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The Royal College of Psychiatry journals have an outstanding reputation for excellence, integrity and impact in psychiatry. Facilitated by Cambridge University Press, which is equally steeped in tradition, the family of College journals remains committed to enriching our understanding of mental science and exploring the clinical issues that matter.
We show that certain sums of partition numbers are divisible by multiples of 2 and 3. For example, if $p(n)$ denotes the number of unrestricted partitions of a positive integer n (and $p(0)=1$, $p(n)=0$ for $n<0$), then for all nonnegative integers m,
The intricate water-land intermingled nature of wild environments necessitates robots to exhibit multimodal cross-domain mobility capabilities. This paper introduces a novel wheel-spoke-paddle hybrid amphibious robot (WSP-bot) that can operate on flat and rough terrains, water surfaces, and water-land transitional zones. The proposed robot relies on a propulsion mechanism called transformable wheel-spoke-paddle (WSP), which combines the stability of wheeled robots with the obstacle-climbing capability of legged robots, while also providing additional aquatic mobility. The utilization of a crank-slider-based transformation mechanism enables seamless switching between multiple motion modes. An analysis of mode transition and ground motion in spoke mode was conducted, along with an investigation of its obstacle-crossing capability. Simulations were performed for mode transition, ground locomotion, and obstacle-crossing, as well as propulsion of a single WSP module on water. Based on the above work, a prototype robot was manufactured. Prototype tests, including mode transition and mobility tests on land and water surfaces under multimodal states, confirmed the effectiveness of the proposed WSP-bot.
To evaluate the acceptability and safety of educational videos utilising visual storytelling to provide information about the cardiac ICU and post-operative care to parents. Videos were designed to educate, further encourage parents to engage in their child’s cardiac care, and address common sources of distress.
Study Design:
Two educational videos and survey were sent to 29 families of children previously admitted to the cardiac ICU (April 2020–March 2021). Views regarding information quality, quantity, format, and relevance were assessed, as were parents’ emotional responses. Quantitative thresholds for safety and acceptability were set a priori. An inductive approach to content analysis was applied to identify themes in qualitative data.
Results:
Sixteen parents participated (response rate: 55%). All acceptability and safety thresholds were met; 92% of parents rated the videos as helpful and 85% were “very” or “extremely likely” to recommend them to other families of children with CHD. No participants reported significant distress after viewing the videos. Expressions of parental engagement with their child’s care team were common (92%). In qualitative responses, parents perceived the videos as potentially helpful in reducing distress if viewed prior to cardiac ICU admission.
Conclusion:
Visual storytelling to orient parents to the cardiac ICU and address common stressors was found to be safe and acceptable when tested with parents of children previously admitted to the cardiac ICU. Further prospective studies are needed to test intervention effects when videos are viewed before or during cardiac ICU admission, especially for mitigating anxiety and traumatic stress associated with admission.
Pain management is essential in the immediate post-surgical period. We sought to describe the ketorolac dose regimen in neonates and infants following cardiac surgery. Secondary outcomes included renal dysfunction, bleeding, and pain management.
Methods:
We performed a single-centre retrospective cohort study of neonates and infants (aged < 12 months) who received ketorolac following cardiac surgery, from November 2020 through November 2021 (inclusive). Ketorolac was administered at 0.5 mg/kg every 6 hours. Safety was defined by absence of a clinically significant decline in renal function (i.e., increase in serum creatinine [SCr] by ≥ 0.3 mg/dL from baseline within 48 hours and/or urine output ≤ 0.5 mL/kg/hour for 6 hours) and absence of clinically significant bleeding defined as major by International Society on Thrombosis and Hemostasis paediatric criteria or Severe/Fatal Bleeding Events by Nellis et al. Efficacy measures included pain scores and opioid utilisation.
Results:
Fifty-five patients met eligibility criteria. The median (range) dose and duration of ketorolac administration was 0.5 mg/kg/dose for 48 (6–90) hours. Among all patients, there was not a statistically significant difference observed in median SCr within 48 hours of baseline (p > .9). There were no major or severe bleeding events. The median (range) opioid requirements (morphine intravenous equivalents per kg per day) at 48 hours post-ketorolac initiation was 0.1 (0–0.8) mg/kg/day.
Conclusions:
If validated prospectively, these findings suggest that a ketorolac regimen 0.5 mg/kg/dose every 6 hours in neonates and infants post-cardiac surgery may be safe with regard to renal function and bleeding risk, and effective regarding opioid-sparing capacity.
The spectral behaviour of random sawtooth waves propagating in the inner surf zone is investigated in this study. We show that the elevation energy spectrum exhibits a universal shape with an $\omega ^{-2}$ tendency in the inertial subrange and an exponential decay in the diffusive subrange ($\omega$ being the angular frequency). A theoretical spectrum is derived based on the similarities between sawtooth waves in the inner surf zone and Burgers wave solutions. Very good agreement is shown between this theoretical spectrum and laboratory experiments covering a large range of incident random wave conditions. Additionally, an equation describing the universal shape of the dissipation spectrum is derived. It highlights that the dissipation spectrum is nearly constant in the inertial subrange, consistent with prior laboratory observations. The findings presented in this study can be useful to improve broken wave dissipation parametrizations in stochastic spectral wave models.
We exploit the similarity between the mean momentum equation and the mean energy equation and derive transformations for mean temperature profiles in compressible wall-bounded flows. In contrast to prior studies that rely on the strong Reynolds analogy and the presumed similarity between the instantaneous and mean velocity and temperature signals, the discussion in this paper involves the Farve-averaged equations only. We establish that the compressible momentum and energy equations can be made identical to their incompressible counterparts under appropriate normalizations and coordinate transformations. Two types of transformations are explored for illustration purposes: Van Driest (VD)-type transformations and semi-local-type or Trettel–Larsson (TL)-type transformations. In our derivations, it becomes clear that VD-type velocity and temperature transformations hold exclusively within the logarithmic layer. On the other hand, TL-type transformations extend their applicability to incorporate wall-damping effects, at least in principle. Each type of transformation serves its distinct purpose and has its applicable range. However, it is noteworthy that while VD-type transformations can be assessed using measurements obtained from laboratory experiments, TL-type transformations necessitate viscosity and density information typically accessible only through numerical simulations. Finally, we justify the omission of the turbulent kinetic energy transfer term, a term that is unclosed, in the energy equation. This omission leads to closed-form temperature transformations that are valid for both adiabatic and isothermal walls.
Conditioning of a metal surface in a high-voltage system is the progressive development of resistance to vacuum arcing over the operational life of the system. This is relevant for accelerator cavities, where high level of performance is only achievable after a long conditioning period. Beyond the accelerator research field, this is an important topic for any technology where breakdowns can cause device failure, either by directly disrupting device operation or by causing cumulative hardware damage.
We are developing a direct method to measure the surface resistivity of a metal surface that is being conditioned with a HV DC system by inducing a high frequency (GHz) radio-frequency current in the parallel-plate electrode system. If the system can function as a resonant cavity, the surface resistivity data would be encoded in its quality factor (Q-factor). The changes in the resistivity measured in cryogenic conditions would indicate a formation of dislocations under the surface, something that has been speculated as an important process behind the conditioning.
In this paper, we present two modified designs of the electrode system, which will act as a resonant cavity, the results of 3D EM simulations and experimental results regarding the characterization of this resonant system.
Since at least the colonial era, the Central African Republic (CAR) has been a hotbed of rural rebellion and protest. This article explores the political discourses of members of the Anti-Balaka, a diffuse protest movement and armed rebellion, comparing discourses to see how they vary in relation to demographic categories: urban and rural, elites and peasants. Lombard and Vlavonou find that rural peasants demand a moral economy of interpersonal respect, while elite (usually urban) adherents claim inclusion in a system of official recognition and patronage. Both are concerned with respect, but what is radical about the vision of the peasants is that they can enact it on their own.
We examine cultural and ideological barriers to gender equality in a young democracy, Indonesia, where women’s political representation has increased slowly since democratization, but where survey results point to declining support for women’s political leadership. In both country and comparative literature, the effect of ideological factors—including religion—on voter support for women candidates is contested. Using results of a nationally representative survey, we group respondents according to a “political patriarchy” index. We find that being a Muslim is a strong predictor of holding patriarchal attitudes; university education is associated with gender-egalitarian views. Patriarchal views, in turn, are associated with opposition to increasing Indonesia’s gender quota and with lower levels of self-reported voting for female candidates. Our findings suggest that patriarchal attitudes drive both policy preferences and voter behavior. We conclude that Indonesia’s recent conservative Islamic turn likely underpins widespread—and increasing—opposition to gender equality in politics.
To examine the impact of a Patient and Public Involvement exercise on the development of British Congenital Cardiac Association Fetal Cardiology Standards 2021.
Design:
Open-ended, semi-structured interviews were undertaken to inform the design of a study to improve the quality of parents’ experiences during antenatal and perinatal care of their child with CHD. This Patient and Public Involvement exercise was used to inform the final version of the drafted ‘Standards’.
Setting:
One-on-one interviews with parents who responded to a request on the closed Facebook page of the user group “Little Hearts Matter”: “Would you be interested in helping us to design a study about parents’ experience on learning that their child had CHD”?
Patients:
Parents of children with single ventricle CHD.
Results:
Twenty-one parents (18 mothers, 3 fathers) participated. Parents responses were reported to have variably reinforced, augmented, and added specificity in the later stages of drafting to six of the seven subsections of Section C Information and Support for Parents including: “At the time of the Scan”; “Counselling following the identification of an abnormality”; “Written information/resources”; “Parent support”; “Communication with other teams and ongoing care”; and “Bereavement support”.
Conclusions:
This Patient and Public Involvement exercise successfully informed the development of Standards after the initial drafting. It contributed to the establishment of face validity of the ‘Standards’, especially when consistent with what is reported in the literature. Further research is needed to explore approaches to involving and standardising Patient and Public Involvement in the development of clinical standards.
We prove existence and unicity of slope-stable vector bundles on a general polarized hyperkähler (HK) variety of type $K3^{[n]}$ with certain discrete invariants, provided the rank and the first two Chern classes of the vector bundle satisfy certain equalities. The latter hypotheses at first glance appear to be quite restrictive, but, in fact, we might have listed almost all slope-stable rigid projectively hyperholomorphic vector bundles on polarized HK varieties of type $K3^{[n]}$ with $20$ moduli.