Developing shared understandings of recovery and care: a qualitative study of women with eating disorders who resist therapeutic care

Background: This paper explores the differing perspectives of recovery and care of people with disordered eating. We consider the views of those who have not sought help for their disordered eating, or who have been given a diagnosis but have not engaged with health care services. Our aim is to demonstrate the importance of the cultural context of care and how this might shape people’s perspectives of recovery and openness to receiving professional care. Method: This study utilised a mixed methods approach of ethnographic fieldwork and psychological evaluation with 28 women from Adelaide, South Australia. Semi-structured interviews, observations, field notes and the Eating Disorder Examination were the primary forms of data collection. Data was analysed using thematic analysis. Results & Discussion: Participants in our study described how their disordered eating afforded them safety and were consistent with cultural values concerning healthy eating and gendered bodies. Disordered eating was viewed as a form of self-care, in which people protect and ‘take care’ of themselves. These subjectively experienced understandings of care underlie eating disorder behaviours and provide an obstacle in seeking any form of treatment that might lead to recovery. Conclusion: A shared understanding between patients and health professionals about the function of the eating disorder may avoid conflict and provide a pathway to treatment. These results suggest the construction of care by patients should not be taken for granted in therapeutic guidelines. A discussion considering how disordered eating practices are embedded in a matrix of care, health, eating and body practices may enhance the therapeutic relationship.Connie Musolino, Megan Warin, Tracey Wade and Peter Gilchris

Spin injection in Silicon at zero magnetic field

In this letter, we show efficient electrical spin injection into a SiGe based \textit{p-i-n} light emitting diode from the remanent state of a perpendicularly magnetized ferromagnetic contact. Electron spin injection is carried out through an alumina tunnel barrier from a Co/Pt thin film exhibiting a strong out-of-plane anisotropy. The electrons spin polarization is then analysed through the circular polarization of emitted light. All the light polarization measurements are performed without an external applied magnetic field \textit{i.e.} in remanent magnetic states. The light polarization as a function of the magnetic field closely traces the out-of-plane magnetization of the Co/Pt injector. We could achieve a circular polarization degree of the emitted light of 3 % at 5 K. Moreover this light polarization remains almost constant at least up to 200 K.Comment: accepted in AP

Advanced level practice education: UK Critical Care Pharmacists’ opinions in 2015

National UK standards for critical care highlight the need for clinical pharmacists to practice at an advanced level and above. The aim of this research paper was to describe the views of UK critical care pharmacists on the current provision of Advanced Level Practice (ALP) education and accreditation. It sought to identify whether there is a need for a national or regional training programme. A questionnaire was delivered electronically targeting UK critical care pharmacists. Whilst the response rate was low at 40% (166/411); the views expressed were representative of UK practitioners with the majority of responders meeting the national specifications for clinical pharmacist staffing in critical care areas. The responses highlighted work-based learning as the main resource for developing ALP and a lack of suitable training packages. The vast majority of pharmacists identified that a national or regional training programme was required for ALP. The results also identified the main barriers to undertaking ALP accreditation were lack of time, uncertainty regarding the process and its professional benefits and a lack of education and training opportunities. In conclusion, the responses clearly indicated that, for the necessary progression of critical care pharmacists to ALP, a national or regional training programme is required

Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities

This paper examines the spatio-temporal disjuncture between ‘the future’ in public health obesity initiatives and the embodied reality of eating. Drawing upon ethnographic fieldwork in a disadvantaged community in South Australia (August 2012–July 2014), we argue that the future oriented discourses of managing risk employed in obesity prevention programs have limited relevance to the immediacy of poverty, contingencies and survival that mark people's day to day lives. Extending Bourdieu's position that temporality is a central feature of practice, we develop the concept of short horizons to offer a theoretical framework to articulate the tensions between public health imperatives of healthy eating, and local ‘tastes of necessity’. Research undertaken at the time of Australia's largest obesity prevention program (OPAL) demonstrates that pre-emptive and risk-based approaches to health can fail to resonate when the future is not within easy reach. Considering the lack of evidence for success of obesity prevention programs, over-reliance on appeals to ‘the future’ may be a major challenge to the design, operationalisation and success of interventions. Attention to local rather than future horizons reveals a range of innovative strategies around everyday food and eating practices, and these capabilities need to be understood and supported in the delivery of obesity interventions. We argue, therefore, that public health initiatives should be located in the dynamics of a living present, tailored to the particular, localised spatio-temporal perspectives and material circumstances in which people live.Megan Warin, Tanya Zivkovic, Vivienne Moore, Paul R. Ward, Michelle Jone

Can Protostellar Jets Drive Supersonic Turbulence in Molecular Clouds?

Jets and outflows from young stellar objects are proposed candidates to drive supersonic turbulence in molecular clouds. Here, we present the results from multi-dimensional jet simulations where we investigate in detail the energy and momentum deposition from jets into their surrounding environment and quantify the character of the excited turbulence with velocity probability density functions. Our study include jet--clump interaction, transient jets, and magnetised jets. We find that collimated supersonic jets do not excite supersonic motions far from the vicinity of the jet. Supersonic fluctuations are damped quickly and do not spread into the parent cloud. Instead subsonic, non-compressional modes occupy most of the excited volume. This is a generic feature which can not be fully circumvented by overdense jets or magnetic fields. Nevertheless, jets are able to leave strong imprints in their cloud structure and can disrupt dense clumps. Our results question the ability of collimated jets to sustain supersonic turbulence in molecular clouds.Comment: 33 pages, 18 figures, accepted by ApJ, version with high resolution figures at: http://www.ita.uni-heidelberg.de/~banerjee/publications/jet_paper.pd

Hubble Space Telescope Survey of Interstellar ^12CO/^13CO in the Solar Neighborhood

We examine 20 diffuse and translucent Galactic sight lines and extract the column densities of the ^12CO and ^13CO isotopologues from their ultraviolet A--X absorption bands detected in archival Space Telescope Imaging Spectrograph data with lambda/Deltalambda geq 46,000. Five more targets with Goddard High-Resolution Spectrograph data are added to the sample that more than doubles the number of sight lines with published Hubble Space Telescope observations of ^13CO. Most sight lines have 12-to-13 isotopic ratios that are not significantly different from the local value of 70 for ^12C/^13C, which is based on mm-wave observations of rotational lines in emission from CO and H_2CO inside dense molecular clouds, as well as on results from optical measurements of CH^+. Five of the 25 sight lines are found to be fractionated toward lower 12-to-13 values, while three sight lines in the sample are fractionated toward higher ratios, signaling the predominance of either isotopic charge exchange or selective photodissociation, respectively. There are no obvious trends of the ^12CO-to-^13CO ratio with physical conditions such as gas temperature or density, yet ^12CO/^13CO does vary in a complicated manner with the column density of either CO isotopologue, owing to varying levels of competition between isotopic charge exchange and selective photodissociation in the fractionation of CO. Finally, rotational temperatures of H_2 show that all sight lines with detected amounts of ^13CO pass through gas that is on average colder by 20 K than the gas without ^13CO. This colder gas is also sampled by CN and C_2 molecules, the latter indicating gas kinetic temperatures of only 28 K, enough to facilitate an efficient charge exchange reaction that lowers the value of ^12CO/^13CO.Comment: 1-column emulateapj, 23 pages, 9 figure

Oscillator Strengths for B-X, C-X, and E-X Transitions in Carbon Monoxide

Band oscillator strengths for electronic transitions in CO were obtained at the Synchrotron Radiation Center of the University of Wisconsin-Madison. Our focus was on transitions that are observed in interstellar spectra with the Far Ultraviolet Spectroscopic Explorer; these transitions are also important in studies of selective isotope photodissociation where fractionation among isotopomers can occur. Absorption from the ground state (X ^1Sigma^+ v'' = 0) to A ^1Pi (v'= 5), B ^1Sigma^+ (v' = 0, 1), C ^1Sigma^+ (v' = 0, 1), and E ^1Pi (v' = 0) was measured. Fits to the A - X (5, 0) band, whose oscillator strength is well known, yielded the necessary column density and excitation temperature. These parameters were used in a least-squares fit of the observed profiles for the transitions of interest to extract their band oscillator strengths. Our oscillator strengths are in excellent agreement with results from recent experiments using a variety of techniques. This agreement provides the basis for a self-consistent set of f-values at far ultraviolet wavelengths for studies of interstellar (and stellar) CO.Comment: 22 pages, 3 figures, ApJS (in press

Star formation in Cometary globule 1: the second generation

C18O spectral line observations, NIR spectrosopy, narrow and broad band NIR imaging and stellar J,H,Ks photometry are used to analyse the structure of the archetype cometary globule 1 (CG 1) head and the extinction of stars in its direction. A young stellar object (YSO) associated with a bright NIR nebulosity and a molecular hydrogen object (a probable obscured HH-object), were discovered in the globule. Molecular hydrogen and Br_gamma line emission is seen in the direction of the YSO. The observed maximum optical extinction in the globule head is 9.2 magnitudes. The peak N(H2) column density and the total mass derived from the extinction are 9.0 10^21 cm-2 and and 16.7 Msun (d/300pc)^2. C18O emission in the globule head is detected in a 1.5'' by 4' area with a sharp maximum SW of the YSO. Three regions can be discerned in C18O line velocity and excitation temperature. Because of variations in the C18O excitation temperature the integrated line emission does not follow the optical extinction. It is argued that the variations in the C18O excitation temperatures are caused by radiative heating by NX Pup and interaction of the YSO with the parent cloud. No indication of a strong molecular outflow from the YSO is evident in the molecular line data. The IRAS point source 07178-4429 located in the CG 1 head resolves into two sources in the HIRES enhanced IRAS images. The 12 and 25 micron emission originates mainly in the star NX Puppis and the 60 and 100 micron emission in the YSO. The IRAS FIR luminosity of the YSO is 3.1 Lsun.Comment: Language checked v2. Accepted for publication in A&A. 16 pages, 20 figures. C18O data will be available electronicall

Near-Infrared Spectroscopy of Molecular Hydrogen Emission in Four Reflection Nebulae: NGC 1333, NGC 2023, NGC 2068, and NGC 7023

We present near-infrared spectroscopy of fluorescent molecular hydrogen (H_2) emission from NGC 1333, NGC 2023, NGC 2068, and NGC 7023 and derive the physical properties of the molecular material in these reflection nebulae. Our observations of NGC 2023 and NGC 7023 and the physical parameters we derive for these nebulae are in good agreement with previous studies. Both NGC 1333 and NGC 2068 have no previously-published analysis of near-infrared spectra. Our study reveals that the rotational-vibrational states of molecular hydrogen in NGC 1333 are populated quite differently from NGC 2023 and NGC 7023. We determine that the relatively weak UV field illuminating NGC 1333 is the primary cause of the difference. Further, we find that the density of the emitting material in NGC 1333 is of much lower density, with n ~ 10^2 - 10^4 cm^-3. NGC 2068 has molecular hydrogen line ratios more similar to those of NGC 7023 and NGC 2023. Our model fits to this nebula show that the bright, H_2-emitting material may have a density as high as n ~ 10^5 cm^-3, similar to what we find for NGC 2023 and NGC 7023. Our spectra of NGC 2023 and NGC 7023 show significant changes in both the near-infrared continuum and H_2 intensity along the slit and offsets between the peaks of the H_2 and continuum emission. We find that these brightness changes may correspond to real changes in the density and temperatures of the emitting region, although uncertainties in the total column of emitting material along a given line of sight complicates the interpretation. The spatial difference in the peak of the H_2 and near-infrared continuum peaks in NGC 2023 and NGC 7023 shows that the near-infrared continuum is due to a material which can survive closer to the star than H_2 can.Comment: Submitted for publication in ApJ. 34 pages including 12 embedded postscript figures. Also available at http://www.astronomy.ohio-state.edu/~martini/pub