1,702 research outputs found
Working with cancer: Health and employment among cancer survivors
This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.Purpose: Cancer affects a growing proportion of US workers. Factors contributing to whether they continue or return to work after cancer diagnosis include: age, physical and mental health, health insurance, education, and cancer site. The purpose of this study was to assess the complex relationships between health indicators and employment status for adult cancer survivors. Methods: We analyzed pooled data from the 1997-2012 US National Health Interview Survey (NHIS). Our sample included adults with a self-reported physician diagnosis of cancer (n = 24,810) and adults with no cancer history (n = 382,837). Using structural equation modeling (SEM), we evaluated the relationship between sociodemographic factors, cancer site, and physical and mental health indicators on the overall health and employment status among adults with a cancer history. Results: The overall model for cancer survivors fit the data well (χ2 (374) = 3654.7, P < .001; comparative fit index = 0.98; root mean square error of approximation = 0.04). Although black cancer survivors were less likely to report good-to-excellent health, along with Hispanic survivors, they were more likely to continue to work after diagnosis compared with their white counterparts. Health insurance status and educational level were strongly and positively associated with health status and current employment. Age and time since diagnosis were not significantly associated with health status or employment, but there were significant differences by cancer site. Conclusions: A proportion of cancer survivors may continue to work because of employment-based health insurance despite reporting poor health and significant physical and mental health limitations. Acute and long-term health and social support are essential for the continued productive employment and quality of life of all cancer survivors.The work was supported in part by a National Cancer Institute (NCI) fellowship at the National Institutes of Health (1F31CA153937); the National Institute for Occupational Safety and Health (NIOSH R01 OH03915); and the European Regional Development Fund Programme and European Social Fund Convergence Programme for Cornwall and the Isles of Scilly (the University of Exeter Medical School)
Working with cancer: health and employment among cancer survivors.
This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.Available online 4 August 2015PURPOSE: Cancer affects a growing proportion of US workers. Factors contributing to whether they continue or return to work after cancer diagnosis include: age, physical and mental health, health insurance, education, and cancer site. The purpose of this study was to assess the complex relationships between health indicators and employment status for adult cancer survivors. METHODS: We analyzed pooled data from the 1997-2012 US National Health Interview Survey (NHIS). Our sample included adults with a self-reported physician diagnosis of cancer (n = 24,810) and adults with no cancer history (n = 382,837). Using structural equation modeling (SEM), we evaluated the relationship between sociodemographic factors, cancer site, and physical and mental health indicators on the overall health and employment status among adults with a cancer history. RESULTS: The overall model for cancer survivors fit the data well (χ(2) (374) = 3654.7, P < .001; comparative fit index = 0.98; root mean square error of approximation = 0.04). Although black cancer survivors were less likely to report good-to-excellent health, along with Hispanic survivors, they were more likely to continue to work after diagnosis compared with their white counterparts. Health insurance status and educational level were strongly and positively associated with health status and current employment. Age and time since diagnosis were not significantly associated with health status or employment, but there were significant differences by cancer site. CONCLUSIONS: A proportion of cancer survivors may continue to work because of employment-based health insurance despite reporting poor health and significant physical and mental health limitations. Acute and long-term health and social support are essential for the continued productive employment and quality of life of all cancer survivors.The work was supported in part by a National Cancer Institute (NCI) fellowship at the National Institutes of Health (1F31CA153937); the National Institute for Occupational Safety and Health (NIOSH R01 OH03915); and the European Regional Development Fund Programme and European Social Fund Convergence Programme for Cornwall and the Isles of Scilly (the University of Exeter Medical School)
Shear behaviour of lightweight concrete beams strengthened with CFRP composite
This paper presents the experimental results obtained from lightweight and normal concrete beams with closed and U-shaped configurations of epoxy bonded Carbon FRP (CFRP) reinforcement in order to compare the shear resisting mechanisms between lightweight and normal concrete beams. The experimental results show that the CFRP can successfully be applied in the strengthening of lightweight concrete beams and the shear strength gained due to CFRP reinforcement for lightweight samples is less than the normal weight concrete samples while the mode of failures are the same. In contrast, diagonal shear cracks propagate through the lightweight aggregate compared to cracks around normal aggregate in the concrete matrix. Furthermore, the numerical study shows that the design guidelines to estimate the CFRP contribution, which do not differentiate the concrete types, overestimate the U-shaped CFRP contribution on lightweight concrete beams where the effective bond length of CFRP could not be achieved due to lower tensile strength of lightweight concrete
Wanted dead or alive : high diversity of macroinvertebrates associated with living and ’dead’ Posidonia oceanica matte
The Mediterranean endemic seagrass Posidonia
oceanica forms beds characterised by a dense leaf canopy
and a thick root-rhizome ‘matte’. Death of P. oceanica
shoots leads to exposure of the underlying matte, which
can persist for many years, and is termed ‘dead’ matte.
Traditionally, dead matte has been regarded as a degraded
habitat. To test whether this assumption was
true, the motile macroinvertebrates of adjacent living
(with shoots) and dead (without shoots) matte of
P. oceanica were sampled in four different plots located
at the same depth (5–6 m) in Mellieha Bay, Malta
(central Mediterranean). The total number of species
and abundance were significantly higher (ANOVA;
P<0.05 and P<0.01, respectively) in the dead matte
than in living P. oceanica matte, despite the presence of
the foliar canopy in the latter. Multivariate analysis
(MDS) clearly showed two main groups of assemblages,
corresponding to the two matte types. The amphipods
Leptocheirus guttatus and Maera grossimana, and the
polychaete Nereis rava contributed most to the dissimilarity
between the two different matte types. Several
unique properties of the dead matte contributing to the
unexpected higher number of species and abundance of
motile macroinvertebrates associated with this habitat
are discussed. The findings have important implications
for the conservation of bare P. oceanica matte, which
has been generally viewed as a habitat of low ecological
value.peer-reviewe
Draft genome sequences of Citrobacter freundii and Citrobacter murliniae strains isolated from the feces of preterm infants
Here, we describe the draft genome sequences of three strains of Citrobacter isolated from feces of preterm neonates with suspected sepsis. Strains P106E PI and P079F I were Citrobacter freundii. Strain P080C CL represents the first draft genome sequence of Citrobacter murliniae
Variation in Symbiodinium ITS2 Sequence Assemblages among Coral Colonies
Endosymbiotic dinoflagellates in the genus Symbiodinium are
fundamentally important to the biology of scleractinian corals, as well as to a
variety of other marine organisms. The genus Symbiodinium is
genetically and functionally diverse and the taxonomic nature of the union
between Symbiodinium and corals is implicated as a key trait
determining the environmental tolerance of the symbiosis. Surprisingly, the
question of how Symbiodinium diversity partitions within a
species across spatial scales of meters to kilometers has received little
attention, but is important to understanding the intrinsic biological scope of a
given coral population and adaptations to the local environment. Here we address
this gap by describing the Symbiodinium ITS2 sequence
assemblages recovered from colonies of the reef building coral Montipora
capitata sampled across Kāne'ohe Bay, Hawai'i. A
total of 52 corals were sampled in a nested design of Coral Colony(Site(Region))
reflecting spatial scales of meters to kilometers. A diversity of
Symbiodinium ITS2 sequences was recovered with the majority
of variance partitioning at the level of the Coral Colony. To confirm this
result, the Symbiodinium ITS2 sequence diversity in six
M. capitata colonies were analyzed in much greater depth
with 35 to 55 clones per colony. The ITS2 sequences and quantitative composition
recovered from these colonies varied significantly, indicating that each coral
hosted a different assemblage of Symbiodinium. The diversity of
Symbiodinium ITS2 sequence assemblages retrieved from
individual colonies of M. capitata here highlights the problems
inherent in interpreting multi-copy and intra-genomically variable molecular
markers, and serves as a context for discussing the utility and biological
relevance of assigning species names based on Symbiodinium ITS2
genotyping
An Open-System Quantum Simulator with Trapped Ions
The control of quantum systems is of fundamental scientific interest and
promises powerful applications and technologies. Impressive progress has been
achieved in isolating the systems from the environment and coherently
controlling their dynamics, as demonstrated by the creation and manipulation of
entanglement in various physical systems. However, for open quantum systems,
engineering the dynamics of many particles by a controlled coupling to an
environment remains largely unexplored. Here we report the first realization of
a toolbox for simulating an open quantum system with up to five qubits. Using a
quantum computing architecture with trapped ions, we combine multi-qubit gates
with optical pumping to implement coherent operations and dissipative
processes. We illustrate this engineering by the dissipative preparation of
entangled states, the simulation of coherent many-body spin interactions and
the quantum non-demolition measurement of multi-qubit observables. By adding
controlled dissipation to coherent operations, this work offers novel prospects
for open-system quantum simulation and computation.Comment: Pre-review submission to Nature. For an updated and final version see
publication. Manuscript + Supplementary Informatio
Enhancing Biomedical Text Summarization Using Semantic Relation Extraction
Automatic text summarization for a biomedical concept can help researchers to get the key points of a certain topic from large amount of biomedical literature efficiently. In this paper, we present a method for generating text summary for a given biomedical concept, e.g., H1N1 disease, from multiple documents based on semantic relation extraction. Our approach includes three stages: 1) We extract semantic relations in each sentence using the semantic knowledge representation tool SemRep. 2) We develop a relation-level retrieval method to select the relations most relevant to each query concept and visualize them in a graphic representation. 3) For relations in the relevant set, we extract informative sentences that can interpret them from the document collection to generate text summary using an information retrieval based method. Our major focus in this work is to investigate the contribution of semantic relation extraction to the task of biomedical text summarization. The experimental results on summarization for a set of diseases show that the introduction of semantic knowledge improves the performance and our results are better than the MEAD system, a well-known tool for text summarization
A Re-conceptualization of Access for 21st Century Healthcare
Many e-health technologies are available to promote virtual patient–provider communication outside the context of face-to-face clinical encounters. Current digital communication modalities include cell phones, smartphones, interactive voice response, text messages, e-mails, clinic-based interactive video, home-based web-cams, mobile smartphone two-way cameras, personal monitoring devices, kiosks, dashboards, personal health records, web-based portals, social networking sites, secure chat rooms, and on-line forums. Improvements in digital access could drastically diminish the geographical, temporal, and cultural access problems faced by many patients. Conversely, a growing digital divide could create greater access disparities for some populations. As the paradigm of healthcare delivery evolves towards greater reliance on non-encounter-based digital communications between patients and their care teams, it is critical that our theoretical conceptualization of access undergoes a concurrent paradigm shift to make it more relevant for the digital age. The traditional conceptualizations and indicators of access are not well adapted to measure access to health services that are delivered digitally outside the context of face-to-face encounters with providers. This paper provides an overview of digital “encounterless” utilization, discusses the weaknesses of traditional conceptual frameworks of access, presents a new access framework, provides recommendations for how to measure access in the new framework, and discusses future directions for research on access
- …