Using new and innovative technologies to assess clinical stage in early intervention youth mental health services: Evaluation study

Background: Globally there is increasing recognition that new strategies are required to reduce disability due to common mental health problems. As 75% of mental health and substance use disorders emerge during the teenage or early adulthood years, these strategies need to be readily accessible to young people. When considering how to provide such services at scale, new and innovative technologies show promise in augmenting traditional clinic-based services. Objective: The aim of this study was to test new and innovative technologies to assess clinical stage in early intervention youth mental health services using a prototypic online system known as the Mental Health eClinic (MHeC). Methods: The online assessment within the MHeC was compared directly against traditional clinician assessment within 2 Sydney-based youth-specific mental health services (headspace Camperdown and headspace Campbelltown). A total of 204 young people were recruited to the study. Eligible participants completed both face-to-face and online assessments, which were randomly allocated and counterbalanced at a 1-to-3 ratio. These assessments were (1) a traditional 45- to 60-minute headspace face-to-face assessment performed by a Youth Access Clinician and (2) an approximate 60-minute online assessment (including a self-report Web-based survey, immediate dashboard of results, and a video visit with a clinician). All assessments were completed within a 2-week timeframe from initial presentation. Results: Of the 72 participants who completed the study, 71% (51/72) were female and the mean age was 20.4 years (aged 16 to 25 years); 68% (49/72) of participants were recruited from headspace Camperdown and the remaining 32% (23/72) from headspace Campbelltown. Interrater agreement of participants’ stage, as determined after face-to-face assessment or online assessment, demonstrated fair agreement (kappa=.39, P\u3c.001) with concordance in 68% of cases (49/72). Among the discordant cases, those who were allocated to a higher stage by online raters were more likely to report a past history of mental health disorders (P=.001), previous suicide planning (P=.002), and current cannabis misuse (P=.03) compared to those allocated to a lower stage. Conclusions: The MHeC presents a new and innovative method for determining key clinical service parameters. It has the potential to be adapted to varied settings in which young people are connected with traditional clinical services and assist in providing the right care at the right tim

The census of interstellar complex organic molecules in the Class I hot corino of SVS13-A

We present the first census of the interstellar Complex Organic Molecules (iCOMs) in the low-mass Class I protostar SVS13-A, obtained by analysing data from the IRAM-30m Large Project ASAI (Astrochemical Surveys At IRAM). They consist of an high-sensitivity unbiased spectral survey at the 1mm, 2mm and 3mm IRAM bands. We detected five iCOMs: acetaldehyde (CH$_3$CHO), methyl formate (HCOOCH$_3$), dimethyl ether (CH$_3$OCH$_3$), ethanol (CH$_3$CH$_2$OH) and formamide (NH$_2$CHO). In addition we searched for other iCOMs and ketene (H$_2$CCO), formic acid (HCOOH) and methoxy (CH$_3$O), whose only ketene was detected. The numerous detected lines, from 5 to 37 depending on the species, cover a large upper level energy range, between 15 and 254 K. This allowed us to carry out a rotational diagram analysis and derive rotational temperatures between 35 and 110 K, and column densities between $3\times 10^{15}$ and $1\times 10^{17}$ cm$^{-2}$ on the 0."3 size previously determined by interferometric observations of glycolaldehyde. These new observations clearly demonstrate the presence of a rich chemistry in the hot corino towards SVS13-A. The measured iCOMs abundances were compared to other Class 0 and I hot corinos, as well as comets, previously published in the literature. We find evidence that (i) SVS13-A is as chemically rich as younger Class 0 protostars, and (ii) the iCOMs relative abundances do not substantially evolve during the protostellar phase.Comment: 24 pages, MNRAS in pres

Quantum hypercomputation based on the dynamical algebra su(1,1)

An adaptation of Kieu's hypercomputational quantum algorithm (KHQA) is presented. The method that was used was to replace the Weyl-Heisenberg algebra by other dynamical algebra of low dimension that admits infinite-dimensional irreducible representations with naturally defined generalized coherent states. We have selected the Lie algebra $\mathfrak{su}(1,1)$, due to that this algebra posses the necessary characteristics for to realize the hypercomputation and also due to that such algebra has been identified as the dynamical algebra associated to many relatively simple quantum systems. In addition to an algebraic adaptation of KHQA over the algebra $\mathfrak{su}(1,1)$, we presented an adaptations of KHQA over some concrete physical referents: the infinite square well, the infinite cylindrical well, the perturbed infinite cylindrical well, the P{\"o}sch-Teller potentials, the Holstein-Primakoff system, and the Laguerre oscillator. We conclude that it is possible to have many physical systems within condensed matter and quantum optics on which it is possible to consider an implementation of KHQA.Comment: 25 pages, 1 figure, conclusions rewritten, typing and language errors corrected and latex format changed minor changes elsewhere and

Developing a mental health eClinic to improve access to and quality of mental health care for young people: Using participatory design as research methodologies

Background: Each year, many young Australians aged between 16 and 25 years experience a mental health disorder, yet only a small proportion access services and even fewer receive timely and evidence-based treatments. Today, with ever-increasing access to the Internet and use of technology, the potential to provide all young people with access (24 hours a day, 7 days a week) to the support they require to improve their mental health and well-being is promising. Objective: The aim of this study was to use participatory design (PD) as research methodologies with end users (young people aged between 16 and 25 years and youth health professionals) and our research team to develop the Mental Health eClinic (a Web-based mental health clinic) to improve timely access to, and better quality, mental health care for young people across Australia. Methods: A research and development (R&D) cycle for the codesign and build of the Mental Health eClinic included several iterative PD phases: PD workshops; translation of knowledge and ideas generated during workshops to produce mockups of webpages either as hand-drawn sketches or as wireframes (simple layout of a webpage before visual design and content is added); rapid prototyping; and one-on-one consultations with end users to assess the usability of the alpha build of the Mental Health eClinic. Results: Four PD workshops were held with 28 end users (young people n=18, youth health professionals n=10) and our research team (n=8). Each PD workshop was followed by a knowledge translation session. At the conclusion of this cycle, the alpha prototype was built, and one round of one-on-one end user consultation sessions was conducted (n=6; all new participants, young people n=4, youth health professionals n=2). The R&D cycle revealed the importance of five key components for the Mental Health eClinic: a home page with a visible triage system for those requiring urgent help; a comprehensive online physical and mental health assessment; a detailed dashboard of results; a booking and videoconferencing system to enable video visits; and the generation of a personalized well-being plan that includes links to evidence-based, and health professional–recommended, apps and etools. Conclusions: The Mental Health eClinic provides health promotion, triage protocols, screening, assessment, a video visit system, the development of personalized well-being plans, and self-directed mental health support for young people. It presents a technologically advanced and clinically efficient system that can be adapted to suit a variety of settings in which there is an opportunity to connect with young people. This will enable all young people, and especially those currently not able or willing to connect with face-to-face services, to receive best practice clinical services by breaking down traditional barriers to care and making health care more personalized, accessible, affordable, and available

Finite axisymmetric charged dust disks in conformastatic spacetimes

An infinite family of axisymmetric charged dust disks of finite extension is presented. The disks are obtained by solving the vacuum Einstein-Maxwell equations for conformastatic spacetimes, which are characterized by only one metric function. In order to obtain the solutions, it is assumed that the metric function and the electric potential are functionally related and that the metric function is functionally dependent of another auxiliary function, which is taken as a solution of Laplace equation. The solutions for the auxiliary function are then taken as given by the infinite family of generalized Kalnajs disks recently obtained by Gonz\'alez and Reina (MNRAS 371, 1873, 2006), which is expressed in terms of the oblate spheroidal coordinates and represents a well behaved family of finite axisymmetric flat galaxy models. The so obtained relativistic thin disks have then a charge density that is equal, except maybe by a sign, to their mass density, in such a way that the electric and gravitational forces are in exact balance. The energy density of the disks is everywhere positive and well behaved, vanishing at the edge. Accordingly, as the disks are made of dust, their energy-momentum tensor it agrees with all the energy conditions.Comment: Submitted to PR

A critical reflection of current trends in discourse analytical research on leadership across disciplines. A call for a more engaging dialogue

This paper takes the frequently lamented state of current leadership research in business and organisational sciences as a starting point and argues for a more open and engaging dialogue with leadership researchers in applied linguistics and pragmatics. Focusing on current debates around terminological issues and methodological questions that are particularly prominent in critical leadership studies, we show that research in applied linguistics and pragmatics has the potential to make important contributions by providing the analytical tools and processes to support critical leadership researchers in their quest to challenge hegemonic notions of leadership by moving beyond simplistic and often problematic leader-follower dichotomies and by providing empirical evidence to capture leadership in situ thereby feeding into current theorisations of leadership

Exploring the capability of yeasts isolated from colombian fermented cocoa beans to form and degrade biogenic amines in a lab-scale model system for cocoa fermentation

Yeast starters for cocoa fermentation are usually tested according to their enzymatic activities in terms of mucilage degradation and flavor improvement, disregarding their influence on the production or elimination of toxic compounds as biogenic amines (BAs), important for human health. In this work, we tested 145 strains belonging to 12 different yeast species and isolated from the Colombian fermented cocoa beans (CB) for their capability of producing BAs in vitro. Sixtyfive strains were able to decarboxylate at least one of the amino acids tested. Pichia kudriavzevii ECA33 (Pk) and Saccharomyces cerevisiae 4 (Sc) were selected to evaluate their potential to modulate BAs, organic acids, and volatile organic compounds (VOCs) accumulation during a simulated cocoa fermentation. The growth of Sc or Pk in the presence of CB caused a significant reduction (p < 0.05) of 2-phenylethylamine (84% and 37%) and cadaverine (58% and 51%), and a significant increase of tryptamine and putrescine with a strong influence of temperature in BA formation and degradation. In addition, our findings pointed out that Pk induced a major production of fatty acidand amino acid-derived VOCs, while Sc induced more VOCs derived from fatty acids metabolism. Our results suggest the importance of considering BA production in the choice of yeast starters for cocoa fermentation

First report of a leopard (Panthera pardus)-bonobo (Pan paniscus) encounter at the LuiKotale study site, Democratic Republic of the Congo

Predation is a major cause of mortality in non-human primates, and considered a selective force in the evolution of primate societies. Although larger body size is considered as protection against predation, evidence for predation on great apes by carnivores comes from chimpanzees (Pan troglodytes), gorillas (Gorilla gorilla), and orangutans (Pongo spp.). Here, we describe the first encounter between wild bonobos (Pan paniscus) and a leopard (Panthera pardus). A single leopard was confronted by a group of habituated bonobos for three hours. Two adult males and one adolescent female bonobo actively harassed the leopard, which remained still for most of the encounter and reacted only to close approaches by bonobos. While no predation was observed, their behaviours confirm that bonobos perceive leopards as potential predators. Our report adds novel information to descriptions from other African ape species, and sheds light on the behavioural repertoire of bonobos’ anti-predation strategies. For future investigations, we suggest tagging leopards to remotely monitor their movements and allow assessment of encounter rates as one of several factors influencing predation pressure

Contribution of common and rare variants to bipolar disorder susceptibility in extended pedigrees from population isolates.

Current evidence from case/control studies indicates that genetic risk for psychiatric disorders derives primarily from numerous common variants, each with a small phenotypic impact. The literature describing apparent segregation of bipolar disorder (BP) in numerous multigenerational pedigrees suggests that, in such families, large-effect inherited variants might play a greater role. To identify roles of rare and common variants on BP, we conducted genetic analyses in 26 Colombia and Costa Rica pedigrees ascertained for bipolar disorder 1 (BP1), the most severe and heritable form of BP. In these pedigrees, we performed microarray SNP genotyping of 838 individuals and high-coverage whole-genome sequencing of 449 individuals. We compared polygenic risk scores (PRS), estimated using the latest BP1 genome-wide association study (GWAS) summary statistics, between BP1 individuals and related controls. We also evaluated whether BP1 individuals had a higher burden of rare deleterious single-nucleotide variants (SNVs) and rare copy number variants (CNVs) in a set of genes related to BP1. We found that compared with unaffected relatives, BP1 individuals had higher PRS estimated from BP1 GWAS statistics (P = 0.001 ~ 0.007) and displayed modest increase in burdens of rare deleterious SNVs (P = 0.047) and rare CNVs (P = 0.002 ~ 0.033) in genes related to BP1. We did not observe rare variants segregating in the pedigrees. These results suggest that small-to-moderate effect rare and common variants are more likely to contribute to BP1 risk in these extended pedigrees than a few large-effect rare variants