Psychiatric severity and behavior change in alcoholism

Individuals who are diagnosed with a chronic mental illness and an alcohol use disorder comprise a high risk population that challenges the mental health care system. Effective treatment for the dually diagnosed, who are characterized by heterogeneity in their psychiatric diagnoses, their substance use patterns, and their current degree of dysfunction, presents a challenge. Several integrated treatment models have been developed that attempt to concurrently treat patients' psychiatric and substance abuse problems. At this point in the development of these "dual diagnosis" programs, treatment planning is hindered by a lack of knowledge about the relation of psychiatric severity to the process of recovery from alcohol abuse and dependence.^ The present study sought to advance the field's understanding of the relation between psychiatric severity and the process of behavior change through an examination of the relation between dimensions of psychiatric severity and Prochaska and DiClemente's Transtheoretical Model (TTM) constructs. The TTM, which focuses on identifying the processes of change that appear to underlie the modification of addictive behaviors, provides a way of conceptualizing and measuring specific elements relevant to the desired behavior change. Knowledge of the relation between these constructs and psychiatric severity will enable treatment planners to develop dual diagnosis programs which target clients' needs with a much higher level of specificity.^ One hundred-thirty two alcohol dependent patients in a dual diagnosis treatment program were assessed on psychiatric severity (defined as number of symptoms and level of distress resulting from symptoms) and the Transtheoretical Model constructs. The constructs include stages and processes of change for alcohol use, alcohol decisional balance, and alcohol abstinence self-efficacy. Results indicate that the TTM variable of "temptation to drink" is most strongly related to psychiatric severity: the more psychiatric distress a person is experiencing, the more he or she is tempted to drink. The "cons" of drinking were also related to psychiatric severity, indicating that participants who were experiencing more psychiatric distress also endorsed as important a higher number of the negative aspects of drinking.^ Additional aims of this investigation were to determine whether participants' scores on the Transtheoretical Model variables were associated with their: (a) severity of drinking, defined as frequency, quantity and consequences of use, (b) previous psychiatric and substance abuse treatment episodes, and (c) functional impairment. Associations were found among these variables and each of the key constructs of the Transtheoretical Model. Each association is explored in detail and implications for treatment programming are discussed. ^

The Most Extensive Holocene Advance in the Stauning Alper, East Greenland, Occurred in the Little Ice Age

We present glacial geologic and chronologic data concerning the Holocene ice extent in the Stauning Alper of East Greenland. The retreat of ice from the late-glacial position back into the mountains was accomplished by at least 11 000 cal years B.P. The only recorded advance after this time occurred during the past few centuries (the Little Ice Age). Therefore, we postulate that the Little Ice Age event represents the maximum Holocene ice extent in this part of East Greenland.

Surface "Waves" on Byrd Glacier, Antarctica

Byrd Glacier has one of the largest ice catchment areas in Antarctica, delivers more ice to the Ross Ice Shelf than any other ice stream, and is the fastest of these ice streams. A force balance, combined with a mass balance, demonstrates that stream flow in Byrd Glacier is transitional from sheet flow in East Antarctica to shelf flow in the Ross Ice Shelf. The longitudinal pulling stress, calculated along an ice flowband from the force balance, is linked to variations of ice thickness, to the ratio of the basal water pressure to the ice overburden pressure where Byrd Glacier is grounded, and is reduced by an ice-shelf buttressing stress where Byrd Glacier is floating. Longitudinal tension peaks at pressure-ratio maxima in grounded ice and close to minima in the ratio of the pulling stress to the buttressing stress in floating ice. The longitudinal spacing of these tension peaks is rather uniform and, for grounded ice, the peaks occur at maxima in surface slope that have no clear relation to the bed slope. This implies that the maxima in surface slope constitute a "wave train" that is related to regular variations in ice-bed coupling, not primarily to bed topography. It is unclear whether these surface "waves" are "standing waves" or are migrating either upslope or downslope, possibly causing the grounding line to either retreat or advance. Deciding which is the case will require obtaining bed topography in the map plane, a new map of surface topography, and more sophisticated modeling that includes ice flow linked to subglacial hydrology in the map plane.

Die Konfirmation der Israeliten nebst Prüfung und Glaubensbekenntniß der Konfirmanden, oder: das Judenthum in seiner Grundlage : zunächst f. öffentl. u. Privaterzieher, Konfirmanden u. Familien, dann für jeden, der sich belehren ... will

von Hermann Stern

Tora umizwa (Lehre und Gebot) : Israelitisches Religionsbuch, zunächst f. Confirmanden, dann f. gereiftere Schüler überhaupt, sowie f. jeden Israeliten, welcher sich über seine Religion unterrichten will

zusgest. mit e. einleitenden Religionsgeschichte u. zahlr. Anm. vers. von Leopold Stein

Vascular Plants and Biocrusts Modulate How Abiotic Factors Affect Wetting and Drying Events in Drylands

Understanding how organisms control soil water dynamics is a major research goal in dryland ecology. Although previous studies have mostly focused on the role of vascular plants on the hydrological cycle of drylands, recent studies highlight the importance of biological soil crusts formed by lichens, mosses, and cyanobacteria (biocrusts) as a major player in this cycle. We used data from a 6.5-year study to evaluate how multiple abiotic (rainfall characteristics, temperature, and initial soil moisture) and biotic (vascular plants and biocrusts) factors interact to determine wetting and drying processes in a semi-arid grassland from Central Spain. We found that the shrub Retama sphaerocarpa and biocrusts with medium cover (25–75%) enhanced water gain and slowed drying compared with bare ground areas (BSCl). Well-developed biocrusts (>75% cover) gained more water, but lost it faster than BSCl microsites. The grass Stipa tenacissima reduced water gain due to rainfall interception, but increased soil moisture retention compared to BSCl microsites. Biotic modulation of water dynamics was the result of different mechanisms acting in tandem and often in opposite directions. For instance, biocrusts promoted an exponential behavior during the first stage of the drying curve, but reduced the importance of soil characteristics that accentuate drying rates. Biocrust-dominated microsites gained a similar amount of water than vascular plants, although they lost it faster than vascular plants during dry periods. Our results emphasize the importance of biocrusts for water dynamics in drylands, and illustrate the potential mechanisms behind their effects. They will help to further advance theoretical and modeling efforts on the hydrology of drylands and their response to ongoing climate change.

Schechitos ubdikos oder: das Schächt- u. Visitir-Buch, welches derjenige, so bey d. Juden von Schächten u. Nachsehen Profession machen will, ... inne haben muss, ehe er nur einen Vogel schächten darff : nebst e. Anh. von der Thekuffa

alles aus d. Hebr. in d. teutsche Sprache übers. u. hrsg. von Simon Baptista Burgmann

Wenn das Glück will : eine Erzählung aus dem Orient

von S. D. Weiskopf

Was will Agudas Jisroel?

Von Wolf S. Jacobson