831 research outputs found

    Variation in compulsory psychiatric inpatient admission in England:a cross-sectional, multilevel analysis

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    Background: Rates of compulsory admission have increased in England in recent decades, and this trend is accelerating. Studying variation in rates between people and places can help identify modifiable causes. Objectives: To quantify and model variances in the rate of compulsory admission in England at different spatial levels and to assess the extent to which this was explained by characteristics of people and places. Design: Cross-sectional analysis using multilevel statistical modelling. Setting: England, including 98% of Census lower layer super output areas (LSOAs), 95% of primary care trusts (PCTs), 93% of general practices and all 69 NHS providers of specialist mental health services. Participants: 1,287,730 patients. Main outcome measure: The study outcome was compulsory admission, defined as time spent in an inpatient mental illness bed subject to the Mental Health Act (2007) in 2010/11. We excluded patients detained under sections applying to emergency assessment only (including those in places of safety), guardianship or supervision of community treatment. The control group comprised all other users of specialist mental health services during the same period. Data sources: The Mental Health Minimum Data Set (MHMDS). Data on explanatory variables, characterising each of the spatial levels in the data set, were obtained from a wide range of sources, and were linked using MHMDS identifiers. Results: A total of 3.5% of patients had at least one compulsory admission in 2010/11. Of (unexplained) variance in the null model, 84.5% occurred between individuals. Statistically significant variance occurred between LSOAs [6.7%, 95% confidence interval (CI) 6.2% to 7.2%] and provider trusts (6.9%, 95% CI 4.3% to 9.5%). Variances at these higher levels remained statistically significant even after adjusting for a large number of explanatory variables, which together explained only 10.2% of variance in the study outcome. The number of provider trusts whose observed rate of compulsory admission differed from the model average to a statistically significant extent fell from 45 in the null model to 20 in the fully adjusted model. We found statistically significant associations between compulsory admission and age, gender, ethnicity, local area deprivation and ethnic density. There was a small but statistically significant association between (higher) bed occupancy and compulsory admission, but this was subsequently confounded by other covariates. Adjusting for PCT investment in mental health services did not improve model fit in the fully adjusted models. Conclusions: This was the largest study of compulsory admissions in England. While 85% of the variance in this outcome occurred between individuals, statistically significant variance (around 7% each) occurred between places (LSOAs) and provider trusts. This higher-level variance in compulsory admission remained largely unchanged even after adjusting for a large number of explanatory variables. We were constrained by data available to us, and therefore our results must be interpreted with caution. We were also unable to consider many hypotheses suggested by the service users, carers and professionals who we consulted. There is an imperative to develop and evaluate interventions to reduce compulsory admission rates. This requires further research to extend our understanding of the reasons why these rates remain so high. Funding: The National Institute for Health Research Health Services and Delivery Research programme

    Monte Carlo investigation of the magnetic anisotropy in Fe/Dy multilayers

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    By Monte Carlo simulations in the canonical ensemble, we have studied the magnetic anisotropy in Fe/Dy amorphous multilayers. This work has been motivated by experimental results which show a clear correlation between the magnetic perpendicular anisotropy and the substrate temperature during elaboration of the samples. Our aim is to relate macroscopic magnetic properties of the multilayers to their structure, more precisely their concentration profile. Our model is based on concentration dependent exchange interactions and spin values, on random magnetic anisotropy and on the existence of locally ordered clusters that leads to a perpendicular magnetisation. Our results evidence that a compensation point occurs in the case of an abrupt concentration profile. Moreover, an increase of the noncollinearity of the atomic moments has been evidenced when the Dy anisotropy constant value grows. We have also shown the existence of inhomogeneous magnetisation profiles along the samples which are related to the concentration profiles

    Magnetisation switching in a ferromagnetic Heisenberg nanoparticle with uniaxial anisotropy: A Monte Carlo investigation

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    We investigate the thermal activated magnetisation reversal in a single ferromagnetic nanoparticle with uniaxial anisotropy using Monte Carlo simulations. The aim of this work is to reproduce the reversal magnetisation by uniform rotation at very low temperature in the high energy barrier hypothesis, that is to realize the N\'eel-Brown model. For this purpose we have considered a simple cubic nanoparticle where each site is occupied by a classical Heisenberg spin. The Hamiltonian is the sum of an exchange interaction term, a single-ion anisotropy term and a Zeeman interaction term. Our numerical data of the thermal variation of the switching field are compared to an approximated expression and previous experimental results on Co nanoparticles

    The Green Bank Ammonia Survey: Unveiling the Dynamics of the Barnard 59 star-forming Clump

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    Understanding the early stages of star formation is a research field of ongoing development, both theoretically and observationally. In this context, molecular data have been continuously providing observational constraints on the gas dynamics at different excitation conditions and depths in the sources. We have investigated the Barnard 59 core, the only active site of star formation in the Pipe Nebula, to achieve a comprehensive view of the kinematic properties of the source. These information were derived by simultaneously fitting ammonia inversion transition lines (1,1) and (2,2). Our analysis unveils the imprint of protostellar feedback, such as increasing line widths, temperature and turbulent motions in our molecular data. Combined with complementary observations of dust thermal emission, we estimate that the core is gravitationally bound following a virial analysis. If the core is not contracting, another source of internal pressure, most likely the magnetic field, is supporting it against gravitational collapse and limits its star formation efficiency.Comment: 18 pages, 18 figure

    The effects of visual priming on information processing in child sexual offenders

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    Child sexual offenders are hypothesized to hold offence-supportive beliefs that set them apart from others. The current study seeks support for this view via a cognitive-experimental approach. Child sexual offenders and offender controls were exposed to pictures of semi-clothed children (priming condition) or clothed, mature adults (control condition). Participants then read ambiguous sentences describing children\u27s actions that could be interpreted in a sexualized manner. Next, participants completed a surprise recognition test in which half the sentences were re-presented in an unambiguously sexual form, and half in an unambiguously non-sexual form. Contrary to hypotheses, primed and/or control child sexual offenders did not show a memory bias for sexualized sentences, suggesting that they did not interpret the original sentences in line with offence-supportive beliefs. Results raise questions about whether child sexual offenders universally hold abnormal beliefs that facilitate their offending. Results also highlight the need for further experimental research within this field

    Facilitative parenting and children's social, emotional and behavioural adjustment

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    Facilitative parenting (FP) supports the development of children’s social and emotional competence and effective peer relationships. Previous research has shown that FP discriminates between children bullied by peers from children who are not bullied, according to reports of teachers. This study investigates the association between FP and children’s social, emotional and behavioral problems, over and above the association with dysfunctional parenting (DP). 215 parents of children aged 5–11 years completed questionnaires about parenting and child behavior, and children and teachers completed measures of child bullying victimization. As predicted, FP accounted for variance in teacher reports of children’s bullying victimization as well as parent reports of children’s social and emotional problems and prosocial behavior better than that accounted for by DP. However for children’s reports of peer victimization the whole-scale DP was a better predictor than FP. Contrary to predictions, FP accounted for variance in conduct problems and hyperactivity better than DP. When analyses were replicated substituting subscales of dysfunctional and FP, a sub-set of FP subscales including Warmth, Supports Friendships, Not Conflicting, Child Communicates and Coaches were correlated with low levels of problems on a broad range of children’s adjustment problems. Parent–child conflict accounted for unique variance in children’s peer victimization (teacher report), peer problems, depression, emotional problems, conduct problems and hyperactivity. The potential relevance of FP as a protective factor for children against a wide range of adjustment problems is discussed

    The Intentional Use of Service Recovery Strategies to Influence Consumer Emotion, Cognition and Behaviour

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    Service recovery strategies have been identified as a critical factor in the success of. service organizations. This study develops a conceptual frame work to investigate how specific service recovery strategies influence the emotional, cognitive and negative behavioural responses of . consumers., as well as how emotion and cognition influence negative behavior. Understanding the impact of specific service recovery strategies will allow service providers' to more deliberately and intentionally engage in strategies that result in positive organizational outcomes. This study was conducted using a 2 x 2 between-subjects quasi-experimental design. The results suggest that service recovery has a significant impact on emotion, cognition and negative behavior. Similarly, satisfaction, negative emotion and positive emotion all influence negative behavior but distributive justice has no effect

    CUBIC SPLINES FOR ESTIMATING LACTATION CURVES AND GENETIC PARAMETERS OF FIRST LACTATION HOLSTEIN COWS TREATED WITH BOVINE SOMATOTROPIN

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    The objective was to estimate genetic parameters and fit lactation curves for cows treated or not treated with bovine somatotropin (bST) and fit specific lactation curves for each animal for both random genetic and permanent environmental components from individual test-day milk, fat, and protein yields with a cubic spline model. A total of 70,752 test-day observations for first lactation Holstein cows recorded as treated bST and 73,387 test-day observations for untreated cows that calved between 1994 and early 1999 were obtained from Dairy Records Management Systems in Raleigh, North Carolina. The model included herd test-day, age at first calving, bST treatment, and days in lactation when test-day yield was recorded as fixed effects. Cubic splines were fitted for the overall lactation curve, additive genetic effects, and permanent environmental effects. The cubic splines used five predetermined intervals between days 0, 50, 135,220, and 305. Estimates of the (co)variances for the random components of cubic spline model with five knots were obtained with REML. Estimates of genetic parameters were calculated for the average test day model within each of the ten 30-d test day intervals. The estimates of heritability for milk, fat, and protein yields ranged from 0.09 to 0.15, 0.06 to 0.10, and 0.08 to 0.15 for test-day one to test-day ten. Estimates of genetic correlations between testdays ranged from 0.99 to 0.34 for milk yield, 0.99 to 0.49 for fat yield, and 0.99 to 0.36 for protein yield. Estimates of phenotypic correlations between test-days ranged from 0.67 to 0.27 for milk yield, 0.52 to 0.16 for fat yield, and 0.60 to 0.19 for protein yield. Differences between bST treated and untreated cows of 2 to 4 kg and 0.10 to 0.16 kg for milk and fat yields (smaller for protein yield) at day 90 were maintained until about day 305 of lactation
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