801 research outputs found
Calorimetric study of the thermodynamic properties of the nickel-cadmium cell Final report, 1 Oct. 1964 - 31 Dec. 1965
Thermal properties of electrochemical cells from calorimetry of nickel-cadmium batter
The association of cannabis use with quality of life and psychosocial functioning in psychosis
BACKGROUND: Cannabis use is highly prevalent among people with a psychotic disorder. They often report sociality, coping with unpleasant affect and having positive experiences as important reasons for cannabis use, suggesting that cannabis improves their quality of life (QoL) and psychosocial functioning. However, based on previous studies we hypothesize that cannabis use is negatively associated with long-term subjective QoL and psychosocial functioning in people with a psychotic disorder. METHODS: We included 2994 people with a psychotic disorder (36.4% female), mean age 44.4 (SD 11.9), mean illness duration 17.2 years (SD 11.1), who participated in two yearly routine outcome assessments between 2014 and 2018 (interval 9-15 months) from the naturalistic PHAMOUS cohort study. Linear regression analyses were used to examine whether first assessment cannabis use was associated with QoL (ManSA) and psychosocial functioning (HoNOS). Changes in outcomes between assessments were analyzed with AN(C)OVA, to examine differences between continuers (n = 255), discontinuers (n = 85), starters (n = 83) and non-users (n = 2571). RESULTS: At first assessment, 11.4% was using cannabis. They had lower QoL (B = -2.93, p < 0.001) and worse psychosocial functioning (B = 1.03, p = 0.002) than non-users. After one year, changes in QoL and psychosocial functioning were not significantly different between continuers, starters, discontinuers and non-users. CONCLUSIONS: Cannabis users were less satisfied with their family relations and financial situation and showed more aggressive and disruptive behavior and self-harm than non-users. These differences are likely the result of patients having used cannabis for many years. Starting or discontinuing cannabis did not lead to changes in QoL and psychosocial functioning within one year
The Impact of the Extent of Lymphadenectomy on Oncologic Outcomes in Patients Undergoing Radical Cystectomy for Bladder Cancer : A Systematic Review
Copyright © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.Peer reviewedPostprin
Interpreting Quality-of-Life Questionnaires in Patients with Long-Standing Facial Palsy
Objective(s): To interpret change in quality-of-life scores in facial palsy patients by calculating the smallest detectable change (SDC) and minimal important change (MIC) for the Facial Disability Index (FDI), Facial Clinimetric Evaluation (FaCE) scale, and Synkinesis Assessment Questionnaire (SAQ). Materials and Methods: The SDC, for individuals and groups, was calculated using previously collected test-retest data (2-week interval). The MIC (predictive modeling method) was calculated in a second similar facial palsy population using two measurements (1-1.5-year interval) and an anchor question assessing perceived change. Results: SDC(individual) of FaCE was 17.6 and SAQ was 28.2. SDC(group) of FaCE was 2.9 and SAQ was 4.6 (nâ=â62). Baseline FaCE and SAQ scores were 43.3 (interquartile range [IQR]: 35.8;55.0) and 51.1 (IQR: 32.2;60.0), respectively. MIC for important improvement of FDI physical/social function, FaCE total, and SAQ total were 4.4, 0.4, 0.7, and 2.8, respectively (nâ=â88). MIC for deterioration was 8.2, -1.8, -8.5, and 0.6, respectively. Baseline scores were 70.0 (IQR: 60.0;80.0), 76.0 (68.0;88.0), 55.0 (IQR: 40.0;61.7), and 26.7 (IQR: 22.2;35.6), respectively. Number of participants reporting important change for the different questionnaires ranged from 3 to 23 per subscale. Conclusion: Interpreting change scores of the FDI, FaCE, and SAQ is appropriate for groups, but for individual patients it is limited by a substantial SDC
Tensor Analyzing Powers for Quasi-Elastic Electron Scattering from Deuterium
We report on a first measurement of tensor analyzing powers in quasi-elastic
electron-deuteron scattering at an average three-momentum transfer of 1.7
fm. Data sensitive to the spin-dependent nucleon density in the deuteron
were obtained for missing momenta up to 150 MeV/ with a tensor polarized
H target internal to an electron storage ring. The data are well described
by a calculation that includes the effects of final-state interaction,
meson-exchange and isobar currents, and leading-order relativistic
contributions.Comment: 4 pages, 3 figure
Extraction of electromagnetic neutron form factors through inclusive and exclusive polarized electron scattering on polarized 3He target
Inclusive 3He(e,e') and exclusive 3He(e,e'n) processes with polarized
electrons and 3He have been theoretically analyzed and values for the magnetic
and electric neutron form factors have been extracted. In both cases the form
factor values agree well with the ones extracted from processes on the
deuteron. Our results are based on Faddeev solutions, modern NN forces and
partially on the incorporation of mesonic exchange currents.Comment: 28 pages, 29 Postscript figure
Characteristics of self-care interventions for patients with a chronic condition: A scoping review
Background: Self-care is a fundamental element of treatment for patients with a chronic condition and a major focus of many interventions. A large body of research exists describing different types of self-care interventions, but these studies have never been compared across conditions. Examination of heterogeneous interventions could provide insights into effective approaches that should be used in diverse patient populations.
Objectives: To provide a comprehensive and standardized cross-condition overview of interventions to enhance self-care in patients with a chronic condition. Specific aims were to: 1) identify what self-care concepts and behaviors are evaluated in self-care interventions; 2) classify and quantify heterogeneity in mode and type of delivery; 3) quantify the behavior change techniques used to enhance self-care behavior; and 4) assess the dose of self-care interventions delivered.
Design: Scoping review DATA SOURCES: Four electronic databases - PubMed, EMBASE, PsychINFO and CINAHL - were searched from January 2008 through January 2019.
Eligibility criteria for study selection: Randomized controlled trials (RCTs) with concealed allocation to the intervention were included if they compared a behavioral or educational self- care intervention to usual care or another self-care intervention and were conducted in adults. Nine common chronic conditions were included: hypertension, coronary artery disease, arthritis, chronic kidney disease, heart failure, stroke, asthma, chronic obstructive lung disease, and type 2 diabetes mellitus. Diagnoses that are psychiatric (e.g. schizophrenia), acute rather than chronic, or benefitting little from self-care (e.g. dementia) were excluded. Studies had to be reported in English with full-text available.
Results: 9309 citations were considered and 233 studies were included in the final review. Most studies addressed type 2 diabetes mellitus (n = 85; 36%), hypertension (n = 32; 14%) or heart failure (n = 27; 12%). The majority (97%) focused on healthy behaviors like physical activity (70%), dietary intake (59%), and medication management (52%). Major deficits found in self-care interventions included a lack of attention to the psychological consequences of chronic illness, technology and behavior change techniques were rarely used, few studies focused on helping patients manage signs and symptoms, and the interventions were rarely innovative. Research reporting was generally poor.
Conclusions: Major gaps in targeted areas of self-care were identified. Opportunities exist to improve the quality and reporting of future self-care intervention research. Registration: The study was registered in the PROSPERO database (#123,719)
Precise Neutron Magnetic Form Factors
Precise data on the neutron magnetic form factor G_{mn} have been obtained
with measurements of the ratio of cross sections of D(e,e'n) and D(e,e'p) up to
momentum transfers of Q^2 = 0.9 (GeV/c)^2. Data with typical uncertainties of
1.5% are presented. These data allow for the first time to extract a precise
value of the magnetic radius of the neutron.Comment: 10 pages, 2 figures, submitted to Physics Letters
Relativistic effects and two-body currents in using out-of-plane detection
Measurements of the reaction were performed
using an 800-MeV polarized electron beam at the MIT-Bates Linear Accelerator
and with the out-of-plane magnetic spectrometers (OOPS). The
longitudinal-transverse, and , and the
transverse-transverse, , interference responses at a missing momentum
of 210 MeV/c were simultaneously extracted in the dip region at Q=0.15
(GeV/c). On comparison to models of deuteron electrodisintegration, the
data clearly reveal strong effects of relativity and final-state interactions,
and the importance of the two-body meson-exchange currents and isobar
configurations. We demonstrate that these effects can be disentangled and
studied by extracting the interference response functions using the novel
out-of-plane technique.Comment: 4 pages, 4 figures, and submitted to PRL for publicatio
Does electronic clinical microbiology results reporting influence medical decision making: a pre- and post-interview study of medical specialists
Background: Clinicians view the accuracy of test results and the turnaround time as the two most important service aspects of the clinical microbiology laboratory. Because of the time needed for the culturing of infectious agents, final hardcopy culture results will often be available too late to have a significant impact on early antimicrobial therapy decisions, vital in infectious disease management. The clinical microbiologist therefore reports to the clinician clinically relevant preliminary results at any moment during the diagnostic process, mostly by telephone. Telephone reporting is error prone, however. Electronic reporting of culture results instead of reporting on paper may shorten the turnaround time and may ensure correct communication of results. The purpose of this study was to assess the impact of the implementation of electronic reporting of final microbiology results on medical decision making. Methods. In a pre- and post-interview study using a semi-structured design we asked medical specialists in our hospital about their use and appreciation of clinical microbiology results reporting before and after the implementation of an electronic reporting system. Results: Electronic reporting was highly appreciated by all interviewed clinicians. Major advantages were reduction of hardcopy handling and the possibility to review results in relation to other patient data. Use and meaning of microbiology reports differ significantly between medical specialties. Most clinicians need preliminary results for therapy decisions quickly. Therefore, after the implementation of electronic reporting, telephone consultation between clinician and microbiologist remained the key means of communication. Conclusions: Overall, electronic reporting increased the workflow efficiency of the medical specialists, but did not have an impact on their decision-making
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