5,756 research outputs found

    Processes in an experience-based co-design project with family carers in community mental health

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    Experience-based co-design (EBCD) is a service design strategy that facilitates collaborative work between professional staff and service users toward common goals. There is a lack of published examples of it in relation to family carer engagement within a mental health context, and little research exploring the mechanisms behind successful implementation. The aim of this study was to explore the processes that facilitated EBCD with carer involvement. The study adopted a grounded theory–informed approach involving interviews with 16 participants of an existing EBCD project in an English National Health Service (NHS) trust, reflecting multiple stakeholders. EBCD can be thrown off track in two ways: conflict and getting “bogged down.” Leadership by project and design-group leaders could return group cohesion and maintain project momentum. The developed model reflects key processes. Future research should examine EBCD projects with similar ranges of stakeholders and in contexts with different levels of organizational change

    Convergence aspects for sets of measures with divergences and boundary conditions

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    In this paper we study set convergence aspects for Banach spaces of vector-valued measures with divergences (represented by measures or by functions) and applications. We consider a form of normal trace characterization to establish subspaces of measures that directionally vanish in parts of the boundary, and present examples constructed with binary trees. Subsequently we study convex sets with total variation bounds and their convergence properties together with applications to the stability of optimization problems

    On piezophase effects in mechanically loaded atomic scale Josephson junctions

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    The response of an intrinsic Josephson contact to externally applied stress is considered within the framework of the dislocation-induced atomic scale Josephson effect. The predicted quasi-periodic (Fraunhofer-like)stress-strain and stress-current patterns should manifest themselves for experimentally accessible values of applied stresses in intrinsically defected (e.g.,twinned) crystals.Comment: REVTEX (epsf style), 2 EPS figure

    Do galaxies that leak ionizing photons have extreme outflows?

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    To reionize the early universe, high-energy photons must escape the galaxies that produce them. It has been suggested that stellar feedback drives galactic outflows out of star-forming regions, creating low density channels through which ionizing photons escape into the inter-galactic medium. We compare the galactic outflow properties of confirmed Lyman continuum (LyC) leaking galaxies to a control sample of nearby star-forming galaxies to explore whether the outflows from leakers are extreme as compared to the control sample. We use data from the Cosmic Origins Spectrograph on the Hubble Space Telescope to measure the equivalent widths and velocities of Si II and Si III absorption lines, tracing neutral and ionized galactic outflows. We find that the Si II and Si III equivalent widths of the LyC leakers reside on the low-end of the trend established by the control sample. The leakers' velocities are not statistically different than the control sample, but their absorption line profiles have a different asymmetry: their central velocities are closer to their maximum velocities. The outflow kinematics and equivalent widths are consistent with the scaling relations between outflow properties and host galaxy properties -- most notably metallicity -- defined by the control sample. Additionally, we use the Ly\alpha\ profiles to show that the Si II equivalent width scales with the Ly\alpha\ peak velocity separation. We determine that the low equivalent widths of the leakers are likely driven by low metallicities and low H I column densities, consistent with a density-bounded ionization region, although we cannot rule out significant variations in covering fraction. While we do not find that the LyC leakers have extreme outflow velocities, the low maximum-to-central velocity ratios demonstrate the importance of the acceleration and density profiles for LyC and Ly\alpha\ escape. [abridged]Comment: 17 pages, 8 Figures. Accepted for publication in Astronomy & Astrophysic

    Counselling in primary care : a systematic review of the evidence

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    Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a reliable overview of the clinical effectiveness, cost-effectiveness and user perspectives regarding counselling in primary care. Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine primary care for the treatment of non-specific generic psychological problems, anxiety and depression. Counselling may reduce levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological conditions presenting in the primary care setting. More rigorous clinical and cost-effectiveness trials are needed together with surveys of more typical users of primary care services

    Adiabatic transfer of light in a double cavity and the optical Landau-Zener problem

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    We analyze the evolution of an electromagnetic field inside a double cavity when the difference in length between the two cavities is changed, e.g. by translating the common mirror. We find that this allows photons to be moved deterministically from one cavity to the other. We are able to obtain the conditions for adiabatic transfer by first mapping the Maxwell wave equation for the electric field onto a Schroedinger-like wave equation, and then using the Landau-Zener result for the transition probability at an avoided crossing. Our analysis reveals that this mapping only rigorously holds when the two cavities are weakly coupled (i.e. in the regime of a highly reflective common mirror), and that, generally speaking, care is required when attempting a hamiltonian description of cavity electrodynamics with time-dependent boundary conditions.Comment: 24 pages, 18 figures. Version 2 includes a new section (Sec. VIII) on the regimes of validity of the Schroedinger-like equations and also of the adiabatic approximation, together with a new figure (Fig. 10). The discussion section (Sec. XI) has also been enhance

    What We Mean When We Talk About Adherence In Respiratory Medicine

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    The Respiratory Effectiveness Group (REG; www.effectivenessevaluation.org) supported the Expert Adherence Panel Meeting at which many of the concepts presented in this paper were first discussed. REG also supported the manuscript submission costs. ALD, EvG, and MdB have received funding from the European Community's 7th Framework (FP7/2007-2013) under grant agreement no. 282593. Teva supported the meeting costs at which the concepts in this paper were discussed by the co-authors and the open access publication fee for this article. The authors had full editorial control over the ideas presented.Peer reviewedPublisher PD
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