Treatment approaches for dual diagnosis clients in England

Introduction - Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health services (MHS). Design - A questionnaire was sent to managers of 706 DAS and 2374 MHS. Overall, 249 (39%) DAS and 493 (23%) MHS participated in the survey. Results - In both DAS and MHS, around 32% of clients were estimated to have dual diagnosis problems. However, fewer than 50% of services reported assessing clients for both problem areas. Regarding specific treatment approaches, most services (DAS: 88%, MHS: 87%) indicated working jointly with other agencies. Significantly fewer services used joint protocols (DAS: 55%, MHS: 48%) or shared care arrangements, including access to external drug/alcohol or mental health teams (DAS: 47%, MHS: 54%). Only 25% of DAS and 17% of MHS employed dual diagnosis specialists. Conclusions - Dual diagnosis clients constitute a substantial proportion of clients in both DAS and MHS in England. Despite recent policy initiatives, joint working approaches tend to remain unstructured

Biodiversity performance of organic farms in Austria - results from eight years of biodiversity assessment

Assessing the biodiversity performance of agricultural farms has gained importance in recent years since conserving and promoting biodiversity and associated ecosystem functions in cultural landscapes is a key aspect in making agriculture more sustainable – a demand expressed in science, politics and society. This contribution presents results from eight years of biodiversity assessments on organic farms in Austria applying a method developed at FiBL that estimates the biodiversity potential of agricultural farms (Schader et al. 2014)

CW and pulsed electrically detected magnetic resonance spectroscopy at 263 GHz/12 T on operating amorphous silicon solar cells

Here we describe a new high frequency/high field continuous wave and pulsed electrically detected magnetic resonance (CW EDMR and pEDMR) setup, operating at 263 GHz and resonance fields between 0 and 12 T. Spin dependent transport in illuminated hydrogenated amorphous silicon p-i-n solar cells at 5 K and 90 K was studied by in operando 263 GHz CW and pEDMR alongside with complementary X-band CW EDMR. Benefiting from the superior resolution at 263 GHz, we were able to better resolve EDMR signals originating from spin dependent hopping and recombination processes. 5 K EDMR spectra were found to be dominated by conduction and valence band tale states involved in spin dependent hopping, with additional contributions from triplet exciton states. 90 K EDMR spectra could be assigned to spin pair recombination involving conduction band tail states and dangling bonds as dominating spin dependent transport process, with additional contributions from valence band tail and triplet exciton states.Comment: 8 pages, 4 figure

A Behavioral Confirmation and Reduction of the Natural versus Synthetic Drug Bias

Research reveals a biased preference for natural versus synthetic drugs; however, this research is based upon self-report and has not examined ways to reduce the bias. We examined these issues in five studies involving 1,125 participants. In a Pilot Study (N = 110), participants rated the term natural to be more positive than the term synthetic, which reveals a default natural-is-better belief. In Studies 1 (N = 109) and 2 (N = 100), after a supposed personality study, participants were offered a thank you “gift” of a natural or synthetic pain reliever. Approximately 86% (Study 1) and 93% (Study 2) of participants chose the natural versus synthetic pain reliever, which provide a behavioral choice confirmation of the natural drug bias. In Studies 3 (N = 350) and 4 (N = 356), participants were randomly assigned to a control or experimental condition and were asked to consider a scenario in which they had a medical issue requiring a natural versus synthetic drug. The experimental condition included a stronger (Study 3) or weaker (Study 4) rational appeal about the natural drug bias and a statement suggesting that natural and synthetic drugs can be good or bad depending upon the context. In both studies, the natural bias was reduced in the experimental condition, and perceived safety and effectiveness mediated this effect. Overall, these data indicate a bias for natural over synthetic drugs in preferences and behavioral choices, which might be reduced with a rational appeal

Swiss ethnoveterinary knowledge on medicinal plants - a within-country comparison of Italian speaking regions with north-western German speaking regions

BACKGROUND: Ethnoveterinary knowledge in Europe may play an important role as a basis for sustainable treatment options for livestock. Aims of our study were (a) to compare the ethnoveterinary practices of two culturally and sociodemographically different regions of Switzerland, (b) to compare results with earlier ethnoveterinary studies conducted in Switzerland and in adjacent Italian regions and, (c) to evaluate possible reasons for regional differences in European ethnoveterinary medicine. METHODS: 25 interviews were conducted in 2014 in all Italian speaking regions (ItR) of Switzerland, and 31 interviews were held in five north-western German speaking Cantons (GeC). Semi-structured questionnaires were used to collect detailed information regarding plant species, mode of preparation, dosage, route of administration, category of use, origin of knowledge, frequency of use, and satisfaction with outcomes of the treatments. RESULTS: A total of 162 homemade remedies in ItR and 219 in GeC were reported, out of which 125 and 145, respectively, were reported to contain only one plant species (homemade single species herbal remedy report, HSHR). 44 ItR and 43 GeC plant species were reported to treat livestock, of which only a half were used in both regions. For each HSHR, we classified the treatment intention of all use reports (UR), leading to a total of 205 and 219 UR in ItR and GeC respectively. While cattle were the most often treated livestock species in both study regions, in ItR 40% of UR were administered to small ruminants. Main indications in both regions were gastrointestinal diseases and skin afflictions, but in ItR a high number of URs were reported as antiparasitics. URs were mainly handed down from the past generation, but in GeC the source of knowledge for 20% of URs were from courses. Regarding the used plant species, ItR showed a higher concordance with Swiss than Italian studies, but with some differences to all regions. A total of 22 (14 ItR; 8 GeC) plant species in this study have not been reported before in ethnoveterinary studies of Swiss and Italian alpine regions. CONCLUSIONS: ItR and GeC, show differences and similarities with respect to their own ethnoveterinary practices and earlier Swiss and Italian ethnoveterinary studies. Linguistic, geographical, as well as social and farm-structural conditions influence the regional ethnoveterinary knowledge. However, political borders seem to be more important than language or geographical barriers

Eigenvalue spectrum for single particle in a spheroidal cavity: A Semiclassical approach

Following the semiclassical formalism of Strutinsky et al., we have obtained the complete eigenvalue spectrum for a particle enclosed in an infinitely high spheroidal cavity. Our spheroidal trace formula also reproduces the results of a spherical billiard in the limit $\eta\to1.0$. Inclusion of repetition of each family of the orbits with reference to the largest one significantly improves the eigenvalues of sphere and an exact comparison with the quantum mechanical results is observed upto the second decimal place for $kR_{0}\geq{7}$. The contributions of the equatorial, the planar (in the axis of symmetry plane) and the non-planar(3-Dimensional) orbits are obtained from the same trace formula by using the appropriate conditions. The resulting eigenvalues compare very well with the quantum mechanical eigenvalues at normal deformation. It is interesting that the partial sum of equatorial orbits leads to eigenvalues with maximum angular momentum projection, while the summing of planar orbits leads to eigenvalues with $L_z=0$ except for L=1. The remaining quantum mechanical eigenvalues are observed to arise from the 3-dimensional(3D) orbits. Very few spurious eigenvalues arise in these partial sums. This result establishes the important role of 3D orbits even at normal deformations.Comment: 17 pages, 7 ps figure