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Healthcare resource use and costs for people with type 2 diabetes mellitus with and without severe mental illness in England: longitudinal matched-cohort study using the Clinical Practice Research Datalink
- Han-I. Wang, Lu Han, Rowena Jacobs, Tim Doran, Richard I. G. Holt, Stephanie L. Prady, Simon Gilbody, David Shiers, Sarah Alderson, Catherine Hewitt, Jo Taylor, Charlotte E. W. Kitchen, Sue Bellass, Najma Siddiqi
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- Journal:
- The British Journal of Psychiatry / Volume 221 / Issue 1 / July 2022
- Published online by Cambridge University Press:
- 21 September 2021, pp. 402-409
- Print publication:
- July 2022
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Background
Approximately 60 000 people in England have coexisting type 2 diabetes mellitus (T2DM) and severe mental illness (SMI). They are more likely to have poorer health outcomes and require more complex care pathways compared with those with T2DM alone. Despite increasing prevalence, little is known about the healthcare resource use and costs for people with both conditions.
AimsTo assess the impact of SMI on healthcare resource use and service costs for adults with T2DM, and explore the predictors of healthcare costs and lifetime costs for people with both conditions.
MethodThis was a matched-cohort study using data from the Clinical Practice Research Datalink linked to Hospital Episode Statistics for 1620 people with comorbid SMI and T2DM and 4763 people with T2DM alone. Generalised linear models and the Bang and Tsiatis method were used to explore cost predictors and mean lifetime costs respectively.
ResultsThere were higher average annual costs for people with T2DM and SMI (£1930 higher) than people with T2DM alone, driven primarily by mental health and non-mental health-related hospital admissions. Key predictors of higher total costs were older age, comorbid hypertension, use of antidepressants, use of first-generation antipsychotics, and increased duration of living with both conditions. Expected lifetime costs were approximately £35 000 per person with both SMI and T2DM. Extrapolating nationally, this would generate total annual costs to the National Health Service of around £250 m per year.
ConclusionsOur estimates of resource use and costs for people with both T2DM and SMI will aid policymakers and commissioners in service planning and resource allocation.
Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis
- Claire Carswell, Jennifer Brown, Abisola Balogun, Jo Taylor, Peter Coventry, Charlotte Kitchen, Ian Kellar, Emily Peckham, Sue Bellass, Sarah Alderson, Jennie Lister, Richard Holt, Catherine Hewitt, Rowena Jacobs, David Shiers, Jan Boehnke, Ramzi Ajjan, Najma Siddiqi, On behalf of the DIAMONDS Research team
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- Journal:
- BJPsych Open / Volume 7 / Issue S1 / June 2021
- Published online by Cambridge University Press:
- 18 June 2021, p. S13
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Aims
To systematically review and synthesise qualitative evidence about determinants of self-management in adults with SMI. The goal is to use findings from this review to inform the design of effective self-management strategies for people with SMI and LTCs.
BackgroundPeople living with serious mental illness (SMI) have a reduced life expectancy by around 15–20 years, mainly due to the high prevalence of long-term physical conditions such as diabetes and heart disease. People with SMI face many challenges when trying to manage their physical health. Little is known about the determinants of self-management – managing the emotional and practical issues – of long-term conditions (LTCs) for people with SMI.
MethodSix databases, including CINAHL and MEDLINE, were searched to identify qualitative studies that explored people's perceptions about determinants of self-management in adults with SMI (with or without comorbid LTCs). Self-management was defined according to the American Association of Diabetes Educator's self-care behaviours (AADE7). Determinants were defined according to the Capabilities, Opportunity, Motivations and Behaviours (COM-B) framework. Eligible studies were purposively sampled for synthesis according to the richness of the data (assessed using Ames et al (2017)'s data richness scale), and thematically synthesised.
ResultTwenty-six articles were included in the synthesis. Seven studies focused on self-management of LTCs, with the remaining articles exploring self-management of SMI. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the additional burden of SMI; living with comorbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; routine, structure and planning. Capabilities for self-management were linked to people's perceptions about the support they received for their SMI and LTC from healthcare professionals, family and friends. Opportunities for self-management were more commonly expressed in the context of social and environmental factors. Motivation for self-management was influenced by beliefs and attitudes, whilst being closely related to the burden of SMI.
ConclusionThe themes identified from the synthesis suggest that capabilities, opportunities and motivations for self-management can be negatively influenced by the experience of SMI, whilst social and professional support, improved access to resources, and increased involvement in care, could promote self-management. Support programmes for people with SMI and LTCs need to account for these experiences and adapt to meet the unique needs of this population.
Localised streak solutions for a Blasius boundary layer
- Richard E. Hewitt, Peter W. Duck
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- Journal:
- Journal of Fluid Mechanics / Volume 849 / 25 August 2018
- Published online by Cambridge University Press:
- 26 June 2018, pp. 885-901
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Streaks are a common feature of disturbed boundary-layer flows. They play a central role in transient growth mechanisms and are a building block of self-sustained structures. Most theoretical work has focused on streaks that are periodic in the spanwise direction, but in this work we consider a single spatially localised streak embedded into a Blasius boundary layer. For small streak amplitudes, we show the perturbation can be described in terms of a set of eigenmodes that correspond to an isolated streak/roll structure. These modes are new, and arise from a bi-global eigenvalue calculation; they decay algebraically downstream and may be viewed as the natural three-dimensional extension of the classical two-dimensional Libby & Fox (J. Fluid Mech., vol. 17 (3), 1963, pp. 433–449) solutions. Despite their bi-global nature, we show that a subset of these eigenmodes (including the slowest decaying) is fundamentally related to the solutions first presented by Luchini (J. Fluid Mech., vol. 327, 1996, pp. 101–116), as derived for spanwise-periodic disturbances (at small spanwise wavenumber). This surprising connection is made by an analysis of the far-field decay of the bi-global state. We also address the fully non-parallel downstream development of nonlinear streaks, confirming that the aforementioned eigenmodes are recovered as the streak/roll decays downstream. Encouraging comparisons are made with available experimental data.
Hydrodynamics and Sound M.S. Howe Cambridge University Press, The Edinburgh Building, Shaftesbury Road, Cambridge CB2 2RU, UK. 2007. 463pp. Illustrated. £50. ISBN 0-521-86862-9.
- Richard E. Hewitt
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- Journal:
- The Aeronautical Journal / Volume 111 / Issue 1124 / October 2007
- Published online by Cambridge University Press:
- 30 March 2016, p. 668
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Hydrodynamic Stability–Second edition P.G. Drazin and W.H. Reid Cambridge University Press, The Edinburgh Building, Shaftesbury Road, Cambridge CB2 2RU, UK. 2004. 605pp. Illustrated. £26. ISBN 0-521-52541-1. - Theory and Computation in Hydrodynamic Stability W.O. Crimanle et al Cambridge University Press, The Edinburgh Building, Shaftesbury Road, Cambridge CB2 2RU, UK. 2003. 441pp. Illustrated. £60. ISBN 0-521-63200-5.
- Richard E. Hewitt
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- Journal:
- The Aeronautical Journal / Volume 110 / Issue 1104 / February 2006
- Published online by Cambridge University Press:
- 30 March 2016, p. 125
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Sediment transport dynamics on an ice-covered lake: the ‘floating’ boulders of Lake Hoare, Antarctica
- Phillip P. Allen, Richard Hewitt, Maciej K. Obryk, Peter T. Doran
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- Journal:
- Antarctic Science / Volume 27 / Issue 2 / April 2015
- Published online by Cambridge University Press:
- 23 September 2014, pp. 173-184
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Between 1995 and 2011 a global positioning system survey of 13 boulders and three ablation stakes (long stakes frozen in the ice) on the frozen surface of Lake Hoare was undertaken. Data interpretation illustrates complexities of post-depositional transport dynamics of boulders. Earlier studies on comparable datasets have suggested linear ‘conveyor’ type transport mechanisms for lake surface boulders. Yet explanations for non-linear boulder displacements or ‘walks’ and the mechanisms responsible for movements are inadequate. Two modes of boulder specific movement were observed. First, localized changes in the ice surface promote individual boulder movement (rolling). Second, ice rafting, which indicates the displacement of ‘plates’ of lake ice on which the boulder is located. Ablation stakes used as fixed survey control points support the hypothesis that ice cover moves as discrete plates rather than as a single homogenous mass. Factors that create the conditions to generate either of the two modes of movement may be related to location specific energy budgets. A relationship between average orientations and prevailing wind direction was also observed. The investigation describes the local-scale behaviour of surveyed boulders, and offers methodologies and interpretive frameworks for additional studies of modern and ancient sediment transportation dynamics in Antarctic lacustrine environments.
Three-dimensional boundary layers with short spanwise scales
- Richard E. Hewitt, Peter W. Duck
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- Journal:
- Journal of Fluid Mechanics / Volume 756 / 10 October 2014
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- 02 September 2014, pp. 452-469
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We investigate three-dimensional (laminar) boundary layers that include a spanwise scale comparable to the boundary-layer thickness. A forcing of short spanwise scales requires viscous dissipation to be retained in the two-dimensional cross-section, perpendicular to the external flow direction, and in this respect the flows are related to previous work on corner boundary layers. We use two examples to highlight the main features of this category of boundary layer: (i) a flat plate of narrow (spanwise) width, and (ii) a narrow (spanwise) gap cut into an otherwise infinite flat plate; in both cases the plate is aligned with a uniform oncoming stream. We find that a novel feature arises in connection with the external flow; the presence of a narrow gap/plate (or indeed any comparable short-scale feature of long streamwise extent) necessarily modifies the streamwise mass flux in that vicinity, which in turn induces an associated boundary-layer transpiration on the same short spanwise length scale. This (short-scale) transpiration region leads to a half-line-source/sink correction to the outer inviscid, irrotational flow. Crucially, the volumetric flux associated with this line-source/sink must be explicitly included as part of the computational procedure for the leading-order boundary layer, and as such there is a weak interaction between the outer (inviscid) flow and the boundary layer. This is a generic feature of boundary layers that are forced through the presence of short-scale spanwise variations.
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- Edited by Romin W. Tafarodi, University of Toronto
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- Subjectivity in the Twenty-First Century
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- 05 October 2013
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- 23 September 2013, pp ix-x
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Pulsatile jets
- RICHARD E. HEWITT, PETER W. DUCK
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- Journal of Fluid Mechanics / Volume 670 / 10 March 2011
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- 12 January 2011, pp. 240-259
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We consider the evolution of high-Reynolds-number, planar, pulsatile jets in an incompressible viscous fluid. The source of the jet flow comprises a mean-flow component with a superposed temporally periodic pulsation, and we address the spatiotemporal evolution of the resulting system. The analysis is presented for both a free symmetric jet and a wall jet. In both cases, pulsation of the source flow leads to a downstream short-wave linear instability, which triggers a breakdown of the boundary-layer structure in the nonlinear regime. We extend the work of Riley, Sánchez-Sans & Watson (J. Fluid Mech., vol. 638, 2009, p. 161) to show that the linear instability takes the form of a wave that propagates with the underlying jet flow, and may be viewed as a (spatially growing) weakly non-parallel analogue of the (temporally growing) short-wave modes identified by Cowley, Hocking & Tutty (Phys. Fluids, vol. 28, 1985, p. 441). The nonlinear evolution of the instability leads to wave steepening, and ultimately a singular breakdown of the jet is obtained at a critical downstream position. We speculate that the form of the breakdown is associated with the formation of a ‘pseudo-shock’ in the jet, indicating a failure of the (long-length scale) boundary-layer scaling. The numerical results that we present disagree with the recent results of Riley et al. (2009) in the case of a free jet, together with other previously published works in this area.
Contributors
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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. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. Nicholson, George W. E. Nickelsburg, Tatyana Nikolskaya, Damayanthi M. A. Niles, Bertil Nilsson, Nyambura Njoroge, Fidelis Nkomazana, Mary Beth Norton, Christian Nottmeier, Sonene Nyawo, Anthère Nzabatsinda, Edward T. Oakes, Gerald O'Collins, Daniel O'Connell, David W. Odell-Scott, Mercy Amba Oduyoye, Kathleen O'Grady, Oyeronke Olajubu, Thomas O'Loughlin, Dennis T. Olson, J. Steven O'Malley, Cephas N. Omenyo, Muriel Orevillo-Montenegro, César Augusto Ornellas Ramos, Agbonkhianmeghe E. Orobator, Kenan B. Osborne, Carolyn Osiek, Javier Otaola Montagne, Douglas F. Ottati, Anna May Say Pa, Irina Paert, Jerry G. Pankhurst, Aristotle Papanikolaou, Samuele F. Pardini, Stefano Parenti, Peter Paris, Sung Bae Park, Cristián G. Parker, Raquel Pastor, Joseph Pathrapankal, Daniel Patte, W. Brown Patterson, Clive Pearson, Keith F. Pecklers, Nancy Cardoso Pereira, David Horace Perkins, Pheme Perkins, Edward N. Peters, Rebecca Todd Peters, Bishop Yeznik Petrossian, Raymond Pfister, Peter C. Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. Rubenstein, Rosemary Radford Ruether, Markku Ruotsila, John E. Rybolt, Risto Saarinen, John Saillant, Juan Sanchez, Wagner Lopes Sanchez, Hugo N. Santos, Gerhard Sauter, Gloria L. Schaab, Sandra M. Schneiders, Quentin J. Schultze, Fernando F. Segovia, Turid Karlsen Seim, Carsten Selch Jensen, Alan P. F. Sell, Frank C. Senn, Kent Davis Sensenig, Damían Setton, Bal Krishna Sharma, Carolyn J. Sharp, Thomas Sheehan, N. Gerald Shenk, Christian Sheppard, Charles Sherlock, Tabona Shoko, Walter B. Shurden, Marguerite Shuster, B. Mark Sietsema, Batara Sihombing, Neil Silberman, Clodomiro Siller, Samuel Silva-Gotay, Heikki Silvet, John K. Simmons, Hagith Sivan, James C. Skedros, Abraham Smith, Ashley A. Smith, Ted A. Smith, Daud Soesilo, Pia Søltoft, Choan-Seng (C. S.) Song, Kathryn Spink, Bryan Spinks, Eric O. Springsted, Nicolas Standaert, Brian Stanley, Glen H. Stassen, Karel Steenbrink, Stephen J. Stein, Andrea Sterk, Gregory E. Sterling, Columba Stewart, Jacques Stewart, Robert B. Stewart, Cynthia Stokes Brown, Ken Stone, Anne Stott, Elizabeth Stuart, Monya Stubbs, Marjorie Hewitt Suchocki, David Kwang-sun Suh, Scott W. Sunquist, Keith Suter, Douglas Sweeney, Charles H. Talbert, Shawqi N. Talia, Elsa Tamez, Joseph B. Tamney, Jonathan Y. Tan, Yak-Hwee Tan, Kathryn Tanner, Feiya Tao, Elizabeth S. Tapia, Aquiline Tarimo, Claire Taylor, Mark Lewis Taylor, Bishop Abba Samuel Wolde Tekestebirhan, Eugene TeSelle, M. Thomas Thangaraj, David R. Thomas, Andrew Thornley, Scott Thumma, Marcelo Timotheo da Costa, George E. “Tink” Tinker, Ola Tjørhom, Karen Jo Torjesen, Iain R. Torrance, Fernando Torres-Londoño, Archbishop Demetrios [Trakatellis], Marit Trelstad, Christine Trevett, Phyllis Trible, Johannes Tromp, Paul Turner, Robert G. Tuttle, Archbishop Desmond Tutu, Peter Tyler, Anders Tyrberg, Justin Ukpong, Javier Ulloa, Camillus Umoh, Kristi Upson-Saia, Martina Urban, Monica Uribe, Elochukwu Eugene Uzukwu, Richard Vaggione, Gabriel Vahanian, Paul Valliere, T. J. Van Bavel, Steven Vanderputten, Peter Van der Veer, Huub Van de Sandt, Louis Van Tongeren, Luke A. Veronis, Noel Villalba, Ramón Vinke, Tim Vivian, David Voas, Elena Volkova, Katharina von Kellenbach, Elina Vuola, Timothy Wadkins, Elaine M. Wainwright, Randi Jones Walker, Dewey D. Wallace, Jerry Walls, Michael J. Walsh, Philip Walters, Janet Walton, Jonathan L. Walton, Wang Xiaochao, Patricia A. Ward, David Harrington Watt, Herold D. Weiss, Laurence L. Welborn, Sharon D. Welch, Timothy Wengert, Traci C. West, Merold Westphal, David Wetherell, Barbara Wheeler, Carolinne White, Jean-Paul Wiest, Frans Wijsen, Terry L. Wilder, Felix Wilfred, Rebecca Wilkin, Daniel H. Williams, D. Newell Williams, Michael A. Williams, Vincent L. Wimbush, Gabriele Winkler, Anders Winroth, Lauri Emílio Wirth, James A. Wiseman, Ebba Witt-Brattström, Teofil Wojciechowski, John Wolffe, Kenman L. Wong, Wong Wai Ching, Linda Woodhead, Wendy M. Wright, Rose Wu, Keith E. Yandell, Gale A. Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- Book:
- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
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- 20 September 2010, pp xi-xliv
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Long's vortex revisited
- RICHARD E. HEWITT, PETER W. DUCK
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- Journal:
- Journal of Fluid Mechanics / Volume 634 / 10 September 2009
- Published online by Cambridge University Press:
- 26 August 2009, pp. 91-111
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We reconsider exact solutions to the Navier–Stokes equations that describe a vortex in a viscous, incompressible fluid. This type of solution was first introduced by Long (J. Atmos. Sci., vol. 15 (1), 1958, p. 108) and is parameterized by an inverse Reynolds number ϵ. Long's attention (and that of many subsequent investigators) was centred upon the ‘quasi-cylindrical’ (QC) case corresponding to ϵ = 0. We show that the limit ϵ → 0 is not straightforward, and that it reveals other solutions to this fundamental exact reduction of the Navier–Stokes system (which are not of QC form). Through careful numerical investigation, supported by asymptotic descriptions, we identify new solutions and describe the full parameter space that is spanned by ϵ and the pressure at the vortex core. Some erroneous results that exist in the literature are corrected.
Status and Opportunities for High Efficiency OLED Displays on Flexible Substrates
- Michael Hack, Anna Chwang, Yeh-Jiun Tung, Richard Hewitt, Julie Brown, JengPing Lu, Chinwen Shih, Jackson Ho, R. A. Street, Lorenza Moro, Xi Chu, Todd Krajewski, Nicole Rutherford, Robert Visser
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- Journal:
- MRS Online Proceedings Library Archive / Volume 870 / 2005
- Published online by Cambridge University Press:
- 01 February 2011, H3.1
- Print publication:
- 2005
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OLEDs are an ideal technology for electronic display applications. They are fabricated by depositing very thin films of organic materials at low temperatures (<100°C) to form bright, vivid power efficient self-emissive light producing elements with fast response times that can be grown on a variety of large area substrates such as glass, plastic or metal foil. These properties make OLEDs ideally suited to enable high information content flexible displays. In particular, the application of phosphorescent OLEDs leads to very low power consumption displays – a key requirement for mobile applications. In this paper we outline our progress towards developing low power consumption, active-matrix flexible OLED (FOLED™) displays. Our work is focused on integrating three critical enabling technologies: high efficiency long-lived top emission phosphorescent OLED (PHOLED™) device technology, flexible active-matrix backplanes, and thin film encapsulation.
Asymptotic matching constraints for a boundary-layer flow of a power-law fluid
- JAMES P. DENIER, RICHARD E. HEWITT
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- Journal:
- Journal of Fluid Mechanics / Volume 518 / 10 November 2004
- Published online by Cambridge University Press:
- 20 October 2004, pp. 261-279
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We reconsider the three-dimensional boundary-layer flow of a power-law (Ostwald–de Waele) rheology fluid, driven by the rotation of an infinite rotating plane in an otherwise stationary system. Here we address the problem for both shear-thinning and shear-thickening fluids and show that there are some fundamental issues regarding the application of power-law models in a boundary-layer context that have not been mentioned in previous discussions. For shear-thickening fluids, the leading-order boundary-layer equations are shown to have no suitable decaying behaviour in the far field, and the only solutions that exist are necessarily non-differentiable at a critical location and of ‘finite thickness’. Higher-order effects are shown to regularize the singularity at the critical location. In the shear-thinning case, the boundary-layer solutions are shown to possess algebraic decay to a free-stream flow. This case is known from the existing literature; however here we shall emphasize the complexity of applying such solutions to a global flow, describing why they are in general inappropriate in a traditional boundary-layer context. Furthermore, previously noted difficulties for fluids that are highly shear thinning are also shown to be associated with the imposition of incorrect assumptions regarding the nature of the far-field flow. Based on Newtonian results, we anticipate the presence of non-uniqueness and through accurate numerical solution of the leading-order boundary-layer equations we locate several such solutions.
Teflon–induced granuloma: a source of false positive positron emission tomography and computerized tomography interpretation
- Richard J.D. Hewitt, Arvind Singh, Michael J. Wareing
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- Journal:
- The Journal of Laryngology & Otology / Volume 118 / Issue 10 / October 2004
- Published online by Cambridge University Press:
- 08 March 2006, pp. 822-824
- Print publication:
- October 2004
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Patients diagnosed with malignancy often undergo combined positron emissiontomography (PET) and computerized tomography (CT) to investigate possible metastases. This report presents a case in which, in the investigation of suspected pulmonary malignancy, combined PET and CT images suggested a malignant lesion at the level of the vocal fold. Biopsy of the lesion, however, confirmed the clinical diagnosis of a Teflon granuloma. The case highlights the potential for a false positive report during scanning of patients who have had vocal fold injection.
Conducting Polymer Films for Plastic Liquid Crystal Displays
- Ling Huang, Catherine O'Ferrall, Ranganathan Shashidhar, William Fritz, Richard Hewitt, Steve Smith, J. William Doane
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- Journal:
- MRS Online Proceedings Library Archive / Volume 471 / 1997
- Published online by Cambridge University Press:
- 10 February 2011, 41
- Print publication:
- 1997
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In a conventional liquid crystal display (LCD), glass substrates coated with an indium tin oxide (ITO) layer are typically used for the application of an electric field to the liquid crystal material. For many applications, there is a need for a LCD with a plastic substrate. While ITO works well with glass, it does not adhere as well to plastic. It is brittle, and has a tendency to crack under constant bend conditions. Polypyrrole is well known for its good conductivity and chemical stability. Moreover, as an organic polymeric material, polypyrrole film can also flex and bend with the plastic substrate. Therefore, it is a good candidate for plastic LCDs. We present here the results on the development of polypyrrole films deposited on plastic substrates which are suitable for reflective LCDs.