Responsiveness of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis

Background: The comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis (RA) is a selection of 96 categories from the ICF, representing relevant aspects in the functioning of patients with RA. Objectives: To study the responsiveness of the ICF Core Set for RA in rheumatological practice. Methods: A total of 46 patients with RA (72% women, mean (SD) age 53.6 (12.6) years, disease duration 6.3 (8.0) years) were interviewed at baseline and again after 6 months treatment with a disease-modifying antirheumatic drug (DMARD), applying the ICF Core Set for RA with qualifiers for problems on a modified three-point scale (no problem, mild/moderate, severe/complete). Patient-reported outcomes included Modified Health Assessment Questionnaire (MHAQ) and Short-Form 36 (SF-36) health survey, and disease activity was calculated. Responsiveness was measured as change in qualifiers in ICF categories, and was also compared with change in patient-reported outcomes. Results: After 6 months of DMARD treatment, improvement by at least one qualifier was seen in 20% of patients (averaged across all ICF categories), 71% experienced no change and 9% experienced worsening symptoms. Findings were similar across the different aspects of functioning. Mainly moderate effect sizes were seen for 6-month changes in the ICF Core Set for RA, especially in patients with improved health status, with similar effect size for disease activity. The components in the ICF Core Set for RA were only weakly associated with patient-reported outcomes and disease activity. Conclusions: The ICF Core Set for RA demonstrated moderate responsiveness in this real-life setting of patients where minor changes occurred during treatment with DMARDs

EUV Sunspot Plumes Observed with SOHO

Bright EUV sunspot plumes have been observed in five out of nine sunspot regions with the Coronal Diagnostic Spectrometer -- CDS on SOHO. In the other four regions the brightest line emissions may appear inside the sunspot but are mainly concentrated in small regions outside the sunspot areas. These results are in contrast to those obtained during the Solar Maximum Mission, but are compatible with the Skylab mission results. The present observations show that sunspot plumes are formed in the upper part of the transition region, occur both in magnetic unipolar-- and bipolar regions, and may extend from the umbra into the penumbra.Comment: 8 pages, 3 figures, to be published in ApJ Letter

Physical Conditions in Quasar Outflows: VLT Observations of QSO 2359-1241

We analyze the physical conditions of the outflow seen in QSO 2359-1241 (NVSS J235953-124148), based on high resolution spectroscopic VLT observations. This object was previously studied using Keck/HIRES data. The main improvement over the HIRES results is our ability to accurately determine the number density of the outflow. For the major absorption component, level population from five different Fe II excited level yields n_H=10^4.4 cm^-3 with less than 20% scatter. We find that the Fe ii absorption arises from a region with roughly constant conditions and temperature greater than 9000 K, before the ionization front where temperature and electron density drop. Further, we model the observed spectra and investigate the effects of varying gas metalicities and the spectral energy distribution of the incident ionizing radiation field. The accurately measured column densities allow us to determine the ionization parameter log(U) = -2.4 and total column density of the outflow (log(N_H) = 20.6 cm^-2). Combined with the number density finding, these are stepping stones towards determining the mass flux and kinetic luminosity of the outflow, and therefore its importance to AGN feedback processes.Comment: 21 pages, 3 figures (accepted for publication in the ApJ

A New Class of Majoron-Emitting Double-Beta Decays

Motivated by the excess events that have recently been found near the endpoints of the double beta decay spectra of several elements, we re-examine models in which double beta decay can proceed through the neutrinoless emission of massless Nambu-Goldstone bosons (majorons). Noting that models proposed to date for this process must fine-tune either a scalar mass or a VEV to be less than 10 keV, we introduce a new kind of majoron which avoids this difficulty by carrying lepton number $L=-2$. We analyze in detail the requirements that models of both the conventional and our new type must satisfy if they are to account for the observed excess events. We find: (1) the electron sum-energy spectrum can be used to distinguish the two classes of models from one another; (2) the decay rate for the new models depends on different nuclear matrix elements than for ordinary majorons; and (3) all models require a (pseudo) Dirac neutrino, having a mass of a several hundred MeV, which mixes with $\nu_e$.Comment: 43 pages, 10 figures (included), [figure captions are now included

Influential factors of aligning Spotify squads in mission-critical and offshore projects – a longitudinal embedded case study

Changing the development process of an organization is one of the toughest and riskiest decisions. This is particularly true if the known experiences and practices of the new considered ways of working are relative and subject to contextual assumptions. Spotify engineering culture is deemed as a new agile software development method which increasingly attracts large-scale organizations. The method relies on several small cross-functional self-organized teams (i.e., squads). The squad autonomy is a key driver in Spotify method, where a squad decides what to do and how to do it. To enable effective squad autonomy, each squad shall be aligned with a mission, strategy, short-term goals and other squads. Since a little known about Spotify method, there is a need to answer the question of: How can organizations work out and maintain the alignment to enable loosely coupled and tightly aligned squads? In this paper, we identify factors to support the alignment that is actually performed in practice but have never been discussed before in terms of Spotify method. We also present Spotify Tailoring by highlighting the modified and newly introduced processes to the method. Our work is based on a longitudinal embedded case study which was conducted in a real-world large-scale offshore software intensive organization that maintains mission-critical systems. According to the confidentiality agreement by the organization in question, we are not allowed to reveal a detailed description of the features of the explored project

Mathematical retroreflectors

Retroreflectors are optical devices that reverse the direction of incident beams of light. Here we present a collection of billiard type retroreflectors consisting of four objects; three of them are asymptotically perfect retroreflectors, and the fourth one is a retroreflector which is very close to perfect. Three objects of the collection have recently been discovered and published or submitted for publication. The fourth object - notched angle - is a new one; a proof of its retroreflectivity is given.Comment: 32 pages, 19 figure

Elevated arousal at time of decision-making is not the arbiter of risk avoidance in chickens

The somatic marker hypothesis proposes that humans recall previously experienced physiological responses to aid decision-making under uncertainty. However, little is known about the mechanisms used by non-human animals to integrate risk perception with predicted gains and losses. We monitored the behaviour and physiology of chickens when the choice between a high-gain (large food quantity), high-risk (1 in 4 probability of receiving an air-puff) option (HGRAP) or a low-gain (small food quantity), no-risk (of an air-puff) (LGNAP) option. We assessed when arousal increased by considering different stages of the decision-making process (baseline, viewing, anticipation, reward periods) and investigated whether autonomic responses influenced choice outcome both immediately and in the subsequent trial. Chickens were faster to choose and their heart-rate significantly increased between the viewing and anticipation (post-decision, pre-outcome) periods when selecting the HGRAP option. This suggests that they responded physiologically to the impending risk. Additionally, arousal was greater following a HGRAP choice that resulted in an air-puff, but this did not deter chickens from subsequently choosing HGRAP. In contrast to human studies, we did not find evidence that somatic markers were activated during the viewing period, suggesting that arousal is not a good measure of avoidance in non-human animals

Large-Scale Agile Transformation: A Case Study of Transforming Business, Development and Operations

Today, product development organizations are adopting agile methods in units outside the software development unit, such as in sales, market, legal, operations working with the customer. This broader adoption of agile methods has been labeled large-scale agile transformation and is considered a particular type of organizational change, originating in the software development units. So far, there is little research-based advice on conducting such transformations. Aiming to contribute towards providing relevant research advice on large-scale agile transformation, we apply a research-based framework for evaluating organizational agility on a product development program in a maritime service provider organization. We found that doing a large-scale agile transformation involves many significant challenges, such as having a shared understanding of the problem, getting access to users, and getting commitment to change that needs to be done. In order to overcome such challenges, we discuss the need for a holistic and integrated approach to agile transformation involving all the units linked to software development.publishedVersio