798 research outputs found
Nanosecond molecular relaxations in lipid bilayers studied by high energy resolution neutron scattering and in-situ diffraction
We report a high energy-resolution neutron backscattering study to
investigate slow motions on nanosecond time scales in highly oriented solid
supported phospholipid bilayers of the model system DMPC -d54 (deuterated
1,2-dimyristoyl-sn-glycero-3-phoshatidylcholine), hydrated with heavy water.
Wave vector resolved quasi-elastic neutron scattering (QENS) is used to
determine relaxation times , which can be associated with different
molecular components, i.e., the lipid acyl chains and the interstitial water
molecules in the different phases of the model membrane system. The inelastic
data are complemented both by energy resolved and energy integrated in-situ
diffraction. From a combined analysis of the inelastic data in the energy and
time domain, the respective character of the relaxation, i.e., the exponent of
the exponential decay is also determined. From this analysis we quantify two
relaxation processes. We associate the fast relaxation with translational
diffusion of lipid and water molecules while the slow process likely stems from
collective dynamics
Effectiveness of a web-based intervention aimed at healthy dietary and physical activity behavior: a randomized controlled trial about users and usage
Background:\ud
Recent studies have shown the potential of Web-based interventions for changing dietary and physical activity (PA) behavior. However, the pathways of these changes are not clear. In addition, nonusage poses a threat to these interventions. Little is known of characteristics of participants that predict usage.\ud
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Objective:\ud
In this study we investigated the users and effect of the Healthy Weight Assistant (HWA), a Web-based intervention aimed at healthy dietary and PA behavior. We investigated the value of a proposed framework (including social and economic factors, condition-related factors, patient-related factors, reasons for use, and satisfaction) to predict which participants are users and which participants are nonusers. Additionally, we investigated the effectiveness of the HWA on the primary outcomes, self-reported dietary and physical activity behavior.\ud
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Methods:\ud
Our design was a two-armed randomized controlled trial that compared the HWA with a waiting list control condition. A total of 150 participants were allocated to the waiting list group, and 147 participants were allocated to the intervention group. Online questionnaires were filled out before the intervention period started and after the intervention period of 12 weeks. After the intervention period, respondents in the waiting list group could use the intervention. Objective usage data was obtained from the application itself.\ud
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Results:\ud
In the intervention group, 64% (81/147) of respondents used the HWA at least once and were categorized as “users.” Of these, 49% (40/81) used the application only once. Increased age and not having a chronic condition increased the odds of having used the HWA (age: beta = 0.04, P = .02; chronic condition: beta = 2.24, P = .003). Within the intervention group, users scored better on dietary behavior and on knowledge about healthy behavior than nonusers (self-reported diet: χ22 = 8.4, P = .02; knowledge: F1,125 = 4.194, P = .04). Furthermore, users underestimated their behavior more often than nonusers, and nonusers overestimated their behavior more often than users (insight into dietary behavior: χ22 = 8.2, P = .02). Intention-to-treat analyses showed no meaningful significant effects of the intervention. Exploratory analyses of differences between pretest and posttest scores of users, nonusers, and the control group showed that on dietary behavior only the nonusers significantly improved (effect size r = −.23, P = .03), while on physical activity behavior only the users significantly improved (effect size r = −.17, P = .03).\ud
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Conclusions:\ud
Respondents did not use the application as intended. From the proposed framework, a social and economic factor (age) and a condition-related factor (chronic condition) predicted usage. Moreover, users were healthier and more knowledgeable about healthy behavior than nonusers. We found no apparent effects of the intervention, although exploratory analyses showed that choosing to use or not to use the intervention led to different outcomes. Combined with the differences between groups at baseline, this seems to imply that these groups are truly different and should be treated as separate entities
Reaching the hearts and minds of illiterate women in the Amhara highland of Ethiopia:Development and pre-testing of oral HIV/AIDS prevention messages
In the style of radio programmes, we developed three episodes of audio HIV prevention education for illiterate women in Ethiopia. We used social-oriented presentation formats, such as discussion between women on HIV prevention, and expert-oriented presentation formats, such as an interview with a male doctor. The aim of this study was to assess the relation between evaluation of presentation formats and overall liking of episodes, which is important for persuasive effects. Thirty women from rural Amhara listened to the episodes and, after listening, female data collectors interviewed the women on evaluation of presentation formats, overall liking of episodes, identification with the characters and convincingness. Evaluation of social-oriented presentation formats was strongly related to overall liking of episodes, but evaluation of expert-oriented presentation formats was not. This relation was mediated through convincingness and not through identification. We conclude that social-oriented presentation formats make messages more convincing and, consequently, improve overall liking and persuasive impact
Computing singularities of perturbation series
Many properties of current \emph{ab initio} approaches to the quantum
many-body problem, both perturbational or otherwise, are related to the
singularity structure of Rayleigh--Schr\"odinger perturbation theory. A
numerical procedure is presented that in principle computes the complete set of
singularities, including the dominant singularity which limits the radius of
convergence. The method approximates the singularities as eigenvalues of a
certain generalized eigenvalue equation which is solved using iterative
techniques. It relies on computation of the action of the perturbed Hamiltonian
on a vector, and does not rely on the terms in the perturbation series. Some
illustrative model problems are studied, including a Helium-like model with
-function interactions for which M{\o}ller--Plesset perturbation theory
is considered and the radius of convergence found.Comment: 11 figures, submitte
Moving beyond a limited follow-up in cost-effectiveness analyses of behavioral interventions
Background
Cost-effectiveness analyses of behavioral interventions typically use a dichotomous outcome criterion. However, achieving behavioral change is a complex process involving several steps towards a change in behavior. Delayed effects may occur after an intervention period ends, which can lead to underestimation of these interventions. To account for such delayed effects, intermediate outcomes of behavioral change may be used in cost-effectiveness analyses. The aim of this study is to model cognitive parameters of behavioral change into a cost-effectiveness model of a behavioral intervention.
Methods
The cost-effectiveness analysis (CEA) of an existing dataset from an RCT in which an high-intensity smoking cessation intervention was compared with a medium-intensity intervention, was re-analyzed by modeling the stages of change of the Transtheoretical Model of behavioral change. Probabilities were obtained from the dataset and literature and a sensitivity analysis was performed.
Results
In the original CEA over the first 12 months, the high-intensity intervention dominated in approximately 58% of the cases. After modeling the cognitive parameters to a future 2nd year of follow-up, this was the case in approximately 79%.
Conclusion
This study showed that modeling of future behavioral change in CEA of a behavioral intervention further strengthened the results of the standard CEA. Ultimately, modeling future behavioral change could have important consequences for health policy development in general and the adoption of behavioral interventions in particular
Using usability-tests to improve language match of a web-based system for digital triage in primary care
Scale-Free topologies and Activatory-Inhibitory interactions
A simple model of activatory-inhibitory interactions controlling the activity
of agents (substrates) through a "saturated response" dynamical rule in a
scale-free network is thoroughly studied. After discussing the most remarkable
dynamical features of the model, namely fragmentation and multistability, we
present a characterization of the temporal (periodic and chaotic) fluctuations
of the quasi-stasis asymptotic states of network activity. The double (both
structural and dynamical) source of entangled complexity of the system temporal
fluctuations, as an important partial aspect of the Correlation
Structure-Function problem, is further discussed to the light of the numerical
results, with a view on potential applications of these general results.Comment: Revtex style, 12 pages and 12 figures. Enlarged manuscript with major
revision and new results incorporated. To appear in Chaos (2006
Entropy production in a mesoscopic chemical reaction system with oscillatory and excitable dynamics
Stochastic thermodynamics of chemical reaction systems has recently gained
much attention. In the present paper, we consider such an issue for a system
with both oscillatory and excitable dynamics, using catalytic oxidation of
carbon monoxide on the surface of platinum crystal as an example. Starting from
the chemical Langevin equations, we are able to calculate the stochastic
entropy production P along a random trajectory in the concentration state
space. Particular attention is paid to the dependence of the time averaged
entropy productionP on the system sizeN in a parameter region close to the
deterministic Hopf bifurcation.In the large system size (weak noise) limit, we
find that P N^{\beta} with {\beta}=0 or 1 when the system is below or abovethe
Hopf bifurcation, respectively. In the small system size (strong noise) limit,
P always increases linearly with N regardless of the bifurcation parameter.
More interestingly,P could even reach a maximum for some intermediate system
size in a parameter region where the corresponding deterministic system shows
steady state or small amplitude oscillation. The maximum value of P decreases
as the system parameter approaches the so-called CANARD point where the maximum
disappears.This phenomenon could be qualitativelyunderstood by partitioning the
total entropy production into the contributions of spikes and of small
amplitude oscillations.Comment: 13 pages, 6 figure
PMC19 COST-EFFECTIVENESS ANALYSES OF BEHAVIORAL INTERVENTIONS: TOWARDS A MORE REALISTIC COST-EFFECTIVENESS RATIO BY INCLUDING INTERMEDIATE OUTCOME MEASURES
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