282 research outputs found

    Living with diabetes: An exploratory study of illness representation and medication adherence in Ghana

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    Background: Compared to other chronic conditions, non-adherence to medication in diabetes patients is very high. This study explores the relationship between illness representation and medication adherence in diabetes patients in Ghana. Method: A total of 196 type 2 diabetes patients purposively and conveniently sampled from a tertiary hospital in Ghana responded to the Revised Illness Perception Questionnaire (IPQ-R) and the Medication Adherence Report Scale (MARS-5). The Pearson Moment Product correlation and the hierarchical multiple regression statistical tools were used to analyse the data. Results: Illness consequence and emotional representation were negatively related to medication adherence, while personal control positively accounted for significant variance in medication adherence. However, none of the selected key demographic variables (i.e. age, illness duration, gender, religion and education) independently accounted for any significant variance in medication adherence. Conclusion: Diabetes has a telling consequence on patients’ life; the patient can do something to control diabetes; and the negative emotional representations concerning the disease have a significant influence on the degree of medication adherence by the patients. This observation has implications for the management and treatment plan of diabetes

    A spinor approach to Walker geometry

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    A four-dimensional Walker geometry is a four-dimensional manifold M with a neutral metric g and a parallel distribution of totally null two-planes. This distribution has a natural characterization as a projective spinor field subject to a certain constraint. Spinors therefore provide a natural tool for studying Walker geometry, which we exploit to draw together several themes in recent explicit studies of Walker geometry and in other work of Dunajski (2002) and Plebanski (1975) in which Walker geometry is implicit. In addition to studying local Walker geometry, we address a global question raised by the use of spinors.Comment: 41 pages. Typos which persisted into published version corrected, notably at (2.15

    Effective dimensions and percolation in hierarchically structured scale-free networks

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    We introduce appropriate definitions of dimensions in order to characterize the fractal properties of complex networks. We compute these dimensions in a hierarchically structured network of particular interest. In spite of the nontrivial character of this network that displays scale-free connectivity among other features, it turns out to be approximately one-dimensional. The dimensional characterization is in agreement with the results on statistics of site percolation and other dynamical processes implemented on such a network.Comment: 5 pages, 5 figure

    Clinical and Behavioral Correlates of Achieving and Maintaining Glycemic Targets in an Underserved Population With Type 2 Diabetes

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    OBJECTIVE—In an underserved Latino area, we established a disease-management program and proved its effectiveness. However, many patients still remained above target. This study was designed to evaluate which factors are associated with reaching program goals

    Mobility and stochastic resonance in spatially inhomogeneous system

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    The mobility of an overdamped particle, in a periodic potential tilted by a constant external field and moving in a medium with periodic friction coefficient is examined. When the potential and the friction coefficient have the same periodicity but have a phase difference, the mobility shows many interesting features as a function of the applied force, the temperature, etc. The mobility shows stochastic resonance even for constant applied force, an issue of much recent interest. The mobility also exhibits a resonance like phenomenon as a function of the field strength and noise induced slowing down of the particle in an appropriate parameter regime.Comment: 14 pages, 12 figures. Submitted to Phys. Rev.

    Invariants of Lie algebras extended over commutative algebras without unit

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    We establish results about the second cohomology with coefficients in the trivial module, symmetric invariant bilinear forms and derivations of a Lie algebra extended over a commutative associative algebra without unit. These results provide a simple unified approach to a number of questions treated earlier in completely separated ways: periodization of semisimple Lie algebras (Anna Larsson), derivation algebras, with prescribed semisimple part, of nilpotent Lie algebras (Benoist), and presentations of affine Kac-Moody algebras.Comment: v3: added a footnote on p.10 about a wrong derivation of the correct statemen

    Variational Principle underlying Scale Invariant Social Systems

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    MaxEnt's variational principle, in conjunction with Shannon's logarithmic information measure, yields only exponential functional forms in straightforward fashion. In this communication we show how to overcome this limitation via the incorporation, into the variational process, of suitable dynamical information. As a consequence, we are able to formulate a somewhat generalized Shannonian Maximum Entropy approach which provides a unifying "thermodynamic-like" explanation for the scale-invariant phenomena observed in social contexts, as city-population distributions. We confirm the MaxEnt predictions by means of numerical experiments with random walkers, and compare them with some empirical data

    Unified Maxwell-Einstein and Yang-Mills-Einstein Supergravity Theories in Five Dimensions

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    Unified N=2 Maxwell-Einstein supergravity theories (MESGTs) are supergravity theories in which all the vector fields, including the graviphoton, transform in an irreducible representation of a simple global symmetry group of the Lagrangian. As was established long time ago, in five dimensions there exist only four unified Maxwell-Einstein supergravity theories whose target manifolds are symmetric spaces. These theories are defined by the four simple Euclidean Jordan algebras of degree three. In this paper, we show that, in addition to these four unified MESGTs with symmetric target spaces, there exist three infinite families of unified MESGTs as well as another exceptional one. These novel unified MESGTs are defined by non-compact (Minkowskian) Jordan algebras, and their target spaces are in general neither symmetric nor homogeneous. The members of one of these three infinite families can be gauged in such a way as to obtain an infinite family of unified N=2 Yang-Mills-Einstein supergravity theories, in which all vector fields transform in the adjoint representation of a simple gauge group of the type SU(N,1). The corresponding gaugings in the other two infinite families lead to Yang-Mills-Einstein supergravity theories coupled to tensor multiplets.Comment: Latex 2e, 28 pages. v2: reference added, footnote 14 enlarge

    Receptor Heteromerization Expands the Repertoire of Cannabinoid Signaling in Rodent Neurons

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    A fundamental question in G protein coupled receptor biology is how a single ligand acting at a specific receptor is able to induce a range of signaling that results in a variety of physiological responses. We focused on Type 1 cannabinoid receptor (CB1R) as a model GPCR involved in a variety of processes spanning from analgesia and euphoria to neuronal development, survival and differentiation. We examined receptor dimerization as a possible mechanism underlying expanded signaling responses by a single ligand and focused on interactions between CB1R and delta opioid receptor (DOR). Using co-immunoprecipitation assays as well as analysis of changes in receptor subcellular localization upon co-expression, we show that CB1R and DOR form receptor heteromers. We find that heteromerization affects receptor signaling since the potency of the CB1R ligand to stimulate G-protein activity is increased in the absence of DOR, suggesting that the decrease in CB1R activity in the presence of DOR could, at least in part, be due to heteromerization. We also find that the decrease in activity is associated with enhanced PLC-dependent recruitment of arrestin3 to the CB1R-DOR complex, suggesting that interaction with DOR enhances arrestin-mediated CB1R desensitization. Additionally, presence of DOR facilitates signaling via a new CB1R-mediated anti-apoptotic pathway leading to enhanced neuronal survival. Taken together, these results support a role for CB1R-DOR heteromerization in diversification of endocannabinoid signaling and highlight the importance of heteromer-directed signal trafficking in enhancing the repertoire of GPCR signaling
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