A randomised controlled pilot study: the effectiveness of narrative exposure therapy with adult survivors of the Sichuan earthquake

Background: Post-Traumatic Stress Disorder (PTSD) is a common psychological reaction after large-scale natural disasters. Given the number of people involved and shortage of resources in any major disaster, brief, pragmatic and easily trainable interventions are needed. The aim of this study is to evaluate the efficacy of Narrative Exposure Therapy (NET) as a short-term treatment for PTSD using Chinese earthquake survivors. Methods: A randomized waiting-list control pilot study was conducted between December 2009 and March 2010, at the site of the Sichuan earthquake in Beichuan County, China. Adult participants with newly diagnosed Post Traumatic Stress Disorder (PTSD) were randomly allocated to Narrative Exposure Therapy (NET) or a Waiting-List (WL) condition. The latter received NET treatment after a two-week waiting period. To compare the effectiveness of NET in traumatised earthquake survivors, both groups were assessed on PTSD symptoms, general mental health, anxiety and depression, social support, coping style and posttraumatic change before and after treatment and two months post treatment. Results: Adult participants (n=22) were randomly allocated to receive NET (n=11) or WL (n=11). Twenty two participants (11 in NET group, 11 in WL) were included in the analysis of primary outcomes. Compared with WL, NET showed significant reductions in PTSD symptoms, anxiety and depression, general mental stress and increased posttraumatic growth. The WL group later showed similar improvements after treatment. These changes remained stable for a two-month follow-up. Measures of social support and coping showed no stable effects. Conclusions: NET is effective in treating post-earthquake traumatic symptoms in adult Chinese earthquake survivors. The findings help advance current knowledge in the management of PTSD after natural disasters and inform future research. Larger sample sizes are needed to extend the present findings

Diffractive production of high pt photons at HERA

We study the diffractive production of high pt photons at HERA. We have implemented the process as a new hard sub-process in the HERWIG event generator in order to prepare the ground for a future measurement.Comment: 4 pages, 4 figures. Contribution to the 1999 UK Phenomenology Workshop on Collider Physics, Durham, U

Dense molecular clouds in the SN2008fp host galaxy

(abridged) We use observations of interstellar absorption features, such as atomic and molecular lines as well as diffuse interstellar bands (DIBs), towards SN2008fp to study the physical properties of extra-galactic diffuse interstellar clouds in the host galaxy, ESO428-G14. The properties of the intervening dust are investigated via spectropolarimetry. The spectra of SN2008fp reveal a complex of diffuse atomic clouds at radial velocities in line with the systematic velocities of the host galaxy (~1700 km/s). A translucent (A_V ~ 1.5 mag) cloud is detected at a heliocentric velocity of 1770 km/s This cold dense cloud is rich in dense atomic gas tracers, molecules, as well as diffuse interstellar bands. We have detected both C2 and C3 for the first time in a galaxy beyond the Local Group. The CN (0,0) band line ratios are used to derive an in-situ measurement of the cosmic background radiation temperature in an external galaxy; this gives an excitation temperature of T = 2.9 +- 0.3 K. The interstellar polarization law deviates significantly from what is observed in the Galaxy, indicating substantial differences in the composition or size distribution of dust grains in the SN2008fp host galaxy. C2 is used to probe the cold diffuse ISM density and temperature. The lack of variability in the extra-galactic absorption line profiles over a period of one month implies that the absorbing material is not circumstellar and thus not affected directly by the SN event. Also it shows that there are no significant density variation in the small-scale structure of the molecular cloud down to 100 AU.Comment: 10 pages. Accepted for publication in A&A. Revisions include several small correction

Searching for Lyman alpha emission from a possible Zel'dovich pancake

The detection of 2 x 10(exp 14) solar mass of neutral hydrogen at a redshift of 3.397 has been reported. Top-down theories of structure formation predict such a mass of hydrogen collapsing to form a protocluster of galaxies. We sought to observe this object in Lyman-alpha, which could be produced through ionization by the metagalactic ionizing radiation field or through internal ionization processes. On 29 Apr. 1992, the region of the reported HI emission for 1800 seconds with the 1.3 meter McGraw-Hill reflector at Michigan-Dartmouth-M.I.T. Observatory was observed. Because the H1 emission reported has a transverse scale of 300 sec, a 1/3.06 reducing camera and a Thomson CCD were used to obtain a field of view of about 600 sec by 840 sec. A filter 88 A wide, centered at 5354 A was used; Lyman-alpha emission at z = 3.4 is redshifted to 5347 A. In order to avoid saturating the CCD with a bright star in the field, nine 200 second exposures were taken. The combination of these images shows no obvious extended Lyman-alpha emission at a level of about 28 magnitudes per square arcsecond. The field observed also shows a distant cluster of galaxies. In order to determine if the cluster could in any way be associated with the cloud of neutral hydrogen at z = 3.4, we sought to estimate its redshift from the size and magnitude of the galaxies and of the cluster as a whole. Omega = 1 and H(sub O) = 50 km s(sup -1) Mpc(sup -1) were adopted; our redshift estimates range from z = 0.2 to z = 0.6. The cluster is clearly not associated with the HI cloud at z = 3.4

Eyes in the sky: Interactions between AGB winds and the interstellar magnetic field

We aim to examine the role of the interstellar magnetic field in shaping the extended morphologies of slow dusty winds of Asymptotic Giant-branch (AGB) stars in an effort to pin-point the origin of so-called eye shaped CSE of three carbon-rich AGB stars. In addition, we seek to understand if this pre-planetary nebula (PN) shaping can be responsible for asymmetries observed in PNe. Hydrodynamical simulations are used to study the effect of typical interstellar magnetic fields on the free-expanding spherical stellar winds as they sweep up the local interstellar medium (ISM). The simulations show that typical Galactic interstellar magnetic fields of 5 to 10 muG, are sufficient to alter the spherical expanding shells of AGB stars to appear as the characteristic eye shape revealed by far-infrared observations. The typical sizes of the simulated eyes are in accordance with the observed physical sizes. However, the eye shapes are of transient nature. Depending on the stellar and interstellar conditions they develop after 20,000 to 200,000yrs and last for about 50,000 to 500,000 yrs, assuming that the star is at rest relative to the local interstellar medium. Once formed the eye shape will develop lateral outflows parallel to the magnetic field. The "explosion" of a PN in the center of the eye-shaped dust shell gives rise to an asymmetrical nebula with prominent inward pointing Rayleigh-Taylor instabilities. Interstellar magnetic fields can clearly affect the shaping of wind-ISM interaction shells. The occurrence of the eyes is most strongly influenced by stellar space motion and ISM density. Observability of this transient phase is favoured for lines-of-sight perpendicular to the interstellar magnetic field direction. The simulations indicate that shaping of the pre-PN envelope can strongly affect the shape and size of PNe.Comment: Accepted for publication in A&A. Final version will contain animated result