'Thank you for loving me': A qualitative study on perceptions of gratitude and their effects in palliative care patients and relatives.

Empirical studies suggest that gratitude positively influence the quality of life of palliative patients and relatives. However, the literature is marked by a lack of conceptual clarity about what gratitude is and whether it can bring about individual and social benefits. This paper explores how palliative care patients and relatives understand gratitude, how discursive representations of gratitude may affect their positions, perceptions and relations, and how to conceptualise gratitude in the palliative context. We examine 33 gratitude letters written by patients and relatives and 25 semi-structured interviews conducted as part of a pilot gratitude intervention study. We use a qualitative approach, thematic analysis, within a conceptual framework of discourse analysis. Data were collected from 23 patients and 13 relatives recruited through three hospital palliative care services in French-speaking Switzerland. Participants articulate gratitude in five ways: (1) appreciating others; (2) love; (3) need to reciprocate; (4) appreciating the little things; (5) solace amid serious illness. While some of these representations are sources of positive emotions and outlook, wellbeing and hope, others may confirm self-perceptions of powerlessness and burden. These results support a tridimensional conceptualisation of gratitude in palliative care as source of individual benefits, valuing closest relationships and moral obligation. Our study suggests that gratitude is a key to a good (end of) life, whilst highlighting potential negative effects. It could help healthcare professionals to better understand what gratitude means to patients and relatives, which may facilitate awareness and fostering of gratitude in palliative care

Radioscience simulations in General Relativity and in alternative theories of gravity

In this communication, we focus on the possibility to test GR with radioscience experiments. We present a new software that in a first step simulates the Range/Doppler signals directly from the space time metric (thus in GR and in alternative theories of gravity). In a second step, a least-squares fit of the involved parameters is performed in GR. This software allows one to get the order of magnitude and the signature of the modifications induced by an alternative theory of gravity on radioscience signals. As examples, we present some simulations for the Cassini mission in Post-Einsteinian gravity and with the MOND External Field Effect.Comment: 4 pages; Proceedings of "Les Rencontres de Moriond 2011 - Gravitation session

Accurate light-time correction due to a gravitating mass

This work arose as an aftermath of Cassini's 2002 experiment \cite{bblipt03}, in which the PPN parameter $\gamma$ was measured with an accuracy $\sigma_\gamma = 2.3\times 10^{-5}$ and found consistent with the prediction $\gamma =1$ of general relativity. The Orbit Determination Program (ODP) of NASA's Jet Propulsion Laboratory, which was used in the data analysis, is based on an expression for the gravitational delay which differs from the standard formula; this difference is of second order in powers of $m$ -- the sun's gravitational radius -- but in Cassini's case it was much larger than the expected order of magnitude $m^2/b$, where $b$ is the ray's closest approach distance. Since the ODP does not account for any other second-order terms, it is necessary, also in view of future more accurate experiments, to systematically evaluate higher order corrections and to determine which terms are significant. Light propagation in a static spacetime is equivalent to a problem in ordinary geometrical optics; Fermat's action functional at its minimum is just the light-time between the two end points A and B. A new and powerful formulation is thus obtained. Asymptotic power series are necessary to provide a safe and automatic way of selecting which terms to keep at each order. Higher order approximations to the delay and the deflection are obtained. We also show that in a close superior conjunction, when $b$ is much smaller than the distances of A and B from the Sun, of order $R$, say, the second-order correction has an \emph{enhanced} part of order $m^2R/b^2$, which corresponds just to the second-order terms introduced in the ODP. Gravitational deflection of the image of a far away source, observed from a finite distance from the mass, is obtained to $O(m^2)$.Comment: 4 figure

Strong tidal dissipation in Saturn and constraints on Enceladus' thermal state from astrometry

Tidal interactions between Saturn and its satellites play a crucial role in both the orbital migration of the satellites and the heating of their interiors. Therefore constraining the tidal dissipation of Saturn (here the ratio k2/Q) opens the door to the past evolution of the whole system. If Saturn's tidal ratio can be determined at different frequencies, it may also be possible to constrain the giant planet's interior structure, which is still uncertain. Here, we try to determine Saturn's tidal ratio through its current effect on the orbits of the main moons, using astrometric data spanning more than a century. We find an intense tidal dissipation (k2/Q= (2.3 \pm 0.7) \times 10-4), which is about ten times higher than the usual value estimated from theoretical arguments. As a consequence, eccentricity equilibrium for Enceladus can now account for the huge heat emitted from Enceladus' south pole. Moreover, the measured k2/Q is found to be poorly sensitive to the tidal frequency, on the short frequency interval considered. This suggests that Saturn's dissipation may not be controlled by turbulent friction in the fluid envelope as commonly believed. If correct, the large tidal expansion of the moon orbits due to this strong Saturnian dissipation would be inconsistent with the moon formations 4.5 Byr ago above the synchronous orbit in the Saturnian subnebulae. But it would be compatible with a new model of satellite formation in which the Saturnian satellites formed possibly over longer time scale at the outer edge of the main rings. In an attempt to take into account for possible significant torques exerted by the rings on Mimas, we fitted a constant rate da/dt on Mimas semi-major axis, also. We obtained an unexpected large acceleration related to a negative value of da/dt= -(15.7 \pm 4.4) \times 10-15 au/day

Gravitational bending of light by planetary multipoles and its measurement with microarcsecond astronomical interferometers

General relativistic deflection of light by mass, dipole, and quadrupole moments of gravitational field of a moving massive planet in the Solar system is derived. All terms of order 1 microarcsecond are taken into account, parametrized, and classified in accordance with their physical origin. We calculate the instantaneous patterns of the light-ray deflections caused by the monopole, the dipole and the quadrupole moments, and derive equations describing apparent motion of the deflected position of the star in the sky plane as the impact parameter of the light ray with respect to the planet changes due to its orbital motion. The present paper gives the physical interpretation of the observed light-ray deflections and discusses the observational capabilities of the near-future optical (SIM) and radio (SKA) interferometers for detecting the Doppler modulation of the radial deflection, and the dipolar and quadrupolar light-ray bendings by the Jupiter and the Saturn.Comment: 33 pages, 10 figures, accepted to Phys. Rev.

A universal tool for determining the time delay and the frequency shift of light: Synge's world function

In almost all of the studies devoted to the time delay and the frequency shift of light, the calculations are based on the integration of the null geodesic equations. However, the above-mentioned effects can be calculated without integrating the geodesic equations if one is able to determine the bifunction $\Omega(x_A, x_B)$ giving half the squared geodesic distance between two points $x_A$ and $x_B$ (this bifunction may be called Synge's world function). In this lecture, $\Omega(x_A, x_B)$ is determined up to the order $1/c^3$ within the framework of the PPN formalism. The case of a stationary gravitational field generated by an isolated, slowly rotating axisymmetric body is studied in detail. The calculation of the time delay and the frequency shift is carried out up to the order $1/c^4$. Explicit formulae are obtained for the contributions of the mass, of the quadrupole moment and of the internal angular momentum when the only post-Newtonian parameters different from zero are $\beta$ and $\gamma$. It is shown that the frequency shift induced by the mass quadrupole moment of the Earth at the order $1/c^3$ will amount to $10^{-16}$ in spatial experiments like the ESA's Atomic Clock Ensemble in Space mission. Other contributions are briefly discussed.Comment: 18 pages, To appear in: "Lasers, Clocks and Drag-Free control: Exploration of Relativistic Gravity in Space", Springer Series on Astrophysics and Space Science Library, vol 349, p 15

Augmented Reality: What Motivates Late Millennials towards Fashion Mobile Apps?

Generation Z is expected to be a dominant demographic and economic group. Cyber-waviness, constant reliance on smart devices that allows them to be always connected are among some of their intrinsic characteristics. The combination of this reality with the ever-changing technological environment is compelling retailers to reshape their business strategies, to meet this group desires and expectations and to foster their engagement. Augmented reality (AR) is emerging as a technological solution that pleases both consumers and retailers. This paper aims to answer two main questions: (1) How does generation Z evaluate an AR experience? (2) Which attributes/benefits do they value or not during an AR experience? Drawing on a qualitative methodology – content analysis of 34 interviewees – we discuss six main dimensions the potential customer value of the relationship between them and AR experiences under retailer context.info:eu-repo/semantics/publishedVersio

<i>Gaia</i> Data Release 1. Summary of the astrometric, photometric, and survey properties

Context. At about 1000 days after the launch of Gaia we present the first Gaia data release, Gaia DR1, consisting of astrometry and photometry for over 1 billion sources brighter than magnitude 20.7. Aims. A summary of Gaia DR1 is presented along with illustrations of the scientific quality of the data, followed by a discussion of the limitations due to the preliminary nature of this release. Methods. The raw data collected by Gaia during the first 14 months of the mission have been processed by the Gaia Data Processing and Analysis Consortium (DPAC) and turned into an astrometric and photometric catalogue. Results. Gaia DR1 consists of three components: a primary astrometric data set which contains the positions, parallaxes, and mean proper motions for about 2 million of the brightest stars in common with the HIPPARCOS and Tycho-2 catalogues – a realisation of the Tycho-Gaia Astrometric Solution (TGAS) – and a secondary astrometric data set containing the positions for an additional 1.1 billion sources. The second component is the photometric data set, consisting of mean G-band magnitudes for all sources. The G-band light curves and the characteristics of ∼3000 Cepheid and RR-Lyrae stars, observed at high cadence around the south ecliptic pole, form the third component. For the primary astrometric data set the typical uncertainty is about 0.3 mas for the positions and parallaxes, and about 1 mas yr−1 for the proper motions. A systematic component of ∼0.3 mas should be added to the parallax uncertainties. For the subset of ∼94 000 HIPPARCOS stars in the primary data set, the proper motions are much more precise at about 0.06 mas yr−1. For the secondary astrometric data set, the typical uncertainty of the positions is ∼10 mas. The median uncertainties on the mean G-band magnitudes range from the mmag level to ∼0.03 mag over the magnitude range 5 to 20.7. Conclusions. Gaia DR1 is an important milestone ahead of the next Gaia data release, which will feature five-parameter astrometry for all sources. Extensive validation shows that Gaia DR1 represents a major advance in the mapping of the heavens and the availability of basic stellar data that underpin observational astrophysics. Nevertheless, the very preliminary nature of this first Gaia data release does lead to a number of important limitations to the data quality which should be carefully considered before drawing conclusions from the data

A dualistic model of primary anal canal adenocarcinoma with distinct cellular origins, etiologies, inflammatory microenvironments and mutational signatures: implications for personalised medicine.

Primary adenocarcinoma of the anal canal is a rare and aggressive gastrointestinal disease with unclear pathogenesis. Because of its rarity, no clear clinical practice guideline has been defined and a targeted therapeutic armamentarium has yet to be developed. The present article aimed at addressing this information gap by in-depth characterising the anal glandular neoplasms at the histologic, immunologic, genomic and epidemiologic levels. In this multi-institutional study, we first examined the histological features displayed by each collected tumour (n = 74) and analysed their etiological relationship with human papillomavirus (HPV) infection. The intratumoural immune cell subsets (CD4, CD8, Foxp3), the expression of immune checkpoints (PD-1, PD-L1), the defect in mismatch repair proteins and the mutation analysis of multiple clinically relevant genes in the gastrointestinal cancer setting were also determined. Finally, the prognostic significance of each clinicopathological variable was assessed. Phenotypic analysis revealed two region-specific subtypes of anal canal adenocarcinoma. The significant differences in the HPV status, density of tumour-infiltrating lymphocytes, expression of immune checkpoints and mutational profile of several targetable genes further supported the separation of these latter neoplasms into two distinct entities. Importantly, anal gland/transitional-type cancers, which poorly respond to standard treatments, displayed less mutations in downstream effectors of the EGFR signalling pathway (i.e., KRAS and NRAS) and demonstrated a significantly higher expression of the immune inhibitory ligand-receptor pair PD-1/PD-L1 compared to their counterparts arising from the colorectal mucosa. Taken together, the findings reported in the present article reveal, for the first time, that glandular neoplasms of the anal canal arise by HPV-dependent or independent pathways. These etiological differences leads to both individual immune profiles and mutational landscapes that can be targeted for therapeutic benefits

Augmenting the Eye of the Beholder: Exploring the Strategic Potential of Augmented Reality to Enhance Online Service Experiences

Driven by the proliferation of augmented reality (AR) technologies, many firms are pursuing a strategy of service augmentation to enhance customers’ online service experiences. Drawing on situated cognition theory, the authors show that AR - based service augmentation enhances customer value perceptions by simultaneously providing simulated physical control and environmental embedding. The resulting authentic situated experience, manifested in a feeling of spatial presence, funct ions as a mediator and also predicts customer decision comfort. Furthermore, the effect of spatial presence on utilitarian value perceptions is greater for customers who are disposed toward verbal rather than visual information processing, and the positive effect on decision comfort is attenuated by customers’ privacy concerns