Improving Diabetic Outcomes with Caring Communication: Identifying Communication Patterning for the Human Diabetic

Introduction. The purpose of this study was to identify the influence of caring communication for people living with diabetes (PLD) and the relationship to diabetic outcomes. Caring communication has not been studied for improving diabetic outcomes. Randomized control trials (RCTs) direct care, however people do not do what they told, they need to be included in their care. PLD need a voice to establish what is important to them. Incorporating medical, communication, and nursing science as multidisciplinary approach within a theoretical framework can be predictive diabetic outcomes. Methods. A correlational cross sectional survey design study was done. A sample of 107 patients with diabetes from two clinics in Southern California participated. The sample was recruited from naturally occurring appointments schedules and patients were asked to complete the survey. A clinical record review followed for benchmark data. Results. Overall the PLD diabetes received care very close to benchmarks. The participant\u27s scored 88% indicating a high level of caring communication. Men approached significance to have A1c within normal limits [x² (1) = 3.73, p \u3c .053] compared to females. Gender, age, length of time with diabetes and caring communication predicted 65.3% to have A1c within normal limits; length of time with diabetes, synergy, sharing, reciprocity, and gender predicted 64.3% for have A1c within normal limits; caring communication, gender, age, and marital status predicted 69.3% of cases for having a SBP within normal limits; and time with diabetes, gender, synergy, sharing, and reciprocity predicated 68.3% of the cases to have a SBP within normal limits. Conclusions. Caring communication does influence diabetic outcomes. Females tend to have better A1c than men. As one increases time with diabetes, there outcomes tend to be better than newly diagnosed people with diabetes. Shared decision making, exploring possibilities, not feeling intimidated by the healthcare providers are important for better diabetic outcomes

Evaluating organizational research climate to assess research integrity

Failure of the scientific research enterprise to adequately define and respond to research misconduct and detrimental research practices constitutes a significant threat to scientific research. Lapses in research integrity erode trust in the scientific process and have serious consequences, potentially reducing funding sources, research subject willingness to participate, and research quality. Few studies have examined the empirical issues surrounding the role of culture and climate in promoting research integrity. This means there is a limited understanding of the organization's role in research integrity and how we can utilize that knowledge to build targeted education interventions and organizational change initiatives. The first aim of this dissertation study was to quantify differences in perceived climate between academic units to measure heterogeneity or homogeneity of research integrity across subunits in a multi university academic system, including a healthcare system. Second, to determine whether the additional pressure of maintaining rankings affect research integrity among universities of a multi-university system that are and are not members of the American Association of Universities (AAU). Using a validated, online survey, SOuRCe, 2,183 participants representing a variety of statuses within the research enterprise across a four-campus university system participated in the study. This study found that the subunit and department/program accounted for more than half of the variance explained in each of the SOuRCe scales. Gender and age impacted the scales while campus and ethnicity did not. Further research with interventions at the department level will help guide change initiatives targeted at specific levels of the organization to promote research integrity.Includes bibliographical references

Constraining Radiatively Inefficient Accretion Flows with Polarization

The low-luminosity black hole Sgr A* provides a testbed for models of Radiatively Inefficient Accretion Flows (RIAFs). Recent sub-millimeter linear polarization measurements of Sgr A* have provided evidence that the electrons in the accretion flow are relativistic over a large range of radii. Here, we show that these high temperatures result in elliptical plasma normal modes. Thus, polarized millimeter and sub-millimeter radiation emitted within RIAFs will undergo generalized Faraday rotation, a cyclic conversion between linear and circular polarization. This effect will not depolarize the radiation even if the rotation measure is extremely high. Rather, the beam will take on the linear and circular polarization properties of the plasma normal modes. As a result, polarization measurements of Sgr A* in this frequency regime will constrain the temperature, density and magnetic profiles of RIAF models.Comment: 4 pages, 3 figures, accepted by ApJ Letter

Precision Search for Magnetic Order in the Pseudogap Regime of La2-xSrxCuO4 by Muon Spin Relaxation

We report a high precision search for orbital-like magnetic order in the pseudogap region of La2-xSrxCuO4 single crystals using zero-field muon spin relaxation (ZF-muSR). In contrast to previous studies of this kind, the effects of the dipolar and quadrupolar interactions of the muon with nearby nuclei are calculated. ZF-muSR spectra with a high number of counts were also recorded to determine whether a magnetically ordered phase exists in dilute regions of the sample. Despite these efforts, we find no evidence for static magnetic order of any kind in the pseudogap region above the hole-doping concentration p = 0.13.Comment: 8 pages, 7 figure

Following microscopic motion in a two dimensional glass-forming binary fluid

The dynamics of a binary mixture of large and small discs are studied at temperatures approaching the glass transition using an analysis based on the topology of the Voronoi polygon surrounding each atom. At higher temperatures we find that dynamics is dominated by fluid-like motion that involves particles entering and exiting the nearest-neighbour shells of nearby particles. As the temperature is lowered, the rate of topological moves decreases and motion becomes localised to regions of mixed pentagons and heptagons. In addition we find that in the low temperature state particles may translate significant distances without undergoing changes in their nearest neig hbour shell. These results have implications for dynamical heterogeneities in glass forming liquids.Comment: 12 pages, 7 figure

Tuning the effects of Landau-level mixing on anisotropic transport in quantum Hall systems

Electron-electron interactions in half-filled high Landau levels in two-dimensional electron gases in a strong perpendicular magnetic field can lead to states with anisotropic longitudinal resistance. This longitudinal resitance is generally believed to arise from broken rotational invariance, which is indicated by charge density wave (CDW) order in Hartree-Fock calculations. We use the Hartree-Fock approximation to study the influence of externally tuned Landau level mixing on the formation of interaction induced states that break rotational invariance in two-dimensional electron and hole systems. We focus on the situation when there are two non-interacting states in the vicinity of the Fermi level and construct a Landau theory to study coupled charge density wave order that can occur as interactions are tuned and the filling or mixing are varied. We examine in detail a specific example where mixing is tuned externally through Rashba spin-orbit coupling. We calculate the phase diagram and find the possibility of ordering involving coupled striped or triangular charge density waves in the two levels. Our results may be relevant to recent transport experiments on quantum Hall nematics in which Landau-level mixing plays an important role.Comment: 25 pages, 6 figure

Contour-time approach to the Bose-Hubbard model in the strong coupling regime: Studying two-point spatio-temporal correlations at the Hartree-Fock-Bogoliubov level

We develop a formalism that allows the study of correlations in space and time in both the superfluid and Mott insulating phases of the Bose-Hubbard Model. Specifically, we obtain a two particle irreducible effective action within the contour-time formalism that allows for both equilibrium and out of equilibrium phenomena. We derive equations of motion for both the superfluid order parameter and two-point correlation functions. To assess the accuracy of this formalism, we study the equilibrium solution of the equations of motion and compare our results to existing strong coupling methods as well as exact methods where possible. We discuss applications of this formalism to out of equilibrium situations.Comment: 41 pages, 7 figures. arXiv admin note: substantial text overlap with arXiv:1606.0411