10,018 research outputs found

    Content shared on social media for national cancer survivors day 2018.

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    BACKGROUND:Studies estimate that the number of cancer survivors will double by 2050 due to improvements in diagnostic accuracy and treatment efficacy. Despite the growing population of cancer survivors, there is a paucity of research regarding how these individuals experience the transition from active treatment to long-term surveillance. While research has explored this transition from more organized venues, such as support groups for cancer survivors, this paper explores the discourses surrounding cancer survivorship on social media, paying particular attention to how individuals who identify as cancer survivors represent their experience. METHODS:We identified social media posts relating to cancer survivorship on Twitter and Instagram in early June 2018, in order to coincide with National Cancer Survivorship Day on June 3, 2018. We used nine pre-selected hashtags to identify content. For each hashtag, we manually collected the 150 most recent posts from Twitter and the 100 most recent plus the top 9 posts from Instagram. Our preliminary sample included 1172 posts; after eliminating posts from one hashtag due to irrelevance, we were left with 1063 posts. We randomly sampled 200 of these to create a subset for analysis; after review for irrelevant posts, 193 posts remained for analysis (118 from Instagram and 75 from Twitter). We utilized a grounded theory approach to analyze the posts, first open-coding a subset to develop a codebook, then applying the codebook to the rest of the sample and finally memo writing to develop themes. RESULTS:Overall, there is substantial difference in the tone and thematic content between Instagram and Twitter posts, Instagram takes on a more narrative form that represents journeys through cancer treatment and subsequent survivorship, whereas Twitter is more factual, leaning towards advocacy, awareness and fundraising. In terms of content type, 120 posts (62%) of the sample were images, of which 42 (35%) were images of the individual posting and 28 (23%) were images of patients posted by family or friends. Of the remaining images, 14 (12%) were of support groups and 7 (6%) were of family or friends. We identified four salient themes through analysis of the social media posts from Twitter and Instagram: social support, celebrating milestones and honoring survivors, expressing identity, and renewal vs. rebirth. DISCUSSION:We observed a marked relationship between physical appearance, functional status and survivorship. Additionally, our findings suggest the importance of social support for cancer patients and survivors as well as the role social media can pay in identity formation. CONCLUSION:Our findings suggest that individuals who identify as survivors on social media define their identity fluidly, incorporating elements of physical, emotional and psychological health as well as autonomy

    Improving treatment outcomes through personalised medicine - assessment of disease activity in acromegaly.

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    Purpose Personalised Medicine (PM), also known as stratified medicine has been known to improve treatment outcomes in a wide variety of disease area settings. Individualising treatment based on patient needs may also offer cost benefits to healthcare spend. Despite availability of multimodal treatment options for acromegaly, achievement of long-term disease control is suboptimal in a significant number of patients. Furthermore, disease control as defined by biochemical normalization may not always show concordance with disease related symptoms or patient’s perceived quality of life. Methods An assessment to gauge the need to have an easy and helpful tool which may support acromegaly management was elucidated through a multinational qualitative survey. Subsequently, a validated a tool was developed to measure disease activity in acromegaly to support decision-making in clinical practice through a 2 step-approach. Firstly, an international expert panel (n = 10) convened to define the most critical indicators of disease activity. Patient scenarios were constructed based on these chosen parameters. Secondly, a panel of 21 renowned endocrinologists at pituitary centres (Europe and Canada) categorized each scenario as stable, mild, or significant disease activity in an online validation study. Results The international qualitative survey revealed that current treatment practice does have shortcomings in fully achieving disease control as well as identifying the need for a helpful solution to guide acromegaly care. As part of elucidating the most important disease activity indicators, from expert opinion, five parameters emerged as the best overall indicators to evaluate disease activity: insulin-like growth factor I (IGF-I) level, tumour status, presence of comorbidities (cardiovascular disease, diabetes, sleep apnea), symptoms, and health-related quality of life. In the validation study, IGF-I and tumour status became the predominant parameters selected for classification of patients with moderate or severe disease activity. If IGF-I level was ≤1.2x upper limit of normal and tumour size not significantly increased, the remaining three parameters contributed to the decision in a compensatory manner. Conclusion The validation study underlined the importance of IGF-I and tumour status for routine clinical decision-making, whereas patient-oriented outcome measures received less medical attention. A disease specific tool named Acromegaly Disease Activity Tool (ACRODAT) is in its final stages of development that will support clinicians in reviewing the disease activity in a holistic manner.PhD in Manufacturin

    Exceptional orthogonal polynomials and exactly solvable potentials in position dependent mass Schroedinger Hamiltonians

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    Some exactly solvable potentials in the position dependent mass background are generated whose bound states are given in terms of Laguerre- or Jacobi-type X1X_1 exceptional orthogonal polynomials. These potentials are shown to be shape invariant and isospectral to the potentials whose bound state solutions involve classical Laguerre or Jacobi polynomials.Comment: To appear in Physics Letters

    Effects of diet and/or exercise in enhancing spinal cord sensorimotor learning.

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    Given that the spinal cord is capable of learning sensorimotor tasks and that dietary interventions can influence learning involving supraspinal centers, we asked whether the presence of omega-3 fatty acid docosahexaenoic acid (DHA) and the curry spice curcumin (Cur) by themselves or in combination with voluntary exercise could affect spinal cord learning in adult spinal mice. Using an instrumental learning paradigm to assess spinal learning we observed that mice fed a diet containing DHA/Cur performed better in the spinal learning paradigm than mice fed a diet deficient in DHA/Cur. The enhanced performance was accompanied by increases in the mRNA levels of molecular markers of learning, i.e., BDNF, CREB, CaMKII, and syntaxin 3. Concurrent exposure to exercise was complementary to the dietary treatment effects on spinal learning. The diet containing DHA/Cur resulted in higher levels of DHA and lower levels of omega-6 fatty acid arachidonic acid (AA) in the spinal cord than the diet deficient in DHA/Cur. The level of spinal learning was inversely related to the ratio of AA:DHA. These results emphasize the capacity of select dietary factors and exercise to foster spinal cord learning. Given the non-invasiveness and safety of the modulation of diet and exercise, these interventions should be considered in light of their potential to enhance relearning of sensorimotor tasks during rehabilitative training paradigms after a spinal cord injury

    Evidence of internal rotation and a helical magnetic field in the jet of the quasar NRAO 150

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    The source NRAO 150 is a very prominent millimeter to radio emitting quasar at redshift z = 1.52 for which previous millimeter VLBI observations revealed a fast counterclockwise rotation of the innermost regions of the jet. Here we present new polarimetric multi-epoch VLBI-imaging observations of NRAO 150 performed at 8, 15, 22, 43, and 86 GHz with the Very Long Baseline Array (VLBA), and the Global Millimeter VLBI Array (GMVA) between 2006 and 2010. All new and previous observational evidence - i.e., spectral index maps, multi-epoch image cross-correlation, and low level of linear polarization degree in optically thin regions - are consistent with an interpretation of the source behavior where the jet is seen at an extremely small angle to the line of sight, and the high frequency emitting regions in NRAO 150 rotate at high speeds on the plane of the sky with respect to a reference point that does not need to be related to any particularly prominent jet feature. The observed polarization angle distribution at 22, 43, and 86 GHz during observing epochs with high polarization degree suggests that we have detected the toroidal component of the magnetic field threading the innermost jet plasma regions. This is also consistent with the lower degree of polarization detected at progressively poorer angular resolutions, where the integrated polarization intensity produced by the toroidal field is explained by polarization cancellation inside the observing beam. All this evidence is fully consistent with a kinematic scenario where the main kinematic and polarization properties of the 43 GHz emitting structure of NRAO 150 are explained by the internal rotation of such emission regions around the jet axis when the jet is seen almost face on. A simplified model developed to fit helical trajectories to the observed kinematics of the 43GHz features fully supports this hypothesis. This explains the kinematics of the innermost regions of the jet in NRAO 150 in terms of internal jet rotation

    Thermal Expansion in 3d-Metal Prussian Blue Analogs - A Survey Study

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    We present a comprehensive study of the structural properties and the thermal expansion behavior of 17 different Prussian Blue Analogs (PBAs) with compositions MII3[(M')III(CN)6]2.nH2O and MII2[FeII(CN)6].nH2O, where MII = Mn, Fe, Co, Ni, Cu and Zn, (M')III = Co, Fe and n is the number of water molecules, which range from 5 to 18 for these compounds. The PBAs were synthesized via standard chemical precipitation methods, and temperature-dependent X-ray diffraction studies were performed in the temperature range between -150oC (123 K) and room-temperature. The vast majority of the studied PBAs were found to crystallize in cubic structures of space groups, and . The temperature dependence of the lattice parameters was taken to compute an average coefficient of linear thermal expansion in the studied temperature range. Of the 17 compounds, 9 display negative values for the average coefficient of linear thermal expansion, which can be as large as 39.7 x 10-6 K-1 for Co3[Co(CN)6]2.12H2O. All of the MII3[CoIII(CN)6]2.nH2O compounds show negative thermal expansion behavior, which correlates with the Irving-Williams series for metal complex stability. The thermal expansion behavior for the PBAs of the MII3[FeIII(CN)6]2.nH2O family are found to switch between positive (for M = Mn, Co, Ni) and negative (M = Cu, Zn) behavior, depending on the choice of the metal cation (M). On the other hand, all of the MII2[FeII(CN)6].nH2O compounds show positive thermal expansion behavior.Comment: Submitted, 32 pages, 3 tables, 10 figure

    Separability Analysis of Sentinel-2A Multi-Spectral Instrument (MSI) Data for Burned Area Discrimination

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    : Biomass burning is a global phenomenon and systematic burned area mapping is of increasing importance for science and applications. With high spatial resolution and novelty in band design, the recently launched Sentinel-2A satellite provides a new opportunity for moderate spatial resolution burned area mapping. This study examines the performance of the Sentinel-2A Multi Spectral Instrument (MSI) bands and derived spectral indices to differentiate between unburned and burned areas. For this purpose, five pairs of pre-fire and post-fire top of atmosphere (TOA reflectance) and atmospherically corrected (surface reflectance) images were studied. The pixel values of locations that were unburned in the first image and burned in the second image, as well as the values of locations that were unburned in both images which served as a control, were compared and the discrimination of individual bands and spectral indices were evaluated using parametric (transformed divergence) and non-parametric (decision tree) approaches. Based on the results, the most suitable MSI bands to detect burned areas are the 20 m near-infrared, short wave infrared and red-edge bands, while the performance of the spectral indices varied with location. The atmospheric correction only significantly influenced the separability of the visible wavelength bands. The results provide insights that are useful for developing Sentinel-2 burned area mapping algorithms

    On Climbing Scalars in String Theory

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    In string models with "brane supersymmetry breaking" exponential potentials emerge at (closed-string) tree level but are not accompanied by tachyons. Potentials of this type have long been a source of embarrassment in flat space, but can have interesting implications for Cosmology. For instance, in ten dimensions the logarithmic slope |V'/V| lies precisely at a "critical" value where the Lucchin--Matarrese attractor disappears while the scalar field is \emph{forced} to climb up the potential when it emerges from the Big Bang. This type of behavior is in principle perturbative in the string coupling, persists after compactification, could have trapped scalar fields inside potential wells as a result of the cosmological evolution and could have also injected the inflationary phase of our Universe.Comment: 14 pages, LateX, 3 eps figure
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