A Search for Single Radio Pulses and Bursts from Southern AXPs

We observed four southern AXPs in 1999 near 1400 MHz with the Parkes 64-m radio telescope to search for periodic radio emission. No Fourier candidates were discovered in the initial analysis, but the recent radio activity observed for the AXP XTE J1810-197 has prompted us to revisit these data to search for single radio pulses and bursts. The data were searched for both persistent and bursting radio emission at a wide range of dispersion measures, but no detections of either kind were made. These results further weaken the proposed link between rotating radio transient sources and magnetars. However, continued radio searches of these and other AXPs at different epochs are warranted given the transient nature of the radio emission seen from XTE J1810-197, which until very recently was the only known radio-emitting AXP.Comment: 3 pages, including 1 table. To appear in the proceedings of "40 Years of Pulsars: Millisecond Pulsars, Magnetars, and More", August 12-17, 2007, McGill University, Montreal, Canad

Audit of surgical delay in relationship to outcome after proximal femoral fracture.

To ascertain the influence of surgical delay on outcome after proximal femoral fracture in elderly females, a cohort study of patients presenting in 1987 was compared to 1989/90. Organisational changes in the intervening period were introduced to reduce delay to surgical intervention. Two hundred and eighty females aged 65 years and over presenting from the local catchment area of an acute inner-city teaching hospital were enrolled in the study. Seventy-nine patients received surgery in 1987 and 186 in 1989/90. The one year mortality was 34% and 26% respectively. The proportion receiving surgery within 24 hours rose from 34% in 1987 to 57% in 1989/90. The relative hazard of the group receiving surgery on day 2 in comparison to day 1 was 1.7 (95% CI 1.0 to 2.9) when adjusted for co-variance of age and mental score. Medically fit elderly patients presenting with proximal femoral fracture have improved survival with early surgery within 24 hours of admission. Improvements in the organisation of hospital care will result in important benefits for the increasing number of elderly females presenting with proximal femoral fracture

Religious discrimination and common mental disorders in England: a nationally representative population-based study

PURPOSE: Although the impact of discrimination on mental health has been increasingly discussed, the effect of religious discrimination has not been examined systematically. We studied the prevalence of perceived religious discrimination and its association with common mental disorders in a nationally representative population-based sample in England. METHODS: We used data from the Adult Psychiatric Morbidity Survey 2007 that represents all adults age 16 years and over living in private households in England. Common mental disorders were ascertained using the Revised Clinical Interview Schedule. Experience of discrimination was assessed by a computer-assisted self-report questionnaire and potential paranoid traits by the Psychosis Screening Questionnaire. RESULTS: From the total of 7318 participants, 3873 (52.4 %) reported adhering to religion. 108 subjects (1.5 %) reported being unfairly treated in the past 12 months due to their religion. Non-Christian religious groups were more likely to report perceived religious discrimination compared to Christians (OR 11.44; 95 % CI 7.36–17.79). People who experienced religious discrimination had increased prevalence of all common mental disorders. There was a two-fold increase in the risk of common mental disorders among people who reported experience of religious discrimination independent of their ethnicity, skin colour or suspected paranoid traits. CONCLUSIONS: The impact of perceived religious discrimination on mental health should be given more consideration in treatment and future preventative policies

A Survey of 56 Mid-latitude EGRET Error Boxes for Radio Pulsars

We have conducted a radio pulsar survey of 56 unidentified gamma-ray sources from the 3rd EGRET catalog which are at intermediate Galactic latitudes (5 deg. < |b| < 73 deg.). For each source, four interleaved 35-minute pointings were made with the 13-beam, 1400-MHz multibeam receiver on the Parkes 64-m radio telescope. This covered the 95% error box of each source at a limiting sensitivity of about 0.2 mJy to pulsed radio emission for periods P > 10 ms and dispersion measures < 50 pc cm-3. Roughly half of the unidentified gamma-ray sources at |b| > 5 deg. with no proposed active galactic nucleus counterpart were covered in this survey. We detected nine isolated pulsars and four recycled binary pulsars, with three from each class being new. Timing observations suggest that only one of the pulsars has a spin-down luminosity which is even marginally consistent with the inferred luminosity of its coincident EGRET source. Our results suggest that population models, which include the Gould belt as a component, overestimate the number of isolated pulsars among the mid-latitude Galactic gamma-ray sources and that it is unlikely that Gould belt pulsars make up the majority of these sources. However, the possibility of steep pulsar radio spectra and the confusion of terrestrial radio interference with long-period pulsars (P > 200 ms) having very low dispersion measures (< 10 pc cm-3, expected for sources at a distance of less than about 1 kpc) prevent us from strongly ruling out this hypothesis. Our results also do not support the hypothesis that millisecond pulsars make up the majority of these sources. Non-pulsar source classes should therefore be further investigated as possible counterparts to the unidentified EGRET sources at intermediate Galactic latitudes.Comment: 24 pages, including 4 figures and 3 tables. Accepted for publication in Ap

Dzyaloshinsky-Moriya Spin Canting in the LTT Phase of La2-x-yEuySrxCuO4

The Cu spin magnetism in La2-x-yEuySrxCuO4 (x<=0.17; y<=0.2) has been studied by means of magnetization measurements up to 14 T. Our results clearly show that in the antiferromagnetic phase Dzyaloshinsky-Moriya (DM)superexchange causes Cu spin canting not only in the LTO phase but also in the LTLO and LTT phases. In La1.8Eu0.2CuO4 the canted DM-moment is about 50% larger than in pure La2CuO4 which we attribute to the larger octahedral tilt angle. We also find clear evidence that the size of the DM-moment does not change significantly at the structural transition at T_LT from LTO to LTLO and LTT. The most important change induced by the transition is a significant reduction of the magnetic coupling between the CuO2 planes. As a consequence, the spin-flip transition of the canted Cu spins which is observed in the LTO phase for magnetic field perpendicular to the CuO2 planes disappears in the LTT phase. The shape of the magnetization curves changes from the well known spin-flip type to a weak-ferromagnet type. However, no spontaneous weak ferromagnetism is observed even at very low temperatures, which seems to indicate that the interlayer decoupling in our samples is not perfect. Nonetheless, a small fraction (<15%) of the DM-moments can be remanently magnetized throughout the entire antiferromagnetically ordered LTT/LTLO phase, i.e. for T<T_LT and x<0.02. It appears that the remanent DM-moment is perpendicular to the CuO2 planes. For magnetic field parallel to the CuO2 planes we find that the critical field of the spin-flop transition decreases in the LTLO phase, which might indicate a competition between different in-plane anisotropies. To study the Cu spin magnetism in La2-x-yEuySrxCuO4, a careful analysis of the Van Vleck paramagnetism of the Eu3+ ions was performed.Comment: 22 pages, 27 figure

Trajectories in phase diagrams, growth processes and computational complexity: how search algorithms solve the 3-Satisfiability problem

Most decision and optimization problems encountered in practice fall into one of two categories with respect to any particular solving method or algorithm: either the problem is solved quickly (easy) or else demands an impractically long computational effort (hard). Recent investigations on model classes of problems have shown that some global parameters, such as the ratio between the constraints to be satisfied and the adjustable variables, are good predictors of problem hardness and, moreover, have an effect analogous to thermodynamical parameters, e.g. temperature, in predicting phases in condensed matter physics [Monasson et al., Nature 400 (1999) 133-137]. Here we show that changes in the values of such parameters can be tracked during a run of the algorithm defining a trajectory through the parameter space. Focusing on 3-Satisfiability, a recognized representative of hard problems, we analyze trajectories generated by search algorithms using growth processes statistical physics. These trajectories can cross well defined phases, corresponding to domains of easy or hard instances, and allow to successfully predict the times of resolution.Comment: Revtex file + 4 eps figure

Comparison of nursing home residents admitted from home or hospital.

A growing elderly population coupled with a reduction in hospital long term care has led to an increase in the independent nursing home sector. This is an expensive resource. Proper placement is therefore essential to ensure its efficient use. Prior to the introduction of care management there was no standard assessment procedure for admission to nursing home care from different sources. A nursing home population (n = 624) in North and West Belfast was studied and mental scores, levels of disability, and the source of admission to the nursing home recorded. Residents admitted from geriatric medical units (n = 132) were compared with those from general medical and surgical wards (n = 168) and those from home (n = 243). Residents who were admitted from a geriatric unit were the most disabled, those admitted from home were the least and those from general wards had intermediate levels of disability (p < 0.005). This is likely to be the result of different assessment procedures for prospective nursing home residents. With the introduction of care management, it is hoped that standardised assessment will follow. The roles of different medical specialists in this process is not yet clear. Further study is needed to assess the appropriateness of placement in nursing homes under care management

Aggression Following Traumatic brain injury: Effectiveness of Risperidone (AFTER): study protocol for a feasibility randomised controlled trial

Background: Traumatic brain injury (TBI) is a major public health concern and many people develop long-lasting physical and neuropsychiatric consequences following a TBI. Despite the emphasis on physical rehabilitation, it is the emotional and behavioural consequences that have greater impact on people with TBI and their families. One such problem behaviour is aggression which can be directed towards others, towards property or towards the self.Aggression is reported to be common after TBI (37–71%) and causes major stress for patients and their families.Both drug and non-drug interventions are used to manage this challenging behaviour, but the evidence-base for these interventions is poor and no drugs are currently licensed for the treatment of aggression following TBI. The most commonly used drugs for this purpose are antipsychotics, particularly second-generation drugs such as risperidone. Despite this widespread use, randomised controlled trials (RCTs) of antipsychotic drugs, including risperidone, have not been conducted. We have, therefore, set out to test the feasibility of conducting an RCT of this drug for people who have aggressive behaviour following TBI. Methods/design: We will examine the feasibility of conducting a placebo-controlled, double-blind RCT of risperidone for the management of aggression in adults with TBI and also assess participants’ views about their experience of taking part in the study. We will randomise 50 TBI patients from secondary care services in four centres in London and Kent to up to 4 mg of risperidone orally or an inert placebo and follow them up 12 weeks later. Participants will be randomised to active or control treatment in a 1:1 ratio via an external and remote web-based randomisation service. Participants will be assessed at baseline and 12-week follow-up using a battery of assessment scales to measure changes in aggressive behaviour (MOAS, IRQ) as well as global functioning (GOS-E, CGI), quality of life (EQ-5D-5L, SF-12) and mental health (HADS). We will also assess the adverse effect profile with a standard scale (UKU) and collect available data from medical records on blood tests (serum glucose/HbA1c, lipid profile, prolactin), and check body weight and blood pressure. In addition completion of the MOAS and a check for any new or worsening side-effect will be completed weekly and used by the prescribing clinician to determine continuing dosage. Family carers’ well being will be assessed with CWSQ. Service use will be recorded using CSRI. A process evaluation will be carried out at theend of the trial using both qualitative and quantitative methodology. Discussion: Aggressive behaviour causes immense distress among some people with TBI and their families. By examining the feasibility of a double-blind, placebo-controlled RCT, we aim to discover whether this approach can successfully be used to test the effects of risperidone for the treatment of aggressive behaviour among people with aggression following TBI and improve the evidence base for the treatment of these symptoms. Our criteria for demonstrating success of the feasibility study are: (1) recruitment of at least 80% of the study sample, (2) uptake of intervention by at least 80% of participants in the active arm of the trial and (3) completion of follow-up interviews at 12 weeks by at least 75% of the study participants