Health-Related Quality of Life for individuals with hepatitis C: A narrative review.

BACKGROUND The assessment of Health-Related Quality of Life (HRQoL) in hepatitis C (HCV) infected individuals continues to gain importance. However, rarely do reviews of this literature consider quantitative and qualitative accounts of HRQoL collectively, which only allows partial insight into the topic. This narrative review aims to address this gap in the literature. METHODS Literature searches were conducted using seven databases with two separate search strategies, and results assessed for eligibility using specific inclusion/exclusion criteria; a data extraction sheet was used to identify the dominant themes for each research paradigm which were then distilled to key findings to construct the narrative. RESULTS Quantitative investigation reveals a low HRQoL in individuals with HCV due to a complex multifactorial cause. During treatment for HCV, a further transient reduction is observed, followed by improvement if a sustained virological response is achieved. Qualitative data provide a recognisable voice to the everyday challenges experienced by individuals with HCV including insights into diagnosis and stigmatisation, contextualising how a reduced HRQoL is experienced day-to-day. Methodological limitations of these findings are then discussed. Much of the quantitative data has little relevance to current substance users as they are excluded from most trials, and appraisal of the qualitative literature reveals a marked difference in the lived experience of HCV infected current substance users and that of other HCV groups. CONCLUSION Concurrent analysis of quantitative and qualitative paradigms provides a deeper understanding of the true burden of HCV illness on HRQoL. Greater utilisation of qualitative research within international clinical guidelines is likely to be of benefit in identifying relevant HRQoL outcomes for substance users.

Exploring the compassion deficit debate.

Several recent high profile failures in the UK health care system have promoted strong debate on compassion and care in nursing. A number of papers articulating a range of positions within this debate have been published in this journal over the past two and a half years. These articulate a diverse range of theoretical perspectives and have been drawn together here in an attempt to bring some coherence to the debate and provide an overview of the key arguments and positions taken by those involved. In doing this we invite the reader to consider their own position in relation to the issues raised and to consider the impact of this for their own practice. Finally the paper offers some sense of how individual practitioners might use their understanding of the debates to ensure delivery of good nursing care.

Exercise as a polypill for chronic diseases

Exercise may be described as a polypill to prevent and/or treat almost every chronic disease, with obvious benefits such as its low cost and practical lack of adverse effects. Implementing physical activity interventions in public health is therefore a goal at the medical, social, and economic levels. This chapter describes the importance of health promotion through physical activity and discusses the impacts of exercise on the most prevalent chronic diseases, namely metabolic syndrome-related disorders, cardiovascular diseases, cancer, and Alzheimer's disease. For each of these chronic conditions, we discuss the epidemiological evidence supporting a beneficial role of exercise, provide guidelines for exercise prescription, and describe the biological mechanisms whereby exercise exerts its modulatory effects.

Aspects of Armageddon: An exploration of the role of volcanic eruptions in human history and civilization

Grattan, J.P. (2006) Aspects of Armageddon: An exploration of the role of volcanic eruptions in human history and civilization, Quaternary International 151, 10-18.

A influência dos principais factores de risco cardiovascular nos AVCs e consequente perturbação da linguagem adquirida

Trabalho de Projeto apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Terapêutica da Fala, área de especialização em Linguagem no Adulto

Type Reconstruction in the Presence of Polymorphic Recursion and the Recursive Types

We establish the equivalence of type reconstruction with polymorphic recursion and recursive types is equivalent to regular semi-unification which proves the undecidability of the corresponding type reconstruction problem. We also establish the equivalence of type reconstruction with polymorphic recursion and positive recursive types to a special case of regular semi-unification which we call positive regular semi-unification. The decidability of positive regular semi-unification is an open problem.

Dynamic Window-Constrained Scheduling for Real-Time Media Streaming

This paper describes an algorithm for scheduling packets in real-time multimedia data streams. Common to these classes of data streams are service constraints in terms of bandwidth and delay. However, it is typical for real-time multimedia streams to tolerate bounded delay variations and, in some cases, finite losses of packets. We have therefore developed a scheduling algorithm that assumes streams have window-constraints on groups of consecutive packet deadlines. A window-constraint defines the number of packet deadlines that can be missed in a window of deadlines for consecutive packets in a stream. Our algorithm, called Dynamic Window-Constrained Scheduling (DWCS), attempts to guarantee no more than x out of a window of y deadlines are missed for consecutive packets in real-time and multimedia streams. Using DWCS, the delay of service to real-time streams is bounded even when the scheduler is overloaded. Moreover, DWCS is capable of ensuring independent delay bounds on streams, while at the same time guaranteeing minimum bandwidth utilizations over tunable and finite windows of time. We show the conditions under which the total demand for link bandwidth by a set of real-time (i.e., window-constrained) streams can exceed 100% and still ensure all window-constraints are met. In fact, we show how it is possible to guarantee worst-case per-stream bandwidth and delay constraints while utilizing all available link capacity. Finally, we show how best-effort packets can be serviced with fast response time, in the presence of window-constrained traffic.

The Undecidability of Mitchell's Subtyping Relationship

Mitchell defined and axiomatized a subtyping relationship (also known as containment, coercibility, or subsumption) over the types of System F (with "→" and "∀"). This subtyping relationship is quite simple and does not involve bounded quantification. Tiuryn and Urzyczyn quite recently proved this subtyping relationship to be undecidable. This paper supplies a new undecidability proof for this subtyping relationship. First, a new syntax-directed axiomatization of the subtyping relationship is defined. Then, this axiomatization is used to prove a reduction from the undecidable problem of semi-unification to subtyping. The undecidability of subtyping implies the undecidability of type checking for System F extended with Mitchell's subtyping, also known as "F plus eta".

Beta-Reduction As Unification

We define a unification problem ^UP with the property that, given a pure lambda-term M, we can derive an instance Gamma(M) of ^UP from M such that Gamma(M) has a solution if and only if M is beta-strongly normalizable. There is a type discipline for pure lambda-terms that characterizes beta-strong normalization; this is the system of intersection types (without a "top" type that can be assigned to every lambda-term). In this report, we use a lean version LAMBDA of the usual system of intersection types. Hence, ^UP is also an appropriate unification problem to characterize typability of lambda-terms in LAMBDA. It also follows that ^UP is an undecidable problem, which can in turn be related to semi-unification and second-order unification (both known to be undecidable).

Color Region Grouping and Shape Recognition with Deformable Models

A new deformable shape-based method for color region segmentation is described. The method includes two stages: over-segmentation using a traditional color region segmentation algorithm, followed by deformable model-based region merging via grouping and hypothesis selection. During the second stage, region merging and object identification are executed simultaneously. A statistical shape model is used to estimate the likelihood of region groupings and model hypotheses. The prior distribution on deformation parameters is precomputed using principal component analysis over a training set of region groupings. Once trained, the system autonomously segments deformed shapes from the background, while not merging them with similarly colored adjacent objects. Furthermore, the recovered parametric shape model can be used directly in object recognition and comparison. Experiments in segmentation and image retrieval are reported.

Generating Good Degree Distributions for Sparse Parity Check Codes using Oracles

Fast forward error correction codes are becoming an important component in bulk content delivery. They fit in naturally with multicast scenarios as a way to deal with losses and are now seeing use in peer to peer networks as a basis for distributing load. In particular, new irregular sparse parity check codes have been developed with provable average linear time performance, a significant improvement over previous codes. In this paper, we present a new heuristic for generating codes with similar performance based on observing a server with an oracle for client state. This heuristic is easy to implement and provides further intuition into the need for an irregular heavy tailed distribution.

Fast Approximate Reconciliation of Set Differences

We present new, simple, efficient data structures for approximate reconciliation of set differences, a useful standalone primitive for peer-to-peer networks and a natural subroutine in methods for exact reconciliation. In the approximate reconciliation problem, peers A and B respectively have subsets of elements SA and SB of a large universe U. Peer A wishes to send a short message M to peer B with the goal that B should use M to determine as many elements in the set SB–SA as possible. To avoid the expense of round trip communication times, we focus on the situation where a single message M is sent. We motivate the performance tradeoffs between message size, accuracy and computation time for this problem with a straightforward approach using Bloom filters. We then introduce approximation reconciliation trees, a more computationally efficient solution that combines techniques from Patricia tries, Merkle trees, and Bloom filters. We present an analysis of approximation reconciliation trees and provide experimental results comparing the various methods proposed for approximate reconciliation.

"Networking is IPC": A Guiding Principle to a Better Internet

This position paper outlines a new network architecture, i.e., a style of construction that identifies the objects and how they relate. We do not specify particular protocol implementations or specific interfaces and policies. After all, it should be possible to change protocols in an architecture without changing the architecture. Rather we outline the repeating patterns and structures, and how the proposed model would cope with the challenges faced by today's Internet (and that of the future). Our new architecture is based on the following principle: Application processes communicate via a distributed inter-process communication (IPC) facility. The application processes that make up this facility provide a protocol that implements an IPC mechanism, and a protocol for managing distributed IPC (routing, security and other management tasks). Existing implementation strategies, algorithms, and protocols can be cast and used within our proposed new structure.

On Finding Sensitivity of Quantum and Classical Gates

We consider a fault model of Boolean gates, both classical and quantum, where some of the inputs may not be connected to the actual gate hardware. This model is somewhat similar to the stuck-at model which is a very popular model in testing Boolean circuits. We consider the problem of detecting such faults; the detection algorithm can query the faulty gate and its complexity is the number of such queries. This problem is related to determining the sensitivity of Boolean functions. We show how quantum parallelism can be used to detect such faults. Specifically, we show that a quantum algorithm can detect such faults more efficiently than a classical algorithm for a Parity gate and an AND gate. We give explicit constructions of quantum detector algorithms and show lower bounds for classical algorithms. We show that the model for detecting such faults is similar to algebraic decision trees and extend some known results from quantum query complexity to prove some of our results.

3D Trajectory Recovery for Tracking Multiple Objects and Trajectory Guided Recognition of Actions

A mechanism is proposed that integrates low-level (image processing), mid-level (recursive 3D trajectory estimation), and high-level (action recognition) processes. It is assumed that the system observes multiple moving objects via a single, uncalibrated video camera. A novel extended Kalman filter formulation is used in estimating the relative 3D motion trajectories up to a scale factor. The recursive estimation process provides a prediction and error measure that is exploited in higher-level stages of action recognition. Conversely, higher-level mechanisms provide feedback that allows the system to reliably segment and maintain the tracking of moving objects before, during, and after occlusion. The 3D trajectory, occlusion, and segmentation information are utilized in extracting stabilized views of the moving object. Trajectory-guided recognition (TGR) is proposed as a new and efficient method for adaptive classification of action. The TGR approach is demonstrated using "motion history images" that are then recognized via a mixture of Gaussian classifier. The system was tested in recognizing various dynamic human outdoor activities; e.g., running, walking, roller blading, and cycling. Experiments with synthetic data sets are used to evaluate stability of the trajectory estimator with respect to noise.