Hard X-ray colours of Neutron Star and Black Hole Low Mass X-ray Binaries with INTEGRAL

The X-ray spectra of Low Mass X-ray Binaries (LMXB) can change on short time-scales, making it difficult to follow their spectral characteristics in detail through model fitting. Colour-colour (C-C) diagrams are therefore often used as alternative, model independent, tools to study the spectral variability of these sources. The INTEGRAL mission, with its high sensitivity, large field of view and good angular resolution, is well suited to study the hard X-ray properties of LMXBs. In particular the ISGRI imager on board of INTEGRAL allows the regular monitoring of the sources in the less frequently studied domain above 20 keV. In this proceeding, C-C diagrams have been made with data from the INTEGRAL public archive; a search is made for systematic differences in the C-C diagrams between black hole candidates (BH) and neutron stars (NS) in LMXBs using a moments analysis method.Comment: Paper from poster presentation at COSPAR meeting, Beijing, 2006. in press: Advances in Space Research, Editor: Wynn H

EXPLAINING SUSTAINABILITY IN HEALTHCARE - A PRELIMINARY STUDY OF AN AGED CARE ORGANISATION IN AUSTRALIA

IT initiatives in healthcare often promise much but fail to deliver. As with IT projects in any other industry, healthcare projects may be abandoned before delivery, or if delivered, they may lack adoption or fail to deliver continuous use over a sustained period of time. Failure factors typically discussed in the IS literature fail to fully explain why sustainability is such an issue in the healthcare industry. Healthcare systems are technically complex to begin with. They involve a large number of stakeholders. Therefore their implementation process involves more planning and forethoughts. This paper focuses on the sustainability issues of healthcare information systems (HIS) implementation. We reviewed a broad array of literature to try to clarify the concept of sustainability within the defined context. We arrived at a broad framework for defining different types of sustainability for HIS. We propose they must all be considered for every sustainable healthcare IS implementation. Then using a successful aged care organisation in Australia, we explain the relevance of each type of sustainability defined. We conclude with some discussions of future work

Language and Critical Thinking as Vehicles of Environmental Ethics and Metaphysics

Language, metaphysics and environmental ethics are specific and universal aspects of culture. Language and critical thinking are phenomenal means of communicating and rationalising environmental and metaphysical issues, among other existential concerns in general. This study argues that language and critical thinking are vehicles of metaphysics and environmental ethics. It also argues that the kind of metaphysics and environmental ethics inherent to a people determine their attitude towards the environment. As some scholars affirm in the literature, this is where continental philosophy comes into environmentalism, because no philosophy is independent of culture and a larger number of environmental issues are peculiar to a place, while a few others obtain across places as universals. Thus, environmentalists look at environmental issues and metaphysical concerns from both specific and general contexts. It is realised that upon giving the issues at stake critical reflections, ethical principles are made or advanced using language constructively to express, disseminate and sustain them across ages. The study concludes that despite being neglected in metaphysical and environmental discourses, language plays a critical role in them, as (mis)representation of the two depends on how language is used to express and disseminate (un)critically constructed thoughts on environment and metaphysics

Some pattern recognitions for a recommendation framework for higher education students’ generic competence development using machine learning

The project presented in this paper aims to formulate a recommendation framework that consolidates the higher education students’ particulars such as their academic background, current study and student activity records, their attended higher education institution’s expectations of graduate attributes and self-assessment of their own generic competencies. The gap between the higher education students’ generic competence development and their current statuses such as their academic performance and their student activity involvement was incorporated into the framework to come up with a recommendation for the student activities that lead to their generic competence development. For the formulation of the recommendation framework, the data mining tool Orange with some programming in Python and machine learning models was applied on 14,556 students’ activity and academic records in the case higher education institution to find out three major types of patterns between the students’ participation of the student activities and (1) their academic performance change, (2) their programmes of studies, and (3) their English results in the public examination. These findings are also discussed in this paperPeer Reviewe

Identification of depression in women during pregnancy and the early postnatal period using the Whooley questions and the Edinburgh Postnatal Depression Scale : protocol for the Born and Bred in Yorkshire: PeriNatal Depression Diagnostic Accuracy (BaBY PaNDA) study

INTRODUCTION: Perinatal depression is well recognised as a mental health condition but <50% of cases are identified by healthcare professionals in routine clinical practice. The Edinburgh Postnatal Depression Scale (EPDS) is often used to detect symptoms of postnatal depression in maternity and child services. The National Institute for Health and Care Excellence (NICE) recommends 2 'ultra-brief' case-finding questions (the Whooley questions) to aid identification of depression during the perinatal period, but this recommendation was made in the absence of any validation studies in a perinatal population. Limited research exists on the acceptability of these depression case-finding instruments and the cost-effectiveness of routine screening for perinatal depression. METHODS AND ANALYSIS: The diagnostic accuracy of the Whooley questions and the EPDS will be determined against a reference standard (the Client Interview Schedule-Revised) during pregnancy (around 20 weeks) and the early postnatal period (around 3-4 months post partum) in a sample of 379 women. Further outcome measures will assess a range of psychological comorbidities, health-related quality of life and resource utilisation. Women will be followed up 12 months postnatally. The sensitivity, specificity and predictive values of the Whooley questions and the EPDS will be calculated against the reference standard at 20 weeks pregnancy and 3-4 months post partum. Acceptability of the depression case-finding instruments to women and healthcare professionals will involve in-depth qualitative interviews. An existing decision analytic model will be adapted to determine the cost-effectiveness of routine screening for perinatal depression. ETHICS AND DISSEMINATION: This study is considered low risk for participants. Robust protocols will deal with cases where risk of depression, self-harm or suicide is identified. The protocol received favourable ethical opinion from the North East-York Research Ethics Committee (reference: 11/NE/0022). The study findings will be published in peer-reviewed journals and presented at relevant conferences

Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives

Narratives of recovery have been central to the development of the recovery approach in mental health. However, there has been a lack of clarity around definitions. A recent conceptual framework characterised recovery narratives based on a systematic review and narrative synthesis of existing literature, but was based on a limited sample. The aims of this study were to assess the relevance of the framework to the narratives of more diverse populations, and to develop a refined typology intended to inform narrative-based research, practice and intervention development. Method: 77 narrative interviews were conducted with respondents from four under-researched mental health sub-populations across England. Deductive and inductive analysis was used to assess the relevance of the dimensions and types of the preliminary typology to the interview narratives. Results: Five or more dimensions were identifiable within 97% of narratives. The preliminary typology was refined to include new definitions and types. The typology was found not to be relevant to two narratives, whose narrators expressed a preference for non-verbal communication. These are presented as case studies to define the limits of the typology. Conclusion: The refined typology, based on the largest study to date of recovery narratives, provides a defensible theoretical base for clinical and research use with a range of clinical populations. Implications for practice include ensuring a heterogeneous selection of narratives as resources to support recovery, and developing new approaches to supporting non-verbal narrative construction