A Personal Perspective on Daily Occupations to Counteract Cancer Related Fatigue: A Case Study

Background: This case study aimed to identify and describe meaningful physical occupations used by a cancer survivor to increase or maintain levels of participation during active chemotherapy and subsequent cancer related fatigue. Method: A case study approach was used to develop an in-depth description and analysis based on one participant’s experience with breast cancer and associated treatments. A semi-structured interview was conducted. The data were analyzed through description of the case, categories, and themes. It also included categorical aggregation in efforts to seek a collection of instances from the data to explore any issue-relevant meanings. Results: Following data analysis, one overarching theme, return to normalcy, was identified with three subthemes: (a) prioritization of meaningful activities, (b) modifications to activities or routines, (c) lack of referral for immediate needs. Conclusion: Personal knowledge of occupational therapy practice provided support for enhancing engagement in daily meaningful occupations. Lessons learned from this experience could be applied to clients experiencing cancer related side effects to improve engagement in daily occupations

A Survey of Interventions for Cancer Survivors Provided by Occupational Therapy Practitioners

Purpose: Currently, there is a lack of research exploring evidence-based occupational therapy intervention practices at the activity level in survivorship care, which is important to identify for future research and clinical needs of the profession. The purpose of this study was to describe what activity level interventions OT practitioners are using and report any practice trends that might exist. Method: A cross-section design was used with non-probability purposive sampling to recruit occupational therapy practitioners working with adults living with and beyond cancer. A three-phase process for survey development and implementation was used, as recommended by the literature, for improving content validity and minimizing measurement error. Results: A total of 267 surveys were distributed and 70 surveys returned (26.20% response rate). Given the range and frequency of responses, it is suggested that occupational therapy practitioners focus on individual needs for function and participation and are not limiting practice to physical impairments. There were several areas that only a small percentage of respondents identified addressing with clients, including shopping (range 5.83-9.23%), driving and community mobility (range 5.90-9.58%), and financial management (range .74-10.20%) that typically fall into outpatient and community health practice settings. Conclusion: We reviewed current oncology intervention and referral practice trends for occupational therapy and pose several implications for advancing clinical practice in oncology. Future research into interventions not supported by literature that occupational therapists identified currently using in practice is needed

An Economic Approach to Article 82

This report argues in favour of an economics-based approach to Article 82, in a way similar to the reform of Article 81 and merger control. In particular, we support an effects-based rather than a form-based approach to competition policy. Such an approach focuses on the presence of anti-competitive effects that harm consumers, and is based on the examination of each specific case, based on sound economics and grounded on facts

Dynamics for a 2-vertex Quantum Gravity Model

We use the recently introduced U(N) framework for loop quantum gravity to study the dynamics of spin network states on the simplest class of graphs: two vertices linked with an arbitrary number N of edges. Such graphs represent two regions, in and out, separated by a boundary surface. We study the algebraic structure of the Hilbert space of spin networks from the U(N) perspective. In particular, we describe the algebra of operators acting on that space and discuss their relation to the standard holonomy operator of loop quantum gravity. Furthermore, we show that it is possible to make the restriction to the isotropic/homogeneous sector of the model by imposing the invariance under a global U(N) symmetry. We then propose a U(N) invariant Hamiltonian operator and study the induced dynamics. Finally, we explore the analogies between this model and loop quantum cosmology and sketch some possible generalizations of it.Comment: 28 pages, v2: typos correcte

An Economic Approach to Article 82

This report argues in favour of an economics-based approach to Article 82, in a way similar to the reform of Article 81 and merger control. In particular, we support an effects-based rather than a form-based approach to competition policy. Such an approach focuses on the presence of anti-competitive effects that harm consumers, and is based on the examination of each specific case, based on sound economics and grounded on facts.competition policy; abuse of market power

Electrophysiological evaluation of the peripheral and central pathways in patients with achondroplasia before and during a lower-limb lengthening procedure

In this paper we review the spectrum of spinal and peripheral nerve involvement secondary to achon- droplasia. Alongside conventional and computerised imaging techniques, electrophysiological investiga- tion may represent a useful, non-invasive approach in this clinical setting. Somatosensory evoked poten- tials (SEPs) and magnetic stimulation are valuable tools for studying spinal cord function. Neurophysio- logical abnormalities show a good correlation with the lesion level. Imaging techniques indicate that multiple malformation can affect the patient at the same time and SEPs help to determine the main site of involvement. Interestingly, these techniques are more sensitive than clinical evaluation in document- ing neurological impairment in patients with achon- droplasia prior to the manifestation of unmistakable signs. Callotasi has became a widely used and accept- ed procedure for limb lengthening. Extensive length- ening can be safely performed in patients with achon- droplasia once neurological impairment has been ruled out. In our experience, the presence of elec- trophysiological abnormalities calls for a compre- hensive surgical re-evaluation of the traditional pro- cedure, and sometimes exclusion of patients. Peripheral nerve involvement may occur during limb lengthening, and continuous nerve monitoring pro- vides useful insights into the pathophysiology of nerve damage

On maximum entropy priors and a most likely likelihood in auditing

There are two basic questions auditors and accountants must consider when developing test and estimation applications using Bayes' Theorem: What prior probability function should be used and what likelihood function should be used. In this paper we propose to use a maximum entropy prior probability function MEP with the most likely likelihood function MLL in the Quasi-Bayesian QB model introduced by McCray (1984). It is defined on an adequate parameter. Thus procedure only needs an expected value of θ0 known (in this paper the expected tainting) to obtain a MEP all an auditor or accountant need to supply are the range, as with any other prior, and the expected tainting, θ0. We will see some practical applications of the methodology proposed about internal control evaluation in auditing

Computing Black Hole entropy in Loop Quantum Gravity from a Conformal Field Theory perspective

Motivated by the analogy proposed by Witten between Chern-Simons and Conformal Field Theories, we explore an alternative way of computing the entropy of a black hole starting from the isolated horizon framework in Loop Quantum Gravity. The consistency of the result opens a window for the interplay between Conformal Field Theory and the description of black holes in Loop Quantum Gravity.Comment: 9 page

Structural control on carbon emissions at the Nirano mud volcanoes – Italy

The Nirano Salse in Italy is a well-studied site where natural gas seepage (NGS) and other hydrocarbon fluids and gases are emitted at the earth's surface. A novel integrated approach is applied to define a comprehensive structural interpretation of the gas seepage and flow dynamic in the mud volcano system of the Nirano Salse Regional Nature Reserve (Modena, Northern Apennines). The paper investigates the relationship between gas emissions and local structures, particularly faults and fractures, in the shallow subsurface (down to 500–600 m depth) to understand the control that structures have on fluid ascent from deep leaky hydrocarbon traps. We performed continuous monitoring of mud levels within vents; carried out geological surveys to characterize the main stratigraphic and structural discontinuities; measured the carbon emissions (CH4 and CO2) seepage both from volcanoes and the surrounding soil by a portable gas fluxmeter; and integrated the results with available geophysical surveys. The authors argue that the transgressive Pleistocene-Pliocene Argille Azzurre Formation hides the complex and highly structured pre-Pliocene geology of the area, in which faults and fractures act as pathways for deep fluid ascent. The emissions are aligned along a NE-SW trend at the intersection of a NE-SW fracture system and NW-SE-oriented normal faults, which are both associated to the local tensional stress field of a likely left-lateral strike-slip transfer structure or in the extrados of a fold. By examining both natural gas macroseepage and diffuse flux, it is shown that local structures control the fluid ascent and contribute to the emission of hydrocarbon gases and fluids at the Earth's surface. Understanding the structural control of carbon emissions at the Nirano Salse is also important for evaluating the carbon budget at the site, particularly in areas where there are detectable surface emissions. The study has implications for geologic, environmental, and economic issues, including hydrocarbon exploration, hazard assessment, and impact on the atmospheric carbon budget. Furthermore, the outcomes have an important implication to evaluate the potential for dangerous abrupt mud eruptions, and the site safety in proximity to the mud volcanoes

Marco Polo: A near Earth object sample return mission

From Introduction: MARCO POLO is a joint European-Japanese sample return mission to a Near-Earth Object. In late 2007 this mission was selected by ESA, in the framework of COSMIC VISION 2015-2025, for an assessment scheduled to last until mid 2009. This Euro-Asian mission will go to a primitive Near-Earth Object (NEO), such as a C or D type asteroid. The spacecraft will rendezvous with the object, and over an extended period scientifically characterize it at multiple scales and bring samples back to Earth for detailed scientific investigation