Turning to Peers: Integrating Understanding of the Self, the Condition, and Others’ Experiences in Making Sense of Complex Chronic Conditions

People are increasingly involved in the self-management of their own health, including chronic conditions. With technology advances, the choice of self-management practices, tools, and technologies has never been greater. The studies reported here investigated the information seeking practices of two different chronic health populations in their quest to manage their health conditions. Migraine and diabetes patients and clinicians in the UK and the US were interviewed about their information needs and practices, and representative online communities were explored to inform a qualitative study. We found that people with either chronic condition require personally relevant information and use a broad and varied set of practices and tools to make sense of their specific symptoms, triggers, and treatments. Participants sought out different types of information from varied sources about themselves, their medical condition, and their peers’ experiences of the same chronic condition. People with diabetes and migraine expended great effort to validate their personal experiences of their condition and determine whether these experiences were ‘normal’. Based on these findings, we discuss the need for future personal health technologies that support people in engaging in meaningful and personalised data collection, information seeking, and information sharing with peers in flexible ways that enable them to better understand their own condition

Approximation of conformal mappings using conformally equivalent triangular lattices

Consider discrete conformal maps defined on the basis of two conformally equivalent triangle meshes, that is edge lengths are related by scale factors associated to the vertices. Given a smooth conformal map $f$, we show that it can be approximated by such discrete conformal maps $f^\epsilon$. In particular, let $T$ be an infinite regular triangulation of the plane with congruent triangles and only acute angles (i.e.\ $<\pi/2$). We scale this tiling by $\epsilon>0$ and approximate a compact subset of the domain of $f$ with a portion of it. For $\epsilon$ small enough we prove that there exists a conformally equivalent triangle mesh whose scale factors are given by $\log|f'|$ on the boundary. Furthermore we show that the corresponding discrete conformal maps $f^\epsilon$ converge to $f$ uniformly in $C^1$ with error of order $\epsilon$.Comment: 14 pages, 3 figures; v2 typos corrected, revised introduction, some proofs extende

The Ubiquitin Specific Protease USP34 promotes ubiquitin signaling at DNA double-strand breaks

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Quantifying the modern recharge of the "fossil" Sahara aquifers

The North-Western Sahara Aquifer System (NWSAS), one of the world's largest groundwater systems, shows an overall piezometric decline associated with increasing withdrawals. Estimating the recharge rate in such a semiarid system is challenging but crucial for sustainable water development. In this paper, the recharge of the NWSAS is estimated using a regional water budget based on GRACE terrestrial water storage monthly records, soil moisture from the GLDAS (a land data system that assimilates hydrological information), and groundwater pumping rates. A cumulated natural recharge rate of 1.40 +/- 0.90 km(3) yr(-1) is estimated for the two main aquifers. Our results suggest a renewal rate of about 40% which partly contradicts the premise that recharge in this area should be very low or even null. Aquifer depletion inferred from our analysis is consistent with observed piezometric head decline in the two main aquifers in the region. Annual recharge variations were also estimated and vary between 0 and 4.40 km(3) yr(-1) for the period 2003-2010. These values correspond to a recharge between 0 and 6.75 mm yr(-1) on the 650,000 km(2) of outcropping areas of the aquifers, which is consistent with the expected weak and sporadic recharge in this semiarid environment. These variations are also in line with annual rainfall variation with a lag time of about 1 year

Nasopharyngeal carcinoma: presenting symptoms and duration before diagnosis

This is a retrospective analysis of 4768 patients with undifferentiated or non-keratinising carcinoma of the nasopharynx who were treated during 1 January 1976 to 31 December 1985. The mean duration of symptoms before diagnosis was 8 months (range, 1-36 months for 95% of patients). A significant association between the duration of symptoms and the presenting stage was observed (P<0.001); 58% and 39% of stage I and stage V patients, respectively, reported as having had symptoms for less than 6 months. Of the later presenters (those having had symptoms for 6 months or longer), 89% were given a full course of radical megavoltage radiotherapy, but 6% were too advanced for any irradiation attempt. Consequently, the 10-year actuarial disease-specific survival was significantly higher among the early presenters: 48% versus 42% (P<0.001). The importance of early detection is emphasised.published_or_final_versio

A Schwarz lemma for K\"ahler affine metrics and the canonical potential of a proper convex cone

This is an account of some aspects of the geometry of K\"ahler affine metrics based on considering them as smooth metric measure spaces and applying the comparison geometry of Bakry-Emery Ricci tensors. Such techniques yield a version for K\"ahler affine metrics of Yau's Schwarz lemma for volume forms. By a theorem of Cheng and Yau there is a canonical K\"ahler affine Einstein metric on a proper convex domain, and the Schwarz lemma gives a direct proof of its uniqueness up to homothety. The potential for this metric is a function canonically associated to the cone, characterized by the property that its level sets are hyperbolic affine spheres foliating the cone. It is shown that for an $n$-dimensional cone a rescaling of the canonical potential is an $n$-normal barrier function in the sense of interior point methods for conic programming. It is explained also how to construct from the canonical potential Monge-Amp\`ere metrics of both Riemannian and Lorentzian signatures, and a mean curvature zero conical Lagrangian submanifold of the flat para-K\"ahler space.Comment: Minor corrections. References adde

Aménagements hydro-agricoles et santé (vallée du fleuve Sénégal)

La transmission du paludisme dans le delta du fleuve Sénégal a été étudiée dans trois villages, deux villages de riziculture irriguée dont un d'aménagement récent et un village de culture pluviale traditionnelle. La riziculture irriguée a entraîné une pullulation de moustiques et principalement d'#Anopheles pharoensis. La densité de ses populations est très importante et liée aux cycles des cultures dans la zone rizicole, son indice d'anthropophilie est élevé mais la longévité des femelles est très faible. #An. gambiae s.l. vecteur majeur du paludisme au Sénégal est, dans le delta, remplacé par #An. pharoensis$, vecteur secondaire dont l'aptitude à assurer une bonne transmission n'est pas prouvée. La riziculture irriguée n'a pas entraîné une augmentation de la transmission du paludisme. (Résumé d'auteur

Lack of correlation of stem cell markers in breast cancer stem cells

BACKGROUND: Various markers are used to identify the unique sub-population of breast cancer cells with stem cell properties. Whether these markers are expressed in all breast cancers, identify the same population of cells, or equate to therapeutic response is controversial. METHODS: We investigated the expression of multiple cancer stem cell markers in human breast cancer samples and cell lines in vitro and in vivo, comparing across and within samples and relating expression with growth and therapeutic response to doxorubicin, docetaxol and radiotherapy. RESULTS: CD24, CD44, ALDH and SOX2 expression, the ability to form mammospheres and side-population cells are variably present in human cancers and cell lines. Each marker identifies a unique rather than common population of cancer cells. In vivo, cells expressing these markers are not specifically localized to the presumptive stem cell niche at the tumour/stroma interface. Repeated therapy does not consistently enrich cells expressing these markers, although ER-negative cells accumulate. CONCLUSIONS: Commonly employed methods identify different cancer cell sub-populations with no consistent therapeutic implications, rather than a single population of cells. The relationships of breast cancer stem cells to clinical parameters will require identification of specific markers or panels for the individual cancer