What is 'Early intervention' for work related difficulties for people with multiple sclerosis?: a case study report

Background: Employment matters and at diagnosis most people with multiple sclerosis are in full time work or education. 75% of people with multiple sclerosis report the condition has impacted on this employment or career opportunities. Early intervention to support people in work is advocated for in the literature. This paper starts the journey of exploring what is meant by early. Methods: A randomized control trial was undertaken offering either occupational therapy led early intervention or usual care to people diagnosed with multiple sclerosis within one year. Two cases were purposively selected from the treatment group and used to illustrate the importance as well as the nature of early intervention. Results: Both participants received occupational therapy led support which included fatigue management, advice about legal rights, support accessing services such as Access to Work, and support with disclosure in the workplace. Conclusions: Neither of the participants had reported any work problems at the point of referral. However the clinical intervention led to the identification of small concerns and worries. The education and support offered to these two participants alleviated these worries. Early support and education to enable people with multiple sclerosis to manage their condition in the work place can have a positive impact. This may equip them better for the journey ahead

A Bibliography of Africana in the Lilly Library

Bibliography of Africana materials in the Lilly Library at Indiana University. The Lilly Library contains rare books, special collections, and manuscripts. Of particular interest to students of Africa are examples of early African cartography, texts on exploration and travel, manuscripts, volumes on the slave trade, etc. The majority of material in this bibliography pertains to voyages, exploration, and scientific expeditions

A meta-analysis of obesity and the risk of pancreatic cancer

Smoking and diabetes are the only established risk factors for pancreatic cancer. Findings from recent studies suggest that obesity may also be associated with an increased risk of pancreatic cancer, but several earlier studies were less conclusive. We examined this relationship in a meta-analysis of published data. Six case-control and eight cohort studies involving 6391 cases of pancreatic cancer were identified from a computer-based literature search from 1966 to 2003. The relative risk per unit increase in body mass index was estimated for each of the studies from the published data. In a random effects model, the summary relative risk per unit increase in body mass index was 1.02 (95% CI: 1.01-1.03). There was some evidence of heterogeneity between the studies' results (P=0.1). The summary relative risk estimates were slightly higher for studies that had adjusted for smoking and for case-control studies that had not used proxy respondents. The estimated per unit increase in body mass index would translate into a relative risk of 1.19 (95% CI: 1.10-1.29) for obese people (30 kg m(-2)) compared to people with a normal body weight (22 kg m(-2)). These results provide evidence that the risk of pancreatic cancer may be weakly associated with obesity. However, the small magnitude of the summary risk means the possibility of confounding cannot be excluded

Detailed Structure of a CDW in a Quenched Random Field

Using high resolution x-ray scattering, we have measured the structure of the Q_1 CDW in Ta-doped NbSe_3. Detailed line shape analysis of the data demonstrates that two length scales are required to describe the phase-phase correlation function. Phase fluctuations with wavelengths less than a new length scale $a$ are suppressed and this $a$ is identified with the amplitude coherence length. We find that xi_a* = 34.4 \pm 10.3 angstroms. Implications for the physical mechanisms responsible for pinning are discussed.Comment: revtex 3.0, 3 postscript uuencoded figure

Mental Health Research in the Global Era: Training the Next Generation

Psychiatric disorders are among the leading cause of disability worldwide, yet fewer than 25 % of affected individuals are estimated to have access to treatment. In many low-income settings, it is estimated that less than 10 % of affected individuals are able to access basic mental health care and, even when they do, it is often below minimum ethical and clinical standards. The discipline of global mental health is dedicated to reducing mental health disparities within and between countries by preventing mental disorders and improving access to psychiatric treatment, particularly in low-resource settings. The global partnership model for mental health research is based on the idea that investigators from high- and low-resource settings work collaboratively to identify and address barriers and facilitators to mental well-being across diverse settings

Friedel Oscillations and Charge-density Waves Pinning in Quasi-one-dimensional Conductors: An X-ray Access

We present an x-ray diffraction study of the Vanadium-doped blue bronze K0.3(Mo0.972V0.028)O3. At low temperature, we have observed both an intensity asymmetry of the +-2kF satellite reflections relative to the pure compound, and a profile asymmetry of each satellite reflections. We show that the profile asymmetry is due to Friedel oscillation around the V substituant and that the intensity asymmetry is related to the charge density wave (CDW) pinning. These two effects, intensity and profile asymmetries, gives for the first time access to the local properties of CDW in disordered systems, including the pinning and even the phase shift of FOs.Comment: 4 pages REVTEX, 5 figure

Improving mortality rate estimates for management of the Queensland saucer scallop fishery

This research was undertaken on the Queensland saucer scallop (Ylistrum balloti) fishery in southeast Queensland, which is an important component of the Queensland East Coast Otter Trawl Fishery (QECOTF). The research was undertaken by a collaborative team from the Queensland Department of Agriculture and Fisheries, James Cook University (JCU) and the Centre for Applications in Natural Resource Mathematics (CARM), University of Queensland and focused on 1) an annual fishery-independent trawl survey of scallop abundance, 2) relationships between scallop abundance and physical properties of the seafloor, and 3) deriving an updated estimate of the scallop’s natural mortality rate. The scallop fishery used to be one of the state’s most valuable commercially fished stocks with the annual catch peak at just under 2000 t (adductor muscle meat-weight) in 1993 valued at about $30 million, but in recent years the stock has declined and is currently considered to be overfished. Results from the study are used to improve monitoring, stock assessment and management advice for the fishery

X-Ray Scattering Measurements of the Transient Structure of a Driven Charge-Density-Wave

We report time-resolved x-ray scattering measurements of the transient structural response of the sliding {\bf Q}$_{1}$ charge-density-wave (CDW) in NbSe$_{3}$ to a reversal of the driving electric field. The observed time scale characterizing this response at 70K varies from $\sim$ 15 msec for driving fields near threshold to $\sim$ 2 msec for fields well above threshold. The position and time-dependent strain of the CDW is analyzed in terms of a phenomenological equation of motion for the phase of the CDW order parameter. The value of the damping constant, $\gamma = (3.2 \pm 0.7) \times 10^{-19}$ eV $\cdot$ seconds $\cdot$ \AA$^{-3}$, is in excellent agreement with the value determined from transport measurements. As the driving field approaches threshold from above, the line shape becomes bimodal, suggesting that the CDW does not depin throughout the entire sample at one well-defined voltage.Comment: revtex 3.0, 7 figure

A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries

Background: The interrelationships between research evidence and policy-making are complex. Different theoretical frameworks exist to explain general evidence–policy interactions. One largely unexplored element of these interrelationships is how evidence interrelates with, and influences, policy/political agenda-setting. This review aims to identify the elements and processes of theories, frameworks and models on interrelationships of research evidence and health policy-making, with a focus on actionability and agenda-setting in the context of mental health in low- and middle-income countries (LMICs). Methods: A systematic review of theories was conducted based on the BeHeMOTh search method, using a tested and refined search strategy. Nine electronic databases and other relevant sources were searched for peer-reviewed and grey literature. Two reviewers screened the abstracts, reviewed full-text articles, extracted data and performed quality assessments. Analysis was based on a thematic analysis. The included papers had to present an actionable theoretical framework/model on evidence and policy interrelationships, such as knowledge translation or evidence-based policy, specifically target the agenda-setting process, focus on mental health, be from LMICs and published in English. Results: From 236 publications included in the full text analysis, no studies fully complied with our inclusion criteria. Widening the focus by leaving out ‘agenda-setting’, we included ten studies, four of which had unique conceptual frameworks focusing on mental health and LMICs but not agenda-setting. The four analysed frameworks confirmed research gaps from LMICs and mental health, and a lack of focus on agenda-setting. Frameworks and models from other health and policy areas provide interesting conceptual approaches and lessons with regards to agenda-setting. Conclusion: Our systematic review identified frameworks on evidence and policy interrelations that differ in their elements and processes. No framework fulfilled all inclusion criteria. Four actionable frameworks are applicable to mental health and LMICs, but none specifically target agenda-setting. We have identified agenda-setting as a research theory gap in the context of mental health knowledge translation in LMICs. Frameworks from other health/policy areas could offer lessons on agenda-setting and new approaches for creating policy impact for mental health and to tackle the translational gap in LMICs

Pennsylvania Folklife Vol. 39, No. 4

• Our Church • Pig Roast • Wooden Jointed Dolls • Coal Jewelry • The Pennsylvania Long Rifle • The Mennonites • Festival Focus • Festival Programs • Blockprinting • Dried Flowers, Wreaths and Baskets • Broom Making • Wood-Turning • Moravian and German Stars • A Plain Costume Primer • Farewell to the Folk Festival Magazinehttps://digitalcommons.ursinus.edu/pafolklifemag/1128/thumbnail.jp