Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review

People with mental health problems often experience self-stigma, whereby they internalise stereotypic or stigmatising views held by others. Self-stigma is known to have negative effects on self-esteem and self-efficacy and a continuing impact on psychological wellbeing. Self-help interventions designed to reduce self-stigma may have an important contribution to make. This review aimed to provide an overview and critical appraisal of the literature on self-help interventions that target self-stigma related to mental health problems. A systematic review of five electronic databases (PsycINFO, MEDLINE, CINAHL Plus, Scopus and EMBASE) was carried out to identify articles published between January 2007 and July 2019. Eight articles that reported on self-help interventions for self-stigma were identified and evaluated using a combination of quality appraisal and narrative synthesis

Neurological Features and Enzyme Therapy in Patients With Endocrine and Exocrine Pancreas Dysfunction Due to CEL Mutations

OBJECTIVE—To further define clinical features associated with the syndrome of diabetes and pancreatic exocrine dysfunction due to mutations in the carboxyl-ester lipase (CEL) gene and to assess the effects of pancreatic enzyme substitution therapy

A guided self-help intervention supporting mental health professionals’ decisions regarding sharing of lived experience

Mental health professionals with lived experience often experience heightened stigma and fear that their competency may be questioned. We present a new intervention (HOP-MHP) designed to support them in decisions about sharing their lived experience and preliminary results regarding the intervention’s acceptability and feasibility

Spontaneous Variability and Circadian Distribution of Ectopic Activity in Patients With Malignant Ventricular Arrhythmia

Day to day variability of ventricular ectopic activity was analyzed in 45 patients with a history of malignant ventricular tachyarrhythmias who underwent two successive 24 h periods of ambulatory electrocardiographic (ECG) monitoring in the absence of antiarrhythmic drugs; 26 were male and 19 female, with a mean age of 56 years (range 15 to 76). The total number of single ventricular premature beats, couplets and ventricular tachycardia beats and runs on days 1 and 2 demonstrated a consistent overall correlation (r = 0.76 to 0.84). Individual variability was evaluated by regression analysis with determination of 95% confidence limits.The minimal decrease in arrhythmia density necessary to distinguish true drug effect from spontaneous variability was 64% for single ventricular premature beats, 83% for couplets, 90% for ventricular tachycardia runs and 93% for ventricular tachycardia beats. To meet the criteria for arrhythmia aggravation, the arrhythmia density had to increase by 400, 877, 1,500 and 2,400%, respectively. Multivariate analysis disclosed an inverse relation between day to day arrhythmia variability and baseline arrhythmia density and age. Variability was more pronounced in patients with coronary artery disease but was not influenced by the type of presenting arrhythmia or left ventricular function.The diurnal distribution of arrhythmias and heart rate followed a distinct circadian pattern. These data indicate that, despite good group reproducibility, spontaneous arrhythmia variability in individuals is substantial, necessitating standards to define both drug effect and arrhythmia aggravation

Systematic evaluation of ground and geostationary magnetic field predictions generated by global magnetohydrodynamic models

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95456/1/jgra20123.pd

Taking piezoelectric microsystems from the laboratory to production

Reliable integration of piezoelectric thin films into silicon-based microsystems on an industrial scale is a key enabling technology for a wide range of future products. However, current knowledge in the field is mostly limited to the conditions and scale of academic laboratories. Thus, knowledge on performance, reliability and reproducibility of the films and methods at industrial level is scarce. The present study intends to contribute to the development of reliable technology for integration of piezoelectric thin films into MEMS on an industrial scale. A test wafer design that contained more than 500 multimorph cantilevers, bridges and membranes in the size range between 50 and 1,500 μm was developed. The active piezoelectric material was a ∼2 μm thin film of lead zirconate titanate (PZT) deposited by a state-of-the-art chemical solution deposition (CSD) procedure. Automated measurements of C(V) and dielectric dissipation factor at 1 kHz were made on more than 200 devices at various locations across the wafer surface. The obtained standard deviations were 4.5 and 11% for the permittivity and dissipation factor, respectively. Values for the transverse piezoelectric charge coefficient, e 31,f, of up to −15.1 C/m2 were observed. Fatigue tests with a 5 kHz signal applied to a typical cantilever at ± 25 V led to less than 10% reduction of the remanent polarisation after 2 × 107 bipolar cycles. Cantilever out-of-plane deflection at zero field measured after poling was less than 1.1% for a typical 800 μm cantilever

Astrophysical Reaction Rates for 10^{10}B(p,α\alpha)7^{7}Be and 11^{11}B(p,α\alpha)8^{8}Be From a Direct Model

The reactions $^{10}$B(p,$\alpha$)$^{7}$Be and $^{11}$B(p,$\alpha$)$^{8}$Be are studied at thermonuclear energies using DWBA calculations. For both reactions, transitions to the ground states and first excited states are investigated. In the case of $^{10}$B(p,$\alpha$)$^{7}$Be, a resonance at $E_{Res}=10$ keV can be consistently described in the potential model, thereby allowing the extension of the astrophysical $S$-factor data to very low energies. Strong interference with a resonance at about $E_{Res}=550$ keV require a Breit-Wigner description of that resonance and the introduction of an interference term for the reaction $^{10}$B(p,$\alpha_1$)$^{7}$Be$^*$. Two isospin $T=1$ resonances (at $E_{Res1}=149$ keV and $E_{Res2}=619$ keV) observed in the $^{11}$B+p reactions necessitate Breit-Wigner resonance and interference terms to fit the data of the $^{11}$B(p,$\alpha$)$^{8}$Be reaction. $S$-factors and thermonuclear reaction rates are given for each reaction. The present calculation is the first consistent parametrization for the transition to the ground states and first excited states at low energies.Comment: 27 pages, 5 Postscript figures, uses RevTex and aps.sty; preprint also available at http://quasar.physik.unibas.ch/ Phys. Rev. C, in pres

Error growth in the Mesosphere and Lower Thermosphere Based on Hindcast Experiments in a Whole Atmosphere Model

The capability to forecast conditions in the mesosphere and lower thermosphere is investigated based on 30‐day hindcast experiments that were initialized bimonthly during 2009 and 2010. The hindcasts were performed using the Whole Atmosphere Community Climate Model with thermosphere‐ionosphere eXtension (WACCMX) with data assimilation provided by the Data Assimilation Research Testbed (DART) ensemble Kalman filter. Analysis of the WACCMX+DART hindcasts reveals several important features that are relevant to forecasting the middle atmosphere. The results show a clear dependence on spatial scale, with the slowest error growth occurring in the zonal mean and the fastest error growth occurring for small‐scale waves. The error growth rate is also found to be significantly greater in the upper mesosphere and lower thermosphere compared to in the upper stratosphere to lower mesosphere, suggesting that the forecast skill decreases with increasing altitude. The results demonstrate that the errors in the lower thermosphere reach saturation, on average, in less than 5 days, at least with the current version of WACCMX+DART. A seasonal dependency to the error growth is found at high latitudes in the Northern and Southern Hemispheres but not in the tropics or global average. We additionally investigate the error growth rates for migrating and nonmigrating atmospheric tides and find that the errors saturate after ∼5 days for tides in the lower thermosphere. The results provide an initial assessment of the error growth rates in the mesosphere and lower thermosphere and are relevant for understanding how whole atmosphere models can potentially improve space weather forecasting