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King M.,Street Capital | Deveaux A.,Capital University | White H.,Care Capital | Rayson D.,Atlantic Clinical Cancer Research Unit
Supportive Care in Cancer | Year: 2012

Background Lymphedema as a result of curative surgery for breast cancer can lead to long-term morbidity. Decongestive lymphatic therapy (DLT) is recognized as an optimal management strategy for patients with moderate symptomatologies, but there is little data in regard to the most effective means of providing compression therapy within a DLT protocol. We conducted a randomized trial of two forms of compression therapy within the initial treatment phase of a DLT protocol for breast cancer-related lymphedema. Methods Subjects were required to have mild-moderate lymphedema (10-40% volume difference) acquired as a result of curative breast cancer surgery and were randomized to compression bandaging or garments within the initial treatment phase of a DLT protocol. Primary endpoint was change in affected limb volume assessed via volumetry, and secondary endpoints were symptom control and upper extremity function assessed via visual analogue scales and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, respectively. Endpoints were assessed at day 10 of treatment and at 3 months and compared to baseline. Results Twenty-one subjects were available for analysis. The group receiving bandaging experienced greater median volume reductions at 10 days (70 vs. 5 mL; p=0.387) and at 3 months (97.5 vs. 50 mL; p=0.182). The bandaging group also experienced a greater increase in median DASH scores at 10 days (+20.9 vs. +5; p=0.143) and at 3 months (+18.4 vs. +3.3; p=0.065). Conclusion Within the initial treatment phase of a DLT protocol for acquired, breast cancer-related lymphedema, compression bandaging may lead to greater volume reduction but worse upper extremity functional status (higher DASH scores) as compared to compression garments. © Springer-Verlag 2011.

Wijtenburg S.A.,University of Maryland Baltimore County | Yang S.,University of Illinois at Chicago | Fischer B.A.,University of Maryland Baltimore County | Fischer B.A.,Street Capital | And 2 more authors.
Neuroscience and Biobehavioral Reviews | Year: 2015

In vivo measurement of neurotransmitters and modulators is now feasible with advanced proton magnetic resonance spectroscopy (1H MRS) techniques. This review provides a basic tutorial of MRS, describes the methods available to measure brain glutamate, glutamine, γ-aminobutyric acid, glutathione, N-acetylaspartylglutamate, glycine, and serine at magnetic field strengths of 3T or higher, and summarizes the neurochemical findings in schizophrenia. Overall, 1H MRS holds great promise for producing biomarkers that can serve as treatment targets, prediction of disease onset, or illness exacerbation in schizophrenia and other brain diseases. © 2015 Elsevier Ltd.

Background: Controlling behavior is more common and can be equally or more threatening than physical or sexual violence. This study sought to determine the role of husband/partner controlling behavior and power relations within intimate relationships in the lifetime risk of physical and sexual violence in Nigeria. Methods. This study used secondary data from a cross-sectional nationally-representative survey collected by face-to-face interviews from women aged 15 - 49 years in the 2008 Nigeria Demographic and Health Survey. Utilizing a stratified two-stage cluster sample design, data was collected frrm 19 216 eligible with the DHS domestic violence module, which is based on the Conflict Tactics Scale (CTS). Multivariate logistic regression analysis was used to determine the role of husband/partner controlling behavior in the risk of ever experiencing physical and sexual violence among 2877 women aged 15 - 49 years who were currently or formerly married or cohabiting with a male partner. Results: Women who reported controlling behavior by husband/partner had a higher likelihood of experiencing physical violence (RR = 3.04; 95% CI: 2.50 - 3.69), and women resident in rural areas and working in low status occupations had increased likelihood of experiencing physical IPV. Controlling behavior by husband/partner was associated with higher likelihood of experiencing physical violence (RR = 4.01; 95% CI: 2.54 - 6.34). In addition, women who justified wife beating and earned more than their husband/partner were at higher likelihood of experiencing physical and sexual violence. In contrast, women who had decision-making autonomy had lower likelihood of experiencing physical and sexual violence. Conclusion: Controlling behavior by husband/partner significantly increases the likelihood of physical and sexual IPV, thus acting as a precursor to violence. Findings emphasize the need to adopt a proactive integrated approach to controlling behavior and intimate partner violence within the society. © 2011 Antai; licensee BioMed Central Ltd.

Little J.,Street Capital
Australasian Psychiatry | Year: 2015

Objective: Rescuing, where the person is delivered from the immediacy of their conundrum by another, complicates management. The object of this paper is to understand the difficulty in relinquishing the rescuing role. Conclusion: Rescuing is a universal phenomenon in parenting, teaching and therapy that has developed over time through a variety of interwoven social, economic, psychological and clinical variables. © 2014 The Royal Australian and New Zealand College of Psychiatrists.

Belaissaoui B.,University of Lorraine | Cabot G.,INSA Rouen | Cabot M.-S.,INSA Rouen | Willson D.,Street Capital | Favre E.,University of Lorraine
Energy | Year: 2012

Post-combustion Carbon Capture and Storage (CCS) is currently intensively investigated as a key issue for the mitigation of greenhouse gases emissions. A very large number of studies is dedicated to coal power plants. In this paper, the possibility to achieve carbon capture on a gas turbine, based on a combination of flue gas recycle and membrane separation is reported. Membrane processes are effectively known to offer attractive performances in terms of energy efficiency, as soon as concentrated and/or pressure mixtures have to be treated. Two different flow schemes have been simulated and compared: flue gas recycle with air combustion and flue gas recycle with an oxygen enriched feed mixture. The energy requirement of the different processes, expressed in GJ (thermal basis) per ton of recovered CO 2, and the size of the membrane capture process (expressed in m 2 of membrane area) have been systematically estimated for different membrane separation performances. It is shown that an overall energy requirement down to 2.6GJ per ton can possibly be achieved when optimal operating conditions, based on oxygen enriched air (OEA) combustion together with a highly selective membrane (CO 2/N 2 selectivity of 200) are combined. Additional possibilities in order to minimise the energy penalty of the process are discussed. © 2011 Elsevier Ltd.

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