Quality of Life in Youth with Bipolar Disorder and Trauma

Background:Epidemiological work suggests that youth with histories of trauma or bipolar disorder have lower quality of life (QoL) than generally healthy youth without a history of bipolar disorder or trauma. Aim: To evaluate whether trauma and bipolar disorder have a negative effect in youth seeking services for emotional and behavioral difficulties. Method & Sample: Participants were 596 youths and caregiver dyads from an urban community mental health center and an academic medical center in Cleveland, OH. Diagnoses were based on semi-structured interviews of the parent and youth. The KINDL-R measured Total, Emotional, Self-esteem, Family, Friend, School, and Physical QoL. Results: Trauma history was not associated with changes in QoL. Youth with bipolar disorder had significantly lower QoL than youth without bipolar disorder. There was no interaction between trauma history and bipolar disorder. Conclusion: Among youth seeking mental health services, trauma history was common. A history of trauma does not alter QoL compared to youth without a history of QoL in a service seeking sample. Youth with bipolar disorder had significantly lower QoL than youth without bipolar disorder suggesting that youth with bipolar disorder might require more intensive services than youth without bipolar disorder

Relationships between social forms of organic horticultural production and indicators of environmental quality: a multidimensional approach in Brazil

Organic farming (OF) is increasingly considered as a possible alternative for designing a "new rural" in Brazil, where OF covers a wide range of production and certification systems. However, the ways small farmers adopt OF in green belts to meet an urban demand in organic vegetables have not been extensively investigated. Likewise, the impact of such practices on environmental quality components has not been sufficiently documented. Our objective was to relate forms of organisation to environmental assessment in a watershed where organic horticulture significantly contributes to landscape and water quality. We showed how small farmers were organised or how they organised themselves to meet urban demands and develop OF. We assumed that associated practices were consistent with environmental impacts, as evaluated by indicators. Based on interviews with stakeholders, we identified four forms of organisation and associated farmers' practices. We related them to environmental assessment in three compartments: landscape ecology, water quality and soil quality. Although organisations share some objectives, namely with regard to visual quality and the "right price" of products, differences appear in their scope and internal operation, their values and relationships with consumers, and their technical and environmental contents. As for technical content, input supply, planning processes and crop diversity vary among organisations, ranging from liberal to hierarchical. Our results also showed similarities and differences among various organisations in terms of environmental impact. Such results are interpreted and discussed in the light of technical and social dimensions that account for the progressive design of new systems in Brazil

Modeling non-thermal emission from stellar bow shocks

Runaway O- and early B-type stars passing throughout the interstellar medium at supersonic velocities and characterized by strong stellar winds may produce bow shocks that can serve as particle acceleration sites. Previous theoretical models predict the production of high energy photons by non-thermal radiative processes, but their efficiency is still debated. We aim to test and explain the possibility of emission from the bow shocks formed by runaway stars traveling through the interstellar medium by using previous theoretical models. We apply our model to AE Aurigae, the first reported star with an X-ray detected bow shock, to BD+43 3654, in which the observations failed in detecting high energy emission, and to the transition phase of a supergiant star in the late stages of its life.From our analysis, we confirm that the X-ray emission from the bow shock produced by AE Aurigae can be explained by inverse Compton processes involving the infrared photons of the heated dust. We also predict low high energy flux emission from the bow shock produced by BD+43 3654, and the possibility of high energy emission from the bow shock formed by a supergiant star during the transition phase from blue to red supergiant.Bow shock formed by different type of runaway stars are revealed as a new possible source of high energy photons in our neighbourhood

Evidence of non-thermal X-ray emission from HH 80

Protostellar jets appear at all stages of star formation when the accretion process is still at work. Jets travel at velocities of hundreds of km/s, creating strong shocks when interacting with interstellar medium. Several cases of jets have been detected in X-rays, typically showing soft emission. For the first time, we report evidence of hard X-ray emission possibly related to non-thermal processes not explained by previous models of the post-shock emission predicted in the jet/ambient interaction scenario. HH 80 is located at the south head of the jet associated to the massive protostar IRAS 18162-2048. It shows soft and hard X-ray emission in regions that are spatially separated, with the soft X-ray emission region situated behind the region of hard X-ray emission. We propose a scenario for HH 80 where soft X-ray emission is associated to thermal processes from the interaction of the jet with denser ambient matter and the hard X-ray emission is produced by synchrotron radiation at the front shock.Comment: Accepted for publication in ApJ

Nodal involvement evaluation in advanced cervical cancer: a single institutional experience

Purpose: To assess the usefulness of different imaging techniques in the detection of nodal involvement in patients with advanced cervical carcinoma. Moreover, to analyze the correlation between the presurgical (FIGO) and postsurgical (pTNM) staging classifications. Materials and Methods: All patients diagnosed with advanced cervical cancer (FIGO Stages IIB-IV) from 2005 to 2012 were selected. The medical charts of 51 patients that underwent presurgical assessment with posterior surgical staging by means of paraaortic lymphadenectomy, were reviewed. Nodal status assessment by computed tomography scan (CT scan), magnetic resonance imaging (MRI), positron emission tomography (PET), and sonography was compared, as well as the size given in imaging techniques compared to the final pathologic report information. Results: Presurgical analysis by CT scan, MRI, PET, and sonography showed pelvic nodal involvement in 51.3% of patients, and para-aortic involvement in 30.8% of cases. CT scan showed positive pelvic nodes in 35% of cases, but pathologic confirmation was observed in just 17.6% of cases. However, MRI resulted in higher rates of up to 48.8% of cases. Concerning para-aortic nodal involvement, CT scan showed positive nodes in 25% of cases, MRI in 3.2% of cases, and the pathologic report in 15.6% of cases. The authors found significant differences between staging groups among both classifications (FIGO vs. pTNM; p < 0.001). Eight cases (15.7%) were understaged by FIGO classification. Conclusions: Despite all imaging techniques available, none has demonstrated to be efficient enough to avoid the systematic study of para-aortic nodal status by means of surgical evaluatio

Formation of X-ray emitting stationary shocks in magnetized protostellar jets

X-ray observations of protostellar jets show evidence of strong shocks heating the plasma up to temperatures of a few million degrees. In some cases, the shocked features appear to be stationary. They are interpreted as shock diamonds. We aim at investigating the physics that guides the formation of X-ray emitting stationary shocks in protostellar jets, the role of the magnetic field in determining the location, stability, and detectability in X-rays of these shocks, and the physical properties of the shocked plasma. We performed a set of 2.5-dimensional magnetohydrodynamic numerical simulations modelling supersonic jets ramming into a magnetized medium and explored different configurations of the magnetic field. The model takes into account the most relevant physical effects, namely thermal conduction and radiative losses. We compared the model results with observations, via the emission measure and the X-ray luminosity synthesized from the simulations. Our model explains the formation of X-ray emitting stationary shocks in a natural way. The magnetic field collimates the plasma at the base of the jet and forms there a magnetic nozzle. After an initial transient, the nozzle leads to the formation of a shock diamond at its exit which is stationary over the time covered by the simulations (~ 40 - 60 yr; comparable with time scales of the observations). The shock generates a point-like X-ray source located close to the base of the jet with luminosity comparable with that inferred from X-ray observations of protostellar jets. For the range of parameters explored, the evolution of the post-shock plasma is dominated by the radiative cooling, whereas the thermal conduction slightly affects the structure of the shock.Comment: Accepted for publication in Astronomy and Astrophysic

Inhomogeneous vacuum energy

Vacuum energy remains the simplest model of dark energy which could drive the accelerated expansion of the Universe without necessarily introducing any new degrees of freedom. Inhomogeneous vacuum energy is necessarily interacting in general relativity. Although the four-velocity of vacuum energy is undefined, an interacting vacuum has an energy transfer and the vacuum energy defines a particular foliation of spacetime with spatially homogeneous vacuum energy in cosmological solutions. It is possible to give a consistent description of vacuum dynamics and in particular the relativistic equations of motion for inhomogeneous perturbations given a covariant prescription for the vacuum energy, or equivalently the energy transfer four-vector, and we construct gauge-invariant vacuum perturbations. We show that any dark energy cosmology can be decomposed into an interacting vacuum+matter cosmology whose inhomogeneous perturbations obey simple first-order equations.Comment: 8 pages; v2 clarified discussion of Chaplygin gas model, references adde