also find that for Cyg X-1 the radio flux is more fundamentally correlated with the hard X-ray flux.Comment: To Appear in the July 2005 Astrophysical Journal; 9 Pages, uses emulateapj.st

Auxiliary master equation for nonequilibrium dual-fermion approach

We introduce auxiliary quantum master equation - dual fermion approach (QME-DF) and argue that it presents a convenient way to describe steady-states of correlated impurity systems. The combined scheme yields an expansion around a reference much closer to the true nonequilibrium state than in the original dual fermion formulation. In steady-state situations, the scheme is numerically cheaper and allows to avoid long time propagation of previous considerations. Anderson impurity is used as a test model. The QME-DF simulations are compared with numerically exact tdDMRG results.Comment: 8 pages, 4 figure

Arthroscopic Internal Fixation of Coracoid Fractures: Surgical Technique Guide

Fractures of the coracoid process are uncommon injuries and are usually the result of high-energy trauma or avulsion-type injuries. Typically coracoid fractures treated with nonoperative management have yielded good results. Operative treatment of coracoid fractures is reserved for a subset of clinical situations, including fracture nonunion. We detail our technique for arthroscopic debridement of a Type II coracoid fracture nonunion, as well as the use of arthroscopic-assisted percutaneous fixation for a Type II coracoid fracture

Subglacial valleys preserved in the highlands of south and east Greenland record restricted ice extent during past warmer climates

The Greenland Ice Sheet is a key contributor to contemporary global sea level rise, but its long-term history and response to episodes of warming in Earth's geological past remain uncertain. The terrain covered by the ice sheet comprises ∼ 79 % of Greenland and ∼ 1.1 % of the Earth's land surface and contains geomorphological records that may provide valuable insights into past ice-sheet behaviour. Here we use ice surface morphology and radio-echo sounding data to identify ice-covered valleys within the highlands of southern and eastern Greenland and use numerical ice-sheet modelling to constrain the climatological and glaciological conditions responsible for valley incision. Our mapping reveals intricate subglacial valley networks with morphologies that are indicative of substantial glacial modification of an inherited fluvial landscape, yet many of these valleys are presently situated beneath cold-based, slow-moving (i.e. non-erosive) ice. We use the morphology of the valleys and our simple ice-sheet model experiments to infer that incision likely occurred beneath erosive mountain valley glaciers during one or more phases of Greenland's glacial history when ice was restricted to the southern and eastern highlands and when Greenland's contribution to barystatic sea level was up to +7 m relative to today. We infer that this valley incision primarily occurred prior to the growth of a continental-scale ice sheet, most likely during the late Miocene (ca. 7–5 Ma) and/or late Pliocene (ca. 3.6–2.6 Ma). Our findings therefore provide new data-based constraints on early Greenland Ice Sheet extent and dynamics that can serve as valuable boundary conditions in models of regional and global palaeoclimate during past warm periods that are important analogues for climate change in the 21st century and beyond