RESUMEN
BACKGROUND: Coercive or restrictive practices such as compulsory admission, involuntary medication, seclusion and restraint impinge on individual autonomy. International consensus mandates reduction or elimination of restrictive practices in mental healthcare. To achieve this requires knowledge of the extent of these practices. AIMS: We determined rates of coercive practices and compared them across countries. METHOD: We identified nine country- or region-wide data-sets of rates and durations of restrictive practices in Australia, England, Germany, Ireland, Japan, New Zealand, The Netherlands, the USA and Wales. We compared the data-sets with each other and with mental healthcare indicators in World Health Organization and Organisation for Economic Cooperation and Development reports. RESULTS: The types and definitions of reported coercive practices varied considerably. Reported rates were highly variable, poorly reported and tracked using a diverse array of measures. However, we were able to combine duration measures to examine numbers of restrictive practices per year per 100 000 population for each country. The rates and durations of seclusion and restraint differed by factors of more than 100 between countries, with Japan showing a particularly high number of restraints. CONCLUSIONS: We recommend a common set of international measures, so that finer comparisons within and between countries can be made, and monitoring of trends to see whether alternatives to restraint are successful. These measurements should include information about the total numbers, durations and rates of coercive measures. We urge the World Health Organization to include these measures in their Mental Health Atlas.
RESUMEN
New wide-angle seismic reflection data from offshore New Zealand show that the lithosphere-asthenosphere boundary (LAB) is more structured than previously thought. Three distinct layers are interpreted within a 10- to 12-km-thick LAB zone beginning at a depth of ≈70 km: a 3 (±1)-km-thick layer at the bottom of the lithosphere with a P-wave (VP) azimuthal anisotropy of 14 to 17% and fast azimuth subparallel to the direction of absolute plate motion and a 9 (±2)-km-thick, low VP channel with a P-wave-to-S-wave velocity ratio (VP/VS) of >2.8 in the upper 7 km of the channel and 1.8 to 2.6 in the lower 2 km of the channel. The high VP/VS ratios indicate that this channel may contain 3 to 20% partial melt that facilitates decoupling of the lithosphere from the asthenosphere and reduces resistance for plate motion. Furthermore, the strong azimuthal anisotropy above the low-velocity layer suggests localization of strain due to melt accumulation.
RESUMEN
The orientation of crustal seismic anisotropy changed at least twice by up to 80 degrees because of volcanic eruptions at Ruapehu Volcano, New Zealand. These changes provide the basis for a new monitoring technique and possibly for future midterm eruption forecasting at volcanoes. The fast anisotropic direction was measured during three seismometer deployments in 1994, 1998, and 2002, providing an in situ measurement of the stress in the crust under the volcano. The stress direction changed because of an eruption in 1995-1996. Our 2002 measurements revealed a partial return to the pre-eruption stress state. These changes were probably caused by repeated filling and depressurizing of a magmatic dike system.