Adolescents' and parents' views of Child and Adolescent Mental Health Services (CAMHS) in Ireland

Aim: To explore adolescents’ and parents’ experiences of CAMHS in relation to accessibility, approachability, and appropriateness. Methods: Using a descriptive qualitative design, a combination of focus group and single interviews were conducted with adolescents (n=15) and parents (n=32) from three mental health clinics. Data were transcribed verbatim and analysed using thematic analysis. Results: Accessing mental health services was a challenging experience due to knowledge deficit, lack of information and limited availability of specialist services. Participants desired more information, involvement in decision-making, single and shared consultations, flexible scheduling of appointments, continuity with clinicians, school support and parent support groups. Participants seem to be generally satisfied, however adolescents felt less involved in decision making than they would have liked. Frequent staff changes was problematic as it disrupted continuity of care and hindered the formation of a trusting relationship. Implications for practice: Parents and adolescents expressed similar views of the positive and negative aspects of mental health services. Their need for more information-sharing and involvement in decision-making underline the importance of collaborative practice. Clinician continuity contributed to trusting therapeutic relationships and was valued. These are key principles that with attention, could lead to quality service provision for adolescents and families

Bayes' theorem and its applications in animal behaviour

Bayesian decision theory can be used to model animal behaviour. In this paper we give an overview of the theoretical concepts in such models. We also review the biological contexts in which Bayesian models have been applied, and outline some directions where future studies would be useful. Bayesian decision theory, when applied to animal behaviour, is based on the assumption that the individual has some sort of "prior opinion" of the possible states of the world. This may, for example, be a previously experienced distribution of qualities of food patches, or qualities of potential mates. The animal is then assumed to be able use sampling information to arrive at a "posterior opinion", concerning e.g. the quality of a given food patch, or the average qualities of mates in a year. A correctly formulated Bayesian model predicts how animals may combine previous experience with sampling information to make optimal decisions. We argue that the assumption that animals may have "prior opinions" is reasonable. Their priors may come from one or both of two sources: either from their own individual experience, gained while sampling the environment, or from an adaptation to the environment experienced by previous generations. This means that we should often expect to see "Bayesian-like" decision-making in nature

Energy flows in vibrated granular media

We study vibrated granular media, investigating each of the three components of the energy flow: particle-particle dissipation, energy input at the vibrating wall, and particle-wall dissipation. Energy dissipated by interparticle collisions is well estimated by existing theories when the granular material is dilute, and these theories are extended to include rotational kinetic energy. When the granular material is dense, the observed particle-particle dissipation rate decreases to as little as 2/5 of the theoretical prediction. We observe that the rate of energy input is the weight of the granular material times an average vibration velocity times a function of the ratio of particle to vibration velocity. `Particle-wall' dissipation has been neglected in all theories up to now, but can play an important role when the granular material is dilute. The ratio between gravitational potential energy and kinetic energy can vary by as much as a factor of 3. Previous simulations and experiments have shown that E ~ V^delta, with delta=2 for dilute granular material, and delta ~ 1.5 for dense granular material. We relate this change in exponent to the departure of particle-particle dissipation from its theoretical value.Comment: 19 pages revtex, 10 embedded eps figures, accepted by PR

Noise suppression by noise

We have analyzed the interplay between an externally added noise and the intrinsic noise of systems that relax fast towards a stationary state, and found that increasing the intensity of the external noise can reduce the total noise of the system. We have established a general criterion for the appearance of this phenomenon and discussed two examples in detail.Comment: 4 pages, 4 figure

Determining the Maternal and Fetal Cellular Immunologic Contributions in Preterm Deliveries With Clinical or Subclinical Chorioamnionitis

Objective: Our purpose was to determine the maternal and fetal polymorphonuclear contributions to preterm histologic chorioamnionitis and whether this response differs in clinical chorioamnionitis when compared to cases without clinical chorioamnionitis

Who is in the transition gap? Transition from CAMHS to AMHS in the Republic of Ireland

Objective: The ITRACK study explored the process and predictors of transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Republic of Ireland. Method: Following ethical approval, clinicians in each of Ireland's four Health Service Executive (HSE) areas were contacted, informed about the study and invited to participate. Clinicians identified all cases who had reached the transition boundary (i.e. upper age limit for that CAMHS team ) between January and December 2010. Data were collected on clinical and socio-demographic details and factors that informed the decision to refer or not refer to AMHS and case notes were scrutinised to ascertain the extent of information exchanged between services during transition

Stochastic Resonance in Noisy Non-Dynamical Systems

We have analyzed the effects of the addition of external noise to non-dynamical systems displaying intrinsic noise, and established general conditions under which stochastic resonance appears. The criterion we have found may be applied to a wide class of non-dynamical systems, covering situations of different nature. Some particular examples are discussed in detail.Comment: 4 pages, RevTex, 3 PostScript figures available upon reques

An Energetic AGN Outburst Powered by a Rapidly Spinning Supermassive Black Hole or an Accreting Ultramassive Black Hole

Powering the 10^62 erg nuclear outburst in the MS0735.6+7421 cluster central galaxy by accretion implies that its supermassive black hole (SMBH) grew by ~6x10^8 solar masses over the past 100 Myr. We place upper limits on the amount of cold gas and star formation near the nucleus of <10^9 solar masses and <2 solar masses per year, respectively. These limits imply that an implausibly large fraction of the preexisting cold gas in the bulge must have been consumed by its SMBH at the rate of ~3-5 solar masses per year while leaving no trace of star formation. Such a high accretion rate would be difficult to maintain by stellar accretion or the Bondi mechanism, unless the black hole mass approaches 10^11 solar masses. Its feeble nuclear luminosities in the UV, I, and X-ray bands compared to its enormous mechanical power are inconsistent with rapid accretion onto a ~5x10^9 solar mass black hole. We suggest instead that the AGN outburst is powered by a rapidly-spinning black hole. A maximally-spinning, 10^9 solar mass black hole contains enough rotational energy, ~10^62 erg, to quench a cooling flow over its lifetime and to contribute significantly to the excess entropy found in the hot atmospheres of groups and clusters. Two modes of AGN feedback may be quenching star formation in elliptical galaxies centered in cooling halos at late times. An accretion mode that operates in gas-rich systems, and a spin mode operating at modest accretion rates. The spin conjecture may be avoided in MS0735 by appealing to Bondi accretion onto a central black hole whose mass greatly exceeds 10^10 solar mass. The host galaxy's unusually large, 3.8 kpc stellar core radius (light deficit) may witness the presence of an ultramassive black hole.Comment: Accepted for publication in ApJ. Modifications: adopted slightly higher black hole mass using Lauer's M_SMBH vs L_bulge relation and adjusted related quantities; considered more seriously the consequences of a ultramassive black hole, motivated by new Kormendy & Bender paper published after our submission; other modifications per referee comments by Ruszkowsk

Velocity distributions in dissipative granular gases

Motivated by recent experiments reporting non-Gaussian velocity distributions in driven dilute granular materials, we study by numerical simulation the properties of 2D inelastic gases. We find theoretically that the form of the observed velocity distribution is governed primarily by the coefficient of restitution $\eta$ and $q=N_H/N_C$, the ratio between the average number of heatings and the average number of collisions in the gas. The differences in distributions we find between uniform and boundary heating can then be understood as different limits of $q$, for $q \gg 1$ and $q \lesssim 1$ respectively.Comment: 5 figure

Velocity distribution of fluidized granular gases in presence of gravity

The velocity distribution of a fluidized dilute granular gas in the direction perpendicular to the gravitational field is investigated by means of Molecular Dynamics simulations. The results indicate that the velocity distribution can be exactly described neither by a Gaussian nor by a stretched exponential law. Moreover, it does not exhibit any kind of scaling. In fact, the actual shape of the distribution depends on the number of monolayers at rest, on the restitution coefficient and on the height at what it is measured. The role played by the number of particle-particle collisions as compared with the number of particle-wall collisions is discussed