143 research outputs found

    Pre-surgical mapping of eloquent cortex for paediatric epilepsy surgery candidates: Evidence from a review of advanced functional neuroimaging

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    Purpose: A review of all published evidence for mapping eloquent (motor, language and memory) cortex using advanced functional neuroimaging (functional magnetic resonance imaging [fMRI] and magnetoencephalography [MEG]) for paediatric epilepsy surgery candidates has not been conducted previously. Research in this area has predominantly been in adult populations and applicability of these techniques to paediatric populations is less established. Methods: A review was performed using an advanced systematic search and retrieval of all published papers examining the use of functional neuroimaging for paediatric epilepsy surgery candidates. Results: Of the 2,724 papers retrieved, 34 met the inclusion criteria. Total paediatric participants identified were 353 with an age range of 5 months-19 years. Sample sizes and comparisons with alternative investigations to validate techniques are small and variable paradigms are used. Sensitivity 0.72 (95% CI 0.52-0.86) and specificity 0.60 (95% CI 0.35-0.92) values with a Positive Predictive Value of 74% (95% CI 61-87) and a Negative Predictive Value of 65% (95% CI 52-78) for fMRI language lateralisation with validation, were obtained. Retrieved studies indicate evidence that both fMRI and MEG are able to provide information lateralising and localising motor and language functions. Conclusions: A striking finding of the review is the paucity of studies (n = 34) focusing on the paediatric epilepsy surgery population. For children, it remains unclear which language and memory paradigms produce optimal activation and how these should be quantified in a statistically robust manner. Consensus needs to be achieved for statistical analyses and the uniformity and yield of language, motor and memory paradigms. Larger scale studies are required to produce patient series data which clinicians may refer to interpret results objectively. If functional imaging techniques are to be the viable alternative for pre-surgical mapping of eloquent cortex for children, paradigms and analyses demonstrating concordance with independent measures must be developed

    Commissioning of the BRIKEN detector for the measurement of very exotic β-delayed neutron emitters

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    A new detection system has been installed at the RIKEN Nishina Center (Japan) to investigate decay properties of very neutron-rich nuclei. The setup consists of three main parts: a moderated neutron counter, a detection system sensitive to the implantation and decay of radioactive ions, and γ-ray detectors. We describe here the setup, the commissioning experiment and some selected results demonstrating its performance for the measurement of half-lives and β-delayed neutron emission probabilities. The methodology followed in the analysis of the data is described in detail. Particular emphasis is placed on the correction of the accidental neutron background

    Is concern about young people's anti-social behaviour associated with poor health? cross-sectional evidence from residents of deprived urban neighbourhoods

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    <p><b>Background:</b> Young people in disadvantaged neighbourhoods are often the focus of concerns about anti-social behaviour (ASB). There is inconsistent evidence to support the hypothesis that perceptions of ASB (PASB) are associated with poor health. We ask whether perceptions of young people's ASB are associated with poor health; and whether health, demographic and (psycho)social characteristics can help explain why PASB varies within disadvantaged neighbourhoods (Glasgow, UK).</p> <p><b>Methods:</b> Regression analysis of survey data exploring associations between perceiving teenagers hanging around to be a serious neighbourhood problem and SF-12v2 mental and physical health scores (higher = better), including adjustment for demographic characteristics. Further analysis explored associations with self-reported measures of health service use, psychosocial characteristics of homes and neighbourhoods and social contacts.</p> <p><b>Results:</b> 6008 adults participated (50% response) and 22% (n = 1,332) said teenagers were a serious neighbourhood problem (the most frequently reported local problem). Demographic characteristics associated with perceiving serious teenager problems included regular health service use, age (inverse relationship), financial problems and living with children. Lower SF-12v2 physical health scores were associated with perceiving teenager problems after adjustment for demographic variables (OR 0.98; 95%CI 0.97,0.99; p = < 0.001), whilst adjusted findings for mental health scores were less conclusive (OR 0.99; 95%CI 0.98,1.00; p = 0.103). Further analysis suggested that perceiving teenager problems was more strongly associated with a number of self-reported psychosocial factors: e.g. lacking social support, < weekly family contacts, poor neighbourhood safety, low trust in neighbours, neighbourhood perceived to be a barrier to self-esteem, and neighbourhood decline.</p> <p><b>Conclusions:</b> Given the evidence we found of weak and small associations between PASB and health, we caution against assuming that tackling concern about teenagers' ASB will lead to substantial public health gains in disadvantaged areas. Although the findings do not present a compelling case for making PASB a public health priority, it is still important to address concerns about young people's ASB. Reasons for doing so may include improving social cohesion, reducing fear and isolation, and improving the general quality of people's lives - particularly in neighbourhoods burdened by multiple disadvantages. Future research should evaluate interventions that attempt to reduce PASB in disadvantaged areas. Findings from this study could help inform the targeting of such interventions.</p&gt

    Strong one-neutron emission from two-neutron unbound states in β decays of the r -process nuclei Ga 86,87

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    β-delayed one-neutron and two-neutron branching ratios (P1n and P2n) have been measured in the decay of A=84 to 87 Ga isotopes at the Radioactive-Isotope Beam Factory (RIBF) at the RIKEN Nishina Center using a high-efficiency array of He3 neutron counters (BRIKEN). Two-neutron emission was observed in the decay of Ga84,85,87 for the first time and the branching ratios were measured to be P2n=1.6(2)%,1.3(2)%, and 10.2(28)stat(5)sys%, respectively. One-neutron branching ratio of Ga87(P1n=81(9)stat(8)sys%) and half-life of 29(4) ms were measured for the first time. The branching ratios of Ga86 were also measured to be P1n=74(2)stat(8)sys% and 16.2(9)stat(6)sys% with better precision than a previous study. The observation that P1n>P2n for both Ga86,87 was unexpected and is interpreted as a signature of dominating one-neutron emission from the two-neutron unbound excited states in Ge86,87. In order to interpret the experimental results, shell-model and Hauser-Feshbach statistical model calculations of delayed particle and γ-ray emission probabilities were performed. This model framework reproduces the experimental results. The shell model alone predicts P2n significantly larger than P1n for the Ga87 decay, and it is necessary to invoke a statistical description to successfully explain the observation that P1n>P2n. Our new results demonstrate the relevance and importance of a statistical description of neutron emission for the prediction of the decay properties of multineutron emitters and that it must be included in the r-process modeling

    Commissioning of the BRIKEN detector for the measurement of very exotic β-delayed neutron emitters

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    A new detection system has been installed at the RIKEN Nishina Center (Japan) to investigate decay properties of very neutron-rich nuclei. The setup consists of three main parts: a moderated neutron counter, a detection system sensitive to the implantation and decay of radioactive ions, and gamma-ray detectors. We describe here the setup, the commissioning experiment and some selected results demonstrating its performance for the measurement of half-lives and beta-delayed neutron emission probabilities. The methodology followed in the analysis of the data is described in detail. Particular emphasis is placed on the correction of the accidental neutron background

    ß-delayed neutron emission of r-process nuclei at the N=82 shell closure

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    Theoretical models of ß-delayed neutron emission are used as crucial inputs in r-process calculations. Benchmarking the predictions of these models is a challenge due to a lack of currently available experimental data. In this work the ß-delayed neutron emission probabilities of 33 nuclides in the important mass regions south and south-west of 132Sn are presented, 16 for the first time. The measurements were performed at RIKEN using the Advanced Implantation Detector Array (AIDA) and the BRIKEN neutron detector array. The values presented constrain the predictions of theoretical models in the region, affecting the final abundance distribution of the second r-process peak at .Peer ReviewedArticle signat per 58 autors/es J. Liu, S. Bae, N.T. Brewer, C.G. Bruno, R. Caballero-Folch, P.J. Coleman-Smith, I. Dillmann, C. Domingo-Pardo, A. Fijalkowska, N. Fukuda, S. Go, C.J. Griffin, R. Grzywacz, J. Ha, L. J. Harkness-Brennan, T. Isobe, D. Kahl, L.H. Khiem, G.G. Kiss, A. Korgul, S. Kubono, M. Labiche, I. Lazarus, P. Morrall, M.R. Mumpower, N. Nepal, R.D. Page, M. Piersa , V.F.E. Pucknell , B.C. Rasco, B. Rubio, K.P. Rykaczewski , H. Sakurai , Y. Shimizu , D.W. Stracener, T. Sumikama , H. Suzuki, J.L. Tain , H. Takeda, A. Tarifeño-Saldivia, A. Tolosa-Delgado , M. Wolinska-Cichocka , R. YokoyamaPostprint (author's final draft

    Modeling, Evaluation, and Scale on Artificial Pedestrians: A Literature Review

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    Modeling pedestrian dynamics and their implementation in a computer are challenging and important issues in the knowledge areas of transportation and computer simulation. The aim of this article is to provide a bibliographic outlook so that the reader may have quick access to the most relevant works related to this problem. We have used three main axes to organize the article's contents: pedestrian models, validation techniques, and multiscale approaches. The backbone of this work is the classification of existing pedestrian models; we have organized the works in the literature under five categories, according to the techniques used for implementing the operational level in each pedestrian model. Then the main existing validation methods, oriented to evaluate the behavioral quality of the simulation systems, are reviewed. Furthermore, we review the key issues that arise when facing multiscale pedestrian modeling, where we first focus on the behavioral scale (combinations of micro and macro pedestrian models) and second on the scale size (from individuals to crowds). The article begins by introducing the main characteristics of walking dynamics and its analysis tools and concludes with a discussion about the contributions that different knowledge fields can make in the near future to this exciting area

    Reclaiming the humanity in personality Disorder.

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    This paper provides a commentary upon the nursing care of individuals diagnosed with personality disorder and associated education courses. The discussion focuses upon recent policy trends in the UK as a point of departure. This policy discourse is critical of mainstream mental health services in previously operating to exclude such individuals. One of the consequences has been a recent growth in interest in relevant training courses, many of which devote significant attention to staff attitudes regarding this client group. Various previous researchers and commentators have remarked upon the implications for practice of a perceived negative attitude among care staff. We reflect upon our own anecdotal experience of developing and delivering new university-based courses for practitioners working in the field of personality disorder to offer a particular critique of the UK context, in which this policy, training, and practice is framed. Social constructionist theories are drawn on to offer insights into public and practitioner discourse and the possible effects on therapeutic relationships. The available discourse constructs individuals with a diagnosis of personality disorder as essentially different from other people. We argue that staff training and practice development initiatives are likely to be more successful if such discourse is challenged, and attempts are made in therapeutic encounters to recognize shared characteristics and positive attributes as much as perceived difference and negative attributes. We refer to this as a re-engagement with common humanity. Despite the singular national context, the discursive themes explored are not necessarily restricted to the UK

    Restraining Good Practice: Reviewing evidence of the effects of restraint from the perspective of service users and mental health professionals in the United Kingdom (UK)

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    Safeguarding, balancing the concept of risk with the need for public protection and its implication for the lives of individuals, is an important facet of contemporary mental health care. Integral to safeguarding is the protection of human rights; the right to live free from torture, inhuman or degrading treatment, and having the right to liberty, security, respect and privacy. Professionals are required to recognise all of these rights when delivering care to vulnerable people. In the United Kingdom (UK) there has been growing public concern regarding abusive practices in institutions, with a number of unacceptable methods of restraint being identified as a feature of care, particularly in mental health care. In keeping with the service user movement, and following a review of the literature, this paper discusses the evidence regarding restraint from the perspectives of service users and professionals within mental health services and considers the implications for future practice and research. In reviewing the literature findings revealed restraint can be a form of abuse, it’s inappropriate use often being a consequence of fear, neglect and lack of using de-escalation techniques. Using restraint in this way can have negative implications for the well-being of service users and mental health professionals alike
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