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.
Given the US population concentration near coastal areas and increased flooding due to climate change, public health professionals must recognize the psychological burden resulting from exposure to natural hazards.
Methods
We performed a systematic search of databases to identify articles with a clearly defined comparison group consisting of either pre-exposure measurements in a disaster-exposed population or disaster-unexposed controls, and assessment of mental health, including but not limited to, depression, post-traumatic stress (PTS), and anxiety.
Results
Twenty-five studies, with a combined total of n =616 657 people were included in a systematic review, and 11 studies with a total of 2012 people were included in a meta-analysis of 3 mental health outcomes. Meta-analytic findings included a positive association between disaster exposure and PTS (n = 5, g = 0.44, 95% CI 0.04, 0.85), as well as depression (n = 9, g = 0.28, 95% CI 0.04, 0.53), and no meaningful effect size in studies assessing anxiety (n = 6, g = 0.05 95% CI −0.30, 0.19).
Conclusions
Hurricanes and flooding were consistently associated with increased depression and PTS in studies with comparison groups representing individuals unaffected by hazards.
Promoting youth resilience and well-being in vulnerable rural populations requires a coordinated approach that builds connections between schools, families, community resources, and school mental health clinicians. Emphasizing a community psychology and ecological systems approach, this chapter describes how one school–community–university partnership improved school mental health (SMH) programming and reduced the impacts of adverse childhood experiences (ACEs) in eight rural South Carolina elementary schools. This approach included delivering a continuum of evidence-based SMH services, helping families navigate community resources to address concrete needs that would otherwise function as barriers to student well-being and achievement, building community-level ACE awareness and capacity for resiliency promotion, and conducting a thorough mixed-methods evaluation to highlight program achievements and areas for improvement. Information on the nature and outcomes of the project and strategies for conducting rich evaluations for similar regional programs are presented. Finally, a new model – the Empower Action Model – for organizations interested in developing a functional, coordinated plan of action for improving equity, health, and well-being in their communities is introduced.
Integration of mental health services into nonspecialist settings is expanding in low and middle income countries (LMICs). Among many factors required for success, such programs require reliable administration of mental health screening tools. While several tools have been validated in carefully conducted research studies, few studies have assessed how reliably nonspecialist clinicians administer these tools to low-literacy LMIC populations in routine care.
Methods.
Ninety-seven patients accessing human immunodeficiency virus primary care in Malawi who completed Patient Health Questionnaire (PHQ)-9 depression screening with their clinician then completed a second PHQ-9 with a trained research assistant (RA) blinded to the first result.
Results.
Compared to clinicians, RAs identified more patients with any depressive symptoms (PHQ-9 score ⩾5: 38% v. 32%), moderate/severe symptoms (PHQ-9 ⩾ 10: 14% v. 6%), any suicidality (14% v. 4%), and active suicidality (3% v. 2%). Across these indicators, clinician and RA ratings had strong overall agreement (81–97%) but low corrected Kappa agreement (31–59%). Treating RA results as the reference standard of a carefully supervised research administration of the PHQ-9, clinician administration had high specificity (90–99%) but low sensitivity (23–68%) for these indicators.
Conclusions.
In routine care in LMICs, clinicians may administer validated mental health screening tools with varying quality. To ensure quality, integration programs must incorporate appropriate and ongoing training, support, supervision, and monitoring.
The frequency dependence of normal pulsar radio emission is typically observed to be a power law, with some indications of a flattening or turnover at low frequencies (≲ 100 MHz). The spectrum of the Crab pulsar’s giant pulse emission has not been examined as closely. We conducted simultaneous wideband observations of the Crab pulsar, with the Parkes radio telescope and the Murchison Widefield Array, to study the spectral behaviour of its giant pulses. Our analysis shows that the mean spectral index of Crab giant pulses flattens at low frequencies, from −2.6 ± 0.5 between the Parkes bands, to −0.7 ± 1.4 between the lowest MWA subbands.
At several times during the Quaternary, a major eastward-flowing outlet glacier of the former Patagonian Ice Sheet occupied the Lago San Martin Valley in Argentina (49°S, 72°W). We present a glacial chronology for the valley based on geomorphological mapping and cosmogenic nuclide (10Be) exposure ages (n = 10) of boulders on moraines and lake shorelines. There are five prominent moraine belts in the Lago San Martin Valley, associated with extensive sandar (glaciofluvial outwash plains) and former lake shorelines. Cosmogenic nuclide exposure ages for boulders on these moraines indicate that they formed at 14.3 ± 1.7 ka, 22.4 ± 2.3 ka, 34.4 ± 3.4 ka to 37.6 ± 3.4 ka (and possibly 60 ± 3.5 ka), and 99 ± 11 ka (1σ). These dated glacier advances differ from published chronologies from the Lago San Martin Valley based on 14C age determinations from organic sediments and molluscs in meltwater channels directly in front of moraines or in kettleholes within end moraine ridges. The moraine boulder ages also point to possible pre-LGM glacial advances during the last glacial cycle and a key observation from our data is that the LGM glaciers were probably less extensive in the Lago San Martin Valley than previously thought.
We explore some aspects of the optimization of amorphous semiconductors as well as low- and high-dielectric-constant (low-/high-k) materials viewed purely from the perspective of percolation and topological constraint theories. We specifically illustrate how percolation, constraint theory, and mean network coordination, 〈r〉, play underlying roles in determining the electrical and mechanical properties of amorphous semiconducting and dielectric materials as well as interfaces that are important for modern micro-/nanoelectronic devices.
Experiments on the National Ignition Facility show that multi-dimensional effects currently dominate the implosion performance. Low mode implosion symmetry and hydrodynamic instabilities seeded by capsule mounting features appear to be two key limiting factors for implosion performance. One reason these factors have a large impact on the performance of inertial confinement fusion implosions is the high convergence required to achieve high fusion gains. To tackle these problems, a predictable implosion platform is needed meaning experiments must trade-off high gain for performance. LANL has adopted three main approaches to develop a one-dimensional (1D) implosion platform where 1D means measured yield over the 1D clean calculation. A high adiabat, low convergence platform is being developed using beryllium capsules enabling larger case-to-capsule ratios to improve symmetry. The second approach is liquid fuel layers using wetted foam targets. With liquid fuel layers, the implosion convergence can be controlled via the initial vapor pressure set by the target fielding temperature. The last method is double shell targets. For double shells, the smaller inner shell houses the DT fuel and the convergence of this cavity is relatively small compared to hot spot ignition. However, double shell targets have a different set of trade-off versus advantages. Details for each of these approaches are described.
To examine the presence of borderline personality disorder (BPD) traits in Gulf War veterans, and to assess psychiatric comorbidity, health status, healthcare utilization, and quality of life (QOL) along a continuum of BPD trait severity.
Method:
BPD and traits were evaluated using the Schedule for Non-Adaptive and Adaptive Personality in 576 veterans who were either deployed to the Persian Gulf (1990–1991) or were on active duty though not deployed to the Gulf. Demographic and military characteristics, personal and family history, psychiatric comorbidity, and QOL were also assessed.
Results:
One or more BPD traits were present in 247 subjects (43%), and BPD (≥5 traits) was identified in 15 subjects (3%).The number of traits was significantly associated with age and level of education. Lifetime psychiatric comorbidity was significantly associated with the number of BPD traits present, and level of functioning, health status, healthcare utilization, social functioning, self-injurious tendencies, and military/behavioral problems.
Conclusion:
BPD and traits identified in Gulf War veterans were associated with significant psychiatric morbidity, poorer QOL, and increased utilization of healthcare resources. Early recognition and treatment of veterans with BPD symptoms may be warranted to minimize the burden on the healthcare system.
Infection surveillance definitions for long-term care facilities (ie, the McGeer Criteria) have not been updated since 1991. An expert consensus panel modified these definitions on the basis of a structured review of the literature. Significant changes were made to the criteria defining urinary tract and respiratory tract infections. New definitions were added for norovirus gastroenteritis and Clostridum difficile infections.
PLATO is a fully-robotic observatory designed for operation inAntarctica. It generates its own electricity (about 1 kW), heat(sufficient to keep two 10-foot shipping containers comfortably above0°C when the outside temperature is at -70°C), andconnects to the internet using the Iridium satellite system (providing~30 MB/day of data transfer). Following a successful first year ofoperation at Dome A during 2008, PLATO was upgraded withnew instruments for 2009.
In January 2005, members of a Chinese expedition team were the firsthumans to visit Dome A on the Antarctic plateau, a sitepredicted to be one of the very best astronomical sites on earth. In 2006, the Chinese Center for Antarctic Astronomy (CCAA) was foundedto promote the development of astronomy in Antarctica, especially atDome A. CCAA has since taken part in two traverses to Dome A, organizedby the Polar Research Institute of China (PRIC), in the australsummers of 2007/2008 and 2008/2009. These traverses resulted in theinstallation of many site-testing and science instruments, supportedby the PLATO observatory. The Chinese Small Telescope ARray (CSTAR)has produced excellent results from Dome A. Our future plans include further site-testing work, and the followingfull-scale science instruments: three 0.5-m Antarctic SchmidtTelescopes (AST3), and a proposed 4-m telescope for wide-fieldinfrared high spatial-resolution surveys. The first AST3 telescope isunder construction and is scheduled for installation in 2011.
PLATO is a 6 tonne completely self-contained robotic observatory that provides its own heat, electricity, and satellite communications. It was deployed to Dome A in Antarctica in January 2008 by the Chinese expedition team, and is now in its second year of operation. PLATO is operating four 14.5cm optical telescopes with 1k × 1k CCDs, a wide-field sky camera with a 2k × 2k CCD and Sloan g, r, i filters, a fibre-fed spectrograph to measure the UV to near-IR sky spectrum, a 0.2m terahertz telescope, two sonic radars giving 1m resolution data on the boundary layer to a height of 180m, a 15m tower, meteorological sensors, and 8 web cameras. Beginning in 2010/11 PLATO will be upgraded to support a Multi Aperture Scintillation Sensor and three AST3 0.5m schmidt telescopes, with 10k × 10 CCDs and 100TB/annum data requirements.
Rates of intake of herbage and grazing time of beef cattle are essential components of simulation models of grassland agroecosystems. We studied the effects of herbage allowance on rates of intake and ingestive behaviour of twelve 2-year-old Angus heifers (Bos taurus)(364 ± 12 kg) grazing pastures of tall fescue (Festuca arundinacea Schreb.). A balanced change-over design and a novel tethering technique were used to estimate direct, residual and permanent effects of three herbage allowances on intake per bite, rate of biting and rate of intake. Herbage dry matter (D.M.) allowances, which were established by varying tether lengths, were 5, 9 and 13 kg (1·4, 2·5 and 3·6 kg/100 kg of live weight) and made available in circular plots of 15, 27 and 38 m2, respectively, for a single measured 2 h grazing session each day. Heifers grazing Kenhy tall fescue swards, composed of vegetative tillers and free from the endophyte Acremonium coenophialum, with herbage D.M. masses (> 5 cm) of 2000 kg/ha and D.M. allowances of 9 and 13 kg/2 h per heifer, ingested D.M. at 1·9 kg/h by taking bites averaging 800 mg D.M. at 38 bites/min. Allowances of 5 kg/2 h per heifer slowed the rate of intake to 1·3 kg/h by limiting D.M. intake per bite to 654 mg and biting rate to 35/min. Rate of D.M. intake of cattle grazing vegetative temperate grass swards appears to be ca. 0.5% of live weight per hour when allowance and availability of herbage are not limiting.