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Quantum-chemical modelling of the fullerene-type (SiC)12 nanocluster for high-perform...
Volodymyr  Kuts
Kateryna Voitko

Volodymyr Kuts

and 4 more

December 10, 2019
The lithiation processes in fullerene-like structure Si/C nanocomposites (with  30 % of carbon amount) were investigated via quantum-chemical study. The theoretical specific capacity value of such a system is 3051 mA*H*g-1, which is very attractive for use in lithium-ion batteries. Moreover, it was shown that the charge/discharge process in the nanocomposites almost does not affect the volume changes that lead to the improvement of the anode materials characteristics based on Si/C composites. Electrodes from associative agglomerates of n(SiC)12 nanocomposites also should not have the destructive effect of volume deformations. As a result, highly stable qualitative electrochemical characteristics of such electrode materials remain and a significant increase in the number charge/discharge cycles could be observed.
Review for: Turning chemistry into information for heterogeneus catalysis
Geoffrey Hutchison

Geoffrey Hutchison

June 10, 2020
The work by García, Alvarez, and López outlines their efforts to automate computational chemistry tasks, particularly adsorption of molecules on surfaces and locating transition states relevant for catalysis. In particular, their workflow automates DFT calculations with VASP relevant to relaxing bound molecules to a slab and location of transition states.Overall the manuscript describes useful work needed for automation of these tasks relevant for heterogeneous catalysis, but lacks specific details and/or code and should compare this work with other similar efforts.I would currently recommend Revise before accepting the manuscript.[ You can associate my name if you wish ]
Frames of decision-making in prenatal consultations in England and France. Towards a...
Isabelle VILLE
Caroline Lafarge

Isabelle VILLE

and 1 more

December 09, 2019
Rationale, aims and objectives The article looks at how, during consultations, pregnant women identified as presenting an increased risk of giving birth to a child with an impairment, and practitioners in the field of prenatal diagnosis, decide whether or not to accept the risk of a miscarriage and proceed with a diagnostic examination. Methods We conducted 63 observations of consultations in France and 22 in England. Participants were women for whom an elevated risk of abnormality had been identified and the practitioners involved in their care. Our analytical approach consisted in suspending the normative concepts of non-directiveness and autonomy, and in drawing on Goffman’s (1974) notion of “frame” to take account of the experiential and structural aspects that the protagonists bring into the (inter)actions. Results We identified four frames: medico-scientific expertise, medical authority, religious authority and compassion. Observation of the ways in which the frames intertwine during consultations revealed configurations that facilitate or hinder the fluidity of the interactions and the decision-making process. The medico-scientific expertise frame, imposed by the guidelines, heavily dominated our observations, but frequently caused distress and misunderstanding. Temporary or sustained use of the compassion and/or medical authority frames could help to repair the discussion and create the conditions that enable women/couples to reach a decision. Variations in configuration highlighted the differences between practitioners in the two countries. Conclusions Combining frames allows protagonists to exert reflective abilities and to maintain/restore interactions. The frame analysis promotes a vision of autonomy that is sociological, relational and processual rather than philosophical. The frames are anchored in different structural conditions in England and France.
Knowledge of knee osteoarthritis and its impact on health in the Middle East: are the...
Lara Al-Khlaifat
Rasha Okasheh

Lara Al-Khlaifat

and 7 more

December 09, 2019
Rationale, aims and objectives: limited knowledge of knee OA and its management options decreases adherence to treatment and adversely affect symptoms and functioning. The knowledge and experience of people living in countries from the developed world have been previously explored. However, many socio-cultural differences exist when comparing Jordan, as representative of the Middle East, to developed countries which might influence the impact of knee OA on health. Therefore, this study aimed to explore the knowledge of the pathology and the experience of people diagnosed with knee OA living in Jordan. Method: fourteen participants were included in the study (13 females, one male). One focus group and seven in depth semi-structured interviews were conducted. The discussions were audio-taped and transcribed. Framework analysis was used and data were mapped to the International Classification of Functioning, Disability and Health framework. Results: four themes containing eleven sub-themes emerged: Theme 1) Body functions and structures included two sub-themes; physical changes, psychological impact; 2) Activity limitation and participation restriction included three sub-themes; factors influencing the activities, cultural and social perspective to activity limitation and participation restriction; 3) Personal factors included three sub-themes; knowledge and personal interpretation of disease process, knowledge of management options to relief symptoms, influence of personal factors on activity and participation; 4) Environmental factors included three sub-themes; service delivery process, ineffective communication across the care pathway, facilitators and barriers. Conclusion(s): knowledge of the disease was lacking as a consequence of inappropriate service delivery and the culture. Activity limitations and participation restrictions are similar in Jordan to other cultures in addition to limitations in religious, employment and transportation activities which are the consequences of the geography, the infrastructure, and culture. These results demonstrate the global impact of knee OA on health and the need to understand different cultures to devise optimal management plan.
Urban land cover and morphometric analysis for flash flood vulnerability mapping, and...
Asfaw Mohamed
Hailu  Worku

Asfaw Mohamed

and 2 more

December 09, 2019
The city of Addis Ababa has a degraded stream ecosystem and its watersheds are exposed to redundant flash floods that can destroy the existing urban infrastructures and utilities. This research aimed to map flash flood vulnerability of the watershed inside Addis Ababa, and evaluate the status of the riparian landscape. Methodologically, the study employed the Biophysical Composition Index (BCI) to detect the impervious surface, and the Normalized Difference Vegetation Index (NDVI) to classify the vegetation cover. Arc-hydro tool was used to identify the micro-watersheds and measure the morphometric factors then principal component analysis (PCA) elucidates the most important factors, and the fuzzy overlay analysis combined land cover and morphometric analysis result to produce the final flash flood vulnerability map. Moreover, riparian buffering 15, 30 and 90 m distances were defined to measure the degree of imperviousness, greenness and vulnerability to flash flooding. Accordingly, 969 hectares of land were depicted within the watershed as flash flood vulnerable areas. These are primarily found in the southeastern and southwestern parts where impervious land cover prevailed, and the northwestern portion where extremely rugged terrain covered by reduced vegetation. In all buffering distances the proportion of impervious surface is greater than the vegetation cover. Even within 15m buffering distance, which was set as the national urban planning standard. It is concluded that Kebena watershed is vulnerable to flash floods as the riparian landscape dominated by impervious and depleted vegetation cover. Integrating multiple geospatial techniques is helpful to devise a method for sustainable riparian landscape monitoring.
Student Perceptions of Concentrated Learning Experiences across two different Health-...
Sarah Nisly
Brennen Guzik

Sarah Nisly

and 6 more

December 09, 2019
Rationale, aims and objectives: While many public pharmacy schools have an adjoining health-system to accommodate their students, some schools of pharmacy form partnerships with non-affiliated health-systems to precept students. These health-systems often afford students the opportunity to complete multiple rotations within a single organization, offering decreased onboarding time and more longitudinal experiences. The objective was to compare pharmacy student satisfaction of longitudinal programs at two separate institutions Methods: This survey assessed student satisfaction, professional skill set development, and achievement of program goals during the experiential year. Results: Nineteen students (83%) responded to the survey. Students from both health-systems reported similarities in satisfaction with their experiential training. Likewise, all students reported growth in all professional skills assessed. Individual programmatic goals were met at rates of 79-100%. Conclusions: This study highlights APPE students’ improvement in professional and clinical skills upon completion of a concentrated learning experience. Concentrated learning experiences provide opportunities for improving student skills and increased exposure to various aspects of pharmacy.
Modeling Tide–induced Groundwater Response in a Coastal Confined Aquifer Using the Sp...
Cheng-Yu Ku
Chih-Yu Liu

Cheng-Yu Ku

and 4 more

December 09, 2019
This paper presents the modeling of tide–induced groundwater response using the spacetime collocation approach (SCA). The newly developed SCA begins with the consideration of Trefftz basis functions which are general solutions of the governing equation deriving from the separation of variables. The solution of the groundwater response in a coastal confined aquifer with an estuary boundary where the phase and amplitude of tide can vary with time and position is then approximated by the linear combination of Trefftz basis functions using the superposition theorem. The SCA is validated for several numerical examples with analytical solutions. The comparison of the results and accuracy for the SCA with the time–marching finite difference method is carried out. In addition, the SCA is adopted to examine the tidal and groundwater piezometer data at the Xing–Da port, Kaohsiung, Taiwan. The results demonstrate the SCA may obtain highly accurate result. Moreover, it shows the advantages of the SCA such that we only discretize by a set of points on the spacetime boundary without tedious mesh generation and thus significantly enhance the applicability.
Functional trait variability and identity determine the extent of tree diversity effe...
Liting Zheng
Han Y. H. Chen

Liting Zheng

and 6 more

December 09, 2019
Growing evidence has revealed that ecosystem productivity depends more on the functional characteristics of species than on their number. However, just how the extent of tree diversity effects on ecosystem productivity is influenced by functional trait variability and composition has been rarely tested across and within species richness levels. Employing a meta-analysis of data from 59 global scale tree diversity experiments, we examined how functional dispersion and identity determine the outcomes of tree mixture effects on productivity, both across and at given species richness levels. We found that the positive effects of tree mixtures on productivity were strengthened by the increasing multidimensional functional dispersion and the community-weighted mean of leaf nitrogen content both across, and within, two- and four-species mixtures. Our analysis provides mechanistic insights into the potent roles of functional trait attributes in determining the magnitude (and even directionality) of the biodiversity-ecosystem functioning relationship in forest ecosystems.
An empirical attack tolerance test impacts network structure and triggers asymmetrica...
Paolo Biella
Asma Akter

Paolo Biella

and 4 more

December 09, 2019
Ecological network theory hypothesizes a link between structure and stability, but this has mainly been investigated in-silico. In an experimental manipulation, we sequentially removed four generalist plants from real plant-pollinator networks and explored the effects on, and drivers of, species and interaction extinctions, network structure and interaction rewiring. Cumulative species and interaction extinctions increased linearly with removing plants, and both species and interactions disappeared faster than expected by co-extinction models, which even predicted several false cases. Networks were not stable and symptoms of fragility emerged with removing plants: nestedness decreased, modularity increased, and opportunistic random interactions and structural unpredictability emerged. Conversely, interactions reorganization (“rewiring”) was high, asymmetries between network levels emerged as plants increased their centrality and no change was found in stochastic robustness index. Our study shows that experimental manipulations of real networks indicate how species and interaction occurrences are altered when key resources are removed from the system.
Additive effects of multiple environmental changes can lead to the success of exotic...
Shiyun Qiu
Shuangshuang Liu

Shiyun Qiu

and 7 more

December 09, 2019
Author’s contributions: B.L., R.T.J, X.C and S.Q designed the study; S.Q and J.H performed the experiment; S.Q. and S.W. performed the analyses; S.Q, S.L, M.N., R.T.J and B.L. wrote the first manuscript draft, and all authors reviewed the manuscript and gave final approval for publication.Data availability statement: mitted to Dryad at https://datadrya
Ethics in the Criminal Justice System
Kevin O'Neal

Kevin O'Neal

December 09, 2019
AbstractOur keepers of the peace and enforcers of the law are surrounded by crime and criminals, but something separates them from criminality. The criminal justice system is complex, but one thing grounds it’s practitioners: a foundation of ethics. According to Peak (2012), “ethics involves doing what is right or correct and is generally used to refer to how people should behave in a professional capacity” (p. 278). This paper will explore the role that ethics plays in the three facets of justice: law enforcement, the courts, and corrections. Additionally, this paper will look at the results that ethical criminal justice practitioners have on the criminal justice system, as well as examine what results when ethics are replaced by selfishness and corruption. Ethics are foundational to the criminal justice system and to the achievement of it’s overarching goals: preservation of peace and fulfillment of justice. Without ethics, peace and justice are improbabilities and corruption is a foregone conclusion.Keywords : morals, deontological, absolute, relative, noble cause, corruptionEthics in the Criminal Justice SystemA thin line separates order from chaos. Criminal justice professionals walk that line, and hold it. The criminal justice system is the complex interworking of law enforcement, courts, and corrections. The common denominator among honest and productive criminal justice professionals is a foundation of ethics on which they build everything that they do. Ethics are far from simple, however; they are as complex as the criminal justice system itself, and the lack of ethics are detrimental to the pursuit of justice. Ethical rules of conduct are infinitely important to the successful operation of a criminal justice organization and the successful achievement of the criminal justice system’s overarching goals.EthicsEthics are defined by Merriam-Webster (n.d.) as “the discipline dealing with what is good and bad and with moral duty and obligation.” Ethics are far from simple, however; the main concern being whose ethics or which ethics we’re talking about. Any discussion of ethics demands further definitions. There are two subcategories of ethics, absolute ethics and relative ethics.Absolute ethics refer to issues where there is either good or bad, right or wrong. These kinds of ethics seem to be sewn into the fabric of our very being, and are nearly universally accepted within a specific society. Examples of absolute ethics include: murder is wrong, extortion is wrong, honesty is good, loyalty is good.Relative ethics, on the other hand, are much more complicated and would be best described as issues that have several shades of grey, rather than being black-and-white. As Khan (2006) wisely says, “ethics can be taught” and continues by saying that ethics must be examined critically in order to fully understand (para. 2). Additionally, Eastvedt (2008) shares, “Without a doubt, there are some philosophical problems when considering ethical concepts … [S]ome people may charge that what may be ethical to one person, may not be considered ethical to others.” Some examples of relative ethical decisions include: the best way to handle homelessness issues within a community and how we can limit the number of drug overdoses. The right or good answer to these questions is mind-dependant.Deontological ethics must also be examined, as it is commonplace within the criminal justice system. Peak (2012) describes deontological ethics as the kind of decision “which does not consider consequences, but instead examines one’s duty to act” (p. 278). Rather than the outcomes motivating the action, it is a sense of duty that drives the action. Criminal justice practitioners are often driven to make ethical decisions out of a sense of duty rather than out of an internal sense of right or wrong. In this case, duty determines right and wrong.Ethics in Law EnforcementEthics is foundational to law enforcement and its importance is highlighted in the intense search for honest, moral, and ethical law enforcement candidates. The average law enforcement hiring process takes between six and eight months and includes a highly invasive background check, a lengthy interview, followed by a polygraph to check for accuracy. Law enforcement organizations expect complete honesty throughout all parts of the application process and demand that honesty to continue through all aspects of the job. Honesty, integrity, and ethical officers are the backbone of any law enforcement organization. Several topics within law enforcement fall into what could be called relative ethical topics and should be explored. Additionally, there are several solutions that will ensure ethicality within criminal justice organizations.Deception, or lying, is in some ways an essential part of the policing process but can also be taken too far into criminality. Accepted lying refers to deception that is generally considered part of the job and can include all kinds of trickery used to apprehend or entrap suspects (Peak, 2012). Deviant lying, however, is described by Peak (2012) as “officers committing perjury to convict suspects or being deceptive about some activity that is illegal or unacceptable” (p. 281). Eastvedt (2008) lists “lying or dishonesty” as “ways for people in the criminal justice community to seriously damage and destroy their integrity” (p. 66). Deception is a curious topic when discussing ethics, but it is clear that the often-debated line must not be crossed.Gratuities is another grey area of ethics. Like deception, minor gratuities are a normal part of a law enforcement officer’s day, but gratuities in excess is synonymous with corruption. Peak (2012) cites the Knapp Commission’s terminology of “grass-eaters” or “meat-eaters” to describe police officers’ relationship to gratuities. A grass-eater is described as on officer who accepts gratuities that are given voluntarily and will sometimes solicit minor gratuities. Meat-eaters, on the other hand, are officers who regularly, and even aggressively, solicit gratuities and search out situations where they can exploit people for person gain. Gratuities are surely a slippery slope that can result in officers sliding into all types of corruption (Peak, 2012).Gratuities have the potential to be the start of a slippery slope to greed, of which there is temptation abound in the criminal justice field. Law enforcement officers are in a seemingly endless cycle of temptation and they are surrounded my crimes and criminality. The temptation to greed can motivate officers to a myriad of types of corruption including crimes relating to drugs, bribes, prostetution, and other abuses of power.Several solutions, or partial solutions, exist for law enforcement organizations when it comes to hiring and maintaining an ethical workforce. As previously mentioned, strict expectations on hiring the right people cannot be overstated. Additionally, proper ongoing ethics training, including regular training on policy and procedure, is necessary. Chilton (1998) asserts that standardization is necessary in ethics training in order to avoid what he calls “the ‘Pinocchio Theory’ problem of personal, idiosyncratic moral judgments in the administration of criminal justice” (p. 40). Law enforcement organizations would also be wise to set strong organizational values in an attempt to “shape the standards of professional behavior”(Peak, 2012, 285). An organization’s culture is often perpetrated by it’s public organizational values.Ethics in the CourtsThe Delaware Judiciary (n.d.) describes one of their core visions as to “insure equal application of the judicial process to all cases, which are fairly decided based upon legally relevant factors.” This equal application and fair decision must be rooted in an ethical foundation. “Because an understanding of judicial ethics is part and parcel of a true appreciation for the core values of the judiciary-judicial independence, integrity, and impartiality-this cannot be an optional project” (Rosenblum, 2007, p. 403). Several standards of conduct exist that relates to ethics in the courtroom, including the Model Code of Judicial Conduct, the Code of Conduct for Federal Judges, and the Ethics Reform Act of 1989. Judges, who preside over a court, and attorneys, who battle each other in court, are both held to high ethical standards.Judges are sworn to administer justice within their courtroom. Judges swear to do this without respect to the people involved but with respect to the Constitution and the laws of the United States (Legal Information Institute, n.d.). This would imply that a judge should not import their emotions, opinions, convictions, or biases into their courtroom decisions. However, this is not the case as judges are human like the rest of us. Ethical behavior by a judge would eliminate favoritism, bias, and impropriety, and carry over into their personal conduct. Appleby & Blackham (2018) assert that there is a current trend toward the “transparent ethical regulation for serving judges” which is said to “promote public confidence in the judicial institution” (p. 506). These ethical codes are independent and do not - can not - eliminate a judge’s personality or emotions to bleed over into their decision making. This is another case of relative ethics, in which there is no specific line between ethical and unethical actions.Attorneys, both on the prosecution and defense side of the courtroom, are also faced with challenges of ethics. Attorneys “must be legally and morally bound to ethical principles as agents of the courts” (Peak, 2012, p. 288). Attorneys are ethically bound to put justice over winning, which unfortunately is rarely the case in today’s court proceedings. Ethical principles also prohibit misconduct such as deception or lying, bribery, concealment of evidence, among other things.Ethics in CorrectionsOn a large scale, there are several ethical issues spanning the correctional system. Albanese (as cited in Khan, 2006) “scrutinizes the moral and ethical ramifications of correctional philosophies, such as retribution, incapacitation, deterrence, and rehabilitation and sentencing methods” (p. 49). These large scale issues are one of the most heavily debated topics in current politics ad media.On a more personal level, correctional officers are subject to most of the same ethical standards as law enforcement officers. Deception plays a very similar role in the day-to-day functioning of a correctional officer. Additionally, several norms exist for correctional officers that function as a sort of code of conduct. These norms include: “always go to the aid of an officer in distress, do not ‘rat,’ never make another officer look back in front of inmates” (Peak, 2012, p. 289), among others. While these norms are important and necessary, it is important for correctional officers to not elevate their code of conduct over absolute ethics.Contraband is a significant facet of how correctional facilities operate, and poses similarly significant ethical issues for correctional officers. Everything from drugs to weapons to cell phones are smuggled into prisons, sometimes at the knowledge of officers or even by officers themselves. This creates numerous opportunities for corruption, greed, and other unethical behavior.Eastvedt (2008) declares that unethical behavior by correctional officers can have significant effects on the organization as a whole:Granted, it may be true that unethical behaviors occurring behind the walls of correctional facilities rarely hit the 6 o’clock news or the front page of the newspaper. However, when it does happen, everyone within the organization is seriously affected. Administrators are held accountable, and staff may be discredited. Morale among the troops can plummet dramatically. Inmates may use the incident to question and challenge line officer authority, making it increasingly difficult for correctional staff to do their jobs. Maintaining security within the jail or prison becomes, at least for a time, a more challenging and daunting task and increases risk to staff and inmates alike. (p. 62)Unethical behavior has a significant negative effect on the entire organization, but that correlation is not limited to just corrections, but extends into all facets of the criminal justice system. Unethical behavior does not just impact the individual, but it sheds negative light on the system as a whole. A single unethical person can be the proverbial bad apple that spoils the whole bunch.ConclusionIt is clear that ethical criminal justice practitioners have an infinitely positive impact on the criminal justice system and that justice crumbles when ethics are replaced by selfishness and corruption. The lack of ethics creates an untrustworthy system, which is not supported by the public. Upholding ethics within the criminal justice system will not only result in justice, but it will also ensure cooperation with the public. Ethics are foundational to the criminal justice system and to the achievement of it’s overarching goals: preservation of peace and fulfillment of justice. Without ethics, peace and justice are improbabilities and corruption is a foregone conclusion.ReferencesAppleby, G., & Blackham, A. (2018). The Shadow Of The Court: The Growing Imperative To Reform Ethical Regulation Of Former Judges.International and Comparative Law Quarterly , 67 (3), 505–546. doi: 10.1017/s0020589318000143Chilton, B. S. (1998). Constitutional conscience: Criminal justice and public interest ethics. Criminal Justice Ethics , 17 (2), 33–41. Retrieved from https://search-proquest-com.libraryresources.waldorf.edu/docview/209772011?accountid=40957Eastvedt, S. R. (2008). Criminal Justice Ethics: A View From the Top.American Jails , 22 (5), 61–62,65-67. Retrieved from https://search-proquest-com.libraryresources.waldorf.edu/docview/222222387?accountid=40957Khan, E. (2006). Professional Ethics in Criminal Justice: Being Ethical When No One is Looking. Corrections Compendium , 31 (5), 48–49. Retrieved from https://search-proquest-com.libraryresources.waldorf.edu/docview/211858471?accountid=40957Legal Information Institute. (n.d.). 28 U.S. Code § 453 - Oaths of justices and judges. Retrieved from https://www.law.cornell.edu/uscode/text/28/453.Merriam-Webster. (n.d.). Ethic. Retrieved from https://www.merriam-webster.com/dictionary/ethic.Peak, K. J. (2012). Justice administration: Police, courts, and corrections management (7th ed.). Upper Saddle River, NJ: Prentice Hall.Rosenblum, E. F. (2007). Judicial Ethics For All: An Expansive Approach to Judicial Ethics Education. Justice System Journal ,28 (3), 394–404. Retrieved from https://search-proquest-com.libraryresources.waldorf.edu/docview/194780465?accountid=40957The Delaware Judiciary. (n.d.). Mission, Vision & Goals. Retrieved from https://courts.delaware.gov/jpcourt/mission.aspx.
Schizophrenia and the Criminal Justice System
Kevin O'Neal

Kevin O'Neal

December 09, 2019
Schizophrenia is one among the most recognizable mental illness, but is also one of the least understood. Typically understood by the entertainment media and the public to be synonymous with crazy, schizophrenia is one of the most devastating, and misunderstood, mental illnesses. “Schizophrenia is the most common of the psychotic disorders and is characterized by fundamental distortions of thought (delusions), perception (hallucinations) and emotional response” (Morgan et al., 2008, p. 1). This paper will further examine the characteristics of schizophrenia, as well as delve into explanations and etiology. Understanding schizophrenia also requires a look at it’s connection with crime and its interactions with the criminal justice system.CharacteristicsSchizophrenia is just one of several similar mental illnesses in a larger class called psychotic disorders, which are broadly characterized by delusions and hallucinations. According to the American Psychological Association (as cited by Schug and Fradella, 2015), the diagnostic criteria for schizophrenia are delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms (diminished emotional expression or avolition). In order for someone to be diagnosed with schizophrenia, two or more of these symptoms must be present for a significant portion of a 1-month period, one of the first three symptoms must be present.Symptoms are categorized into positive and negative symptoms. Positive and negative are used in a numerical sense here, rather than in a connotational good and bad sense. Positive symptoms are thoughts, feelings, or behaviors that seem to be added to the way a normal person would think, feel, or behave. These positive symptoms include delusions, hallucinations, catatonic behavior, and disorganized speech. Negative symptoms are thoughts, feelings, or behaviors that seem to indicate that something is lacking compared to a normal person’s thinking, feeling, behaviors. These negative symptoms include diminished emotional expression and avolition (Schug & Fradella, 2015). Now that the basic characteristics of schizophrenia are understood, an examination of theoretical explanations and etiology is requiredTheoretical Explanations and EtiologyNeurobiological and psychosocial factors are two of many theoretical explanations for schizophrenia. The overarching thought that those with schizophrenia may be biologically distinct is indicated by brain imaging. Walsh & Yum (2013) discuss a “neurodevelopmental model that incorporates genetics, neurological functioning, and immunological factors” (para. 1), highlighting that multiple factors must be assessed when examining this theoretical explanation. Various research over the years has looked at the neurobiological factors that may lead a diagnosed schizophrenic to become violent and criminal. Similarly, links with violent schizophrenia have been made between a person’s upbringing, parents, early childhood deprivation, previous abuse or trauma, religiosity, and current or prior homelessness. Schug & Fradella (2015) conclude their thoughts on these points by saying that finding from multiple studies “may suggest that biological, psychosocial, or interactional trajectories may lead to homicidal violence in schizophrenia” (p. 211) and “potential pathways to crime and violence among those with schizophrenia may not necessarily be illness related (p. 213).Schizophrenia rarely occurs along as a diagnosis and is usually accompanied by comorbid substance abuse. Substance use, and abuse, is high among those diagnosed with schizophrenia. This is likely due to an attempt to self-medicate and reduce psychotic symptoms (Schug & Fradella, 2015). It is a generally accepted fact that people diagnosed with schizophrenia are much more likely to abuse substances which leads to higher crime and violence rates. “Much of the increased risk for criminality and violence among persons with major psychotic disorders (e.g., schizophrenia) can be attributed to co-occurring substance abuse” (McCabe et al., 2012, p. 272). This fact adds to the complexity of this disorder’s effect on the general public, and more specifically, it’s link to the criminal justice and the criminal justice system.Connections with CrimeSchizophrenia is one of the most interesting disorders due to it’s perception by entertainment media and it’s common association with crime and violence. While not among the most prevalent of mental illnesses, it is one of the most well-known by name, though not by definition, and it captures the intrigue of more people than most any other mental illness due to it’s apparent link to crime. “It must be remembered… that most individuals with schizophrenia are not violent” (Schug & Fradella, 2015, p. 169-170). Statistically speaking, 80% of people diagnosed with schizophrenia have been found to not be violent, however multiple studies of criminal populations have found higher rates of schizophrenia compared to the general public. Interestingly, there are also studies that show an increased rate of criminal schizophrenia over the years.The crime rate of schizophrenia patients was lower than that of the general population until the 1960s (Rabkin 1979); however, population-based studies (Swanson et al. 1990; Stueve and Link 1997) and birth cohort studies (Brennan et al. 2000; Hodgins 1992; Arseneault et al. 2000; Räsänen et al. 1998) convincingly show that criminality is now more prevalent among people with schizophrenia than in the general population. (Munkner, Haastrup, Joergensen, & Kramp, 2003, p. 1). Nonetheless, “the joint prevalence of schizophrenia and offending is rare” (Morgan et al., 2008, p. 5).Schizophrenia has a concrete link to violence. The National Institute of Mental Health (as cited by Schug & Fradella, 2015) shows over a 15% prevalence of minor violence and just under 4% prevalence of serious violence. Kinworthy (2016) concurs by saying that “only a small minority of patients with Schizophrenia commit violent crimes” (p. 54). While this shows that the vast majority of those with schizophrenia are not violent, no one should doubt it’s connections to violence and violent crimes. However, a 2009 meta-analysis concluded that the majority of violence (both criminal and non-criminal) among individuals with schizophrenia was due to substance use disorders (McCabe et al., 2012, p. 272), which shows a more significant correlation between substance abuse and violence rather than schizophrenia and violence. The comorbidity of these two mental illnesses blurs the lines when thinking about correlation.As previously mentioned, the vast majority of those diagnosed with schizophrenia have been found to be not violent. The connection between schizophrenia and nonviolent or property crimes has not been studied significantly. Interestingly, Kinworthy (2016) asserts that non-violence is linked to higher cognitive functioning in those with schizophrenia.Moreover, it is believed that individuals with Schizophrenia that are prone to violence can be distinguished from both those with Schizophrenia who are non-violent as well as controls based upon performance on neuropsychological tasks (Naudts and Hodgins, 2006; Schug and Raine, 2009), thus suggesting that cognitive impairment in individuals with Schizophrenia may contribute to violent behaviors and the presence of cognitive impairment can be utilized in determination of risk of future violence. (p. 20-21)Additionally, McCabe and colleagues (2012) found that “individuals with serious mental illness are more likely to commit and be prosecuted for minor nuisances than for serious crimes as compared to those without mental illness” (p. 281).Schizophrenia’s link to sexual crimes is one fraught with dramatization. “Despite sensationalized media accounts of violent schizophrenic sexual attackers… and reports of the bizarre and terrifying nature of these attacks…, sexual crimes appear to be comparatively rare among schizophrenic persons” (Schug & Fradella, 2015, p. 201). Studies by Alish and colleagues (as cited by Schug & Fradella, 2015) show that only a very small percentage - between 2-5% - of sexual offenders are diagnosed with schizophrenia. Additionally, psychotic offenders comprised a significantly lower percentage of sexual offenders than their nonpsychotic counterparts, according to Nijman and colleagues (as cited by Shug & Fradella, 2015). “Ultimately, however, schizophrenic sex offenders comprise a small subgroup of schizophrenic criminals requiring highly specialized treatment” (Schug & Fradella, 2015, p. 205).Interactions with the Criminal Justice SystemWith the obvious connects between schizophrenia and crime, it logically follows that schizophrenia regularly comes into contact with the criminal justice system. People with schizophrenia, like people with other mental illnesses, pose specific challenges to each level of the criminal justice system: law enforcement, the courts, and corrections.Law enforcement is the first line in the criminal justice system, and serve as the boots on the ground for much of what enters the criminal justice system. Law enforcement are often in contact with schizophrenics, who are either the perpetrator of a crime or the victim of one. Calls involving the mentally ill have increased potential to be unpredictable and possibly violent. Most law enforcement departments have a Psychiatric Emergency Response Team (PERT), or an equivalently designated team, for incidents regarding someone with a known mentally illness such as schizophrenia. For example, the Escondido Police Department (n.d.) has a dedicated police officer partnered with a licensed medical health clinician that work together to assess mentally ill individuals and determine the next steps to take. However, these kinds of specially trained teams are not always available, and officers rarely knows the mental condition of suspects prior to their first engagement and are typically undertreated prior to contact with law enforcement (McCabe et al., 2012). As such, it is important for those on the front line of the criminal justice system to be given adequate training to understand and handle situations with the mentally ill. “Officers must possess an understanding of schizophrenia so that they realize that individuals suffering from schizophrenia may not readily understand or comply with police commands, or be able to communicate details of an offense where they are victims rather than perpetrators” (Walsh & Yun, 2013, p. 9).The courts are given the challenge of determining the culpability of those with mental illness. Additionally, they are responsible for determining if punishment or rehabilitation is the proper course of action for those with schizophrenia. Unfortunately, many schizophrenics go undiagnosed or untreated and end up getting sent to prison or jail for their criminal offenses, which according to schizophrenia.com (n.d.), are mostly minor offenses such as trespassing. According to McCabe and colleagues (2012), “the fact that the majority of mentally ill detainees do not receive adequate treatment before arrest, while incarcerated, or upon reentry makes successful transition into the community all the more challenging” (p. 281). In order to best serve this challenging population group, the courts must prioritize treatment at mental health facilities over incarceration in jails or prisons.Statistically, “at least 10% of jail populations, 18% of state prison populations, and 16% of federal prison populations have severe mental illness” (McCabe et al., 2012, p. 272). Schizophrenia is a major mental illness that is well represented in correctional facilities across the country. According to schizophrenia.com (n.d.), “the vast majority of people with schizophrenia who are in jail have been charged with misdemeanors.” Prison life is not easy for any inmate, but it is especially poor for those with schizophrenia and can even lead to worsened symptoms. According to Blitz, Wolff, & Shi (2008), “Overall, both males and females with mental disorder are disproportionately represented among victims of physical violence inside prison.” In addition, a well representation within jails and prisons, a significant number of people with schizophrenia exist within this country’s probation/parole system. Walsh & Yun (2013) postulate that proper mental health training is even more necessary for probation and parole officers than for law enforcement officers, due to their more frequent contact with the mentally ill. They note that supervising people with schizophrenia is disconcerting and a large task given the mandatory treatment orders, a medical concern that must be enforced by the officer, who has no medical training.ConclusionSchizophrenia is a calamitous mental illness that is linked to increased criminality. This link is best understood by looking at its characteristics and etiology, which show schizophrenia to be a challenging and complex mental illness This complexity leads to much misinformation and misunderstanding on the part of the public and our law enforcement professionals. Schizophrenia’s interaction with the criminal justice system is excessive and is often fruitless to the never-ending pursuit of peace in our communities. It seems that the best course of action is for our criminal justice system to advocate for and implement public services that reduce its future involvement in the affairs of mental illness. In this way, the criminal justice system is best able to serve the community while also ensuring proper treatment of those with schizophrenia.ReferencesBlitz, C. L., Wolff, N. L., & Shi, J. L. (2008). Physical victimization in prison: The role of mental illness [Abstract].International Journal of Law and Psychiatry, 31 (5), 385–393. doi: 10.1016/j.ijlp.2008.08.005 Escondido Police Department. (n.d.). Psychiatric Emergency Response Team (PERT). Retrieved November 26, 2019, from https://police.escondido.org/pert.aspx. Kinworthy, K.M. (2016). Relationship between crime, psychological diagnosis and cognitive functioning (Doctoral dissertation). Retrieved from ProQuest Dissertations & Theses Global. (Accession 10193342) McCabe, P. J., Christopher, P. P., Druhn, N., Roy-Bujnowski, K. M., Grudzinskas, A. J., & Fisher, W. H. (2012). Arrest Types and Co-occurring Disorders in Persons with Schizophrenia or Related Psychoses. The Journal of Behavioral Health Services & Research, 39 (3), 271–284. doi: 10.1007/s11414-011-9269-4 Morgan, F., Morgan, V., Clare, J., Valuri, G., Woodman, R., Ferrante, R., … Jablensky, A. (2008). Schizophrenia and offending: area of residence and the impact of social disorganization and urbanicity.Trends & Issues in Crime and Criminal Justice, (365), 1–6. Retrieved from https://search-proquest-com.libraryresources.waldorf.edu/docview/189452455?accountid=40957 Munkner, R., Haastrup, S., Joergensen, T., & Kramp, P. (2003). The temporal relationship between schizophrenia and crime. Social Psychiatry and Psychiatric Epidemiology, 38 (7), 347–353. doi: 10.1007/s00127-003-0650-3 Schizophrenia.com. (2010). Schizophrenia and Poverty, Crime and Violence. Retrieved November 26, 2019, from http://schizophrenia.com/poverty.htm#. Schug, R., & Fradella, H. (2015). Mental illness and crime . Thousand Oaks, CA: Sage. Walsh, A., & Yun, I. (2013). Schizophrenia: Causes, crime, and implications for criminology and criminal justice. International Journal of Law, Crime and Justice, 41 (2), 188–202. doi: 10.1016/j.ijlcj.2013.04.003
Inferring the effect of competition on trait evolution
Liang Xu
Sander van Doorn

Liang Xu

and 3 more

December 09, 2019
Models of trait evolution usually assume that abiotic factors pull species toward an optimal trait value, whereas competitive interactions drive the trait values apart. However, these models do not consider population dynamics and dynamics of the trait variance and they oversimplify competition. Here we develop a coherent trait evolution model, with abundance-dependent competitive interactions, against a macroevolutionary background encoded in a phylogenetic tree. We use Approximate Bayesian Computation to fit the model to baleen whale body sizes and compare it to a model without population dynamics and a model where competition depends on the total metabolic rate of the competitors. All models suggest that baleen whales undergo weak environmental attraction and strong competition. However, they differ in their predictions of the abundance distribution. Data on abundance distriubutions, therefore, allow us to distinguish the models from one another, and infer the nature of competitive interactions.
Sinusectomy And Primary Closure Versus Excision And Primary Closure In Pilonidal Sinu...
Vahit Gul
Sebahattin Destek

Vahit Gul

and 1 more

December 09, 2019
Background: Various surgical procedures are existing for the treatment of pilonidal sinus diseases (PSD), but the best surgical approach is still controversial. Minimally invasive surgical procedures become more popular than the sophisticated complex surgery. The aim of the study is to evaluate the efficacy of sinusectomy with primary closure (SPC) in primary or recurrent cases comparing to the excision and primary closure (EPC) technique. Material and Methods: This single-center retrospective cohort study was conducted with two cohort groups in which 351 patients with PSD underwent either SPC or EPC procedure. The two procedures were compared according to the presence of short term complications and recurrence of PSD. Results: Of the patients, 134 underwent PC surgery, and 217 underwent SPC surgery. The length of stay and the wound healing time were statistically significantly longer in the patients underwent PC surgery. The occurrence of the wound site infection and the abscess were statistically significantly higher in PC surgery; however, the seroma was statistically significantly more common in SPC group. The recurrence rate was 18.7% for EPC approach, and 5.5% for SPC. Conclusion: SPC is an efficient procedure for the treatment of patients with PSD have both simple and complicated disease patterns.
A simple explanation for the evolution and maintenance of temperature-dependent sex d...
Njal Rollinson

Njal Rollinson

December 09, 2019
The Charnov-Bull model stipulates that environmental sex determination (ESD) is favoured when fitness of the sexes responds differently to the environment. However, Charnov-Bull has not yet been broadly successful in explaining the adaptive significance of temperature-dependent sex determination (TSD), a form of ESD. Specifically, there is no broad and convincing explanation for the occurrence of a sex-by-incubation temperature interaction for fitness. Here, I point out that the Trivers-Willard model, which predates Charnov-Bull, has never been applied broadly to explain the adaptive significance of TSD. Under Trivers-Willard, a sex-by-environment interaction for fitness occurs along the axis of individual condition (general health, vigour, etc), as male fitness is relatively sensitive to condition by virtue of relatively strong sexual selection; this occurs regardless of the direction of sexual-size dimorphism. I propose that incubation temperature affects condition, and TSD evolves so that males arise from relatively high-quality incubation environments; I call this the Mighty Males hypothesis. Re-examination of existing literature provides significant support to Mighty Males and its assumptions. Mighty Males can also explain why aspects of the environment other than temperature affect sex in some TSD species. Ultimately, I provide a simple explanation for TSD, and I suggest directions for future work.
Density functional theory study of ω-phase in steel with varied alloying elements
S. Assa Aravindh
Sakari Pallaspuro

S. Assa Aravindh

and 6 more

December 09, 2019
The presence of long abandoned, hexagonal omega (ω) phase in steel samples is recently gaining momentum on account of accurate transmission electron microscopy (TEM) measurements. The formation and stabilization of this metastable phase down to room temperature is attributed to the combined effect of factors such as accelerated cooling, special atomic constraints at twin boundaries, and the enrichment of solute elements such as Al, Mn, Si, C, and Cr in the nanometer sized regimes. Here, we present a density functional theory (DFT) study of the effect of the above alloying elements in ω-Fe and confirm the predictions using high resolution TEM observations of the structure of an experimental steel at high magnifications. It is found that the FM and ++- spin states are the most stable for a primitive cell of ω-Fe. The density of states calculations show that the d band occupancy of ω-Fe is changing in presence of the alloying elements, and this in turn will affect the cohesive energy. Further, the dynamical stability analysis from phonon band structure reveals that only ω-Fe with substitutional C exhibits thermodynamic stability. This is in line with experimental indications that the stabilization of ω-phase in ferritic/martensitic steels occurs due to the presence of special symmetry constraints at grain boundaries
A gap between knowledge and practice on patient-doctor communication: Results from a...
Sherief Ghozy
Hoang Thi Nam Giang

Sherief Ghozy

and 16 more

December 09, 2019
Rationale, aims and objectives Patient-physician communication is the mainstay of successful medical practice. To assess knowledge, attitude, and practice of surgeons and Intensive Care Unit (ICU) physicians about key elements of informed decision-making communication. Methods A multicenter, cross-sectional survey among surgeons, ICU physicians, patients and patient’s relatives in Bangladesh, Egypt, Iraq, and Vietnam was conducted using convenience sampling. Two self-completed questionnaires were dedicated to the survey members. Results While doctors acquire a good level of knowledge and have a positive attitude toward informed decision-making communication, the applying practice level is low although the correlations between knowledge, attitude and practice are strong. The fulfillment of patients’ expectation was lower among those who did not meet their doctors before and after treatment/surgery, had to pay for their treatments or had high education level. Conclusions The gap between knowledge and practice in doctor-patient communication is highlighted. The patient’s experience toward communication with doctor varies among different groups of age, chance to meet with doctor, and payment required.
Nature of the chemical bonding in D3h [MH3M]+ cations  (M = Be, Mg)
Fabio Penotti
David Cooper

Fabio Penotti

and 3 more

December 09, 2019
Motivated by the particularly short metal-metal distance that has been predicted for the D3h [BeH3Be]+ cation, comparable to those anticipated for triple bonds, we investigate the nature of the bonding interactions in the D3h [MH3M]+ cations (M = Be, Mg). CCSD(T)/cc pVQZ calculations are used to determine optimized geometries for all of the various species, including those ‘capped’ by He or Ne atoms (as proxies for an inert gas matrix). The primary tools that are then used to investigate the nature of the chemical bonding are spin-coupled generalized valence bond calculations and the analysis of localized natural orbitals and of domain-averaged Fermi holes. The various results for all of the systems considered indicate the presence of highly polar three-centre two-electron M−H−M bonding character instead of any significant direct metal-metal bonding.
A Coupled Cluster Approach to Computationally Design an Acid Catalyst for Viable Rele...
Lisa Roy

Lisa Roy

December 09, 2019
Catalytic removal of H2 from boron-nitride (BN) based nanomaterials at ambient conditions is of paramount importance in order to develop light-weight hydrogen storage media. Herein, the DLPNO- CCSD(T) technique is used for calculating accurate relative energies and activation barriers of Brønsted acid-initiated removal of H2 from hydrogenated BN nanotubes (HBNNTs) with several in silico designed catalysts. Three crucial steps are identified in the mechanism: 1st H2 release, catalyst regeneration via proton transfer and 2nd H2 release to ensure feasibility of the dehydrogenation proposal. Our computational studies reveal that sulfonic acids with appropriate electron withdrawing substituents can facilitate dehydrogenation of HBNNT at a low free energetic cost (∆G‡ = 17 kcal mol-1). Importantly, these findings illustrate reversibility of hydrogen stored in BN nanomaterials at room conditions and raises hope for a sustainable chemical hydrogen storage strategy.
Anaerobic digestion concert of agro-food wastes and the correlated microbial populati...
Dong-min  Yin
Dr. Ahmed Mahdy

Dong-min Yin

and 7 more

December 05, 2019
The comparison among microbial interactions during the stable performance of anaerobic digestion (AD) and the process disturbances is still lack and could limit the prediction of process failure and the possible recovery. This study aimed at characterizing the process performance and microbial communities’ profiles during the stable and disturbed states of long-term thermophilic AD process fed with agro-food wastes. The disturbances were induced in two stages, firstly under a stepwise increase of organic loading rate (OLR), and then through the reduction in hydraulic retention time (HRT). Volatile fatty acids (VFAs) only accumulated (4730 mg L-1) when OLR increased to 17 g VS L-1 d-1, and consequently methane yield deteriorated by 47%, implying process overloading and thus AD process was partially inhibited. Process disturbances led to 30% reduction in relative abundance of Defluviitoga and Methanoculleus which were partially displaced by Clostridium and Methanomassiliicoccus, implying that the process acidification immediately reflected on microbial profile and the microbes were functionally redundant. Microorganisms’ washout was the main reason behind methane yield drop under finite digestion time (1.5d). Microbial profiles shaping showed the robustness of AD process due to the functionally redundant microorganisms and could be strategically used to control and optimize AD process.
Optimized CRISPR/Cas9 Strategy for Homology-Directed Multiple Targeted Integration of...
Sung Wook Shin
Jae Seong Lee

Sung Wook Shin

and 1 more

December 05, 2019
Site-specific integration has emerged as a promising strategy for precise Chinese hamster ovary (CHO) cell line engineering and predictable cell line development. CRISPR/Cas9 with homology-directed repair (HDR) pathway enables precise integration of transgenes into target genomic sites. However, inherent recalcitrance to HDR-mediated targeted integration (TI) of transgenes results in low targeting efficiency, thus requires selection process to acquire targeted integrant in CHO cells. Here we explored several parameters that influence the targeting efficiency using the promoter-trap based single or double knock-in (KI) monitoring system. A simple change in the donor template design by adding sgRNA recognition sequences strongly increased KI efficiency by 2.9–36 fold depending on integration sites and culture mode, compared with conventional circular donor plasmids. Furthermore, sequential and simultaneous KI strategies enabled the generation of double KI populations about 1–4% without the need of additional enrichment processes. This simple optimized strategy not only allowed efficient CRISPR/Cas9-mediated TI in CHO cells but also paved the way for the applicability of multiplexed KIs in one experimental step without the requirement of sequential and independent CHO cell line development procedures.
Diagnosing the subsurface buffer on ground surface temperature under the long-term gr...
Chen Yang
You-Kuan Zhang

Chen Yang

and 5 more

December 05, 2019
Based on the integrated ParFlow.CLM modeling in the Little Washita basin located in the southwestern Oklahoma in the U.S., the long-term effects of groundwater (GW) pumping on ground surface temperature (GST) are studied. Conclusions are obtained based on the simulation results as follows. The subsurface can be conceptualized as a buffer on variations of GST while GW pumping can weaken this buffer causing hotter summer and colder winter. In the long-term pumping, the variations of GST (ΔGST) present nonlinear warming trend in average by rapidly increasing in the beginning and gradually reaching dynamic equilibrium. This is due to the attainment of a new equilibrium of the GW flow system with a sustainable pumping rate. Whereas, for unsustainable pumping, it is mainly attributed to the fact that the water table depth finally becomes lower than the critical depth range (1–10 m). Different coupling depths between ParFlow and CLM are tested in the long-term pumping scenarios since it determines the heat capacity of the subsurface buffer which is important on regulating GST. The buffer with deeper coupling depth is more effective on damping the nonlinearity and the amplitude of ΔGST. In addition, the effects of coupling depth on GST are more prominent when pumping occurs due to the degenerated thermal properties. In other words, the time-scale for GST to response the different coupling depth is greatly shortened under pumping in contrast to natural state. This study diagnosed the subsurface buffer on variations of GST with the role of coupling depth in the integrated modeling under long-term GW pumping. The results are expected to have implications on integrated modeling in GW depletion areas worldwide.
Un piano di azione per affrontare e risolvere le problematiche legate ai fastidi dai...
Domenico Giaquinto

Domenico Giaquinto

December 04, 2019
La pianificazione territoriale  abbraccia molteplici tematiche,  non solo quelle strettamente urbanistiche, ma anche quelle legate alle categorie degli impatti ambientali.  Si pensi ad esempio di vivere un luogo dove si sentono rumori continui e fastidiosi, oppure  di ritrovarsi nei pressi di un impianto di depurazione che emette nell'aria odori poco gradevoli.  Ad oggi per rimediare a questi spiacevoli aspetti la pianificazione ha adottato  soltanto un piano del rumore, dimenticandosi degli odori. Il seguente studio si pone come fine quello di creare un piano di azione  del fastidio che analizzi entrambi gli aspetti,  per evitare vi siano forme di degrado ambientale, congestione, esclusione economica e sociale.  
Baseline Quality of Life predicts Overall Survival in patients with mCRPC treated wit...
Viviana Frantellizzi
Maria De Feo

Viviana Frantellizzi

and 8 more

December 04, 2019
Rationale, aims and objectives. The prognostic value of baseline clinical parameters in predicting the survival prolonging effect of 223Ra-therapy in metastatic Castration Resistant Prostate Cancer patients is still an open issue. The aim of this study was investigating the impact of baseline Quality of Life on Overall Survival (OS) in mCRPC patients treated with 223Ra. The present study also evaluated the trend of patient-reported QoL during both 223Ra-treatment and post-therapy follow-up period. Method 173 consecutive mCRPC patients treated with 223Ra were included in this prospective study. QoL was assessed through EORTC QLQ-C30 and QLQ-BM22 Questionnaires and 2264 questionnaires were evaluated. Other baseline variables relevant to the OS analysis have been considered. Data were summarized using descriptive statistics, univariate and multivariate analysis with Cox model. A principal component analysis (PCA) on the questionnaires’ results compiled at baseline was performed to reduce the data to a one-dimensional score. Joint models for survival and longitudinal data were finally used in order to evaluate the relationship between the time-depended QoL scores and OS. Results On multivariate analysis, baseline patients’ Hb, tALP, and two EORTC QLQ-C30 items, physical functioning (HR=0.970,CI=0.960-0.980,p0.001) and dyspnea (HR=0.992,CI=0.986-0.999,p=0.023), were significantly associated with OS. In the resulting model of the multivariate analysis performed after PCA, baseline patients’ Hb, tALP and QoL-score were independent significant predictors of OS (QoL-score:HR=0.995-95%CI=0.992 – 0.998,p=0.001). The OS analysis stratified by score of baseline QoL, showed a median OS of 8 (95%CI=6-11) and 16 (95%CI=12-24) months for scores respectively below and above the cut-off value (log-rank-p<0.001). The joint model showed a significant deterioration of QoL-score during both 223Ra-therapy and follow-up period (p<0.001).Conclusion Baseline QoL is a significant predictor of OS, meaning that patients with better pretreatment QoL are more likely to obtain a marked survival prolonging effect from 223Ra.
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