Title of project: an investigation of Black Minority Ethnic service users’ perception of their needs within a North London mental health NHS trust

This study was conducted to find out from service users from a black and minority ethnic background (BME) how they perceive their needs were being met when being cared for in the Mental Health Trust. The participants were drawn from the black ethnic group including Black African, Black Caribbean, Black British and Black Mixed Race. The study was a descriptive phenomenological study whereby the participants were interviewed using a semi structured interview via the use of a topic guide. The study was informed by the mental health trusts’ priorities under the Race Equality Scheme to meet the needs of the diverse group which it serves. The interviews were tape recorded and the data collated was transcribed verbatim. Six themes and subsequent sub-themes were identified following thematic analysis of the data. The findings from this research study suggest that BME service users did not express any negative views about the care they received by the mental health trust. Some of the BME participants however stated that they had to wait varying lengths on time before they received specialist psychological services. The participants expressed that they experienced stigma and discrimination by the police, criminal justice system, employment and the wider public. A few recommendations were made including the development of a 5-day training programme to support the police in enhancing their knowledge and skill about mental illness. Mental health professionals to continue to challenge discrimination through campaigns, video, leaflets. There was also a recommendation made regarding the 6Cs - Care, Communication, Compassion, Courage, Competence and Commitment. In that the term ‘Consistency’ should be added to make a 7th C. Other Implications for practice were also noted

NEUROELECTRIC THERAPY (NET) IN ADDICTION DETOXIFICATION

NeuroElectric Therapy (NET) is a benign and rapid, non-pharmacological detoxification treatment for the chemical dependent, either in-patient or out-patient, using very small amounts of electric current transcranially, with electtodes applied above the mastoid process. The pocketsize stimulator is used continuously for 7 to 10 days (3-4 days for nicotine), without supplementary drugs. Within this treatment period it eliminates the acute symptoms and also ameliorates the Chtonic Withdrawal Syndrome, which otherwise could last 18 months or longer, to a very substantial degree. By the end of treatment, 95% of 102 consecutive patients claimed they were free of craving, 75% that they were free of anxiery. NET has a reported drop-out rate of 1.6% over a period of seven years. The basis of this therapeutic success has been the marriage of precision clinical techniques to highly specific combinations of electrical current parameters, both developed over 20 years of reported clinical and research work. It is suggested that the mechanism of action may be the rapid restoration to normal of abnormal neurotransmitter levels by specific electrical signals. Clinical treatments and double-blind studies are briefly described and reviewed, with new data on sleep effects

Canonical curves and Kropina metrics in Lagrangian contact geometry

We present a Fefferman-type construction from Lagrangian contact to conformal structures and examine several related topics. In particular, we concentrate on describing the canonical curves and their correspondence. We show that chains and null-chains of an integrable Lagrangian contact structure are the projections of null-geodesics of the Fefferman space. Employing the Fermat principle, we realize chains as geodesics of Kropina (pseudo-Finsler) metrics. Using recent rigidity results, we show that ``sufficiently many'' chains determine the Lagrangian contact structure. Separately, we comment on Lagrangian contact structures induced by projective structures and the special case of dimension three.Comment: 25 pages, no figure

The working practices and clinical experiences of paediatric speech and language therapists: a national UK survey

Background: The majority of speech and language therapists (SLTs) work with children who have speech, language and communication needs. There is limited information about their working practices and clinical experience and their views of how changes to healthcare may impact upon their practice. Aims: To investigate the working practices and professional experiences of paediatric SLTs working in the UK through an online survey. Methods & Procedures: The survey was conducted online using Survey Monkey. Therapists were alerted to the survey through the Bulletin of the Royal College of Speech and Language Therapists and by e-mails to national special interest groups. Outcomes & Results: A total of 516 clinicians completed the survey. A large majority worked in the National Health Service (NHS). A varied pattern of working was revealed. Most worked in several settings and saw a range of clients. A typical clinician spends less than one-quarter of their time giving direct therapy and more than one-quarter training parents and other professionals. Nearly half of respondents felt that their time could be better used. Too little time for direct therapy and the time required for administration emerged as their principal concerns. Most clinicians have specialist knowledge of particular client groups and spend more time with them than do non-specialists. Nevertheless, clients are more likely to be treated by a therapist who does not claim to have specialist knowledge of their condition than by one who does. The only clients for whom this is not the case are those with dysphagia. Eighty per cent of respondents felt that proposed changes to the NHS would not benefit the children they treat and there was widespread concern about cuts and the effects of general practitioner commissioning. Despite this, a large majority expected to remain speech and language therapists 5 years from now. Conclusions & Implications : This survey provides an overview of the working practices of paediatric speech and language therapists. Its findings have significant implications for training and workforce development in the profession

Contourite or turbidite?: magnetic fabric of fine-grained Quaternary sediments, Nova Scotia continental rise

Samples of three piston cores and one gravity core from the Nova Scotia continental rise (depths 4210-4925 m) have been examined to differentiate parallel-to-slope and downslope depositional processes in Quaternary deposits from a region presently influenced by a strong contour current. Measurement of anisotropy of magnetic susceptibility of samples of a red-brown, silt-laminated lutite 'contourite' facies shows grain alignments which are consistent with both parallel-to-slope (contour current) flow and downslope (turbidity current) flow. We believe that these results provide support for the hypothesis that 'geologically significant' contour currents have influenced continental rise deposition during the Pleistocene. However, our observation that both alongslope and downslope alignments are present in lithologically similar units clearly demonstrates the need for studies on the relationship between lithofacies and process in this geological setting

The magnetic fabric of surficial deep-sea sediments in the HEBBLE area (Nova Scotian continental rise)

The anisotropy of magnetic susceptibility (AMS) of surficial sediments in the HEBBLE area (depth 4820 m, Nova Scotian continental rise) has been measured to study the fabric of these sediments and to relate the sediment fabric to depositional conditions. Previous investigators have established that strong but variable bottom currents are important agents in redistributing bottom sediments in the area. We observe that the upper 1.5 cm of the sediments has a primary fabric (dominantly foliar with horizontal bedding) created by bottom-current activity while sediments deeper than 2.5 cm have a predominantly secondary fabric due to bioturbation. The magnitude of the AMS signal in these sediments is generally low making it difficult to measure some of the fabric elements, especially the direction of the lineated fabric. In the upper 1.5 cm magnetic grains are predominantly oriented parallel to the regional bathymetric contours, but there is also a significant grouping of alignments perpendicular to the contours. Primary fabrics are observed in a few of the samples from the bioturbated sediments with the magnetic grains oriented parallel to the contours. Some of the variability observed between box cores in the magnetic fabric may reflect the variability of depositional conditions within the region. An analysis of the magnitude of the AMS fabric suggests that the parameter Fs, often used to denote bottom-current fabrics, is strongly dependent on the total anisotropy and only weakly dependent on the lineated nature of the fabric. Both primary and secondary fabrics can have relatively large Fs values. Thus Fs does not appear sufficient for delineating bottom current activity in the deep sea

Big Data in Finance: Highlights from the Big Data in Finance Conference Hosted at the University of Michigan October 27-28, 2016

How can financial data be made more accessible and more secure, as well as more useful to regulators, market participants, and the public? As new data sets are created, opportunities emerge. Vast quantities of financial data may help identify emerging risks, enable market participants and regulators to see and better understand financial networks and interconnections, enhance financial stability, bolster consumer protection, and increase access to the underserved. Data can also increase transparency in the financial system for market participants, regulators and the public. These data sets, however, can raise significant questions about security and privacy; ensuring data quality; protecting against discrimination or privacy intrusions; managing, synthesizing, presenting, and analyzing data in usable form; and sharing data among regulators, researchers, and the public. Moreover, any conflicts among regulators and financial firms over such data could create opportunities for regulatory arbitrage and gaps in understanding risk in the financial system. The Big Data in Finance Conference, co-sponsored by the federal Office of Financial Research and the University of Michigan Center on Finance, Law, and Policy, and held at the University of Michigan Law School on October 27-28, 2016, covered a number of important and timely topics in the worlds of Big Data and finance. This paper highlights several key issues and conference takeaways as originally presented by the contributors and panelists who took part

Prevalence and risks of fascioliasis among adult cohorts in Binh Dinh and Quang Ngai provinces-central Viet Nam

Fascioliasis (liver fluke disease) has raised significant public health concerns in the 15 regional provinces of Central Vietnam, accounting for 93% of the national incidence of the disease. No control measures to date have proven effective. Annual reports show increasing incidence of fascioliasis but they are incomplete. This cross-sectional study was conducted to identify the prevalence of fascioliasis and to describe its associated risks in three communes in Central Vietnam. 500 human blood samples were examined (ELISA); and a survey of knowledge, attitude and practice (KAP) was conducted for 600 randomly selected adults per commune. The findings suggest that overall seroprevalence was 7.75% (95% CI 6.54-9.16%). Among the infected cases, people aged from 18-59 years (85.6%) and farmers (68.0%) accounted for majority of infection. Less than half of participants in all three communes (24.6% - 46.0%) knew the causes of fascioliasis; and considerable proportions ate improperly boiled vegetables (28.2-33.8%), drank unboiled water (23.5-42.5%), and did not own a household toilet (14.2-20.5%). Relatively high prevalence and risks of fascioliasis were found in Central Vietnam, supporting the need for comprehensive intervention measures including selective treatment, health education, and multisectoral approaches to reduce the morbidity associated with fascioliasis and thus improve the health status of the people

Energy and time resolution for a LYSO matrix prototype of the Mu2e experiment

We have measured the performances of a LYSO crystal matrix prototype tested with electron and photon beams in the energy range 60$-$450 MeV. This study has been carried out to determine the achievable energy and time resolutions for the calorimeter of the Mu2e experiment.Comment: 2 pages, 3 figures, 13th Pisa Meeting on Advanced Detector