953 research outputs found

    Family Structure, Early Sexual Behavior, and Premarital Births

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    In this paper, we argue that entry into first sexual intercourse is a key process mediating the effects of family structure on premarital childbearing. We explicate three ways in which onset of sexual activity can mediate effects of family structure on premarital first births. First, the gross association between family structure and premarital birth risks may be due entirely to the effect of family structure on age at first intercourse. Second, the earlier the age at first intercourse, the longer the duration of exposure to the risk of a premarital first birth. Third, an early age at first intercourse may proxy unmeasured individual characteristics correlated with age at onset but uncorrelated with other variables in the model. We develop methods to assess such mediating effects and analyze data from two sources, the 1979-93 National Longitudinal Survey of Youth and the 1988 National Survey of Family Growth. We find that age at first intercourse partially mediates the effect on premarital birth risks of both snapshot measures of family structure at age 14 and a time-varying measure of the number of family transitions, but that significant effects of these variables remain net of age at first intercourse. Delaying age at intercourse by one year reduces the cumulative relative risk of a premarital first birth by a similar amount for both white and black women. For black women, the magnitude of this effect is roughly the same as that of residing in a mother-only family at age 14.

    The social geography of unmarried cohabitation in the USA, 2007-2011

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    US studies of marriage and cohabitation have mainly highlighted the social and racial differentials as they were observed in cross-sections, and have as a result essentially focused on the "pattern of disadvantage". The evolution of such social differentials over time and space reveals that this pattern of disadvantage has clearly persisted, but that it is far from covering the whole story. Historically, there has been a major contribution to the rise of cohabitation by white college students, and later on young white adults with higher education continued to start unions via cohabitation to ever increasing degrees. Only, they seem to move into marriage to a greater extent later on in life than other population segments. Also, the religious affiliation matters greatly: Mormons and evangelical Christians have resisted the current trends. Furthermore this effect is not only operating at the individual but at the contextual level as well. Conversely, even after controls for competing socio-economic explanations, residence in areas (either counties or PUMA-areas) with a Democratic voting pattern is related to higher cohabitation probabilities. And, finally, different legal contexts at the level of States also significantly contributed to the emergence of strong spatial contrasts. Hence, there is a concurrence of several factors shaping the present differentiations, and the rise of secular and liberal attitudes, i.e. the "ethics revolution", is equally a part of the explanation

    Logical Dreams

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    We discuss the past and future of set theory, axiom systems and independence results. We deal in particular with cardinal arithmetic

    Design of an Ultra-low-dose, Stationary, Tomographic Molecular Breast Imaging System

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    Molecular Breast Imaging (MBI) has been shown to have high sensitivity in detection of cancer, even in patients with dense breasts where conventional mammography has issues. However the technique has limited acceptance due to the relatively high radiation dose and long imaging time. Improved lesion detection can be achieved using tomography, however this normally involves detector motion and complex mechanics. Our goal is to develop a low-dose stationary tomographic MBI system with similar or better sensitivity for lesion detection to conventional planar MBI. The proposed system utilizes state-of-the-art cadmium zinc telluride (CZT) detectors based on 2mm pixels, with sub-pixelization and depth of interaction (DOI) capability, combined with densely packed multi-pinhole collimators. Use of closely-spaced pinholes improves efficiency and angular sampling, but results in significant multiplexing. De-multiplexing algorithms have been developed that take advantage of the DOI acquisition to achieve tomographic reconstruction using two opposing planar detectors which apply mild compression to the breast. Simulation studies of multiple lesions with clinically realistic contrast have been used to demonstrate the feasibility of the design and to characterize the expected performance. Reconstruction without de-multiplexing resulted in significant artefacts. De-multiplexing without DOI had limited success but with DOI resulted in artefact-free images, with good contrast and axial plane definition. Lesion detectability was preserved even with reduction of acquisition time (or radiation dose) by a factor of 4. Further optimization has potential for even greater dose reduction. A prototype system is currently being constructed to validate these findings

    A New Concept for a Low-Dose Stationary Tomographic Molecular Breast Imaging Camera Using 3D Position Sensitive CZT Detectors

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    Pixelated CZT detectors have been used in a variety of molecular imaging applications for many years. The interplay of gamma camera and collimator geometric design, gantry motion, and image reconstruction determines the image quality and dose-time-FOV trade-offs. In particular, Molecular Breast Imaging (MBI) has been shown to provide excellent diagnostic results in patients with dense breast tissue, but higher than mammography patient dose and long imaging time impede its wide adoption. We propose a new transformative system concept combining the advantages of CZT detectors (superior energy and position resolution and depth of interaction sensing), multi-pinhole collimation and novel image reconstruction to mitigate those drawbacks without compromising diagnostic content. The closely spaced pinholes allow tomographic image reconstruction, improve sensitivity and angular sampling, but result in significant multiplexing. Novel de-multiplexing algorithms have been developed to mitigate the adverse multiplexing artefacts using the DOI. GATE simulations of the new camera demonstrate a potential to reduce the patient dose by at least a factor of 5 in comparison to planar MBI, thus reducing the dose to the level of an average mammography scan. The first prototype has been built at Kromek with 3D position sensitive CZT detectors and is being evaluated using an "activity-painting"setup with a point 57Co source. Initial results demonstrate the expected performance improvement with the use of sub-pixelisation and DOI. The next steps of the development will include accurate evaluation of the image quality and the dose reduction followed by building a larger scale clinical prototype using optimised detector design

    Challenges in Optimization of a Stationary Tomographic Molecular Breast Imaging System

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    A prototype Molecular Breast Imaging (MBI) system is currently under development, motivated by the need of a practical low-dose system for use in patients with dense breast tissue, where conventional mammography is limited. The system is based on dual opposing CZT detector arrays and multi-pinhole collimators which allow for multiplexing in the projection data. We have performed optimization of various design parameters based on either contrast-to-noise ratio (CNR) in the reconstructed images or area under the localization receiver operating characteristics curve (LROC-AUC) obtained using the scan statistic model. The optimizations were based on simulated data, and the parameters investigated were pinhole size and opening angle, pinhole separation and collimator-to-detector separation. The two optimization approaches resulted in similar design parameters, allowing for reconstruction of tomographic images with high CNR and lesion detectability, which can lead to a reduced dose or scan time as compared to planar MBI

    Does religion make a difference? : assessing the effects of Christian affiliation and practice on marital solidarity and divorce in Britain, 1985-2005

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    Marital breakdown rates were examined among 15,714 adults from the British Social Attitudes dataset for 1985-2005. Separation and divorce peaked at around 50 years of age, and increased significantly over the period of study. Ratios of separation or divorce were compared between respondents who had no religious affiliation and (a) Christian affiliates who attended church at least once a month, (b) Christian affiliates who attended church, but less than once a month, and (c) Christian affiliates who never attended church. The results showed that active Christians were 1.5 times less likely to suffer marital breakdown than non-affiliates, but there was no difference between affiliates who never attended church and those of no religion. Christians who attended infrequently were 1.3 times less likely to suffer marital breakdown compared to non-affiliates, suggesting that even infrequent attendance at church may have some significance for predicting the persistence of martial solidarity

    Mixed Methods in Biomedical and Health Services Research

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    Design, Construction, Operation and Performance of a Hadron Blind Detector for the PHENIX Experiment

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    A Hadron Blind Detector (HBD) has been developed, constructed and successfully operated within the PHENIX detector at RHIC. The HBD is a Cherenkov detector operated with pure CF4. It has a 50 cm long radiator directly coupled in a window- less configuration to a readout element consisting of a triple GEM stack, with a CsI photocathode evaporated on the top surface of the top GEM and pad readout at the bottom of the stack. This paper gives a comprehensive account of the construction, operation and in-beam performance of the detector.Comment: 51 pages, 39 Figures, submitted to Nuclear Instruments and Method
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