Attitudes towards mental illness in Malawi: a cross-sectional survey

<p><b>Background:</b> Stigma and discrimination associated with mental illness are strongly linked to suffering, disability and poverty. In order to protect the rights of those with mental disorders and to sensitively develop services, it is vital to gain a more accurate understanding of the frequency and nature of stigma against people with mental illness. Little research about this issue has been conducted in sub Saharan Africa. Our study aimed to describe levels of stigma in Malawi.</p> <p><b>Method:</b> A cross-sectional survey of patients and relatives attending mental health and non-mental health related clinics in a general hospital in Blantyre, Malawi. Subjects were interviewed using an adapted version of the questionnaire developed for the World Psychiatric Association Program to Reduce Stigma and Discrimination Because of Schizophrenia.</p> <p><b>Results:</b> 210 subjects participated in our study. Most attributed mental disorder to alcohol and illicit drug abuse (95%). This was closely followed by brain disease (92.8%), spirit possession (82.8%) and then psychological trauma (76.1%). There were some associations found between demographic variables and single question responses, however no consistent trends were observed in stigmatising beliefs. These results should be interpreted with caution and in the context of existing research. Contrary to the international literature, having direct personal experience of mental illness seemed to have no positive effect on stigmatising beliefs in our sample.</p> <p><b>Conclusions:</b> Our study contributes to an emerging picture that individuals in sub Saharan Africa most commonly attribute mental illness to alcohol/ illicit drug use and spiritual causes. Our work adds weight to the argument that stigma towards mental illness is an important global health and human rights issue.</p&gt

The Bousso entropy bound in selfgravitating gas of massless particles

The Bousso entropy bound is investigated in a static spherically symmetric spacetime filled with an ideal gas of massless bosons or fermions. Especially lightsheets generated by spheres are considered. Statistical description of the gas is given. Conditions under which the Bousso bound can be violated are discussed and it is shown that a possible violating region cannot be arbitrarily large and it is contained inside a sphere of unit Planck radius if number of independent polarization states $g_s$ is small enough. It is also shown that central temperature must exceed the Planck temperature to get a violation of the Bousso bound for $g_s$ not too large.Comment: 14 pages, 4 figures, a paragraph added, version published in Gen. Rel. Gra

Cationic agent contrast-enhanced computed tomography imaging of cartilage correlates with the compressive modulus and coefficient of friction

SummaryObjectiveThe aim of this study is to evaluate whether contrast-enhanced computed tomography (CECT) attenuation, using a cationic contrast agent (CA4+), correlates with the equilibrium compressive modulus (E) and coefficient of friction (μ) of ex vivo bovine articular cartilage.MethodsCorrelations between CECT attenuation and E (Group 1, n = 12) and μ (Group 2, n = 10) were determined using 7 mm diameter bovine osteochondral plugs from the stifle joints of six freshly slaughtered, skeletally mature cows. The equilibrium compressive modulus was measured using a four-step, unconfined, compressive stress-relaxation test, and the coefficients of friction were determined from a torsional friction test. Following mechanical testing, samples were immersed in CA4+, imaged using μCT, rinsed, and analyzed for glycosaminoglycan (GAG) content using the 1,9-dimethylmethylene blue (DMMB) assay.ResultsThe CECT attenuation was positively correlated with the GAG content of bovine cartilage (R2 = 0.87, P < 0.0001 for Group 1 and R2 = 0.74, P = 0.001 for Group 2). Strong and significant positive correlations were observed between E and GAG content (R2 = 0.90, P < 0.0001) as well as CECT attenuation and E (R2 = 0.90, P < 0.0001). The CECT attenuation was negatively correlated with the three coefficients of friction: CECT vs μstatic (R2 = 0.71, P = 0.002), CECT vs μstatic_equilibrium (R2 = 0.79, P < 0.001), and CECT vs μkinetic (R2 = 0.69, P = 0.003).ConclusionsCECT with CA4+ is a useful tool for determining the mechanical properties of ex vivo cartilage tissue as the attenuation significantly correlates with the compressive modulus and coefficient of friction

Quantum dots in magnetic fields: thermal response of broken symmetry phases

We investigate the thermal properties of circular semiconductor quantum dots in high magnetic fields using finite temperature Hartree-Fock techniques. We demonstrate that for a given magnetic field strength quantum dots undergo various shape phase transitions as a function of temperature, and we outline possible observable consequences.Comment: In Press, Phys. Rev. B (2001

NOx and O3 above a tropical rainforest: an analysis with a global and box model

A cross-platform field campaign, OP3, was conducted in the state of Sabah in Malaysian Borneo between April and July of 2008. Among the suite of observations recorded, the campaign included measurements of NOx and O3 – crucial outputs of any model chemistry mechanism. We describe the measurements of these species made from both the ground site and aircraft. We then use the output from two resolutions of the chemistry transport model p-TOMCAT to illustrate the ability of a global model chemical mechanism to capture the chemistry at the rainforest site. The basic model performance is good for NOx and poor for ozone. A box model containing the same chemical mechanism is used to explore the results of the global model in more depth and make comparisons between the two. Without some parameterization of the nighttime boundary layer – free troposphere mixing (i.e. the use of a dilution parameter), the box model does not reproduce the observations, pointing to the importance of adequately representing physical processes for comparisons with surface measurements. We conclude with a discussion of box model budget calculations of chemical reaction fluxes, deposition and mixing, and compare these results to output from p-TOMCAT. These show the same chemical mechanism behaves similarly in both models, but that emissions and advection play particularly strong roles in influencing the comparison to surface measurements

The use of dexamethasone in women with preterm premature rupture of membranes - A multicentre, double-blind, placebocontrolled, randomised trial

No Abstract

Cyclotron effective masses in layered metals

Many layered metals such as quasi-two-dimensional organic molecular crystals show properties consistent with a Fermi liquid description at low temperatures. The effective masses extracted from the temperature dependence of the magnetic oscillations observed in these materials are in the range, m^*_c/m_e \sim 1-7, suggesting that these systems are strongly correlated. However, the ratio m^*_c/m_e contains both the renormalization due to the electron-electron interaction and the periodic potential of the lattice. We show that for any quasi-two-dimensional band structure, the cyclotron mass is proportional to the density of states at the Fermi energy. Due to Luttinger's theorem, this result is also valid in the presence of interactions. We then evaluate m_c for several model band structures for the \beta, \kappa, and \theta families of (BEDT-TTF)_2X, where BEDT-TTF is bis-(ethylenedithia-tetrathiafulvalene) and X is an anion. We find that for \kappa-(BEDT-TTF)_2X, the cyclotron mass of the \beta-orbit, m^{*\beta}_c, is close to 2 m^{*\alpha}_c, where m^{*\alpha}_c is the effective mass of the \alpha- orbit. This result is fairly insensitive to the band structure details. For a wide range of materials we compare values of the cyclotron mass deduced from band structure calculations to values deduced from measurements of magnetic oscillations and the specific heat coefficient.Comment: 12 pages, 3 eps figure

Edge magnetoplasmons in periodically modulated structures

We present a microscopic treatment of edge magnetoplasmons (EMP's) within the random-phase approximation for strong magnetic fields, low temperatures, and filling factor $\nu =1(2)$, when a weak short-period superlattice potential is imposed along the Hall bar. The modulation potential modifies both the spatial structure and the dispersion relation of the fundamental EMP and leads to the appearance of a novel gapless mode of the fundamental EMP. For sufficiently weak modulation strengths the phase velocity of this novel mode is almost the same as the group velocity of the edge states but it should be quite smaller for stronger modulation. We discuss in detail the spatial structure of the charge density of the renormalized and the novel fundamental EMP's.Comment: 8 pages, 4 figure

The induction of behavioural sensitization is associated with cocaine-induced structural plasticity in the core (but not shell) of the nucleus accumbens

Repeated exposure to cocaine increases the density of dendritic spines on medium spiny neurons in the nucleus accumbens (Acb) and pyramidal cells in the medial prefrontal cortex (mPFC). To determine if this is associated with the development of psychomotor sensitization, rats were given daily i.p. injections of 15 mg/kg of cocaine (or saline) for 8 days, either in their home cage (which failed to induce significant psychomotor sensitization) or in a distinct and relatively novel test cage (which induced robust psychomotor sensitization). Their brains were obtained 2 weeks after the last injection and processed for Golgi–Cox staining. In the Acb core (AcbC) cocaine treatment increased spine density only in the group that developed psychomotor sensitization (i.e. in the Novel but not Home group), and there was a significant positive correlation between the degree of psychomotor sensitization and spine density. In the Acb shell (AcbS) cocaine increased spine density to the same extent in both groups; i.e. independent of psychomotor sensitization. In the mPFC cocaine increased spine density in both groups, but to a significantly greater extent in the Novel group. Furthermore, when rats were treated at Home with a higher dose of cocaine (30 mg/kg), cocaine now induced psychomotor sensitization in this context, and also increased spine density in the AcbC. Thus, the context in which cocaine is experienced influences its ability to reorganize patterns of synaptic connectivity in the Acb and mPFC, and the induction of psychomotor sensitization is associated with structural plasticity in the AcbC and mPFC, but not the AcbS.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73532/1/j.1460-9568.2004.03612.x.pd