Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study

Objectives: To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design: A complex intervention development study. Setting: North East Scotland and Glasgow. Participants: Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions: A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures: Qualitative assessment of intervention feasibility and acceptability. Results: Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions: Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated

Crystal Structure and Magnetism of the Linear-Chain Copper Oxides Sr5Pb3-xBixCuO12

The title quasi-1D copper oxides (0=< x =<0.4) were investigated by neutron diffraction and magnetic susceptibility studies. Polyhedral CuO4 units in the compounds were found to comprise linear-chains at inter-chain distance of approximately 10 A. The parent chain compound (x = 0), however, shows less anisotropic magnetic behavior above 2 K, although it is of substantially antiferromagnetic (mu_{eff}= 1.85 mu_{B} and Theta_{W} = -46.4 K) spin-chain system. A magnetic cusp gradually appears at about 100 K in T vs chi with the Bi substitution. The cusp (x = 0.4) is fairly characterized by and therefore suggests the spin gap nature at Delta/k_{B} ~ 80 K. The chain compounds hold electrically insulating in the composition range.Comment: To be published in PR

Why do people fail to turn good intentions into action? : The role of executive control processes in the translation of healthy eating intentions into action in young Scottish adults

Non peer reviewedPublisher PD

Cutting Edge: Suppression of GM-CSF Expression in Murine and Human T Cells by IL-27:suppression of GM-CSF expression in murine and human T cells by IL-27

GM-CSF is a potent pro-inflammatory cytokine that plays a pathogenic role in the CNS inflammatory disease, EAE. As IL-27 ameliorates EAE, we hypothesised that IL-27 suppresses GM-CSF expression by T cells. We found that IL-27 suppressed GM-CSF expression in CD4(+) and CD8(+) T cells in splenocyte and purified T cell cultures. IL-27 suppressed GM-CSF in Th1, but not Th17 cells. IL-27 also suppressed GM-CSF expression by human T cells in non-polarised and Th1 but not Th17 polarised PBMC cultures. In vivo, IL-27p28 deficiency resulted in increased GM-CSF expression by CNS infiltrating T cells during Toxoplasma gondii infection. While in vitro suppression of GM-CSF by IL-27 was independent of IL-2 suppression, IL-10 up-regulation or SOCS3 signalling, we observed that IL-27-driven suppression of GM-CSF was STAT1 dependent. Our findings demonstrate that IL-27 is a robust negative regulator of GM-CSF expression in T cells which likely inhibits T cell pathogenicity in CNS inflammation

Gamma-ray binaries: pulsars in disguise ?

LS 5039 and LSI +61 303 are unique amongst high-mass X-ray binaries (HMXB) for their spatially-resolved radio emission and their counterpart at >GeV gamma-ray energies, canonically attributed to non-thermal particles in an accretion-powered relativistic jet. The only other HMXB known to emit very high energy (VHE) gamma-rays, PSR B1259-63, harbours a non-accreting millisecond pulsar. I investigate whether the interaction of the relativistic wind from a young pulsar with the wind from its stellar companion, as in PSR B1259-63, constitutes a viable scenario to explain the observations of LS 5039 and LSI +61 303. Emission would arise from the shocked pulsar wind material, which then flows away to large distances in a comet-shape tail, reproducing on a smaller scale what is observed in isolated, high motion pulsars interacting with the ISM. Simple expectations for the SED are derived and are shown to depend on few input parameters. Detailed modelling of the particle evolution is compared to the observations from radio to TeV energies. Acceleration at the shock provides high energy electrons that steadily emit synchrotron in X-rays and inverse Compton scatter stellar light to gamma-rays. Electrons streaming out of the system emit at IR frequencies and below. The overall aspect of the SEDs is adequately reproduced for standard values of the parameters. The morphology of the radio tail can mimic a microquasar jet. Good agreement is found with the published VLBI map of LS 5039 and predictions are made on the expected change in appearance with orbital phase. The pulsar wind scenario can provide a common, viable framework to interpret the emission from all three gamma-ray binaries.Comment: 20 pages, 20 figures, accepted for publication in A&

Stringent neutron-star limits on large extra dimensions

Supernovae (SNe) are copious sources for Kaluza-Klein gravitons which are generic for theories with large extra dimensions. These massive particles are produced with average velocities ~0.5 c so that many of them are gravitationally retained by the SN core. Every neutron star thus has a halo of KK gravitons which decay into nu bar-nu, e^+e^- and gamma gamma on time scales \~10^9 years. The EGRET gamma-flux limits (E_gamma ~ 100 MeV) for nearby neutron stars constrain the fundamental scale for n=2 extra dimensions to M >500 TeV, and M>30 TeV for n=3. The upcoming GLAST satellite is a factor ~30 more sensitive and thus may detect KK decays, for example at the nearby neutron star RX J185635--3754. The requirement that neutron stars are not excessively heated by KK decays implies M>1700 TeV for n=2, and M>60 TeV for n=3.Comment: Minor changes, matches version to appear in PR

The S troke H yperglycemia I nsulin N etwork E ffort ( SHINE ) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/102726/1/ijs12045.pd

Discovery of Two Gravitationally Lensed Quasars with Image Separations of 3 Arcseconds from the Sloan Digital Sky Survey

We report the discovery of two doubly-imaged quasars, SDSS J100128.61+502756.9 and SDSS J120629.65+433217.6, at redshifts of 1.838 and 1.789 and with image separations of 2.86'' and 2.90'', respectively. The objects were selected as lens candidates from the Sloan Digital Sky Survey (SDSS). Based on the identical nature of the spectra of the two quasars in each pair and the identification of the lens galaxies, we conclude that the objects are gravitational lenses. The lenses are complicated; in both systems there are several galaxies in the fields very close to the quasars, in addition to the lens galaxies themselves. The lens modeling implies that these nearby galaxies contribute significantly to the lens potentials. On larger scales, we have detected an enhancement in the galaxy density near SDSS J100128.61+502756.9. The number of lenses with image separation of ~3'' in the SDSS already exceeds the prediction of simple theoretical models based on the standard Lambda-dominated cosmology and observed velocity function of galaxies.Comment: 24 pages, 9 figures, accepted for publication in Ap

Effects of Inherent Tissue Anisotropy on Measurements Obtained with a Clinical Ultrasonic Imaging System

Our overall goal is to develop clinically applicable tissue characterization methods, based on quantitative analyses of backscattered ultrasound, which can differentiate normal from diseased heart segments. In implementing these methods there is a need to compensate for the inherent anisotropic properties of the heart that are exhibited in echocardiographic images. [1–4] Furthermore, quantitative tissue characterization methods may be able to exploit the inherent anisotropy of the myocardium to achieve assessment of cardiac properties.[5–9] The specific aims of this investigation were to measure the spectral properties of backscattered ultrasound using a clinical imaging system and to determine effects of inherent tissue anisotropy on measured spectral properties of backscattered ultrasound