To send 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 sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.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 sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent 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.
The clinical and public mental health aspects of alcohol misuse in older people (both men and women) have increasing relevance for both old age and addiction psychiatrists. Clinical presentations are often complex and involve a number of different psychiatric, physical, and psychosocial factors. The assessment, treatment, and aftercare of alcohol-related and other comorbid mental disorders will also involve a broad range of interventions from a wide range of practitioners. Given its growing clinical relevance, there are particular areas such as alcohol-related brain damage and drug interactions with alcohol that deserve special attention.
Substance misuse in older people represents a growing clinical and public health problem within primary care.
The aim of article is to explore policy and research evidence for informing best practice in the assessment, treatment effectiveness, treatment implementation and approaches to recovery for older people with substance misuse in primary care.
Relevant search terms were used to examine the databases MEDLINE, EMBASE, CINAHL and PsychINFO up to January 2016.
An age-sensitive approach is required to overcome barriers to assessment. Training is essential for developing relevant knowledge, skills and attitudes. Clinical audit be used to develop care pathways, particularly for older people with dual diagnosis. There is also a need to develop closer links between primary care and the secondary care specialties, as well as added value in working with carers and voluntary agencies.
Further research is needed to inform more effective approaches to treatment. Adequate funding for workforce development and quality improvement in service development are also essential to improve health outcomes and quality of life in older people with substance misuse.
Alcohol-related dementia represents an underrecognised mental disorder with both clinical and public mental health aspects. There is considerable scope for improving its assessment within both mainstream and specialist mental health services, but ongoing challenges remain in ensuring its timely detection so that appropriate preventative and rehabilitative interventions can be applied.
The clinical and public mental health aspects of alcohol misuse in older people (both men and women) have increasing relevance for both old age and addiction psychiatrists. Clinical presentations are often complex and involve a number of different psychiatric, physical and psychosocial factors. The assessment, treatment and aftercare of alcohol-related and comorbid other mental disorders will also involve a broad range of interventions from a wide range of practitioners. Given its growing clinical relevance, there are particular areas, such as alcohol-related brain damage and drug interactions with alcohol, that deserve special attention.
Fractals have unique properties such as self-similarity and space-filling. The use of fractal geometry in antenna design provides a good method for achieving the desired miniaturization, multi-band, and wideband properties. In this communication, novel fractal geometry is proposed based on which a multiband antenna is designed. The proposed antenna has fractal patches which are shaped as different iterations of an eight-pointed star. The multiband behavior is in the frequency range from 4.50 to 17.00 GHz. The proposed antenna is designed on a dielectric substrate Roggers RO4003 lossy with a dielectric constant of εr = 3.55. The antenna has applications in commercial and military communication system.
This chapter examines the theme of transitions in energy systems. It assesses the literature that explores the genesis, growth, and management of transitions. This literature provides a multi-level framework for large-scale, transformative change in technology systems, involving a hierarchy of changes from experiments to niches to technology regimes.
The chapter also covers specific innovation systems and experiments in the energy sector that may have the potential for larger impact and could lead to new niches or technology regimes. These experiments include technology-driven innovations in generation and end-use; system-level innovations that could reconfigure existing systems; and business model innovations centered on energy service delivery. Experiments in generation include hybrid systems, where multiple primary energy sources help address issues such as intermittency. Experiments in end-use include technology options for the simultaneous delivery of multiple energy services, or energy and non-energy services. System-level experiments include innovations in storage, distributed generation, and the facilitation of energy efficiency by effectively monetizing savings in energy use.
In some of these experiments, technology can lead to changing relationships between actors or changing roles for actors; for example, the process of consumers becoming producers is seen in small-scale biogas projects. These changing relationships present both challenges and opportunities for influencing the transition process. The chapter also discusses policy and institutional issues that affect transitions. Finally, it is seen that although technological research, development, and innovation are important, a wide-scale, equitable, and accessible transformation to energy systems for sustainable development needs to be tackled as a socio-political issue.
The staff and associated specialist grade in psychiatry represents a large proportion of the non-consultant career grade workforce in some areas of the UK, with no direct equivalent worldwide. The advent of separate funding for continuing professional development (CPD) in England offers an opportunity to commission bespoke educational resources for a group of doctors who deliver front-line clinical care. This article details the background to the UK staff and associated specialist grade workforce and describes a model of CPD delivery that has attempted to meet training needs, with a view to improving patient care. Also at the heart of this model is the acquisition of consultant-level competencies through personal and professional development.
The presence of a high electron density of states in low-dimensional systems such as, nanowires and nanotubes, suggests that these 1D structures can be useful thermoelectric materials. Theoretical calculations predict that: (i) Semimetallic Bi nanowires exhibit semiconducting nature when their nanowire diameter is below 50 nm, and (ii) Semiconducting Bi nanowires with diameter < 10 nm are expected to have an enhanced figure of merit (ZT > 2), when Z=S2σ/κ (S: Seebeck coefficient, σ: electrical conductivity, and κ is the thermal conductivity). We report the synthesis of ∼10 nm diameter Bi nanorods using a pulsed laser vaporization method. The high resolution transmission electron microscopy images of our Bi nanorods show (i) crystalline <012> planes in the core of the nanorods, and (ii) coated with a thin amorphous Bi2O3 layer. The infrared absorption and the surface plasmon peaks in our Bi nanorods are blue-shifted in energy when compared to the corresponding spectra in bulk Bi.