536 research outputs found

    TOBACCO CESSATION: COMPARING SMOKERS WITH AND WITHOUT SUB-STANCE ABUSE HISTORY

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    poster abstractSmoking cessation has been suggested to be more difficult for individuals with a history of chemical dependence. Previous research suggests a higher intensity of nicotine addiction, greater negative affect, and unfavorable psy-chometric assessment scores during cessation. The Indiana University Nico-tine Dependence Program (IUNDP) treated over 1200 patients using a Mayo Clinic-based approach which assesses the behavioral, social, and physiologi-cal aspects of tobacco and nicotine dependence. The IUNDP was also insti-tuted at FB. Participant charts (1992-2011) were selected from IUSD and FB for retrospective analysis. Chart selection criteria consisted of complete, pre-and post quit measures for a minimum of four appointments, and two post-quit appointments. 107 charts from patients without history of chemical de-pendence (ND) and 123 from those with a chemical dependence (CD) history were reviewed. Student researchers, trained to a standardized protocol, cap-tured 16 tobacco use and demographic variables, and 12 post-quit treatment measures. Analyses were made using Pearson chi-square tests for binary da-ta, Wilcoxon rank sum tests for all other data, and Wilcoxon signed rank tests for changes between time periods. Comparatively, smokers in the CD group were likely to be male, and displayed an increase in the following: sensorimotor handling scores of the Horn psychological test of nicotine de-pendence, negative mood, anxiety, restlessness, and average withdrawal scores (p<0.05). Additionally, CD smokers had less decrease in anger, but a greater decrease in frustration (p<0.05). Despite some differences, smokers with and without a history of substance abuse were similar in their tobacco-related addiction parameters. Results suggest that smokers with a history of chemical dependence have greater difficulty during smoking cessation with respect to addiction-related sensorimotor manipulation and psychological withdrawal symptoms

    Topological superconducting phases in disordered quantum wires with strong spin-orbit coupling

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    Zeeman fields can drive semiconductor quantum wires with strong spin-orbit coupling and in proximity to s-wave superconductors into a topological phase which supports end Majorana fermions and offers an attractive platform for realizing topological quantum information processing. Here, we investigate how potential disorder affects the topological phase by a combination of analytical and numerical approaches. Most prominently, we find that the robustness of the topological phase against disorder depends sensitively and non-monotonously on the Zeeman field applied to the wire.Comment: 6 pages, 3 figures; published versio

    Zero-voltage conductance peak from weak antilocalization in a Majorana nanowire

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    We show that weak antilocalization by disorder competes with resonant Andreev reflection from a Majorana zero-mode to produce a zero-voltage conductance peak of order e^2/h in a superconducting nanowire. The phase conjugation needed for quantum interference to survive a disorder average is provided by particle-hole symmetry - in the absence of time-reversal symmetry and without requiring a topologically nontrivial phase. We identify methods to distinguish the Majorana resonance from the weak antilocalization effect.Comment: 13 pages, 8 figures. Addendum, February 2014: Appendix B shows results for weak antilocalization in the circular ensemble. (This appendix is not in the published version.

    The three dimensional globally modified Navier-Stokes equations: Recent developments

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    The globally modified Navier-Stokes equations (GMNSE) were introduced by Caraballo, Kloeden & Real in 2006 and have been investigated in a number of papers since then, both for their own sake and as a means of obtaining results about the 3-dimensionalNavier-Stokes equations. These results were reviewed by Kloeden et al, which was published in 2009, but there have been some important developments since then, which will be reviewed here

    A two-centred pragmatic randomised controlled trial of two interventions of postnatal support

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    Objectives: To establish whether providing additional postnatal support during the early postnatal months influences women's physical and psychological health and to identify health service benefits. Design: Pragmatic randomised controlled trial with a 2 × 2 factorial design with two interventions. Setting: Community centres, Ayrshire and Grampian, Scotland. Population: One thousand and four primiparous women, 83% completed the baseline questionnaire, 71% at six months. Methods: (1) An invitation to a local postnatal support group run weekly with a facilitator, starting two weeks postpartum. (2) A postnatal support manual, posted two weeks postpartum. Main outcome measures: Data regarding primary outcome postnatal depression (Edinburgh Postnatal Depression Scale, EPDS), secondary outcomes, general health measures (SF-36), social support (SSQ6), use of health services and women's views of interventions were collected at two weeks postpartum and at three and six months. Results: There were no significant differences in EPDS scores between the control and trial arms at three and six months, nor were there differences in the SF-36 and the SSQ6 scores. The 95% CI for the difference in EPDS effectively excluded a change in mean score of more than 10% with either intervention. There were no differences in health service attendances in primary or secondary care between the control and trial arms. Of those women who attended the groups, 40% attended six or more. Women reported favourably on the ‘pack’ with the majority reading it a few times and feeling that it was aimed at them. Conclusions: Wide-scale provision by the National Health Service of either support groups or self-help manuals is not appropriate if the aim is to improve measurable health outcomes

    Cor triatriatum sinister in a dog

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    This report describes the transthoracic and transesophageal echocardiographic features of cor triatriatum sinister in an asymptomatic 6-year-old male French bulldog. Although cor triatriatum sinister represents a well-known and widely described cardiac malformation in humans, its description in the canine population is rare. In this clinical case, non-invasive echocardiographic techniques were helpful in visualizing and characterizing the lesion, allowing a valuable assessment of the malformation, and its hemodynamic consequences

    Impact orientation and venture capital financing: The interplay of governmental, social impact and traditional venture capital

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    In addition to traditional venture capital (VC), governmental VC and social impact VC investors have emerged as alternatives to fund entrepreneurial ventures, especially start-ups that incor- porate social and/or environmental objectives into commercial operations. Using a sample of 15,510 VC-backed start-ups, we show that impact-oriented ventures are more likely to receive funding from alternative VCs. Both social and environmental orientations increase the chances that a start-up secures funding from impact VCs while social orientation drives results for gov- ernment VCs. Importantly, we also show that impact-oriented ventures are more likely to secure investment from traditional VCs when impact and governmental VCs co-invest

    A pediatric case of Miller Fisher syndrome with central involvement.

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    Retrospective evaluation of the ST segment electrocardiographic features in 180 healthy dogs

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    Objectives Normal features of the ST segment are poorly characterised in dogs. This study aimed to describe ST segment characteristics in a population of healthy dogs. Materials and Methods Medical records were reviewed to identify healthy dogs that underwent an electrocardiogram. Several ST segment qualitative parameters were evaluated: presence/absence of deviation, type of deviation (depression/elevation) and morphological patterns of depression (horizontal, downsloping, upsloping and sagging) and elevation (horizontal, concave and convex). Moreover, the amplitude of ST segment depression/elevation was measured. The potential effect of sex, bodyweight, age and somatotype on the presence/absence of ST segment deviation was evaluated through binary logistic regression. Results One hundred and eighty dogs were enrolled. The deviation was evident in 43 of 180 dogs (23.9%), among which 36 showed depression and seven showed elevation. The median depression amplitude was 0.1 (range 0.05 to 0.3) mV. The mean elevation amplitude was 0.136 +/- 0.055 mV. Concerning depression morphology, the horizontal pattern was overrepresented, followed by the downsloping and upsloping ones. Concerning elevation morphology, all dogs showed a concave pattern. No meaningful effect of sex, bodyweight, age and somatotype on the presence/absence of ST segment deviation was documented. Clinical Significance Normal features of canine ST segment were described and made available for clinical use

    Efficacy and tolerability of the American Heartworm Society therapeutic protocol in dogs affected by heartworm disease without caval syndrome

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    Objectives: The American Heartworm Society medical protocol represents the current standard of therapy for canine heartworm disease without caval syndrome. However, data on the tolerability of this protocol are limited. This study aimed to describe efficacy and prevalence of possible treatment-related side effects in dogs with heartworm disease treated using the American Heartworm Society protocol.Materials and Methods: For this retrospective multi-centre cohort study, dogs diagnosed with classes 1 to 3 heartworm disease that completed the American Heartworm Society medical protocol were searched in four medical databases. Demographic, clinical, diagnostic, therapeutic and outcome data, including the number and type of possible treatment-related side effects, were retrieved.Results: Thirty-five dogs were included. The median age and bodyweight were 6 years (1 to 13 years) and 17.3 kg (4.9 to 50 kg), respectively. Heartworm disease was classified as classes 1, 2 and 3 in 20 of 35, 11 of 35 and four of 35 dogs, respectively. In addition to the therapeutic recommendations of the American Heartworm Society, eight of 35 dogs underwent sedation to favour melarsomine administration, and 30 of 35 received ice at the injection site. After adulticide therapy, all dogs were hospitalised with cage rest [median time 12 hours (6 to 48 hours)]. All dogs survived the treatment. All dogs with long-term follow-up (32/35) became negative. Furthermore, treatment-related side effects were rare, mild and rapidly recovered without the need for supporting therapies; these included depression/lethargy (4/35 dogs), cough (2/35 dogs) and lameness, pain and gastrointestinal signs (1/35 dog each).Clinical Significance: The American Heartworm Society medical protocol is efficient and safe in dogs with classes 1 to 3 heartworm disease
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