Adolescents' and parents' views of Child and Adolescent Mental Health Services (CAMHS) in Ireland

Aim: To explore adolescents’ and parents’ experiences of CAMHS in relation to accessibility, approachability, and appropriateness. Methods: Using a descriptive qualitative design, a combination of focus group and single interviews were conducted with adolescents (n=15) and parents (n=32) from three mental health clinics. Data were transcribed verbatim and analysed using thematic analysis. Results: Accessing mental health services was a challenging experience due to knowledge deficit, lack of information and limited availability of specialist services. Participants desired more information, involvement in decision-making, single and shared consultations, flexible scheduling of appointments, continuity with clinicians, school support and parent support groups. Participants seem to be generally satisfied, however adolescents felt less involved in decision making than they would have liked. Frequent staff changes was problematic as it disrupted continuity of care and hindered the formation of a trusting relationship. Implications for practice: Parents and adolescents expressed similar views of the positive and negative aspects of mental health services. Their need for more information-sharing and involvement in decision-making underline the importance of collaborative practice. Clinician continuity contributed to trusting therapeutic relationships and was valued. These are key principles that with attention, could lead to quality service provision for adolescents and families

Managing interoperability and complexity in health systems

In recent years, we have witnessed substantial progress in the use of clinical informatics systems to support clinicians during episodes of care, manage specialised domain knowledge, perform complex clinical data analysis and improve the management of health organisations’ resources. However, the vision of fully integrated health information eco-systems, which provide relevant information and useful knowledge at the point-of-care, remains elusive. This journal Focus Theme reviews some of the enduring challenges of interoperability and complexity in clinical informatics systems. Furthermore, a range of approaches are proposed in order to address, harness and resolve some of the many remaining issues towards a greater integration of health information systems and extraction of useful or new knowledge from heterogeneous electronic data repositories

Thermodynamic Geometric Stability of Quarkonia states

We compute exact thermodynamic geometric properties of the non-abelian quarkonium bound states from the consideration of one-loop strong coupling. From the general statistical principle, the intrinsic geometric nature of strongly coupled QCD is analyzed for the Columbic, rising and Regge rotating regimes. Without any approximation, we have obtained the non-linear mass effect for the Bloch-Nordsieck rotating strongly coupled quarkonia. For a range of physical parameters, we show in each cases that there exists a well-defined, non-degenerate, curved, intrinsic Riemannian manifold. As the gluons become softer and softer, we find in the limit of the Bloch-Nordsieck resummation that the strong coupling obtained from the Sudhakov form factor possesses exact local and global thermodynamic properties of the underlying mesons, kaons and $D_s$ particles.Comment: 45 pages, 17 figures, Keywords: Thermodynamic Geometry, Quarkonia, Massive Quarks, QCD Form Factor. PACS: 02.40.-k; 14.40.Pq; 12.40.Nn; 14.70.D

On the UV renormalizability of noncommutative field theories

UV/IR mixing is one of the most important features of noncommutative field theories. As a consequence of this coupling of the UV and IR sectors, the configuration of fields at the zero momentum limit in these theories is a very singular configuration. We show that the renormalization conditions set at a particular momentum configuration with a fixed number of zero momenta, renormalizes the Green's functions for any general momenta only when this configuration has same set of zero momenta. Therefore only when renormalization conditions are set at a point where all the external momenta are nonzero, the quantum theory is renormalizable for all values of nonzero momentum. This arises as a result of different scaling behaviors of Green's functions with respect to the UV cutoff ($\Lambda$) for configurations containing different set of zero momenta. We study this in the noncommutative $\phi^4$ theory and analyse similar results for the Gross-Neveu model at one loop level. We next show this general feature using Wilsonian RG of Polchinski in the globally O(N) symmetric scalar theory and prove the renormalizability of the theory to all orders with an infrared cutoff. In the context of spontaneous symmetry breaking (SSB) in noncommutative scalar theory, it is essential to note the different scaling behaviors of Green's functions with respect to $\Lambda$ for different set of zero momenta configurations. We show that in the broken phase of the theory the Ward identities are satisfied to all orders only when one keeps an infrared regulator by shifting to a nonconstant vacuum.Comment: 29 pages, 8 figures, uses JHEP.cls, references adde

Black Strings, Black Rings and State-space Manifold

State-space geometry is considered, for diverse three and four parameter non-spherical horizon rotating black brane configurations, in string theory and $M$-theory. We have explicitly examined the case of unit Kaluza-Klein momentum $D_1D_5P$ black strings, circular strings, small black rings and black supertubes. An investigation of the state-space pair correlation functions shows that there exist two classes of brane statistical configurations, {\it viz.}, the first category divulges a degenerate intrinsic equilibrium basis, while the second yields a non-degenerate, curved, intrinsic Riemannian geometry. Specifically, the solutions with finitely many branes expose that the two charged rotating $D_1D_5$ black strings and three charged rotating small black rings consort real degenerate state-space manifolds. Interestingly, arbitrary valued $M_5$-dipole charged rotating circular strings and Maldacena Strominger Witten black rings exhibit non-degenerate, positively curved, comprehensively regular state-space configurations. Furthermore, the state-space geometry of single bubbled rings admits a well-defined, positive definite, everywhere regular and curved intrinsic Riemannian manifold; except for the two finite values of conserved electric charge. We also discuss the implication and potential significance of this work for the physics of black holes in string theory.Comment: 41 pages, Keywords: Rotating Black Branes; Microscopic Configurations; State-space Geometry, PACS numbers: 04.70.-s Physics of black holes; 04.70.Bw Classical black holes; 04.70.Dy Quantum aspects of black holes, evaporation, thermodynamic

Verifiable Model of Neutrino Masses from Large Extra Dimensions

We propose a new scenario of neutrino masses with a Higgs triplet $(\xi^{++},\xi^+,\xi^0)$ in a theory of large extra dimensions. Lepton number violation in a distant brane acts as the source of a very small trilinear coupling of $\xi$ to the standard Higgs doublet in our brane. Small realistic Majorana neutrino masses are \underline{naturally} obtained with the fundamental scale $M_* \sim {\cal O}(1)$ TeV, foretelling the possible discovery of $\xi$ (m_\xi\lsim M_*) at future colliders. Decays of $\xi^{++}$ into same-sign dileptons are fixed by the neutrino mass matrix. Observation of $\mu-e$ conversion in nuclei is predicted.Comment: A comment on Tevatron reach and two references added. Discussion and conclusions unchange

Phase Structure of lattice SU(2)xU_S(1) three-dimensional Gauge Theory

We discuss a phase diagram for a relativistic SU(2) x U_{S}(1) lattice gauge theory, with emphasis on the formation of a parity-invariant chiral condensate, in the case when the $U_{S}(1)$ field is infinitely coupled, and the SU(2) field is moved away from infinite coupling by means of a strong-coupling expansion. We provide analytical arguments on the existence of (and partially derive) a critical line in coupling space, separating the phase of broken SU(2) symmetry from that where the symmetry is unbroken. We review uncoventional (Kosterlitz-Thouless type) superconducting properties of the model, upon coupling it to external electromagnetic potentials. We discuss the r\^ole of instantons of the unbroken subgroup U(1) of SU(2), in eventually destroying superconductivity under certain circumstances. The model may have applications to the theory of high-temperature superconductivity. In particular, we argue that in the regime of the couplings leading to the broken SU(2) phase, the model may provide an explanation on the appearance of a pseudo-gap phase, lying between the antiferromagnetic and the superconducting phases. In such a phase, a fermion mass gap appears in the theory, but there is no phase coherence, due to the Kosterlitz-Thouless mode of symmetry breaking. The absence of superconductivity in this phase is attributed to non-perturbative effects (instantons) of the subgroup U(1) of SU(2).Comment: 51 pages latex, 10 figures incorporate

Center or Limit Cycle: Renormalization Group as a Probe

Based on our studies done on two-dimensional autonomous systems, forced non-autonomous systems and time-delayed systems, we propose a unified methodology - that uses renormalization group theory - for finding out existence of periodic solutions in a plethora of nonlinear dynamical systems appearing across disciplines. The technique will be shown to have a non-trivial ability of classifying the solutions into limit cycles and periodic orbits surrounding a center. Moreover, the methodology has a definite advantage over linear stability analysis in analyzing centers