From Quackery to Control: Perceptions of Complementary and Alternative Medicine from Users with Mental Health Disorders

This study is an investigation into why people with depression and anxiety use complementary and alternative medicines at higher rates than the general population. The study examines perceptions of mental illness and meanings assigned to depression and anxiety, others’ perceptions of mental illness, and experiences with conventional medicine. All participants were using complementary and alternative medicine at the time of the study; their reasons for CAM use as well as how CAM affected perceptions of their illness were main research questions. I conducted three focus groups with individuals diagnosed with depression who were using complementary and alternative medicine as forms of treatment. Focus groups were transcribed verbatim and analyzed using the coding software Nvivo. Participants were also given two questionnaires that were analyzed using SPSS. This study shows that complementary and alternative medicine ultimately gives individuals perceived control, a sense of agency, action, and acceptance in regards to their mental illness

Influence of organic films on the evaporation and condensation of water in aerosol

Uncertainties in quantifying the kinetics of evaporation and condensation of water from atmospheric aerosol are a significant contributor to the uncertainty in predicting cloud droplet number and the indirect effect of aerosols on climate. The influence of aerosol particle surface composition, particularly the impact of surface active organic films, on the condensation and evaporation coefficients remains ambiguous. Here, we report measurements of the influence of organic films on the evaporation and condensation of water from aerosol particles. Significant reductions in the evaporation coefficient are shown to result when condensed films are formed by monolayers of long-chain alcohols [C(n)H((2n+1))OH], with the value decreasing from 2.4 × 10(−3) to 1.7 × 10(−5) as n increases from 12 to 17. Temperature-dependent measurements confirm that a condensed film of long-range order must be formed to suppress the evaporation coefficient below 0.05. The condensation of water on a droplet coated in a condensed film is shown to be fast, with strong coherence of the long-chain alcohol molecules leading to islanding as the water droplet grows, opening up broad areas of uncoated surface on which water can condense rapidly. We conclude that multicomponent composition of organic films on the surface of atmospheric aerosol particles is likely to preclude the formation of condensed films and that the kinetics of water condensation during the activation of aerosol to form cloud droplets is likely to remain rapid

A taxonomic guide to the mysids of the South Atlantic Bight.

Following the examination of extensive collections from the National Museum of Natural History (NMNH), the Southeastern Regional Taxonomic Center (SERTC), and other regional institutions, 18 species of the family Mysidae are recognized and described from the South Atlantic Bight (Cape Lookout, North Carolina to Cape Canaveral, Florida). This report includes synonymies of previous records, as well as new species distribution records. Previous regional accounts of Metamysidopsis munda and Metamysidopsis mexicana are attributed to Metamysidopsis swifti. New regional records are established for Amathimysis brattegardi, Heteromysis beetoni, and Siriella thompsonii. Two other species tentatively identified as Amathimysis sp. (nr. serrata) and Mysidopsis sp. (cf. mortenseni) may represent new taxa. Neobathymysis renoculata is included and discussed as a potential regional species. An illustrated key to the species currently known from the South Atlantic Bight is presented. Relevant taxonomic, distributional, and ecological information is also included for each species. (PDF file contains 45 pages.

A multisite study of performance drivers among institutional review boards.

Introduction:The time required to obtain Institutional Review Board (IRB) approval is a frequent subject of efforts to reduce unnecessary delays in initiating clinical trials. This study was conducted by and for IRB directors to better understand factors affecting approval times as a first step in developing a quality improvement framework. Methods:807 IRB-approved clinical trials from 5 University of California campuses were analyzed to identify operational and clinical trial characteristics influencing IRB approval times. Results:High workloads, low staff ratios, limited training, and the number and types of ancillary reviews resulted in longer approval times. Biosafety reviews and the need for billing coverage analysis were ancillary reviews that contributed to the longest delays. Federally funded and multisite clinical trials had shorter approval times. Variability in between individual committees at each institution reviewing phase 3 multisite clinical trials also contributed to delays for some protocols. Accreditation was not associated with shorter approval times. Conclusions:Reducing unnecessary delays in obtaining IRB approval will require a quality improvement framework that considers operational and study characteristics as well as the larger institutional regulatory environment

Safety margins and adaptive capacity of vegetation to climate change

Vegetation is composed of many individual species whose climatic tolerances can be integrated into spatial analyses of climate change risk. Here, we quantify climate change risk to vegetation at a continental scale by calculating the safety margins for warming and drying (i.e., tolerance to projected change in temperature and precipitation respectively) across plants sharing 100km × 100km grid cells (locations). These safety margins measure how much warmer, or drier, a location could become before its ‘typical’ species exceeds its observed climatic limit. We also analyse the potential adaptive capacity of vegetation to temperature and precipitation change (i.e., likelihood of in situ persistence) using median precipitation and temperature breadth across all species in each location. 47% of vegetation across Australia is potentially at risk from increases in mean annual temperature (MAT) by 2070, with tropical regions most vulnerable. Vegetation at high risk from climate change often also exhibited low adaptive capacity. By contrast, 2% of the continent is at risk from reductions in annual precipitation by 2070. Risk from precipitation change was isolated to the southwest of Western Australia where both the safety margin for drier conditions in the typical species is low, and substantial reductions in MAP are projected

Moving To Work Baseline Analysis

Columbus State University (CSU), operating through it Social Research Center (SRC), agreed to provide analysis of a Moving To Work (MTW) project that is being conducted by the Housing Authority of Columbus, Georgia (HACG). The local study is one of several MTW studies sponsored by the federal Department of Housing and Urban Development (HUD). This five‐year study is focused in the three broad areas of rent reform, a voucher program, and a housing program for homeless veterans. The first area is focused on the use of incentives to increase the percentage of residents who are gainfully employed. The second explores the impact on the lives of residents of providing housing that is not tied to a public housing facility through vouchers for 120% of the average market rent in Columbus. The third examines the efficacy of taking homeless veterans off the streets and placing them in safe and decent housing before asking them to make lifestyle changes. The SRC is to provide analysis of the programs

The schwartz center rounds: supporting mental health workers with the emotional impact of their work.

In healthcare settings there is an emotional cost to caring which can result in compassion-fatigue, burnout, secondary trauma and compromised patient care. Innovative workplace interventions such as the Schwartz Rounds offer a group reflective practice forum for clinical and non-clinical professionals to reflect on the emotional aspects of working in healthcare. Whilst the Rounds are established in medical health practice, this study presents an evaluation of the Rounds offered to mental health services. The Rounds were piloted amongst 150 mental health professionals for 6 months and evaluated using a mixed-methods approach with standardised evaluation forms completed after each Round and a focus group (n=9) at one-month follow-up. This paper also offers a unique six-year follow-up of the evaluation of the Rounds. Rounds were rated as helpful, insightful, relevant and at six years follow-up Rounds were still rated as valuable and viewed as embedded. Focus groups indicated that Rounds were valued because of the opportunity to express emotions (in particular negative emotions towards patients that conflict with the professional care-role), share experiences, and feel validated and supported by colleagues. The findings indicate that Schwartz Rounds offer a positive application in mental healthcare settings. The study supports the use of interventions which provide an ongoing forum in which to discuss emotions, develop emotional literacy, provide peer-support and set an intention for becoming a more compassionate organisation in which to work.N/