The Three-Legged Stool of Evidence-Based Practice in Eating Disorder Treatment: Research, Clinical, and Patient Perspectives

Background Evidence-based practice in eating disorders incorporates three essential components: research evidence, clinical expertise, and patient values, preferences, and characteristics. Conceptualized as a ‘three-legged stool’ by Sackett et al. in 1996 (BMJ), all of these components of evidence-based practice are considered essential for providing optimal care in the treatment of eating disorders. However, the extent to which these individual aspects of evidence-based practice are valued among clinicians and researchers is variable, with each of these stool ‘legs’ being neglected at times. As a result, empirical support and patient preferences for treatment are not consistently considered in the selection and implementation of eating disorder treatment. In addition, clinicians may not have access to training to provide treatments supported by research and preferred by patients. Despite these challenges, integrating these three components of evidence-based practice is critical for the effective treatment of eating disorders. Discussion Current research supports the use of several types of psychotherapies, including cognitive-behavioral, interpersonal, and family-based therapies, as well as certain types of medications for the treatment of eating disorders. However, limitations in current research, including sample heterogeneity, inconsistent efficacy, a paucity of data, the need for tailored approaches, and the use of staging models highlight the need for clinical expertise. Although preliminary data also support the importance of patient preferences, values, and perspectives for optimizing treatment, enhancing treatment outcome, and minimizing attrition among patients with eating disorders, the extent to which patient preference is consistently predictive of outcome is less clear and requires further investigation. Summary All three components of evidence-based practice are integral for the optimal treatment of eating disorders. Integrating clinical expertise and patient perspective may also facilitate the dissemination of empirically-supported and emerging treatments as well as prevention programs. Further research is imperative to identify ways in which this three-legged approach to eating disorder treatment could be most effectively implemented

DWSB in heterotic flux compactifications

We address the construction of non-supersymmetric vacua in heterotic compactifications with intrinsic torsion and background fluxes. In particular, we implement the approach of domain-wall supersymmetry breaking (DWSB) previously developed in the context of type II flux compactifications. This approach is based on considering backgrounds where probe NS5-branes wrapping internal three-cycles and showing up as four-dimensional domain-walls do not develop a BPS bound, while all the other BPS bounds characterizing the N=1 supersymmetric compactifications are preserved at tree-level. Via a scalar potential analysis we provide the conditions for these backgrounds to solve the ten-dimensional equations of motion including order \alpha' corrections. We also consider backgrounds where some of the NS5-domain-walls develop a BPS bound, show their relation to no-scale SUSY-breaking vacua and construct explicit examples via elliptic fibrations. Finally, we consider backgrounds with a non-trivial gaugino condensate and discuss their relation to supersymmetric and non-supersymmetric vacua in the present context.Comment: 56 pages, 1 figur

The Geometry of D=11 Null Killing Spinors

We determine the necessary and sufficient conditions on the metric and the four-form for the most general bosonic supersymmetric configurations of D=11 supergravity which admit a null Killing spinor i.e. a Killing spinor which can be used to construct a null Killing vector. This class covers all supersymmetric time-dependent configurations and completes the classification of the most general supersymmetric configurations initiated in hep-th/0212008.Comment: 30 pages, typos corrected, reference added, new solution included in section 5.1; uses JHEP3.cl

Neutral Gas Distribution and Kinematics of the Nearly Face-on Spiral Galaxy NGC 1232

We have analyzed high velocity resolution HI synthesis observations of the nearly face-on Sc galaxy NGC 1232. The neutral gas distribution extends well beyond the optical extent of the galaxy. As expected, local peaks in the HI column density are associated with the spiral arms. Further, the HI column density drops precipitously near the center of the galaxy. Closed contours in the velocity field suggest either that the system is warped, or that the rotation curve declines. The velocity dispersion is approximately constant throughout the system, with a median value of 9.9 +/- 1.8 km/s. When corrected for rotational broadening, there is no indication of a radial trend in the neutral gas velocity dispersion in this galaxy.Comment: 14 pages of text, 10 pages of figures. Accepted to the A

The Geometry of D=11 Killing Spinors

We propose a way to classify all supersymmetric configurations of D=11 supergravity using the G-structures defined by the Killing spinors. We show that the most general bosonic geometries admitting a Killing spinor have at least a local SU(5) or an (Spin(7)\ltimes R^8)x R structure, depending on whether the Killing vector constructed from the Killing spinor is timelike or null, respectively. In the former case we determine what kind of local SU(5) structure is present and show that almost all of the form of the geometry is determined by the structure. We also deduce what further conditions must be imposed in order that the equations of motion are satisfied. We illustrate the formalism with some known solutions and also present some new solutions including a rotating generalisation of the resolved membrane solutions and generalisations of the recently constructed D=11 Godel solution.Comment: 36 pages. Typos corrected and discussion on G-structures improved. Final version to appear in JHE

Distinct dissolved organic matter sources induce rapid transcriptional responses in coexisting populations of Prochlorococcus, Pelagibacter and the OM60 clade

Author Posting. © The Author(s), 2013. This is the author's version of the work. It is posted here by permission of John Wiley & Sons for personal use, not for redistribution. The definitive version was published in Environmental Microbiology 16 (2014): 2815-2830, doi:10.1111/1462-2920.12254.A considerable fraction of the Earth's organic carbon exists in dissolved form in seawater. To investigate the roles of planktonic marine microbes in the biogeochemical cycling of this dissolved organic matter (DOM), we performed controlled seawater incubation experiments and followed the responses of an oligotrophic surface water microbial assemblage to perturbations with DOM derived from an axenic culture of Prochlorococcus, or high-molecular weight DOM concentrated from nearby surface waters. The rapid transcriptional responses of both Prochlorococcus and Pelagibacter populations suggested the utilization of organic nitrogen compounds common to both DOM treatments. Along with these responses, both populations demonstrated decreases in gene transcripts associated with nitrogen stress, including those involved in ammonium acquisition. In contrast, responses from low abundance organisms of the NOR5/OM60 gammaproteobacteria were observed later in the experiment, and included elevated levels of gene transcripts associated with polysaccharide uptake and oxidation. In total, these results suggest that numerically dominant oligotrophic microbes rapidly acquire nitrogen from commonly available organic sources, and also point to an important role for carbohydrates found within the DOM pool for sustaining the less abundant microorganisms in these oligotrophic systems.This work was supported by a National Science Foundation Science and Technology Center Award EF0424599 (E.F.D and D.M.K.), grants to D.M.K., D.J.R and E.F.D from the Gordon and Betty Moore Foundation, a gift from the Agouron Institute (to E.F.D.) and a fellowship (202180) to A.K.S. from the Canadian Institutes of Health Research (CIHR)

The spinorial geometry of supersymmetric backgrounds

We propose a new method to solve the Killing spinor equations of eleven-dimensional supergravity based on a description of spinors in terms of forms and on the Spin(1,10) gauge symmetry of the supercovariant derivative. We give the canonical form of Killing spinors for N=2 backgrounds provided that one of the spinors represents the orbit of Spin(1,10) with stability subgroup SU(5). We directly solve the Killing spinor equations of N=1 and some N=2, N=3 and N=4 backgrounds. In the N=2 case, we investigate backgrounds with SU(5) and SU(4) invariant Killing spinors and compute the associated spacetime forms. We find that N=2 backgrounds with SU(5) invariant Killing spinors admit a timelike Killing vector and that the space transverse to the orbits of this vector field is a Hermitian manifold with an SU(5)-structure. Furthermore, N=2 backgrounds with SU(4) invariant Killing spinors admit two Killing vectors, one timelike and one spacelike. The space transverse to the orbits of the former is an almost Hermitian manifold with an SU(4)-structure and the latter leaves the almost complex structure invariant. We explore the canonical form of Killing spinors for backgrounds with extended, N>2, supersymmetry. We investigate a class of N=3 and N=4 backgrounds with SU(4) invariant spinors. We find that in both cases the space transverse to a timelike vector field is a Hermitian manifold equipped with an SU(4)-structure and admits two holomorphic Killing vector fields. We also present an application to M-theory Calabi-Yau compactifications with fluxes to one-dimension.Comment: Latex, 54 pages, v2: clarifications made and references added. v3: minor changes. v4: minor change

The discovery of a typical radio galaxy at z = 4.88

‘The definitive version is available at www3.interscience.wiley.com '. Copyright Royal Astronomical Society. DOI: 10.1111/j.1745-3933.2009.00715.xIn this Letter, we report the discovery of a z= 4.88 radio galaxy discovered with a new technique which does not rely on pre-selection of a sample based on radio properties such as steep-spectral index or small angular size. This radio galaxy was discovered in the Elais-N2 field and has a spectral index of α= 0.75 , i.e. not ultra-steep spectrum. It also has a luminosity consistent with being drawn from the break of the radio luminosity function and can therefore be considered as a typical radio galaxy. Using the Spitzer Wide-Area Infrared Extragalactic Survey (SWIRE) data over this field, we find that the host galaxy is consistent with being similarly massive to the lower redshift powerful radio galaxies (∼1–3L★) . However, we note that at z= 4.88, the Hα line is redshifted into the IRAC 3.6 μm filter, and some of the flux in this band may be due to this fact rather than the stellar continuum emission. The discovery of such a distant radio source from our initial spectroscopic observations demonstrates the promise of our survey for finding the most distant radio sources.Peer reviewe

A new search for distant radio galaxies in the Southern hemisphere -- III. Optical spectroscopy and analysis of the MRCR--SUMSS sample

We have compiled a sample of 234 ultra-steep-spectrum(USS)-selected radio sources in order to find high-redshift radio galaxies (HzRGs). The sample is in the southern sky at -40 deg < DEC < -30 deg which is the overlap region of the 408-MHz Revised Molonglo Reference Catalogue, 843-MHz Sydney University Molonglo Sky Survey (the MRCR--SUMSS sample) and the 1400-MHz NRAO VLA Sky Survey. This is the third in a series of papers on the MRCR--SUMSS sample. Here we present optical spectra from the ANU 2.3-m telescope, ESO New Technology Telescope and ESO Very Large Telescope for 52 of the identifications from Bryant et al. (2009, Paper II), yielding redshifts for 36 galaxies, 13 of which have z>2. We analyse the K-z distribution and compare 4-arcsec-aperture magnitudes with 64-kpc aperture magnitudes in several surveys from the literature; the MRCR--SUMSS sample is found to be consistent with models for 10^{11}-10^{12} solar mass galaxies. Dispersions about the fits in the K-z plot support passive evolution of radio galaxy hosts since z>3. By comparing USS-selected samples in the literature, we find that the resultant median redshift of the samples shown is not dependent on the flux density distribution or selection frequency of each sample. In addition, our finding that the majority of the radio spectral energy distributions remain straight over a wide frequency range suggests that a k-correction is not responsible for the success of USS-selection in identifying high redshift radio galaxies and therefore the steep radio spectra may be intrinsic to the source or a product of the environment. Two galaxies have been found to have both compact radio structures and strong self-absorption in the Ly-alpha line, suggesting they are surrounded by a dense medium...abridged.Comment: Accepted for MNRAS. 25 page