2,640 research outputs found
Use of Online Health Forums by Patients with Chronic Cough: Qualitative Study
Background: Online health discussion forums are used by different patient groups for sharing advice and information. Chronic cough is a common problem, and people with chronic cough use online health forums alongside formal medical therapies. Objective: The objective of this study was to assess how chronic cough sufferers use online health forums, including the treatment advice they share with one another and the possible clinical uses of online forums in chronic cough. Methods: Three open-access health forums were searched for threads related to chronic cough. Identified threads were screened against inclusion and exclusion criteria adapted from the British Thoracic Society (BTS) Guidelines related to chronic cough diagnosis. Included data were subjected to qualitative thematic analysis. All study data were cross-validated by a second author and discrepancies were resolved. Results: In total, 96 threads were included in the analysis, consisting of posts by 223 forum users. Three main themes were identified: the effect of chronic cough on the lives of patients, the treatment advice shared between users, and the provision of support within forums. Conclusions: Chronic cough symptoms had impacts on multiple aspects of patients’ health and well-being. To try and combat these issues, forum users suggested a variety of treatments to one another, ranging from mainstream traditional therapies to odd alternative remedies. The provision of support and empathy were also prominent themes in discussion threads. Online forums themselves may provide increasing benefit to users through the addition of a moderator
Large-Scale Structures Behind the Milky Way from Near-IR Surveys
About 25% of the optical extragalactic sky is obscured by the dust and stars
of our Milky Way. Dynamically important structures might still lie hidden in
this zone. Various approaches are presently being employed to uncover the
galaxy distribution in the Zone of Avoidance (ZOA) but all suffer from
(different) limitations and selection effects.
We investigated the potential of using the DENIS NIR survey for studies of
galaxies behind the obscuration layer of our Milky Way and for mapping the
Galactic extinction. As a pilot study, we recovered DENIS I, J and K band
images of heavily obscured but optically still visible galaxies. We determined
the I, J and K band luminosity functions of galaxies on three DENIS strips that
cross the center of the nearby, low-latitude, rich cluster Abell 3627. The
extinction-corrected I-J and J-K colours of these cluster galaxies compare well
with that of an unobscured cluster. We searched for and identified galaxies at
latitudes where the Milky Way remains fully opaque (|b|
4-5mag) - in a systematic search as well as around positions of galaxies
detected with the blind HI survey of the ZOA currently conducted with the
Multibeam Receiver of the Parkes Radiotelescope.Comment: 12 pages, including 5 PS figures, LaTeX, uses crckapb.sty and
epsf.tex. Better resolved figures available upon request. To appear in
proceedings of the 3rd Euroconference (Meudon, France, June 1997) on ``The
Impact of Near IR Surveys'', Kluwer 199
Black Holes in Modified Gravity (MOG)
The field equations for Scalar-Tensor-Vector-Gravity (STVG) or modified
gravity (MOG) have a static, spherically symmetric black hole solution
determined by the mass with two horizons. The strength of the gravitational
constant is where is a parameter. A regular
singularity-free MOG solution is derived using a nonlinear field dynamics for
the repulsive gravitational field component and a reasonable physical
energy-momentum tensor. The Kruskal-Szekeres completion of the MOG black hole
solution is obtained. The Kerr-MOG black hole solution is determined by the
mass , the parameter and the spin angular momentum . The
equations of motion and the stability condition of a test particle orbiting the
MOG black hole are derived, and the radius of the black hole photosphere and
the shadows cast by the Schwarzschild-MOG and Kerr-MOG black holes are
calculated. A traversable wormhole solution is constructed with a throat
stabilized by the repulsive component of the gravitational field.Comment: 14 pages, 3 figures. Upgraded version of paper to match published
version in European Physics Journal
Generalized Painleve-Gullstrand descriptions of Kerr-Newman black holes
Generalized Painleve-Gullstrand metrics are explicitly constructed for the
Kerr-Newman family of charged rotating black holes. These descriptions are free
of all coordinate singularities; moreover, unlike the Doran and other proposed
metrics, an extra tunable function is introduced to ensure all variables in the
metrics remain real for all values of the mass M, charge Q, angular momentum
aM, and cosmological constant \Lambda > - 3/(a^2). To describe fermions in
Kerr-Newman spacetimes, the stronger requirement of non-singular vierbein
one-forms at the horizon(s) is imposed and coordinate singularities are
eliminated by local Lorentz boosts. Other known vierbein fields of Kerr-Newman
black holes are analysed and discussed; and it is revealed that some of these
descriptions are actually not related by physical Lorentz transformations to
the original Kerr-Newman expression in Boyer-Lindquist coordinates - which is
the reason complex components appear (for certain ranges of the radial
coordinate) in these metrics. As an application of our constructions the
correct effective Hawking temperature for Kerr black holes is derived with the
method of Parikh and Wilczek.Comment: 5 pages; extended to include application to derivation of Hawking
radiation for Kerr black holes with Parikh-Wilczek metho
Analytical model for predicting the buckling load of continuous welded rail tracks
The use of continuous welded rail (CWR) track has solved many of the problems associated with tread surface discontinuities that occur in jointed tracks. However, due to the longitudinal expansion of the rails in CWR tracks being highly constrained, the generated compressive stresses in the rails can cause track buckling in the horizontal plane. Track buckling is a complex phenomenon, in which many factors are involved and around which there is much uncertainty. The objective of this paper is to present an analytical model that can be used to calculate the buckling load of a CWR track. This model accounts for the contributions of base, crib and shoulder ballast and includes the effect of vertical loading on each of these components. Moreover, a parametric study based on this model is developed, in order to understand how and the extent to which the considered factors affect track stability. The results of the study indicate that the characteristics of the existing misalignments in the track are the critical parameters involved in the phenomenon. In addition, maintenance operations that affect the ballast, such as tamping or surfacing, and the dimensions and material of the track sleepers are also important factors.Navarro Martinez, JI.; Villalba Sanchis, I.; Martínez Fernández, P.; Insa Franco, R. (2015). Analytical model for predicting the buckling load of continuous welded rail tracks. Proceedings of the Institution of Mechanical Engineers, Part F: Journal of Rail and Rapid Transit. 229(5):542-552. doi:10.1177/0954409713518039S5425522295Kerr, A. D. (1978). Analysis of thermal track buckling in the lateral plane. Acta Mechanica, 30(1-2), 17-50. doi:10.1007/bf01177436Grissom, G. T., & Kerr, A. D. (2006). Analysis of lateral track buckling using new frame-type equations. International Journal of Mechanical Sciences, 48(1), 21-32. doi:10.1016/j.ijmecsci.2005.09.006Le Pen, L. M., & Powrie, W. (2011). Contribution of Base, Crib, and Shoulder Ballast to the Lateral Sliding Resistance of Railway Track: A Geotechnical Perspective. Proceedings of the Institution of Mechanical Engineers, Part F: Journal of Rail and Rapid Transit, 225(2), 113-128. doi:10.1177/095440971039709
Exploring the context of sedentary behaviour in older adults (what, where, why, when and with whom)
BACKGROUND: Older adults are the most sedentary segment of the population. Little information is available about the context of sedentary behaviour to inform guidelines and intervention. There is a dearth of information about when, where to intervene and which specific behaviours intervention should target. The aim of this exploratory study was to obtain objective information about what older adults do when sedentary, where and when they are sedentary and in what social context. METHODS: The study was a cross-sectional data collection. Older adults (Mean age = 73.25, SD ± 5.48, median = 72, IQR = 11) volunteers wore activPAL monitors and a Vicon Revue timelapse camera between 1 and 7 days. Periods of sedentary behaviour were identified using the activPAL and the context extracted from the pictures taken during these periods. Analysis of context was conducted using the Sedentary Behaviour International Taxonomy classification system. RESULTS: In total, 52 days from 36 participants were available for analysis. Participants spent 70.1 % of sedentary time at home, 56.9 % of sedentary time on their own and 46.8 % occurred in the afternoon. Seated social activities were infrequent (6.9 % of sedentary bouts) but prolonged (18 % of sedentary time). Participants appeared to frequently have vacant sitting time (41 % of non-screen sedentary time) and screen sitting was prevalent (36 % of total sedentary time). CONCLUSIONS: This study provides valuable information to inform future interventions to reduce sedentary behaviour. Interventions should consider targeting the home environment and focus on the afternoon sitting time, though this needs confirmation in a larger study. Tackling social isolation may also be a target to reduce sedentary time
Operator theory and function theory in Drury-Arveson space and its quotients
The Drury-Arveson space , also known as symmetric Fock space or the
-shift space, is a Hilbert function space that has a natural -tuple of
operators acting on it, which gives it the structure of a Hilbert module. This
survey aims to introduce the Drury-Arveson space, to give a panoramic view of
the main operator theoretic and function theoretic aspects of this space, and
to describe the universal role that it plays in multivariable operator theory
and in Pick interpolation theory.Comment: Final version (to appear in Handbook of Operator Theory); 42 page
Difficulty Accessing Syringes Mediates the Relationship Between Methamphetamine Use and Syringe Sharing Among Young Injection Drug Users
Injection drug users (IDU) who use methamphetamine (MA) are at an increased risk of HIV infection due to engagement in injection-related risk behavior including syringe sharing. In this cohort study of young IDU aged 18-30, we investigated the relationship between injection MA use and syringe sharing, and whether difficulty accessing sterile syringes mediated this association. Behavioral questionnaires were completed by 384 IDU in Vancouver, Canada between October 2005 and May 2008. Generalized estimating equations were used to estimate direct and indirect effects. The median age of participants was 24 (IQR: 22–27) and 214 (55.7%) were male. Injecting MA was independently associated with syringe sharing. Mediation analyses revealed that difficulty accessing sterile syringes partially mediated the association between injecting MA and syringe sharing. Interventions to reduce syringe sharing among young methamphetamine injectors must address social and structural barriers to accessing HIV prevention programs
A Plasma Biomarker Panel of Four MicroRNAs for the Diagnosis of Prostate Cancer
© 2018 The Author(s). Prostate cancer is diagnosed in over 1 million men every year globally, yet current diagnostic modalities are inadequate for identification of significant cancer and more reliable early diagnostic biomarkers are necessary for improved clinical management of prostate cancer patients. MicroRNAs (miRNAs) modulate important cellular processes/pathways contributing to cancer and are stably present in body fluids. In this study we profiled 372 cancer-associated miRNAs in plasma collected before (∼60% patients) and after/during commencement of treatment (∼40% patients), from age-matched prostate cancer patients and healthy controls, and observed elevated levels of 4 miRNAs - miR-4289, miR-326, miR-152-3p and miR-98-5p, which were validated in an independent cohort. The miRNA panel was able to differentiate between prostate cancer patients and controls (AUC = 0.88). Analysis of published miRNA transcriptomic data from clinical samples demonstrated low expression of miR-152-3p in tumour compared to adjacent non-malignant tissues. Overexpression of miR-152-3p increased proliferation and migration of prostate cancer cells, suggesting a role for this miRNA in prostate cancer pathogenesis, a concept that was supported by pathway analysis of predicted miR-152-3p target genes. In summary, a four miRNA panel, including miR-152-3p which likely targets genes with key roles in prostate cancer pathogenesis, has the potential to improve early prostate cancer diagnosis
Associations between cardiorespiratory fitness, physical activity and clustered cardiometabolic risk in children and adolescents: the HAPPY study
Clustering of cardiometabolic risk factors can occur during childhood and predisposes individuals to cardiometabolic disease. This study calculated clustered cardiometabolic risk in 100 children and adolescents aged 10-14 years (59 girls) and explored differences according to cardiorespiratory fitness (CRF) levels and time spent at different physical activity (PA) intensities. CRF was determined using a maximal cycle ergometer test, and PA was assessed using accelerometry. A cardiometabolic risk score was computed as the sum of the standardised scores for waist circumference, blood pressure, total cholesterol/high-density lipoprotein ratio, triglycerides and glucose. Differences in clustered cardiometabolic risk between fit and unfit participants, according to previously proposed health-related threshold values, and between tertiles for PA subcomponents were assessed using ANCOVA. Clustered risk was significantly lower (p < 0.001) in the fit group (mean 1.21 ± 3.42) compared to the unfit group (mean -0.74 ± 2.22), while no differences existed between tertiles for any subcomponent of PA. Conclusion These findings suggest that CRF may have an important cardioprotective role in children and adolescents and highlights the importance of promoting CRF in youth
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