The balanced tensor product of module categories

The balanced tensor product M (x)_A N of two modules over an algebra A is the vector space corepresenting A-balanced bilinear maps out of the product M x N. The balanced tensor product M [x]_C N of two module categories over a monoidal linear category C is the linear category corepresenting C-balanced right-exact bilinear functors out of the product category M x N. We show that the balanced tensor product can be realized as a category of bimodule objects in C, provided the monoidal linear category is finite and rigid

The Morphology of Type Ia Supernovae Light Curves

We present a family of six BVI template light curves for SNe Ia for days -5 and +80, based on high-quality data gathered at CTIO. These templates display a wide range of light curve morphologies, with initial decline rates of their B light curves between m15(B)=0.87 mag and 1.93 mag. We use these templates to study the general morphology of SNe Ia light curves. We find that several of the main features of the BVI templates correlate tightly with m15(B). In particular, the V light curves, which are probably a reasonably good approximation of the bolometric light curves, display an orderly progression in shapes between the most-luminous, slowest-declining events and the least-luminous, fastest-declining SNe. This supports the idea that the observed spectroscopic and photometric sequences of SNe Ia are due primarily to one parameter. Nevertheless, SNe with very similar initial decline rates do show significant differences in their light curve properties when examined in detail, suggesting the influence of one or more secondary parameters.Comment: 32 pages, 15 figures, to appear in the Astronomical Journa

Predisposing, Enabling, and Need Factors Associated with the Choice of Pharmacy Type in the US: Findings from the 2015/2016 National Consumer Survey on the Medication Experience and Pharmacists’ Roles

Background: Knowing the type of pharmacy used by the patient is meaningful to the pharmacist. Previous studies have assessed different factors predicting the kind of pharmacy selection and reached inconsistent findings. Objectives: To identify patient and health-related factors associated with pharmacy type selection. Methods: The Andersen Behavioral Model of Health Service Use was used to organize the selection of patient characteristics and categorize them as predisposing, enabling, and need factors. The dependent variable was the type of pharmacy used. Logistic regression was used to predict the association between patient-related characteristics and the type of pharmacy used. Results: Older age respondents were less likely to use independent pharmacies (OR = 0.992) and more likely to use mail pharmacy services (OR = 1.026). Highly educated people showed higher use of chain and mail pharmacies (OR = 1.272, 1.185, respectively) and less tendency to use the independent, supermarket, and prescription-only pharmacy types. Men were less likely to use chain pharmacies (OR = 0.932) and more likely to use supermarket pharmacies than women. Patients who use Medication Therapy Management (MTM) services had higher odds of using independent and supermarket pharmacies (OR = 2.808, 1.689, respectively). Patients with a higher number of chronic diseases and experienced side effects of medications were more likely to use independent pharmacies (OR for number of disease = 1.097 and for side effects = 1.095). Conclusions: This study’s findings identify characteristics associated with selecting certain pharmacy settings and direct future research to include other predictors encompassing beliefs, attitudes, and other social factors

Greater Expectations for Pharmaceutical Value: Better Care, Healthier People, Smarter Spending

Type: Commentar

Associations between Modifiable Health-Risk Behaviors and Personality Types

Objectives: The first objective for this study was to explore if characteristics of personality type (using the Preferred Communication Style Questionnaire) are associated with the following modifiable health-risk behaviors: smoking, exercise, alcohol consumption, nutrition, sleep, depression-related stress, anxiety-related stress, healthcare professional usage, and self-discipline. The second objective for this study was to explore if characteristics of personality type are associated with (1) the quality of patient-physician relationships, (2) patient-physician communication, and (3) preferred method for receiving information. Methods: Data were collected from 10,500 adult individuals residing in the United States via an on-line, self-administered survey coordinated by Qualtrics Panels from March 14-30, 2016. Chi-square analysis was used for making comparisons between categories of personality types and items related to health-risk behaviors. Statistical significance was set at p \u3c 0.05. However, chi-square analysis with large sample sizes (e.g. 10,500 in this study) readily yields statistical significance. Practical significance was set at four or more percentage points above or below the overall mean. Results: Regarding objective 1, personality type was associated with all nine health-risk behaviors studied. Personality types within the Experiencer temperament (17% of the U.S. population) accounted for 46% of the undesirable scores we computed for health-risk behaviors. The Idealist temperament (17% of population) accounted for 32% of the undesirable scores. Conceptualizers (10% of population) accounted for 17% of the undesirable scores and Traditionalists (46% of population) accounted for 5% of the undesirable scores. Regarding objective 2, the findings showed that personality type was associated with (1) the importance people place on the patient-physician relationship, (2) which characteristics of that relationship are most desirable, (3) desire for more communication with their physician, and (4) the preferred method for receiving information. Discussion and Conclusions: Precision medicine has been proposed as a way to create a new taxonomy of disease that uses individual specific data to develop accurate diagnosis, targeted treatment, and improved health outcomes. Based on the findings of this study, we propose that inclusion of personality type is an important component of these efforts so that the health care system can conform more to the individual patient in order to increase engagement and adherence, reduce errors, minimize ineffective treatment and waste, and can be cost effective

A Search for Environmental Effects on Type Ia Supernovae

We use integrated colors and B and V absolute magnitudes of Type Ia supernova (SN) host galaxies in order to search for environmental effects on the SN optical properties. With the new sample of 44 SNe we confirm the conclusion by Hamuy et al. (1996a) that bright events occur preferentially in young stellar environments. We find also that the brightest SNe occur in the least luminous galaxies, a possible indication that metal-poorer neighbourhoods produce the more luminous events. The interpretation of these results is made difficult, however, due to the fact that galaxies with younger stellar populations are also lower in luminosity. In an attempt to remove this ambiguity we use models for the line strengths in the absorption spectrum of five early-type galaxies, in order to estimate metallicities and ages of the SN host galaxies. With the addition of abundance estimates from nebular analysis of the emission spectra of three spiral galaxies, we find possible further evidence that luminous SNe are produced in metal-poor neighborhoods. Further spectroscopic observations of the SN host galaxies will be necessary to test these results and assist in disentangling the age/metallicity effects on Type Ia SNe.Comment: 14 pages, 5 figures, to appear in the September 2000 issue of The Astronomical Journa

Use of National Consumer Survey Data to Explore Perceptions of Complementary and Alternative Medicine

Background: Although Complementary and Alternative Medicine (CAM) has been the standard of therapy in Asia for centuries, it started receiving more attention in the U.S. in the last three decades. Objectives: The primary study objective was to explore individuals\u27 perspectives of CAM. A secondary objective was to describe individuals\u27 perceptions of pharmacists’ roles in facilitating their use of these services and products. Methods: Data were obtained from the 2015 and 2016 National Consumer Surveys on the Medication Experience and Pharmacist Roles. Data were collected from adults residing in the United States via on-line, self-administered surveys coordinated by Qualtrics Panels between April 28 and June 22, 2015 (n = 26,173) and between March 14 and 30, 2016 (n = 10,500). This study focused on written comments made in the surveys with Content Conventional Analysis applied to the text. Four researchers were trained to conduct coding to assess inter-judge reliability. The four judges had a high level of agreement which was greater than 0.95 for category type. Results: Out of a total of 36,673 respondents, 80% (29,426) submitted written comments at the end of the survey. Of these, 2,178 comments were about medications or health and 170 (8%) comments specifically about CAM, of which 136 (6%) were usable for analysis. Conventional Content Analysis revealed five themes:1)The role of pharmaceutical and insurance companies in CAM; 2) Overuse of medications; 3) Physicians can play a role in creating a balance between prescription use and CAM; 4) Individuals believe that CAM is more effective than Western medicines and prefer it; 5) Individuals want pharmacists to have a better understanding of CAM. The results of this study reveal individuals’ opinions regarding how they want CAM to be considered in their interactions with their healthcare team. Conclusion: Emergent themes suggest that individuals are interested in receiving more professionals’ healthcare to become more knowledgeable about CAM