A Spectroscopic Survey of the Fields of 28 Strong Gravitational Lenses: Implications for H0H_0

Strong gravitational lensing provides an independent measurement of the Hubble parameter ($H_0$). One remaining systematic is a bias from the additional mass due to a galaxy group at the lens redshift or along the sightline. We quantify this bias for more than 20 strong lenses that have well-sampled sightline mass distributions, focusing on the convergence $\kappa$ and shear $\gamma$. In 23% of these fields, a lens group contributes a $\ge$1% convergence bias; in 57%, there is a similarly significant line-of-sight group. For the nine time delay lens systems, $H_0$ is overestimated by 11$^{+3}_{-2}$% on average when groups are ignored. In 67% of fields with total $\kappa \ge$ 0.01, line-of-sight groups contribute $\gtrsim 2\times$ more convergence than do lens groups, indicating that the lens group is not the only important mass. Lens environment affects the ratio of four (quad) to two (double) image systems; all seven quads have lens groups while only three of 10 doubles do, and the highest convergences due to lens groups are in quads. We calibrate the $\gamma$-$\kappa$ relation: $\log(\kappa_{\rm{tot}}) = (1.94 \pm 0.34) \log(\gamma_{\rm{tot}}) + (1.31 \pm 0.49)$ with a rms scatter of 0.34 dex. Shear, which, unlike convergence, can be measured directly from lensed images, can be a poor predictor of $\kappa$; for 19% of our fields, $\kappa$ is $\gtrsim 2\gamma$. Thus, accurate cosmology using strong gravitational lenses requires precise measurement and correction for all significant structures in each lens field.Comment: 34 pages, 11 figures, accepted for publication in Ap

Cognitive-Behavioral Treatment of Social Anxiety Disorder and Comorbid Paranoid Schizophrenia

We report on the cognitive-behavioral treatment (CBT) of a patient with comorbid social anxiety disorder (SAD), schizophrenia, and major depressive disorder, complicated by alcohol abuse. Symptoms included auditory hallucinations that commented on the patient’s behavior and paranoid thoughts. The paranoid symptoms affected his social interactions as this included the fear that his thoughts may be heard and judged by others. Therapeutic activities raised awareness as to how avoidance interferes with and perpetuates the cycle of depression and psychosis while maintaining symptoms of SAD. Psychoeducation was provided about factors that maintain social anxiety and increase social isolation. New skills were obtained by helping the patient discover alternative ways to view social situations, experimentation, and real-world application to disprove notions about others’ predicted behavior. Treatment led to a great reduction in social anxiety, depression, and suspicious thinking. This case study demonstrates that SAD symptoms in a patient experiencing psychosis can be effectively treated using CBT

Plant Sterols as Dietary Adjuvants in the Reduction of Cardiovascular Risk: Theory and Evidence

Plant sterol-enriched foods are an effective dietary adjuvant in reducing cardiovascular risk by lowering total cholesterol and low density lipoprotein-cholesterol (LDL-C) in serum by up to ∼15%. The mechanism of action of plant sterols is different from those of 3-hydroxy-3-methylglutaryl coenzyme A inhibitors (statins) and thus their effect is additive. Combining plant sterols with other dietary components known to reduce cholesterol in a portfolio approach has proven to be most effective for reduction of hypercholesterolemia and provide an alternative treatment option for clinicians. Plant sterol-enriched foods provides clinicians with a relatively cheap, safe, and effective way to help patients manage their cardiovascular risk