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Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient advisors (PAs) can be included as full-fledged members of the healthcare team, given that PA can rely on their knowledge with experiencing the disease and from using health and social care services to accompany cancer patients, they could help to round out the health and social care services offer in oncology. However, the feasibility of integrating PAs in clinical oncology teams has not been studied. In this multisite study, we will explore how to integrate PAs in clinical oncology teams and, under what conditions this can be successfully done. We aim to better understand effects of this PA intervention on patients, on the PAs themselves, the health and social care team, the administrators, and on the organization of services and to identify associated ethical and legal issues. Methods/design We will conduct six mixed methods longitudinal case studies. Qualitative data will be used to study the integration of the PAs into clinical oncology teams and to identify the factors that are facilitators and inhibitors of the process, the associated ethical and legal issues, and the challenges that the PAs experience. Quantitative data will be used to assess effects on patients, PAs and team members, if any, of the PA intervention. The results will be used to support oncology programs in the integration of PAs into their healthcare teams and to design a future randomized pragmatic trial to evaluate the impact of PAs as full-fledged members of clinical oncology teams on cancer patients’ experience of emotional support throughout their care trajectory. Discussion This study will be the first to integrate PAs as full-fledged members of the clinical oncology team and to assess possible clinical and organizational level effects. Given the unique role of PAs, this study will complement the body of research on peer support and patient navigation. An additional innovative aspect of this study will be consideration of the ethical and legal issues at stake and how to address them in the health care organizations.

Cassini Ion Neutral Mass Spectrometer (INMS) measurements from roughly a hundred Titan encounters over the Cassini mission yield neutral and ion densities systematically lower, by factors approximately 2 to 3, than estimates from several other spacecraft systems, including the Attitude and Articulation Control System, and Navigation system. In this paper we present a new INMS instrument sensitivity model, obtained by re-analyzing (1) the capture and transmission of neutral gas through the instrument, and (2) the detector gain reduction during pre-launch testing. By correcting for an under-estimation of gas leakage out of the instrument into space by the original calibration model, and adjusting for the gain change, the new model brings INMS densities into much closer agreement with the other Cassini systems. Accordingly, the INMS ion densities are revised upward by a constant detector sensitivity correction factor of 1.55±21 %, while the neutral sensitivities have a complex instrument pointing direction dependence, due (mostly) to the effect of the INMS vent and antechamber-to-closed source tube. In the special case of on-ram pointing the neutral densities are revised upward by a constant factor of 2.2±23 %. The corrected neutral and ion sensitivities given here are applicable to all previously published INMS results at Titan, Enceladus and elsewhere in the Saturn system. The new model gives reliable densities at high ram angles, in some cases above 90 degrees, thereby expanding the list of Titan flybys from which INMS densities may be extracted. We apply the model to obtain accurate densities from several off-ram Titan flybys which gave unusual neutral density vs. altitude profiles, or unreasonably high densities, with the original calibration.

No instrument has been developed to explicitly assess the professional culture of mental health workers interacting with severely mentally ill people in publicly or privately run mental health care services. Because of theoretical and methodological concerns, we designed a self-administered questionnaire to assess the professional culture of mental health services workers. The study aims to validate this tool, named the Mental Health Professional Culture Inventory (MHPCI). The MHPCI adopts the notion of 'professional culture' as a hybrid construct between the individual and the organisational level that could be directly associated with the professional practices of mental health workers. The MHPCI takes into consideration a multidimensional definition of professional culture and a discrete number of psychometrically derived dimensions related to meaningful professional behaviour. The questionnaire was created and developed by a conjoint Italian-Canadian research team with the purpose of obtaining a fully cross-cultural questionnaire and was pretested in a pilot study. Subsequently, a validation survey was conducted in northern Italy and in Canada (Montreal area, Quebec). Data analysis was conducted in different steps designed to maximise the cross-cultural adaptation of the questionnaire through a recursive procedure consisting of performing a principal component analysis (PCA) on the Italian sample (N = 221) and then testing the resulting factorial model on the Canadian sample (N = 237). Reliability was also assessed with a test-retest design. Four dimensions emerged in the PCA and were verified in the confirmatory factor analysis: family involvement, users' sexuality, therapeutic framework and management of aggression risk. All the scales displayed good internal consistency and reliability. This study suggests the MHPCI could be a valid and reliable instrument to measure the professional behaviour of mental health services workers. The content of the four scales is consistent with the literature on psychosocial rehabilitation, suggesting that the instrument could be used to evaluate staff behaviour regarding four crucial dimensions of mental health care.

The Kuiper Belt is a broad, torus-shaped region in the outer Solar System beyond Neptune’s orbit. It contains primordial planetary building blocks and dwarf planets. NASA’s New Horizons spacecraft conducted a flyby of Pluto and its system of moons on 14 July 2015. New Horizons then continued farther into the Kuiper Belt, adjusting its trajectory to fly close to the small Kuiper Belt object (486958) 2014 MU69 (henceforth MU69; also informally known as Ultima Thule). Stellar occultation observations in 2017 showed that MU69 was ~25 to 35 km in diameter, and therefore smaller than the diameter of Pluto (2375 km) by a factor of ~100 and less massive than Pluto by a factor of ~106. MU69 is located about 1.6 billion kilometers farther from the Sun than Pluto was at the time of the New Horizons flyby. MU69’s orbit indicates that it is a “cold classical” Kuiper Belt object, thought to be the least dynamically evolved population in the Solar System. A major goal of flying past this target is to investigate accretion processes in the outer Solar System and how those processes led to the formation of the planets. Because no small Kuiper Belt object had previously been explored by spacecraft, we also sought to provide a close-up look at such a body’s geology and composition, and to search for satellites, rings, and evidence of present or past atmosphere. We report initial scientific results and interpretations from that flyby.

In this paper we explore a class of belief update operators, in which the definition of the operator is compositional with respect to the sentence to be added. The goal is to provide an update operator that is intuitive, in that its definition is based on a recursive decomposition of the update sentence's structure, and that may be reasonably implemented. In addressing update, we first provide a definition phrased in terms of the models of a knowledge base. While this operator satisfies a core group of the benchmark Katsuno-Mendelzon update postulates, not all of the postulates are satisfied. Other Katsuno-Mendelzon postulates can be obtained by suitably restricting the syntactic form of the sentence for update, as we show. In restricting the syntactic form of the sentence for update, we also obtain a hierarchy of update operators with Winslett's standard semantics as the most basic interesting approach captured. We subsequently give an algorithm which captures this approach; in the general case the algorithm is exponential, but with some not-unreasonable assumptions we obtain an algorithm that is linear in the size of the knowledge base. Hence the resulting approach has much better complexity characteristics than other operators in some situations. We also explore other compositional belief change operators: erasure is developed as a dual operator to update; we show that a forget operator is definable in terms of update; and we give a definition of the compositional revision operator. We obtain that compositional revision, under the most natural definition, yields the Satoh revision operator.

The results of The IJCAR ATP System Competition are presented.[PUBLICATION ABSTRACT]

Background In the general population, a higher omega‐3 polyunsaturated fatty acids intake is associated with lower levels of several psychological symptoms, especially depression. However, the existing evidence in cancer is equivocal. Methods This phase IIB double‐blind, placebo‐controlled trial was aimed at comparing the effects of eicosapentaenoic acid monoacylglyceride (MAG‐EPA) supplementation and high oleic acid sunflower oil (HOSO; placebo) on depression levels (primary outcome) and other symptoms (anxiety, fear of cancer recurrence, fatigue, insomnia, perceived cognitive impairments; secondary outcomes). Participants, recruited in a prostate cancer clinic, were randomized to MAG‐EPA (3.75 g daily; n = 65) or HOSO (3.75 g daily; n = 65) for 1 year post‐radical prostatectomy (RP), starting 4–10 weeks before surgery. Patients completed self‐report scales at baseline (before RP) and 3, 6, 9, and 12 months after: Hospital Anxiety and Depression Scale (HADS), Fear of Cancer Recurrence Inventory (FCRI), Insomnia Severity Index (ISI), Fatigue Symptom Inventory (FSI), and Functional Assessment of Cancer Therapy—Cognitive Function (FACT‐Cog). Results Analyses showed significant reductions in HADS‐depression, HADS‐anxiety, FCRI, ISI, FSI‐number of days, and FACT‐Cog‐impact scores over time. A significant group‐by‐time interaction was obtained on FACT‐Cog‐Impact scores only; yet, the temporal change was significant in HOSO patients only. Conclusions Several symptoms significantly decreased over time, mainly within the first months of the study. However, MAG‐EPA did not produce greater reductions than HOSO. Omega‐3 supplementation does not seem to improve psychological symptoms of men treated with RP.

A claim by W. Zadrozny (1994) that any semantics can be encoded compositionally, thereby rendering vacuous the standard definition of compositionality, is refuted by applying Zadrozny's theorem to a simple semantics defined to be noncompositional: given a language of only five strings A, B, C, CA, & CB & a meaning function, the meanings of A & B are identical & those of CA & CB nonidentical. Zadrozny's association of a function with each meaningful string & a second function based on the first is characterized as a detour that may provide a compositional theory of pointers to meanings but does not constitute a theory of meanings per se & has not encoded the original meanings as a compositional semantics. 1 Reference. J. Hitchcock

Prostate cancer (PCa) and associated treatments incur symptoms that may impact patients’ quality of life. Studies have shown beneficial relationships between diet, especially omega-3 fatty acids, and these symptoms. Unfortunately, only few data describing the relationship between long-chain omega-3 fatty acids (LCn3) and PCa-related symptoms in patients are available. The purpose of this study was to evaluate the effects of LCn3 supplementation on PCa-specific quality of life in 130 men treated by radical prostatectomy. Men were randomized to receive a daily dose of either 3.75 g of fish oil or a placebo starting 7 weeks before surgery and for up to one-year post-surgery. Quality of life was assessed using the validated EPIC-26 and IPSS questionnaires at randomization, at surgery, and every 3 months following surgery. Between-group differences were assessed using linear mixed models. Intention-to-treat analyses showed no significant difference between the two groups. However, at 12-month follow-up, per-protocol analyses showed a significantly greater increase in the urinary irritation function score (better urinary function) (MD = 5.5, p = 0.03) for the LCn3 group compared to placebo. These results suggest that LCn3 supplementation may improve the urinary irritation function in men with PCa treated by radical prostatectomy and support to conduct of larger-scale studies.