Thermal Infrared Observations of Asteroid (99942) Apophis with Herschel

The near-Earth asteroid (99942) Apophis is a potentially hazardous asteroid. We obtained far-infrared observations of this asteroid with the Herschel Space Observatory's PACS instrument at 70, 100, and 160 micron. These were taken at two epochs in January and March 2013 during a close Earth encounter. These first thermal measurements of Apophis were taken at similar phase angles before and after opposition. We performed a detailed thermophysical model analysis by using the spin and shape model recently derived from applying a 2-period Fourier series method to a large sample of well-calibrated photometric observations. We find that the tumbling asteroid Apophis has an elongated shape with a mean diameter of 375$^{+14}_{-10}$ m (of an equal volume sphere) and a geometric V-band albedo of 0.30$^{+0.05}_{-0.06}$. We find a thermal inertia in the range 250-800 Jm$^{-2}$s$^{-0.5}$K$^{-1}$ (best solution at 600 Jm$^{-2}$s$^{-0.5}$K$^{-1}$), which can be explained by a mixture of low conductivity fine regolith with larger rocks and boulders of high thermal inertia on the surface. The thermal inertia, and other similarities with (25143) Itokawa indicate that Apophis might also have a rubble-pile structure. If we combine the new size value with the assumption of an Itokawa-like density and porosity we estimate a mass between 4.4 and 6.2 10$^{10}$ kg which is more than 2-3 times larger than previous estimates. We expect that the newly derived properties will influence impact scenario studies and influence the long-term orbit predictions of Apophis.Comment: Accepted for publication in Astronomy & Astrophysics, 21 pages, 8 figures, 2 table

Diagnostic accuracy of a brief screening tool forAttention Deficit/Hyperactivity Disorder in UK prison inmates

BackgroundAttention deficit hyperactivity disorder (ADHD) is overrepresented in prison, making it imperative to identify a screening tool that can be quickly applied to efficiently detect the disorder. We explored the discrimination ability of a widely used ADHD screen, the Barkley Adult ADHD Rating Scale (BAARS-IV), against a clinical diagnostic interview. A brief version of the screen was then developed in order to simplify its use in the prison context, and maximize its diagnostic properties.MethodA cross-sectional study of 390 male prison inmates was performed in the UK, all participants were screened and interviewed via the Diagnostic Interview for ADHD in Adults 2.0 (DIVA-2).ResultsA total of 47 (12.1%) inmates screened positive for ADHD using the full BAARS-IV, and 96 (24.6%) were clinically diagnosed, for a sensitivity of 37.9 and a specificity of 96.3. Our models identified the six items that most predicted ADHD diagnosis, with adjusted odds ratios ranging from 2.66 to 4.58. Sensitivity, specificity and accuracy were 0.82, 0.84 and 0.84, respectively, for the developed brief scale, and 0.71, 0.85 and 0.81 for its validation. Weighted probability scores produced an area under the curve of 0.89 for development, and 0.82 for validation of the brief scale.ConclusionsThe original BAARS-IV performed poorly at identifying prison inmates with ADHD. Our developed brief scale substantially improved diagnostic accuracy. The brief screening instrument has great potential to be used as an accurate and resource-effective tool to screen young people and adults for likely ADHD in the criminal justice system.</jats:sec

Factors associated with increased survival after surgical resection of glioblastoma in octogenarians.

Elderly patients with glioblastoma represent a clinical challenge for neurosurgeons and oncologists. The data available on outcomes of patients greater than 80 undergoing resection is limited. In this study, factors linked to increased survival in patients over the age of 80 were analyzed. A retrospective chart review of all patients over the age of 80 with a new diagnosis of glioblastoma and who underwent surgical resection with intent for maximal resection were examined. Patients who had only stereotactic biopsies were excluded. Immunohistochemical expression of oncogenic drivers (p53, EGFR, IDH-1) and a marker of cell proliferation (Ki-67 index) performed upon routine neuropathological examination were recorded. Stepwise logistic regression and Kaplan Meier survival curves were plotted to determine correlations to overall survival. Fifty-eight patients fit inclusion criteria with a mean age of 83 (range 80-93 years). The overall median survival was 4.2 months. There was a statistically significant correlation between Karnofsky Performance Status (KPS) and overall survival (P &lt; 0.05). There was a significantly longer survival among patients undergoing either radiation alone or radiation and chemotherapy compared to those who underwent no postoperative adjuvant therapy (p &lt; 0.05). There was also an association between overall survival and lack of p53 expression (p &lt; 0.001) and lack of EGFR expression (p &lt;0.05). In this very elderly population, overall survival advantage was conferred to those with higher preoperative KPS, postoperative adjuvant therapy, and lack of protein expression of EGFR and p53. These findings may be useful in clinical decision analysis for management of patients with glioblastoma who are octogenarians, and also validate the critical role of EGFR and p53 expression in oncogenesis, particularly with advancing age

Clinician experiences on training and awareness of sexual orientation in NHS Talking Therapies Services for Anxiety and Depression

Previous research that explored sexual minority service users’ experiences of accessing NHS Talking Therapies for Anxiety and Depression Services highlighted the need for specific sexual orientation training. Inconsistent or lack of training may contribute to disparities in treatment outcomes between sexual minority service users and heterosexual service users. The aim of the study was to explore clinicians’ competencies working with sexual minority service users, their experiences of sexual orientation training, their view of current gaps intraining provision, and ways to improve training. Self-reported sexual orientation competency scales and open ended questions were used to address the aims of the study. Participants (n=83) included Psychological Wellbeing Practitioners (PWPs) and high-intensity CBT therapists (HITs). Responses on competency scales were analysed using Kruskal–Wallis tests and thematic analysis was used to analyse qualitative responses. Participants who identified as 25–29 years old had higher scores on the knowledge scale than 45+-year-olds.Bisexual participants also had higher scores on the knowledge subscale than heterosexual participants. Threeover-arching themes were identified: (a) training received on sexual minority issues by Talking Therapies clinicians, (b) clinicians’ experiences of accessing and receiving sexual minority training, and (c) perceived gaps in current sexual minority training and ways to improve training. Findings were linked to previous literature and recommendations to stakeholders are made throughout the Discussion section with the view of improving sexual orientation training

Physical Properties of OSIRIS-REx Target Asteroid (101955) 1999 RQ36 derived from Herschel, ESO-VISIR and Spitzer observations

In September 2011, the Herschel Space Observatory performed an observation campaign with the PACS photometer observing the asteroid (101955) 1999 RQ36 in the far infrared. The Herschel observations were analysed, together with ESO VLT-VISIR and Spitzer-IRS data, by means of a thermophysical model in order to derive the physical properties of 1999 RQ36. We find the asteroid has an effective diameter in the range 480 to 511 m, a slightly elongated shape with a semi-major axis ratio of a/b=1.04, a geometric albedo of 0.045 +0.015/-0.012, and a retrograde rotation with a spin vector between -70 and -90 deg ecliptic latitude. The thermal emission at wavelengths below 12 micron -originating in the hot sub-solar region- shows that there may be large variations in roughness on the surface along the equatorial zone of 1999 RQ36, but further measurements are required for final proof. We determine that the asteroid has a disk-averaged thermal inertia of Gamma = 650 Jm-2s-0.5K-1 with a 3-sigma confidence range of 350 to 950 Jm-2s-0.5K-1, equivalent to what is observed for 25143 Itokawa and suggestive that 1999 RQ36 has a similar surface texture and may also be a rubble-pile in nature. The low albedo indicates that 1999 RQ36 very likely contains primitive volatile-rich material, consistent with its spectral type, and that it is an ideal target for the OSIRIS-REx sample return mission.Comment: Accepted for publication in Astronomy & Astrophysics, 9 pages, 7 figure

Information Resource Needs and Preference of Queensland General Practitioners on Complementary Medicines: Result of a Needs Assessment

Objectives. To explore in a cohort of Queensland (Qld) GPs' their attitudes to; knowledge about; and practice behaviour regarding complementary medicines (CMs), and to identify their perceptions of need for information resources on CMs. Design. A faxed self-administered survey to a random sample of 800 GPs in Qld. Participants. 463 completed surveys were returned, representing a 58% response rate. Results. The majority of GPs had a positive attitude about incorporating CMs in their clinical practice; however, only 12% perceived they had adequate knowledge to be able to advise patients about CMs. GPs most preferred evidence-based resources for receiving information on CMs (fact sheets, booklets, and journals) that contain clinical, pharmacological, and toxicological information. Most GPs perceived a need for an information resource on herbal medicines, vitamins, minerals, and trace elements, and nutritional supplements. Conclusion. GPs are open to integrating CMs into their clinical practice. They identify a current lack of knowledge coupled with a substantive level of interest to learn more. GPs perceive a high level of need for information resources on CMs. These resources should be developed and readily available to GPs to increase their knowledge about CMs and better equip them in communicating with patients about CMs use

Luminous Intensity for Traffic Signals: A Scientific Basis for Performance Specifications

Humnan factors experiments on visual responses to simulated traffic signals using incandescent lamps and light-emitting diodes are described