When hanging on at all costs is the only option

Having hope that a terminally ill patient may recover is not an unfamiliar sight in intensive care units across the globe. However, cultural heritage may make it even tougher. This fictional case study, which is a collection of years of experience, addresses decision-making within the Chinese Immigrant culture and focusses on how this may influence the care team. A new initiative, the Goals of Care (GOC) team, is also described

Disentangling how urbanisation influences moth diversity in grasslands

1. Urban areas have profound impacts on local species diversity and composition through a set of intertwined changes in the environment. As the world is rapidly urbanising while simultaneously facing a biodiversity crisis, a better understanding of how urbanisation influences biodiversity is necessary. 2. To test if and how urbanisation influences moth diversity and whether urbanisation is acting directly or indirectly via urbanisation‐induced increased habitat isolation, smaller habitat area, higher light pollution and increased mowing intensity, we sampled moths with light trapping in 20 grasslands in the urban core of the city of Darmstadt (southwestern Germany) and 20 grasslands in the surrounding area. 3. Moth abundance and diversity decreased with increasing urbanisation. Smaller habitat area and high mowing intensity reduced moth abundance, while other environmental variables including isolation and light pollution had only indirect effects. High levels of urbanisation were associated with reduced moth abundance, which in turn drove declines in diversity. Urbanised sites favoured generalist species and differed in species composition compared to sites in the surrounding. 4. The results show that urbanisation is directly reducing moth abundance and diversity in cities. The negative effect of urbanisation is further attenuated by habitat fragmentation and high mowing intensity, which are both known drivers of biodiversity decline in urban areas and beyond. 5. While urbanisation itself is often irreversible, reducing mowing intensity and preserving larger grassland areas could facilitate moths and other taxa in and around cities

Development of a Space Bioreactor using Microtechnology

A miniature bio-reactor for the cultivation of cells aboard Spacelab is presented. Yeast cells are grown in a 3 milliliter reactor chamber. A supply of fresh nutrient medium is provided by a piezo-electric silicon micro-pump. In the reactor, pH, temperature, and redox potential are monitored and the pH is regulated at a constant value. The complete instrument is fitted in a standard experiment container of 63 x 63 x 85 mm. The bioreactor was used on the IML-2 mission in July 1994 and is being refurbished for a reflight in the spring of 1996

Generation of three-cycle multi-millijoule laser pulses at 318 W average power

The generation of three-cycle multi-millijoule pulses at 318W power is reported by compressing pulses of a Yb-fiber chirped pulse amplifier in a 6 m long stretched flexible hollow fiber. This technique brings high-power lasers to the few-cycle regime. (c) 2019 Optical Society of America under the terms of the OSA Open Access Publishing Agreemen

The Treatment of People with Mental Illness in the Criminal Justice System: The Example of Oneida County, New York

This publication is two-fold: an executive summary and the report itself. The executive summary provides a general overview of the larger report, on the criminalization of the mentally ill. It begins by summarizing three case studies from the report that concern the intersection of mental health issues and the criminal justice system in Oneida County in New York State. It then provides a brief historical overview of mental health issues and the criminal justice system before going on to discuss the current best practices in addressing the criminalization of the mentally ill, including law-enforcement mechanisms, mental health courts, and reintegration programs. Next, the paper identifies the shortcomings of these practices and the lack of organizational and financial capacity that hobbles concerned stakeholders from effectively tackling the issue. The paper concludes by proposing a general program for immediate action on local and national scales

A house is not a home: a network model perspective on the dynamics between subjective quality of living conditions, social support, and mental health of refugees and asylum seekers

Background: Providing adequate living conditions for forcibly displaced people represents a significant challenge for host countries such as Germany. This study explores refugee mental health’s reciprocal, dynamic relationship with post-migration living conditions and social support. Methods: The study sample included 325 Arabic- or Farsi-speaking asylum seekers and refugees residing in Germany since 2014 and seeking mental health treatment. Associations between reported symptoms of post-traumatic stress and depression and the subjective quality of living conditions and perceived social support were analyzed using a two-level approach including multiple linear regression and network analyses. Results: Post-migration quality of living conditions and perceived social support were significantly associated with negative mental health outcomes on both levels. In the network, both post-migration factors were negatively connected with overlapping symptoms of psychiatric disorders, representing potential target symptoms for psychological treatment. Conclusion: Post-migration quality of living conditions and social support are important factors for refugee mental health and should be targeted by various actors fostering mental well-being and integration

Regimes of youth participation? Comparative analysis of youth policies and participation across European cities

This paper problematizes the assumption that national policies have a direct impact on youth participation at local level and analyses the relationships between local forms of youth participation and local and national policies. Relying on data from a EU project, the paper focuses on formally institutionalised settings of youth participation and elaborates local constellations of youth participation in six European cities. These constellations may be referred to as regimes of youth participation as they reflect wider structures of power and knowledge that influence the way in which young people’s practices in public spaces and their claims of being part of society are recognised. However, the analysis reveals that rather deducing it from the model of welfare regimes, such a typology needs to be developed starting from the local level and should consider the ways in which different relationships between local youth policies and national welfare states affect youth participation