Assessment of sexual difficulties associated with multi-modal treatment for cervical or endometrial cancer: A systematic review of measurement instruments

Background: Practitioners and researchers require an outcome measure that accurately identifies the range of common treatment-induced changes in sexual function and well-being experienced by women after cervical or endometrial cancer. This systematic review critically appraised the measurement properties and clinical utility of instruments validated for the measurement of female sexual dysfunction (FSD) in this clinical population. Methods: A bibliographic database search for questionnaire development or validation papers was completed and methodological quality and measurement properties of selected studies rated using the Consensus-based Standards for the selection of health Measurement Instrument (COSMIN) checklist. Results: 738 articles were screened, 13 articles retrieved for full text assessment and 7 studies excluded, resulting in evaluation of 6 papers; 2 QoL and 4 female sexual morbidity measures. Five of the six instruments omitted one or more dimension of female sexual function and only one instrument explicitly measured distress associated with sexual changes as per DSM V (APA 2013) diagnostic criteria. None of the papers reported measurement error, responsiveness data was available for only two instruments, three papers failed to report on criterion validity, and test-retest reliability reporting was inconsistent. Heterosexual penile-vaginal intercourse remains the dominant sexual activity focus for sexual morbidity PROMS terminology and instruments lack explicit reference to solo or non-coital sexual expression or validation in a non-heterosexual sample. Four out of six instruments included mediating treatment or illness items such as vaginal changes, menopause or altered body image. Conclusions: Findings suggest that the Female Sexual Function Index (FSFI) remains the most robust sexual morbidity outcome measure, for research or clinical use, in sexually active women treated for cervical or endometrial cancer

PHYLOGENY OF SOME MIDDLE AMERICAN PITVIPERS BASED ON A CLADISTIC ANALYSIS OF MITOCHONDRIAL 12S AND 16S DNA SEQUENCE INFORMATION

The cladistic relationships of several Middle American pitvipers representing the genera Bothrops (sensu stricto), Bothriechis, Cerrophidion, Lachesis and Porthidium were determined using mitochondrial 12S and 16S DNA sequence information. Maximum parsimony analyses were performed using PAUP on aligned sequences that included published information for related taxa. Two sets of analyses were conducted: one disregarding gaps in the aligned matrix, and another with gaps treated as a fifth base. When gaps were excluded resolution declined, although the general arrangement of the taxa changed little. A consistent relationship was the grouping of ((Porthidium, Bothriechis) Lachesis). The placement of Lachesis, as nested within other bothropoid genera, is only partially supported by results of other authors. The arrangement of Crotalus, Bothrops and Cerrophidion was ambiguous when gaps were discounted. In both trees, Agkistrodon was basal to the New World forms. The remaining genera, Trimeresurus (Protobothrops), Vipera, Azemiops, and Coluber, were uniformly distant to the former taxa. Also of interest is the lack of close relationship, based on the DNA data here and elsewhere, between Bothrops and Porthidium. This is in striking contrast to results based on morphologic and allozymic analyses of previous studies. It is concluded that additional DNA sequence information from a larger sample of taxa will be necessary to better assess the phylogenetic relationships among Middle American and related pitvipers

Charge ordering in doped manganese oxides: lattice dynamics and magnetic structure

Based on the Hamiltonian of small polarons with the strong nearest neighbor repulsion, we have investigated the charge ordering phenomena observed in half-doped manganites R_{1/2}A_{1/2}MnO_3. We have explored possible consequences of the charge ordering phase in the half-doped manganites. First, we have studied the renormalization of the sound velocity around $T_{CO}$, considering the acoustic phonons coupled to the electrons participating in the charge ordering. Second, we have found a new antiferromagnetic phase induced by the charge ordering, and discussed its role in connection with the specific CE-type antiferromagnetic structure observed in half-doped manganites.Comment: 5 pages, 2 Postscript figures. To appear in Phys. Rev. B - Rapid Comm. (01Jun97

On the discrete spectrum of quantum layers

Consider a quantum particle trapped between a curved layer of constant width built over a complete, non-compact, $\mathcal C^2$ smooth surface embedded in $\mathbb{R}^3$. We assume that the surface is asymptotically flat in the sense that the second fundamental form vanishes at infinity, and that the surface is not totally geodesic. This geometric setting is known as a quantum layer. We consider the quantum particle to be governed by the Dirichlet Laplacian as Hamiltonian. Our work concerns the existence of bound states with energy beneath the essential spectrum, which implies the existence of discrete spectrum. We first prove that if the Gauss curvature is integrable, and the surface is weakly $\kappa$-parabolic, then the discrete spectrum is non-empty. This result implies that if the total Gauss curvature is non-positive, then the discrete spectrum is non-empty. We next prove that if the Gauss curvature is non-negative, then the discrete spectrum is non-empty. Finally, we prove that if the surface is parabolic, then the discrete spectrum is non-empty if the layer is sufficiently thin.Comment: Clarifications and corrections to previous version, conjecture from previous version is proven here (Theorem 1.5), additional references include

Probing the pairing symmetry and pair charge stiffness of doped t−Jt-J ladders

We perform the numerical equivalent of a phase sensitive experiment on doped $t-J$ ladders. We apply proximity effect fields with different complex phases at both ends of an open system and we study the transport of Cooper pairs. Measuring the response of the system and the induced Josephson current, Density Matrix Renormalization Group calculations show how, depending on the doping fraction, the rung-leg parity of the pair field changes from minus to plus as the density of holes is increased. We also study the pair charge stiffness, and we observe a supression of the superconductivity in the region where static stripes appear. We compare our results with predictions from bosonization and renormalization group analysis.Comment: 4 pages, 5 figure

Comparison of Allen Carr's Easyway programme with a specialist behavioural and pharmacological smoking cessation support service: a randomized controlled trial.

BACKGROUND AND AIMS: A combination of behavioural and pharmacological support is judged to be the optimal approach for assisting smoking cessation. Allen Carr's Easyway (ACE) is a single-session pharmacotherapy-free programme that has been in operation internationally for 38 years. We compared the effectiveness of ACE with specialist behavioural and pharmacological support delivered to the national standard in England. DESIGN: A two-arm, parallel-group, single-blind, randomized controlled trial. SETTING: London, UK, between February 2017 and May 2018. PARTICIPANTS: A total of 620 participants (310 in ACE and 310 in the combined behavioural and pharmacological support condition) were included in the analysis. Adult (≥ 18 years) smokers wanting to quit were randomized in a 1 : 1 ratio. Mean age for the total sample was 40.8 years, with 53.4% being male. Participant baseline characteristics (ethnicity, educational level, number of previous quit attempts, nicotine dependence) were evenly balanced between treatment groups. INTERVENTION AND COMPARATOR: The intervention was the ACE method of stopping smoking. This centres on a 4.5-6-hour session of group-based support, alongside subsequent text messages and top-up sessions if needed. It aims to make it easy to stop smoking by convincing smokers that smoking provides no benefits for them. The comparator was a specialist stop smoking service (SSS) providing behavioural and pharmacological support in accordance with national standards. MEASUREMENTS: The primary outcome was self-reported continuous abstinence for 26 weeks from the quit/quit re-set date verified by exhaled breath carbon monoxide measurement < 10 parts per million (p.p.m.). Primary analysis was by intention to treat. Secondary outcomes were: use of pharmacotherapy, adverse events and continuous abstinence up to 4 and 12 weeks. FINDINGS: A total of 468 participants attended treatment (255 ACE versus 213 SSS, P < 0.05). Of those who did attend treatment, 100 completed 6-month measures (23.7% ACE versus 20.7% SSS). Continuous abstinence to 26 weeks was 19.4% (60 of 310) in the ACE intervention and 14.8% (46 of 310) in the SSS intervention [risk difference for ACE versus SSS 4.5% (95% confidence interval (CI) = -1.4 to 10.4%, odds ratio (OR) = 1.38)]. The Bayes factor for superiority of the ACE condition was 1.24. CONCLUSION: There was no clear evidence of a difference in the efficacies of the Allen Carr's Easyway (ACE) and specialist smoking cessation support involving behavioural support and pharmacotherapy

Ohio Guide for Land Application of Sewage Sludge

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Sub-2 cm/s passivation of silicon surfaces by aprotic solutions

Minimizing recombination at semiconductor surfaces is required for the accurate determination of the bulk carrier lifetime. Proton donors, such as hydrofluoric acid and superacids, are well known to provide highly effective short-term surface passivation. We demonstrate here that aprotic solutions based on bis(trifluoromethanesulfonyl)methane (TFSM) in hexane or pentane can also result in excellent passivation of (100)-orientation silicon surfaces. We show that the optimized TFSM-pentane passivation scheme can measure effective lifetimes up to 20 ms, with a surface recombination velocity of 1.7 cm s1 at an excess carrier density of 1015 cm3 . Fitting injection-dependent lifetime curves requires chemical passivation and field effect passivation from a negatively charged layer with a charge density of 1010–1011 q cm2 . The slightly higher recombination velocity of 2.3 cm s1 measured with TFSM-hexane can be explained by a lower charge density in the passivating layer, suggesting that the steric hindrance associated with the solvent size could play a role in the passivation mechanism. Finally, phosphorus nuclear magnetic resonance experiments confirm that TFSM-based solutions have Lewis acidity without being superacids, which opens up opportunities for them to be used in materials systems sensitive to superacidic environments

Enhancements to the GW space-time method

We describe the following new features which significantly enhance the power of the recently developed real-space imaginary-time GW scheme (Rieger et al., Comp. Phys. Commun. 117, 211 (1999)) for the calculation of self-energies and related quantities of solids: (i) to fit the smoothly decaying time/energy tails of the dynamically screened Coulomb interaction and other quantities to model functions, treating only the remaining time/energy region close to zero numerically and performing the Fourier transformation from time to energy and vice versa by a combination of analytic integration of the tails and Gauss-Legendre quadrature of the remaining part and (ii) to accelerate the convergence of the band sum in the calculation of the Green's function by replacing higher unoccupied eigenstates by free electron states (plane waves). These improvements make the calculation of larger systems (surfaces, clusters, defects etc.) accessible.Comment: 10 pages, 6 figure