92 research outputs found

    Connections Between Computation Trees and Graph Covers

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    Connections between graph cover pseudocodewords and computation tree pseudocodewords are investigated with the aim of bridging the gap between the theoretically attractive analysis of graph covers and the more intractable analysis of iterative message-passing algorithms that are intuitively linked to graph covers. Both theoretical results and numerous examples are presented

    The Initial Development, Factor Structure, and Psychometric Validation of the Impostor Phenomenon Assessment (IPA): A Novel Assessment of Impostor Phenomenon

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    Despite growing attention surrounding impostor phenomenon (also known as “imposter syndrome”), recent reviews have suggested that current measures may be inadequate in capturing the complex and multifaceted nature of this construct (i.e., thoughts, feelings, and behaviours). The objective of my dissertation research program was to clarify the theoretical conceptualization of impostor phenomenon based on experiences in an achievement-oriented setting, and to develop a novel and psychometrically valid method of measuring this construct. I began by conducting an extensive review of the literature and developing an item pool for a novel impostor phenomenon assessment. I then conducted exploratory factor analyses (Study 1) and confirmatory factor analyses (Study 2) to assess the initial item pool and to determine the factor structure and initial psychometric properties (e.g., convergent and divergent validity) of the novel Impostor Phenomenon Assessment (IPA; Study 2 and 3). As an extension to Study 3, I also examined the longitudinal stability of impostor phenomenon and correlates with trait variables and psychological distress across the academic year (baseline and six follow-up timepoints). Results suggested excellent psychometric properties for the novel IPA. Longitudinal findings demonstrated that impostor phenomenon was relatively stable in individuals over time, with intercepts significantly varying as a function of gender and academic year. Model findings for impostor phenomenon showed that self-esteem, self-critical perfectionism, agreeableness, conscientiousness, neuroticism, and rigid perfectionism were significant predictors. Additionally, cross-lagged panel analyses suggested partial support for a causal effect of impostor phenomenon on psychological distress across time. These findings offer preliminary evidence for the reliability and validity of the IPA as a novel measure of impostor phenomenon and are the first to examine the stability of impostor phenomenon in individuals over time

    A Universal Theory of Pseudocodewords

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    Three types of pseudocodewords for LDPC codes are found in the literature: graph cover pseudocodewords, linear programming pseudocodewords, and computation tree pseudocodewords. In this paper we first review these three notions and known connections between them. We then propose a new decoding rule — universal cover decoding — for LDPC codes. This new decoding rule also has a notion of pseudocodeword attached, and this fourth notion provides a framework in which we can better understand the other three

    Impact of the COVID-19 pandemic on the mental health and well-being of Veterans’ spouses: a cross sectional analysis

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    Background COVID-19 has negatively impacted the mental health and well-being of both Canadians and the world as a whole, with Veterans, in particular, showing increased rates of depression, anxiety, and PTSD. Spouses and common-law partners often serve as primary caregivers and sources of support for Veterans, which may have a deleterious effect on mental health and increase risk of burnout. Pandemic related stressors may increase burden and further exacerbate distress; yet the effect of the pandemic on the mental health and well-being of Veterans’ spouses is currently unknown. This study explores the self-reported mental health and well-being of a group of spouses of Canadian Armed Forces Veterans and their adoption of new ways to access healthcare remotely (telehealth), using baseline data from an ongoing longitudinal survey. Methods Between July 2020 and February 2021, 365 spouses of Veterans completed an online survey regarding their general mental health, lifestyle changes, and experiences relating to the COVID-19 pandemic. Also completed were questions relating to their use of and satisfaction with health-care treatment services during the pandemic. Results Reported rates of probable major depressive disorder (MDD), generalized anxiety disorder (GAD), alcohol use disorder (AUD), and PTSD were higher than the general public, with 50–61% believing their symptoms either directly related to or were made worse by the pandemic. Those reporting being exposed to COVID-19 were found to have significantly higher absolute scores on mental health measures than those reporting no exposure. Over 56% reported using telehealth during the pandemic, with over 70% stating they would continue its use post-pandemic. Conclusions This is the first Canadian study to examine the impact of the COVID-19 pandemic specifically on the mental health and well-being of Veterans’ spouses. Subjectively, the pandemic negatively affected the mental health of this group, however, the pre-pandemic rate for mental health issues in this population is unknown. These results have important implications pertaining to future avenues of research and clinical/programme development postpandemic, particularly relating to the potential need for increased support for spouses of Veterans, both as individuals and in their role as supports for Veterans

    Telehealth experiences in Canadian veterans: associations, strengths and barriers to care during the COVID-19 pandemic.

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    INTRODUCTION: Identifying barriers to care in veteran populations is critical, as veterans face increased social isolation, relationship strains and financial insecurities. For Canadian veterans experiencing barriers to accessing healthcare, telehealth may be a promising alternative with comparable effectiveness to in-person services; however, the potential benefits and limitations of telehealth require further examination to determine its long-term utility, and to inform health policy and planning. The goal of the present research was to identify predictors and barriers to telehealth usage in Canadian veterans in the context of the COVID-19 pandemic. METHODS: Data were drawn from baseline data of a longitudinal survey examining the psychological functioning of Canadian veterans during the COVID-19 pandemic. Participants were 1144 Canadian veterans aged 18-93 years (M RESULTS: Findings suggest that sociodemographic factors and previous telehealth use were significantly associated with telehealth use during the COVID-19 pandemic. Qualitative evidence highlighted both the benefits (eg, reducing barriers of access) and drawbacks (eg, not all services can be delivered) of telehealth services. CONCLUSIONS: This paper provided a deeper understanding of Canadian veterans\u27 experiences with accessing telehealth care during the COVID-19 pandemic. While for some, the use of telehealth mitigated perceived barriers (eg, safety concerns of leaving home), others felt that not all health services could be appropriately carried out through telehealth. Altogether, findings support the use of telehealth services in increasing care accessibility for Canadian veterans. Continued use of quality telehealth services may be a valuable form of care that extends the reach of healthcare professionals

    The roles of personality and resilience in associations between combat experiences and posttraumatic stress disorder among Canadian Armed Forces Veterans

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    Canadian Armed Forces (CAF) Veterans encounter unique challenges associated with their service. Exposure to service-related traumatic events places them at risk for developing adverse mental health outcomes, including posttraumatic stress disorder (PTSD). Our research aimed to assess whether the HEXACO personality model and resilience impacted associations between combat experiences and PTSD symptomatology in CAF Veterans in the past month. We recruited a sample of 245 CAF Veterans (81 % men; Mage = 48.47, SDage = 10.34) to complete a battery of questionnaires. PTSD symptoms were significantly associated with more combat experience, lower resilience, lower extraversion, higher emotionality, and lower agreeableness. However, personality traits did not moderate the relationship between combat experiences and PTSD symptoms. Overall, this research can be used to enhance researchers\u27 and clinicians\u27 understanding of personality traits as risk and protective factors for PTSD symptoms

    A leprosy clinical severity scale for erythema nodosum leprosum: An international, multicentre validation study of the ENLIST ENL Severity Scale.

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    OBJECTIVES: We wished to validate our recently devised 16-item ENLIST ENL Severity Scale, a clinical tool for measuring the severity of the serious leprosy associated complication of erythema nodosum leprosum (ENL). We also wished to assess the responsiveness of the ENLIST ENL Severity Scale in detecting clinical change in patients with ENL. METHODS: Participants, recruited from seven centres in six leprosy endemic countries, were assessed using the ENLIST ENL Severity Scale by two researchers, one of whom categorised the severity of ENL. At a subsequent visit a further assessment using the scale was made and both participant and physician rated the change in ENL using the subjective categories of "Much better", "somewhat better", "somewhat worse" and "much worse" compared with "No change" or "about the same". RESULTS: 447 participants were assessed with the ENLIST ENL Severity Scale. The Cronbach alpha of the scale and each item was calculated to determine the internal consistency of the scale. The ENLIST ENL Severity Scale had good internal consistency and this improved following removal of six items to give a Cronbach's alpha of 0.77. The cut off between mild ENL and more severe disease was 9 determined using ROC curves. The minimal important difference of the scale was determined to be 5 using both participant and physician ratings of change. CONCLUSIONS: The 10-item ENLIST ENL Severity Scale is the first valid, reliable and responsive measure of ENL severity and improves our ability to assess and compare patients and their treatments in this severe and difficult to manage complication of leprosy. The ENLIST ENL Severity Scale will assist physicians in the monitoring and treatment of patients with ENL. The ENLIST ENL Severity Scale is easy to apply and will be useful as an outcome measure in treatment studies and enable the standardisation of other clinical and laboratory ENL research

    An assessment of the reported impact of the COVID-19 pandemic on leprosy services using an online survey of practitioners in leprosy referral centres.

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    BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led to governments implementing a variety of public health measures to control transmission and has affected health services. Leprosy is a communicable neglected tropical disease caused by Mycobacterium leprae and is an important health problem in low- and middle-income countries. The natural history of leprosy means that affected individuals need long-term follow-up. The measures recommended to reduce transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can create barriers to health services. We evaluated the impact of the COVID-19 epidemic response on leprosy services and disease management. METHODS: We conducted a cross-sectional online survey with healthcare professionals in leprosy referral centres. RESULTS: Eighty percent of leprosy diagnostic services were reduced. All respondents reported that multidrug therapy (MDT) was available but two reported a reduced stock. Clinicians used alternative strategies such as telephone consultations to maintain contact with patients. However, patients were not able to travel to the referral centres. DISCUSSION: This study highlights the effects of the initial phase of the SARS-CoV-2 pandemic on leprosy services in a range of leprosy-endemic countries. Many services remained open, providing leprosy diagnosis, MDT and leprosy reaction medications. Centres developed innovative measures to counter the negative impacts of the COVID-19 pandemic
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