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Reynolds Averaged Navier-Stokes (RANS) simulations are performed to investigate the aerodynamic characteristics of the NASA Common Research Model (CRM) in its high-lift (HL) configuration in close proximity to the ground. The RANS simulations are conducted at a moderate Reynolds number of $Re = 5.49 \times {10^6}$ and $M = 0.2$ with the use of the Spalart-Allmaras (SA) turbulence model. out of ground effect (OGE) simulation results are validated against available wind tunnel data before proceeding to in ground effect (IGE) simulations. The obtained computational results in the immediate vicinity of the ground with asymmetric aircraft attitudes demonstrate significant changes in the longitudinal and lateral-directional aerodynamic characteristics, which should be taken into account in flight dynamics analysis of aircraft during take-off and landing in crosswind conditions.
Self-harming behaviours are reported to be increasing amongst young people and are associated with increased risk of suicide. The recently published UK clinical guidelines highlight that cross-sector awareness and early psychosocial assessment of self-harming is necessary, alongside careful triaging as to the level of support required. Dialectical behaviour therapy for adolescents (DBT-A) is a recommended intervention for young people with more severe difficulties. The current study aims to contribute to the data available to inform ongoing clinical decisions about the feasibility and implementation of DBT-A by reporting the intervention method, participant characteristics, and clinical outcomes of a national (UK) DBT service for young people with high levels of need and risk. Young people who commenced treatment between 2015 and 2021 were included. Completion rates, reasons for non-completion, and discharge pathways are reported. Measurement and changes in outcomes, including self-harm, in-patient bed days, accident and emergency department attendances and education/work status, are reported, as well as for routine outcome measures assessing emotion dysregulation and symptoms of emerging borderline personality disorder, depression and anxiety. The clinical significance of these outcomes are considered. Ideas for service evaluation, which are feasible and replicable in busy clinical settings are proposed, as well as a discussion of potential adaptations to standardised protocols needed in this context to fit with National Health Service (NHS) resources and the needs of the target population.
Key learning aims
(1) To learn about the implementation of dialectical behaviour therapy (DBT) and concurrent outcome monitoring in a UK National Health Service CAMHS out-patient setting.
(2) To understand the clinical profile and response to treatment of young people with high levels of suicidal and non-suicidal self-harming behaviours.
(3) To present a potential method for outcome monitoring and collection for CAMHS DBT services.
I argue that machine learning (ML) models used in science function as highly idealized toy models. If we treat ML models as a type of highly idealized toy model, then we can deploy standard representational and epistemic strategies from the toy model literature to explain why ML models can still provide epistemic success despite their lack of similarity to their targets.
The aim of this systematic review is to examine the cognitive impact of psychotropic medications including benzodiazepines, antidepressants, mood stabilizers, antipsychotics, or a combination of these drugs on older adults.
Design:
Systematic review.
Setting:
We searched Medline, PsycINFO, and Embase through the Ovid platform, CINAHL through EBSCO, and Web of Science.
Participants and interventions:
Randomized control trials (RCTs) and cohort studies that used a validated scale to measure cognition with a follow-up period of at least six months were included.
Measurement:
The primary outcome of interest was cognitive change associated with psychotropic medication use.
Results:
A total of 7551 articles were identified from the primary electronic literature search across the five databases after eliminating duplicates. Based on full-text analysis, 27 articles (two RCTs, 25 cohorts) met the inclusion criteria. Of these, nine each examined the impact of benzodiazepines and antidepressants, five examined psychotropic combinations, three on antipsychotic drugs, and one on the effects of mood stabilizers.
Conclusions:
This is the first systematic review to examine the cognitive impact of multiple psychotropic drug classes in older adults over an extended follow-up period (six months or more) using robust sample sizes, drug-free control groups, and validated cognitive instruments. We found evidence to indicate cognitive decline with the cumulative use of benzodiazepines and the use of antidepressants, especially those with anticholinergic properties among older adults without cognitive impairment at baseline. Further, the use of antipsychotics and psychotropic combinations is also associated with cognitive decline in older adults.
Microaggressions are hypothesized to play a causal role in undesirable population effects such as racial health gaps, but the mechanisms through which this occurs are not yet well understood. I call inquiry about these mechanisms the “explanatory project.” I suggest that the explanatory project has been hindered by microaggression concepts tailored to be applicable under conditions of lived uncertainty, rather than to facilitate understanding of structural causes. I defend a pluralist, structural account of microaggressions from objections by Regina Rini that, while appropriate for ethical projects, do not apply to the explanatory project.
During World War II, Japanese nationals and U.S. residents Shigezo Iwata and Masaru Ben Akahori were arrested and interned while their wives and children were incarcerated separately. Though wartime correspondence sent from Mr. Akahori to his wife and daughter and from Mrs. Iwata to her husband clearly identifies the United States as “home,” the primary emphasis on home is as a marker of familial reunification. This article posits that the memories and sounds imaginatively recollected and conveyed within the correspondence sent from Sonoko Iwata to her husband, Shigezo, and from Masaru Ben Akahori to his wife, Kiku, and their daughter, served to signify and nurture an ongoing sense of belonging to and togetherness with their respective family members with whom they hoped to once again be home, together.
We prove that any subset of $\overline {\mathbb {Q}}^m$ (closed under complex conjugation and which contains the origin) is the exceptional set of uncountably many transcendental entire functions over $\mathbb {C}^m$ with rational coefficients. This result solves a several variables version of a question posed by Mahler for transcendental entire functions [Lectures on Transcendental Numbers, Lecture Notes in Mathematics, 546 (Springer-Verlag, Berlin, 1976)].
This study examines the interest in different pension payout schemes when full annuitization is the default. We focus on three possible pension payout schemes: a flat-rate annuity, a high/low annuity-based profile, and a partial lump sum at retirement with a lower flat-rate annuity after that. We make use of a vignette study and find substantial interest in each of the three payout schemes. Interest in the lump sum scheme increases when a higher percentage can be taken out as a lump sum or when interest rates or replacement rates are lower. Interest in a high/low annuity-based profile increases when the high annuity is valid for a shorter period.
This paper recapitulates earlier work in which I argued for the disunity of science, the plurality of partly incommensurable ways in which the world can be conceptualised for scientific purposes. It then aims to show how this plurality is intelligible, even to be expected, from the perspective of a process philosophy that sees the world as largely disorganised, but as allowing the emergence of pockets of stability, most notably the stability provided by biological organisms. It incidentally aims to demonstrate the importance to one another of science and metaphysics.
Why is support the radical right higher in some geographic locations than others? This article argues that what is frequently classified as the “rural” bases of radical-right support in previous research is in part the result of something different: communities that were in the historical “periphery” in the center–periphery conflicts of modern nation-state formation. Inspired by a classic state-building literature that emphasizes the prevalence of a “wealth of tongues”—or nonstandard linguistic dialects in a region—as a definition of the periphery, we use data from more than 725,000 geo-coded responses in a linguistic survey in Germany to show that voters from historically peripheral geographic communities are more likely to vote for the radical right today.