712 research outputs found

    The Soldiers' and Sailors' Families

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    Childhood alopecia areata: What treatment works best?

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    There are no validated effective treatments for alopecia areata (AA). Topical immunotherapy (squaric acid dibutylester [SADBE] and diphenylcyclopropenone [DPCP]) induces the most significant short-term hair regrowth in children with severe AA (strength of recommendation [SOR]: C, 4 small individual cohort studies and 1 moderately sized retrospective case review). Intralesional steroids can induce hair regrowth greater than 50% in children with limited AA (SOR: C, 1 retrospective cohort study). Other commonly used treatments--topical and oral corticosteroids, topical cyclosporine, photodynamic therapy, and topical minoxidil--have no benefit over placebo (SOR: A, 14 randomized controlled trials [RCTs] and 3 within-patient studies)

    Examining the Evidence Base for Forensic Case Formulation: An Integrative Review of Recent Research

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    In the past decade, forensic case formulation (FCF) has become a key activity in many forensic services. However, the evidence base for FCF remains limited. This integrative review aimed to identify and evaluate all FCF research conducted since the lack of understanding within this field was highlighted by several academics in 2011. A rigorous literature search led to the identification of 14 studies fitting the inclusion criteria. Studies were critically evaluated and synthesised to create a summary of the recent research, to identify remaining gaps in our understanding, and to create an agenda for future research

    Is diagnosis enough to guide interventions in mental health? Using case formulation in clinical practice

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    While diagnosis has traditionally been viewed as an essential concept in medicine, particularly when selecting treatments, we suggest that the use of diagnosis alone may be limited, particularly within mental health. The concept of clinical case formulation advocates for collaboratively working with patients to identify idiosyncratic aspects of their presentation and select interventions on this basis. Identifying individualized contributing factors, and how these could influence the person\u27s presentation, in addition to attending to personal strengths, may allow the clinician a deeper understanding of a patient, result in a more personalized treatment approach, and potentially provide a better clinical outcome.<br /

    A continued role for signalling functions in the early evolution of feathers

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    Persons and Currie (2015) argued against either flight, thermoregulation, or signalling as a functional benefit driving the earliest evolution of feathers; rather, they favoured simple feathers having an initial tactile sensory function, which changed to a thermoregulatory function as density increased. Here, we explore the relative merits of early simple feathers that may have originated as tactile sensors progressing instead towards a signalling, rather than (or in addition to), a thermoregulatory function. We suggest that signalling could act in concert with a sensory function more naturally than could thermoregulation. As such, the dismissal of a possible signalling function and the presumption that an initial sensory function led directly to a thermoregulatory function (implicit in the title “bristles before down”) are premature.PostprintPeer reviewe

    The OscSNS White Paper

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    There exists a need to address and resolve the growing evidence for short-baseline neutrino oscillations and the possible existence of sterile neutrinos. Such non-standard particles require a mass of 1\sim 1 eV/c2^2, far above the mass scale associated with active neutrinos, and were first invoked to explain the LSND νˉμνˉe\bar \nu_\mu \rightarrow \bar \nu_e appearance signal. More recently, the MiniBooNE experiment has reported a 2.8σ2.8 \sigma excess of events in antineutrino mode consistent with neutrino oscillations and with the LSND antineutrino appearance signal. MiniBooNE also observed a 3.4σ3.4 \sigma excess of events in their neutrino mode data. Lower than expected neutrino-induced event rates using calibrated radioactive sources and nuclear reactors can also be explained by the existence of sterile neutrinos. Fits to the world's neutrino and antineutrino data are consistent with sterile neutrinos at this 1\sim 1 eV/c2^2 mass scale, although there is some tension between measurements from disappearance and appearance experiments. In addition to resolving this potential major extension of the Standard Model, the existence of sterile neutrinos will impact design and planning for all future neutrino experiments. It should be an extremely high priority to conclusively establish if such unexpected light sterile neutrinos exist. The Spallation Neutron Source (SNS) at Oak Ridge National Laboratory, built to usher in a new era in neutron research, provides a unique opportunity for US science to perform a definitive world-class search for sterile neutrinos.Comment: This white paper is submitted as part of the SNOWMASS planning proces

    Rural Organization in Texas.

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