Development of an integrated cognitive behavioral therapy for anxiety and opioid use disorder: Study protocol and methods

Opioid use disorder is a highly disabling psychiatric disorder, and is associated with both significant functional disruption and risk for negative health outcomes such as infectious disease and fatal overdose. Even among those who receive evidence-based pharmacotherapy for opioid use disorder, many drop out of treatment or relapse, highlighting the importance of novel treatment strategies for this population. Over 60% of those with opioid use disorder also meet diagnostic criteria for an anxiety disorder; however, efficacious treatments for this common co-occurrence have not be established. This manuscript describes the rationale and methods for a behavioral treatment development study designed to develop and test an integrated cognitive-behavioral therapy for those with co-occurring opioid use disorder and anxiety disorders. The aims of the study are (1) to develop and pilot test a new manualized cognitive behavioral therapy for co-occurring opioid use disorder and anxiety disorders, (2) to test the efficacy of this treatment relative to an active comparison treatment that targets opioid use disorder alone, and (3) to investigate the role of stress reactivity in both prognosis and recovery from opioid use disorder and anxiety disorders. Our overarching aim is to investigate whether this new treatment improves both anxiety and opioid use disorder outcomes relative to standard treatment. Identifying optimal treatment strategies for this population are needed to improve outcomes among those with this highly disabling and life-threatening disorder.This study was funded by NIDA grant DA035297. The funding source had no involvement in the study design, analysis and interpretation of data, writing of the report, or the decision to submit the article for publication. (DA035297 - NIDA)Accepted manuscrip

The detailed method of optimal regions

The detailed method of optimal regions is an extended form of the method of optimal regions which has been found effective in solving the personnel classification problem when the number of job categories is small. The automatic determination of the successive values of the v i , made possible by the more exact techniques of the detailed method, provide easier solutions for the more complex problems and provide solutions, which, for the most part, can be mechanized. In a sense the detailed method of optimal regions is more than a detailed form of the method of optimal regions. It is essentially a method of transformations by which the original matrix is reduced to a matrix from which the solution is easily obtained.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45700/1/11336_2005_Article_BF02289208.pd

The mean and standard deviation of the distribution of group assembly sums

An interesting problem in linear programming is the group assembly problem which is mathematically equivalent to the general transportation problem of economics. Computer programs designed for the determination of exact and approximate optimal group assemblies have been available for some time. This paper presents formulas for the mean and squared standard deviation of the distribution of all possible group assembly sums. Computational techniques are presented and the results are related to those of the analysis of variance of a k -factor problem with n levels of each factor.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45717/1/11336_2005_Article_BF02289606.pd

Cross-Section Measurement of Virtual Photoproduction of Iso-Triplet Three-Body Hypernucleus, ⋀nn

Missing-mass spectroscopy with the 3H(e, e′K+) reaction was carried out at Jefferson Lab’s (JLab) Hall A in Oct–Nov, 2018. The differential cross section for the 3H(γ∗, K+)Λnn was deduced at ω = Ee − Ee′ = 2.102 GeV and at the forward K+-scattering angle (0° ≤ θγ∗K ≤ 5°) in the laboratory frame. Given typical predicted energies and decay widths, which are (BΛ, Γ) = (−0.25, 0.8) and (−0.55, 4.7) MeV, the cross sections were found to be 11.2 ± 4.8(stat.)+4.1−2.1(sys.) and 18.1 ± 6.8(stat.)+4.2−2.9(sys.) nb/sr, respectively. The obtained result would impose a constraint for interaction models particularly between Λ and neutron by comparing to theoretical calculations

Revealing the short-range structure of the "mirror nuclei" 3^3H and 3^3He

When protons and neutrons (nucleons) are bound into atomic nuclei, they are close enough together to feel significant attraction, or repulsion, from the strong, short-distance part of the nucleon-nucleon interaction. These strong interactions lead to hard collisions between nucleons, generating pairs of highly-energetic nucleons referred to as short-range correlations (SRCs). SRCs are an important but relatively poorly understood part of nuclear structure and mapping out the strength and isospin structure (neutron-proton vs proton-proton pairs) of these virtual excitations is thus critical input for modeling a range of nuclear, particle, and astrophysics measurements. Hitherto measurements used two-nucleon knockout or ``triple-coincidence'' reactions to measure the relative contribution of np- and pp-SRCs by knocking out a proton from the SRC and detecting its partner nucleon (proton or neutron). These measurementsshow that SRCs are almost exclusively np pairs, but had limited statistics and required large model-dependent final-state interaction (FSI) corrections. We report on the first measurement using inclusive scattering from the mirror nuclei $^3$H and $^3$He to extract the np/pp ratio of SRCs in the A=3 system. We obtain a measure of the np/pp SRC ratio that is an order of magnitude more precise than previous experiments, and find a dramatic deviation from the near-total np dominance observed in heavy nuclei. This result implies an unexpected structure in the high-momentum wavefunction for $^3$He and $^3$H. Understanding these results will improve our understanding of the short-range part of the N-N interaction

Digital closed orbit feedback system for the Advanced Photon Source storage ring

Closed orbit feedback for the Advanced Photon Source (APS) storage ring employs unified global an local feedback systems for stabilization of particle and photon beams based on digital signal processing (DSP). Hardware and software aspects of the system will be described. In particular, we will discuss global and local orbit feedback algorithms, PID (proportional, integral, and derivative) control algorithm. application of digital signal processing to compensate for vacuum chamber eddy current effects, resolution of the interaction between global and local systems through decoupling, self-correction of the local bump closure error, user interface through the APS control system, and system performance in the frequency and time domains. The system hardware, including the DSPS, is distributed in 20 VNE crates around the ring, and the entire feedback system runs synchronously at 4-kHz sampling frequency in order to achieve a correction bandwidth exceeding 100 Hz. The required data sharing between the global and local feedback systems is facilitated via the use of fiber-optically-networked reflective memories