Matching service development to mental health needs: a case study of a rural county

The development of Somerset's mental health services from 1991 to 1996 involved the closure of the county's last long-stay hospital, and its replacement by more local in-patient provision and an expansion of community services. The process and outcome of this change is examined, drawing upon (a) an externally-commissioned evaluation in 1994-6 and (b) a comprehensive mental health needs assessment in 1996. The findings from these studies indicate that the development of accommodation for people with severe and long-term mental health problems has been dominated by the needs of long-stay residents in the old institutions. This led initially to geographical inequities and a shortage of supported accommodation for others with severe and enduring mental health problems. However, developments during this period also suggest a local capacity to detect and respond to unmet needs in this group

Injection of clarity needed?

The legal status of children who stay in hospital for three months or longer gives rise to considerable confusion among managers in social services and social work departments. And the number of young people affected is significant. NHS statistics for the year ending 31 March 2000 suggest that in England around 2,800 children aged 0-19 on admission were discharged after spending more than two months in hospital, as were more than 500 children in Scotland. (A small number of these would have been discharged as adults.) A two-year study, commissioned by the Joseph Rowntree Foundation1 and carried out by the universities of Stirling, Durham, Newcastle and York, investigated the numbers, characteristics and circumstances of children and young people with complex needs who spend long periods in health care settings. Interviews were conducted in England and Scotland with 11 social services or health managers responsible for these children. The findings show a worrying degree of uncertainty about the position of young people who find themselves in a hospital or other health care setting for at least three months. One social services manager believed such children become looked after under the terms of the Children Act 1989. Another said children are not formally looked after but nevertheless receive the same services and safeguards as those who are. One Scottish social work manager did not know whether children going into health care settings for short-term (respite) care are looked after or not. And discussion with the research team's advisory group indicated that the confusion is not confined to our fieldwork areas

Atmospheric nitric oxide measurement techniques Final report

Optical radar technique for measuring vertical density distribution of neutral nitric oxide in earth atmospher

The fabrication and surface tolerance measurements of the JPL clear aperture microwave antenna

Present ground station microwave antennas of the Deep Space Network are of the symmetric dual reflector (cassegrainian) type. An investigation is being made of alternative high-performance offset antenna designs which have a clear aperture (no reflector or structural blockage) with shaped reflector surfaces. A 1.5-m, 32-GHz clear aperture model was built for experimental studies. The unique processes of fabrication, surface measurement, and alignment are described

Iron Oxide Grains in Stardust Track 121 Grains as Evidence of Comet Wild 2 Hydrothermal Alteration

Stardust Track 121 terminal grains contain Fe-oxide. These are consistent with the presence of hydrothermal alteration on the Comet Wild 2 parent body

Local adaptation drives the diversification of effectors in the fungal wheat pathogen Parastagonospora nodorum in the United States

Filamentous fungi rapidly evolve in response to environmental selection pressures in part due to their genomic plasticity. Parastagonospora nodorum, a fungal pathogen of wheat and causal agent of septoria nodorum blotch, responds to selection pressure exerted by its host, influencing the gain, loss, or functional diversification of virulence determinants, known as effector genes. Whole genome resequencing of 197 P. nodorum isolates collected from spring, durum, and winter wheat production regions of the United States enabled the examination of effector diversity and genomic regions under selection specific to geographically discrete populations. 1,026,859 SNPs/InDels were used to identify novel loci, as well as SnToxA and SnTox3 as factors in disease. Genes displaying presence/absence variation, predicted effector genes, and genes localized on an accessory chromosome had significantly higher pN/pS ratios, indicating a higher rate of sequence evolution. Population structure analyses indicated two P. nodorum populations corresponding to the Upper Midwest (Population 1) and Southern/Eastern United States (Population 2). Prevalence of SnToxA varied greatly between the two populations which correlated with presence of the host sensitivity gene Tsn1 in the most prevalent cultivars in the corresponding regions. Additionally, 12 and 5 candidate effector genes were observed to be under diversifying selection among isolates from Population 1 and 2, respectively, but under purifying selection or neutrally evolving in the opposite population. Selective sweep analysis revealed 10 and 19 regions that had recently undergone positive selection in Population 1 and 2, respectively, involving 92 genes in total. When comparing genes with and without presence/absence variation, those genes exhibiting this variation were significantly closer to transposable elements. Taken together, these results indicate that P. nodorum is rapidly adapting to distinct selection pressures unique to spring and winter wheat production regions by rapid adaptive evolution and various routes of genomic diversification, potentially facilitated through transposable element activity

NICMOS2 hubble space telescope observations of the embedded cluster associated with Mon R2: Constraining the substellar initial mass function

We have analyzed Hubble Space Telescope NICMOS2 F110W-, F160W-, F165M-, and F207M-band images covering the central 1' × 1' region of the cluster associated with Mon R2 in order to constrain the initial mass function (IMF) down to 20M_J. The flux ratio between the F165M and F160W bands was used to measure the strength of the water-band absorption feature and select a sample of 12 out of the total sample of 181 objects that have effective temperatures between 2700 and 3300 K. These objects are placed in the H-R diagram together with sources observed by Carpenter et al. to estimate an age of ~1 Myr for the low-mass cluster population. By constructing extinction-limited samples, we are able to constrain the IMF and the fraction of stars with a circumstellar disk in a sample that is 90% complete for both high- and low-mass objects. For stars with estimated masses between 0.1 and 1.0 M_☉ for a 1 Myr population with A_V ≤ 19 mag, we find that 27% ± 9% have a near-infrared excess indicative of a circumstellar disk. The derived fraction is similar to or slightly lower than the fraction found in other star-forming regions of comparable age. We constrain the number of stars in the mass interval 0.08-1.0 M_☉ to the number of objects in the mass interval 0.02-0.08 M_☉ by forming the ratio R^(**) = N(0.08-1 M_☉)/N(0.02-0.08 M_☉) for objects in an extinction-limited sample complete for A_V ≤ 7 mag. The ratio is found to be R^(**) = 2.2 ± 1.3, assuming an age of 1 Myr, consistent with the similar ratio predicted by the system IMF proposed by Chabrier. The ratio is similar to the ratios observed toward the Orion Nebula Cluster and IC 348, as well as the ratio derived in the 28 deg^2 survey of Taurus by Guieu et al

Children with complex support needs in healthcare settings for prolonged periods: their numbers, characteristics and experiences

This report details the findings of research conducted in England and Scotland to identify how many children with complex support needs are spending longer than one month in healthcare settings in Scotland and England, how and why they are in hospital, why they have not been discharged home or to appropriate alternative community-based facilities, and how well the hospital or healthcare setting is meeting their emotional, social and educational needs. It finds that many of these children could and should be discharged but are not, for a variety of reasons: primarily the lack of appropriate resources in the community and poor discharge planning processes, coupled with the inability of their families to manage their care and supervision without intensive support. Hospitals and healthcare settings in many cases are not meeting their needs and these children are being denied the protection offered by UK legislation governing children's rights and welfare

Dynamic Radio-Frequency Transverse Susceptibility in Magnetic Nanoparticle Systems

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

Growth mechanisms of perturbations in boundary layers over a compliant wall

The temporal modal and nonmodal growth of three-dimensional perturbations in the boundary-layer flow over an infinite compliant flat wall is considered. Using a wall-normal velocity/wall-normal vorticity formalism, the dynamic boundary condition at the compliant wall admits a linear dependence on the eigenvalue parameter, as compared to a quadratic one in the canonical formulation of the problem. This greatly simplifies the accurate calculation of the continuous spectrum by means of a spectral method, thereby yielding a very effective filtering of the pseudospectra as well as a clear identification of instability regions. The regime of global instability is found to be matching the regime of the favorable phase of the forcing by the flow on the compliant wall so as to enhance the amplitude of the wall. An energy-budget analysis for the least-decaying hydroelastic (static-divergence, traveling-wave-flutter and near-stationary transitional) and Tollmien--Schlichting modes in the parameter space reveals the primary routes of energy flow. Moreover, the flow exhibits a slower transient growth for the maximum growth rate of a superposition of streamwise-independent modes due to a complex dependence of the wall-boundary condition with the Reynolds number. The initial and optimal perturbations are compared with the boundary-layer flow over a solid wall; differences and similarities are discussed. Unlike the solid-wall case, viscosity plays a pivotal role in the transient growth. A slowdown of the maximum growth rate with the Reynolds number is uncovered and found to originate in the transition of the fluid-solid interaction from a two-way to a one-way coupling. Finally, a term-by-term energy budget analysis is performed to identify the key contributors to the transient growth mechanism