Treatment approaches for dual diagnosis clients in England

Introduction - Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health services (MHS). Design - A questionnaire was sent to managers of 706 DAS and 2374 MHS. Overall, 249 (39%) DAS and 493 (23%) MHS participated in the survey. Results - In both DAS and MHS, around 32% of clients were estimated to have dual diagnosis problems. However, fewer than 50% of services reported assessing clients for both problem areas. Regarding specific treatment approaches, most services (DAS: 88%, MHS: 87%) indicated working jointly with other agencies. Significantly fewer services used joint protocols (DAS: 55%, MHS: 48%) or shared care arrangements, including access to external drug/alcohol or mental health teams (DAS: 47%, MHS: 54%). Only 25% of DAS and 17% of MHS employed dual diagnosis specialists. Conclusions - Dual diagnosis clients constitute a substantial proportion of clients in both DAS and MHS in England. Despite recent policy initiatives, joint working approaches tend to remain unstructured

Optimal Control for Generating Quantum Gates in Open Dissipative Systems

Optimal control methods for implementing quantum modules with least amount of relaxative loss are devised to give best approximations to unitary gates under relaxation. The potential gain by optimal control using relaxation parameters against time-optimal control is explored and exemplified in numerical and in algebraic terms: it is the method of choice to govern quantum systems within subspaces of weak relaxation whenever the drift Hamiltonian would otherwise drive the system through fast decaying modes. In a standard model system generalising decoherence-free subspaces to more realistic scenarios, openGRAPE-derived controls realise a CNOT with fidelities beyond 95% instead of at most 15% for a standard Trotter expansion. As additional benefit it requires control fields orders of magnitude lower than the bang-bang decouplings in the latter.Comment: largely expanded version, superseedes v1: 10 pages, 5 figure

Biotic indicators of carabid species richness on organically and conventionally managed arable fields

Carabids, a species rich arthropod family, potentially contribute much to biodiversity in agroecosystems, but assessing and monitoring carabid diversity is costly and time consuming. Therefore, this study aimed at finding more easily measurable parameters indicating high carabid diversity within organic and conventional management systems. Cover and number of weed species as well as activity density of single carabid species and of total carabids were investigated as potential indicators of carabid species richness. The study was carried out near Reckenfeld in Westphalia on sandy Plaggenesch soils. Three organically and four conventionally managed fields (cereals and corn) were investigated at the field margins and in the field centres from April to August 1999. Additionally, data of carabid catches and weed flora in winter cereals from an extended study in Düren (Northrhine-Westphalia) were reanalysed to validate the results. However, neither of the potential indicators showed consistently significant positive correlation with carabid diversity. This is partly attributed to the low variability of management conditions within the management systems in the studies presented

Ramsey interferometry with generalized one-axis twisting echoes

We consider a large class of Ramsey interferometry protocols which are enhanced by squeezing and un-squeezing operations before and after a phase signal is imprinted on the collective spin of $N$ particles. We report an analytical optimization for any given particle number and strengths of (un-)squeezing. These results can be applied even when experimentally relevant decoherence processes during the squeezing and un-squeezing interactions are included. Noise between the two interactions is however not considered in this work. This provides a generalized characterization of squeezing echo protocols, recovering a number of known quantum metrological protocols as local sensitivity maxima, thereby proving their optimality. We discover a single new protocol. Its sensitivity enhancement relies on a double inversion of squeezing. In the general class of echo protocols, the newly found over-un-twisting protocol is singled out due to its Heisenberg scaling even at strong collective dephasing.Comment: 11+8 pages, 7 figures, comments welcome! ; accepted versio

Physiological incongruity of the humero-ulnar joint

Investigations into the distribution of subchondral bone density in the human elbow have suggested that the geometry of the trochlear notch deviates from a perfect fit with the trochlea, and that the load is transmitted ventrally and dorsally rather than through the centre of the humero-ulnar joint. We therefore decided to make a quantitative assessment of the degree of incongruity between the two components in 15 human specimens (age distribution 60 to 93 years) with different types of joint surface. Polyether casts of the joint cavity were prepared under loads of 10,40,160 and 640 N. The thickness of the casts was then measured at 50 predetermined points, and an area distribution of the width of the joint space represented in a two-dimensional template of the trochlear notch. The reproducibility of this procedure was tested by image analysis. At a load of 10 N, only a narrow space was present ventrally and dorsally in the joint, but in the depths of the trochlear notch a width of 0.5 to 1 mm was recorded in the centre, and up to 3 mm at its medial and lateral edges. Specimens with continuous articular cartilage showed a lower degree of incongruity than those with a divided articular surface. As the load was increased to 640 N, however, the original incongruity between the articular surfaces disappeared almost completely. The joint surfaces became more congruous, probably because of the viscoelastic properties of the articular cartilage and the subchondral bone, and the contact areas merged in the centre of the joint. It is suggested that this physiological incongruity brings about an optimal distribution of stress over the articular surface during the transmission of the load, and it may lead to better nourishment of the articular cartilage by providing intermittent mechanical stimulation and circulation of the synovial fluid

Blood diamonds and ethical consumerism: an empirical investigation

Although ethical consumerism has witnessed significant interest in recent years, most studies have focused on low-value, commoditized product categories such as food and beverage and apparel. Despite its significance, the research on ethical consumerism in luxury product segments such as diamonds is relatively scant. This formed the motivation of this study, which examined the ethical buying behavior of consumers and the moderating effects of their income levels in the diamond industry. Four hundred eightteen responses toa structured questionnaire were collected. The framework comprising of four constructs, namely ethically-minded consumer behavior, willingness to pay more, ethical concerns regarding country of origin of diamonds, and ethical buying behavior of diamonds was first validated, and then the hypothesized relationships between the constructs were assessed using structural equation modeling. Overall, ethically minded consumer behavior had a significant positive impact on willingness to pay more, ethical concerns regarding the country of origin of diamonds, and ethical buying of diamonds. Additionally, ethical concerns regarding country of origin positively influenced the ethical buying of diamonds, while the willingness to pay more had no significant impact on ethical diamond purchases. The multi-group moderation test results revealed that the income levels of buyers do affect the relationships between constructs. For instance, for the middle income group, generic ethically-minded consumer behavior did not translate into the ethical buying behavior of diamonds. The findings provide useful insights for practitioners and policy-makers regarding ethical consumerism in the diamond industry and help to highlight the issues facing the industry, such as its poor supply chain transparency, human rights abuses, child labor, money laundering, bribery and corruption, and environmental degradation from mining activities