Friends and Symptom Dimensions in Patients with Psychosis: A Pooled Analysis

PMCID: PMC3503760This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

The non-unique Universe

The purpose of this paper is to elucidate, by means of concepts and theorems drawn from mathematical logic, the conditions under which the existence of a multiverse is a logical necessity in mathematical physics, and the implications of Godel's incompleteness theorem for theories of everything. Three conclusions are obtained in the final section: (i) the theory of the structure of our universe might be an undecidable theory, and this constitutes a potential epistemological limit for mathematical physics, but because such a theory must be complete, there is no ontological barrier to the existence of a final theory of everything; (ii) in terms of mathematical logic, there are two different types of multiverse: classes of non-isomorphic but elementarily equivalent models, and classes of model which are both non-isomorphic and elementarily inequivalent; (iii) for a hypothetical theory of everything to have only one possible model, and to thereby negate the possible existence of a multiverse, that theory must be such that it admits only a finite model

Biomass burning and urban air pollution over the Central Mexican Plateau

Observations during the 2006 dry season of highly elevated concentrations of cyanides in the atmosphere above Mexico City (MC) and the surrounding plains demonstrate that biomass burning (BB) significantly impacted air quality in the region. We find that during the period of our measurements, fires contribute more than half of the organic aerosol mass and submicron aerosol scattering, and one third of the enhancement in benzene, reactive nitrogen, and carbon monoxide in the outflow from the plateau. The combination of biomass burning and anthropogenic emissions will affect ozone chemistry in the MC outflow

How do psychiatrists address delusions in first meetings in acute care? A qualitative study

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Friends and Symptom Dimensions in Patients with Psychosis: A Pooled Analysis

Background Having friends is associated with more favourable clinical outcomes and a higher quality of life in mental disorders. Patients with schizophrenia have fewer friends than other mentally ill patients. No large scale studies have evaluated so far what symptom dimensions of schizophrenia are associated with the lack of friendships. Methods Data from four multi-centre studies on outpatients with schizophrenia and related disorders (ICD F20-29) were included in a pooled analysis (N = 1396). We established whether patients had close friends and contact with friends by using the equivalent items on friendships of the Manchester Short Assessment of Quality of Life or of the Lancashire Quality of Life Profile. Symptoms were measured by the Brief Psychiatric Rating Scale or by the identical items included in the Positive and Negative Syndrome Scale. Results Seven hundred and sixty-nine patients (55.1%) had seen a friend in the previous week and 917 (65.7%) had someone they regarded as a close friend. Low levels of negative symptoms and hostility were significantly associated with having a close friend and contact with a friend. Overall, almost twice as many patients with absent or mild negative symptoms had met a friend in the last week, compared with those with moderate negative symptoms. Conclusions Higher levels of negative symptoms and hostility are specifically associated with the lack of friendships in patients with psychotic disorders. These findings suggest the importance of developing effective treatments for negative symptoms and hostility in order to improve the probability of patients with schizophrenia to have friends

Supporting ethical, independent learning behavior among university students in the Arabian Gulf

© Springer International Publishing Switzerland 2014. Students in the Arabian Gulf region and the world over confront plagiarism temptations wittingly or unwittingly due to the multitude of free and easily available electronic sources of information. Rather than develop independent learning skills and academic integrity, students are often taken advantage of by essay mills that sell readymade essays. Instructors at times compound the problem by repeatedly recycling course assignments and tasks. Furthermore, there have been reports of the use of social networking sites for outsourcing and contract cheating in student assignments. This paper discusses how educators in an institution of higher learning in the UAE assist students to develop good academic skills. Data collection is with the use of an online survey questionnaire. Concurring with Wheeler and Anderson (2010) who call for appropriate and comprehensive institutional policies and guidelines for dealing with plagiarism, practical examples of the processes and procedures used at these institutions are provided

The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study

Background Poor service user experiences are often reported on mental health inpatient wards. Crisis houses are an alternative, but evidence is limited. This paper investigates therapeutic alliances in acute wards and crisis houses, exploring how far stronger therapeutic alliance may underlie greater client satisfaction in crisis houses. Methods and Findings Mixed methods were used. In the quantitative component, 108 crisis house and 247 acute ward service users responded to measures of satisfaction, therapeutic relationships, informal peer support, recovery and negative events experienced during the admission. Linear regressions were conducted to estimate the association between service setting and measures, and to model the factors associated with satisfaction. Qualitative interviews exploring therapeutic alliances were conducted with service users and staff in each setting and analysed thematically. Results We found that therapeutic alliances, service user satisfaction and informal peer support were greater in crisis houses than on acute wards, whilst self-rated recovery and numbers of negative events were lower. Adjusted multivariable analyses suggest that therapeutic relationships, informal peer support and negative experiences related to staff may be important factors in accounting for greater satisfaction in crisis houses. Qualitative results suggest factors that influence therapeutic alliances include service user perceptions of basic human qualities such as kindness and empathy in staff and, at service level, the extent of loss of liberty and autonomy. Conclusions and Implications We found that service users experience better therapeutic relationships and higher satisfaction in crisis houses compared to acute wards, although we cannot exclude the possibility that differences in service user characteristics contribute to this. This finding provides some support for the expansion of crisis house provision. Further research is needed to investigate why acute ward service users experience a lack of compassion and humanity from ward staff and how this could be changed

Panchromatic observations and modeling of the HV Tau C edge-on disk

We present new high spatial resolution (<~ 0.1") 1-5 micron adaptive optics images, interferometric 1.3 mm continuum and 12CO 2-1 maps, and 350 micron, 2.8 and 3.3 mm fluxes measurements of the HV Tau system. Our adaptive optics images reveal an unusually slow orbital motion within the tight HV Tau AB pair that suggests a highly eccentric orbit and/or a large deprojected physical separation. Scattered light images of the HV Tau C edge-on protoplanetary disk suggest that the anisotropy of the dust scattering phase function is almost independent of wavelength from 0.8 to 5 micron, whereas the dust opacity decreases significantly over the same range. The images further reveal a marked lateral asymmetry in the disk that does not vary over a timescale of 2 years. We further detect a radial velocity gradient in the disk in our 12CO map that lies along the same position angle as the elongation of the continuum emission, which is consistent with Keplerian rotation around an 0.5-1 Msun central star, suggesting that it could be the most massive component in the triple system. We use a powerful radiative transfer model to compute synthetic disk observations and use a Bayesian inference method to extract constraints on the disk properties. Each individual image, as well as the spectral energy distribution, of HV Tau C can be well reproduced by our models with fully mixed dust provided grain growth has already produced larger-than-interstellar dust grains. However, no single model can satisfactorily simultaneously account for all observations. We suggest that future attempts to model this source include more complex dust properties and possibly vertical stratification. (Abridged)Comment: 26 pages, 11 figures, editorially accepted for publication in Ap