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

Thixotropic behavior of metal-containing coordination polymers: Melt viscosity of neutral aliphatic polyesters with Zn carboxylates

The viscosity behavior of polymer melts containing complexes formed between the neutralized polyester poly(diethylene glycol-co-succinic acid) and Zn acetates is discussed. The melt viscosity of these materials increases with the concentration of metal ions, and shows strong thixotropy and shear thinning. This behavior is attributed to the formation of coordination bonds between the electron donor groups within the polyester chain, and empty coordination sites of the various Zn acetate salts. The coordination complexes were obtained in situ in the polymer melt, which contains well-dispersed ZnO, by adding an equimolar amount of CH3COOH. It is proposed that the shear applied to the polymer melt destroys the polar network of the coordination polymer at a rate that is greater than the rate of reformation of the coordination bonds for the sample returning back to equilibrium, following a shear deformation

Variation in relapse frequency and the transmission potential of Plasmodium vivax malaria

There is substantial variation in the relapse frequency of Plasmodium vivax malaria, with fast-relapsing strains in tropical areas, and slow-relapsing strains in temperate areas with seasonal transmission. We hypothesize that much of the phenotypic diversity in P. vivax relapses arises from selection of relapse frequency to optimize transmission potential in a given environment, in a process similar to the virulence trade-off hypothesis. We develop mathematical models of P. vivax transmission and calculate the basic reproduction number R0 to investigate how transmission potential varies with relapse frequency and seasonality. In tropical zones with year-round transmission, transmission potential is optimized at intermediate relapse frequencies of two to three months: slower-relapsing strains increase the opportunity for onward transmission to mosquitoes, but also increase the risk of being outcompeted by faster-relapsing strains. Seasonality is an important driver of relapse frequency for temperate strains, with the time to first relapse predicted to be six to nine months, coinciding with the duration between seasonal transmission peaks. We predict that there is a threshold degree of seasonality, below which fast-relapsing tropical strains are selected for, and above which slow-relapsing temperate strains dominate, providing an explanation for the observed global distribution of relapse phenotypes

Photon Sorting, Efficient Bell Measurements and a Deterministic CZ Gate using a Passive Two-level Nonlinearity

Although the strengths of optical non-linearities available experimentally have been rapidly increasing in recent years, significant challenges remain to using such non-linearities to produce useful quantum devices such as efficient optical Bell state analysers or universal quantum optical gates. Here we describe a new approach that avoids the current limitations by combining strong non-linearities with active Gaussian operations in efficient protocols for Bell state analysers and Controlled-Sign gates

Calculation of reduced density matrices from correlation functions

It is shown that for solvable fermionic and bosonic lattice systems, the reduced density matrices can be determined from the properties of the correlation functions. This provides the simplest way to these quantities which are used in the density-matrix renormalization group method.Comment: 4 page

Critical Point of a Symmetric Vertex Model

We study a symmetric vertex model, that allows 10 vertex configurations, by use of the corner transfer matrix renormalization group (CTMRG), a variant of DMRG. The model has a critical point that belongs to the Ising universality class.Comment: 2 pages, 6 figures, short not

Use of record-linkage to handle non-response and improve alcohol consumption estimates in health survey data: a study protocol

<p>Introduction: Reliable estimates of health-related behaviours, such as levels of alcohol consumption in the population, are required to formulate and evaluate policies. National surveys provide such data; validity depends on generalisability, but this is threatened by declining response levels. Attempts to address bias arising from non-response are typically limited to survey weights based on sociodemographic characteristics, which do not capture differential health and related behaviours within categories. This project aims to explore and address non-response bias in health surveys with a focus on alcohol consumption.</p> <p>Methods and analysis: The Scottish Health Surveys (SHeS) aim to provide estimates representative of the Scottish population living in private households. Survey data of consenting participants (92% of the achieved sample) have been record-linked to routine hospital admission (Scottish Morbidity Records (SMR)) and mortality (from National Records of Scotland (NRS)) data for surveys conducted in 1995, 1998, 2003, 2008, 2009 and 2010 (total adult sample size around 40 000), with maximum follow-up of 16 years. Also available are census information and SMR/NRS data for the general population. Comparisons of alcohol-related mortality and hospital admission rates in the linked SHeS-SMR/NRS with those in the general population will be made. Survey data will be augmented by quantification of differences to refine alcohol consumption estimates through the application of multiple imputation or inverse probability weighting. The resulting corrected estimates of population alcohol consumption will enable superior policy evaluation. An advanced weighting procedure will be developed for wider use.</p> <p>Ethics and dissemination: Ethics approval for SHeS has been given by the National Health Service (NHS) Multi-Centre Research Ethics Committee and use of linked data has been approved by the Privacy Advisory Committee to the Board of NHS National Services Scotland and Registrar General. Funding has been granted by the MRC. The outputs will include four or five public health and statistical methodological international journal and conference papers.</p&gt

Validity, reliability, acceptability, and utility of the Social Inclusion Questionnaire User Experience (SInQUE): a clinical tool to facilitate social inclusion amongst people with severe mental health problems.

BACKGROUND: Individuals with severe mental health problems are at risk of social exclusion, which may complicate their recovery. Mental health and social care staff have, until now, had no valid or reliable way of assessing their clients' social inclusion. The Social Inclusion Questionnaire User Experience (SInQUE) was developed to address this. It assesses five domains: social integration; productivity; consumption; access to services; and political engagement, in the year prior to first psychiatric admission (T1) and the year prior to interview (T2) from which a total score at each time point can be calculated. AIMS: To establish the validity, reliability, and acceptability of the SInQUE in individuals with a broad range of psychiatric diagnoses receiving care from community mental health services and its utility for mental health staff. METHOD: Participants were 192 mental health service users with psychosis, personality disorder, or common mental disorder (e.g., depression, anxiety) who completed the SInQUE alongside other validated outcome measures. Test-retest reliability was assessed in a sub-sample of 30 participants and inter-rater reliability was assessed in 11 participants. SInQUE ratings of 28 participants were compared with those of a sibling with no experience of mental illness to account for shared socio-cultural factors. Acceptability and utility of the tool were assessed using completion rates and focus groups with staff. RESULTS: The SInQUE demonstrated acceptable convergent validity. The total score and the Social Integration domain score were strongly correlated with quality of life, both in the full sample and in the three diagnostic groups. Discriminant validity and test-retest reliability were established across all domains, although the test-retest reliability on scores for the Service Access and Political Engagement domains prior to first admission to hospital (T1) was lower than other domains. Inter-rater reliability was excellent for all domains at T1 and T2. CONCLUSIONS: The component of the SInQUE that assesses current social inclusion has good psychometric properties and can be recommended for use by mental health staff

Comparison between single and cascaded organic Rankine cycle systems accounting for the effects of expansion volume ratio on expander performance

Compared to single-stage organic Rankine cycle (ORC) systems, cascaded ORC systems, in which a high-temperature topping cycle and low-temperature bottoming cycle are coupled together, could have advantages in terms of removing the potential for sub-atmospheric condensation conditions and improving expander performance as the expansion process is effectively divided across two stages. Moreover, reducing the expansion volume ratio could facilitate the use of volumetric expanders, such as twin-screw expanders, which, in turn, could facilitate two-phase expansion to be utilised in one, or both, of the cycles. The aim of this paper is to compare single-stage and cascaded ORC systems, accounting for the effect of the expander volume ratio on expander performance. To investigate this, thermodynamic models for single-stage and cascaded ORC systems are developed, which include variable efficiency expander models for both radial turbines and twin-screw expanders that can estimate the effect of the expansion volume ratio on the expander isentropic efficiency. Using this model, three different scenarios are compared for different temperature heat-source temperatures, namely: (i) single-stage ORC systems with vapour-phase expansion obtained using a turboexpander; (ii) single-stage ORC systems operating with a twin-screw expander, with the possibility for two-phase expansion; and (iii) cascaded cycles with either vapour- or two-phase expansion. The results from this comparison are used to identify applications where cascaded ORC systems could offer performance benefits