Exploring the differences between self-harm and suicide in women with complex mental health needs.

Self-harm and suicidal are major public health problems, which can contribute to many life long adverse outcomes. The costs of self-harm and suicide are high on both an individual and societal level and have considerable financial implications for health services. Self-harm and suicide are known to be more prevalent amongst the forensic mental health population than in the general population and the wider mental health population. Whilst some claim that self harm and suicide are distinctly different behaviours, recent literature advocates that the separation of self-harm and suicide may be more challenging than originally thought, as an additional type of self-harm behaviour has been noted. Life-threatening self-harm refers to self-harm that without medical intervention, is serious enough to bring about death. As current literature situates life-threatening self-harm in the context of suicidal ideation, survivors of life-threatening self-harm are considered the best proxies to inform research and practice about suicide. It is however important to note that amongst the limited literature, there is a proportion of people who self-harm using highly lethal methods but do without suicidal intent. Consequentially, further investigation is warranted. Whilst a picture is forming for the general and prison population, to date there is yet to be a study that explores the reasons for life-threatening self-harm amongst women receiving forensic mental health services. The lack of literature is important, as currently literature from the prison and general population informs clinical practice, without understanding whether the findings are generalisable to the female forensic mental health population. This includes the use of self harm and suicide prevention strategies, including restricting access to means. Therefore, the current research aimed to address the gap in literature, in a bid to better understand the functions of, and pathways to, life-threatening self-harm amongst women in forensic mental health services. Sixteen members of staff and seven women from various levels of security were enlisted to take part in semi-structured interviews. The interviews aimed to hear the voices of women and staff and use them to provide a unique picture of life-threatening self-harm within a hard to access population; to determine the functions of, and pathways to life-threatening self-harm; and to explore the impacts of restricting access to means on life-threatening self-harm. The findings indicate that women in forensic mental health services do not enact life-threatening self-harm suicidal with intent. Instead, the women and staff who took part in the research posit there are seven functions of, and pathways to, life-threatening self-harm. The findings also indicate that working with or living amongst women who enact life-threatening self-harm is emotionally taxing. Furthermore, the findings suggest that restricting access to means plays a contributory role in life-threatening self-harm. The findings of the research are discussed with reference to directions for future research, the clinical implications and the methodological limitations

Impaired interferon-γ responses, increased interleukin-17 expression, and a tumor necrosis factor–α transcriptional program in invasive aspergillosis

This article is available open access through the publisher’s website. Copyright @ 2009 Oxford University Press.Background - Invasive aspergillosis (IA) is the most common cause of death associated with fungal infection in the developed world. Historically, susceptibility to IA has been associated with prolonged neutropenia; however, IA has now become a major problem in patients on calcineurin inhibitors and allogenic hematopoetic stem cell transplant patients following engraftment. These observations suggest complex cellular mechanisms govern immunity to IA. Methods - To characterize the key early events that govern outcome from infection with Aspergillus fumigatus we performed a comparative immunochip microarray analysis of the pulmonary transcriptional response to IA between cyclophosphamide-treated mice and immunocompetent mice at 24 h after infection. Results - We demonstrate that death due to infection is associated with a failure to generate an incremental interferon-γ response, increased levels of interleukin-5 and interleukin-17a transcript, coordinated expression of a network of tumor necrosis factor–α-related genes, and increased levels of tumor necrosis factor–α. In contrast, clearance of infection is associated with increased expression of a number genes encoding proteins involved in innate pathogen clearance, as well as apoptosis and control of inflammation. Conclusion - This first organ-level immune response transcriptional analysis for IA has enabled us to gain new insights into the mechanisms that govern fungal immunity in the lung.The BBSRC, CGD Research Trust, and the MRC

Comparing circadian dynamics in primary derived stem cells from different sources of human adult tissue

Optimising cell/tissue constructs so that they can be successfully accepted and integrated within a host body is essential in modern tissue engineering. To do this, adult stem cells are frequently utilised, but there are many aspects of their environment in vivo that are not completely understood. There is evidence to suggest that circadian rhythms and daily circadian temporal cues have substantial effects on stem cell activation, cell cycle, and differentiation. It was hypothesised that the circadian rhythm in human adult stem cells differs depending on the source of tissue and that different entraining signals exert differential effects depending on the anatomical source. Dexamethasone and rhythmic mechanical stretch were used to synchronise stem cells derived from the bone marrow, tooth dental pulp, and abdominal subcutaneous adipose tissue, and it was experimentally evidenced that these different stem cells differed in their circadian clock properties in response to different synchronisation mechanisms. The more primitive dental pulp-derived stem cells did not respond as well to the chemical synchronisation but showed temporal clock gene oscillations following rhythmic mechanical stretch, suggesting that incorporating temporal circadian information of different human adult stem cells will have profound implications in optimising tissue engineering approaches and stem cell therapies

Is Global Warming likely to cause an increased incidence of Malaria?

The rise in the average temperature of earth has been described as global warming which is mainly attributed to the increasing phenomenon of the greenhouse effect. It is believed that global warming can have several harmful effects on human health, both directly and indirectly. Since malaria is greatly influenced by climatic conditions because of its direct relationship with the mosquito population, it is widely assumed that its incidence is likely to increase in a future warmer world

Classifying the Arithmetical Complexity of Teaching Models

This paper classifies the complexity of various teaching models by their position in the arithmetical hierarchy. In particular, we determine the arithmetical complexity of the index sets of the following classes: (1) the class of uniformly r.e. families with finite teaching dimension, and (2) the class of uniformly r.e. families with finite positive recursive teaching dimension witnessed by a uniformly r.e. teaching sequence. We also derive the arithmetical complexity of several other decision problems in teaching, such as the problem of deciding, given an effective coding $\{\mathcal L_0,\mathcal L_1,\mathcal L_2,\ldots\}$ of all uniformly r.e. families, any $e$ such that $\mathcal L_e = \{L^e_0,L^e_1,\ldots,\}$, any $i$ and $d$, whether or not the teaching dimension of $L^e_i$ with respect to $\mathcal L_e$ is upper bounded by $d$.Comment: 15 pages in International Conference on Algorithmic Learning Theory, 201

Conditional Sampling for Max-Stable Processes with a Mixed Moving Maxima Representation

This paper deals with the question of conditional sampling and prediction for the class of stationary max-stable processes which allow for a mixed moving maxima representation. We develop an exact procedure for conditional sampling using the Poisson point process structure of such processes. For explicit calculations we restrict ourselves to the one-dimensional case and use a finite number of shape functions satisfying some regularity conditions. For more general shape functions approximation techniques are presented. Our algorithm is applied to the Smith process and the Brown-Resnick process. Finally, we compare our computational results to other approaches. Here, the algorithm for Gaussian processes with transformed marginals turns out to be surprisingly competitive.Comment: 35 pages; version accepted for publication in Extremes. The final publication is available at http://link.springer.co

Analogies between optical propagation and heat diffusion: applications to microcavities, gratings and cloaks

International audienceA new analogy between optical propagation and heat diffusion in heterogeneous anisotropic media has beenproposed recently [S. Guenneau, C. Amra, and D. Veynante, Optics Express Vol. 20, 8207-8218 (2012)]. A detailedderivation of this unconventional correspondence is presented and developed. In time harmonic regime, all thermalparameters are related to optical ones in artificial metallic media, thus making possible to use numerical codesdeveloped for optics. Then the optical admittance formalism is extended to heat conduction in multilayeredstructures. The concepts of planar micro-cavities, diffraction gratings, and planar transformation optics for heatconduction are addressed. Results and limitations of the analogy are emphasized

Sr-Nd isotope geochemistry of the early Precambrian sub-alkaline mafic igneous rocks from the southern Bastar craton, Central India

Sr–Nd isotope data are reported for the early Precambrian sub-alkaline mafic igneous rocks of the southern Bastar craton, central India. These mafic rocks are mostly dykes but there are a few volcanic exposures. Field relationships together with the petrological and geochemical characteristics of these mafic dykes divide them into two groups; Meso-Neoarchaean sub-alkaline mafic dykes (BD1) and Paleoproterozoic (1.88 Ga) sub-alkaline mafic dykes (BD2). The mafic volcanics are Neoarchaean in age and have very close geochemical relationships with the BD1 type. The two groups have distinctly different concentrations of high-field strength (HFSE) and rare earth elements (REE). The BD2 dykes have higher concentrations of HFSE and REE than the BD1 dykes and associated volcanics and both groups have very distinctive petrogenetic histories. These rocks display a limited range of initial 143Nd/144Nd but a wide range of apparent initial 87Sr/86Sr. Initial 143Nd/144Nd values in the BD1 dykes and associated volcanics vary between 0.509149 and 0.509466 and in the BD2 dykes the variation is between 0.510303 and 0.510511. All samples have positive εNd values the BD1 dykes and associated volcanics have εNd values between +0.3 and +6.5 and the BD2 dykes between +1.9 to +6.0. Trace element and Nd isotope data do not suggest severe crustal contamination during the emplacement of the studied rocks. The positive εNd values suggest their derivation from a depleted mantle source. Overlapping positive εNd values suggest that a similar mantle source tapped by variable melt fractions at different times was responsible for the genesis of BD1 (and associated volcanics) and BD2 mafic dykes. The Rb–Sr system is susceptible to alteration and resetting during post-magmatic alteration and metamorphism. Many of the samples studied have anomalous apparent initial 87Sr/86Sr suggesting post-magmatic changes of the Rb–Sr system which severely restricts the use of Rb–Sr for petrogenetic interpretation