Experiences of parent-infant teams among mothers diagnosed with perinatal mental health difficulties

Background: Disrupted parent-infant bonds can have a negative impact on childhood development. In the United Kingdom, parent-infant teams can offer support to parents (most commonly mothers) to help strengthen parent-infant relationships. However, little is known about women’s experiences of these teams. This study aimed to explore experiences of support from parent-infant teams among mothers diagnosed with perinatal mental health difficulties. Method: Qualitative semi-structured interviews were conducted with eleven mothers who had had been referred to and/or accessed a National Health Service parent-infant team. Interviews were analysed using thematic analysis. Results: Women reported occasional difficulties accessing parent-infant services, particularly when they were left to contact services/follow up referrals themselves. However, once accessed mothers valued consistent, regular support with a therapist who was empathic and accepting of their difficult feelings. Some women saw therapists as resembling ‘mother figures’ and appreciated a feeling of being cared for. However, at times women felt there was an overemphasis on the role of the mother and mother-infant bond, and a disregard of fathers and other family members. Conclusion: Our study demonstrates that mothers value support from parent-infant teams. However, clinicians need to ensure they do not inadvertently reinforce problematic gender norms and narratives when offering support

The challenges of analyzing behavioral response study data : an overview of the MOCHA (Multi-study OCean acoustics Human effects Analysis) project

Date of Acceptance:This paper describes the MOCHA project which aims to develop novel approaches for the analysis of data collected during Behavioral Response Studies (BRSs). BRSs are experiments aimed at directly quantifying the effects of controlled dosages of natural or anthropogenic stimuli (typically sound) on marine mammal behavior. These experiments typically result in low sample size, relative to variability, and so we are looking at a number of studies in combination to maximize the gain from each one. We describe a suite of analytical tools applied to BRS data on beaked whales, including a simulation study aimed at informing future experimental design.Postprin

Experiences of Improving Access to Psychological Therapy Services for Perinatal Mental Health Difficulties: a Qualitative Study of Women's and Therapists' Views

BACKGROUND: Perinatal mental health difficulties are highly prevalent. In England, the Improving Access to Psychological Therapy (IAPT) programme provides evidence-based psychological treatment, predominantly in the form of brief manualized cognitive behavioural therapy (CBT), to people with mild to moderate depression or anxiety. Yet little is known about the experiences of women referred to IAPT with perinatal mental health difficulties. AIMS: The aim of this qualitative study was to investigate how women view IAPT support for perinatal mental health. We also gained the perspective of IAPT therapists. METHOD: Semi-structured interviews were conducted with twelve women who had been referred to and/or received therapy from IAPT during the perinatal period. Additionally, fourteen IAPT therapists participated in two focus groups. Thematic analysis was used. RESULTS: Key themes centred on barriers to access and the need to tailor support to (expectant) mothers. Women and therapists suggested that experiences could be improved by supporting healthcare professionals to provide women with more help with referrals, better tailoring support to the perinatal context, improving perinatal-specific training, supervision and resources, and offering a more individualized treatment environment. CONCLUSIONS: Overall, women reported positive experiences of support offered by IAPT for perinatal mental health difficulties. However, services should seek to facilitate access to support and to enable therapists to better tailor treatment

Biochemistry of mobile zinc and nitric oxide revealed by fluorescent sensors

Biological mobile zinc and nitric oxide (NO) are two prominent examples of inorganic compounds involved in numerous signaling pathways in living systems. In the past decade, a synergy of regulation, signaling, and translocation of these two species has emerged in several areas of human physiology, providing additional incentive for developing adequate detection systems for Zn(II) ions and NO in biological specimens. Fluorescent probes for both of these bioinorganic analytes provide excellent tools for their detection, with high spatial and temporal resolution. We review the most widely used fluorescent sensors for biological zinc and nitric oxide, together with promising new developments and unmet needs of contemporary Zn(II) and NO biological imaging. The interplay between zinc and nitric oxide in the nervous, cardiovascular, and immune systems is highlighted to illustrate the contributions of selective fluorescent probes to the study of these two important bioinorganic analytes.National Science Foundation (Grant Number CHE-0907905)National Institutes of Health (U.S.) (Grant Number GM065519)National Institutes of Health (U.S.) (Grant Number K99GM092970

Incorporating a gender lens into nutrition and health-related policies in Fiji: analysis of policies and stakeholder perspectives

Background: Gender equality, zero hunger and healthy lives and well-being for all, are three of the Sustainable Development Goals (SDGs) that underpin Fiji’s National Development Plan. Work towards each of these goals contributes to the reduction of non-communicable diseases (NCDs). There are gender differences in NCD burden in Fiji. It is, however, unclear whether a gender lens could be more effectively included in nutrition and health-related policies. Methods: This study consisted of three components: (i) a policy content analysis of gender inclusion in nutrition and health-related policies (n = 11); (ii) policy analysis using the WHO Gender Analysis tool to identify opportunities for strengthening future policy; and (iii) informant interviews (n = 18), to understand perceptions of the prospects for gender considerations in future policies. Results: Gender equality was a goal in seven policies (64%); however, most focused on women of reproductive age. One of the policies was ranked as gender responsive. Main themes from key informant interviews were: 1) a needs-based approach for the focus on specific population groups in policies; 2) gender-related roles and responsibilities around nutrition and health; 3) what is considered “equitable” when it comes to gender, nutrition, and health; 4) current considerations of gender in policies and ideas for further gender inclusion; and 5) barriers and enablers to the inclusion of gender considerations in policies. Informants acknowledged gender differences in the burden of nutrition-related NCDs, yet most did not identify a need for stronger inclusion of gender considerations within policies. Conclusions: There is considerable scope for greater inclusion of gender in nutrition and health-related policies in Fiji. This could be done by: 1) framing gender considerations in ways that are actionable and inclusive of a range of gender identities; 2) undertaking advocacy through actor networks to highlight the need for gender-responsive nutrition and health-related policies for key stakeholder groups; 3) ensuring that data collected to monitor policy implementation is disaggregated by sex and genders; and 4) promoting equitable participation in nutrition related issues in communities and governance processes. Action on these four areas are likely critical enablers to more gender equitable NCD reduction in Fiji

Efficient spin transport through native oxides of nickel and permalloy with platinum and gold overlayers

We present measurements of spin pumping detected by the inverse spin Hall effect voltage and ferromagnetic resonance spectroscopy in a series of metallic ferromagnet/normal metal thin film stacks. We compare heterostructures grown in situ to those where either a magnetic or nonmagnetic oxide is introduced between the two metals. The heterostructures, either nickel with a platinum overlayer (Ni/Pt) or the nickel-iron alloy permalloy (Py) with a gold overlayer (Py/Au), were also characterized in detail using grazing-incidence x-ray reflectivity, Auger electron spectroscopy, and both SQUID and alternating-gradient magnetometry. We verify the presence of oxide layers, characterize layer thickness, composition, and roughness, and probe saturation magnetization, coercivity, and anisotropy. The results show that while the presence of a nonmagnetic oxide at the interface suppresses spin transport from the ferromagnet to the nonmagnetic metal, a thin magnetic oxide (here the native oxide formed on both Py and Ni) somewhat enhances the product of the spin-mixing conductance and the spin Hall angle. We also observe clear evidence of an out-of-plane component of magnetic anisotropy in Ni/Pt samples that is enhanced in the presence of the native oxide, resulting in perpendicular exchange bias. Finally, the dc inverse spin Hall voltages generated at ferromagnetic resonance in our Py/Au samples are large, and suggest values for the spin Hall angle in gold of 0.04<αSH<0.22, in line with the highest values reported for Au. This is interpreted as resulting from Fe impurities. We present indirect evidence that the Au films described here indeed have significant impurity levels.B.L.Z. and D.B. gratefully acknowledge support from the NSF (Grants No. DMR-0847796 and No. DMR-1410247). B.L.Z. also thanks the University of Minnesota Chemical Engineering and Materials Science Department, as a portion of this work benefited from support of the George T. Piercy Distinguished Visiting Professorship. Work at the University of Minnesota was supported primarily by the NSF under Grant No. DMR-1507048, with additional support from the NSF MRSEC under Grant No. DMR-1420013. The work at WMI is supported by Deutsche Forschungsgemeinschaft via SPP 1538 Spin-Caloric Transport (Project No. GO 944/4-1). Parts of this work were carried out in the Characterization Facility, University of Minnesota, which receives partial support from NSF through the MRSEC program. This work was performed, in part, at the Center for Integrated Nanotechnologies, an Office of Science User Facility operated for the US Department of Energy (DOE) Office of Science by Los Alamos National Laboratory (Contract No. DE-AC52-06NA25396) and Sandia National Laboratories (Contract No. DE-AC04-94AL85000)

Stochastic Gravity: Theory and Applications

Whereas semiclassical gravity is based on the semiclassical Einstein equation with sources given by the expectation value of the stress-energy tensor of quantum fields, stochastic semiclassical gravity is based on the Einstein-Langevin equation, which has in addition sources due to the noise kernel.In the first part, we describe the fundamentals of this new theory via two approaches: the axiomatic and the functional. In the second part, we describe three applications of stochastic gravity theory. First, we consider metric perturbations in a Minkowski spacetime: we compute the two-point correlation functions for the linearized Einstein tensor and for the metric perturbations. Second, we discuss structure formation from the stochastic gravity viewpoint. Third, we discuss the backreaction of Hawking radiation in the gravitational background of a quasi-static black hole.Comment: 75 pages, no figures, submitted to Living Reviews in Relativit

Exact solution of new integrable nineteen-vertex models and quantum spin-1 chains

New exactly solvable nineteen vertex models and related quantum spin-1 chains are solved. Partition functions, excitation energies, correlation lengths, and critical exponents are calculated. It is argued that one of the non-critical Hamiltonians is a realization of an integrable Haldane system. The finite-size spectra of the critical Hamiltonians deviate in their structure from standard predictions by conformal invariance.Comment: 16 pages, to appear in Z. Phys. B, preprint Cologne-94-474