The needs and experiences of skin cancer patients: a qualitative systematic review with meta-synthesis

Background: Skin cancer incidence is increasing worldwide. This is an update of a previous review published in 2010 that identified only two studies and found that the needs and experiences of individuals with skin cancer were under-researched. Objectives: To undertake a qualitative systematic review of the needs and experiences of people with a diagnosis of skin cancer. Methods: As an update of a previous review, the following databases were searched from 2010 to 30/11/15: CINAHL PsycINFO, MEDLINE and EMBASE. The methodological quality of the studies was assessed using the Joanna Briggs Institute (JBI) Qualitative Assessment Review Instrument (QARI). The qualitative research findings were synthesised using a pragmatic meta-aggregative approach. Results: Fourteen studies (16 papers) were included. Only three studies included keratinocyte carcinoma patients. 15 categories were identified and these resulted in four overarching synthesised findings (SFs) from diagnosis (SF1) through treatment (SF2) and follow up (SF3), and then a fourth SF (SF4) that addressed patients’ satisfaction with their care and their relationship with health professionals. Conclusions: Despite the fact that keratinocyte carcinoma and melanoma patients can have very different prognosis, they also share similar needs and concerns especially around the time of diagnosis and follow up/surveillance for new lesions. Health professionals working with skin cancer patients need to understand their psychosocial concerns, and their information needs in order to design services appropriately. Future studies need to consider keratinocyte carcinoma patients as well as melanoma patients

Euclidean ramsey theorems. I

AbstractThe general Ramsey problem can be described as follows: Let A and B be two sets, and R a subset of A × B. For a ϵ A denote by R(a) the set {b ϵ B | (a, b) ϵ R}. R is called r-Ramsey if for any r-part partition of B there is some a ϵ A with R(a) in one part. We investigate questions of whether or not certain R are r-Ramsey where B is a Euclidean space and R is defined geometrically

Thermodynamics of Heat Shock Response

Production of heat shock proteins are induced when a living cell is exposed to a rise in temperature. The heat shock response of protein DnaK synthesis in E.coli for temperature shifts from temperature T to T plus 7 degrees, respectively to T minus 7 degrees is measured as function of the initial temperature T. We observe a reversed heat shock at low T. The magnitude of the shock increases when one increase the distance to the temperature $T_0 \approx 23^o$, thereby mimicking the non monotous stability of proteins at low temperature. Further we found that the variation of the heat shock with T quantitatively follows the thermodynamic stability of proteins with temperature. This suggest that stability related to hot as well as cold unfolding of proteins is directly implemented in the biological control of protein folding. We demonstrate that such an implementation is possible in a minimalistic chemical network.Comment: To be published in Physical Review Letter

Study of dynamics of minor constituents in the thermosphere

The global distribution of helium and argon in the terrestrial thermosphere is described. It is based on the extension of a three-dimensional single-fluid numerical model of the thermosphere previously developed by the authors to treat the dynamics of a minor gas imbedded in a background gas made up of N2, O2, and O. Empirical models of the upper atmosphere, based on satellite drag and mass spectrometer data, are used to specify the background gas density and temperature as functions of altitude, latitude, and local time for a given day of the year. Effects of solar activity, eddy diffusion, and exospheric transport on the global distribution of minor gases are investigated

Adaptability, resilience and environmental buffering in European Refugia during the Late Pleistocene: Insights from La Riera Cave (Asturias, Cantabria, Spain

Abstract: The Upper Palaeolithic in Europe was a time of extensive climatic changes that impacted on the survival and distribution of human populations. During the Late Glacial Maximum (LGM), southern European peninsulas were refugia for flora, fauna, and human groups. One of these refugia, the Cantabrian región (northern Atlantic Spain), was intensively occupied throughout the Upper Palaeolithic. Characterising how climatic events were expressed in local environments is crucial to understand human and animal survival. La Riera Cave (Asturias) has a rich geo-cultural sequence dating between 20.5kyr BP to 6.5kyr BP and represents an ideal location in which to explore this. Stable isotope analysis of red deer and ibex is used alongside other environmental and climatic proxies to reconstruct Late Upper Palaeolithic conditions. Results show that during the LGM, ibex adapted their niche to survive, and became a major prey species for humans. The diverse environmental opportunities offered in the high-relief and coastal environs of La Riera may help to explain the high human population levels in the Cantabrian Region throughout the Late Upper Palaeolithic. Despite fluctuating conditions, herbivores and humans had the flexibility and resilience to adapt, demonstrating the importance of southern European refugia for the survival of different species.This research was funded by a Marie Skłodowska-Curie Individual Fellowship grant awarded to JRJ (H2020- MSCA-IF-2014-656122). ABMA was supported by a Marie Curie Career Integration Grant (FP7-PEOPLE- 2012-CIG-322112), the Spanish Ministry of Economy and Competitiveness (HAR2012-33956 and Ramon y Cajal (RYC-2011-07690) and Santander Talent Attraction for Research (STAR-1). The new radiocarbon dates obtained by LGS for Levels 23 and 24 were kindly financed by the Stone Age Research Fund (University of New Mexico), J. and R. Auel principal donors

On the Formation Height of the SDO/HMI Fe 6173 Doppler Signal

The Helioseismic and Magnetic Imager (HMI) onboard the Solar Dynamics Observatory (SDO) is designed to study oscillations and the mag- netic field in the solar photosphere. It observes the full solar disk in the Fe I absorption line at 6173\AA . We use the output of a high-resolution 3D, time- dependent, radiation-hydrodynamic simulation based on the CO5BOLD code to calculate profiles F({\lambda},x,y,t) for the Fe I 6173{\AA} line. The emerging profiles F({\lambda},x,y,t) are multiplied by a representative set of HMI filter transmission profiles R_i({\lambda},1 \leq i \leq 6) and filtergrams I_i(x,y,t;1 \leq i \leq 6) are constructed for six wavelengths. Doppler velocities V_HMI(x,y,t) are determined from these filtergrams using a simplified version of the HMI pipeline. The Doppler velocities are correlated with the original velocities in the simulated atmosphere. The cross- correlation peaks near 100 km, suggesting that the HMI Doppler velocity signal is formed rather low in the solar atmosphere. The same analysis is performed for the SOHO/MDI Ni I line at 6768\AA . The MDI Doppler signal is formed slightly higher at around 125 km. Taking into account the limited spatial resolution of the instruments, the apparent formation height of both the HMI and MDI Doppler signal increases by 40 to 50 km. We also study how uncertainties in the HMI filter-transmission profiles affect the calculated velocities.Comment: 15 pages, 11 Figure

Implications of population changes among the Arvicolinae (Rodentia, Mammalia) in El Mirón Cave (Cantabria, Spain) for the climate of the last c. 50,000 years

The El Mirón Cave site in Spain has one of the most complete archaeological and palaeontological records of the Late Pleistocene in the Iberian Peninsula, encompassing most of the last c. 50,000 years. Among other studies, the fossiliferous record has allowed the development of various interpretations of faunal and climatic changes during this period of time in the northern Atlantic region of the Iberian Peninsula. The addition of more radiocarbon dates from El Mirón Cave make it possible to revise some of the interpretations of the micromammal sequence carried out earlier for this major site. The record of small mammals is one of the most used tools to study the climate of the past, and among them the several Arvicolinae species are of great importance for the study of Quaternary climatic variations, due to their adaptations to a great diversity of habitats. New methodologies such as ancient DNA and geometric morphometric analyses now permit us to conduct a review of the Arvicolinae species previously described at this site and better to differentiate between species with similar morphologies, like Microtus arvalis and M. agrestis. We also identified the presence of a species not recorded before in El Mirón, Terricola pyrenaicus. With the study of the Arvicolinae species associations, we reaffirm the climate variations originally described in this deposit, indicating in detail how the successive changes in temperature and environment took place throughout the course of the late Last Glacial and early Postglacial periods (Marine Isotope Stages 3–1)

Clinical Trials and Novel Pathogens: Lessons Learned from SARS

During the recent global outbreak of severe acute respiratory syndrome (SARS), thousands of patients received treatments of uncertain efficacy and known toxicity such as ribavirin and corticosteroids. Despite this, no controlled clinical trials assessing the efficacy of these agents were conducted. If a second global SARS outbreak occurred, clinicians would not have controlled data on which to base therapeutic decisions. We discuss the unique methodologic and logistical challenges faced by researchers who attempt to conduct controlled trials of therapeutic agents during an outbreak of a novel or unknown infectious pathogen. We draw upon our own experience in attempting to conduct a randomized controlled trial (trial) of ribavirin therapy for SARS and discuss the lessons learned. Strategies to facilitate future clinical trials during outbreaks of unknown or novel pathogens are also presented

Measurement of Sibling Violence: A Two-Factor Model of Severity

The measurement of violence is a major challenge in aggression research. Because of the heterogeneous nature of violent behavior, problems arise when applying blanket measures to inherently distinct subtypes of aggression. Incidents of intersibling violence (ISV) exacerbate these problems because siblinghood represents a unique offender–victim situation. This research explored whether an existing two-factor model for severe violence found in a sample of 250 adult offenders (age M = 26.8, SD = 5.9) could be generalized to deliberate severe ISV in a sample of 111 young offenders (age M = 14.83, SD = 1.45). Exploratory factor analysis revealed a two-factor model encompassing severe ISV perpetration with weapon use (Factor 1) and severe ISV perpetration without weapon use (Factor 2). The results provide strong empirical support for the two-factor model of violence severity previously established with adult offenders. This analysis demonstrates construct validity of the severity measures among the different types of offenders studied and provides support for generalization across populations