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Unintended consequences, conflict and resilience in a small-scale irrigation development, Marakwet, Kenya
- M. I. J. Davies, H. L. Moore, N. Bailengo, M. Bernstein, H. Cheptoo, T. K. Kiprutto, S. Lunn-Rockliffe, D. K. Kay, W. K. Kipkore
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This article examines the development, early operation and subsequent failure of the Tot-Kolowa Red Cross irrigation scheme in Kenya’s Kerio Valley. Initially conceived as a technical solution to address regional food insecurity, the scheme aimed to scale up food production through the implementation of a fixed pipe irrigation system and the provision of agricultural inputs for cash cropping. A series of unfolding circumstances, however, necessitated numerous modifications to the original design as the project became increasingly entangled with deep and complex histories of land use patterns, resource allocation and conflict. Failure to understand the complexity of these dynamics ultimately led to the project’s collapse as the region spiralled into a period of significant unrest. In tracing these events, we aim to foreground the lived realities of imposed development, including both positive and negative responses to the scheme’s participatory obligations and its wider impact on community resilience.
Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines, Sixth Edition
- Jarrod J Homer, Stuart C Winter, Elizabeth C Abbey, Hiba Aga, Reshma Agrawal, Derfel ap Dafydd, Takhar Arunjit, Patrick Axon, Eleanor Aynsley, Izhar N Bagwan, Arun Batra, Donna Begg, Jonathan M Bernstein, Guy Betts, Colin Bicknell, Brian Bisase, Grainne C Brady, Peter Brennan, Aina Brunet, Val Bryant, Linda Cantwell, Ashish Chandra, Preetha Chengot, Melvin L K Chua, Peter Clarke, Gemma Clunie, Margaret Coffey, Clare Conlon, David I Conway, Florence Cook, Matthew R Cooper, Declan Costello, Ben Cosway, Neil J A Cozens, Grant Creaney, Daljit K Gahir, Stephen Damato, Joe Davies, Katharine S Davies, Alina D Dragan, Yong Du, Mark R D Edmond, Stefano Fedele, Harriet Finze, Jason C Fleming, Bernadette H Foran, Beth Fordham, Mohammed M A S Foridi, Lesley Freeman, Katherine E Frew, Pallavi Gaitonde, Victoria Gallyer, Fraser W Gibb, Sinclair M Gore, Mark Gormley, Roganie Govender, J Greedy, Teresa Guerrero Urbano, Dorothy Gujral, David W Hamilton, John C Hardman, Kevin Harrington, Samantha Holmes, Jarrod J Homer, Deborah Howland, Gerald Humphris, Keith D Hunter, Kate Ingarfield, Richard Irving, Kristina Isand, Yatin Jain, Sachin Jauhar, Sarra Jawad, Glyndwr W Jenkins, Anastasios Kanatas, Stephen Keohane, Cyrus J Kerawala, William Keys, Emma V King, Anthony Kong, Fiona Lalloo, Kirsten Laws, Samuel C Leong, Shane Lester, Miles Levy, Ken Lingley, Gitta Madani, Navin Mani, Paolo L Matteucci, Catriona R Mayland, James McCaul, Lorna K McCaul, Pádraig McDonnell, Andrew McPartlin, Valeria Mercadante, Zoe Merchant, Radu Mihai, Mufaddal T Moonim, John Moore, Paul Nankivell, Sonali Natu, A Nelson, Pablo Nenclares, Kate Newbold, Carrie Newland, Ailsa J Nicol, Iain J Nixon, Rupert Obholzer, James T O'Hara, S Orr, Vinidh Paleri, James Palmer, Rachel S Parry, Claire Paterson, Gillian Patterson, Joanne M Patterson, Miranda Payne, L Pearson, David N Poller, Jonathan Pollock, Stephen Ross Porter, Matthew Potter, Robin J D Prestwich, Ruth Price, Mani Ragbir, Meena S Ranka, Max Robinson, Justin W G Roe, Tom Roques, Aleix Rovira, Sajid Sainuddin, I J Salmon, Ann Sandison, Andy Scarsbrook, Andrew G Schache, A Scott, Diane Sellstrom, Cherith J Semple, Jagrit Shah, Praveen Sharma, Richard J Shaw, Somiah Siddiq, Priyamal Silva, Ricard Simo, Rabin P Singh, Maria Smith, Rebekah Smith, Toby Oliver Smith, Sanjai Sood, Francis W Stafford, Neil Steven, Kay Stewart, Lisa Stoner, Steve Sweeney, Andrew Sykes, Carly L Taylor, Selvam Thavaraj, David J Thomson, Jane Thornton, Neil S Tolley, Nancy Turnbull, Sriram Vaidyanathan, Leandros Vassiliou, John Waas, Kelly Wade-McBane, Donna Wakefield, Amy Ward, Laura Warner, Laura-Jayne Watson, H Watts, Christina Wilson, Stuart C Winter, Winson Wong, Chui-Yan Yip, Kent Yip
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- Journal:
- The Journal of Laryngology & Otology / Volume 138 / Issue S1 / April 2024
- Published online by Cambridge University Press:
- 14 March 2024, pp. S1-S224
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- April 2024
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Mechanisms of cognitive-behavioral therapy effects on symptoms of body dysmorphic disorder: a network intervention analysis
- Emily E. Bernstein, Katharine A. Phillips, Jennifer L. Greenberg, Joshua Curtiss, Susanne S. Hoeppner, Sabine Wilhelm
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- Psychological Medicine / Volume 53 / Issue 6 / April 2023
- Published online by Cambridge University Press:
- 09 November 2021, pp. 2531-2539
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Background
Body dysmorphic disorder (BDD) is a severe and undertreated condition. Although cognitive-behavioral therapy (CBT) is the first-line psychosocial treatment for this common disorder, how the intervention works is insufficiently understood. Specific pathways have been hypothesized, but only one small study has examined the precise nature of treatment effects of CBT, and no prior study has examined the effects of supportive psychotherapy (SPT).
MethodsThis study re-examined a large trial (n = 120) comparing CBT to SPT for BDD. Network intervention analyses were used to explore symptom-level data across time. We computed mixed graphical models at multiple time points to examine relative differences in direct and indirect effects of the two interventions.
ResultsIn the resulting networks, CBT and SPT appeared to differentially target certain symptoms. The largest differences included CBT increasing efforts to disengage from and restructure unhelpful thoughts and resist BDD rituals, while SPT was directly related to improvement in BDD-related insight. Additionally, the time course of differences aligned with the intended targets of CBT; cognitive effects emerged first and behavioral effects second, paralleling cognitive restructuring in earlier sessions and the emphasis on exposure and ritual prevention in later sessions. Differences in favor of CBT were most consistent for behavioral targets.
ConclusionsCBT and SPT primarily affected different symptoms. To improve patient care, the field needs a better understanding of how and when BDD treatments and treatment components succeed. Considering patient experiences at the symptom level and over time can aid in refining or reorganizing treatments to better fit patient needs.
Incidence and temporal trends of co-occurring personality disorder diagnoses in immune-mediated inflammatory diseases
- C. Blaney, J. Sommer, R. El-Gabalawy, C. Bernstein, R. Walld, C. Hitchon, J. Bolton, J. Sareen, S. Patten, A. Singer, L. Lix, A. Katz, J. Fisk, R. A. Marrie, for the CIHR Team in Defining the Burden and Managing the Impact of Psychiatric Comorbidity in Immune-Mediated Inflammatory Disease
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- Journal:
- Epidemiology and Psychiatric Sciences / Volume 29 / 2020
- Published online by Cambridge University Press:
- 09 January 2020, e84
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Aims
Although immune-mediated inflammatory diseases (IMID) are associated with multiple mental health conditions, there is a paucity of literature assessing personality disorders (PDs) in these populations. We aimed to estimate and compare the incidence of any PD in IMID and matched cohorts over time, and identify sociodemographic characteristics associated with the incidence of PD.
MethodsWe used population-based administrative data from Manitoba, Canada to identify persons with incident inflammatory bowel disease (IBD), multiple sclerosis (MS) and rheumatoid arthritis (RA) using validated case definitions. Unaffected controls were matched 5:1 on sex, age and region of residence. PDs were identified using hospitalisation or physician claims. We used unadjusted and covariate-adjusted negative binomial regression to compare the incidence of PDs between the IMID and matched cohorts.
ResultsWe identified 19 572 incident cases of IMID (IBD n = 6,119, MS n = 3,514, RA n = 10 206) and 97 727 matches overall. After covariate adjustment, the IMID cohort had an increased incidence of PDs (incidence rate ratio [IRR] 1.72; 95%CI: 1.47–2.01) as compared to the matched cohort, which remained consistent over time. The incidence of PDs was similarly elevated in IBD (IRR 2.19; 95%CI: 1.69–2.84), MS (IRR 1.79; 95%CI: 1.29–2.50) and RA (IRR 1.61; 95%CI: 1.29–1.99). Lower socioeconomic status and urban residence were associated with an increased incidence of PDs, whereas mid to older adulthood (age 45–64) was associated with overall decreased incidence. In a restricted sample with 5 years of data before and after IMID diagnosis, the incidence of PDs was also elevated before IMID diagnosis among all IMID groups relative to matched controls.
ConclusionsIMID are associated with an increased incidence of PDs both before and after an IMID diagnosis. These results support the relevance of shared risk factors in the co-occurrence of PDs and IMID conditions.
Sustained improvement in hospital cleaning associated with a novel education and culture change program for environmental services workers
- Elena K. Martin, Elizabeth L. Salsgiver, Daniel A. Bernstein, Matthew S. Simon, William G. Greendyke, James M. Gramstad, Roydell Weeks, Timothy Woodward, Haomiao Jia, Lisa Saiman, E. Yoko Furuya, David P. Calfee
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 40 / Issue 9 / September 2019
- Published online by Cambridge University Press:
- 01 July 2019, pp. 1024-1029
- Print publication:
- September 2019
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Objective:
To sustainably improve cleaning of high-touch surfaces (HTSs) in acute-care hospitals using a multimodal approach to education, reduction of barriers to cleaning, and culture change for environmental services workers.
Design:Prospective, quasi-experimental, before-and-after intervention study.
Setting:The study was conducted in 2 academic acute-care hospitals, 2 community hospitals, and an academic pediatric and women’s hospital.
Participants:Frontline environmental services workers.
Intervention:A 5-module educational program, using principles of adult learning theory, was developed and presented to environmental services workers. Audience response system (ARS), videos, demonstrations, role playing, and graphics were used to illustrate concepts of and the rationale for infection prevention strategies. Topics included hand hygiene, isolation precautions, personal protective equipment (PPE), cleaning protocols, and strategies to overcome barriers. Program evaluation included ARS questions, written evaluations, and objective assessments of occupied patient room cleaning. Changes in hospital-onset C. difficile infection (CDI) and methicillin-resistant S. aureus (MRSA) bacteremia were evaluated.
Results:On average, 357 environmental service workers participated in each module. Most (93%) rated the presentations as ‘excellent’ or ‘very good’ and agreed that they were useful (95%), reported that they were more comfortable donning/doffing PPE (91%) and performing hand hygiene (96%) and better understood the importance of disinfecting HTSs (96%) after the program. The frequency of cleaning individual HTSs in occupied rooms increased from 26% to 62% (P < .001) following the intervention. Improvement was sustained 1-year post intervention (P < .001). A significant decrease in CDI was associated with the program.
Conclusion:A novel program that addressed environmental services workers’ knowledge gaps, challenges, and barriers was well received and appeared to result in learning, behavior change, and sustained improvements in cleaning.
2229 A community-academic translational research and learning collaborative to evaluate the associations among biological, social, and nutritional status for adolescent women and their babies using electronic health records (EHR) data
- Jonathan Tobin, Amanda Cheng, Caroline S. Jiang, Mireille McLean, Peter R. Holt, Dena Moftah, Rhonda G. Kost, Kimberly S. Vasquez, Daryl L. Wieland, Peter S. Bernstein, Siobhan Dolan, Mayer Sagy, Abbe Kirsch, Michael Zinaman, Elizabeth DuBois, Barry Kohn, William Pagano, Gilles Bergeron, Megan Bourassa, Stephanie Morgan, Judd Anderman, Shwu H. Kwek, Julie Wilcox, Jan L. Breslow
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- Journal:
- Journal of Clinical and Translational Science / Volume 2 / Issue S1 / June 2018
- Published online by Cambridge University Press:
- 21 November 2018, pp. 77-78
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OBJECTIVES/SPECIFIC AIMS: To build a multisite de-identified database of female adolescents, aged 12–21 years (January 2011–December 2012), and their subsequent offspring through 24 months of age from electronic health records (EHRs) provided by participating Community Health. METHODS/STUDY POPULATION: We created a community-academic partnership that included New York City Community Health Centers (n=4) and Hospitals (n=4), The Rockefeller University, The Sackler Institute for Nutrition Science and Clinical Directors Network (CDN). We used the Community-Engaged Research Navigation model to establish a multisite de-identified database extracted from EHRs of female adolescents aged 12–21 years (January 2011–December 2012) and their offspring through 24 months of age. These patients received their primary care between 2011 and 2015. Clinical data were used to explore possible associations among specific measures. We focused on the preconception, prenatal, postnatal periods, including pediatric visits up to 24 months of age. RESULTS/ANTICIPATED RESULTS: The analysis included all female adolescents (n=122,556) and a subset of pregnant adolescents with offspring data available (n=2917). Patients were mostly from the Bronx; 43% of all adolescent females were overweight (22%) or obese (21%) and showed higher systolic and diastolic blood pressure, blood glucose levels, hemoglobin A1c, total cholesterol, and triglycerides levels compared with normal-weight adolescent females (p<0.05). This analysis was also performed looking at the nonpregnant females and the pregnant females separately. Overall, the pregnant females were older (mean age=18.3) compared with the nonpregnant females (mean age=16.5), there was a higher percentage of Hispanics among the pregnant females (58%) compared with the nonpregnant females (43.9%). There was a statistically significant association between the BMI status of mothers and infants’ birth weight, with underweight/normal-weight mothers having more low birth weight (LBW) babies and overweight/obese mothers having more large babies. The odds of having a LBW baby was 0.61 (95% CI: 0.41, 0.89) lower in obese compared with normal-weight adolescent mothers. The risk of having a preterm birth before 37 weeks was found to be neutral in obese compared with normal-weight adolescent mothers (OR=0.81, 95% CI: 0.53, 1.25). Preliminary associations are similar to those reported in the published literature. DISCUSSION/SIGNIFICANCE OF IMPACT: This EHR database uses available measures from routine clinical care as a “rapid assay” to explore potential associations, and may be more useful to detect the presence and direction of associations than the magnitude of effects. This partnership has engaged community clinicians, laboratory, and clinical investigators, and funders in study design and analysis, as demonstrated by the collaborative development and testing of hypotheses relevant to service delivery. Furthermore, this research and learning collaborative is examining strategies to enhance clinical workflow and data quality as well as underlying biological mechanisms. The feasibility of scaling-up these methods facilitates studying similar populations in different Health Systems, advancing point-of-care studies of natural history and comparative effectiveness research to identify service gaps, evaluate effective interventions, and enhance clinical and data quality improvement.
2184: Evaluating the association among biological, social, and nutritional status on adolescent pregnancy rates, physiology and birth outcomes using electronic health records data
- Amanda Cheng, Caroline S. Jiang, Mireille McLean, Jan L. Breslow, Peter R. Holt, Rhonda G. Kost, Kimberly S. Vasquez, Dena Moftah, Daryl L. Wieland, Peter S. Bernstein, Siobhan Dolan
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- Journal:
- Journal of Clinical and Translational Science / Volume 1 / Issue S1 / September 2017
- Published online by Cambridge University Press:
- 10 May 2018, pp. 70-71
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OBJECTIVES/SPECIFIC AIMS: To build a multisite deidentified database of female adolescents, aged 12–21 years (January 2011–December 2012), and their subsequent offspring through 24 months of age from electronic health records (EHRs) provided by participating Community Health. METHODS/STUDY POPULATION: We created a community-academic partnership that included New York City Community Health Centers (n=4) and Hospitals (n=4), The Rockefeller University, The Sackler Institute for Nutrition Science and Clinical Directors Network (CDN). We used the Community-Engaged Research Navigation model to establish a multisite deidentified database extracted from EHRs of female adolescents aged 12–21 years (January 2011–December 2012) and their offspring through 24 months of age. These patients received their primary care between 2011 and 2015. Clinical data were used to explore possible associations among specific measures. We focused on the preconception, prenatal, postnatal periods, including pediatric visits up to 24 months of age. RESULTS/ANTICIPATED RESULTS: The preliminary analysis included all female adolescents (n=49,292) and a subset of pregnant adolescents with offspring data available (n=2917). Patients were mostly from the Bronx; 43% of all adolescent females were overweight (22%) or obese (21%) and showed higher systolic and diastolic blood pressure, blood glucose levels, hemoglobin A1c, total cholesterol, and triglycerides levels compared with normal-weight adolescent females (p<0.05). There was a statistically significant association between the BMI status of mothers and infants’ birth weight, with underweight/normal-weight mothers having more low birth weight (LBW) babies and overweight/obese mothers having more large babies. The odds of having a LBW baby was 0.61 (95% CI: 0.41, 0.89) lower in obese compared with normal-weight adolescent mothers. The risk of having a preterm birth before 37 weeks was found to be neutral in obese compared to normal-weight adolescent mothers (OR=0.81, 95% CI: 0.53, 1.25). Preliminary associations are similar to those reported in the published literature. DISCUSSION/SIGNIFICANCE OF IMPACT: This EHR database uses available measures from routine clinical care as a “rapid assay” to explore potential associations, and may be more useful to detect the presence and direction of associations than the magnitude of effects. This partnership has engaged community clinicians, laboratory and clinical investigators, and funders in study design and analysis, as demonstrated by the collaborative development and testing of hypotheses relevant to service delivery.
Rising incidence of psychiatric disorders before diagnosis of immune-mediated inflammatory disease
- R. A. Marrie, R. Walld, J. M. Bolton, J. Sareen, J. R. Walker, S. B. Patten, A. Singer, L. M. Lix, C. A. Hitchon, R. El-Gabalawy, A. Katz, J. D. Fisk, C. N. Bernstein, for the CIHR Team in Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease
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- Journal:
- Epidemiology and Psychiatric Sciences / Volume 28 / Issue 3 / June 2019
- Published online by Cambridge University Press:
- 03 November 2017, pp. 333-342
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Aims.
After the diagnosis of immune-mediated inflammatory diseases (IMID) such as inflammatory bowel disease (IBD), multiple sclerosis (MS) and rheumatoid arthritis (RA), the incidence of psychiatric comorbidity is increased relative to the general population. We aimed to determine whether the incidence of psychiatric disorders is increased in the 5 years before the diagnosis of IMID as compared with the general population.
Methods.Using population-based administrative health data from the Canadian province of Manitoba, we identified all persons with incident IBD, MS and RA between 1989 and 2012, and cohorts from the general population matched 5 : 1 on year of birth, sex and region to each disease cohort. We identified members of these groups with at least 5 years of residency before and after the IMID diagnosis date. We applied validated algorithms for depression, anxiety disorders, bipolar disorder, schizophrenia, and any psychiatric disorder to determine the annual incidence of these conditions in the 5-year periods before and after the diagnosis year.
Results.We identified 12 141 incident cases of IMID (3766 IBD, 2190 MS, 6350 RA) and 65 424 matched individuals. As early as 5 years before diagnosis, the incidence of depression [incidence rate ratio (IRR) 1.54; 95% CI 1.30–1.84) and anxiety disorders (IRR 1.30; 95% CI 1.12–1.51) were elevated in the IMID cohort as compared with the matched cohort. Similar results were obtained for each of the IBD, MS and RA cohorts. The incidence of bipolar disorder was elevated beginning 3 years before IMID diagnosis (IRR 1.63; 95% CI 1.10–2.40).
Conclusion.The incidence of psychiatric comorbidity is elevated in the IMID population as compared with a matched population as early as 5 years before diagnosis. Future studies should elucidate whether this reflects shared risk factors for psychiatric disorders and IMID, a shared final common inflammatory pathway or other aetiology.
On the effect of a strake-like junction fillet on the lift and drag of a wing
- L. Bernstein, S. Hamid
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- Journal:
- The Aeronautical Journal / Volume 100 / Issue 992 / February 1996
- Published online by Cambridge University Press:
- 04 July 2016, pp. 39-52
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An experimental study of the effects on the low-speed aerodynamic characteristics of a strake-like fillet is described, modelled on one used on an Airbus A320 variant fitted at the leading edge of a swept wing-plate junction. The wing, swept back at 20°, was of NACA 0015 section and chord 500 mm, both normal to its leading edge. A turbulent boundary layer had developed on the plate well ahead of the junction. The tests were conducted at a unit Reynolds number of 1.56 x 106 m-1.
Surface pressure distributions were measured on the plate in the neighbourhood of the leading edge junction and also on the aerofoil and fillet at wing incidences of 0°, 3°, 6°, 9° and 12°. These were supplemented by surface oil-flow studies.
The mean velocity and turbulence intensity fields around the leading edge were examined for incidences of 0° and 9°, using both a single tube yaw meter developed for the purpose and an X-wire anemometer. The X-wire anemometer was also used downstream of the trailing edge of the swept wing; five of the Reynolds stresses and the mean velocity field were measured.
The sectional lift coefficients on the aerofoil were found to diminish as the junction was approached, slightly more so with the fillet than without it. The sectional drag coefficients due to pressure increased as the junction was approached, the fillet moderating this increase to only a small extent.
However, the addition of the drooped fillet modified the flow considerably. The horseshoe-like vortex was less well defined than without it. At zero incidence, the peak in the turbulence intensity levels was virtually eliminated on what became effectively the compression side of the wing due to the local camber introduced by the asymmetric fillet. The turbulence levels were also reduced by the addition of the fillet at an incidence of 9°. However, the turbulent activity was spread through a larger proportion of the viscous region. The secondary flows and the turbulence activity in the wake are associated with unrecoverable kinetic energy and will be manifest as drag on the surfaces forming the junction.
It is concluded that a carefully designed fillet, optimised for the cruise incidence of an aircraft, can reduce the peak turbulence levels in the junction. It remains unclear whether the total drag associated with the junction flow can be reduced significantly.
However because of its effects on the turbulence, there may be other benefits, for example on the efficiency of downstream elements, such as fuselage-mounted engine intakes or the following stages of an axial flow machine. Junction fillets might also be used to control the scouring of river beds around bridge piers.
On the effect of a swept-wing–plate junction flow on the lift and drag
- L. Bernstein, S. Hamid
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- Journal:
- The Aeronautical Journal / Volume 99 / Issue 987 / September 1995
- Published online by Cambridge University Press:
- 04 July 2016, pp. 293-305
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Measurements have been made of the surface pressure distributions in the region of the junction between an untapered wing, of NACA 0015 section swept back at 20°, and a flat plate on which a turbulent boundary layer had developed, for several values of wing incidence. It is shown that the section lift coefficient of the wing diminishes, while the pressure drag coefficient increases, as the junction is approached. Oil-flow visualisations on the plate surface show the passage of the horseshoe-like vortex which forms when the retarded boundary layer flow separates as it approaches the leading-edge of the junction. Kinks in the isobars on the plate correlate with the trailing “legs” of this vortex. The surface flow visualisations also show that the turbulence in the junction region spreads onto the wing from the leading edge at an angle of about 10°.
A rotatable X-wire anemometer was used to make measurements of the mean velocity field and of five components of the Reynolds stress tensor, in the wake of the junction, with the wing at incidences of 0° and 9°. Log-law (Clauser) plots were used with the profiles Ū(Y) of longitudinal velocity to estimate the skin friction coefficient on the plate, though adjustments of the zero for Y were necessary to obtain a sensible fit. These corrections were often larger than can be readily explained, but the skin-friction values are consistent with the corresponding, measured velocity correlation, . The Reynolds stresses in the wake region clearly show that the horseshoe-like vortex legs persist beyond the trailing-edge of the wing, the turbulence intensity being larger on the suction side for the wing at incidence.
Average values of the skin-friction coefficient on the plate in the junction region are little different from those away from the junction. No corresponding information is available for the skin-friction on the wing, but if this is likewise unaffected by the junction, then the total drag of the junction region will be greater than the sum of those of the isolated parts, simply because of the increase in pressure drag.
The ‘Chu-tube’: a velocimeter for use in highly-sheared, three-dimensional steady flows
- J. K. Chu, E. Rios-Chiquete, S. Sarohia, L. Bernstein
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- Journal:
- The Aeronautical Journal / Volume 91 / Issue 903 / March 1987
- Published online by Cambridge University Press:
- 04 July 2016, pp. 142-149
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A velocimeter is described based upon the same principle as the five-hole Conrad tube yawmeter. However it uses a single tube, cut obliquely at 45°, that rotates about its own axis together with an outer closely-fitting concentric tube, cut normal to its axis, that can be slid forward over the mouth of the chamfered tube. The small measuring volume, about 1 mm3, and well-defined measuring point enable the probe to be used with some confidence in regions of high shear. Some typical results obtained with the probe in a highly-sheared, three-dimensional flow are given.
On the speed of progressive waves in gust-tunnels of the QMC-type
- M. S. Ishaq, L. Bernstein
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- Journal:
- The Aeronautical Journal / Volume 91 / Issue 907 / September 1987
- Published online by Cambridge University Press:
- 04 July 2016, pp. 321-332
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In the Queen Mary College gust-tunnels, unsteady flows are generated by oscillating flaps attached to the downstream upper and lower surfaces of the contraction nozzle of a semi-open test section, open-return, low-speed wind-tunnel. The flow perturbations produced on the mainstream of velocity U∞, are of the travelling-wave type, with wave-velocity Q. Attention is drawn to the contradictory early measurements of Q/U∞. New data are presented which show Q/U∞ apparently diminishing along the tunnel axis from a high value near the nozzle exit to an asymptotic value of about 0·6 far downstream. Using a digital phase meter especially developed for the purpose it is shown that the explanation for this behaviour lies in the two-dimensional nature of the wave process in the region of the flaps.
Input and uptake at 7 months predicts toddler vocabulary: the role of child-directed speech and infant processing skills in language development
- ROCHELLE S. NEWMAN, MEREDITH L. ROWE, NAN BERNSTEIN RATNER
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- Journal:
- Journal of Child Language / Volume 43 / Issue 5 / September 2016
- Published online by Cambridge University Press:
- 24 August 2015, pp. 1158-1173
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Both the input directed to the child, and the child's ability to process that input, are likely to impact the child's language acquisition. We explore how these factors inter-relate by tracking the relationships among: (a) lexical properties of maternal child-directed speech to prelinguistic (7-month-old) infants (N = 121); (b) these infants' abilities to segment lexical targets from conversational child-directed utterances in an experimental paradigm; and (c) the children's vocabulary outcomes at age 2;0. Both repetitiveness in maternal input and the child's speech segmentation skills at age 0;7 predicted language outcomes at 2;0; moreover, while these factors were somewhat inter-related, they each had independent effects on toddler vocabulary skill, and there was no interaction between the two.
Formation, Evolution and Destruction of Possible DIB Carriers: Dirty Molecular Hydrogen Ice Clusters
- D. K. Lynch, L. S. Bernstein, F. O. Clark
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- Journal:
- Proceedings of the International Astronomical Union / Volume 9 / Issue S297 / May 2013
- Published online by Cambridge University Press:
- 21 February 2014, pp. 381-382
- Print publication:
- May 2013
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We suggest that the diffuse interstellar bands (DIBs) are absorption lines arising from electronic transitions in molecular clusters primarily composed of a single molecule, atom, or ion (“seed”), embedded in a single-layer shell of H2 molecules (Bernstein et al. 2013). We refer to these clusters as CHCs (Contaminated H2 Clusters). CHCs arise from cm-sized, dirty H2 ice balls, called CHIMPs (Contaminated H2 Ice Macro-Particles), formed in cold, dense, Giant Molecular Clouds (GMCs), and later released into the interstellar medium (ISM) upon GMC disruption. Absorption by the CHIMP of a UV photon releases CHCs. CHCs produce DIBs when they absorb optical photons. When this occurs, the absorbed photon energy disrupts the CHC.
Dirty H2 Molecular Clusters as the DIB Sources: Spectroscopic and Physical Properties
- L. S. Bernstein, F. O. Clark, D. K. Lynch
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- Journal:
- Proceedings of the International Astronomical Union / Volume 9 / Issue S297 / May 2013
- Published online by Cambridge University Press:
- 21 February 2014, pp. 378-380
- Print publication:
- May 2013
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We propose that the diffuse interstellar bands (DIBs) arise from absorption lines of electronic transitions in molecular clusters primarily composed of a single molecule, atom, or ion (“seed”), embedded in a single-layer shell of H2 molecules (Bernstein et al. 2013). Less abundant variants of the cluster, including two seed molecules and/or a two-layer shell of H2 molecules may also occur. The lines are broadened, blended, and wavelength-shifted by interactions between the seed and surrounding H2 shell. We refer to these clusters as CHCs (Contaminated H2 Clusters). CHC spectroscopy matches the diversity of observed DIB spectral profiles, and provides good fits to several DIB profiles based on a rotational temperature of 10 K. CHCs arise from ~cm-sized, dirty H2 ice balls, called CHIMPs (Contaminated H2 Ice Macro-Particles), formed in cold, dense, Giant Molecular Clouds (GMCs), and later released into the interstellar medium (ISM) upon GMC disruption. Attractive interactions, arising from Van der Waals and ion-induced dipole potentials, between the seeds and H2 molecules enable CHIMPs to attain cm-sized dimensions. When an ultraviolet (UV) photon is absorbed in the outer layer of a CHIMP, it heats the icy matrix and expels CHCs into the ISM. While CHCs are quickly destroyed by absorbing UV photons, they are replenished by the slowly eroding CHIMPs. Since CHCs require UV photons for their release, they are most abundant at, but not limited to, the edges of UV-opaque molecular clouds, consistent with the observed, preferred location of DIBs. An inherent property of CHCs, which can be characterized as nanometer size, spinning, dipolar dust grains, is that they emit in the radio-frequency region. Thus, CHCs offer a natural explanation to the anomalous microwave emission (AME) feature in the ~10-100 GHz spectral region.
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- By Eric Adler, Anoushka Afonso, Dean B. Andropoulos, Adel Bassily-Marcus, Yaakov Beilin, Elliott Bennett-Guerrero, Howard H. Bernstein, Marc J. Bloom, David Bronheim, Albert T. Cheung, Samuel DeMaria, Deborah Dubensky, James B. Eisenkraft, Jonathan Elmer, Liza J. Enriquez, Jonathan Epstein, Jeffrey M. Feldman, Gregory W. Fischer, Brigid Flynn, Jennifer A. Frontera, Richard S. Gist, Glenn P. Gravlee, Christina L. Jeng, Ronald A. Kahn, Jenny Kam, Mukul Kapoor, Jung Kim, Roopa Kohli-Seth, Aaron F. Kopman, Tuula S. O. Kurki, Andrew B. Leibowitz, Matthew Levin, Adam I. Levine, Michael S. Lewis, Justin Lipper, Martin London, Michael L. McGarvey, Alexander J. C. Mittnacht, Timothy Mooney, Diana Mungall, Yasuharu Okuda, Peter J. Papadakos, Jayashree Raikhelkar, Lakshmi V. Ramanathan, David L. Reich, Meg A. Rosenblatt, Corey Scurlock, Tamas Seres, Linda Shore-Lesserson, Marc E. Stone, Daniel M. Thys, Judit Tolnai, David Wax, Nathaen Weitzel
- David L. Reich, Mount Sinai School of Medicine, New York
- Edited by Ronald A. Kahn, Mount Sinai School of Medicine, New York, Alexander J. C. Mittnacht, Mount Sinai School of Medicine, New York, Andrew B. Leibowitz, Mount Sinai School of Medicine, New York, Marc E. Stone, Mount Sinai School of Medicine, New York, James B. Eisenkraft, Mount Sinai School of Medicine, New York
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- Monitoring in Anesthesia and Perioperative Care
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- By Giustino Albanese, Andrew Amaranto, Brandon H. Backlund, Alexander Baxter, Abraham Berger, Mark Bernstein, Marian E. Betz, Omar Bholat, Suzanne Bigelow, Carl Bonnett, Elizabeth Borock, Christopher B. Colwell, Alasdair Conn, Moira Davenport, David Dreitlein, Aaron Eberhardt, Ugo A. Ezenkwele, Diana Felton, Spiros G. Frangos, John E. Frank, Jonathan S. Gates, Lewis Goldfrank, Pinchas Halpern, Jean Hammel, Kristin E. Harkin, Jason S. Haukoos, E. Parker Hays, Aaron Hexdall, James F. Holmes, Debra Houry, Jennifer Isenhour, Andy Jagoda, John L. Kendall, Erica Kreisman, Nancy Kwon, Eric Legome, Matthew R. Levine, Phillip D. Levy, Charles Little, Marion Machado, Heather Mahoney, Vincent J. Markovchick, Nancy Martin, John Marx, Julie Mayglothling, Ron Medzon, Maurizio A. Miglietta, Elizabeth L. Mitchell, Ernest Moore, Maria E. Moreira, Sassan Naderi, Salvatore Pardo, Sajan Patel, David Peak, Christine Preblick, Niels K. Rathlev, Charles Ray, Phillip L. Rice, Carlo L. Rosen, Peter Rosen, Livia Santiago-Rosado, Tamara A. Scerpella, David Schwartz, Fred Severyn, Kaushal Shah, Lee W. Shockley, Mari Siegel, Matthew Simons, Michael Stern, D. Matthew Sullivan, Carrie D. Tibbles, Knox H. Todd, Shawn Ulrich, Neil Waldman, Kurt Whitaker, Stephen J. Wolf, Daniel Zlogar
- Edited by Eric Legome, Lee W. Shockley
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- Trauma
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- 07 September 2011
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. 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- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- The Cambridge Dictionary of Christianity
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- 05 August 2012
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- 20 September 2010, pp xi-xliv
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- By Deborah Abeles, Adrian Alvarez, Euler Ázaro, Paulo Batista, Donald P. Bernstein, Jay B. Brodsky, Kathleen Carey, Venita Chandra, Jenny Choi, Maria L. Collazo-Clavell, Jeremy Collins, Eric J. DeMaria, Galina Dimirova, Sanjeev Dutta, João Ettinger, Ronald Harter, Matthew M. Hutter, Jerry Ingrande, Daniel B. Jones, Stephanie B. Jones, Helen Karakelides, Fawzi S. Khayat, Hendrikus J. M. Lemmens, Yigal Leykin, Amy Lightner, Masha Livhits, Melinda A. Maggard, Tracy Martinez, John M. Morton, Patrick J. Neligan, Ninh T. Nguyen, Alfons Pomp, Silvia E. Perez-Protto, Steve E. Raper, Roman Schumann, Scott A. Shikora, Ashish Sinha, Brian R. Smith, Juraj Sprung, Pedro P. Tanaka, Brandon Tari, David O. Warner, Toby N. Weingarten, Joseph G. Werner, Gavitt A. Woodard, Basil M. Yurcisin, David Zvara
- Edited by Adrian Alvarez, Jay B. Brodsky, Stanford University School of Medicine, California, Hendrikus J. M. Lemmens, Stanford University School of Medicine, California, John M. Morton, Stanford University School of Medicine, California
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- Morbid Obesity
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- 04 May 2010
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- 11 March 2010, pp -
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Non-symmetric two-stream instability
- S. Cuperman, L. Gomberoff, I. Roth, W. Bernstein
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- Journal of Plasma Physics / Volume 17 / Issue 1 / February 1977
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- 13 March 2009, pp. 23-39
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The recent Plum Brook—NASA experiments on counterstreaming plasma instabilities in which electric field emissions at frequencies [(n + ½) ±α]ωe (n = 1, 2, 3,…, 9, α < 0·5) have been observed, raised the theoretical problem of the non-symmetric two-stream instability. This is the case in which the counterstreaming beams have different velocities in the directions parallel and perpendicular to the static magnetic fields as well as different particle density.
We investigate theoretically this problem. The instability of quasi-electrostatic waves at shifted half odd integer multiples of the cyclotron frequency, due to two non-symmetric counterstreaming electron beams, is considered. The beam velocities parallel and perpendicular to the static magnetic field are represented by different double Dirac delta functions; no parameter limitation is imposed. A systematic investigation of (i) the coupling between plasma modes and cyclotron modes and (ii) the coupling between cyclotron modes (beam 1) and cyclotron modes (beam 2) resulting in shifted half odd integer multiples of the cyclotron frequency is carried out.
The results include approximate but simple analytical expressions for maximum growth rates and for marginal stability as well as exact numerical solutions for the detailed unstable spectra (1 ≤ m ≤ 20) in both ωτ- and kr-space. The relative weakening or suppression of certain modes is also predicted.