40 research outputs found
Mental Health Service Utilization before and after Receipt of a Service鈥怌onnected Disability Award for PTSD: Findings from a National Sample
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146624/1/hesr12859.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146624/2/hesr12859-sup-0001-AppendixSA1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146624/3/hesr12859_am.pd
Satisfaction With Psychology Training In the Veterans Healthcare Administration
Given that VA is the largest trainer of psychologists in the United States, this study sought to understand satisfaction with VA psychology training and which elements of training best predict trainees\u27 positive perceptions of training (e.g., willingness to choose training experience again, stated intentions to work in VA). Psychology trainees completed the Learners\u27 Perceptions Survey (LPS) from 2005 to 2017 (N = 5,342). Satisfaction was uniformly high. Trainee satisfaction was significantly associated with level of training, facility complexity, and some patient-mix factors. Learning environment (autonomy, time with patients, etc.), clinical faculty/preceptors (teaching ability, accessibility, etc.), and personal experiences (work/life balance, personal responsibility for patient care, etc.) were the biggest drivers of stated willingness to repeat training experiences in VA and seek employment there. Results have implications for psychologists involved in the provision of a training experience valued by trainees
Solar System Processes Underlying Planetary Formation, Geodynamics, and the Georeactor
Only three processes, operant during the formation of the Solar System, are
responsible for the diversity of matter in the Solar System and are directly
responsible for planetary internal-structures, including planetocentric nuclear
fission reactors, and for dynamical processes, including and especially,
geodynamics. These processes are: (i) Low-pressure, low-temperature
condensation from solar matter in the remote reaches of the Solar System or in
the interstellar medium; (ii) High-pressure, high-temperature condensation from
solar matter associated with planetary-formation by raining out from the
interiors of giant-gaseous protoplanets, and; (iii) Stripping of the primordial
volatile components from the inner portion of the Solar System by super-intense
solar wind associated with T-Tauri phase mass-ejections, presumably during the
thermonuclear ignition of the Sun. As described herein, these processes lead
logically, in a causally related manner, to a coherent vision of planetary
formation with profound implications including, but not limited to, (a) Earth
formation as a giant gaseous Jupiter-like planet with vast amounts of stored
energy of protoplanetary compression in its rock-plus-alloy kernel; (b) Removal
of approximately 300 Earth-masses of primordial gases from the Earth, which
began Earth's decompression process, making available the stored energy of
protoplanetary compression for driving geodynamic processes, which I have
described by the new whole-Earth decompression dynamics and which is
responsible for emplacing heat at the mantle-crust-interface at the base of the
crust through the process I have described, called mantle decompression
thermal-tsunami; and, (c)Uranium accumulations at the planetary centers capable
of self-sustained nuclear fission chain reactions.Comment: Invited paper for the Special Issue of Earth, Moon and Planets
entitled Neutrino Geophysics Added final corrections for publicatio
Somatic mutations affect key pathways in lung adenocarcinoma
Determining the genetic basis of cancer requires comprehensive analyses of large collections of histopathologically well- classified primary tumours. Here we report the results of a collaborative study to discover somatic mutations in 188 human lung adenocarcinomas. DNA sequencing of 623 genes with known or potential relationships to cancer revealed more than 1,000 somatic mutations across the samples. Our analysis identified 26 genes that are mutated at significantly high frequencies and thus are probably involved in carcinogenesis. The frequently mutated genes include tyrosine kinases, among them the EGFR homologue ERBB4; multiple ephrin receptor genes, notably EPHA3; vascular endothelial growth factor receptor KDR; and NTRK genes. These data provide evidence of somatic mutations in primary lung adenocarcinoma for several tumour suppressor genes involved in other cancers - including NF1, APC, RB1 and ATM - and for sequence changes in PTPRD as well as the frequently deleted gene LRP1B. The observed mutational profiles correlate with clinical features, smoking status and DNA repair defects. These results are reinforced by data integration including single nucleotide polymorphism array and gene expression array. Our findings shed further light on several important signalling pathways involved in lung adenocarcinoma, and suggest new molecular targets for treatment.National Human Genome Research InstituteWe thank A. Lash, M.F. Zakowski, M.G. Kris and V. Rusch for intellectual contributions, and many members of the Baylor Human Genome Sequencing Center, the Broad Institute of Harvard and MIT, and the Genome Center at Washington University for support. This work was funded by grants from the National Human Genome Research Institute to E.S.L., R.A.G. and R.K.W.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/62885/1/nature07423.pd