7,635 research outputs found
People and guns involved in denied and completed handgun sales
Objective: Denial of handgun purchases by prohibited people and knowledge of the structure of gun commerce have helped to deter and prevent firearm violence. The authors hypothesize that handguns involved in a denied purchase would more closely resemble those used in crime compared with handguns sold. Design: Cross sectional. Setting: Denied and completed handgun sales in California, 1998 -- 2000. Main outcome measures: Handgun and purchaser characteristics of denied and completed sales were compared. In particular, handgun characteristics most closely associated with crime guns (type, caliber, barrel length, price) were examined. Results: Compared with handguns sold, handguns in denied sales were somewhat more likely to be semiautomatic pistols (74.6% v 69.4%), to have short barrels (25.9% v 22.2%), and be of medium caliber (48.9% v 37.3%). Ten percent of the handguns in denied sales and 3.4% of handguns sold were identified as inexpensive. Conclusions: The characteristics of denied handguns are similar to those seen among crime guns. Both groups of guns may reflect the desirability for criminal purposes of pistols, which have larger ammunition capacities than other handguns, and short barrels, which increase their ability to be concealed
Crisis intervention for people with severe mental illnesses
Background
A particularly difficult challenge for community treatment of people with serious mental illnesses is the delivery of an acceptable level of care during the acute phases of severe mental illness. Crisis-intervention models of care were developed as a possible solution.
Objectives
To review the effects of crisis-intervention models for anyone with serious mental illness experiencing an acute episode compared to the standard care they would normally receive. If possible, to compare the effects of mobile crisis teams visiting patients' homes with crisis units based in home-like residential houses.
Search methods
We searched the Cochrane Schizophrenia Group’s Study-Based Register of Trials. There is no language, time, document type, or publication status limitations for inclusion of records in the register. This search was undertaken in 1998 and then updated 2003, 2006, 2010 and September 29, 2014.
Selection criteria
We included all randomised controlled trials of crisis-intervention models versus standard care for people with severe mental illnesses that met our inclusion criteria.
Data collection and analysis
We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assessed risk of bias for included studies and used GRADE to create a 'Summary of findings' table.
Main results
The update search September 2014 found no further new studies for inclusion, the number of studies included in this review remains eight with a total of 1144 participants. Our main outcomes of interest are hospital use, global state, mental state, quality of life, participant satisfaction and family burden. With the exception of mental state, it was not possible to pool data for these outcomes.
Crisis intervention may reduce repeat admissions to hospital (excluding index admissions) at six months (1 RCT, n = 369, RR 0.75 CI 0.50 to 1.13, high quality evidence), but does appear to reduce family burden (at six months: 1 RCT, n = 120, RR 0.34 CI 0.20 to 0.59, low quality evidence), improve mental state (Brief Psychiatric Rating Scale (BPRS) three months: 2 RCTs, n = 248, MD -4.03 CI -8.18 to 0.12, low quality evidence), and improve global state (Global Assessment Scale (GAS) 20 months; 1 RCT, n = 142, MD 5.70, -0.26 to 11.66, moderate quality evidence). Participants in the crisis-intervention group were more satisfied with their care 20 months after crisis (Client Satisfaction Questionnaire (CSQ-8): 1 RCT, n = 137, MD 5.40 CI 3.91 to 6.89, moderate quality evidence). However, quality of life scores at six months were similar between treatment groups (Manchester Short Assessment of quality of life (MANSA); 1 RCT, n = 226, MD -1.50 CI -5.15 to 2.15, low quality evidence). Favourable results for crisis intervention were also found for leaving the study early and family satisfaction. No differences in death rates were found. Some studies suggested crisis intervention to be more cost-effective than hospital care but all numerical data were either skewed or unusable. We identified no data on staff satisfaction, carer input, complications with medication or number of relapses.
Authors' conclusions
Care based on crisis-intervention principles, with or without an ongoing homecare package, appears to be a viable and acceptable way of treating people with serious mental illnesses. However only eight small studies with unclear blinding, reporting and attrition bias could be included and evidence for the main outcomes of interest is low to moderate quality. If this approach is to be widely implemented it would seem that more evaluative studies are still neede
Almost reducibility for finitely differentiable SL(2,R)-valued quasi-periodic cocycles
Quasi-periodic cocycles with a diophantine frequency and with values in
SL(2,R) are shown to be almost reducible as long as they are close enough to a
constant, in the topology of k times differentiable functions, with k great
enough. Almost reducibility is obtained by analytic approximation after a loss
of differentiability which only depends on the frequency and on the constant
part. As in the analytic case, if their fibered rotation number is diophantine
or rational with respect to the frequency, such cocycles are in fact reducible.
This extends Eliasson's theorem on Schr\"odinger cocycles to the differentiable
case
Following Black Hole Scaling Relations Through Gas-Rich Mergers
We present black hole mass measurements from kinematic modeling of
high-spatial resolution integral field spectroscopy of the inner regions of 9
nearby (ultra-)luminous infrared galaxies in a variety of merger stages. These
observations were taken with OSIRIS and laser guide star adaptive optics on the
Keck I and Keck II telescopes, and reveal gas and stellar kinematics inside the
spheres of influence of these supermassive black holes. We find that this
sample of black holes are overmassive ( M) compared to
the expected values based on black hole scaling relations, and suggest that the
major epoch of black hole growth occurs in early stages of a merger, as opposed
to during a final episode of quasar-mode feedback. The black hole masses
presented are the dynamical masses enclosed in 25pc, and could include
gas which is gravitationally bound to the black hole but has not yet lost
sufficient angular momentum to be accreted. If present, this gas could in
principle eventually fuel AGN feedback or be itself blown out from the system.Comment: accepted to Ap
A survey of services for the speech and hearing handicapped in New England
Thesis (Ed. M.)--Boston University, 195
A survey of services for the speech and hearing handicapped in New England
Thesis (Ed. M.)--Boston University, 195
Delayed Emergence of Trachykele blondeli blondeli (Coleoptera: Buprestidae)
Prolonged emergence of Trachykele blondeli blondeli Marseul (Coleoptera: Buprestidae) is reported from kiln-dried and subsequently painted wood in this report. The specimen emergence is a new record for Florida. Because the specimen did not emerge from host plant material grown in Florida, it is likely that its origin was exterior to Florida. Because of delayed and prolonged emergence capability in Buprestidae, as well as specimen survival of wood preservation processes like kiln drying, the current report does indicate a concern for redistribution of non-indigenous buprestid species to new areas
Origine du manganèse de la nappe alluviale de Beaucaire (Gard, France) Essai de démanganisation in situ (procédé Vyredox)
L'origine et le mécanisme de l'augmentation de la concentration en manganèse dans l'eau de la nappe phréatique de Beaucaire ont été recherchés afin d'orienter le choix d'un procédé de démanganisation adapté aux conditions du site.L'aquifère est caractérisé par son déficit en oxygène et par la présence de dépôts d'oxyde de manganèse (Mn(IV)) sur les sédiments. Dans ces conditions la microflore utilise les oxydes de manganèse conne accepteur final d'électrons (démontré dans les expériences in vitro) et le manganèse réduit passe alors en solution.Lors des essais d'application du procédé Vyredox le potentiel d'oxydoréduction de la nappe augmente et la concentration en manganèse dissous diminue. Rien n'indique une précipitation du manganèse et donc un colmatage à la périphérie de la partie oxygénée de la nappe.The origin and the mechanism of the increase of the dissolved manganese concentrations have been investigated to choose a system of demanganization well fitted b the site conditions.The aquifer characteristics are a depletion of the dissolved oxygen amount and deposits of manganese oxides (Mn(IV)) on the detriments. Under these conditions the microflora utilizes these manganese oxides as a final electron acceptor (as demonstrated by in vitro experiments) and the solubilization of manganese takes place.The field application of the Vyredox system increases the redox potential of the groundwater and the manganese concentration decreases. Nothing indicates that manganese precipitation and consequently warping of the water table takes place at the periphery of the oxygenated part of the aquifer
Evidence for Interlayer Electronic Coupling in Multilayer Epitaxial Graphene from Polarization Dependent Coherently Controlled Photocurrent Generation
Most experimental studies to date of multilayer epitaxial graphene on C-face
SiC have indicated that the electronic states of different layers are decoupled
as a consequence of rotational stacking. We have measured the third order
nonlinear tensor in epitaxial graphene as a novel approach to probe interlayer
electronic coupling, by studying THz emission from coherently controlled
photocurrents as a function of the optical pump and THz beam polarizations. We
find that the polarization dependence of the coherently controlled THz emission
expected from perfectly uncoupled layers, i.e. a single graphene sheet, is not
observed. We hypothesize that the observed angular dependence arises from weak
coupling between the layers; a model calculation of the angular dependence
treating the multilayer structure as a stack of independent bilayers with
variable interlayer coupling qualitatively reproduces the polarization
dependence, providing evidence for coupling.Comment: submitted to Nano Letter
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