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There is a need for clinical tools to identify cultural issues in diagnostic assessment.
To assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice.
Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored.
Mixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time.
The CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool.
X-ray diffraction with hard X-rays (E = 70 keV) was used to investigate the grain nucleation and grain growth during solidification of a grain refined Al-0.3Ti-0.02B (wt.%) alloy. The investigations showed for the first time the nucleation profile during solidification and how nucleation rate increases with cooling rate. The results indicate that the nucleation process is complete for solid fraction below 30 %, irrespective of the cooling rate. This is explained in terms of the release of latent heat during solidification. The growth of individual aluminium grains during solidification is experimentally observed and compared to model predictions for the diffusion limited grain growth. The experimental results are only in agreement with the theory in the first stage of the transformation. The difference between the experiment and the theory is discussed qualitatively.
This work presents an estimate of the error on a cumulative reward function until the entrance time of a continuous-time Markov chain into a set, when the infinitesimal generator of this chain is perturbed. The derivation of an error bound constitutes the first part of the paper while the second part deals with an application where the time until saturation is considered for a circuit switched network which starts from an empty state and which is also subject to possible failures.
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