Can screening and brief intervention lead to population-level reductions in alcohol-related harm?

A distinction is made between the clinical and public health justifications for screening and brief intervention (SBI) against hazardous and harmful alcohol consumption. Early claims for a public health benefit of SBI derived from research on general medical practitioners' (GPs') advice on smoking cessation, but these claims have not been realized, mainly because GPs have not incorporated SBI into their routine practice. A recent modeling exercise estimated that, if all GPs in England screened every patient at their next consultation, 96% of the general population would be screened over 10 years, with 70-79% of excessive drinkers receiving brief interventions (BI); assuming a 10% success rate, this would probably amount to a population-level effect of SBI. Thus, a public health benefit for SBI presupposes widespread screening; but recent government policy in England favors targeted versus universal screening, and in Scotland screening is based on new registrations and clinical presentation. A recent proposal for a national screening program was rejected by the UK National Health Service's National Screening Committee because 1) there was no good evidence that SBI led to reductions in mortality or morbidity, and 2) a safe, simple, precise, and validated screening test was not available. Even in countries like Sweden and Finland, where expensive national programs to disseminate SBI have been implemented, only a minority of the population has been asked about drinking during health-care visits, and a minority of excessive drinkers has been advised to cut down. Although there has been research on the relationship between treatment for alcohol problems and population-level effects, there has been no such research for SBI, nor have there been experimental investigations of its relationship with population-level measures of alcohol-related harm. These are strongly recommended. In this article, conditions that would allow a population-level effect of SBI to occur are reviewed, including their political acceptability. It is tentatively concluded that widespread dissemination of SBI, without the implementation of alcohol control measures, might have indirect influences on levels of consumption and harm but would be unlikely on its own to result in public health benefits. However, if and when alcohol control measures were introduced, SBI would still have an important role in the battle against alcohol-related harm

Continuity of Local Time: An applied perspective

Continuity of local time for Brownian motion ranks among the most notable mathematical results in the theory of stochastic processes. This article addresses its implications from the point of view of applications. In particular an extension of previous results on an explicit role of continuity of (natural) local time is obtained for applications to recent classes of problems in physics, biology and finance involving discontinuities in a dispersion coefficient. The main theorem and its corollary provide physical principles that relate macro scale continuity of deterministic quantities to micro scale continuity of the (stochastic) local time.Comment: To appear in: "The fascination of Probability, Statistics and Their Applications. In honour of Ole E. Barndorff-Nielsen on his 80th birthday

Observation of a multiply ionized plasma with index of refraction greater than one

Includes bibliographical references (pages 035005-4).We present clear experimental evidence showing that the contribution of bound electrons can dominate the index of refraction of laser-created plasmas at soft x-ray wavelengths. We report anomalous fringe shifts in soft x-ray laser interferograms of Al laser-created plasmas. The comparison of measured and simulated interferograms shows that this results from the dominant contribution of low charge ions to the index of refraction. This usually neglected bound electron contribution can affect the propagation of soft x-ray radiation in plasmas and the interferometric diagnostics of plasmas for many elements

Some Remarks on Group Bundles and C*-dynamical systems

We introduce the notion of fibred action of a group bundle on a C(X)-algebra. By using such a notion, a characterization in terms of induced C*-bundles is given for C*-dynamical systems such that the relative commutant of the fixed-point algebra is minimal (i.e., it is generated by the centre of the given C*-algebra and the centre of the fixed-point algebra). A class of examples in the setting of the Cuntz algebra is given, and connections with superselection structures with nontrivial centre are discussed.Comment: 22 pages; to appear on Comm. Math. Phy

Relativistic precession and spin dynamics of an elliptic Rydberg wave packet

Time evolution of wave packets built from the eigenstates of the Dirac equation for a hydrogenic system is considered. We investigate the space and spin motion of wave packets which, in the non-relativistic limit, are stationary states with a probability density distributed uniformly along the classical, elliptical orbit (elliptic WP). We show that the precession of such a WP, due to relativistic corrections to the energy eigenvalues, is strongly correlated with the spin motion. We show also that the motion is universal for all hydrogenic systems with an arbitrary value of the atomic number Z.Comment: Latex2e, uses IOP style files (included), 10 pages, 5 jpg figures, 1 postscript figure. Relation between precession time and radiative liftime added (eq.(12)). Accepted for publication in J. Phys.

Observation of multiply ionized plasmas with dominant bound electron contribution to the index of refraction

Includes bibliographical references.We report anomalous fringe shifts observed in soft X-ray laser interferograms of laser-created Al plasmas. This clear experimental evidence shows that the contribution of bound electrons can dominate the index of refraction of laser-created plasmas at soft X-ray wavelengths, resulting in values greater than 1. The comparison of measured and simulated interferograms shows that this results from the dominant contribution of low-charge ions to the index of refraction. This usually neglected bound electron contribution can affect the propagation of soft X-ray radiation in plasmas and the interferometric diagnostics of plasmas for many elements.This work was sponsored by the National Nuclear Security Administration under the Stewardship Science Academic Alliances program through DOE Research Grant # DE-FG03-02NA00062. Part of this work was performed under the auspices of the US Department of Energy by the University of California, Lawrence Livermore National Laboratory through the Institute of Laser Science and Application, under Contract No. W-7405-Eng-48. The CSU researchers also gratefully acknowledge the partial support of the NSF ERC Center for Extreme Ultraviolet Science and Technology, award EEC-0310717