Compromise Solutions Based on Bankruptcy

In this paper we introduce a new family of compromise solutions for the class of compromise admissible games.These solutions extend bankruptcy rules.In particular, we show that the compromise extension of the run-to-the-bank rule coincides with the barycentre of the core cover and characterise this rule by consistency.We also provide a characterisation of the TAL-family of rules.bankruptcy;games

Compromise Solutions Based on Bankruptcy

In this paper we introduce a new family of compromise solutions for the class of compromise admissible games.These solutions extend bankruptcy rules.In particular, we show that the compromise extension of the run-to-the-bank rule coincides with the barycentre of the core cover and characterise this rule by consistency.We also provide a characterisation of the TAL-family of rules.

Acoustic characterization of Hofstadter butterfly with resonant scatterers

We are interested in the experimental characterization of the Hofstadter butterfly by means of acoustical waves. The transmission of an acoustic pulse through an array of 60 variable and resonant scatterers periodically distribued along a waveguide is studied. An arbitrary scattering arrangement is realized by using the variable length of each resonator cavity. For a periodic modulation, the structures of forbidden bands of the transmission reproduce the Hofstadter butterfly. We compare experimental, analytical, and computational realizations of the Hofstadter butterfly and we show the influence of the resonances of the scatterers on the structure of the butterfly

A theory-based intervention to promote medication adherence in patients with rheumatoid arthritis: a randomized controlled trial

Introduction/objectives: Adherence to prescribed medication regimens is fundamental to the improvement and maintenance of the health of patients with rheumatoid arthritis. It is therefore important that interventions are developed to address this important health behavior issue. The aim of the present study was to design and evaluate a theory-based intervention to improve the medication adherence (primary outcome) among rheumatoid arthritis patients. Methods: The study adopted a pre-registered randomized controlled trial design. Rheumatoid arthritis patients were recruited from two University teaching hospitals in Qazvin, Iran from June 2018 to May 2019 and randomly assigned to either an intervention group (n = 100) or a treatment-as-usual group (n = 100). The intervention group received a theory-based intervention designed based on the theoretical underpinnings of the health action process approach (HAPA). More specifically, action planning (making detailed plans to follow medication regimen), coping planning (constructing plans to overcome potential obstacles that may arise in medication adherence), and self-monitoring (using a calendar to record medication adherence) of the HAPA has been used for the treatment. The treatment-as-usual group received standard care. Results: Data analysis was conducted based on the principle of intention to treat. Using a linear mixed-effects model (adjusted for age, sex, medication prescribed, and body mass index), the results showed improved medication adherence scores in the intervention group (loss to follow-up = 16) compared to the treatment-as-usual group (loss to follow-up = 12) at the 3-month (coefficient = 3.9; SE = 0.8) and 6-month (coefficient = 4.5; SE = 0.8) follow-up. Intervention effects on medication adherence scores were found to be mediated by some of the theory-based HAPA variables that guided the study. Conclusion: The results of the present study support the use of a theory-based intervention for improving medication adherence among rheumatoid arthritis patients, a group at-risk of not adhering to medication regimens

Acute elevation of coronary venous pressure does not affect left ventricular contractility in the normal and stressed swine heart: implications for the fontan operation.

AbstractObjective: After the Fontan operation the right atrium and, thus, the coronary sinus are connected to the pulmonary arterial system, which causes the coronary venous pressure to increase. We investigated the acute effects of elevation of coronary venous pressure on baseline hemodynamics, coronary venous flow, and left ventricular contractility. Methods: In acutely instrumented pigs, during complete right heart bypass and during constant cardiac output, pressure in the right atrium, right ventricle, and coronary sinus was altered by a height-adjustable reservoir. At various levels of coronary venous pressure (up to 4 kPa or up to 30 mm Hg), flow from the reservoir was measured and left ventricular hemodynamics and contractility were measured from catheter-derived left ventricular pressure and (conductance) volume data. Contractility of the left ventricle was assessed by the end-systolic pressure-volume relationship derived during an unloading intervention by adjusting the bypass pump speed. Results: Left ventricular end-diastolic pressure increased slightly (about 5%) with each kilopascal increase in coronary venous pressure, most likely related to diastolic ventricular interaction. No other changes in hemodynamic parameters occurred. Neither coronary venous flow nor left ventricular contractility was influenced by changes in coronary venous pressure. Imposing myocardial stress with dobutamine, 10 μg/kg per minute, did not change these findings. Conclusion: Increasing coronary venous pressure to 4 kPa in the intact circulation with intact autoregulation does not affect coronary flow or left ventricular contractility. We found no experimental evidence for the usefulness of diversion of the coronary sinus to the left atrium during Fontan-type operations. (J Thorac Cardiovasc Surg 1997;114:560-7