Criminal Pasts, Terrorist Futures:European JIhadists and the Crime Terror Nexus

The prevalence of criminal backgrounds amongst European jihadists is remarkable. Whether amongst ‘foreign fighters’ that have travelled to Syria and Iraq, or amongst those involved in terrorism in Europe, criminal pasts are common. Yet, they remain unexamined. This article presents a unique empirical examination of 79 European jihadists with criminal backgrounds, examining the relevancy of their criminal pasts in relation to their terrorist futures. The results fall into four themes. Firstly, jihadism can affect a criminal’s radicalisation process in two ways: it can offer redemption from past sins, or it can legitimise crime. Secondly, prisons offer an environment for radicalisation and networking amongst criminals and extremists. Thirdly, criminals develop skills that can be useful for them as extremists, such as access to weapons and forged documents, as well as the psychological ‘skill’ of familiarity with violence. Finally, white-collar and petty crime is often used to finance extremism. The results challenge conceptions on radicalisation, and can affect counter-terrorism responses

“It's OK for me to cry”: client and therapist perspectives on change processes in SPEAKS therapy for anorexia nervosa

Introduction and Aims Existing therapies for Anorexia Nervosa (AN) have limited effectiveness, necessitating the development of novel therapies and interventions. Hypothesizing and targeting clear mechanisms of change within treatment offer potential opportunities to improve them. The SPEAKS program aimed to develop, trial, and evaluate a therapy which targets key emotional and social factors known to be relevant in the development and maintenance of AN. The aim of the present study is to explore therapist and client experiences of change processes during the SPEAKS intervention, and what supported or inhibited these. Method Semi-structured interviews were conducted with sixteen female clients (in age range of 18–49) and six therapists; topic guides explored perceptions of client change processes. Thematic analysis was conducted on the data by two researchers. Results Two themes and six sub-themes were developed from the data. These were: “the impact on the eating disorder,” “change processes” (“emotional change” and “changing the self”), and “facilitators of and barriers to change processes” (“therapeutic relationship,” “clients’ emotional engagement,” “online delivery,” and “therapist lacking flexibility”). “Emotional change” involved an enhanced capacity for clients to tune-in more, acknowledge, listen to, and express how they felt, and “Changing the self” represented a shift in how clients related to themselves, particularly the more vulnerable parts of themselves. Discussion The findings of the present study provide support for the hypothesized mechanisms of change inherent within the SPEAKS therapy approach. This supports the robustness and validity of the intervention and lends support for further investigation of its effectiveness. Clinical Trial Registration The study was registered according to the guidelines of the International Standard Randomized Controlled Trial Number Register (ISRCTN No. 11778891)

Acceptability of Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS): A novel intervention for anorexia nervosa

Investigate the acceptability of Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS), a novel intervention for anorexia nervosa (AN), conducted as a feasibility trial to provide an initial test of the intervention. SPEAKS therapy lasting 9-12 months was provided to 34 people with AN or atypical AN by eight specialist eating disorder therapists trained in the model across two NHS Trusts in the UK (Kent and Sussex) during a feasibility trial. All participants were offered a post-therapy interview; sixteen patients and six therapists agreed. All patient participants were adult females. Interviews were semi-structured and asked questions around individuals' experience of SPEAKS, the acceptability of the intervention and of the research methods. Interviews were analyzed using thematic analysis. Key areas explored in line with research questions led to 5 overarching themes and 14 subthemes: (1) shift in treatment focus and experience, (2) balancing resources and treatment outcomes, (3) navigating the online treatment environment, (4) therapist adaptation and professional development, and (5) research processes. SPEAKS was found to be an acceptable intervention for treating AN from the perspective of patients and therapists. The findings provide strong support for delivery of a larger scale randomized control trial. Recommendations for future improvements, particularly pertaining to therapist understanding of the treatment model are detailed, alongside broader clinical implications. We aimed to evaluate the acceptability of a new anorexia nervosa treatment called SPEAKS. Interviews were conducted with patients and therapists involved in the pilot study and responses were analyzed. Results showed that both patients and therapists found SPEAKS to be an acceptable treatment for anorexia nervosa. The study suggests that SPEAKS meets the criteria for moving forward with a larger trial to assess its effectiveness. [Abstract copyright: © 2024 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.

SPATIAL, TEMPORAL AND SIZE DISTRIBUTION OF PARTICULATE MATTER AND ITS CHEMICAL CONSTITUENTS IN FAISALABAD, PAKISTAN

Spatial and temporal variations in aerosol particulate matter (PM) were investigated for distribution over the four seasons of chemical constituents and particle size fractions in Faisalabad, Pakistan from June 2012 to April 2013. At nine sampling sites, four PM mass size fractions (total suspended particulates [TSP], PM10, PM4 and PM2.5) were monitored; simultaneously, TSP mass samples were collected on glass fiber filters using a high volume air sampler. TSP samples (144) were subjected to quantitative chemical analyses for determining trace elements (Pb, Cd, Ni, Zn, Cu, Fe) using atomic absorption spectroscopy, and water-soluble cations (Ca2+, Mg2+, Na+, K+, NH4+) and anions (Cl–, SO42– and NO3–) by ion chromatography. The highest PM mass concentrations were observed at industrial sites, while they were somewhat lower in major road intersections and lowest in the remote background site. It was also observed that PM mass concentrations were about two to 20 times higher than the standard limits of the World Health Organization and the US Environmental Protection Agency. Coarse particles (TSP, PM10 and PM4) were found to be highest during the summer, while relatively fine particles (PM2.5) were higher during the winter period. Concentrations of all size fractions were lowest during the monsoon sampling period at all sites. Concentrations of different elements and water-soluble ions also followed the similar temporal pattern as PM mass concentrations. The crustal elements Ca, Fe, Mg and Na were the largest contributors to TSP mass while elements of anthropogenic origin (Pb, Cd, Ni, Cu and Zn) had relatively lower concentrations and also showed a high spatial variation. Among the anions, sulfate (SO42–) was the predominant species contributing to 50-60% of the total anion concentration. It was found that rainfall, wind speed and relative humidity were the most important meteorological factors affecting PM concentrations. The evaluation of data presented in this paper will serve as a basis for future regional modeling and source apportionment.

Floral initiation in Celosia cristata L.: photoperiodic requirement and isozymic changes

This article does not have an abstract

Dyadic adjustment, family coping, body image, quality of life and psychological morbidity in patients with psoriasis and their partners

Background Psoriasis is an incurable and chronic disease that includes unpredictable periods of remission and relapse requiring long-term therapy. Purpose This paper focuses on the relationship among family coping, psychological morbidity, body image, dyadic adjustment and quality of life in psoriatic patients and their partners. Method One hundred and one patients with psoriasis and 78 partners comprised the sample. They were regular users of the Dermatology Service of a Central Northern hospital in Portugal and a private dermatology clinic. Patients with psoriasis were assessed on anxiety, depression, body image, quality of life, dyadic adjustment and family coping. Partners were assessed on the same measures except body image and quality of life. Results A positive relationship among dyadic adjustment, psychological morbidity and family coping in patients and their partners was found. Also, patients with lower levels of quality of life had partners with higher levels of depressive and anxious symptoms. Better dyadic adjustment predicted family coping in the psoriatic patient. High levels of dyadic adjustment in patients and low partners’ trait anxiety predicted better dyadic adjustment in partners. Conclusion The results highlight the importance of incorporating family variables in psychological interventions in psoriasis’ care, particularly family coping and dyadic adjustment as well as the need for psychological intervention to focus both on patients and partners

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases

Background The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics