Dynamic Properties of Charmonium

Nonrelativistic quark models of charmonia are tested by comparison of theoretical charmonium decay constants, form factors, and $\gamma\gamma$ widths with experiment and lattice gauge computations. The importance of relativistic effects, a running coupling, and the correct implementation of bound state effects are demonstrated. We describe how an improved model and computational techniques resolve several outstanding issues in previous nonrelativistic quark models such as the use of `correction' factors in quark model form factors, artificial energy prescriptions in decay constant calculations, and ad hoc phase space modifications. We comment on the small experimental value of $f_{\psi''}$ and the D-wave component of the $J/\psi$. Decay constants and $\gamma\gamma$ widths for bottomonium are also presented.Comment: 22 pages, 22 ps figures (table entries corrected, text modified

Understanding the diversity and dynamics of living with diabetes : a feasibility study focusing on the case

Despite growing evidence about treatments, many people living with diabetes have poor diabetes control even when healthcare is available. One difficult issue is how to apply medical evidence to individuals. This feasibility study explores change over time and the diversity of pathways to similar health outcomes, to understand how evidence can be tailored to the individual. Six people living with diabetes (two with type 1, and four with type 2) agreed to a series of interviews and diary-keeping. Reading the dataset for each individual reveals a person changing over time through interactions with people and their context. Identifying time as a theme is difficult, as it is ubiquitous. Outcome means little to those living with diabetes: they are living on through time. We developed attributes for each participant relevant to diabetes outcome, describing how they related to others and their environment, capturing emergent properties rather than detail. A similar health outcome could be achieved very differently. Comparison of patterns of attributes may be useful. However, the dynamic, relational nature of the attributes is easily lost from view. How people function in terms of time, change and interaction may be most important for tailoring interventions for improved health outcome

Strange-Beauty Meson Production at ppˉp\bar p Colliders

The production rates and transverse momentum distributions of the strange-beauty mesons $B_s$ and $B_s^*$ at $p\bar p$ colliders are calculated assuming fragmentation is the dominant process. Results are given for the Tevatron in the large transverse momentum region, where fragmentation is expected to be most important.Comment: Minor changes in the discussion section. Also available at http://www.ph.utexas.edu/~cheung/paper.htm

Use of out-of-hours services : the patient's point of view on co-payment: a mixed methods approach

Introduction: In many countries out of hours (OOH);,care is offered by different :health care services. General; practitioners (GP); tend to offer services in competition with emergency departments (ED). Patients behaviour : depends on a number of factors. In this study, we highlight the knowledge and ideas of patients concerning the co-payment system. Methods: We used a mixed methods design, combining quantitative-and qualitative research. During two week-ends in January 2005 all patients using the ED or the GP OOH service, were invited for an interview with a structured questionnaire. A-stratified random sample of patients participated; in a semi-structured interview. Both methods add-complementary data to answer the research-questions. Results:, Most Mentioned reasons-for seeking help at the ED are: accessibility (15.0%), proximity (64%) and; competence of the Staff (5.6%). Reasons for choosing the GP are; GP: is easy to find; Minor medical problem or anxiety and confidence in the GP The Odds of not knowing the. co-payment system are significantly higher in patients visiting the ED (OR 1:783; 95% CI: 1.493-2.129). Mostly GP users recognize the problem of ED overuse. They suggested especially to provide clear information about the tasks of the different:services and about the payment system, to reduce ED overuse, Conclusion and discussion; When intending to. shift from;ED to GP services for Minor medical problems, aiming at just one measure is no option. Information campaigns. aiming to :address the entire population; Can clarify the role of each player in Out-of-hours care

Adapting group schema therapy for older adults with personality disorders:Lessons learnt

A first empirical study into group schema therapy in older adults with mood disorders and personality disorder (PD) features has shown that brief group schema therapy has potential to decrease psychological distress and to change early maladaptive schemas (EMS). Effect sizes however were smaller than those found in similar studies in younger adults. Therefore, we set out to adapt the treatment protocol for older adults in order to enhance its feasibility and outcome in this age group. We examined this adapted protocol in 29 older adults (mean age 66 years) with PDs from four Dutch mental health institutes. The primary outcome was symptomatic distress, measured by the Brief Symptom Inventory. Secondary outcomes were measured by the Young Schema Questionnaire, the Schema Mode Inventory, and the short version of the Severity Indices of Personality Problems. Contrary to our expectations, the adapted treatment protocol yielded only a small effect size in our primary outcome, and no significant improvement in EMS, modes and personality functioning. Patients pointed out that they were more aware of their dysfunctional patterns, but maybe they had not been able yet to work on behavioural change due to this schema therapy treatment being too brief. We recommend more intensive treatment for older patients with PDs, as they might benefit from more schema therapy sessions, similar to the treatment dosage in younger PD patients. They might also benefit from a combination of group therapy and individual treatment sessions

Decay Constants and Semileptonic Decays of Heavy Mesons in Relativistic Quark Model

We investigate the $B$ and $D$ mesons in the relativistic quark model by applying the variational method with the Gaussian wave function. We calculate the Fermi momentum parameter $p_{_F}$, and obtain $p_{_F} = 0.50 \sim 0.54$ GeV, which is almost independent of the input parameters, $\alpha_s$, $m_b$, $m_c$ and $m_{sp}$. We then calculate the ratio $f_B$/$f_D$, and obtain the result which is larger, by the factor of about 1.3, than $\sqrt{M_D / M_B}$ given by the naive nonrelativistic analogy. This result is in a good agreement with the recent Lattice calculations. We also calculate the ratio $(M_{B^*}-M_{B})$/$(M_{D^*}-M_{D})$. In these calculations the wave function at origin $\psi (0)$ is essential. We also determine $p_{_F}$ by comparing the theoretical prediction of the ACCMM model with the lepton energy spectrum of $B \rightarrow e \nu X$ from the recent ARGUS analysis, and find that $p_{_F}=0.27~\pm~^{0.22}_{0.27}$ GeV, when we use $m_c=1.5$ GeV. However, this experimentally determined value of $p_{_F}$ is strongly dependent on the value of input parameter $m_c$.Comment: 15 pages (Latex) (uses epsfig.sty, 1 figure appended as a uuencoded compressed ps-file

Leptonic widths of high excitations in heavy quarkonia

Agreement with the measured electronic widths of the $\psi(4040)$, $\psi(4415)$, and $\Upsilon (11019)$ resonances is shown to be reached if two effects are taken into account: a flattening of the confining potential at large distances and a total screening of the gluon-exchange interaction at r\ga 1.2 fm. The leptonic widths of the unobserved $\Upsilon(7S)$ and $\psi(5S)$ resonances: $\Gamma_{e^+e^-}(\Upsilon (7S))=0.11$ keV and $\Gamma(\psi(5S))\approx 0.54$ keV are predicted.Comment: 11 pages revtex

Het 'pluis/niet-pluis' gevoel van de huisarts: Focusgroepenstudie van concept en determinanten

Background: General practitioners (GPs) are often faced with complicated, vague problems in situations of uncertainty that they have to solve at short notice. In such situations, gut feelings seem to play a substantial role in their diagnostic process. Qualitative research distinguished a sense of alarm and a sense of reassurance. However, not every GP trusted their gut feelings, since a scientific explanation is lacking. Objective: This paper explains how gut feelings arise and function in GPs' diagnostic reasoning. Approach: The paper reviews literature from medical, psychological and neuroscientific perspectives. Conclusions: Gut feelings in general practice are based on the interaction between patient information and a GP's knowledge and experience. This is visualized in a knowledge-based model of GPs' diagnostic reasoning emphasizing that this complex task combines analytical and non-analytical cognitive processes. The model integrates the two well-known diagnostic reasoning tracks of medical decision-making and medical problem-solving, and adds gut feelings as a third track. Analytical and non-analytical diagnostic reasoning interacts continuously, and GPs use elements of all three tracks, depending on the task and the situation. In this dual process theory, gut feelings emerge as a consequence of non-analytical processing of the available information and knowledge, either reassuring GPs or alerting them that something is wrong and action is required. The role of affect as a heuristic within the physician's knowledge network explains how gut feelings may help GPs to navigate in a mostly efficient way in the often complex and uncertain diagnostic situations of general practice. Emotion research and neuroscientific data support the unmistakable role of affect in the process of making decisions and explain the bodily sensation of gut feelings. The implications for health care practice and medical education are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (journal abstract

Does total hip replacement affect sexual quality of life?

Background: Total Hip Replacement (THR) is an effective treatment for end-stage hip osteoarthritis. Since the introduction of total joint replacement, the effect on the Sexual Quality of Life (SQoL) following THR has been addressed in scant studies. The aim of our study was to systematically review the literature, to summarise effects of THR on patients’ SQoL. Methods: We searched PubMed, EMBASE and PsycINFO between January 1970 and February 9th, 2015 with search terms including Total Hip, Osteoarthritis, SQoL, and THR. Eligible studies were identified and two independent authors extracted data including details of SQoL, study quality and risk of bias. Results: There were 12 eligible studies, which included a total of 2099 patients with an age range of 20–85 years. The methodological quality of ten studies was rated as low, and of two as moderate. Amongst the majority of patients, SQoL improved after surgery, both in terms of physical-functional and psychosocial well-being. However, changes between pre-operative and postoperative SQoL ranged extensively: for example, Sexual Dysfunction Δ 8–51 % and Sexual Activity (SA) Δ 0–77 %. Three studies reported that some patients never resumed SA again after surgery. Conclusion: In over 40 years of THR treatment, scant studies have examined the effect of THR on patients’ SQoL. This review suggests that SQol improves after THR, although the magnitude of effects varies highly. However, the quality of the supporting evidence was rated as low to moderate. This suggests a need for more high quality evidence about the effects of THR on SQoL