Quality of life of elderly persons with newly diagnosed cancer.

The aim was to investigate quality of life (QoL) in elderly persons newly diagnosed with cancer (65+ years) in relation to age, contact with the health-care system, ability to perform activities of daily living (ADL), hope, social network and support, and to identify which factors were associated with low QoL. The sample consisted of 101 patients (75 women and 26 men) newly diagnosed with cancer. EORTC QLQ-C30, Nowotny's Hope Scale, Katz ADL and the Interview Schedule for Social Interaction (ISSI) were used. The analysis was carried out in four age groups and revealed no significant differences in QoL. Compared with the other age groups, those of a high age (80+ years) more often lived alone, used more home-help service and had a smaller social network. Factors associated with low QoL were 'no other incomes than retirement pension', 'low level of hope' and 'lung cancer'. In addition, 'being told that the cancer disease has not come to an end', 'needing more help in activities of daily living', 'getting help from grown-up children' and 'needing help with PADL' were associated with low QoL. Those at risk of inferior QoL, that is, having poor economy, low level of hope and lung cancer need special attendance and specific interventions to improve QoL

Reanalysis of multi-temporal aerial images of Storglaciären, Sweden (1959–99) – Part 1: Determination of length, area, and volume changes

Storglaciären, located in the Kebnekaise massif in northern Sweden, has a long history of glaciological research. Early photo documentations date back to the late 19th century. Measurements of front position variations and distributed mass balance have been carried out since 1910 and 1945/46, respectively. In addition to these in-situ measurements, aerial photographs have been taken at decadal intervals since the beginning of the mass balance monitoring program and were used to produce topographic glacier maps. Inaccuracies in the maps were a challenge to early attempts to derive glacier volume changes and resulted in major differences when compared to the direct glaciological mass balances. In this study, we reanalyzed dia-positives of the original aerial photographs of 1959, -69, -80, -90 and -99 based on consistent photogrammetric processing. From the resulting digital elevation models and orthophotos, changes in length, area, and volume of Storglaciären were computed between the survey years, including an assessment of related errors. Between 1959 and 1999, Storglaciären lost an ice volume of 19×106 m3, which corresponds to a cumulative ice thickness loss of 5.69 m and a mean annual loss of 0.14 m. This ice loss resulted largely from a strong volume loss during the period 1959–80 and was partly compensated during the period 1980–99. As a consequence, the glacier shows a strong retreat in the 1960s, a slowing in the 1970s, and pseudo-stationary conditions in the 1980s and 1990s

Reanalysis of multi-temporal aerial images of Storglaciären, Sweden (1959–99) – Part 2: Comparison of glaciological and volumetric mass balances

Seasonal glaciological mass balances have been measured on Storglaciären without interruption since 1945/46. In addition, aerial surveys have been carried out on a decadal basis since the beginning of the observation program. Early studies had used the resulting aerial photographs to produce topographic glacier maps with which the in-situ observations could be verified. However, these maps as well as the derived volume changes are subject to errors which resulted in major differences between the derived volumetric and the glaciological mass balance. As a consequence, the original photographs were re-processed using uniform photogrammetric methods, which resulted in new volumetric mass balances for 1959–69, 1969–80, 1980–90, and 1990–99. We compared these new volumetric mass balances with mass balances obtained by standard glaciological methods including an uncertainty assessment considering all related previous studies. The absolute differences between volumetric and the glaciological mass balances are 0.8 m w.e. for the period of 1959–69 and 0.3 m w.e. or less for the other survey periods. These deviations are slightly reduced when considering corrections for systematic uncertainties due to differences in survey dates, reference areas, and internal ablation, whereas internal accumulation systematically increases the mismatch. However, the mean annual differences between glaciological and volumetric mass balance are less than the uncertainty of the in-situ stake reading and stochastic error bars of both data series overlap. Hence, no adjustment of the glaciological data series to the volumetric one is required

Resolving the influence of temperature forcing through heat conduction on rock glacier dynamics: a numerical modelling approach

In recent years, observations have highlighted seasonal and interannual variability in rock glacier flow. Temperature forcing, through heat conduction, has been proposed as one of the key processes to explain these variations in kinematics. However, this mechanism has not yet been quantitatively assessed against real-world data. We present a 1-D numerical modelling approach that couples heat conduction to an empirically derived creep model for ice-rich frozen soils. We use this model to investigate the effect of thermal heat conduction on seasonal and interannual variability in rock glacier flow velocity. We compare the model results with borehole temperature data and surface velocity measurements from the PERMOS and PermaSense monitoring network available for the Swiss Alps. We further conduct a model sensitivity analysis in order to resolve the importance of the different model parameters. Using the prescribed empirically derived rheology and observed near-surface temperatures, we are able to model the correct order of magnitude of creep. However, both interannual and seasonal variability are underestimated by an order of magnitude, implying that heat conduction alone cannot explain the observed variations. Therefore, we conclude that non-conductive processes, likely linked to water availability, must dominate the short-term velocity signal.</p

Intensive group training protocol versus guideline physiotherapy for patients with chronic low back pain: a randomised controlled trial

Intensive group training using principles of graded activity has been proven to be effective in occupational care for workers with chronic low back pain. Objective of the study was to compare the effects of an intensive group training protocol aimed at returning to normal daily activities and guideline physiotherapy for primary care patients with non-specific chronic low back pain. The study was designed as pragmatic randomised controlled trial with a setup of 105 primary care physiotherapists in 49 practices and 114 patients with non-specific low back pain of more than 12 weeks duration participated in the study. In the intensive group training protocol exercise therapy, back school and operant-conditioning behavioural principles are combined. Patients were treated during 10 individual sessions along 20 group sessions. Usual care consisted of physiotherapy according to the Dutch guidelines for Low Back Pain. Main outcome measures were functional disability (Roland Morris disability questionnaire), pain intensity, perceived recovery and sick leave because of low back pain assessed at baseline and after 6, 13, 26 and 52 weeks. Both an intention-to-treat analysis and a per-protocol analysis were performed. Multilevel analysis did not show significant differences between both treatment groups on any outcome measures during the complete follow-up period, with one exception. After 26 weeks the protocol group showed more reduction in pain intensity than the guideline group, but this difference was absent after 52 weeks. We finally conclude that an intensive group training protocol was not more effective than usual physiotherapy for chronic low back pain

Polarization stabilization in vertical-cavity surface-emitting lasers through asymmetric current injection

We present experimental evidence that asymmetric current injection in intracavity contacted vertical-cavity surface-emitting lasers (VCSELs) stabilizes the polarization of the emitted light. Anisotropies in the gain and loss mechanisms introduced by asymmetric current injection are considered to explain this effect. The design scheme opens perspectives to obtain actual polarization control in VCSEL