Stigma and treatment of eating disorders in Ireland: healthcare professionals' knowledge and attitudes

Objectives: This study examines aspects of health professionals’ knowledge and attitudes about eating disorders (EDs) , which might impede the effective detection or treatment of EDs in Ireland. Methods: 1,916 health professionals were invited to participate in a web-based survey. Participants were randomly allocated to view one of five vignettes depicting a young person with symptoms consistent with Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Depression or Type 1 Diabetes. Study-specific questions examined participants’ responses to the vignettes and ED knowledge and experience

Eating disorder literacy and stigmatising attitudes towards anorexia, bulimia and binge eating disorder among adolescents

Little research has investigated adolescents’ understanding of eating disorders (EDs) or attitudes towards people affected by EDs. This impedes the development of targeted health promotion interventions. In the current study, 290 adolescents viewed a vignette depicting a target with either Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Depression or Type 1 Diabetes. Subsequent questionnaires assessed understanding of and attitudes towards the disorder described . Adolescents recognised the symptoms of depression significantly more frequently than any ED. Relative to depression and Type 1 diabetes, participants held targets with EDs more personally responsible for their illness and ascribed them more negative personality characteristics. The data revealed a particularly unfavourable view of Binge Eating Disorder, which was conceptualised as a failure of self-discipline rather than a medical condition. The results confirm previous findings that EDs are more stigmatised than other mental or physical health conditions and extend the findings to an adolescent cohort

Eating disorder services for young people in Ireland: perspectives of service providers, service users and the general adolescent population

Objectives: This paper illuminates how national eating disorder (ED) policy translates into day-to-day practice by exploring how ED services are experienced by those who deliver and use them. Methods: A mixed-methods approach was used, which combined qualitative and quantitative techniques. The paper collates data from three studies: (i) an interview study exploring the lived experiences of young people with EDs (n =8), their parents (n =5) and their healthcare professionals (n =3); (ii) a national survey of health professionals’ perspectives on existing ED services (n =171); (iii) a nationwide survey of secondary-school students’ eating concerns and patterns of help - seeking (n=290). Results: The qualitative interviews with young people and their parents revealed feelings of isolation and helplessness. Young people expressed interest in patient support groups, while parents desired greater support for the family unit. Parents were highly critical of available services, particularly in relation to access. These criticisms were echoed in the survey of healthcare professionals, who reported many barriers to delivering effective care. Clinicians were almost unanimous in calling for care pathways to be clarified via a standardised treatment protocol. The survey of adolescents indicated widespread reluctance to seek help regarding eating concerns: over one-third expressed concern about their own eating habits, but half of these had not divulged their concerns to anyone. Participants’ preferred pathways of help-seeking revolved around family and friends, and adolescents were unsure about routes of access to professional support. 3 Conclusions: The research demonstrates that many aspects of national ED policy have not been implemented in practice. The paper highlights specific gaps and suggests ways they can be redressed

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

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

Shock-Like Dynamics of Inelastic Gases

We provide a simple physical picture which suggests that the asymptotic dynamics of inelastic gases in one dimension is independent of the degree of inelasticity. Statistical characteristics, including velocity fluctuations and the velocity distribution are identical to those of a perfectly inelastic sticky gas, which in turn is described by the inviscid Burgers equation. Asymptotic predictions of this continuum theory, including the t^{-2/3} temperature decay and the development of discontinuities in the velocity profile, are verified numerically for inelastic gases.Comment: 4 pages, 5 figures, revte

Lattice Boltzmann Thermohydrodynamics

We introduce a lattice Boltzmann computational scheme capable of modeling thermohydrodynamic flows of monatomic gases. The parallel nature of this approach provides a numerically efficient alternative to traditional methods of computational fluid dynamics. The scheme uses a small number of discrete velocity states and a linear, single-time-relaxation collision operator. Numerical simulations in two dimensions agree well with exact solutions for adiabatic sound propagation and Couette flow with heat transfer.Comment: 11 pages, Physical Review E: Rapid Communications, in pres

Identification and distribution of leatherjackets (Tipula spp.) in the Republic of Ireland

peer-reviewedThe soil-dwelling larval stage of crane flies, commonly known as leatherjackets, are classified as agricultural pests in Europe, and pests of turf in North America and Canada. They cause significant damage and yield loss in many cropping systems through their feeding on plant roots and stems at ground level. The effective chemical control for these pests, chlorpyrifos (available since 1965), was prohibited across Europe in 2019. This has left severely restricted control options for growers. Unlike Northern Ireland and Great Britain, no leatherjacket surveys or routine identifications have been conducted across Ireland. Therefore, the leatherjacket species of agronomic importance has not been confirmed. Since lifecycles, feeding behaviour and damage periods differ between species, identifying the most common species is a vital first step in any pest management strategy. Here we report key findings from a 2-yr structured survey of Irish crops, conducted in 2019 and 2021, where 135 sites were sampled. Both grassland and cereal crops were inspected. Soil cores and soil samples were collected and larval abundance determined. The European crane fly, Tipula paludosa Meigen, accounted for approximately 70% of larvae collected and identified (n = 337). In 2019, 40% of grasslands exceeded the threshold of 1 million larvae/ha, while only 3.3% of cereal fields were over the threshold of 600,000 larvae/ha. These results indicate that agricultural grasslands in Ireland have the potential to be significantly impacted by leatherjacket damage, although this may vary temporally and geographically across the island. Without effective control options, yield losses will be highly probable

HST Fine Guidance Sensor Astrometric Parallaxes for Three Dwarf Novae: SS Aurigae, SS Cygni, and U Geminorum

We report astrometric parallaxes for three well known dwarf novae obtained using the Fine Guidance Sensors on the Hubble Space Telescope. We found a parallax for SS Aurigae of Pi = 5.00 +/- 0.64 mas, for SS Cygni we found Pi = 6.02 +/- 0.46 mas, and for U Geminorum we obtained Pi = 10.37 +/- 0.50 mas. These represent the first true trigonometric parallaxes of any dwarf novae. We briefly compare these results with previous distance estimates. This program demonstrates that with a very modest amount of HST observing time, the Fine Guidance Sensors can deliver parallaxes of unrivaled precision.Comment: 15 pages, 2 Table

Zygomaticomaxillary suture maturation: A predictor of maxillary protraction? Part I ‐ A classification method

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136728/1/ocr12143.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136728/2/ocr12143_am.pd