Search

Telephone and letter-based motivational interventions with high expenditure gamblers have significant short and long term positive effects on gambling and use of responsible gambling tools. This report examines how different subtypes of gamblers, based upon patterns of play, are differentially affected. A randomized controlled trial design with three conditions (n = 1003 in each): feedback intervention by letter, telephone or a no-contact control condition. Subtypes of gamblers were derived by latent class analyses (LCA) based upon gambling behavior pre intervention. The participants were customers of Norsk Tipping gambling platforms. 1003 statistical triplets from the top 0.5% of customers based upon annual expenditure, matched on sex, age, and net losses. Primary outcome measure was gambling theoretical loss (TL), derived from the Norsk Tipping customer database. The LCA identified six subtypes: High Casino, High Sport, High Lottery, High Video lottery terminal (VLT), Lottery/Mix and Bingo/Casino. There were almost no differences in change in TL between the six subtypes of gamblers receiving the letter or telefone interventions respectively. However, the choice of contact by letter or telephone did have different effects for the different gambling subtypes. Sending a letter seems like a cost effective alternative to telephone contact for the High Lottery type, but telephone contact performs better for High Casino, High Sport and High VLT customers. Responsible gambling interventions can be improved by subtyping of gamblers. Electronic supplementary material The online version of this article (10.1007/s10899-020-09978-7) contains supplementary material, which is available to authorized users.

Lower-risk recommendations for avoiding gambling harm have been developed as a primary prevention measure, using self-reported prevalence survey data. The aim of this study was to conduct similar analyses using gambling company player data.The sample (N = 35,753) were Norsk Tipping website customers. Gambling indicators were frequency, expenditure, duration, number of gambling formats and wager. Harm indicators (financial. social, emotional, harms in two or more areas) were derived from the GamTest self-assessment instrument. Receiver operating characteristics (ROC) curves were performed separately for each of the five gambling indicators for each of the four harm indicators.ROC areas under the curve were between 0.55 and 0.68. Suggested monthly lower-risk limits were less than 8.7 days, expenditure less than 54 €, duration less than 72-83 min, number of gambling formats less than 3 and wager less than 118-140€. Most risk curves showed a rather stable harm level up to a certain point, from which the increase in harm was fairly linear.The suggested lower-risk limits in the present study are higher than limits based on prevalence studies. There was a significant number of gamblers (5-10%) experiencing harm at gambling levels well below the suggested cut-offs and the risk increase at certain consumption levels.Risk of harm occurs at all levels of gambling involvement within the specific gambling commercial environment assessed in an increasingly available gambling market where most people gamble in multiple commercial environments, minimizing harm is important for all customers.

Aim The aim was to examine the prevalence and characteristics of pain and discomfort from root-filled teeth in an adult Swedish population regularly attending dental care. A further aim was to exam ...

Recent increases in the number of online gambling sites have made gambling more available, which may contribute to an increase in gambling problems. At the same time, online gambling provides opportunities to introduce measures intended to prevent problem gambling. GamTest is an online test of gambling behavior that provides information that can be used to give players individualized feedback and recommendations for action. The aim of this study is to explore the dimensionality of GamTest and validate it against the Problem Gambling Severity Index (PGSI) and the gambler’s own perceived problems. A recent psychometric approach, exploratory structural equation modeling (ESEM) is used. Well-defined constructs are identified in a two-step procedure fitting a traditional exploratory factor analysis model as well as a so-called bifactor model. Using data collected at four Nordic gambling sites in the autumn of 2009 (n = 10,402), the GamTest ESEM analyses indicate high correspondence with the players’ own understanding of their problems and with the PGSI, a validated measure of problem gambling. We conclude that GamTest captures five dimensions of problematic gambling (i.e., overconsumption of money and time, and monetary, social and emotional negative consequences) with high reliability, and that the bifactor approach, composed of a general factor and specific residual factors, reproduces all these factors except one, the negative consequences emotional factor, which contributes to the dominant part of the general factor. The results underscore the importance of tailoring feedback and support to online gamblers with a particular focus on how to handle emotions in relation to their gambling behavior. Electronic supplementary material The online version of this article (doi:10.1007/s10899-017-9676-4) contains supplementary material, which is available to authorized users.

Gambling disorder is a public health issue in many countries, and expectations that the gambling industry protects individuals from harm are increasing. The primary objective of this study was to investigate the effects of providing personalized feedback on gambling intensity among high consumers of venue-based and online gambling in Norway. A randomized controlled trial design was used to evaluate how behavioral feedback by telephone or letters sent via surface mail affects subsequent gambling expenditure and use of responsible gambling tools and whether a follow-up contact increases the effect. Gambling expenditure, the primary outcome, was measured using theoretical loss, which is the actual cost to the player, adjusted for the house advantage. From the top .5% of customers based upon annual expenditure, a sample of 1,003 statistical triplets, matched on sex, age, and net losses, were randomly assigned to the feedback intervention by telephone, letter, or a no-contact control condition. Participants assigned to the phone call or letter were also randomly assigned to receive or not receive a subsequent follow-up contact. The results showed that over 12 weeks, theoretical loss decreased 29% for the phone and 15% for the letter conditions, compared with 3% for the control group. A positive effect of the follow-up contact was limited to participants who at the initial call indicated an interest in receiving a follow-up call. Contacting high consumers about their gambling expenditure appears to be an effective method for gambling companies to meet their duty to care for customers. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Motives for gambling have been shown to be associated with gambling involvement, and hence important in the understanding of the etiology of problem gambling. The aim of this study was to describe differences in gambling motives in different subgroups of lifetime risk gamblers, categorized by: age, gender, alcohol- and drug habits and type of game preferred, when considering the level of risk gambling. A random Swedish sample (n = 19,530) was screened for risk gambling, using the Lie/Bet questionnaire. The study sample (n = 257) consisted of the respondents screening positive on Lie/Bet and completing a postal questionnaire about gambling and motives for gambling (measured with the NODS-PERC and the RGQ respectively). When considering the level of risk gambling, motives for gambling were not associated with gender, whereas younger persons gambled for the challenge more often than did older participants. Card/Casino and Sport gamblers played to a greater extent for social and challenge reasons then did Lotto/Bingo-gamblers. EGM-gamblers played more for coping reasons than did Lotto/Bingo gamblers. However, this association turned non-significant when considering the level of risk gambling. Moderate risk gamblers played for the challenge and coping reasons to a greater extent than low risk gamblers motives for gambling differ across subgroups of preferred game and between gamblers with low and moderate risk. The level of risk gambling is intertwined with motives for gambling and should be considered when examining gambling reasons.

Aim To (i) investigate the frequency and characteristics of pain and discomfort associated with root filled teeth in adult patients regularly attending the Public Dental Service in Orebro County, Sweden; (ii) assess the association between symptoms and clinical and radiographic findings; and (iii) explore the impact of pain and discomfort from root filled teeth on daily life. Methodology Patient records of adult patients (≥20 years) scheduled for routine check-ups in April 2015 were screened to identify individuals with root filled teeth; all patients with ≥1 root filled tooth were asked to participate. The examination comprised of clinical and radiographic examinations and questionnaires on general health, on pain symptoms from root filled teeth and on the impact of pain on daily activities. In a general estimating equation (GEE), examination findings and patient-related factors were independently analysed in relation to the outcome 'presence of pain'. Results In total, 550 patients with 1256 root filled teeth participated. Fifty-three patients (9.6%) experienced pain or discomfort from 62 (4.9%) root filled teeth. Lower age, percussion tenderness and apical tenderness were significantly associated with pain (P > 0.001 to P = 0.044). The average pain intensity was 2.1 on a (0-10) Numeric Rating Scale, and average duration was 28.4 months. The impact on daily life was low. Conclusions On average, pain associated with root filled teeth was of mild intensity, >2 years of duration and had low impact on daily life. Although the significantly associated clinical findings may indicate apical periodontitis as the most probable explanation in some teeth, the origin of pain from root filled teeth remains partly unexplained.

For δ ≥ 1 and n ≥ 1, consider the simplicial complex of graphs on n vertices in which each vertex has degree at most δ; we identify a given graph with its edge set and admit one loop at each vertex. This complex is of some importance in the theory of semigroup algebras. When δ = 1, we obtain the matching complex, for which it is known that there is 3-torsion in degree d of the homology whenever (n − 4)/3 ≤ d ≤ (n − 6)/2. This paper establishes similar bounds for δ ≥ 2. Specifically, there is 3-torsion in degree d wheneverThe procedure for detecting torsion is to construct an explicit cycle z that is easily seen to have the property that 3zis a boundary. Defining a homomorphism that sends z to a non-boundary element in the chain complex of a certain matching complex, we obtain that z itself is a non-boundary. In particular, the homology class of z has order 3.

High redshift Type Ia supernovae (SNe Ia) are likely to be gravitationally lensed by dark matter haloes of galaxies in the foreground. Since SNe Ia have very small dispersion after light curve shape and colour corrections, their brightness can be used to measure properties of the dark matter haloes via gravitational magnification. We use observations of galaxies and SNe Ia within the Great Observatories Origins Deep Survey (GOODS) to measure the relation between galaxy luminosity and dark matter halo mass. The relation we investigate is a scaling law between velocity dispersion and galaxy luminosity in the B-band. The best-fitting values to this relation (velocity dispersion normalisation and exponent) are 136 km/s and 0.27. We find the velocity dispersion normalisation to be less than 190 km/s at the 95 per cent confidence level. This method provides an independent cross-check of measurements of dark matter halo properties from galaxy-galaxy lensing studies. Our results agree with the galaxy-galaxy lensing results, but have much larger uncertainties. The GOODS sample of SNe Ia is relatively small (we include 24 SNe) and the results therefore depend on individual SNe Ia. We have investigated a number of potential systematic effects. Light curve fitting, which affects the inferred brightness of the SNe Ia, appears to be the most important one. Results obtained using different light curve fitting procedures differ at the 68.3 per cent confidence level.

Pathological gambling is a widespread problem with major implications for society and the individual. There are effective treatments, but little is known about the relative effectiveness of different treatments. The aim of this study was to test the effectiveness of motivational interviewing, cognitive behavioral group therapy, and a no-treatment control (wait-list) in the treatment of pathological gambling. This was done in a randomized controlled trial at an outpatient dependency clinic at Karolinska Institute (Stockholm, Sweden). A total of 150 primarily self-recruited patients with current gambling problems or pathological gambling according to an NORC DSM-IV screen for gambling problems were randomized to four individual sessions of motivational interviewing (MI), eight sessions of cognitive behavioral group therapy (CBGT), or a no-treatment wait-list control. Gambling-related measures derived from timeline follow-back as well as general levels of anxiety and depression were administered at baseline, termination, and 6 and 12 months posttermination. Treatment showed superiority in some areas over the no-treatment control in the short term, including the primary outcome measure. No differences were found between MI and CBGT at any point in time. Instead, both MI and CBGT produced significant within-group decreases on most outcome measures up to the 12-month follow-up. Both forms of intervention are promising treatments, but there is room for improvement in terms of both outcome and compliance.

Let G be an infinite graph such that the automorphism group of G contains a subgroup K ≅ℤd with the property that G/K is finite. We examine the homology of the independence complex Σ(G/I) of G/I for subgroups I of K of full rank, focusing on the case that G is the square, triangular, or hexagonal grid. Specifically, we look for a certain kind of homology cycles that we refer to as “cross-cycles,” the rationale for the terminology being that they are fundamental cycles of the boundary complex of some cross-polytope. For the special cases just mentioned, we determine the set Q(G,K) of rational numbers r such that there is a group I with the property that Σ(G/I) contains cross-cycles of degree exactly r⋅|G/I|−1; |G/I| denotes the size of the vertex set of G/I. In each of the three cases, Q(G,K) turns out to be an interval of the form [a,b]∩ℚ={r∈ℚ:a≤r≤b}. For example, for the square grid, we obtain the interval $[\frac{1}{5},\frac{1}{4}]\cap \mathbb{Q}$.

Gravitational waves emitted by chirping supermassive black hole binaries could in principle be used to obtain very accurate distance determinations. Provided they have an electromagnetic counterpart from which the redshift can be determined, these standard sirens could be used to build a high redshift Hubble diagram. Errors in the distance measurements will most likely be dominated by gravitational lensing. We show that the (de)magnification due to inhomogeneous foreground matter will increase the scatter in the measured distances by a factor ~10. We propose to use optical and IR data of the foreground galaxies to minimize the degradation from weak lensing. We find that the net effect of correcting the estimated distances for lensing is comparable to increasing the sample size by a factor of three when using the data to constrain cosmological parameters., Comment: 21 pages, 4 figures, accepted for publication in ApJ

Since the discovery of the unusual prototype SN 2002cx, the eponymous class of low-velocity, hydrogen-poor supernovae has grown to include at most another two dozen members identified from several heterogeneous surveys, in some cases ambiguously. Here we present the results of a systematic study of 1077 hydrogen-poor supernovae discovered by the Palomar Transient Factory, leading to nine new members of this peculiar class. Moreover we find there are two distinct subclasses based on their spectroscopic, photometric, and host galaxy properties: The "SN 2002cx-like" supernovae tend to be in later-type or more irregular hosts, have more varied and generally dimmer luminosities, have longer rise times, and lack a Ti II trough when compared to the "SN 2002es-like" supernovae. None of our objects show helium, and we counter a previous claim of two such events. We also find that these transients comprise 5.6+17-3.7% (90% confidence) of all SNe Ia, lower compared to earlier estimates. Combining our objects with the literature sample, we propose that these subclasses have two distinct physical origins., Comment: 49 pages, 36 figures, submitted to ApJ

We investigate the possibility of correcting for the magnification due to gravitational lensing of standard candle sources, such as Type Ia supernovae. Our method uses the observed properties of the foreground galaxies along the lines-of-sight to each source and the accuracy of the lensing correction depends on the quality and depth of these observations as well as the uncertainties in translating the observed luminosities to the matter distribution in the lensing galaxies. The current work is limited to cases where the matter density is dominated by the individual galaxy halos. However, it is straightforward to generalize the method to include also gravitational lensing from cluster scale halos. We show that the dispersion due to lensing for a standard candle source at z=1.5 can be reduced from about 7% to ~< 3%, i.e. the magnification correction is useful in reducing the scatter in the Type Ia Hubble diagram, especially at high redshifts where the required long exposure times makes it hard to reach large statistics and the dispersion due to lensing becomes comparable to the intrinsic Type Ia scatter., Matches accepted version, includes clarifications and additional issues. 28 pages, 7 figures, accepted for publication in ApJ

Gravitational lensing of high-redshift supernovae is potentially an important source of uncertainty when deriving cosmological parameters from the measured brightness of Type Ia supernovae, especially in deep surveys with scarce statistics. Photometric and spectroscopic measurements of foreground galaxies along the lines-of-sight of 33 supernovae discovered with the Hubble Space Telescope, both core-collapse and Type Ia, are used to model the magnification probability distributions of the sources. Modelling galaxy halos with SIS or NFW-profiles and using M/L scaling laws provided by the Faber-Jackson and Tully-Fisher relations, we find clear evidence for supernovae with lensing (de)magnification. However, the magnification distribution of the Type Ia supernovae used to determine cosmological distances matches very well the expectations for an unbiased sample, i.e.their mean magnification factor is consistent with unity. Our results show that the lensing distortions of the supernova brightness can be well understood for the GOODS sample and that correcting for this effect has a negligible impact on the derived cosmological parameters., 22 pages, 9 figures, accepted for publication by ApJ

The aim of this study was to assess the relation between the diagnosis of encopresis at 8 and 10 years of age, and mental and somatic health 10 years later. The importance of type of encopresis (primary or secondary) at 8 years was also studied. Subjects were a non-clinical encopretic sample (N=73) and control subjects (N=75) [2]. Seven assessment variables from conscription surveys provided information about mental and somatic health status at 18 years of age. Former encopretics (n=66) did not differ significantly from the controls (n=67) at 18 years of age, although there were consistent, small negative differences. The boys who at 10 years of age had still been encopretic did not differ significantly at 18 years of age from the boys who at 10 years had recovered from encopresis, and the signs indicating the small differences varied. For former primary and secondary encopretic boys, there were two significant differences, the men in the secondary group being more often exempted from conscription than the primary group and the control cases. The results indicate that boys with non-clinical encopresis show only small, if any, mental and somatic disturbances at the beginning of adulthood. Comprehensive investigations of encopretic patients are recommended as important clinical problems, in addition to encopresis, might be present.

In a recent paper, E. Steingrimsson associated to each simple graph G a simplicial complex ?G, referred to as the coloring complex of G. Certain nonfaces of ?G correspond in a natural manner to proper colorings of G. Indeed, the h-vector is an affine transformation of the chromatic polynomial ?G of G, and the reduced Euler characteristic is, up to sign, equal to |?G(?1)|?1. We show that ?G is constructible and hence Cohen-Macaulay. Moreover, we introduce two subcomplexes of the coloring complex, referred to as polar coloring complexes. The h-vectors of these complexes are again affine transformations of ?G, and their Euler characteristics coincide with ??G(0) and ???G(1), respectively. We show for a large class of graphs--including all connected graphs--that polar coloring complexes are constructible. Finally, the coloring complex and its polar subcomplexes being Cohen-Macaulay allows for topological interpretations of certain positivity results about the chromatic polynomial due to N. Linial and I. M. Gessel.