Do adverts increase the probability of finding online cognitive behavioural therapy for depression? Cross-sectional study

Objective To estimate the effect of online adverts on the probability of finding online cognitive behavioural therapy (CBT) for depression. Design Exploratory online cross-sectional study of search experience of people in the UK with depression in 2011. (1) The authors identified the search terms over 6 months entered by users who subsequently clicked on the advert for online help for depression. (2) A panel of volunteers across the UK recorded websites presented by normal Google search for the term ‘depression’. (iii) The authors examined these websites to estimate probabilities of knowledgeable and naive internet users finding online CBT and the improved probability by addition of a Google advert. Participants (1) 3868 internet users entering search terms related to depression into Google. (2) Panel, recruited online, of 12 UK participants with an interest in depression. Main outcome measures Probability of finding online CBT for depression with/without an advert. Results The 3868 users entered 1748 different search terms but the single keyword ‘depression’ resulted in two-thirds of the presentations of, and over half the ‘clicks’ on, the advert. In total, 14 different websites were presented to our panel in the first page of Google results for ‘depression’. Four of the 14 websites had links enabling access to online CBT in three clicks for knowledgeable users. Extending this approach to the 10 most frequent search terms, the authors estimated probabilities of finding online CBT as 0.29 for knowledgeable users and 0.006 for naive users, making it unlikely CBT would be found. Adding adverts that linked directly to online CBT increased the probabilities to 0.31 (knowledgeable) and 0.02 (naive). Conclusions In this case, online CBT was not easy to find and online adverts substantially increased the chance for naive users. Others could use this approach to explore additional impact before committing to long-term Google AdWords advertising budgets

Service operations, the question of productivity and quality

This paper discusses service operations, the question of productivity and quality. It was presented at the 1st joint conference of the production and operation management society and the European operations management association, in 2003

Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine

Introduction - Learning about ageing and the appropriate management of older patients is important for all doctors. This survey set out to evaluate what medical undergraduates in the UK are taught about ageing and geriatric medicine and how this teaching is delivered. Methods – An electronic questionnaire was developed and sent to the 28/31 UK medical schools which agreed to participate. Results – Full responses were received from 17 schools. 8/21 learning objectives were recorded as taught, and none were examined, across every school surveyed. Elder abuse and terminology and classification of health were taught in only 8/17 and 2/17 schools respectively. Pressure ulcers were taught about in 14/17 schools but taught formally in only 7 of these and examined in only 9. With regard to bio- and socio- gerontology, only 9/17 schools reported teaching in social ageing, 7/17 in cellular ageing and 9/17 in the physiology of ageing. Discussion – Even allowing for the suboptimal response rate, this study presents significant cause for concern with UK undergraduate education related to ageing. The failure to teach comprehensively on elder abuse and pressure sores, in particular, may be significantly to the detriment of older patients

Suitabilty of Palm Kernel Shell As Coarse Aggregate In Lightweight Concrete Production

Palm kernel shell(PKS) is an agricultural waste which is environmental friendly. This research was focused on the assessment of characteristic strength of palm kernel shell concrete, with the view to be used as lightweight aggregate. This research is carried out to help in reducing construction cost in areas where lightweight concrete canbe considered. Various tests were carried out  in order to ascertain its use as lightweight aggregate. The aim was achieved by casting the beam and cubes with total replacement of granite with PKS and also casting an equivalent control to give a basis for comparison and a water cement ratio of 0.65 at a mix ratio of 1:2:4. A total of 24 beams and cubes each were cast  respectively . They were cured for 7, 14, 21 and 28days. Crushing of 3 each for the Palm Kernel Shell Concrete (PKSC) and Normal Weight Concrete (NWC) for each curing day upto the age of 28 days was carried out. The results of crushing values are as follows for 7, 14, 21 and 28 days; 14.47N/mm2, 18.49N/mm2, 20.33N/mm2 , 23.00N/mm2 and 7.40N/mm2, 9.20N/mm2; 11.30N/mm2 , 13.10 N/mm2, for NWC and PKSC respectively. The value for the flexural strength is as follow; 1.87, 0.91, 1.36, 1.81 and 0.34, 0.34, 0.40, 0.34 for NWC and PKSC respectively. The results showed that the compressive and flexural strength improved with age of curing, though the compressive and flexural strength of PKSC is low as compared to that of the NWC. It was concluded that the compressive and flexural strength of NWC is higher than that of PKSC. Therefore PKSC canbe used as lightweight concrete which should be designed with the corresponding design for NWC. It can therefore be concluded that palm kernel shell is a lightweight aggregate and can be used to produce lightweight concrete. Keywords: Palm kernel shell, lightweight aggregate, compressive strength, flexural strengt

How good are your fits? Unbinned multivariate goodness-of-fit tests in high energy physics

Multivariate analyses play an important role in high energy physics. Such analyses often involve performing an unbinned maximum likelihood fit of a probability density function (p.d.f.) to the data. This paper explores a variety of unbinned methods for determining the goodness of fit of the p.d.f. to the data. The application and performance of each method is discussed in the context of a real-life high energy physics analysis (a Dalitz-plot analysis). Several of the methods presented in this paper can also be used for the non-parametric determination of whether two samples originate from the same parent p.d.f. This can be used, e.g., to determine the quality of a detector Monte Carlo simulation without the need for a parametric expression of the efficiency.Comment: 32 pages, 12 figure

The position of graptolites within Lower Palaeozoic planktic ecosystems.

An integrated approach has been used to assess the palaeoecology of graptolites both as a discrete group and also as a part of the biota present within Ordovician and Silurian planktic realms. Study of the functional morphology of graptolites and comparisons with recent ecological analogues demonstrates that graptolites most probably filled a variety of niches as primary consumers, with modes of life related to the colony morphotype. Graptolite coloniality was extremely ordered, lacking any close morphological analogues in Recent faunas. To obtain maximum functional efficiency, graptolites would have needed varying degrees of coordinated automobility. A change in lifestyle related to ontogenetic changes was prevalent within many graptolite groups. Differing lifestyle was reflected by differing reproductive strategies, with synrhabdosomes most likely being a method for rapid asexual reproduction. Direct evidence in the form of graptolithophage 'coprolitic' bodies, as well as indirect evidence in the form of probable defensive adaptations, indicate that graptolites comprised a food item for a variety of predators. Graptolites were also hosts to a variety of parasitic organisms and provided an important nutrient source for scavenging organisms

Responding to the Event Deluge

We present the VOEventNet infrastructure for large-scale rapid follow-up of astronomical events, including selection, annotation, machine intelligence, and coordination of observations. The VOEvent standard is central to this vision, with distributed and replicated services rather than centralized facilities. We also describe some of the event brokers, services, and software that are connected to the network. These technologies will become more important in the coming years, with new event streams from Gaia, LOFAR, LIGO, LSST, and many others.Comment: Submitted to Proceedings of SPIE Observatory Operations, Amsterdam, 2012 July 2-

The resummation of inter-jet energy flow for gaps-between-jets processes at HERA

We calculate resummed perturbative predictions for gaps-between-jets processes and compare to HERA data. Our calculation of this non-global observable needs to include the effects of primary gluon emission (global logarithms) and secondary gluon emission (non-global logarithms) to be correct at the leading logarithm (LL) level. We include primary emission by calculating anomalous dimension matrices for the geometry of the specific event definitions and estimate the effect of non-global logarithms in the large $N_c$ limit. The resulting predictions for energy flow observables are consistent with experimental data.Comment: 31 pages, 4 figures, 2 table

Substructures in lens galaxies: PG1115+080 and B1555+375, two fold configurations

We study the anomalous flux ratio which is observed in some four-image lens systems, where the source lies close to a fold caustic. In this case two of the images are close to the critical curve and their flux ratio should be equal to unity, instead in several cases the observed value differs significantly. The most plausible solution is to invoke the presence of substructures, as for instance predicted by the Cold Dark Matter scenario, located near the two images. In particular, we analyze the two fold lens systems PG1115+080 and B1555+375, for which there are not yet satisfactory models which explain the observed anomalous flux ratios. We add to a smooth lens model, which reproduces well the positions of the images but not the anomalous fluxes, one or two substructures described as singular isothermal spheres. For PG1115+080 we consider a smooth model with the influence of the group of galaxies described by a SIS and a substructure with mass $\sim 10^{5} M_{\odot}$ as well as a smooth model with an external shear and one substructure with mass $\sim 10^{8} M_{\odot}$ . For B1555+375 either a strong external shear or two substructures with mass $\sim 10^{7} M_{\odot}$ reproduce the data quite well.Comment: 26 pages, updated bibliography, Accepted for publication in Astrophysics & Space Scienc

The Health Belief Model Applied to Understanding Diabetes Regimen Compliance

Inadequate adherence to prescribed treatment plans is perhaps the most serious obstacle to achieving success ful therapeutic outcomes, and non compliance by diabetic patients is no exception. This is partly based on pa tients' realization that compliance does not necessarily result in lack of illness. A psychosocial framework for under standing patient compliance is the Health Belief Model, which is based upon the value an individual places on the identified goal and the likelihood that compliance will achieve that goal. This Model has been useful to explain noncompliance, to make an "educa tional diagnosis," and for designing compliance-enhancing interventions.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68410/2/10.1177_014572178501100108.pd