Steady Hall Magnetohydrodynamics Near a X-type Magnetic Neutral Line

Hall magnetohydrodynamics (MHD) properties near a two-dimensional (2D) X-type magnetic neutral line in the steady state are considered via heuristic and rigorous developments. Upon considering the steady-state as the asymptotic limit of the corresponding \textit{time-dependent} problem and using a rigorous development, Hall effects are shown to be able to sustain the hyperbolicity of the magnetic field (and hence a more open X-point configuration) near the neutral line in the steady state. The heuristic development misses this subtle connection of the steady state with the corresponding \textit{time-dependent} problem and predicts only an elongated current-sheet configuration (as in resistive MHD). However, the heuristic development turns out to be useful in providing insight into the lack of dependence of the reconnection rate on the mechanism breaking the frozen-in condition of the magnetic field lines. The latter result can be understood in terms of the ability of the ions and electrons to transport equal amounts of magnetic flux per unit time out of the reconnection region.Comment: 1-10 page

The Relationship Between Provider Competence, Content Exposure, and Consumer Outcomes in Illness Management and Recovery Programs

Provider competence may affect the impact of a practice. The current study examined this relationship in sixty-three providers engaging in Illness Management and Recovery with 236 consumers. Improving upon previous research, the present study utilized a psychometrically validated competence measure in the ratings of multiple Illness Management and Recovery sessions from community providers, and mapped outcomes onto the theory underlying the practice. Provider competence was positively associated with illness self-management and adaptive coping. Results also indicated baseline self-management skills and working alliance may affect the relationship between competence and outcomes

Identifying Community-Engaged Translational Research Collaboration Experience and Health Interests of Community-Based Organizations Outside of Metropolitan Atlanta

Background: While rural health research has increased over the last two decades, there is limited understanding of the self-reported health priorities and research interests of rural and suburban community-based representatives and residents. These insights can be used to inform more successful intervention strategies that are responsive to the lived experiences of local residents and leaders who are the gatekeepers to buy-in and sustainability of community engaged research. The Georgia Clinical and Translational Science Alliance, a collaboration between four academic institutions includes a Community Engagement Program (CE) designed to facilitate community-academic research partnerships. This study aimed to assess the health priorities, community-academic research experience, and interests of community respondents outside of Metropolitan Atlanta through the Community Engagement Facilitation Survey (CEFS). Methods: CE Program and Community Steering Board created the CEFS to assess the health topic priorities, research experience, and interests of community-based representatives and community members across the state of Georgia. The 11-item survey was administered (paper and electronic surveys) statewide at community events and professional organization meetings. Descriptive statistics were analyzed, and geospatial mapping was conducted. Data were analyzed in SPSS and Microsoft Excel software systems to clean data and to calculate data counts and percentages. Three maps were created in Tableau Version 19.2 depicting all counties represented by the survey sample superimposed with the counties from which at least one respondent indicated each of the top three health priorities for this sample. Results: Four-hundred six (406) surveys were analyzed, representing 83.6% of rural and suburban Georgia counties. The most frequently identified health priorities and research interests were diabetes, cancer, high blood pressure, and mental health

Promoting Recovery from Mental Illness: Consumer, Staff, and Program Level Interventions

poster abstractThe ACT Center of Indiana is a research and training center devoted to helping promote recovery from severe mental illnesses like schizophrenia and bipolar disorder. We focus on interventions that are based on the best research evidence, and we emphasize ways to translate research into actual practice. We have current research projects that target different levels of the mental health service system. Here we present research focused on 1) the consumer with mental illness - identifying ways that consumers set treatment goals related to recovery; 2) the staff who work with people with severe mental illness – helping staff stay healthy and engaged in their work; and 3) the programs that support recovery – identifying cost-effective ways to ensure high quality services

Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity

Assertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources

Illness management and recovery in community practice

Objective To examine provider competence in providing Illness Management and Recovery (IMR), an evidence-based self-management program for people with severe mental illness, and the association between implementation supports and IMR competence. Methods IMR session recordings, provided by 43 providers/provider pairs, were analyzed for IMR competence using the IMR treatment integrity scale. Providers also reported on receipt of commonly available implementation supports (e.g., training, consultation). Results Average IMR competence scores were in the “Needs Improvement” range. Clinicians demonstrated low competence in several IMR elements: significant other involvement, weekly action planning, action plan follow-up, cognitive-behavioral techniques, and behavioral tailoring for medication management. These elements were commonly absent from IMR sessions. Competence in motivational enhancement strategies and cognitive-behavioral techniques differed based on the module topic covered in a session. Generally, receipt of implementation supports was not associated with increased competence; however, motivational interviewing training was associated with increased competence in action planning and review. Conclusions and Implications for Practice IMR, as implemented in the community, may lack adequate competence and commonly available implementation supports do not appear to be adequate. Additional implementation supports that target clinician growth areas are needed

Numerical study of linear and circular model DNA chains confined in a slit: metric and topological properties

Advanced Monte Carlo simulations are used to study the effect of nano-slit confinement on metric and topological properties of model DNA chains. We consider both linear and circularised chains with contour lengths in the 1.2--4.8 $\mu$m range and slits widths spanning continuously the 50--1250nm range. The metric scaling predicted by de Gennes' blob model is shown to hold for both linear and circularised DNA up to the strongest levels of confinement. More notably, the topological properties of the circularised DNA molecules have two major differences compared to three-dimensional confinement. First, the overall knotting probability is non-monotonic for increasing confinement and can be largely enhanced or suppressed compared to the bulk case by simply varying the slit width. Secondly, the knot population consists of knots that are far simpler than for three-dimensional confinement. The results suggest that nano-slits could be used in nano-fluidic setups to produce DNA rings having simple topologies (including the unknot) or to separate heterogeneous ensembles of DNA rings by knot type.Comment: 12 pages, 10 figure

Setting upper limits on the strength of periodic gravitational waves from PSR J1939+2134 using the first science data from the GEO 600 and LIGO detectors

Data collected by the GEO 600 and LIGO interferometric gravitational wave detectors during their first observational science run were searched for continuous gravitational waves from the pulsar J1939+2134 at twice its rotation frequency. Two independent analysis methods were used and are demonstrated in this paper: a frequency domain method and a time domain method. Both achieve consistent null results, placing new upper limits on the strength of the pulsar's gravitational wave emission. A model emission mechanism is used to interpret the limits as a constraint on the pulsar's equatorial ellipticity