Aims: Evaluate the frequency of mental disorders patients present with in different sites in SCCMHT to inform quality improvement to better match patient needs. To assess the non-attendance rate in various sites for future projects to explore factors associated with patient non-attendance. To quantify outcomes following patient reviews to explore discharge/follow up frequency.

Methods: The service evaluation was done retrospectively for three-month period from September to November, 2024, by collecting data from WCCIS database. Patient WCCIS identifiers were only stored in the spreadsheet used. Descriptive statistics were used to identify the most common diagnoses, outcomes, and non-attendance rates through various methods of stratifying the data. The data was compared when split between consultant clinics vs speciality doctor, Risca Health Centre Base vs Mill Road Base, and between urgent and non-urgent clinics.

Results: Mill Road and Risca OPA clinic had 172 and 76 appointments attended respectively over three months. Mill Road OPA had higher rates of non-attendance (26.18%) compared with Risca OPA (21.65%). Patients in Risca clinic are booked in for less frequent follow ups (72% with 4–6 months of follow up). A substantial percentage of patients being seen urgently are subsequently discharged from the CMHT (29%). This includes urgent patients seen in the Home Treatment Team Clinic, which often uses urgent consultant reviews to support discharge of patients. DNA rates are similar between consultant and speciality doctor clinic (23.2% and 25.85% respectively). DNA rates are approximately 1/4 across total clinics (24.84%). Despite a separate ADHD service and a supervised Physician’s Associate Clinic for ADHD separately, ADHD reviews still account for a considerable amount of outpatient clinic time (32 among 248 consultations). Similarly, PTSD/CPTSD and Borderline Personality Disorder account for a large number of urgent reviews (13 among 34 patients consulted).

Conclusion: DNA rates would require further assessment. They have not been included in analyses of diagnoses; a further exploration of the data is indicated to identify factors/diagnoses associated with non-attendance. A high prevalence of patients requiring urgent review are patients with borderline personality disorder and PTSD/CPTSD indicating Trauma Informed Approaches especially in crisis are required. Demands for ADHD assessments/follow ups remain high despite the presence of a ADHD service and Physician’s Associate Clinic (review of stable shared care patients). Patients remain under the CMHT even if they have no additional CMHT needs outside of Shared Care ADHD reviews, highlighting ongoing resource demand on the CMHT.

We provide an assessment of the Infinity Two fusion pilot plant (FPP) baseline plasma physics design. Infinity Two is a four-field period, aspect ratio $A = 10$, quasi-isodynamic stellarator with improved confinement appealing to a max-$J$ approach, elevated plasma density and high magnetic fields ($ \langle B\rangle = 9$ T). Here $J$ denotes the second adiabatic invariant. At the envisioned operating point ($800$ MW deuterium-tritium (DT) fusion), the configuration has robust magnetic surfaces based on magnetohydrodynamic (MHD) equilibrium calculations and is stable to both local and global MHD instabilities. The configuration has excellent confinement properties with small neoclassical transport and low bootstrap current ($|I_{bootstrap}| \sim 2$ kA). Calculations of collisional alpha-particle confinement in a DT FPP scenario show small energy losses to the first wall (${\lt}1.5 \,\%$) and stable energetic particle/Alfvén eigenmodes at high ion density. Low turbulent transport is produced using a combination of density profile control consistent with pellet fueling and reduced stiffness to turbulent transport via three-dimensional shaping. Transport simulations with the T3D-GX-SFINCS code suite with self-consistent turbulent and neoclassical transport predict that the DT fusion power$P_{{fus}}=800$ MW operating point is attainable with high fusion gain ($Q=40$) at volume-averaged electron densities $n_e\approx 2 \times 10^{20}$ m$^{-3}$, below the Sudo density limit. Additional transport calculations show that an ignited ($Q=\infty$) solution is available at slightly higher density ($2.2 \times 10^{20}$ m$^{-3}$) with $P_{{fus}}=1.5$ GW. The magnetic configuration is defined by a magnetic coil set with sufficient room for an island divertor, shielding and blanket solutions with tritium breeding ratios (TBR) above unity. An optimistic estimate for the gas-cooled solid breeder designed helium-cooled pebble bed is TBR $\sim 1.3$. Infinity Two satisfies the physics requirements of a stellarator fusion pilot plant.

In this work, we present a detailed assessment of fusion-born alpha-particle confinement, their wall loads and stability of Alfvén eigenmodes driven by these energetic particles in the Infinity Two Fusion Pilot Plant baseline plasma design, a four-field-period quasi-isodynamic stellarator to operate in deuterium–tritium fusion conditions. Using the Monte Carlo codes, SIMPLE, ASCOT5 and KORC-T, we study the collisionless and collisional dynamics of guiding-centre and full-orbit alpha-particles in the core plasma. We find that core energy losses to the wall are less than 4 %. Our simulations shows that peak power loads on the wall of this configuration are approximately 2.5 MW m-$^2$ and are spatially localised, toroidally and poloidaly, in the vicinity of x-points of the magnetic island chain $n/m = 4/5$ outside the plasma volume. Also, an exploratory analysis using various simplified walls shows that shaping and distance of the wall from the plasma volume can help reduce peak power loads. Our stability assessment of Alfvén eigenmodes using the STELLGAP and FAR3d codes shows the absence of unstable modes driven by alpha-particles in Infinity Two due to the relatively low alpha-particle beta at the envisioned 800 MW operating scenario.

An analysis of the divertor designs for the Infinity Two fusion pilot plant (FPP) baseline plasma design is presented. The divertor uses an $m=5$, $n=4$ magnetic island chain, where m is the poloidal number and n is the toroidal number. Two divertor designs are presented. A classical divertor that is similar to the Wendelstein 7-X island divertor is analyzed using diffusive field-line following and the fluid code EMC3-Lite. For a baseline $800\text{ MW}$ operating point in Infinity Two, the conditions where the heat flux on the divertor plate remains in the acceptable region are analyzed. In addition a related, but different and novel large island backside divertor (LIBD) design is shown. The LIBD promises improved neutral pumping by closing the divertor through the use of baffling and with a structure inside the island, thus preventing neutralized plasma particles from reente ring the plasma.

Transport characteristics and predicted confinement are shown for the Infinity Two fusion pilot plant baseline plasma physics design, a high field stellarator concept developed using modern optimization techniques. Transport predictions are made using high-fidelity nonlinear gyrokinetic turbulence simulations along with drift kinetic neoclassical simulations. A pellet-fuelled scenario is proposed that enables supporting an edge density gradient to substantially reduce ion temperature gradient turbulence. Trapped electron mode turbulence is minimized through the quasi-isodynamic configuration that has been optimized with maximum-J. A baseline operating point with deuterium–tritium fusion power of $P_{{fus,DT}}=800$ MW with high fusion gain $Q_{{fus}}=40$ is demonstrated, respecting the Sudo density limit and magnetohydrodynamic stability limits. Additional higher power operating points are also predicted, including a fully ignited ($Q_{{fus}}=\infty$) case with $P_{{fus,DT}}=1.5$ GW. Pellet ablation calculations indicate it is plausible to fuel and sustain the desired density profile. Impurity transport calculations indicate that turbulent fluxes dominate neoclassical fluxes deep into the core, and it is predicted that impurity peaking will be smaller than assumed in the transport simulations. A path to access the large radiation fraction needed to satisfy exhaust requirements while sustaining core performance is also discussed.

The magnetohydrodynamic (MHD) equilibrium and stability properties of the Infinity Two fusion pilot plant baseline plasma physics design are presented. The configuration is a four-field period, aspect ratio $A = 10$ quasi-isodynamic stellarator optimised for excellent confinement at elevated density and high magnetic field $B = 9\,T$. Magnetic surfaces exist in the plasma core in vacuum and retain good equilibrium surface integrity from vacuum to an operational $\beta = 1.6 \,\%$, the ratio of the volume average of the plasma and magnetic pressures, corresponding to $800\ \textrm{MW}$ deuterium–tritium fusion operation. Neoclassical calculations show that a self-consistent bootstrap current of the order of ${\sim} 1\ \textrm{kA}$ slightly increases the rotational transform profile by less than 0.001. The configuration has a magnetic well across its entire radius. From vacuum to the operating point, the configuration exhibits good ballooning stability characteristics, exhibits good Mercier stability across most of its minor radius and it is stable against global low-n MHD instabilities up to $\beta = 3.2\,\%$.

Direct numerical simulation (DNS) is performed to explore turbulent Rayleigh–Bénard convection in spherical shells. Our simulations cover six distinct values of radius ratio, $\eta = r_i/r_o = 0.2$, 0.3, 0.4, 0.5, 0.6 and 0.8, under the assumption of a centrally condensed mass with gravity profile $g \sim 1/r^{2}$; where $r_i$, $r_o$ and $r$ denote the inner shell radius, the outer shell radius and the local radial coordinate, respectively. The Prandtl number is kept constant at unity while the Rayleigh number ($Ra$) is varied from $3 \times 10^{3}$ to $5 \times 10^8$. Our primary aim is to analyze how the radius ratio influences the global transport properties and flow physics. To gain insights into the scaling behaviour of the Nusselt number ($Nu$) and the Reynolds number ($Re$) with respect to $Ra$ and $\eta$, we apply the Grossmann–Lohse (GL) theory (Grossmann & Lohse, J. Fluid Mech., vol. 407, 2000, pp. 27–56) to the system. It is observed that the scaling exponents for $Nu$ and $Re$ in relation to $Ra$ are more significant for smaller $\eta$ values, suggesting that the simulations with smaller $\eta$ reach the classical $Nu\sim Ra^{1/3}$ regime at a relatively lower $Ra$. This observation could also imply the systems with smaller $\eta$ might transition to the ultimate regime earlier at a smaller $Ra$. Based on our extensive DNS data, we establish that the thickness of the inner thermal boundary, $\lambda _{\vartheta }^{i}$, follows a scaling relationship of $\lambda _{\vartheta }^{i} \sim \eta ^{1/2}$. This relationship, in turn, leads to a scaling law for $Nu$ in the form of $Nu \sim f(\eta ) Ra^{\gamma }$, where the function $f(\eta )$ is defined as $f(\eta ) = {\eta ^{1/2}}/{(1+\eta ^{4/3})}$, and the exponent $\gamma$ depends on both $Ra$ and $\eta$. Additionally, we characterize and explain the asymmetry in the velocity field by introducing the separate Reynolds numbers for the inner and outer shells. The asymmetry of the kinetic and thermal energy dissipation rates in the inner and outer boundary layers (BLs) is also quantified.

We study actions of higher rank lattices $\Gamma <G$ on hyperbolic spaces and we show that all such actions satisfying mild properties come from the rank-one factors of G. In particular, all non-elementary isometric actions on an unbounded hyperbolic space are of this type.

The scaling law for the horizontal length scale $\ell$ relative to the domain height $L$, originating from the linear theory of quasi-static magnetoconvection, $\ell /L \sim Q^{-1/6}$, has been verified through two-dimensional (2-D) direct numerical simulation (DNS), particularly at high values of the Chandrasekhar number ($Q$). This relationship remains valid within a specific flow regime characterized by columnar structures aligned with the magnetic field. Expanding upon the $Q$-dependence of the horizontal length scale, we have derived scaling laws for the Nusselt number ($Nu$) and the Reynolds number ($Re$) as functions of the driving forces (Rayleigh number ($Ra$) and $Q$) in quasi-static magnetoconvection influenced by a strong magnetic field. These scaling relations, $Nu \sim Ra/Q$ and $Re \sim Ra Q^{-5/6}$, have been successfully validated using 2-D DNS data spanning a wide range of five decades in $Q$, ranging from $10^5$ to $10^9$. The successful validation of the relations at large $Q$ values, combined with our theoretical analysis of dissipation rates and the incorporation of the horizontal length scale's influence on scaling behaviour, presents a valid approach for deriving scaling laws under various conditions.

Though diet quality is widely recognised as linked to risk of chronic disease, health systems have been challenged to find a user-friendly, efficient way to obtain information about diet. The Penn Healthy Diet (PHD) survey was designed to fill this void. The purposes of this pilot project were to assess the patient experience with the PHD, to validate the accuracy of the PHD against related items in a diet recall and to explore scoring algorithms with relationship to the Healthy Eating Index (HEI)-2015 computed from the recall data. A convenience sample of participants in the Penn Health BioBank was surveyed with the PHD, the Automated Self-Administered 24-hour recall (ASA24) and experience questions. Kappa scores and Spearman correlations were used to compare related questions in the PHD to the ASA24. Numerical scoring, regression tree and weighted regressions were computed for scoring. Participants assessed the PHD as easy to use and were willing to repeat the survey at least annually. The three scoring algorithms were strongly associated with HEI-2015 scores using National Health and Nutrition Examination Survey 2017–2018 data from which the PHD was developed and moderately associated with the pilot replication data. The PHD is acceptable to participants and at least moderately correlated with the HEI-2015. Further validation in a larger sample will enable the selection of the strongest scoring approach.

A vital interest in the affairs of Latin America has grown recently in Australia. There, in that land “in back of the beyond,” professors are offering new programs of Latin American studies while their librarian counterparts have strengthened their holdings through active participation in the Latin American cooperative acquisition program (LACAP) and in the seminars on the acquisition of Latin American library materials (SALALM). The move of claudio Véliz from the universidad de chile to the chair of the department of sociology, La Trobe University (Bundoora, Victoria), will stimulate further the development of Latin American studies in the antipodes, while the resurgence of trans-pacific sailings during the past decade is attracting the interest of the Australians to the nations across the Pacific. It is worth noting that last year Professor Gilbert Butland of the University of New England, Armidale (New South Wales) published a general study entitled The other side of the Pacific: Problems of Latin America (Sydney, 1972).

Canopy habitats challenge researchers with their intrinsically difficult access. The current scarcity of climatic data from forest canopies limits our understanding of the conditions and environmental variability of these diverse and dynamic habitats. We present 307 days of climate records collected between 2019 and 2020 in the tropical rainforest canopy of the Yasuní National Park, Ecuador. We monitored climate with a 10-min temporal resolution in the middle crowns of eight canopy trees. The distance between canopy climate stations ranged from 700 m to 10 km. Apart from air temperature, relative humidity, leaf wetness, and photosynthetically active radiation (PAR), measured in each canopy climate station, global radiation, rainfall, and wind speed were measured in different subsets of them. We processed the eight data series to omit erroneous records resulting from sensor failures or lack of the solar-based power supply. In addition to the eight original data series, we present three derived data series, two aggregating canopy climate for valleys or for ridges (from four stations each), and one overall average (from the eight stations). This last derived data series contains 306 days, while the shortest of the original data series covers 22 days and the longest 296 days. In addition to the data, two open-source tools, developed in RStudio, are presented that facilitate data visualization (a dashboard) and data exploration (a filtering app) of the original and aggregated records.