The experience of Neuropsychological assessment: an interpretative phenomenological analysis

Objectives. This study investigated the experience of neuropsychological assessment from the patient’s perspective. It sought to gain an understanding of how the patient viewed the purpose of assessment and how the patient experienced the assessment process. It explored the impact of the assessment of the patient’s sense of self and elicited patients’ views about what was particularly helpful or unhelpful about the assessment process. Design. A within-group qualitative design was employed to investigate the experiences of nine men and women who presented for neuropsychological assessment in the context of an outpatient assessment clinic or as part of an evaluation for a rehabilitation programme. Method. Verbatim transcripts of semi-structured interviews were analysed using interpretative phenomenological analysis. Results. Six master themes were identified: Expectations of assessment, context of referral, experience of process, impact on self, components of a good assessment and experience of illness/disability. The findings indicated that patients are poorly prepared for assessment but come with positive expectations for information that will help them understand and cope with their impairments. Their relationship with the psychologist is central in determining the quality of their experience and in facilitating improved self-esteem, coping and better awareness of cognitive strengths and deficits. Conclusions. It is concluded that neuropsychological assessment can have an educative and therapeutic function that should be further exploited in a diagnostic and rehabilitation context. The findings are considered in relation to the literature on sharing a diagnosis, coping with illness and the client-clinician relationship. The implications of the research findings for clinical training and neuropsychology service provision are discussed and consideration given to future research opportunities

Evolution of mixing state of black carbon in polluted air from Tokyo

The evolution of the mixing state of black carbon aerosol (BC) was investigated using a single-particle soot photometer (SP2) in polluted air transported from Tokyo. Ground-based measurements of aerosols and trace gases were conducted at a suburban site (Kisai) 50 km north of Tokyo during July-August 2004. The ratio of 2-pentyl nitrate (2-PeONO2) to n-pentane (n-C5H12) was used to derive the photochemical age. According to the SP2 measurement, the number fraction of thickly coated BC (Shell/Corel Ratio > ca. 2) with a core diameter of 180 nm increased at the rate of 1.9% h-1, as the photochemical clock proceeded under land-sea breeze circulation. Positive matrix factorization was applied to investigate the time-dependent contributions of different coating materials using the mass concentrations of sulfate, nitrate, and organics measured using an aerosol mass spectrometer. The main coating materials found in this study were sulfate and organics. Copyright 2007 by the American Geophysical Union

Formaldehyde over the central Pacific during PEM-Tropics B

Formaldehyde, CH2O, mixing ratios are reported for the central Pacific troposphere from a series of 41 flights, which took place in March-April 1999 as part of the NASA Pacific Exploratory Mission (PEM) -Tropics B mission. Ambient CH2O was collected in aqueous media and quantified using an enzyme-derivatization fluorescence technique. Primary calibration was performed using aqueous standards and known flow rates. Occasionally, CH2O gas standard additions to ambient air were performed as a secondary calibration. Analytical blanks were determined by replacing ambient air with pure air. The estimated precision was ±30 pptv and the estimated accuracy was the sum of ±30 parts per trillion by volume (pptv) ±15% of the measured value. Approximately 25% of the observations were less than the instrumental detection limit of 50 pptv, and 85% of these occurred above 6 km. CH2O mixing ratios decreased with altitude; for example, near the equator the median value in the lowest 2 km was 275 pptv, decreased to 150 pptv by 6 km and was below 100 pptv above 8 km. Between 130 and 170 W and below 1km, a small variation of CH2O mixing ratio with latitude was noted as near-surface median mixing ratios decreased near the equator (275 pptv) and were greater on either side (375 pptv). A marked decrease in near-surface CH2O (200 pptv) was noted south of 23° S on two flights. Between 3° and 23° S, median CH2O mixing ratios were lower in the eastern tropical Pacific than in the western or central Pacific; nominal differences were >100 pptv near the surface to ∼100 pptv at midaltitude to ∼50 pptv at high altitude. Off the coast of Central America and Mexico, mixing ratios as high as 1200 pptv were observed in plumes that originated to the east over land. CH2O observations were consistently higher than the results from a point model constrained by other photochemical species and meteorological parameters. Regardless of latitude or longitude, agreement was best at altitudes above 4 km where the difference between measured and modeled CH2O medians was less than 50 pptv. Below 2 km the model median was approximately 150 pptv less than the measured median. Copyright 2001 by the American Geophysical Union

Constraints on the age and dilution of Pacific Exploratory Mission-Tropics biomass burning plumes from the natural radionuclide tracer 210Pb

During the NASA Global Troposphere Experiment Pacific Exploratory Mission-Tropics (PEM-Tropics) airborne sampling campaign we found unexpectedly high concentrations of aerosol-associated 210Pb throughout the free troposphere over the South Pacific. Because of the remoteness of the study region, we expected specific activities to be generally less than 35 μBq m−3 but found an average in the free troposphere of 107 μBq m−3. This average was elevated by a large number of very active (up to 405 μBq m−3) samples that were associated with biomass burning plumes encountered on nearly every PEM-Tropics flight in the southern hemisphere. We use a simple aging and dilution model, which assumes that 222Rn and primary combustion products are pumped into the free troposphere in wet convective systems over fire regions (most likely in Africa), to explain the elevated 210Pb activities. This model reproduces the observed 210Pb activities very well, and predicts the ratios of four hydrocarbon species (emitted by combustion) to CO to better than 20% in most cases. Plume ages calculated by the model depend strongly on the assumed 222Rn activities in the initial plume, but using values plausible for continental boundary layer air yields ages that are consistent with travel times from Africa to the South Pacific calculated with a back trajectory model. The model also shows that despite being easily recognized through the large enhancements of biomass burning tracers, these plumes must have entrained large fractions of the surrounding ambient air during transport

Gamma-Ray Burst Phenomenon as Collapse of QED Magnetized Vacuum Bubble: Analogy with Sonoluminescence

We consider the phenomenon of a gamma-ray burst as a nonlinear collapse of a magnetic cavity surrounding a neutron star with very strong magnetic field B = 10^15 - 10^16 G due to the process of the bubble shape instability in a resonant MHD field of the accreting plasma. The QED effect of vacuum polarizability by the strong magnetic field is taken into account. We develop an analogy with the phenomenon of sonoluminescence (SL) when the gas bubble is located in the surrounding liquid with a driven sound intensity. We show that this analogy between GRB and SL phenomena really exists.Comment: 14 pages, submitted to Natur

Expansion Potential for Irrigation within the Mississippi Delta Region

17.6 million acres, or 73 percent, of the Mississippi Delta Region is currently cropland and possesses the physical characteristics of slope, texture and soil type which are recommended for irrigation. Economic feasibility of expanding irrigation by flood, furrow and center pivot methods were examined under 24 scenarios representing two sets of crop prices, yield levels, production costs, opportunity costs and six crop rotations. Irrigation was economically feasible for 56 to 100 percent of the cropland across all scenarios. Approximately 88 percent of the cropland can be economically irrigated with flood or furrow in its present form, 8 percent yield highest net returns if furrow irrigated following land forming and 4 percent can be economically irrigated only with center pivot systems