906 research outputs found

    Southern Hemisphere meteor rates Final report

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    Diurnal variations of Southern Hemisphere meteor rat

    Variation in compulsory psychiatric inpatient admission in England:a cross-sectional, multilevel analysis

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    Background: Rates of compulsory admission have increased in England in recent decades, and this trend is accelerating. Studying variation in rates between people and places can help identify modifiable causes. Objectives: To quantify and model variances in the rate of compulsory admission in England at different spatial levels and to assess the extent to which this was explained by characteristics of people and places. Design: Cross-sectional analysis using multilevel statistical modelling. Setting: England, including 98% of Census lower layer super output areas (LSOAs), 95% of primary care trusts (PCTs), 93% of general practices and all 69 NHS providers of specialist mental health services. Participants: 1,287,730 patients. Main outcome measure: The study outcome was compulsory admission, defined as time spent in an inpatient mental illness bed subject to the Mental Health Act (2007) in 2010/11. We excluded patients detained under sections applying to emergency assessment only (including those in places of safety), guardianship or supervision of community treatment. The control group comprised all other users of specialist mental health services during the same period. Data sources: The Mental Health Minimum Data Set (MHMDS). Data on explanatory variables, characterising each of the spatial levels in the data set, were obtained from a wide range of sources, and were linked using MHMDS identifiers. Results: A total of 3.5% of patients had at least one compulsory admission in 2010/11. Of (unexplained) variance in the null model, 84.5% occurred between individuals. Statistically significant variance occurred between LSOAs [6.7%, 95% confidence interval (CI) 6.2% to 7.2%] and provider trusts (6.9%, 95% CI 4.3% to 9.5%). Variances at these higher levels remained statistically significant even after adjusting for a large number of explanatory variables, which together explained only 10.2% of variance in the study outcome. The number of provider trusts whose observed rate of compulsory admission differed from the model average to a statistically significant extent fell from 45 in the null model to 20 in the fully adjusted model. We found statistically significant associations between compulsory admission and age, gender, ethnicity, local area deprivation and ethnic density. There was a small but statistically significant association between (higher) bed occupancy and compulsory admission, but this was subsequently confounded by other covariates. Adjusting for PCT investment in mental health services did not improve model fit in the fully adjusted models. Conclusions: This was the largest study of compulsory admissions in England. While 85% of the variance in this outcome occurred between individuals, statistically significant variance (around 7% each) occurred between places (LSOAs) and provider trusts. This higher-level variance in compulsory admission remained largely unchanged even after adjusting for a large number of explanatory variables. We were constrained by data available to us, and therefore our results must be interpreted with caution. We were also unable to consider many hypotheses suggested by the service users, carers and professionals who we consulted. There is an imperative to develop and evaluate interventions to reduce compulsory admission rates. This requires further research to extend our understanding of the reasons why these rates remain so high. Funding: The National Institute for Health Research Health Services and Delivery Research programme

    Paul the spiritual guide : a social identity perspective on Paul's apostolic self-identity

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    Scholarly understanding of Paul's self-conception in his use of the title 'apostle' has remained minimal throughout the history of biblical scholarship. Few have ventured to describe Paul's understanding of his apostolic self-identity beyond the basic notion of his being 'sent' to preach the gospel. The most frequent suggestions are that Paul understood himself to be a prophet or a philosopher. But these suggestions are faulty because they emerge from hermeneutical methods that are unable to discern how self-identity is revealed in discourse. The purpose of this thesis is two-fold. First, I attempt to clarify Paul's understanding of his apostolic self-identity. My research reveals that when Paul identified himself as an apostle of Jesus Christ to the Thessalonians and Corinthians he conceived of that identity within the conceptual framework of a spiritual guide. Paul believed that God was calling him to be a spiritual guide to the followers of Jesus in those cities, leading them from an initial faith in Jesus as Lord to the consummation of that relationship on the day of Jesus' return, guiding them through all the twists and turns along the way. Second, in developing this argument, I attempt to clarify a method of reading ancient texts with insights from the social sciences. I demonstrate that it is not only possible, but that at times it is necessary to use the social sciences in order to further our hermeneutical abilities for understanding biblical texts

    Calcutta Botanic Garden and the colonial re-ordering of the Indian environment

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    This article examines three hand-painted colour maps that accompanied the annual report of the Calcutta Botanic Garden for 1846 to illustrate how the Garden’s layout, uses and functions had changed over the previous 30 years. The evolution of the Calcutta Botanic Garden in the first half of the nineteenth-century reflects a wider shift in attitudes regarding the relationship between science, empire and the natural world. On a more human level the maps result from, and illustrate, the development of a vicious personal feud between the two eminent colonial botanists charged with superintending the garden in the 1840s

    Multisite prospective investigation of psychological outcomes following cataract surgery in Vietnam

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    Copyright © 2017 BMJ Global Health. All rights reserved. Background: Cataract surgery is a low-cost and effective intervention. There is increasing evidence to suggest that cataract surgery is associated with improvements in mobility, overall functioning and reductions in psychological distress. Within lowincome and middle-income countries, cataract surgery has also been documented to lead to reductions in psychological distress; however, differences in economic activity and engagement in paid and domestic work in these countries may moderate such reductions. We aimed to examine the psychological outcomes following cataract surgery among a diverse Vietnamese sample. Methods: We report findings from the VISIONARY study, a 12-month multisite prospective study of cataract surgery outcomes conducted in Vietnam (N=462). Generalised estimating equations (GEEs) were used to identify the variables which were associated with reduced psychological distress. Results: A high proportion of participants (56.6%) reported psychological distress before surgery and severity of psychological distress had decreased by 12 months following surgery (95% CI (4.13 to 4.95)). There were regional differences in the extent of improvement in psychological distress and change in paid and unpaid work. The extent of improvement in visual acuity, male gender, and increase in paid and unpaid work hours were significant predictors of reductions in psychological distress. Conclusions: Cataract surgery appears to result in the greatest reductions in psychological distress in communities where work engagement is highest. Funding: The VISIONARY study was funded by a grant provided by the Fred Hollows Foundation, Australia. During the course of this work, BME was in receipt of an Ian Potter Foundation Fellowship and a National Health and Medical Research Council (NHMRC) fellowship (1072148), SJ received an NHMRC Senior Research Fellowship, MLH was in receipt of a National Heart Foundation Future Leader Fellowship 100034

    Spontaneous DC Current Generation in a Resistively Shunted Semiconductor Superlattice Driven by a TeraHertz Field

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    We study a resistively shunted semiconductor superlattice subject to a high-frequency electric field. Using a balance equation approach that incorporates the influence of the electric circuit, we determine numerically a range of amplitude and frequency of the ac field for which a dc bias and current are generated spontaneously and show that this region is likely accessible to current experiments. Our simulations reveal that the Bloch frequency corresponding to the spontaneous dc bias is approximately an integer multiple of the ac field frequency.Comment: 8 pages, Revtex, 3 Postscript figure

    Localization properties of driven disordered one-dimensional systems

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    We generalize the definition of localization length to disordered systems driven by a time-periodic potential using a Floquet-Green function formalism. We study its dependence on the amplitude and frequency of the driving field in a one-dimensional tight-binding model with different amounts of disorder in the lattice. As compared to the autonomous system, the localization length for the driven system can increase or decrease depending on the frequency of the driving. We investigate the dependence of the localization length with the particle's energy and prove that it is always periodic. Its maximum is not necessarily at the band center as in the non-driven case. We study the adiabatic limit by introducing a phenomenological inelastic scattering rate which limits the delocalizing effect of low-frequency fields.Comment: Accepted for publication in European Physical Journal

    An Anisotropic Wormhole:TUNNELLING in Time and Space

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    We discuss the structure of a gravitational euclidean instanton obtained through coupling of gravity to electromagnetism. Its topology at fixed tt is S1×S2S^1\times S^2. This euclidean solution can be interpreted as a tunnelling to a hyperbolic space (baby universe) at t=0t=0 or alternatively as a static wormhole that joins the two asymptotically flat spaces of a Reissner--Nordstr\"om type solution with M=0M=0.Comment: PLAIN-TEX, 16 pages (4 figures not included), Report DFTT 2/9

    Mental health: Future challenges [Mental Capital and Wellbeing: Making the most of ourselves in the 21st century]

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    The aim of the Foresight Project on Mental Capital and Wellbeing (www.foresight.gov.uk) is to advise the Government on how to achieve the best possible mental development and mental wellbeing for everyone in the UK in the future. The starting point of the Project was to generate an understanding of the science of mental capital and wellbeing (MCW) and to develop a vision for how the size and nature of the challenges exposed by the Project could evolve over the next 20 years. To make this analysis tractable, the work was divided into five broad areas: Mental capital through life; Learning through life; Mental health; Wellbeing and work; and Learning difficulties. This report presents the findings for Mental health and draws upon a comprehensive assessment of the scientific state-of-the art: overall, around 80 reviews have been commissioned across the five areas
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