870 research outputs found
South Road
SOUTH ROAD, a novel told in third-person limited, follows Adrienne Harris as she navigates the trials of her coming-of-age summer and then must deal with the aftermath. 1997: seventeen-year-old Adrienne Harris wants nothing more than to flee her eccentric grandmotherâs rule and leave Harbor Point and never look back. When she meets her new neighbors, Adrienne knows her life will never be the same. Adrienne quickly falls in love with the charismatic Quinn Merritt. They decide to keep their relationship a secret since both families disapprove. This secret starts a chain reaction that seemingly leads to the suicide of the troubled and poetic Lucas Merritt. The summer culminates with Adrienne running away, pregnant and heartbroken. 2011: thirty-one-year-old Adrienne is an out of work line cook and single mother. The story opens as Adrienne reluctantly returns home to Harbor Point to care for her ailing grandmother. Once home, Adrienne has to confront the things that haunt herâthe summer she met and lost both Merritt brothers, and also her dysfunctional relationship with her grandmotherâin order to heal and repair her own life and her relationship with her daughter.
In the end, Adrienne discovers many truths that alter her perception of her past in Harbor Point. Adrienne is finally able to move forward and start to build a life for her and her daughter. Harbor Point, the last place in the world Adrienne Harris wanted to be, turns out to be the only place she wants to call home
Postâintestine transplant graftâversusâhost disease: Associated with inclusion of a liver graft and with a high mortality risk
Introduction
This study reports the incidence, anatomic location, and outcomes of graftâversusâhost disease (GVHD) at a single active intestine transplant center.
Methods
Records were reviewed for all patients receiving an intestine transplant from 2003 to 2015. Pathology reports and pharmacy records were reviewed to establish the diagnosis, location, and therapeutic interventions for GVHD.
Results
A total of 236 intestine transplants were performed during the study period, with 37 patients (16%) developing GVHD. The median time to onset of disease was 83 days, with 89% of affected patients diagnosed in the first year postâtransplant. Mortality for affected patients was 54% in the oneâyear after GVHD diagnosis.
Skin lesions were the most common manifestation of GVHD. Other sites of disease included lungs, bone marrow, oral mucosa, large intestine, and brain. The incidence of GVHD was 16% in adult patients, and slightly lower in pediatric recipients (13%). In adults, increasing graft volume (isolated versus multiâorgan) and liver inclusion were associated with increasing risk of GVHD, though this was not seen in pediatric patients.
Conclusion
Overall, 16% of intestine transplant recipients developed GVHD. GVHD is associated with high mortality, and disease in the lungs, brain, and bone marrow was universally fatal
Criminal Law - Insane Persons - Competency to Stand Trial
Mental unsoundness in a person accused of a crime raises two distinct legal questions. One is the question of the individual\u27s responsibility for his behavior and the other is the question of the individual\u27s competency to enter into the legal procedures of trial or punishment. In recent years considerable attention has been given to matters of responsibility, but relatively little attention has been paid to the problem of incompetency and especially to the consequences of incompetency proceedings. In order to analyze and evaluate the operations of the Michigan law in the area of incompetency to stand trial, two psychiatrists joined two law students to conduct field research at Ionia State Hospital to which all persons found incompetent to stand trial are committed.
This comment reports and analyzes the results of this field research. Attention is given also to the merits of alternative procedures for the commitment and treatment of incompetents
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Mental health in UK Biobank - development, implementation and results from an online questionnaire completed by 157 366 participants: a reanalysis
Background
UK Biobank is a well-characterised cohort of over 500 000 participants including genetics, environmental data and imaging. An online mental health questionnaire was designed for UK Biobank participants to expand its potential.
Aims
Describe the development, implementation and results of this questionnaire.
Method
An expert working group designed the questionnaire, using established measures where possible, and consulting a patient group. Operational criteria were agreed for defining likely disorder and risk states, including lifetime depression, mania/hypomania, generalised anxiety disorder, unusual experiences and self-harm, and current post-traumatic stress and hazardous/harmful alcohol use.
Results
A total of 157 366 completed online questionnaires were available by August 2017. Participants were aged 45â82 (53% were â„65 years) and 57% women. Comparison of self-reported diagnosed mental disorder with a contemporary study shows a similar prevalence, despite respondents being of higher average socioeconomic status. Lifetime depression was a common finding, with 24% (37 434) of participants meeting criteria and current hazardous/harmful alcohol use criteria were met by 21% (32 602), whereas other criteria were met by less than 8% of the participants. There was extensive comorbidity among the syndromes. Mental disorders were associated with a high neuroticism score, adverse life events and long-term illness; addiction and bipolar affective disorder in particular were associated with measures of deprivation.
Conclusions
The UK Biobank questionnaire represents a very large mental health survey in itself, and the results presented here show high face validity, although caution is needed because of selection bias. Built into UK Biobank, these data intersect with other health data to offer unparalleled potential for crosscutting biomedical research involving mental health
Quantum Information Processing with Ferroelectrically Coupled Quantum Dots
I describe a proposal to construct a quantum information processor using
ferroelectrically coupled Ge/Si quantum dots. The spin of single electrons form
the fundamental qubits. Small (<10 nm diameter) Ge quantum dots are optically
excited to create spin polarized electrons in Si. The static polarization of an
epitaxial ferroelectric thin film confines electrons laterally in the
semiconductor; spin interactions between nearest neighbor electrons are
mediated by the nonlinear process of optical rectification. Single qubit
operations are achieved through "g-factor engineering" in the Ge/Si structures;
spin-spin interactions occur through Heisenberg exchange, controlled by
ferroelectric gates. A method for reading out the final state, while required
for quantum computing, is not described; electronic approaches involving single
electron transistors may prove fruitful in satisfying this requirement.Comment: 10 pages, 3 figure
Avalanche amplification of a single exciton in a semiconductor nanowire
Interfacing single photons and electrons is a crucial ingredient for sharing
quantum information between remote solid-state qubits. Semiconductor nanowires
offer the unique possibility to combine optical quantum dots with avalanche
photodiodes, thus enabling the conversion of an incoming single photon into a
macroscopic current for efficient electrical detection. Currently, millions of
excitation events are required to perform electrical read-out of an exciton
qubit state. Here we demonstrate multiplication of carriers from only a single
exciton generated in a quantum dot after tunneling into a nanowire avalanche
photodiode. Due to the large amplification of both electrons and holes (>
10^4), we reduce by four orders of magnitude the number of excitation events
required to electrically detect a single exciton generated in a quantum dot.
This work represents a significant step towards single-shot electrical read-out
and offers a new functionality for on-chip quantum information circuits
Intergroup helping in response to separatism
Despite its prevalence and widespread media coverage, separatism as a phenomenon is barely covered in psychological investigations, and the majority's response to separatism has been completely ignored. We present two studies in which we investigated the notion that separatist movements threaten the continuation of the national identity, as well as the nation's economic position. Moreover, we hypothesized and found that members of the majority group respond to continuation threat by supporting government measures to help the separatist group. Javanese students who were induced to believe that existing separatist movements in West Papua (Study 1, N = 322) or Aceh (Study 2, N = 180) were currently increasing their efforts to gain independence were more willing to support these groups than participants who believed these movements were dormant. Moreover, this effect was mediated by continuation threat but not economic threat. These results demonstrate the possibility of a peaceful response to separatism threat. © 2013 by the Society for Personality and Social Psychology, Inc
Multi-level evidence of an allelic hierarchy of USH2A variants in hearing, auditory processing and speech/language outcomes.
Language development builds upon a complex network of interacting subservient systems. It therefore follows that variations in, and subclinical disruptions of, these systems may have secondary effects on emergent language. In this paper, we consider the relationship between genetic variants, hearing, auditory processing and language development. We employ whole genome sequencing in a discovery family to target association and gene x environment interaction analyses in two large population cohorts; the Avon Longitudinal Study of Parents and Children (ALSPAC) and UK10K. These investigations indicate that USH2A variants are associated with altered low-frequency sound perception which, in turn, increases the risk of developmental language disorder. We further show that Ush2a heterozygote mice have low-level hearing impairments, persistent higher-order acoustic processing deficits and altered vocalizations. These findings provide new insights into the complexity of genetic mechanisms serving language development and disorders and the relationships between developmental auditory and neural systems
Preliminary archaeoentomological analyses of permafrost-preserved cultural layers from the pre-contact Yupâik Eskimo site of Nunalleq, Alaska : implications, potential and methodological considerations
Acknowledgements Site excavation and samples collection were conducted by archaeologists from the University of Aberdeen, with the help of archaeologists and student excavators from the University of Aberdeen University of Alaska Fairbanks and Bryn Mawr College, Kuskokwim Campus, College of Rural Alaska and residents of Quinhagak and Mekoryuk. This study is funded through AHRC grant to the project âUnderstanding Cultural Resilience and Climate Change on the Bering Sea through Yupâik Ecological Knowledge, Lifeways, Learning and Archaeologyâ to Rick Knecht, Kate Britton and Charlotta Hillderal (University of Aberdeen; AH/K006029/1). Thanks are due to Qanirtuuq Inc. and Quinhagak, Alaska for sampling permissions and to entomologists working at the CNC in Ottawa for allowing access to reference collections of beetles, lice and fleas. Yves Bousquet, Ales Smetana and Anthony E. Davies are specially acknowledged for their help with the identification of coleopteran specimens. Finally, we would also like to thank Scott Elias for useful comments on the original manuscript.Peer reviewedPublisher PD
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