Group cognitive behavioural therapy for stroke survivors with depression and their carers

Background: Depression in stroke survivors is common, leads to poorer outcomes and often not treated. A group cognitive behavioural therapy (CBT) program (Brainstorm) for stroke survivors with depression, and their carers has been running as part of usual care since 2007. Objective: To evaluate the implementation and acceptability of Brainstorm, a closed group intervention consisting of up to 10 sessions of education, activity planning, problem solving and thought challenging. Methods: Participating stroke survivors and their carers complete assessment measures at baseline, post-treatment and 1-month and 6-months follow-up. A mixed models for repeated measures data was conducted with depression and anxiety scores for stroke survivors (Beck Depression Inventory-II; Hospital Anxiety and Depression Scale) and the assessment of depression, anxiety and carer burden for carers. Acceptability was assessed by session attendance and written and open participant feedback upon completion of the program. Results: Forty-eight community dwelling stroke survivors and 34 carers attended Brainstorm, with a median attendance of 88% of sessions. Follow-up assessments were completed by 77% (post-treatment), 46% (1-month) and 38% (6-month) of stroke survivors. Stroke survivors’ depression scores decreased from baseline to post-treatment (p<.001); maintained at 1-month (p<.001) but not at 6-month (p=.056). Anxiety scores decreased between baseline and 1-month (p=.013). Carer burden, depression and anxiety scores at 1-month and 6-month follow-up, for carers, were all reduced when compared with baseline (p<.05). Conclusion: The Brainstorm group intervention for depression in stroke survivors appears to have been effectively implemented and is acceptable to stroke survivors and carers

Chiral extrapolation of lattice moments of proton quark distributions

We present the resolution of a long-standing discrepancy between the moments of parton distributions calculated from lattice QCD and their experimental values. We propose a simple extrapolation formula for the moments of the nonsinglet quark distribution u-d, as a function of quark mass, which embodies the general constraints imposed by the chiral symmetry of QCD. The inclusion of the leading nonanalytic behavior leads to an excellent description of both the lattice data and the experimental values of the moments.Comment: 9 pages, 1 figure, to appear in Physical Review Letter

Chiral extrapolation of lattice data for the hyperfine splittings of heavy mesons

Hyperfine splittings between the heavy vector (D*, B*) and pseudoscalar (D, B) mesons have been calculated numerically in lattice QCD, where the pion mass (which is related to the light quark mass) is much larger than its physical value. Naive linear chiral extrapolations of the lattice data to the physical mass of the pion lead to hyperfine splittings which are smaller than experimental data. In order to extrapolate these lattice data to the physical mass of the pion more reasonably, we apply the effective chiral perturbation theory for heavy mesons, which is invariant under chiral symmetry when the light quark masses go to zero and heavy quark symmetry when the heavy quark masses go to infinity. This leads to a phenomenological functional form with three parameters to extrapolate the lattice data. It is found that the extrapolated hyperfine splittings are even smaller than those obtained using linear extrapolation. We conclude that the source of the discrepancy between lattice data for hyperfine splittings and experiment must lie in non-chiral physics.Comment: 27 pages, 6 figure

Optical properties of low background PEN structural components for the LEGEND-200 experiment

Polyethylene Naphthalate (PEN) plastic scintillator has been identified as potential self-vetoing structural material in low-background physics experiments. Scintillating components have been produced radio-pure from PEN using injection compression molding technology. These low-background PEN components will be used as active holders to mount the Germanium detectors in the \legend-$200$ neutrinoless double beta decay experiment. In this paper we present the measurement of the optical properties of these PEN components. Thus, the emission spectrum, time constant, attenuation and bulk absorption length as well as light output and light yield are reported. In addition, the surface of these PEN components has been characterized and an estimation of the surface roughness is presented. Moreover, the light output of the final \legend-$200$ detector holders has been measured and is reported. These measurements were used to estimate the self-vetoing efficiency of these holders

Chiral Behaviour of the Rho Meson in Lattice QCD

In order to guide the extrapolation of the mass of the rho meson calculated in lattice QCD with dynamical fermions, we study the contributions to its self-energy which vary most rapidly as the quark mass approaches zero; from the processes $\rho \to \omega \pi$ and $\rho \to \pi \pi$. It turns out that in analysing the most recent data from CP-PACS it is crucial to estimate the self-energy from $\rho \to \pi \pi$ using the same grid of discrete momenta as included implicitly in the lattice simulation. The correction associated with the continuum, infinite volume limit can then be found by calculating the corresponding integrals exactly. Our error analysis suggests that a factor of 10 improvement in statistics at the lowest quark mass for which data currently exists would allow one to determine the physical rho mass to within 5%. Finally, our analysis throws new light on a long-standing problem with the J-parameter.Comment: 13 pages, 7 figures. Full analytic forms of the self-energies are included and a correction in the omega-pi self-energ

Seen and unseen: using video data in ethnographic fieldwork

Purpose – The purpose of this paper is to report on video making in two different contexts within the Community Arts Zone research project, an international research project concerned with the connections between arts, literacy and the community. Design/methodology/approach – At one project site, researchers and parents from the community filmed their children making dens with an artist. At another site, a professional film crew filmed young people engaged in arts practice in school settings. Findings – In both cases, researchers, artists and community participants collaborated to do research and make video. This paper discusses the ways that this work was differently positioned at the two sites. These different positionings had implications for the meaning ascribed to video making from the point of view of the participants, researchers and artists involved. Originality/value – By drawing on perspectives of researchers and artists, the paper explores implications for video making processes within ethnographic research. These include a need for awareness of the diversity and fragmentation of the fields of both visual research and visual arts practice. In addition, the relationship between research and the visual is unfolding in a context in which the digital is increasingly ubiquitous in everyday life. Therefore the authors argue for the need for researchers and artists to explore their epistemological assumptions with regards to video and film, and to consider the role of the digital in the lives of their participants. The coming together of these positions and experiences is what constructs the meaning of the digital and visual in the field

Positive practices : solution-focused and narrative therapeutic techniques with children with sexually harmful behaviours

This article explores the use of solution-focused and Narrative Therapeutic approaches with a boy who had sexually harmful behaviours. The paper will highlight the practical challenges of working with someone who is 'problem-saturated' through institutionalisation and who is also subjected to powerful discourses claiming the 'truth' about him. The use of solution-focused and Narrative Therapeutic principles and approaches will be demonstrated in the work described, in a way that allows the reader to reflect on how these may differ from modernist understandings and responses to this behaviour