Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal.

BackgroundIn low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists.MethodsWe implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital. We used Wilcoxon signed-rank tests to evaluate pre- and post-test change in knowledge (diagnostic criteria, differential diagnosis, and appropriate treatment). We used a series of 'Yes' or 'No' questions to assess attitudes about mental illness, and utilized exact McNemar's test to analyze the proportions of participants who held a specific belief before and after the training. We assessed acceptability and feasibility through key informant interviews and structured feedback.ResultsFor each topic except depression, there was a statistically significant increase (Δ) in median scores on knowledge questionnaires: Acute Stress Reaction (Δ = 20, p = 0.03), Depression (Δ = 11, p = 0.12), Grief (Δ = 40, p < 0.01), Psychosis (Δ = 22, p = 0.01), and post-traumatic stress disorder (Δ = 20, p = 0.01). The training received high ratings; key informants shared examples and views about the training's positive impact and complementary nature of the program's components.ConclusionVideo lectures and on-site skills training can address the limitations of a conventional training model while being acceptable, feasible, and impactful toward improving knowledge and attitudes of the participants

Exact 1/N and Optimized Perturbative Evaluation of mu_c for Homogeneous Interacting Bose Gases

In the framework of the O(N) three-dimensional effective scalar field model for homogeneous dilute weakly interacting Bose gases we use the 1/N expansion to evaluate, within the large N limit, the parameter r_c which is directly related to the critical chemical potential mu_c. This quantity enters the order-a^2 n^{2/3} coefficient contributing to the critical temperature shift Delta T_c where a represents the s-wave scattering length and n represents the density. Compared to the recent precise numerical lattice simulation results, our calculation suggests that the large N approximation performs rather well even for the physical case N=2. We then calculate the same quantity but using different forms of the optimized perturbative (variational) method, showing that these produce excellent results both for the finite N and large-N cases.Comment: 12 pages, 2 figures. We have performed a refined and extended numerical analysis to take into account the very recent results of Ref. [15

Observing the build-up of the colour-magnitude relation at redshift ~0.8

We analyse the rest-frame (U-V) colour-magnitude relation for 2 clusters at redshift 0.7 and 0.8, drawn from the ESO Distant Cluster Survey. By comparing with the population of red galaxies in the Coma cluster, we show that the high redshift clusters exhibit a deficit of passive faint red galaxies. Our results show that the red-sequence population cannot be explained in terms of a monolithic and synchronous formation scenario. A large fraction of faint passive galaxies in clusters today has moved onto the red sequence relatively recently as a consequence of the fact that their star formation activity has come to an end at z<0.8.Comment: 5 pages, 2 figures, to appear in Proc. of IAU Colloq. 195: "Outskirts of Galaxy Clusters: Intense Life in the Suburbs" -- minor typos correcte

Weak lensing mass reconstructions of the ESO Distant Cluster Survey

We present weak lensing mass reconstructions for the 20 high-redshift clusters i n the ESO Distant Cluster Survey. The weak lensing analysis was performed on deep, 3-color optical images taken with VLT/FORS2, using a composite galaxy catalog with separate shape estimators measured in each passband. We find that the EDisCS sample is composed primarily of clusters that are less massive than t hose in current X-ray selected samples at similar redshifts, but that all of the fields are likely to contain massive clusters rather than superpositions of low mass groups. We find that 7 of the 20 fields have additional massive structures which are not associated with the clusters and which can affect the weak lensing mass determination. We compare the mass measurements of the remaining 13 clusters with luminosity measurements from cluster galaxies selected using photometric redshifts and find evidence of a dependence of the cluster mass-to-light ratio with redshift. Finally we determine the noise level in the shear measurements for the fields as a function of exposure time and seeing and demonstrate that future ground-based surveys which plan to perform deep optical imaging for use in weak lensing measurements must achieve point-spread functions smaller than a median of 0.6" FWHM.Comment: 35 pages, 24 figures, accepted to A&A, a version with better figure resolution can be found at http://www.mpa-garching.mpg.de/ediscs/papers.htm

Resources and student achievement – evidence from a Swedish policy reform

This paper utilizes a policy change to estimate the effect of teacher density on student performance. We find that an increase in teacher density has a positive effect on student achievement. The baseline estimate – obtained by using the grade point average as the outcome variable – implies that resource increases corresponding to the class-size reduction in the STAR-experiment (i.e., a reduction of 7 students) improves performance by 2.6 percentile ranks (or 0.08 standard deviations). When we use test score data for men, potentially a more objective measure of student performance, the effect of resources appears to be twice the size of the baseline estimate.Student performance; teacher/student ratio; policy reform; differences-in-differences

First impressions and perceived roles: Palestinian perceptions on foreign aid

This paper summarizes some results of a wider research on foreign aid that was conducted in the West Bank and Gaza Strip in 2010. It seeks to describe the impressions and feelings of Palestinian aid beneficiaries as well as the roles and functions they attached to foreign aid. To capture and measure local perceptions on Western assistance a series of individual in depth interviews and few focus group interviews were conducted in the Palestinian territories. The interview transcripts were processed by content analysis. As research results show — from the perspective of aid beneficiaries — foreign aid is more related to human dignity than to any economic development. All this implies that frustration with the ongoing Israeli-Palestinian conflict inevitably embraces the donor policies and practices too

A Study of the N=2N=2 Kazakov-Migdal Model

We study numerically the SU(2) Kazakov-Migdal model of `induced QCD'. In contrast to our earlier work on the subject we have chosen here {\it not} to integrate out the gauge fields but to keep them in the Monte Carlo simulation. This allows us to measure observables associated with the gauge fields and thereby address the problem of the local $Z_2$ symmetry present in the model. We confirm our previous result that the model has a line of first order phase transitions terminating in a critical point. The adjoint plaquette has a clear discontinuity across the phase transition, whereas the plaquette in the fundamental representation is always zero in accordance with Elitzur's theorem. The density of small $Z_2$ monopoles shows very little variation and is always large. We also find that the model has extra local U(1) symmetries which do not exist in the case of the standard adjoint theory. As a result, we are able to show that two of the angles parameterizing the gauge field completely decouple from the theory and the continuum limit defined around the critical point can therefore not be `QCD'.Comment: 11 pages, UTHEP-24

SO(3) versus SU(2) lattice gauge theory

We consider the SO(3) lattice gauge theory at weak coupling, in the Villain action. We exhibit an analytic path in coupling space showing the equivalence of the SO(3) theory with SU(2) summed over all twist sectors. This clarifies the ``mysterious phase'' of SO(3). As order parameter, we consider the dual string tension or center vortex free energy, which we measure in SO(3) using multicanonical Monte Carlo. This allows us to set the scale, indicating that ${\cal O}(700)^4$ lattices are necessary to probe the confined phase. We consider the relevance of our findings for confinement in other gauge groups with trivial center.Comment: 12 pages, 6 figures, to appear in the Proceedings of the NATO workshop on "Confinement, Topology, and other Non-Perturbative Aspects of QCD", Stara Lesna, Feb. 200

The Morphological Content of Ten EDisCS Clusters at 0.5 < z < 0.8

We describe Hubble Space Telescope (HST) imaging of 10 of the 20 ESO Distant Cluster Survey (EDisCS) fields. Each ~40 square arcminute field was imaged in the F814W filter with the Advanced Camera for Surveys Wide Field Camera. Based on these data, we present visual morphological classifications for the ~920 sources per field that are brighter than I_auto=23 mag. We use these classifications to quantify the morphological content of 10 intermediate-redshift (0.5 < z < 0.8) galaxy clusters within the HST survey region. The EDisCS results, combined with previously published data from seven higher redshift clusters, show no statistically significant evidence for evolution in the mean fractions of elliptical, S0, and late-type (Sp+Irr) galaxies in clusters over the redshift range 0.5 < z < 1.2. In contrast, existing studies of lower redshift clusters have revealed a factor of ~2 increase in the typical S0 fraction between z=0.4 and z=0, accompanied by a commensurate decrease in the Sp+Irr fraction and no evolution in the elliptical fraction. The EDisCS clusters demonstrate that cluster morphological fractions plateau beyond z ~ 0.4. They also exhibit a mild correlation between morphological content and cluster velocity dispersion, highlighting the importance of careful sample selection in evaluating evolution. We discuss these findings in the context of a recently proposed scenario in which the fractions of passive (E,S0) and star-forming (Sp,Irr) galaxies are determined primarily by the growth history of clusters.Comment: 18 pages, 7 figures; To be published in ApJ; minor changes made to table label