10,334 research outputs found

    Eating disorder services for young people in Ireland: perspectives of service providers, service users and the general adolescent population

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    Objectives: This paper illuminates how national eating disorder (ED) policy translates into day-to-day practice by exploring how ED services are experienced by those who deliver and use them. Methods: A mixed-methods approach was used, which combined qualitative and quantitative techniques. The paper collates data from three studies: (i) an interview study exploring the lived experiences of young people with EDs (n =8), their parents (n =5) and their healthcare professionals (n =3); (ii) a national survey of health professionals’ perspectives on existing ED services (n =171); (iii) a nationwide survey of secondary-school students’ eating concerns and patterns of help - seeking (n=290). Results: The qualitative interviews with young people and their parents revealed feelings of isolation and helplessness. Young people expressed interest in patient support groups, while parents desired greater support for the family unit. Parents were highly critical of available services, particularly in relation to access. These criticisms were echoed in the survey of healthcare professionals, who reported many barriers to delivering effective care. Clinicians were almost unanimous in calling for care pathways to be clarified via a standardised treatment protocol. The survey of adolescents indicated widespread reluctance to seek help regarding eating concerns: over one-third expressed concern about their own eating habits, but half of these had not divulged their concerns to anyone. Participants’ preferred pathways of help-seeking revolved around family and friends, and adolescents were unsure about routes of access to professional support. 3 Conclusions: The research demonstrates that many aspects of national ED policy have not been implemented in practice. The paper highlights specific gaps and suggests ways they can be redressed

    The development and evaluation of the paediatric index of emotional distress (PI-ED)

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    Purpose: Current measures of anxiety and depression for children and young people (CYP) include somatic symptoms and can be lengthy. They can inflate scores in cases where there is also physical illness, contain potentially distressing symptoms for some settings and be impractical in clinical practice. The present study aimed to develop and evaluate a new questionnaire, the paediatric index of emotional distress (PI-ED), to screen for emotional distress in CYP, modelled on the hospital anxiety and depression scale. Methods: A school-based sample (n = 1026) was employed to examine the PI-ED’s psychometric properties and a clinical sample of CYP (n = 143) was used to establish its sensitivity and specificity. Results: Exploratory and confirmatory factor analyses identified a bi-factor model with a general emotional distress factor (‘cothymia’) and anxiety and depression as co-factors. The PI-ED demonstrated good psychometric properties and clinical utility with a cutoff score of 20. Conclusion: The PI-ED is a brief, valid and reliable clinical screening tool for emotional distress in CYP

    Dynamic Radio-Frequency Transverse Susceptibility in Magnetic Nanoparticle Systems

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    A novel resonant method based on a tunnel-diode oscillator (TDO) is used to study the dynamic transverse susceptibility in a Fe nanoparticle system. The magnetic system consists of an aggregate of nanometer-size core (Au)-shell (Fe) structure, synthesized by reverse micelle methods. Static and dynamic magnetization measurements carried out in order to characterize the system reveal a superparamagnetic behavior at high temperature. The field-dependent transverse susceptibility at radio-frequencies (RF), for different temperatures reveals distinct peak structure at characteristics fields (H_k, H_c) which changes with temperature. It is proposed that relaxation processes could explain the influence of the temperature on the field dependence of the transverse susceptibility on the MI.Comment: 3 pages, 2-column, 3 figures, To be published in J. Appl. Phys. 2000 (44th Annual MMM proceedings

    Dimensional Reduction, Hard Thermal Loops and the Renormalization Group

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    We study the realization of dimensional reduction and the validity of the hard thermal loop expansion for lambda phi^4 theory at finite temperature, using an environmentally friendly finite-temperature renormalization group with a fiducial temperature as flow parameter. The one-loop renormalization group allows for a consistent description of the system at low and high temperatures, and in particular of the phase transition. The main results are that dimensional reduction applies, apart from a range of temperatures around the phase transition, at high temperatures (compared to the zero temperature mass) only for sufficiently small coupling constants, while the HTL expansion is valid below (and rather far from) the phase transition, and, again, at high temperatures only in the case of sufficiently small coupling constants. We emphasize that close to the critical temperature, physics is completely dominated by thermal fluctuations that are not resummed in the hard thermal loop approach and where universal quantities are independent of the parameters of the fundamental four-dimensional theory.Comment: 20 pages, 13 eps figures, uses epsfig and pstrick

    A REVIEW OF THE COMMON AGRICULTURAL POLICY AND THE IMPLICATIONS OF MODIFIED SYSTEMS FOR IRELAND. ESRI BROADSHEET No. 21, October 1983

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    The first chapter of this paper discusses the reasons for heavy government involvement in agricultural production and trade throughout the world and concludes that the answer is basically related to what farmers produce -- food. Food is a basic primary want and rightly or wrongly there seems to be an innate feat" that without market intervention supplies will be erratic and so sometimes scarce

    Lifetime Measurement of the 8s Level in Francium

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    We measure the lifetime of the 8s level on a magneto-optically trapped sample of ^{210}Fr atoms with time-correlated single-photon counting. The 7P_{1/2} state serves as the resonant intermediate level for two-photon excitation of the 8s level completed with a 1300 nm laser. Analysis of the fluorescence decay through the the 7P_{3/2} level gives 53.30 +- 0.44 ns for the 8s level lifetime.Comment: 4 pages, 4 figure

    SCOOTER: A compact and scalable dynamic labeling scheme for XML updates

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    Although dynamic labeling schemes for XML have been the focus of recent research activity, there are significant challenges still to be overcome. In particular, though there are labeling schemes that ensure a compact label representation when creating an XML document, when the document is subject to repeated and arbitrary deletions and insertions, the labels grow rapidly and consequently have a significant impact on query and update performance. We review the outstanding issues todate and in this paper we propose SCOOTER - a new dynamic labeling scheme for XML. The new labeling scheme can completely avoid relabeling existing labels. In particular, SCOOTER can handle frequently skewed insertions gracefully. Theoretical analysis and experimental results confirm the scalability, compact representation, efficient growth rate and performance of SCOOTER in comparison to existing dynamic labeling schemes
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