We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Globally, stigma associated with mental, neurological and substance use (MNS) disorders is rampant and a barrier to good health and overall well-being of people with these conditions. Person-centred digital approaches such as participatory video may reduce stigma, but evidence on their effectiveness in Africa is absent.
Aims
To evaluate the effectiveness of participatory video in reducing mental health-related stigma in a resource-limited setting.
Method
We evaluated the effectiveness of using participatory video and face-to-face interaction between people with MNS disorders and a target audience in lowering stigma among 420 people living in Kilifi, Kenya. Changes in knowledge, attitudes and behaviour (KAB) were measured by comparing baseline scores with scores immediately after watching the participatory videos and 4 months after the intervention. Sociodemographic correlates of stigma scores were examined using multivariable linear regression models.
Results
Compared with baseline, KAB scores significantly improved at both time points, suggesting reduced stigma levels. At 4 months, the changes in scores were: knowledge (β = 0.20, 95% CI 0.16–0.25; P < 0.01), liberal attitude (β = 1.08, 95% CI 0.98–1.17; P < 0.01), sympathetic attitude (β = 0.52, 95% CI 0.42–0.62; P < 0.01), tolerant attitude (β = 0.72, 95% CI 0.61–0.83; P < 0.01) and behaviour (β = 0.37, 95% CI 0.31–0.43; P < 0.01). Sociodemographic variables were significantly correlated with KAB scores; the correlations were not consistent across the domains.
Conclusions
Participatory video is a feasible and effective strategy in improving knowledge, attitudes and intended behaviour in a resource-limited setting. Further studies are required to understand the mechanisms through which it lowers stigma and to examine long-term sustainability and the effectiveness of multicomponent interventions.
Stigma against persons with mental illness is a universal phenomenon, but culture influences the understanding of etiology of mental illness and utilization of health services.
Methods
We validated Kiswahili versions of three measures of stigma which were originally developed in the United Kingdom: Community Attitudes Toward the Mentally Ill Scale (CAMI), Reported and Intended Behaviors Scale (RIBS) and Mental Health Awareness Knowledge Schedule (MAKS) and evaluated their psychometric properties using a community sample (N = 616) in Kilifi, Kenya.
Results
Confirmatory factor analysis confirmed the one-factor solution for RIBS [root mean-squared error of approximation (RMSEA) < 0.01, comparative fit index (CFI) = 1.00, Tucker–Lewis index (TLI) = 1.01] and two-factor solution for MAKS (RMSEA = 0.04, CFI = 0.96, TLI = 0.95). A 23-item, three-factor model provided the best indices of goodness of fit for CAMI (RMSEA = 0.04, CFI = 0.90, TLI = 0.89). MAKS converged with both CAMI and RIBS. Internal consistency was good for the RIBS and acceptable for CAMI and MAKS. Test–retest reliabilities were excellent for RIBS and poor for CAMI and MAKS, but kappa scores for inter-rater agreement were relatively low for these scales. Results support validity of the original MAKS and RIBS scale and a modified CAMI scale and suggest that stigma is not an enduring trait in this population. The low kappa scores are consistent with first kappa paradox which is due to adjustment for agreements by chance in case of marginal prevalence values.
Conclusions
Kiswahili versions of the MAKS, RIBS and a modified version of the CAMI are valid for use in the study population. Stigma against people with mental illness may not be an enduring trait in this population.
Our recent estimates of galaxy counts and the luminosity density in the near-infrared (Keenan et al. 2010, 2012) indicated that the local universe may be under-dense on radial scales of several hundred megaparsecs. Such a large-scale local under-density could introduce significant biases in the measurement and interpretation of cosmological observables, such as the inferred effects of dark energy on the rate of expansion. In Keenan et al. (2013), we measured the K-band luminosity density as a function of distance from us to test for such a local under-density. We made this measurement over the redshift range 0.01 < z < 0.2 (radial distances D ~ 50 - 800 h70−1 Mpc). We found that the shape of the K-band luminosity function is relatively constant as a function of distance and environment. We derive a local (z < 0.07, D < 300 h70−1 Mpc) K-band luminosity density that agrees well with previously published studies. At z > 0.07, we measure an increasing luminosity density that by z ~ 0.1 rises to a value of ~ 1.5 times higher than that measured locally. This implies that the stellar mass density follows a similar trend. Assuming that the underlying dark matter distribution is traced by this luminous matter, this suggests that the local mass density may be lower than the global mass density of the universe at an amplitude and on a scale that is sufficient to introduce significant biases into the measurement of basic cosmological observables. At least one study has shown that an under-density of roughly this amplitude and scale could resolve the apparent tension between direct local measurements of the Hubble constant and those inferred by Planck team. Other theoretical studies have concluded that such an under-density could account for what looks like an accelerating expansion, even when no dark energy is present.
Psychotic disorders are highly heritable such that the unaffected relatives of patients may manifest characteristics, or endophenotypes, that are more closely related to risk genes than the overt clinical condition. Facial affect processing is dependent on a distributed cortico-limbic network that is disrupted in psychosis. This study assessed facial affect processing and related brain structure as a candidate endophenotype of first-episode psychosis (FEP).
Method
Three samples comprising 30 FEP patients, 30 of their first-degree relatives and 31 unrelated healthy controls underwent assessment of facial affect processing and structural magnetic resonance imaging (sMRI) data. Multivariate analysis (partial least squares, PLS) was used to identify a grey matter (GM) system in which anatomical variation was associated with variation in facial affect processing speed.
Results
The groups did not differ in their accuracy of facial affect intensity rating but differed significantly in speed of response, with controls responding faster than relatives, who responded faster than patients. Within the control group, variation in speed of affect processing was significantly associated with variation of GM density in amygdala, lateral temporal cortex, frontal cortex and cerebellum. However, this association between cortico-limbic GM density and speed of facial affect processing was absent in patients and their relatives.
Conclusions
Speed of facial affect processing presents as a candidate endophenotype of FEP. The normal association between speed of facial affect processing and cortico-limbic GM variation was disrupted in FEP patients and their relatives.
A detailed investigation was conducted to identify the main factors influencing the current poor reproductive performance in dairy herds in Northern Ireland. Nineteen herds were selected and a comprehensive database was established, comprising detailed information collected over a 2-year period. Milk progesterone monitoring (no.=1423 cows), based on twice weekly sampling, was included in this on-farm investigation. The mean interval from calving to commencement of luteal activity was 30·1 days and 13·4% (184/1378) of these cows had not commenced luteal activity by day 50 post partum. In addition, there was a high incidence of abnormal progesterone profiles: delayed ovulation type I; 15·6% (242/1388), delayed ovulation type II; 11·7% (125/965), persistent corpus luteum type I; 19·4% (212/1121) and persistent corpus luteum type II; 11·9% (70/619). Delayed commencement of luteal activity and abnormal profiles were associated with reduced fertility performance manifested as increased interval to first AI service and ultimately prolonged calving interval. Delayed commencement of luteal activity and abnormal progesterone profiles, with the exception of ‘delayed ovulation type II’ profiles, were not associated with lower conception rates. Assistance at calving was associated with delayed commencement of luteal activity. Delayed commencement of luteal activity and delayed ovulation types I and II profiles were associated with indicators of nutritional stress and poorer production performance in early lactation. Retained foetal membranes were strongly associated with prolonged luteal phases (persistent corpus luteum types I and II profiles). While hormonal therapy may prove useful in treating cows with abnormal milk progesterone profiles, the prevention and treatment of associated diseases and the implementation of good management practices are likely to be more rewarding.
For n a positive integer, a group G is called core-n if H/HG has order at most n for every subgroup H of G (where HG is the normal core of H, the largest normal subgroup of G contained in H). It is proved that a locally finite core-n group G has an abelian subgroup whose index in G is bounded in terms of n.
A group G has all of its subgroups normal-by-finite if H / coreG(H) is finite for all subgroups H of G. These groups can be quite complicated in general, as is seen from the so-called Tarski groups. However, the locally finite groups of this type are shown to be abelian-by-finite; and they are then boundedly core-finite, that is to say, there is a bound depending on G only for the indices | H: coreG(H)|.
We consider the generalisation from central series to marginal series in groups and set up firstly various basic results. The main section of the paper is concerned with the study of which group theoretical properties may be transferred from a marginal factor in a group to the corresponding verbal subgroup and which properties may be transferred from one factor of a lower marginal series to successive factors of the series.
We recall from (3) that a group G is (centrally) eremitic if there exists a positive integer e such that, whenever an element of G has some power in a centralizer, it has its eth power. The eccentricity of an eremitic group G is the least such positive integer e.
In ((4), Theorem A) we proved that if A is a torsion free Abelian normal subgroup of a finitely generated group G with G/A nilpotent, then G has a subgroup of finite index with eccentricity 1. In this note we use a much simpler method to prove a stronger result.
Let be a class and p a property of groups. We say that p is a bigenetic property of p-groups (or more simply, p is bigenetic in p-groups) if an p-group G has the property p whenever all two-generator subgroups of G have p.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.