11,999 research outputs found

    The Political and Legal Aspects of Change of Sovereignty

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    The Political and Legal Aspects of Change of Sovereignty

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    A systematic review and meta-analysis of psychosocial interventions aiming to reduce risks of suicide and self-harm in psychiatric inpatients

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    Psychosocial interventions, such as Cognitive Behavioural Therapy (CBT), are often recommended in UK clinical guidelines to reduce suicidality and self-harm in service users with serious mental health problems, but the effectiveness of these interventions in acute mental health inpatient settings is not established. The aim of this study is to examine the types, and effectiveness of psychosocial interventions in inpatients settings in reducing the risk of self-harm and suicidality. A systematic review and meta-analysis was conducted of randomised controlled trials (RCTs) examining the efficacy of suicide and self-harm focused inpatient psychosocial interventions on suicidality (primary outcome), depression, hopelessness and suicide attempts (secondary outcomes). A total of ten studies met eligibility criteria were included in this review. All had low to moderate risk of bias for majority of the indicators, except for blinding of participants where all studies had high risk of bias. All studies examined psychosocial interventions for suicide reduction and none examined a psychosocial intervention for self-harm. The majority of the psychosocial interventions were CBT and Dialectical Behavioural Therapy (DBT). The interventions were no more effective than control treatments in reducing suicidality, depression, hopelessness or suicide attempts post-therapy and at follow-up. However, the majority were small pilot or feasibility RCTs. In conclusion, the findings from this review suggests that psychosocial interventions are not any more effective in reducing suicidality in acute mental health inpatient settings than control interventions. However, a large-scale RCT examining a psychosocial intervention for suicide is needed to provide conclusive findings. There were also no identified RCTs examining self-harm interventions indicating a need to conduct research in this area

    Cyber Security Education and Training: Delivering industry relevant education and skills via Degree Apprenticeships

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    The rise of Digital Transformation, global pandemics, and AI, have made Cyber skills crucial in today’s world. Organisation flexibility can only be achieved when they have a strong foundation of Cyber professionals that can look after vulnerabilities and protect their systems. A multitude of evidence suggests that the economy is being held back due to a skills gap, particularly in the Cyber Security discipline. In seeking to reduce this gap, the UK government has extended a long established ‘apprenticeship’ programme to include degrees. Higher Education Degree Apprenticeships offer a cost-effective route for employers to upskill their staff and for apprentices to access free education (and a degree) whilst being paid. Each of the Degree Apprenticeships has an associated framework that defines core learning requirements – devised and created by a collaborative effort of industry and academia. How this framework is implemented however is very much up to individual institutions. This paper presents an implementation of the Cyber Security Analyst degree apprenticeship undertaken at a UK Institution. Amongst the first in the UK to operationalise the standard, the approach has pragmatically dealt with a wide range of issues to create an academically rigorous yet commercially viable solution for industry. The paper presents the approach, demonstrates the academic rigor through mapping to industry-accepted standards, and discusses the collaborative role of the employer and University in providing a holistic and complete learning experience. The paper concludes by offering a critical discussion on challenges and opportunities and suggests ways employers and professional bodies can collaborate further with Higher Education in developing Degree Apprenticeships that will only be about skills, but also lifelong learning

    Single grain heating due to inelastic cotunneling

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    We study heating effects of a single metallic quantum dot weakly coupled to two leads. The dominant mechanism for heating at low temperatures is due to inelastic electron cotunneling processes. We calculate the grain temperature profile as a function of grain parameters, bias voltage, and time and show that for nanoscale size grains the heating effects are pronounced and easily measurable in experiments.Comment: 4 pages, 3 figures, revtex4, extended and corrected versio

    An exactly solvable model of a superconducting to rotational phase transition

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    We consider a many-fermion model which exhibits a transition from a superconducting to a rotational phase with variation of a parameter in its Hamiltonian. The model has analytical solutions in its two limits due to the presence of dynamical symmetries. However, the symmetries are basically incompatible with one another; no simple solution exists in intermediate situations. Exact (numerical) solutions are possible and enable one to study the behavior of competing but incompatible symmetries and the phase transitions that result in a semirealistic situation. The results are remarkably simple and shed light on the nature of phase transitions.Comment: 11 pages including 1 figur

    The contribution of organisational factors to vicarious trauma in mental health professionals: a systematic review and narrative synthesis

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    Background: The negative impact of trauma work has been well documented in mental health professionals. There are three main phenomena used to describe these effects: Secondary Traumatic Stress (STS), Vicarious Trauma (VT) and Compassion Fatigue (CF). To date, the majority of research has focused on the contribution of individual level factors. However, it is imperative to also understand the role of organizational factors. Objectives: This review examines the role of organizational factors in ameliorating or preventing STS, VT, and CF in mental health professionals. We further aimed to identify specific elements of these factors which are perceived to be beneficial and/or detrimental in mitigating against the effects of STS, VT, and CF. Method: Studies were identified by searching the electronic databases Medline, PsycINFO, Embase, Web of Science and SCOPUS with final searches taking place on 10 March 2021. Results: Twenty-three quantitative studies, eight qualitative studies, and five mixed methods studies were included in the final review. A narrative synthesis was conducted to analyse the findings. The results of the review highlight the importance of regular supervision within supportive supervisory relationships, strong peer support networks, and balanced and diverse caseloads. The value of having an organizational culture which acknowledges and validates the existence of STS was also imperative. Conclusions: Organizations have an ethical responsibility to support the mental health professionals they employ and provide a supportive environment which protects them against STS. This review provides preliminary evidence for the types of support that should be offered and highlights the gaps in the literature and where future research should be directed. Further research is needed to evaluate which strategies–and under what conditions–best ameliorate and prevent STS
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