Disseminating an Evidence-Based Course to Teach Self-Management of Auditory Hallucinations

This multi-site project extended course dissemination of the 10-session Behavioral Management of Auditory Hallucinations Course to U.S. Department of Veterans Affairs (VA) mental health outpatient settings. The VA Quality Enhancement Research Initiative (QUERI) model and Rogers\u27 theory of diffusion of innovations served as the theoretical framework. The course was taught to mental health professionals using teleconferencing, electronic media, and monthly conference calls across 24 VA mental health outpatient sites. Twenty course leaders provided feedback. One hundred percent reported being better able to communicate with patients about their voices and 96% reported improved understanding of the voice-hearing experience. Thirty-three course participants provided feedback. Ninety-four percent would recommend the course, 85% reported being better able to communicate with staff about their voices, and 66% reported being better able to manage their voices. Facilitators and barriers to course implementation are described

Self-Management of Unpleasant Auditory Hallucinations: A Tested Practice Model

Individuals who experience auditory hallucinations (AH) frequently report hearing unpleasant voices saying disturbing things to them, making derogatory remarks about them, or commanding them to do something, including harming themselves or someone else. The Self-Management of Unpleasant Auditory Hallucinations Practice Model was developed to help psychiatric-mental health nurses in both inpatient and outpatient settings implement evidence-based nursing care for voice hearers who are distressed by unpleasant voices. The model\u27s utility extends to nursing education, administration, and research. The model is comprised of three parts: (a) Assessment of Voice Hearer\u27s Experience, (b) Nursing Interventions, and (c) Voice Hearer\u27s Expected Positive Outcomes. These three parts of the model describe nursing assessments conducted with an interview guide and two self-report tools, nursing interventions that teach strategies to manage unpleasant AH in a 10-session course or individually, and evaluation of voice hearer outcomes with two self-report tools

A search in the COS-B data base for correlated time variability in regions containing objects of interest

As is well known, association of the gamma-ray sources with celestial objects is, in general, difficult on a pure positional basis, while correlated time variability could obviously provide such proof. This technique can be employed on regions of the gamma-ray sky containing interesting objects of known variability at some wavelength even in the absence of a recognized gamma-ray excess with the aim to extract a weak but predictable signal from the surrounding noise. This technique is applied here on a longer variability time scale, generally of the order of days. Photons coming from the sky regions centered on the various celestial objects considered were selected with energies 100 MeV and with arrival directions within an energy-dependent area of radius of approx 6 deg at 100 MeV. In order to construct a time profile of such photons, their arrival times were grouped in bins of dimensions defined by the available photons number and by the value of the period searched for

A Characterization of the Brightness Oscillations During Thermonuclear Bursts From 4U 1636-536

The discovery of nearly coherent brightness oscillations during thermonuclear X-ray bursts from six neutron-star low-mass X-ray binaries has opened up a new way to study the propagation of thermonuclear burning, and may ultimately lead to greater understanding of thermonuclear propagation in other astrophysical contexts, such as in Type Ia supernovae. Here we report detailed analyses of the ~580 Hz brightness oscillations during bursts from 4U 1636-536. We investigate the bursts as a whole and, in more detail, the initial portions of the bursts. We analyze the ~580 Hz oscillations in the initial 0.75 seconds of the five bursts that were used in a previous search for a brightness oscillation at the expected ~290 Hz spin frequency, and find that if the same frequency model describes all five bursts there is insufficient data to require more than a constant frequency or, possibly, a frequency plus a frequency derivative. Therefore, although it is appropriate to use an arbitrarily complicated model of the ~580 Hz oscillations to generate a candidate waveform for the ~290 Hz oscillations, models with more than two parameters are not required by the data. For the bursts as a whole we show that the characteristics of the brightness oscillations vary greatly from burst to burst. We find, however, that in at least one of the bursts, and possibly in three of the four that have strong brightness oscillations throughout the burst, the oscillation frequency reaches a maximum several seconds into the burst and then decreases. This behavior has not been reported previously for burst brightness oscillations, and it poses a challenge to the standard burning layer expansion explanation for the frequency changes.Comment: 18 pages including three figures, uses aaspp4.sty, submitted to The Astrophysical Journal on April

The final COS-B database: In-flight calibration of instrumental parameters

A method for the determination of temporal variation of sensitivity is designed to find a set of parameters which lead to maximum consistency between the intensities derived from different observation periods. This method is briefly described and the resulting sensitivity and background variations presented

Search for periodicities near 59 s in the COS-B gamma-ray data of 2CG195+04 (Geminga)

The COS-B data relating to five observations in the general direction of Geminga, spanning 6.7 years, were searched for pulsation near 59 s. The SAS-2 indication is not confirmed. An indication of a 59 s pulsation in the gamma ray emission from 2CG195+04 (Geminga) was reported. Early analysis of COS-B data supported the result while later improved statistics did not confirm it. Subsequently, detection of a 59 s pulsation in the emission from the direction of Geminga at ultra high gamma and X-rays was reported. Geminga was identified with the X-ray source 1E0630+128. The final COS-B data on Geminga which was observed five times for a total of 214 days are reported

Recent Outbursts from the Transient X-Ray Pulsar Cep X-4 (GS 2138+56)

We report on X-ray observations of the 66 s period transient X-ray pulsar Cep X-4 (GS 2138+56) with the Burst and Transient Source Experiment (BATSE) on the Compton Gamma-Ray Observatory (CGRO) and with the Rossi X-ray Timing Explorer (RXTE). Two outbursts from Cep X-4 were observed with BATSE in 1993 June-July and 1997 July. Pulse frequencies of 15.0941 +/- 0.0002 mHz on 1993 June 25 (MJD 49,163) and 15.0882 +/- 0.0002 mHz on 1997 July 12 (MJD 50,641) were each measured from 2 day spans of BATSE data near each outburst's peak. Cep X-4 showed an average spin down rate of (-4.14 +/- 0.08)*10^(-14) Hz/s between the 1993 and 1997 outbursts. After BATSE could no longer detect Cep X-4, public observations were performed on 1997 July 18 & 25 with the Proportional Counter Array (PCA) on RXTE. A pulse frequency of 15.088 +/- 0.004 mHz was measured from observations on 1997 July 18 (MJD 50,647). Significant aperiodic noise, with an rms variance of ~18% in the frequency range 0.01-1.0 Hz was observed on both days. Energy and intensity dependent pulse shape variations were also seen in these data. Recently published optical observations associate Cep X-4 with a Be companion star. If all 4 outbursts observed from Cep X-4 are assumed to occur at the same orbital phase, we find that the orbital period is between 23 days and 147.3 days.Comment: 19 pages (LaTeX) including 9 figures. Accepted for publication in the Astrophysical Journa

Discovery of a New 89 Second X-ray Pulsar XTE J1906+09

We report on the discovery of a new pulsating X-ray source during Rossi X-ray Timing Explorer observations of a low galactic latitude field centered at RA (J2000) = 19 hr 05 m 43 s and Dec (J2000) = +08 deg 58 arcmin 48 arcsec. Significant pulsations were detected by both the PCA and HEXTE instruments aboard RXTE at a fundamental period of 89.17 +/- 0.02 seconds, with higher harmonics also visible in the 2-10 keV power spectrum. The folded lightcurve from the source is multiply peaked at lower energies, and changes to single peaked morphology above ~20 keV. The phase averaged spectrum from the source is well fit by strongly absorbed power law or thermal bremsstrahlung spectral models of photon index 1.9 +/- 0.1 or temperature 19.5 +/- 4.6 keV, respectively. The mean neutral hydrogen column density is approximately 10^23 cm^-2, suggesting a distance of >10 kpc to the source and a minimum 2-10 keV X-ray luminosity of 2*10^{35} ergs s^{-1}. By comparison with other pulsars with similar periods and luminosities, we suggest that XTE J1906+09 has a supergiant companion with an underfilled Roche lobe. We speculate further that one of the M stars in a peculiar M star binary system may be the companion.Comment: 14 pages, 2 figures. Accepted by ApJ Letter