OA Lal 2023 Digital health innovation to prevent relapse and support recovery in young people with first-episode psychosis : A pilot study of Horyzons-Canada

Digital health innovations may help to improve access to psychosocial therapy and peer support; however, the existence of evidence-based digital health interventions for individuals recovering from a first-episode psychosis (FEP) remains limited. This study aims to investigate the feasibility, acceptability, safety, and pre-post outcomes of Horyzons-Canada (HoryzonsCa), a Canadian adaptation of a digital mental health intervention consisting of psychosocial interventions, online social networking, and clinical and peer support moderation. Using a convergent mixed-methods research design, we recruited participants from a specialized early intervention clinic for FEP in Montreal, Canada. Twenty-three participants (mean age = 26.8) completed baseline assessments, and 20 completed follow-up assessments after 8 weeks of intervention access. Most participants provided positive feedback on general experience (85%, 17/20) and the utility of Horyzons for identifying their strengths (70%, 14/20). Almost all perceived the platform as easy to use (95%, 19/20) and felt safe using it (90%, 18/20). There were no adverse events related to the intervention. Participants used HoryzonsCa to learn about their illness and how to get better (65%, 13/20), receive support (60%, 12/20), and access social networking (35%, 7/20) and peer support (30%, 6/20). Regarding adoption, 65% (13/20) logged in at least 4 times over 8 weeks. There was a nonsignificant increase in social functioning and no deterioration on the Clinical Global Impression Scale. Overall, HoryzonsCa was feasible to implement and perceived as safe and acceptable. More research is needed with larger sample sizes and using in-depth qualitative methods to better understand the implementation and impact of HoryzonsCa

Field Representations of Vector Supersymmetry

We study some field representations of vector supersymmetry with superspin Y=0 and Y=1/2 and nonvanishing central charges. For Y=0, we present two multiplets composed of four spinor fields, two even and two odd, and we provide a free action for them. The main differences between these two multiplets are the way the central charge operators act and the compatibility with the Majorana reality condition on the spinors. One of the two is related to a previously studied spinning particle model. For Y=1/2, we present a multiplet composed of one even scalar, one odd vector and one even selfdual two-form, which is a truncation of a known representation of the tensor supersymmetry algebra in Euclidean spacetime. We discuss its rotation to Minkowski spacetime and provide a set of dynamical equations for it, which are however not derived from a Lagrangian. We develop a superspace formalism for vector supersymmetry with central charges and we derive our multiplets by superspace techniques. Finally, we discuss some representations with vanishing central charges.Comment: 37 page

Analysis and modeling of high temporal resolution spectroscopic observations of flares on AD Leo

We report the results of a high temporal resolution spectroscopic monitoring of the flare star AD Leo. During 4 nights, more than 600 spectra were taken in the optical range using the Isaac Newton Telescope (INT) and the Intermediate Dispersion Spectrograph (IDS). We have observed a large number of short and weak flares occurring very frequently (flare activity > 0.71 hours-1). This is in favour of the very important role that flares can play in stellar coronal heating. The detected flares are non white-light flares and, though most of solar flares belong to this kind, very few such events had been previously observed on stars. The behaviour of different chromospheric lines (Balmer series from H_alpha to H_11, Ca II H & K, Na I D_1 & D_2, He I 4026 AA and He I D_3) has been studied in detail for a total of 14 flares. We have also estimated the physical parameters of the flaring plasma by using a procedure which assumes a simplified slab model of flares. All the obtained physical parameters are consistent with previously derived values for stellar flares, and the areas - less than 2.3% of the stellar surface - are comparable with the size inferred for other solar and stellar flares. Finally, we have studied the relationships between the physical parameters and the area, duration, maximum flux and energy released during the detected flares.Comment: Latex file with 17 pages, 11 figures. Available at http://www.ucm.es/info/Astrof/invest/actividad/actividad_pub.html Accepted for publication in: Astronomy & Astrophysics (A&A

Sources and sinks separating domains of left- and right-traveling waves: Experiment versus amplitude equations

In many pattern forming systems that exhibit traveling waves, sources and sinks occur which separate patches of oppositely traveling waves. We show that simple qualitative features of their dynamics can be compared to predictions from coupled amplitude equations. In heated wire convection experiments, we find a discrepancy between the observed multiplicity of sources and theoretical predictions. The expression for the observed motion of sinks is incompatible with any amplitude equation description.Comment: 4 pages, RevTeX, 3 figur

Field Theoretical Quantum Effects on the Kerr Geometry

We study quantum aspects of the Einstein gravity with one time-like and one space-like Killing vector commuting with each other. The theory is formulated as a \coset nonlinear $\sigma$-model coupled to gravity. The quantum analysis of the nonlinear $\sigma$-model part, which includes all the dynamical degrees of freedom, can be carried out in a parallel way to ordinary nonlinear $\sigma$-models in spite of the existence of an unusual coupling. This means that we can investigate consistently the quantum properties of the Einstein gravity, though we are limited to the fluctuations depending only on two coordinates. We find the forms of the beta functions to all orders up to numerical coefficients. Finally we consider the quantum effects of the renormalization on the Kerr black hole as an example. It turns out that the asymptotically flat region remains intact and stable, while, in a certain approximation, it is shown that the inner geometry changes considerably however small the quantum effects may be.Comment: 16 pages, LaTeX. The hep-th number added on the cover, and minor typos correcte

Decoherence time in self-induced decoherence

A general method for obtaining the decoherence time in self-induced decoherence is presented. In particular, it is shown that such a time can be computed from the poles of the resolvent or of the initial conditions in the complex extension of the Hamiltonian's spectrum. Several decoherence times are estimated: $10^{-13}-$ $10^{-15}s$ for microscopic systems, and $10^{-37}-10^{-39}s$ for macroscopic bodies. For the particular case of a thermal bath, our results agree with those obtained by the einselection (environment-induced decoherence) approach.Comment: 11 page

Essays in anarchism and religion: Volume 1

Essays in anarchism and religion: Volume

Improved guidance is needed to optimise diagnostics and treatment of patients with thyroid cancer in Europe

Although thyroid cancer (TC) is generally associated with a favourable prognosis, there are certain high-risk groups with a clear unmet therapeutic need. Unravelling the genomic landscape of TC has recently led to the development of novel effective targeted treatments. To date, these treatments have mostly been evaluated in non-randomised single-arm phase II clinical trials and are consequently non-reimbursed in several countries. Furthermore, most of these agents must be tailored to individual patient molecular characteristics, a context known as personalised cancer medicine, necessitating a requirement for predictive molecular biomarker testing. Existing guidelines, both in Europe and internationally, entail mostly therapeutic rather than molecular testing recommendations. This may reflect ambiguity among experts due to lack of evidence and also practical barriers in availability of the preferred molecular somatic screening and/or targeted treatments. This article reviews existing European recommendations regarding advanced/metastatic TC management with a special focus on molecular testing, and compares findings with real-world practice based on a recent survey involving TC experts from 18 European countries. Significant disparities are highlighted between theory and practice related to variable access to infrastructure, therapies and expertise, together with the insufficient availability of multidisciplinary tumour boards. In particular, practitioners’ choice of what, how and when to test is shown to be influenced by the expertise of the available laboratory, the financing source and the existence of potential facilitators, such as clinical trial access. Overall, the need of a collaborative initiative among European stakeholders to develop standardised, accessible molecular genotyping approaches in TC is underscored.</p

Improved guidance is needed to optimise diagnostics and treatment of patients with thyroid cancer in Europe

Although thyroid cancer (TC) is generally associated with a favourable prognosis, there are certain high-risk groups with a clear unmet therapeutic need. Unravelling the genomic landscape of TC has recently led to the development of novel effective targeted treatments. To date, these treatments have mostly been evaluated in non-randomised single-arm phase II clinical trials and are consequently non-reimbursed in several countries. Furthermore, most of these agents must be tailored to individual patient molecular characteristics, a context known as personalised cancer medicine, necessitating a requirement for predictive molecular biomarker testing. Existing guidelines, both in Europe and internationally, entail mostly therapeutic rather than molecular testing recommendations. This may reflect ambiguity among experts due to lack of evidence and also practical barriers in availability of the preferred molecular somatic screening and/or targeted treatments. This article reviews existing European recommendations regarding advanced/metastatic TC management with a special focus on molecular testing, and compares findings with real-world practice based on a recent survey involving TC experts from 18 European countries. Significant disparities are highlighted between theory and practice related to variable access to infrastructure, therapies and expertise, together with the insufficient availability of multidisciplinary tumour boards. In particular, practitioners’ choice of what, how and when to test is shown to be influenced by the expertise of the available laboratory, the financing source and the existence of potential facilitators, such as clinical trial access. Overall, the need of a collaborative initiative among European stakeholders to develop standardised, accessible molecular genotyping approaches in TC is underscored.</p

Expedition 306 summary

The overall aim of the North Atlantic paleoceanography study of Integrated Ocean Drilling Program Expedition 306 is to place late Neogene–Quaternary climate proxies in the North Atlantic into a chronology based on a combination of geomagnetic paleointensity, stable isotope, and detrital layer stratigraphies, and in so doing generate integrated North Atlantic millennial-scale stratigraphies for the last few million years. To reach this aim, complete sedimentary sections were drilled by multiple advanced piston coring directly south of the central Atlantic “ice-rafted debris belt” and on the southern Gardar Drift. In addition to the North Atlantic paleoceanography study, a borehole observatory was successfully installed in a new ~180 m deep hole close to Ocean Drilling Program Site 642, consisting of a circulation obviation retrofit kit to seal the borehole from the overlying ocean, a thermistor string, and a data logger to document and monitor bottom water temperature variations through time