845 research outputs found
PATIENTS COLONIZATION AND INFECTION IN WARDS AFTER DISCHARGE FROM A POLYVALENT INTENSIVE CARE UNIT WITH SELECTIVE DIGESTIVE DECONTAMINATION: PRELIMINARY RESULTS
Fractional variational calculus of variable order
We study the fundamental problem of the calculus of variations with variable
order fractional operators. Fractional integrals are considered in the sense of
Riemann-Liouville while derivatives are of Caputo type.Comment: Submitted 26-Sept-2011; accepted 18-Oct-2011; withdrawn by the
authors 21-Dec-2011; resubmitted 27-Dec-2011; revised 20-March-2012; accepted
13-April-2012; to 'Advances in Harmonic Analysis and Operator Theory', The
Stefan Samko Anniversary Volume (Eds: A. Almeida, L. Castro, F.-O. Speck),
Operator Theory: Advances and Applications, Birkh\"auser Verlag
(http://www.springer.com/series/4850
Variable order Mittag-Leffler fractional operators on isolated time scales and application to the calculus of variations
We introduce new fractional operators of variable order on isolated time
scales with Mittag-Leffler kernels. This allows a general formulation of a
class of fractional variational problems involving variable-order difference
operators. Main results give fractional integration by parts formulas and
necessary optimality conditions of Euler-Lagrange type.Comment: This is a preprint of a paper whose final and definite form is with
Springe
Impact of Space Weather on Climate and Habitability of Terrestrial Type Exoplanets
The current progress in the detection of terrestrial type exoplanets has
opened a new avenue in the characterization of exoplanetary atmospheres and in
the search for biosignatures of life with the upcoming ground-based and space
missions. To specify the conditions favorable for the origin, development and
sustainment of life as we know it in other worlds, we need to understand the
nature of astrospheric, atmospheric and surface environments of exoplanets in
habitable zones around G-K-M dwarfs including our young Sun. Global environment
is formed by propagated disturbances from the planet-hosting stars in the form
of stellar flares, coronal mass ejections, energetic particles, and winds
collectively known as astrospheric space weather. Its characterization will
help in understanding how an exoplanetary ecosystem interacts with its host
star, as well as in the specification of the physical, chemical and biochemical
conditions that can create favorable and/or detrimental conditions for
planetary climate and habitability along with evolution of planetary internal
dynamics over geological timescales. A key linkage of (astro) physical,
chemical, and geological processes can only be understood in the framework of
interdisciplinary studies with the incorporation of progress in heliophysics,
astrophysics, planetary and Earth sciences. The assessment of the impacts of
host stars on the climate and habitability of terrestrial (exo)planets will
significantly expand the current definition of the habitable zone to the
biogenic zone and provide new observational strategies for searching for
signatures of life. The major goal of this paper is to describe and discuss the
current status and recent progress in this interdisciplinary field and to
provide a new roadmap for the future development of the emerging field of
exoplanetary science and astrobiology.Comment: 206 pages, 24 figures, 1 table; Review paper. International Journal
of Astrobiology (2019
Prevalence of Same-Sex Sexual Behavior and Associated Characteristics among Low-Income Urban Males in Peru
Peru has a concentrated HIV epidemic in which men who have sex with men are particularly vulnerable. We describe the lifetime prevalence of same-sex sexual contact and associated risk behaviors of men in Peru's general population, regardless of their sexual identity.A probability sample of males from low-income households in three Peruvian cities completed an epidemiologic survey addressing their sexual risk behavior, including sex with other men. Serum was tested for HSV-2, HIV, and syphilis. Urine was tested for chlamydia and gonorrhea. A total of 2,271 18-30 year old men and women were contacted, of whom 1,645 (72.4%) agreed to participate in the study. Among the sexually experienced men surveyed, 15.2% (85/558, 95% CI: 12.2%-18.2%) reported a history of sex with other men. Men ever reporting sex with men (MESM) had a lower educational level, had greater numbers of sex partners, and were more likely to engage in risk behaviors including unprotected sex with casual partners, paying for or providing compensated sex, and using illegal drugs. MESM were also more likely to have had previous STI symptoms or a prior STI diagnosis, and had a greater prevalence of HSV-2 seropositivity.Many low-income Peruvian men have engaged in same-sex sexual contact and maintain greater behavioral and biological risk factors for HIV/STI transmission than non-MESM. Improved surveillance strategies for HIV and STIs among MESM are necessary to better understand the epidemiology of HIV in Latin America and to prevent its further spread
OptiJ: Open-source optical projection tomography of large organ samples
The three-dimensional imaging of mesoscopic samples with Optical Projection Tomography (OPT) has become a powerful tool for biomedical phenotyping studies. OPT uses visible light to visualize the 3D morphology of large transparent samples. To enable a wider application of OPT, we present OptiJ, a low-cost, fully open-source OPT system capable of imaging large transparent specimens up to 13βmm tall and 8βmm deep with 50βΒ΅m resolution. OptiJ is based on off-the-shelf, easy-to-assemble optical components and an ImageJ plugin library for OPT data reconstruction. The software includes novel correction routines for uneven illumination and sample jitter in addition to CPU/GPU accelerated reconstruction for large datasets. We demonstrate the use of OptiJ to image and reconstruct cleared lung lobes from adult mice. We provide a detailed set of instructions to set up and use the OptiJ framework. Our hardware and software design are modular and easy to implement, allowing for further open microscopy developments for imaging large organ samples
Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs
A screening programme designed to identify cases of Major Depressive Disorder (MDD) in patients attending a Regional Cancer Centre outpatient department was established. It comprised two stages: (1) The Hospital Anxiety and Depression Scale (HADS) self-rating questionnaire administered by a touch-screen computer; (2) we interviewed patients with high scores on the HADS (15 or more total score) over the telephone using the depression section of the Structured Clinical Interview for DSMIV (SCID). A large consecutive sample (5613) of oncology clinic attenders was screened, and practical difficulties in the screening process were identified. The estimated prevalence of major depressive disorder (MDD) in the sample surveyed was approximately 8% (7.8%; 95% confidence intervals 6.9-8.5%). We assessed a consecutive series of 150 patients identified as having MDD to determine how many had received evidence-based treatment for MDD. Only half had discussed their low mood with their general practitioner, only one-third had been prescribed any antidepressant medication, and very few had taken a therapeutic dose for an adequate period. Very few had received psychological treatment or had been referred to mental health services. Most were receiving no potentially effective therapy
Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach
This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review which identified cancer survivorsβ needs, including barriers and facilitators to intervention success. Review evidence (N=49 papers) informed the interventionβs Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N=96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N=31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions
Gender differences and determinants of health related quality of life in coronary patients: a follow-up study
<p>Abstract</p> <p>Background</p> <p>The role of gender differences in Health Related Quality Life (HRQL) in coronary patients is controversial, so understanding the specific determinants of HRQL in men and women might be of clinical importance. The aim of this study was to know the gender differences in the evolution of HRQL at 3 and 6 months after a coronary event, and to identify the key clinical, demographic and psychological characteristics of each gender associated with these changes.</p> <p>Methods</p> <p>A follow-up study was carried out, and 175 patients (112 men and 63 women) with acute myocardial infarction (AMI) or unstable angina were studied. The SF-36v1 health questionnaire was used to assess HRQL, and the GHQ-28 (General Health Questionnaire) to measure mental health during follow-up. To study the variables related to changes in HRQL, generalized estimating equation (GEE) models were performed.</p> <p>Results</p> <p>Follow-up data were available for 55 men and 25 women at 3 months, and for 35 men and 12 women at 6 months. Observations included: a) Revascularization was performed later in women. b) The frequency of rehospitalization between months 3 and 6 of follow-up was higher in women c) Women had lower baseline scores in the SF-36. d) Men had progressed favourably in most of the physical dimensions of the SF-36 at 6 months, while at the same time women's scores had only improved for Physical Component Summary, Role Physical and Social Functioning; e) the variables determining the decrease in HRQL in men were: worse mental health and angina frequency; and in women: worse mental health, history of the disease, revascularization, and angina frequency.</p> <p>Conclusions</p> <p>There are differences in the evolution of HRQL, between men and women after a coronary attack. Mental health is the determinant most frequently associated with HRQL in both genders. However, other clinical determinants of HRQL differed with gender, emphasizing the importance of individualizing the intervention and the content of rehabilitation programs. Likewise, the recognition and treatment of mental disorders in these patients could be crucial.</p
Small but crucial : the novel small heat shock protein Hsp21 mediates stress adaptation and virulence in Candida albicans
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