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Intermolecular potential energy surface and spectra of He-HCl with generalization to other rare gas-hydrogen halide complexes.

A two-dimensional (rigid monomer) intermolecular potential energy surface (PES) of the He-HCl complex has been obtained from ab initio calculations utilizing the symmetry-adapted perturbation theory (SAPT) and an spdfg basis set including midbond functions. The bond length in HCl was chosen to be equal to the expectation value in the ground vibrational state of isolated HCl. The rigid-monomer potential should be a very good approximation to the complete (three-dimensional) potential for H-Cl distances corresponding to the lowest vibrational levels of the monomer since the He-HCl interaction energy was found to be only weakly dependent on the HCl bond length in this region, at least as compared to systems such as Ar-HF. The calculated points were fitted using an analytic function with ab initio computed asymptotic coefficients. As expected, the complex is loosely bound, with the dispersion energy providing the majority of the attraction. Our SAPT PES agrees with the semiempirical PES of Willey et al. [J. Chem. Phys. 96, 898 (1992)], in finding that, atypically for rare gas-hydrogen halide complexes including the lighter halide atoms, the global minimum is on the Cl side (with intermonomer separation 3.35 A and depth of 32.8 cm(-1)), rather than on the H side, where there is only a local minimum (3.85 A, 30.8 cm(-1)). The ordering of the minima was confirmed by single-point calculations in larger basis sets and complete basis set extrapolations, and also using higher levels of theory. We show that the opposite findings in the recent calculations of Zhang and Shi [J. Mol. Struct: THEOCHEM 589, 89 (2002)] are due to the lack of midbond functions in their basis set. Despite the closeness in depth of the two linear minima, the existence of a relatively high barrier between them invalidates the assumption of isotropy, a feature of some literature potentials. The trends concerning the locations of minima within the family of rare gas-hydrogen halide complexes are rationalized in terms of the physical components of the intermolecular forces and related to monomer properties. The accuracy of the SAPT PES was tested by performing calculations of rovibrational levels. The transition frequencies obtained were found to be in excellent agreement (to within 0.02 cm(-1)) with the measurements of Lovejoy and Nesbitt [J. Chem. Phys. 93, 5387 (1990)]. The SAPT PES predicts a dissociation energy for the complex of 7.74 cm(-1) which is probably more accurate than the experimental value of 10.1+/-1.2 cm(-1). Our analysis of the ground-state rovibrational wave function shows that the He-HCl configuration is favored over the He-ClH configuration despite the ordering of minima. This is due to the greater volume of the well in the former case. We have also determined positions and widths of three low-lying resonance states through scattering calculations. These predictions are expected to be more accurate than values derived from experiment.

Journal Article↗

In search of a deep psychobiology of hypnosis: visionary hypotheses for a new millennium.

This search for the deep psychobiological foundations of hypnosis begins with a review of some of the paradoxes of historical hypnosis and the impasse of current theory. It is proposed that further progress requires a deeper investigation of how psychosocial cues can modulate the mechanisms of healing at the CNS, autonomic, neuroendocrine and cellular-genetic levels. The dynamics of hypnotic communication and healing from the cognitive-behavior level to the cellular-genetic are outlined in four stages: (1) Information transduction between the experiences of consciousness and the limbic-hypothalamic-pituitary system; (2) The psychosomatic network of messenger molecules and their receptors; (3) The immediate early gene protein cascade; and (4) State dependent memory, learning and behavior. Neuroscience research is outlined for its contributions to a mathematical model of how a psychobiological approach to the therapeutic applications of hypnosis and the placebo response could facilitate neurogenesis in the human hippocampus and healing at the cellular-genetic-protein level throughout the body. A series of ten hypotheses is proposed as a guide for theory and research in therapeutic hypnosis utilizing DNA chip technology in the new millennium.

Forecasting↗

Cumulative causation and selectivity in labour market oriented migration caused by imperfect information.

This paper is concerned with the implications of job search models for migration. In contrast to earlier models, the model described here does not assume perfect information about the wage offer distribution. "In this model information about the wage offer distribution is imperfect and accumulated through the search process. When based on this search model, the migration model is largely enriched and also more realistic. Strategies, which are suboptimal or even absurd with perfect information about the wage offer distribution, such as purchase of information, can be preferable in a migration model, when imperfect information is assumed." The author suggests that the model can explain many phenomena utilized in the argumentation of polarization theory. Consideration is also given to selectivity with respect to age, educational status, and risk preference, as well as the cumulative effects caused by past migration flows and the size of regions. (summary in FRE, GER)

Age Factors↗

Relationships between personality and preferred substance and motivations for use among adolescent substance abusers.

This study examined the utility of Cloninger's tridimensional personality theory (1986, 1987a) in predicting preferred substance of abuse and self-reported motivations for use among a sample of 200 adolescent substance abusers and 200 matched community control adolescents. Two primary hypotheses were tested: (1) Cloninger's type II profile is more strongly associated with stimulant use, and his type I profile is more strongly associated with substances having sedative-hypnotic effects; and 2) type II individuals will report motivations for use that focus primarily on obtaining positive rewards, whereas type I individuals will report motivations primarily concerning negative reinforcement or the avoidance of problems and negative life experiences. Our results did not show strong associations between Cloninger's Harm Avoidance and Reward Dependence dimensions and preferred substance or motivations for use. However, in partial support of the hypotheses examined here, we did find that individuals low in novelty seeking (NS) tended to prefer alcohol and marijuana, whereas those high in NS endorsed a wider range of preferred substances. High NS was associated with significantly greater stimulant use and motivations focused on obtaining positive rewards, whereas low NS was associated with greater sedative use and motivations related to avoiding negative emotions or negative life experiences.

Adolescent↗

Spectrum reconstruction from dose measurements as a linear inverse problem.

There are three ways to determine the spectrum of a clinical photon beam: direct measurement, modelling the source and reconstruction from ion-chamber measurements. We focus on reconstruction because the necessary equipment is readily available and it provides independent confirmation of source models for a given machine. Reconstruction methods involve measuring the dose in an ion chamber after the beam passes through an attenuator. We gain information about the spectrum from measurements using attenuators of differing compositions and thicknesses since materials have energy dependent attenuation. Unlike the procedures used in other papers, we do not discretize or parametrize the spectrum. With either of these two approximations, reconstruction is a least squares problem. The forward problem of going from a spectrum to a series of dose measurements is a linear operator, with the composition and thickness of the attenuators as parameters. Hence the singular value decomposition (SVD) characterizes this operator. The right singular vectors form a basis for the spectrum, and, at first approximation, only those corresponding to singular values above a threshold are measurable. A more rigorous error analysis shows with what confidence different components of the spectrum can be measured. We illustrate this theory with simulations and an example utilizing six sets of dose measurements with water and lead as attenuators.

Computer Simulation↗

Systemic nitric oxide synthase inhibition does not affect brain oxygenation during cortical spreading depression in rats: a noninvasive near-infrared spectroscopy and laser-Doppler flowmetry study.

Cortical spreading depression (CSD) has been implicated in the migraine aura and in stroke. This study demonstrates near-infrared spectroscopy (NIRS) for the first time as capable of noninvasive on-line detection of CSD in the pentobarbital-anesthetized rat. CSD was accompanied by a brief and rapid increase of regional CBF (by laser-Doppler flowmetry) to 200-400% baseline. NIRS demonstrates that this hyperperfusion is associated with concentration increases of oxyhemoglobin, while deoxyhemoglobin decreases. Simultaneously, oxygen partial pressure, measured on the brain surface with a solid-state polarographic probe, was shown to be raised by at least 14 mm Hg during CSD. Oxygen-dependent phosphorescence life-time quenching measurements confirmed this finding. NIRS data on cytochrome aa3, however, showed a CSD-related shift toward a more reduced state, despite raised blood oxygenation. This may suggest either limited O2 transport from the blood to mitochondria or decreased oxygen utilization during CSD as supposed by theories about compartmentalization of energy metabolism favoring glycolytic rather than aerobic energy supply during CSD. However, the data on cytochrome aa3 warrant caution and are discussed critically. Nitric oxide synthase inhibition by systemic application of N'-nitro-L-arginine had no significant effect on the perfusion response or the tissue PO2 during CSD. During most CSD episodes, a brief decrease in MABP by 4-8 mm Hg was noted that might be caused by functional decortication during CSD.

Animals↗

Attitudinal correlates of lithium compliance in bipolar affective disorders.

Lithium noncompliance is a significant barrier to effective treatment of manic-depressive disorders, yet the reasons for it are not well established. This questionnaire study of 48 lithium outpatients evaluated the utility of Ajzen and Fishbein's Theory of Reasoned Action in explicating the relationships among lithium-related beliefs and attitudes, normative beliefs, behavioral intentions, and self-reported compliance with the treatment regimen. Results support the usefulness of this model, with some modification, in conceptualizing patients' compliance behaviors. Findings underscore the importance of the patient-physician relationship in lithium compliance.

Adult↗

Intrusion, avoidance, and psychological distress among individuals with cancer.

OBJECTIVE: The goal of the study was to examine the utility of Creamer's cognitive processing theory of trauma in a sample of individuals undergoing treatment for cancer. This theory proposes that avoidance is a maladaptive strategy of dealing with intrusive thoughts about a traumatic experience and suggests that avoidance mediates the relation between intrusive thoughts and later psychological distress. The role of disease-related factors, specifically changes in physical impairment and disease stage, was also examined. METHODS: Patients (N = 189) undergoing treatment for cancer completed questionnaires at three time points, spaced 3 months apart. Intrusive thoughts, functional impairment, and psychological distress were assessed at Time 1, avoidance and functional impairment at Time 2, and psychological distress was assessed again at Time 3. The fit of the model was tested separately for patients with early-stage (stages 1 and 2) and late-stage (stages 3 and 4) disease. RESULTS: The mediational role for avoidance was supported among patients with advanced stages of cancer but not for patients with early-stage disease. Results were inconsistent with predictions about the role of physical impairment. Among individuals with late-stage cancer, changes in functional impairment were not predictive of greater avoidance, and impairment had a significant but weak effect on the change in distress. Among patients with early-stage cancer, a deterioration in physical impairment was associated with increases in avoidance, and deterioration in physical impairment increased distress. CONCLUSIONS: The results of this study were partially consistent with Creamer's cognitive processing theory. A moderating effect was found for disease stage on associations between intrusions, avoidance, physical impairment, and distress.

Activities of Daily Living↗

Guidelines for critical care medicine training and continuing medical education.

OBJECTIVE: Critical care medicine trainees and faculty must acquire and maintain the skills necessary to provide state-of-the art clinical care to critically ill patients, to improve patient outcomes, optimize intensive care unit utilization, and continue to advance the theory and practice of critical care medicine. This should be accomplished in an environment dedicated to compassionate and ethical care. PARTICIPANTS: A multidisciplinary panel of professionals with expertise in critical care education and the practice of critical care medicine under the direction of the American College of Critical Care Medicine. SCOPE: Physician education in critical care medicine in the United States should encompass all disciplines that provide care in the intensive care unit and all levels of training: from medical students through all levels of postgraduate training and continuing medical education for all providers of clinical critical care. The scope of this guideline includes physician education in the United States from residency through ongoing practice after subspecialization. DATA SOURCES AND SYNTHESIS: Relevant literature was accessed via a systematic Medline search as well as by requesting references from all panel members. Subsequently, the bibliographies of obtained literature were reviewed for additional references. In addition, a search of organization-based published material was conducted via the Internet. This included but was not limited to material published by the American College of Critical Care Medicine, Accreditation Council for Graduate Medical Education, Accreditation Council for Continuing Medical Education, and other primary and specialty organizations. Collaboratively and iteratively, the task force met, by conference call and in person, to construct the tenets and ultimately the substance of this guideline. CONCLUSIONS: Guidelines for the continuum of education in critical care medicine from residency through specialty training and ongoing throughout practice will facilitate standardization of physician education in critical care medicine.

Clinical Competence↗

Genetic basis of the association of sulphonamide resistance with methionine auxotrophy in Neisseria gonorrhoeae.

Selection by sulphonamides was investigated in Neisseria gonorrhoeae because a sulphonamide-resistant (Sulr), methionine-requiring (Met-) phenotype that was common in the era of sulphonamide therapy became rare in the penicillin era. Cultures of wild-type (SulsMet+) gonococci on a conventional medium containing sulphadiazine (2-10 micrograms ml-1) yielded numerous, nonidentical mutations of two met genes. The requirement of MetI- mutants was satisfied only by methionine, whereas MetII- mutants utilized either homocysteine or methionine. My theory that increased resistance to sulphonamides is a pleiotropic effect of methionine auxotrophy was confirmed by the return of sulphonamide susceptibility in all Met+ spontaneous mutants. Furthermore, the SulrMet- traits were introduced or eliminated together by DNA-mediated transformation. Sulphonamides are known to inhibit dihydropteroate synthase; consequently, they interrupt the entire sequence of reactions in the folate pathway including the methyl group transfer from N5-methyltetrahydrofolate to homocysteine to form methionine. The increased sulphonamide resistance of these Met- mutants is discussed in terms of conservation of the pool of essential tetrahydrofolate derivatives. The ease with which spontaneous forward and reverse met mutations can be obtained is unique among gonococcal genes.

Bacterial Proteins↗

Self-assembly of the simple cubic lattice with an isotropic potential.

Conventional wisdom presumes that low-coordinated crystal ground states require directional interactions. Using our recently introduced optimization procedure to achieve self-assembly of targeted structures [M. C. Rechtsman, Phys. Rev. Lett. 95, 228301 (2005); Phys. Rev. E 73, 011406 (2006)], we present an isotropic pair potential V(r) for a three-dimensional many-particle system whose classical ground state is the low-coordinated simple cubic lattice. This result is part of an ongoing pursuit by the authors to develop analytical and computational tools to solve statistical-mechanical inverse problems for the purpose of achieving targeted self-assembly. The purpose of these methods is to design interparticle interactions that cause self-assembly of technologically important target structures for applications in photonics, catalysis, separation, sensors, and electronics. We also show that standard approximate integral-equation theories of the liquid state that utilize pair correlation function information cannot be used in the reverse mode to predict the correct simple cubic potential. We report in passing optimized isotropic potentials that yield the body-centered-cubic and simple hexagonal lattices, which provide other examples of non-close-packed structures that can be assembled using isotropic pair interactions.

Journal Article↗

Specific impairments in self-regulation in children exposed to alcohol prenatally.

The present study utilizes a conceptual framework derived from theories of cognition to explain the pattern of behavioral and learning problems observed in subjects with fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE). Based on a modern interpretation of Luria's theory of self-regulation, this study used a neuropsychological test battery to compare 10 subjects (mean age = 13 years) having FAS/FAE with 10 control subjects (mean age = 12 years and 9 months). Subjects with FAS/FAE were relatively high functioning and did not significantly differ from controls with respect to receptive vocabulary. However, those with FAS/FAE exhibited greater difficulty than controls on tasks that involved the manipulation of information and goal management in working memory (e.g., Planning, Controlled Oral Word Association, etc). Both groups performed equally well on some tasks that demanded rule learning (Delayed Response) and response inhibition (Go-No-Go). The above impairments were interpreted to be reflective of selective rather than generalized disruptions of neural networks that subserve working memory.

Adolescent↗

Noncompliance revisited: a disciplinary perspective of a nursing diagnosis.

One of the nursing diagnoses accepted by NANDA is noncompliance. However, this diagnosis has been criticized because it implies coercion and dominance by health professionals, and because of the negative stereotyping the term promotes. The authors argue that noncompliance should not be used as a nursing diagnosis because of incongruence with nursing history, philosophy, ethics, theory, and the need for clinical utility of diagnoses. Alternative diagnoses are proposed.

Ethics, Nursing↗

A structural model for molded thermoplastic ankle-foot orthoses.

The structural response of a posterior leaf spring, ankle-foot orthosis (AFO) was studied both experimentally and with a simple theoretical model. The theoretical model, which was compared with other analytical solutions and experimental data, predicted the bending and twisting of the AFO due to unit loads. The simple theoretical model utilized beam equations and small deflection theory. Excellent agreement between test and predicted values was achieved, indicating that the simple theoretical model, which was relatively easy to implement computationally, could serve as the major component of a computer-aided design program.

Ankle↗

Measurement of fibrous cap thickness in atherosclerotic plaques by spatiotemporal analysis of laser speckle images.

Necrotic-core fibroatheromas (NCFA) with thin, mechanically weak fibrous caps overlying lipid cores comprise the majority of plaques that rupture and cause acute myocardial infarction. Laser speckle imaging (LSI) has been recently demonstrated to enable atherosclerotic plaque characterization with high accuracy. We investigate spatio-temporal analysis of LSI data, in conjunction with diffusion theory and Monte Carlo modeling of light transport, to estimate fibrous cap thickness in NCFAs. Time-varying laser speckle images of 20 NCFAs are selected for analysis. Spatio-temporal intensity fluctuations are analyzed by exponential fitting of the windowed normalized cross-correlation of sequential laser speckle patterns to obtain the speckle decorrelation time constant, tau(rho), as a function of distance rho from the source entry location. The distance, rho', at which tau(rho) dropped to 65% of its maximum value is recorded. Diffusion theory and Monte Carlo models are utilized to estimate the maximum photon penetration depth, zmax(rho'), for a distance equal to rho', measured from LSI. Measurements of zmax(rho') correlate well with histological measurements of fibrous cap thickness (R=0.78, p<0.0001), and paired t-tests show no significant difference between the groups (p=0.4). These results demonstrate that spatio-temporal LSI may allow the estimation of fibrous cap thickness in NCFAs, which is an important predictor of plaque stability.

Algorithms↗

Complementary category learning systems identified using event-related functional MRI.

Event-related fMRI was used to dissociate the neural systems involved in category learning with and without awareness. Ten subjects performed a speeded response category learning task. Functional MR images were acquired during both explicit and implicit learning conditions. Behavioral data showed evidence of learning in both conditions. Functional imaging data showed different activation patterns in implicit and explicit trials. Decreased activation in extrastriate region V3 was found with implicit learning, and increased activation in V3, the medial temporal lobe, and frontal regions were found with explicit learning. These results support the theory that implicit and explicit learning utilize dissociable neural systems. Moreover, in both the implicit and explicit conditions a similar pattern of decreased activation was found in parietal regions. This commonality suggests that these dissociable systems also operate in parallel.

Adolescent↗

Some prelinguistic aspects of language development.

Most studies of language acquisition since Chomsky's break-through in linguistics have all utilized as a theoretical base various theories of cognitive development out of which words, phrases, and meanings are created. This study attempts to outline the underpinnings of language ontogenetically and to show the role of affective engagements with caretakers. Some of the prelinguistic aspects of language development are examined in relation to the volution of language function. The newborn infant engages and terminates visual, kinesthetic, oral, and sound reciprocity with the mother, as shown in the cough-smile game, thus providing the infant a significant measure of control over these reciprocal exchanges. The social smile, modulations thereof, and the face itself become organizers of meaningful vocalization, a focal point around which phonemes emerge from the mutuality of the mother-infant relationship. The evolution and meaning of the pointing gesture as it relates to language functioning and to the stages of separation-individuation is discussed. It is suggested that the child's capacity to evaluate the context of utterances in relation to dynamically integrated facial-vocal configurations with familiar caretakers provides the basis for the development of semantics and syntax in later language functioning.

Child↗

Phase I trial of concurrent intraperitoneal and continuous intravenous infusion of fluorouracil in patients with refractory cancer.

In an effort to maximize both local-regional and systemic drug exposure to tumor in the peritoneal cavity, a phase I study was conducted that examined the simultaneous daily intraperitoneal (IP) and continuous intravenous infusion (CVI) of fluorouracil (5-FU) to 32 patients with refractory cancer. IP 5-FU administered at 1,000 mg/d with concurrent 5-FU by CVI at 1,000 mg/m2/d for four consecutive days was well tolerated. One patient with a primary gastrointestinal (GI) malignancy with minimal volume disease experienced a surgically defined complete remission. In theory, this regimen may demonstrate clinical utility as an adjuvant treatment of certain GI malignancies. Future studies are planned in this clinical setting.

Drug Administration Schedule↗