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This work presents updates in the diagnostics systems, magnetohydrodynamics (MHD) calculations and simulations of microwave heating scenarios of the small modular Stellarator of Costa Rica 1 (SCR-1). Similarly, the design of a flexible bolometer and magnetic diagnostics (a set of Mirnov coils, Rogowski coils and two diamagnetic loops) are introduced. Furthermore, new MHD equilibrium calculations for the plasma of the SCR-1 device were performed using the VMEC code including the poloidal cross-section of the magnetic flux surfaces at different toroidal positions, profiles of the rotational transform, magnetic well, magnetic shear and total magnetic field norm. Charged particle orbits in vacuum magnetic field were computed by the magnetic field solver BS-SOLCTRA (Vargas et al. In 27th IAEA Fusion Energy Conference (FEC 2018), 2018. IAEA). A visualization framework was implemented using Paraview (Solano-Piedra et al. In 23rd IAEA Technical Meeting on the Research Using Small Fusion Devices (23rd TM RUSFD), 2017) and compared with magnetic mapping results (Coto-Vílchez et al. In 16th Latin American Workshop on Plasma Physics (LAWPP), 2017, pp. 43–46). Additionally, simulations of microwave heating scenarios were performed by the IPF-FDMC full-wave code. These simulations calculate the conversion of the ordinary waves to extraordinary waves and allow us to identify the location where the conversion takes place. Finally, the microwave heating scenarios for the $330^{\circ }$ toroidal position are presented. The microwave heating scenarios showed that the O–X–B mode conversion is around 12–14 %. It was possible to identify the spatial zone where the conversion takes place (upper hybrid frequency).
Pasture management that considers pasture growth dynamics remains an open question. Conceptually, such management must allow for grazing only after the recuperation of the pasture between two separate timely grazing periods when pasture reaches optimum recovery, as per the first law of Voisin’s rational grazing system. The optimum recovery period not only implies a pasture with better nutritional value and higher biomass yield but one that also reduces the production of enteric methane (CH4) to improve the grazing efficiency of cattle. Therefore, this study aimed to evaluate three different recovery periods (RP) of mixed grasses on the grazing behaviour of heifers, as well as herbage selectivity, herbage yield and nutritional value, in vitro degradability and CH4 production. Based on these criteria, three pasture RPs of 24 (RP24), 35 (RP3) and 46 (RP46) days were evaluated in six blocks using a randomized block design. At each predetermined RP, samples of the pasture were taken before the animals were allowed to graze. Right after collecting the pasture samples, heifers accessed the pasture during 4 h consecutively for grazing simulation and behavioural observations. We also measured the bite rate of each animal. The pasture growing for 24 days had the highest biomass production, best nutritional value, best efficiency of in vitro CH4 relative emission (ml) per DM degraded (g) and bite rate of the three RPs. Heifers all selected their herbage, irrespective of RP, but with different nutritional value and higher in vitro degradability. However, this did not change the production of in vitro CH4. Considering the growth conditions of the area where the study was performed, we recommend the shorter RP24 as the most suitable during the summer season. The study’s findings support the idea of management intervention to increase the quality of grazing systems.
The start of Child and Adolescent attention to gender dysphoria is very recent. In our Unit, it has objectified a growing increase in such demand over recent years.
As a typical example would be a patient of 13 years following gender dysphoria begins to present school failure and behavior problems at home with emotional instability.
According to the recommendations of the Group Identity and Sexual Differentiation (GIDSEEN) after early detection is to guide parents towards a comprehensive treatment at a specialized interdisciplinary teams and a psychosocial approach to improve the quality of life, decrease mental comorbidity and gender dysphoria own. Having no such care in our community has been necessary to make a referral to another community to attend this demand.
Currently it is giving adequate attention to these cases, but except for referral to another community. However, as we are seeing progression care in our area in the future could be feasible. Therefore, we consider as a first step dysphoria quantify each case in our area.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Poor adherence to treatment is one of the main problems in health care to psychiatric patients. The second-generation antipsychotics, and the subsequent emergence of the depot forms (long acting formulations) have facilitated this aspect, increasing the time to clinical relapse in patients with schizophrenia.
Goals
Determine the time to relapse in a clinical sample of patients diagnosed with schizophrenia treated with paliperidone palmitate over 3 years. Other objectives include the possible reduction in hospital admissions, as well as the possible reduction of psychiatric emergency visits, concomitant medication (benzodiazepines and Biperiden) and the possible increase in drug monotherapy.
Methodology
This is a study with a sample of 101 patients with schizophrenia who had started treatment with PP (consecutive sampling). Quantified variables in the 12 months prior to the change of PP treatment with variables at 6, 12, 24 and 36 months after initiation of treatment with PP were compared.
Results and conclusions
At the end of the tracking, 72.22% (73 patients) remained clinically stable, with adequate adherence to treatment and there have been no clinical relapses. It has obtained a statistically significant reduction in the use of concomitant medication, emergency room visits and the average duration of revenues, with no clinical relapse should occur in patients of the sample in the second and third year.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Wearable devices are fast evolving to address mobility and autonomy needs of elderly people who would benefit from physical assistance. Recent developments in soft robotics provide important opportunities to develop soft exoskeletons (also called exosuits) to enable both physical assistance and improved usability and acceptance for users. The XoSoft EU project has developed a modular soft lower limb exoskeleton to assist people with low mobility impairments. In this paper, we present the design of a soft modular lower limb exoskeleton to improve person’s mobility, contributing to independence and enhancing quality of life. The novelty of this work is the integration of quasi-passive elements in a soft exoskeleton. The exoskeleton provides mechanical assistance for subjects with low mobility impairments reducing energy requirements between 10% and 20%. Investigation of different control strategies based on gait segmentation and actuation elements is presented. A first hip–knee unilateral prototype is described, developed, and its performance assessed on a post-stroke patient for straight walking. The study presents an analysis of the human–exoskeleton energy patterns by way of the task-based biological power generation. The resultant assistance, in terms of power, was 10.9% ± 2.2% for hip actuation and 9.3% ± 3.5% for knee actuation. The control strategy improved the gait and postural patterns by increasing joint angles and foot clearance at specific phases of the walking cycle.
Recent modelling estimates up to two-thirds of new HIV infections among men who have sex with men occur within partnerships, indicating the importance of dyadic HIV prevention efforts. Although new interventions are available to promote dyadic health-enhancing behaviours, minimal research has examined what factors influence partners’ mutual engagement in these behaviours, a critical component of intervention success. Actor-partner interdependence modelling was used to examine associations between relationship characteristics and several dyadic outcomes theorised as antecedents to health-enhancing behaviours: planning and decision making, communication, and joint effort. Among 270 male-male partnerships, relationship satisfaction was significantly associated with all three outcomes for actors (p = .02, .02, .06 respectively). Latino men reported poorer planning and decision making (actor p = .032) and communication (partner p = .044). Alcohol use was significantly and negatively associated with all outcomes except actors’ planning and decision making (actors: p = .11, .038, .004 respectively; partners: p = .03, .056, .02 respectively). Having a sexual agreement was significantly associated with actors’ planning and decision making (p = .007) and communication (p = .008). Focusing on interactions between partners produces a more comprehensive understanding of male couples’ ability to engage in health-enhancing behaviours. This knowledge further identifies new and important foci for the tailoring of dyadic HIV prevention and care interventions.
Behavioral disturbances are common but serious symptoms in patients with dementia. Currently, there are no FDA approved drugs for this purpose. There have been case reports and small case series of the use of buspirone. In this retrospective study, we review 179 patients prescribed buspirone for treatment of behavioral disturbance in dementia to better characterize the efficacy and potential side effects. All patients prescribed buspirone for behavioral disturbance due to dementia from a geropsychiatric outreach program were reviewed. Data was collected and analyzed using SPSS. One hundred-seventy-nine patients met criteria for the study with a mean age of 83.8 + 7. Alzheimer's dementia was the most common dementia (n = 61; 34.1%) followed by mixed dementia (n = 50, 27.9%) then vascular type (n = 31; 17.3%). Behavioral disturbances were mainly verbal aggression (n = 125; 69.8%), and physical aggression (n = 116; 64.8%). Using the Clinical Global Impression scale, 68.6% of patients responded to buspirone, with 41.8% being moderately to markedly improved. The mean dose of buspirone was 25.7 mg ± 12.50. Buspirone appears to be effective in treating behavioral disturbances in dementia. Future prospective and double blinded studies are needed.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Scholarship in Anglo-Iberian relations developed during the second half of the twentieth and first decade of the twenty-first century to such an extent that few readers would subscribe today to the often quoted statement made in 1906 by the eminent hispanophile James Fitzmaurice-Kelly about the “almost complete insulation of each country with regard to one another” in the Middle Ages, or his other affirmation that “the first step to sustained intellectual commerce” started at the end of the fifteenth century, in allusion to the thirteen Fables of Alfonce (by the Aragonese Jewish convert, Pedro Alfonso, or Petrus Alphonsus) which were included in the 1483 edition of Caxton's Aesop. María Bullón-Fernández, among others, has also drawn our attention to this fact. Two historians in the 1950s had indeed opened the ground for new views in relation to the fourteenth century: the Spanish medievalist Luis Suárez Fernández and the Oxford scholar Peter E. Russell, although in more recent years the current interest in Al-Andalus as a decisive factor in the conformation of Europe and European culture has yielded books such as those by Jeffrey Jerome Cohen, Simon R. Doubleday and David Coleman, Sharon Kinoshita, Lisa Lampert-Weissig, or, some decades earlier, one by Alice E. Lasater.
My purpose in this chapter is not to focus on this latter sort of exploration, but rather to look back again on the particular historical, political, and dynastic conditions that linked England to Iberia during the fourteenth century, a period when writers such as John Gower, Geoffrey Chaucer, and Canciller Pero López de Ayala lived and composed their best known works.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Venus's dismissal of John Gower at the end of the Confessio Amantis ostensibly represents the end of his dual career as a lover and an author. Freed from his “trance” (CA VIII.2813) and shocked into recognition by the mirror rendering an accurate “liknesse of miselve” (CA VIII.2437), the poet receives a rosary of black beads with the gold inscription “Por reposer” (CA VIII.2907) and a new commission, to seek and pray for peace. This scene is echoed in the Confessio's explicit, literally the final words, in which the poet's book is sent to find lasting repose under the earl of Derby: sub eo requiesce futurus. Other elements of the poem, however, belie this sense of closure. Venus directs Gower not just to erotic and poetic retirement but to his own works: “But go ther vertu moral duelleth, | where ben thi bokes, as men telleth, | Which of long time thou has write” (CA VIII.2925–27). His literary destination is the Mirour de l'Omme and the Vox Clamantis, works that treat ethics, have found an audience influential enough to be proverbial (“as men telleth”), and were written “of long time” – both in the authoritative past and through a long process of composition and conceptual development.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
“This is the first instalment of one of those monuments of tedious and unremunerative toil which, even in these days of commercialised literature, there are still scholars to put together, and which the Clarendon Press, to its honour, is always ready to publish.” So opens the March 1900 review in the Academy of the first volume of G. C. Macaulay's edition of John Gower's works. Volumes two and three were praised in the same periodical in 1901 as “a monument of remorseless and well-informed industry,” and the 1903 review of the Latin volume once again singles out Macaulay's “industry” and the press's “munificence,” all in service of a writer who is “tedious enough from the literary point of view, but remarkably characteristic, both in his defects and in his achievements, of the dying middle ages.” The Academy is not alone in its view: the Saturday Review closed its assessment of the Latin volume by noting that “Mr Macaulay has discharged his duty as an editor as efficiently and conscientiously as he has done in the case of the French and English poems. We heartily congratulate him on the successful completion of a work which must have involved much arduous and dreary labour.”
All these reviews set up the same dynamic. On the one hand there is Gower, writing endlessly, in three languages and, rather mysteriously it seems, enjoying such contemporary popularity that these long works normally survive in many manuscripts. On the other, there is the heroic Macaulay, weighed down by this tedious freight but doing yeoman’s service to make Gower’s works available, even though no one is likely to want to read them.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida