Mindfulness-based interventions for young offenders: a scoping review

Youth offending is a problem worldwide. Young people in the criminal justice system have frequently experienced adverse childhood circumstances, mental health problems, difficulties regulating emotions and poor quality of life. Mindfulness-based interventions can help people manage problems resulting from these experiences, but their usefulness for youth offending populations is not clear. This review evaluated existing evidence for mindfulness-based interventions among such populations. To be included, each study used an intervention with at least one of the three core components of mindfulness-based stress reduction (breath awareness, body awareness, mindful movement) that was delivered to young people in prison or community rehabilitation programs. No restrictions were placed on methods used. Thirteen studies were included: three randomized controlled trials, one controlled trial, three pre-post study designs, three mixed-methods approaches and three qualitative studies. Pooled numbers (n = 842) comprised 99% males aged between 14 and 23. Interventions varied so it was not possible to identify an optimal approach in terms of content, dose or intensity. Studies found some improvement in various measures of mental health, self-regulation, problematic behaviour, substance use, quality of life and criminal propensity. In those studies measuring mindfulness, changes did not reach statistical significance. Qualitative studies reported participants feeling less stressed, better able to concentrate, manage emotions and behaviour, improved social skills and that the interventions were acceptable. Generally low study quality limits the generalizability of these findings. Greater clarity on intervention components and robust mixed-methods evaluation would improve clarity of reporting and better guide future youth offending prevention programs

Relativistic Structure, Stability and Gravitational Collapse of Charged Neutron Stars

Charged stars have the potential of becoming charged black holes or even naked singularities. It is presented a set of numerical solutions of the Tolman-Oppenheimer-Volkov equations that represents spherical charged compact stars in hydrostatic equilibrium. The stellar models obtained are evolved forward in time integrating the Einstein-Maxwell field equations. It is assumed an equation of state of a neutron gas at zero temperature. The charge distribution is taken as been proportional to the rest mass density distribution. The set of solutions present an unstable branch, even with charge to mass ratios arbitrarily close to the extremum case. It is performed a direct check of the stability of the solutions under strong perturbations, and for different values of the charge to mass ratio. The stars that are in the stable branch oscillates and do not collapse, while models in the unstable branch collapse directly to form black holes. Stars with a charge greater or equal than the extreme value explode. When a charged star is suddenly discharged, it don't necessarily collapse to form a black hole. A non-linear effect that gives rise to the formation of an external shell of matter (see Ghezzi and Letelier 2005), is negligible in the present simulations. The results are in agreement with the third law of black hole thermodynamics and with the cosmic censorship conjecture.Comment: 27 pages, 14 figures, 4 tables, paper accepte

Star formation in Perseus - V. Outflows detected by HARP

Molecular outflows provide an alternative method of identifying protostellar cores, complementary to recent mid-infrared studies. Continuing our studies of Perseus, we investigate whether all Spitzer-identified protostars, and particularly those with low luminosities, drive outflows, and if any new protostellar cores (perhaps harbouring low-mass sources) can be identified via their outflows alone. We have used the heterodyne array receiver HARP on JCMT to make deep 12CO 3-2 maps of submm cores in Perseus, extending and deepening our earlier study with RxB and bringing the total number of SCUBA cores studied up to 83. Our survey includes 23/25 of the Dunham et al. (2008) Spitzer low-luminosity objects believed to be embedded protostars, including three VeLLOs. All but one of the cores identified as harbouring embedded YSOs have outflows, confirming outflow detections as a good method for identifying protostars. We detect outflows from 20 Spitzer low-luminosity objects. We do not conclusively detect any outflows from IR-quiet cores, though confusion in clustered regions such as NGC1333 makes it impossible to identify all the individual driving sources. This similarity in detection rates despite the difference in search methods and detection limits suggests either that the sample of protostars in Perseus is now complete, or that the existence of an outflow contributes to the Spitzer detectability, perhaps through the contribution of shocked H2 emission in the IRAC bands. For five of the low-luminosity sources, there is no protostellar envelope detected at 350 microns and the Spitzer emission is entirely due to shocks. Additionally, we detect the outflow from IRAS 03282+3035 at 850 microns with SCUBA due to CO line contamination in the continuum passband.Comment: 25 pages, 12 figures, to be published in A&

The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts

Objectives Despite widely-known negative effects of substance use disorders (SUD) on women, children, and society, knowledge about population-based prevalence and impact of SUD and SUD treatment during the perinatal period is limited. Methods Population-based data from 375,851 singleton deliveries in Massachusetts 2003-2007 were drawn from a maternal-infant longitudinally-linked statewide dataset of vital statistics, hospital discharges (including emergency department (ED) visits), and SUD treatment records. Maternal SUD and SUD treatment were identified from 1-year pre-conception through delivery. We determined (1) the prevalence of SUD and SUD treatment; (2) the association of SUD with women's perinatal health service utilization, obstetric experiences, and birth outcomes; and (3) the association of SUD treatment with birth outcomes, using both bivariate and adjusted analyses. Results 5.5% of Massachusetts's deliveries between 2003 and 2007 occurred in mothers with SUD, but only 66% of them received SUD treatment pre-delivery. Women with SUD were poorer, less educated and had more health problems; utilized less prenatal care but more antenatal ED visits and hospitalizations, and had worse obstetric and birth outcomes. In adjusted analyses, SUD was associated with higher risk of prematurity (AOR 1.35, 95% CI 1.28-1.41) and low birth weight (LBW) (AOR 1.73, 95% CI 1.64-1.82). Women receiving SUD treatment had lower odds of prematurity (AOR 0.61, 95% CI 0.55-0.68) and LBW (AOR 0.54, 95% CI 0.49-0.61). Conclusions for Practice SUD treatment may improve perinatal outcomes among pregnant women with SUD, but many who need treatment don't receive it. Longitudinally-linked existing public health and programmatic records provide opportunities for states to monitor SUD identification and treatment

Pilot Proof of Concept Clinical Trials of Stochastic Targeted (STAR) Glycemic Control

(open access)Introduction: Tight glycemic control (TGC) has shown benefits but has been difficult to achieve consistently. STAR (Stochastic TARgeted) is a flexible, model-based TGC approach directly accounting for intra- and inter- patient variability with a stochastically derived maximum 5% risk of blood glucose (BG) < 4.0 mmol/L. This research assesses the safety, efficacy, and clinical burden of a STAR TGC controller modulating both insulin and nutrition inputs in pilot trials. Methods: Seven patients covering 660 hours. Insulin and nutrition interventions are given 1-3 hourly as chosen by the nurse to allow them to manage workload. Interventions are calculated by using clinically validated computer models of human metabolism and its variability in critical illness to maximize the overlap of the model-predicted (5-95th percentile) range of BG outcomes with the 4.0-6.5 mmol/L band while ensuring a maximum 5% risk of BG < 4.0 mmol/L. Carbohydrate intake (all sources) was selected to maximize intake up to 100% of SCCM/ACCP goal (25 kg/kcal/h). Maximum insulin doses and dose changes were limited for safety. Measurements were made with glucometers. Results are compared to those for the SPRINT study, which reduced mortality 25-40% for length of stay ≥3 days. Written informed consent was obtained for all patients, and approval was granted by the NZ Upper South A Regional Ethics Committee. Results: A total of 402 measurements were taken over 660 hours (~14/day), because nurses showed a preference for 2-hourly measurements. Median [interquartile range, (IQR)] cohort BG was 5.9 mmol/L [5.2-6.8]. Overall, 63.2%, 75.9%, and 89.8% of measurements were in the 4.0-6.5, 4.0-7.0, and 4.0-8.0 mmol/L bands. There were no hypoglycemic events (BG < 2.2 mmol/L), and the minimum BG was 3.5 mmol/L with 4.5% < 4.4 mmol/L. Per patient, the median [IQR] hours of TGC was 92 h [29-113] using 53 [19-62] measurements (median, ~13/day). Median [IQR] results: BG, 5.9 mmol/L [5.8-6.3]; carbohydrate nutrition, 6.8 g/h [5.5-8.7] (~70% goal feed median); insulin, 2.5 U/h [0.1-5.1]. All patients achieved BG < 6.1 mmol/L. These results match or exceed SPRINT and clinical workload is reduced more than 20%. Conclusions: STAR TGC modulating insulin and nutrition inputs provided very tight control with minimal variability by managing intra- and inter- patient variability. Performance and safety exceed that of SPRINT, which reduced mortality and cost in the Christchurch ICU. The use of glucometers did not appear to impact the quality of TGC. Finally, clinical workload was self-managed and reduced 20% compared with SPRINT

Expanding and Collapsing Scalar Field Thin Shell

This paper deals with the dynamics of scalar field thin shell in the Reissner-Nordstr$\ddot{o}$m geometry. The Israel junction conditions between Reissner-Nordstr$\ddot{o}$m spacetimes are derived, which lead to the equation of motion of scalar field shell and Klien-Gordon equation. These equations are solved numerically by taking scalar field model with the quadratic scalar potential. It is found that solution represents the expanding and collapsing scalar field shell. For the better understanding of this problem, we investigate the case of massless scalar field (by taking the scalar field potential zero). Also, we evaluate the scalar field potential when $p$ is an explicit function of $R$. We conclude that both massless as well as massive scalar field shell can expand to infinity at constant rate or collapse to zero size forming a curvature singularity or bounce under suitable conditions.Comment: 15 pages, 11 figure

Big Earth Data for Cultural Heritage in the Copernicus Era

Digital data is stepping in its golden age characterized by an increasing growth of both classical and emerging big earth data along with trans- and multidisciplinary methodological approaches and services addressed to the study, preservation and sustainable exploitation of cultural heritage (CH). The availability of new digital technologies has opened new possibilities, unthinkable only a few years ago for cultural heritage. The currently available digital data, tools and services with particular reference to Copernicus initiatives make possible to characterize and understand the state of conservation of CH for preventive restoration and opened up a frontier of possibilities for the discovery of archaeological sites from above and also for supporting their excavation, monitoring and preservation. The different areas of intervention require the availability and integration of rigorous information from different sources for improving knowledge and interpretation, risk assessment and management in order to make more successful all the actions oriented to the preservation of cultural properties. One of the biggest challenges is to fully involve the citizen also from an emotional point of view connecting “pixels with people” and “bridging” remote sensing and social sensing

Pilot proof of concept clinical trials of Stochastic Targeted (STAR) glycemic control

ABSTRACT: INTRODUCTION: Tight glycemic control (TGC) has shown benefits but has been difficult to achieve consistently. STAR (Stochastic TARgeted) is a flexible, model-based TGC approach directly accounting for intra- and inter- patient variability with a stochastically derived maximum 5% risk of blood glucose (BG) /=3 days. Written informed consent was obtained for all patients, and approval was granted by the NZ Upper South A Regional Ethics Committee. RESULTS: A total of 402 measurements were taken over 660 hours (~14/day), because nurses showed a preference for 2-hourly measurements. Median [interquartile range, (IQR)] cohort BG was 5.9 mmol/L [5.2-6.8]. Overall, 63.2%, 75.9%, and 89.8% of measurements were in the 4.0-6.5, 4.0-7.0, and 4.0-8.0 mmol/L bands. There were no hypoglycemic events (BG < 2.2 mmol/L), and the minimum BG was 3.5 mmol/L with 4.5% < 4.4 mmol/L. Per patient, the median [IQR] hours of TGC was 92 h [29-113] using 53 [19-62] measurements (median, ~13/day). Median [IQR] results: BG, 5.9 mmol/L [5.8-6.3]; carbohydrate nutrition, 6.8 g/h [5.5-8.7] (~70% goal feed median); insulin, 2.5 U/h [0.1-5.1]. All patients achieved BG < 6.1 mmol/L. These results match or exceed SPRINT and clinical workload is reduced more than 20%. CONCLUSIONS: STAR TGC modulating insulin and nutrition inputs provided very tight control with minimal variability by managing intra- and inter- patient variability. Performance and safety exceed that of SPRINT, which reduced mortality and cost in the Christchurch ICU. The use of glucometers did not appear to impact the quality of TGC. Finally, clinical workload was self-managed and reduced 20% compared with SPRINT