The Effects of Personal Construct Group Therapy on Breast Cancer Survivors.

In this study, the authors evaluated the effects of a brief personal construct group therapy on breast cancer survivors (N = 42) randomly assigned to either the treatment or wait-list control condition. The Gottschalk Gleser Content Analysis Scales were used to measure the effects for group across time (preand posttreatment, pretreatment, and 3-month posttreatment) on the personal construct states of threat, threat to existence, dislocation, and hope. Analyses showed that the beneficial effects of therapy achieved posttreatment were maintained at 3-month follow-up. The therapeutic group factors (I. D. Yalom, 1995) identified by the therapy group members as helpful in achieving these outcomes are also reported. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Solving a generalized constrained optimization problem with bothlogic AND and OR relationships by a mathematical transformation and itsapplication to robot motion planning

The logic relationship among the equality and inequality constraints in a standard constrained optimization problem (SCOP) is the logical AND. Various efficient, convergent and robust algorithms have been developed for such a SCOP. Motivated by a practical application, a more general constrained optimization problem (GCOP) with not only logic AND but also OR relationships is proposed in this paper. In order to solve such a generalized problem, a mathematical transformation which can transfer a set of inequalities with logic OR into one inequality is developed. This transformation provides a necessary and sufficient condition which enables us to use the algorithms developed for SCOPs to solve the generalized optimization problems. The research is motivated by the requirements of developing an efficient, robust, and reliable navigation algorithm for a mobile robot such as an autonomous underwater vehicle (AUV). The original contributions of the paper include threefold: first, from the viewpoint of optimization theory, this paper, to the authors' best knowledge, is the first one to propose such a GCOP. Second, a method is developed to solve such a GCOP. Third, from the viewpoint of robot path planning, this paper presents a new way of using classical optimization approach to solve robot path planning     

Clinic characteristics associated with reduced hospitalization of drug users with AIDS

The purpose of this study was to develop a substantive grounded theory of courage among middle-aged adults with long-term health concerns. Twenty-five persons from rural and non-metropolitan areas of Central Illinois were selected to participate in this study based on theoretical sampling procedures. Interviews of 1 to 2 hours using openended questions were audiotaped and transcribed verbatim. The data were analysed using grounded theory methods. Courage among middle-aged adults with long-term health concerns was determined to consist of an ongoing progressive-regressive process of becoming and being courageous. Being courageous involves being fully aware of and accepting the threat of a long-term health concern, solving problems using discernment, and developing enhanced sensitivities to personal needs and the world in general. Courageous behaviour consists of taking responsibility and being productive. Courage is not limitless, and the process of becoming and being courageous is dependent on intrapersonal and interpersonal factors. Health-care providers facilitate this process by demonstrating competence and communicating effectively. Outcomes of being courageous include personal integrity and thriving in the midst of normality.     

Moyamoya disease in a patient with hereditary spherocytosis

The use of circulatory arrest with selective antegrade cerebral perfusion is described in a 59-year-old man who underwent thrombendarterectomy for chronic thromboembolic pulmonary hypertension. The postoperative course was uneventful. The described surgical technique may prevent the patient from cerebral sequelae especially in more complex cases.     

Nonlinear buckling analysis of vertical wafer probe technology

Due to the demand of the industry for an increase of the number of I/Os, while decreasing the die size, the bond pads had to shrink and design restrictions for the active structures underneath had to fall. This leads to new challenges for the electrical probing and the mechanical robustness of the under-pad structures. This paper presents analytical and numerical simulation approaches for predicting the force/travel relation of buckling beam-probes that are used for testing the electrical functionality of back-end-of-line (BEOL) interconnect system underneath a chip pad. For this purpose we investigate, first, in a closed-form manner, the elastic stability of the probe needle according to the large deflection theory of buckled bars. Second, we determine, for a specific geometry of the beam, the probe forces as functions of the probe card overdrive by using the closed-form methods as well as finite-element simulations. The results are finally compared to that obtained in (probe card) experiments.     

Lack of clinical utility of bronchoalveolar lavage cultures for cytomegalovirus in HIV infection

This study assessed the presence of cytomegalovirus (CMV) in bronchoalveolar lavage (BAL) in three subpopulations of HIV-infected patients and correlated its presence with clinical status during 3 mo of follow-up. Nineteen asymptomatic volunteers, six patients with CMV retinitis, and 46 patients with acute pulmonary symptoms underwent BAL and were assessed for CMV by cytopathology, conventional shell vial cultures, and antigen detection. Transbronchial biopsies were also obtained when possible and evaluated for histopathologic changes of CMV. All patients were followed for approximately 3 mo. Cytomegalovirus was detected in BAL in nine of 19 (47%) asymptomatic volunteers, in all six patients with CMV retinitis, and in 33 of 46 (72%) patients with pulmonary symptoms. Only one symptomatic patient with a positive CMV BAL culture developed clinically significant CMV pulmonary disease; this patient developed disseminated CMV and died. The only other death occurred in a patient with CMV retinitis who developed staphylococcal bacteremia. None of the asymptomatic volunteers or patients with CMV retinitis developed evidence of CMV pneumonia or any other organ disease with CMV. Cytomegalovirus is frequently detected in BAL from HIV-infected patients regardless of their pulmonary symptoms and its presence does not clinically predict significant pulmonary morbidity or mortality in 3 mo of follow-up.     

Combined hardware and software aspects of reliability

This paper presents the similarities and differences between hardware, software and system reliability. Relative contributions to system failures are shown for software and hardware and failure and recovery propensities are also discussed. Reliability, availability and maintainability (RAM) concepts have been broadly developed for software reliability than hardware reliability. Extending these software concepts to hardware and system reliability helps in examining the reliability of complex systems. The paper concludes with assurance techniques for defending against faults. Most of the techniques discussed originate in software reliability but apply to all aspects of a system. Also, the effects of redundancy on overall system availability are shown.     

Tomographic reconstruction of vector fields

The application of tomography to the reconstruction of vector fields is considered. Two different types of interaction between the radiation used for measurement and the investigated vector fields are discussed. A complete reconstruction of a vector field can only be obtained if measurements based on both types of interaction are available. Otherwise, only curl-free or source-free components of the field can be reconstructed. In the case of nonhomogeneous boundary conditions, additional harmonic field components occur. Some experimental results are presented showing the reconstruction of flow velocity fields based on ultrasonic time-of-flight measurements