61 results
CONNECTing Concussion Care with Research Across Ontario
- Cindy Hunt, Heather MacKenzie, Anil Dosaj, Justina Zych, Carmela Tartaglia, Mark Bayley, Ruth Wilcock, Karl Zabjek, Matthew Burke, Vicki Kristman, Billie Hardy, Lisa K. Fischer, Andrew Baker
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- Canadian Journal of Neurological Sciences , First View
- Published online by Cambridge University Press:
- 18 January 2024, pp. 1-5
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Common data elements (CDEs) for concussion, as established by international bodies, are not being widely used in Ontario, resulting in significant variability in the data being assessed and collected across clinics. CDEs support standardization of care as well as large-scale data sharing for high impact research. A collaborative network – Concussion Ontario Network: Neuroinformatics to Enhance Clinical care and Translation (CONNECT) – comprised of health care professionals, researchers, members from advocacy groups, and patients was formed to establish and implement CDEs for concussion care and research. While the seeds have been planted and initial effectiveness demonstrated, future challenges exist.
Effectiveness of community-based livestock protection strategies: a case study of human–lion conflict mitigation
- Lovemore Sibanda, Paul J. Johnson, Esther van der Meer, Courtney Hughes, Bongani Dlodlo, Liomba J. Mathe, Jane E. Hunt, Roger H. Parry, David W. Macdonald, Andrew J. Loveridge
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Conservation scientists are increasingly recognizing the need to evaluate the effectiveness of interventions to improve human–wildlife coexistence across different contexts. Here we assessed the long-term efficacy of the Long Shields Community Guardians programme in Zimbabwe. This community-based programme seeks to protect livestock and prevent depredation by lions Panthera leo through non-lethal means, with the ultimate aim of promoting human–lion coexistence. Using a quasi-experimental approach, we measured temporal trends in livestock depredation by lions and the prevalence of retaliatory killing of lions by farmers and wildlife managers. Farmers that were part of the Long Shields programme experienced a significant reduction in livestock loss to lions, and the annual number of lions subject to retaliatory killing by farmers dropped by 41% since the start of the programme in 2013, compared to 2008–2012, before the programme was initiated. Our findings demonstrate the Long Shields programme can be a potential model for limiting livestock depredation by lions. More broadly, our study demonstrates the effectiveness of community-based interventions to engage community members, improve livestock protection and ameliorate levels of retaliatory killing, thereby reducing human–lion conflict.
A history of high-power laser research and development in the United Kingdom
- Part of
- Colin N. Danson, Malcolm White, John R. M. Barr, Thomas Bett, Peter Blyth, David Bowley, Ceri Brenner, Robert J. Collins, Neal Croxford, A. E. Bucker Dangor, Laurence Devereux, Peter E. Dyer, Anthony Dymoke-Bradshaw, Christopher B. Edwards, Paul Ewart, Allister I. Ferguson, John M. Girkin, Denis R. Hall, David C. Hanna, Wayne Harris, David I. Hillier, Christopher J. Hooker, Simon M. Hooker, Nicholas Hopps, Janet Hull, David Hunt, Dino A. Jaroszynski, Mark Kempenaars, Helmut Kessler, Sir Peter L. Knight, Steve Knight, Adrian Knowles, Ciaran L. S. Lewis, Ken S. Lipton, Abby Littlechild, John Littlechild, Peter Maggs, Graeme P. A. Malcolm, OBE, Stuart P. D. Mangles, William Martin, Paul McKenna, Richard O. Moore, Clive Morrison, Zulfikar Najmudin, David Neely, Geoff H. C. New, Michael J. Norman, Ted Paine, Anthony W. Parker, Rory R. Penman, Geoff J. Pert, Chris Pietraszewski, Andrew Randewich, Nadeem H. Rizvi, Nigel Seddon, MBE, Zheng-Ming Sheng, David Slater, Roland A. Smith, Christopher Spindloe, Roy Taylor, Gary Thomas, John W. G. Tisch, Justin S. Wark, Colin Webb, S. Mark Wiggins, Dave Willford, Trevor Winstone
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- High Power Laser Science and Engineering / Volume 9 / 2021
- Published online by Cambridge University Press:
- 27 April 2021, e18
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The first demonstration of laser action in ruby was made in 1960 by T. H. Maiman of Hughes Research Laboratories, USA. Many laboratories worldwide began the search for lasers using different materials, operating at different wavelengths. In the UK, academia, industry and the central laboratories took up the challenge from the earliest days to develop these systems for a broad range of applications. This historical review looks at the contribution the UK has made to the advancement of the technology, the development of systems and components and their exploitation over the last 60 years.
4267 Noninvasive hybrid ultrasound and photoacoustic imaging for the assessment of liver fibrosis
- Laith Riyadh Sultan, Mrigendra Karmacharya, Julia D’Souza, Brooke Kirkham, Angela K Brice, Andrew KW Wood, Stephen Hunt, Chandra Sehgal
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- Journal of Clinical and Translational Science / Volume 4 / Issue s1 / June 2020
- Published online by Cambridge University Press:
- 29 July 2020, pp. 110-111
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OBJECTIVES/GOALS: The detection of liver fibrotic changes at an early and reversible stage is essential to prevent its progression to end-stage cirrhosis and hepatocellular carcinoma. Liver biopsy, which is the current gold standard for fibrosis assessment, is accompanied by several complications due to its invasive nature in addition to sampling errors and reader variability. In this study, we evaluate the use of quantitative parameters extracted from hybrid ultrasound and photoacoustic imaging to detect and monitor fibrotic changes in a DEN rat model. METHODS/STUDY POPULATION: Liver fibrotic changes were induced in 34 Wistar male rats by oral administration of Diethylnitrosamine (DEN) for 12 weeks. 22 rats were imaged with B-mode ultrasound at 3 different time points (baseline, 10 weeks and 13 weeks) for monitoring liver texture changes. Texture features studied included tissue echointensity (liver brightness normalized to kidney brightness) and tissue heterogeneity. 12 rats were imaged with photoacoustic imaging at 4 time points (baseline, 5 wks, 10 wks, and 13 wks) to look at changes in tissue oxygenation. Hemoglobin oxygen saturation (sO2A) and hemoglobin concentration (HbT) in the right and left lobes of the liver were measured. 8 rats were used as controls. Liver tissue samples were obtained following 13 weeks from DEN start time for METAVIR histopathology staging of fibrosis. RESULTS/ANTICIPATED RESULTS: Texture features studied showed an increase with time in DEN rats. Normalized echointensity increased from 0.28 ± 0.06 at baseline to 0.46 ± 0.10 at 10 weeks (p < 0.0005) and 0.53 ± 0.15 at 13 weeks in DEN rats (p < 0.0005). In the control rats, echointensity remained at an average of 0.25 ± 0.05 (p = 0.31). Tissue heterogeneity increased over time in the DEN-exposed rats from a baseline of 208.7 ± 58.3 to 344.6 ± 52.9 at 10 weeks (p < 0.0005) and 376.8 ± 54.9 at 13 weeks (p = 0.06) however it stayed constant at 225.7 ± 37.6 in control rats (p = 0.58). The quantitative analyses of the photoacoustic signals showed that blood oxygen saturation significantly increased with time. At 5 weeks sO2AvT increased by 53.83 % (± 0.25), and HbT by 35.31 % (± 0.07). Following 10 weeks of DEN; sO2AvT by 92.04 % (± 0.29), and HbT by 55.24 % (± 0.1). All increases were significant p < 0.05. In the 13th week, however, the values of all of these parameters were lower than those in the 10th week, however, the decrease was statistically insignificant. DISCUSSION/SIGNIFICANCE OF IMPACT: Quantitative features from B-mode ultrasound and photoacoustic imaging consistently increased over time corresponding to hepatic damage, inflammation and fibrosis progressed. The use of this hybrid imaging method in clinical practice can help meet the significant need for noninvasive assessment of liver fibrosis.
Identifiability in age/period/cohort mortality models
- Andrew Hunt, David Blake
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- Annals of Actuarial Science / Volume 14 / Issue 2 / September 2020
- Published online by Cambridge University Press:
- 04 June 2020, pp. 500-536
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The addition of a set of cohort parameters to a mortality model can generate complex identifiability issues due to the collinearity between the dimensions of age, period and cohort. These issues can lead to robustness problems and difficulties making projections of future mortality rates. Since many modern mortality models incorporate cohort parameters, we believe that a comprehensive analysis of the identifiability issues in age/period/cohort mortality models is needed. In this paper, we discuss the origin of identifiability issues in general models before applying these insights to simple but commonly used mortality models. We then discuss how to project mortality models so that our forecasts of the future are independent of any arbitrary choices we make when fitting a model to data in order to identify the historical parameters.
Identifiability in age/period mortality models
- Andrew Hunt, David Blake
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- Annals of Actuarial Science / Volume 14 / Issue 2 / September 2020
- Published online by Cambridge University Press:
- 02 June 2020, pp. 461-499
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As the field of modelling mortality has grown in recent years, the number and importance of identifiability issues within mortality models has grown in parallel. This has led both to robustness problems and to difficulties in making projections of future mortality rates. In this paper, we present a comprehensive analysis of the identifiability issues in age/period mortality models in order to first understand them better and then to resolve them. To achieve this, we discuss how these identification issues arise, how to choose identification schemes which aid our demographic interpretation of the models and how to project the models so that our forecasts of the future do not depend upon the arbitrary choices used to identify the historical parameters estimated from historical data.
Mapping Stakeholder Perspectives on Engagement in Concussion Research to Theory
- Cindy Hunt, Miranda de Saint-Rome, Carol Di Salle, Alicja Michalak, Ruth Wilcock, Andrew Baker
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- Journal:
- Canadian Journal of Neurological Sciences / Volume 47 / Issue 2 / March 2020
- Published online by Cambridge University Press:
- 22 January 2020, pp. 202-209
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Background:
Involving stakeholders has been acknowledged as a way to improve quality and relevance in health research. The mechanisms that support effective research engagement with stakeholders have not been studied in the area of concussion. Concussion is a large public health concern worldwide with billions of dollars spent on health care services and research with improvements in care and service delivery not moving forward as quickly as desired. Enabling effective stakeholder engagement could improve concussion research and care.
Objective:The aim of the study was to identify potential benefits, challenges, and motivators to engaging in research by gathering the perspectives of adults with lived experience of concussion.
Methods:A thematic analysis of qualitative responses collected from a convenience sample attending a provincial brain injury conference (n = 60) was undertaken using open coding followed by axial coding.
Results:Four themes regarding benefits to engagement emerged: first-hand account, meaningful recovery, research relevance, and better understanding of gaps. Three forces inhibited engagement: environmental barriers, injury-related constraints, and personal deterrents. Four enablers supported engagement: focus on positive impact, build connections, create a supportive environment, and provide financial assistance.
Conclusions:Understanding stakeholder’s perspectives on research engagement is an important issue that may serve to improve research quality. There may be unique nuances at play with injury-specific stakeholders that require researchers to consider a balance between reducing inhibitors while supporting enablers. These findings are preliminary and limited. Nevertheless, they provide needed insight and guidance for ongoing investigation regarding improvement of stakeholder engagement in concussion research.
Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone
- Andrew Kestler, Amanda Giesler, Jane Buxton, Gray Meckling, Michelle Lee, Garth Hunte, Jacob Wilkins, Dalya Marks, Frank Scheuermeyer
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- Journal:
- Canadian Journal of Emergency Medicine / Volume 21 / Issue 2 / March 2019
- Published online by Cambridge University Press:
- 23 May 2018, pp. 226-234
- Print publication:
- March 2019
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Objective
Take-home naloxone (THN) reduces deaths from opioid overdose. To increase THN distribution to at-risk emergency department (ED) patients, we explored reasons for patients’ refusing or accepting THN.
MethodsIn an urban teaching hospital ED, we identified high opioid overdose risk patients according to pre-specified criteria. We offered eligible patients THN and participation in researcher-administered surveys, which inquired about reasons to refuse or accept THN and about THN dispensing location preferences. We analyzed refusal and acceptance reasons in open-ended responses, grouped reasons into categories (absolute versus conditional refusals,) then searched for associations between patient characteristics and reasons.
ResultsOf 247 patients offered THN, 193 (78.1%) provided reasons for their decision. Of those included, 69 (35.2%) were female, 91 (47.2%) were under age 40, 61 (31.6%) were homeless, 144 (74.6%) reported injection drug use (IDU), and 131 (67.9%) accepted THN. Of 62 patients refusing THN, 19 (30.7%) felt “not at risk” for overdose, while 28 (45.2%) gave conditional refusal reasons: “too sick,” “in a rush,” or preference to get THN elsewhere. Non-IDU was associated with stating “not at risk,” while IDU, homelessness, and age under 40 were associated with conditional refusals. Among acceptances, 86 (65.7%) mentioned saving others as a reason. Most respondents preferred other dispensing locations beside the ED, whether or not they accepted ED THN.
ConclusionED patients refusing THN felt “not at risk” for overdose or felt their ED visit was not the right time or place for THN. Most accepting THN wanted to save others.
Chapter 12 - Acute Management of Suspected Thromboembolic Disease in Pregnancy
- from Section 5 - Thromboembolism and Anticoagulation
- Edited by Sue Pavord, University of Oxford, Beverley Hunt, King's College London
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- The Obstetric Hematology Manual
- Published online:
- 01 February 2018
- Print publication:
- 08 February 2018, pp 129-138
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Common Data Elements for Concussion in Tertiary Care: Phase One in Ontario
- Cindy Hunt, Alicja Michalak, Donna Ouchterlony, Shawn Marshall, Cheryl Masanic, Chantal Vaidyanath, Shree Bhalerao, Michael D. Cusimano, Deanna Quon, Lisa K. Fischer, Andrew Baker
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- Journal:
- Canadian Journal of Neurological Sciences / Volume 44 / Issue 6 / November 2017
- Published online by Cambridge University Press:
- 30 August 2017, pp. 676-683
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Background: Standardized data collection for traumatic brain injury (TBI) (including concussion) using common data elements (CDEs) has strengthened clinical care and research capacity in the United States and Europe. Currently, Ontario healthcare providers do not collect uniform data on adult patients diagnosed with concussion. Objective: The Ontario Concussion Care Strategy (OCCS) is a collaborative network of multidisciplinary healthcare providers, brain injury advocacy groups, patient representatives, and researchers with a shared vision to improve concussion care across the province, starting with the collection of standardized data. Methods: The International Framework of Functioning Disability and Health was selected as the conceptual framework to inform the selection of CDEs. The CDEs recommended by the OCCS were identified using key literature, including the National Institute of Neurological Disorders and Stroke–Zurich Consensus Statements for concussion in sport and the Ontario Neurotrauma Foundation Concussion/mTBI clinical guidelines. Results: The OCCS has recommended and piloted CDEs for Ontario that are readily available at no cost, clinically relevant, patient friendly, easy to interpret, and recognized by the international scientific community. Conclusions: The implementation of CDEs can help to shift Ontario toward internationally recognized standard data collection, and in so doing yield a more comprehensive evidence-based approach to care while also supporting rigorous research.
MODELLING MORTALITY FOR PENSION SCHEMES
- Andrew Hunt, David Blake
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- Journal:
- ASTIN Bulletin: The Journal of the IAA / Volume 47 / Issue 2 / May 2017
- Published online by Cambridge University Press:
- 16 January 2017, pp. 601-629
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- May 2017
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For many pension schemes, a shortage of data limits their ability to use sophisticated stochastic mortality models to assess and manage their exposure to longevity risk. In this study, we develop a mortality model designed for such pension schemes, which compares the evolution of mortality rates in a sub-population with that observed in a larger reference population. We apply this approach to data from the CMI Self-Administered Pension Scheme study, using U.K. population data as a reference. We then use the approach to investigate the potential differences in the evolution of mortality rates between these two populations and find that, in many practical situations, basis risk is much less of a problem than is commonly believed.
Wind Energy for the Eighties, British Wind Energy Association, Published by Peter Peregrinus Ltd, Stevenage. 1982. 372 pp. £19.5.
- Andrew Hunt
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- The Aeronautical Journal / Volume 86 / Issue 860 / December 1982
- Published online by Cambridge University Press:
- 04 July 2016, p. 392
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Flux Densities at 8400 MHz for a Large Sample of Parkes Radio Sources
- Alan E. Wright, Robin M. Wark, Euan Troup, Robina Otrupcek, Andrew Hunt, David J. Cooke
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- Publications of the Astronomical Society of Australia / Volume 8 / Issue 3 / 1990
- Published online by Cambridge University Press:
- 25 April 2016, pp. 261-262
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We give a progress report on a programme of observations to obtain flux densities at 8.4 GHz for a large sample of radio sources selected from the Parkes 2700 MHz Survey. So far, about 1000 flux measurements have been made with a typical accuracy of 10%.
Just Call Me Dad: Health and Social Benefits to Fathers and their Children
- Joseph Fleming, Andrew King, Tara Hunt
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- Children Australia / Volume 39 / Issue 1 / March 2014
- Published online by Cambridge University Press:
- 11 February 2014, pp. 34-41
- Print publication:
- March 2014
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In the past 20 years, social change and expectations for both maternal and paternal responsibilities have highlighted the need for services for families to better understand the role of a father in family relationships. In Australia, as well as internationally, there have been many contested understandings about what constitutes ‘good fathering’ in research, social media and in the political sphere. More specifically, there has also been an emerging trend to understand the challenging task of recruiting and maintaining men's involvement in child and family services programmes, particularly those fathers who are deemed a risk to children and mothers, violent or have been separated from their children. That many child and family/welfare services have exercised dedicated effort to work with fathers is still a relatively recent phenomenon, and has only emerged following criticism that services have been too geared towards working only with mothers. Despite this increasing interest, there is still ongoing need for more research to be undertaken in Australia. An important area of focus is the views of professionals about their perception and engagement of fathers, particularly the views of fathers who are described as being absent from family-based services. The purpose of this article is to report briefly on a study undertaken to examine how child and family welfare workers engage fathers in their work. First, this paper will describe some of the social and health benefits to fathers and their children, focusing on the key role of attachment through play. Research into effective service delivery involving fathers will then be presented, concluding with key practice factors necessary for fathers to be involved in family life.
Development and Commercialization of Nanomaterials by the NanoSpraySM Combustion Processing Technology
- Yongdong Jiang, Marvis White, Ganesh Venugopal, Andrew T. Hunt
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- Journal:
- MRS Online Proceedings Library Archive / Volume 1533 / 2013
- Published online by Cambridge University Press:
- 14 March 2013, mrsf12-1533-aaa04-02
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- 2013
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nGimat has commercialized a number of nanotech applications based on its core competence of creating low cost high quality nanomaterials. It offers a wide range of nanomaterials as coatings and nanopowders including dispersion form. While being successful in obtaining government R&D funding, nGimat has more than half of revenues from its private industry customers and is profitable. As an example, based on the DOE and DOD SBIR funding, nGimat has successfully developed high performance superhydrophobic coatings on various substrates. The superhydrophobic coatings show high transparency and high durability in addition to high contact angle and low rolling angle. Due to the excellent performance, nGimat signed a license agreement with a major automobile manufacturer to commercialize the superhydrophobic coatings for automobile applications. A few of other applications are also covered, including various nanopowders (including Li-battery based) and nGisulateTM high temperature thin wire coatings.
The CCVD (coating NanoSpraySM Combustion process) can be easily scaled up to large substrates and integrated into an existing production line, thus enabling a license business model. The CCVC (nanopowder NanoSpraySM Combustion process) is above 50kg/day capability and will soon yield 100kg/day production rates. Even higher production rates are readily achievable as demand is required. A manufacturing business model is being used for these nanopowder based products and should be internationally competitive even when made in the USA as the market matures
Contributors
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- By Phillip L. Ackerman, Soon Ang, Susan M. Barnett, G. David Batty, Anna S. Beninger, Jillian Brass, Meghan M. Burke, Nancy Cantor, Priyanka B. Carr, David R. Caruso, Stephen J. Ceci, Lillia Cherkasskiy, Joanna Christodoulou, Andrew R. A. Conway, Christine E. Daley, Janet E. Davidson, Jim Davies, Katie Davis, Ian J. Deary, Colin G. DeYoung, Ron Dumont, Carol S. Dweck, Linn Van Dyne, Pascale M. J. Engel de Abreu, Joseph F. Fagan, David Henry Feldman, Kurt W. Fischer, Marisa H. Fisher, James R. Flynn, Liane Gabora, Howard Gardner, Glenn Geher, Sarah J. Getz, Judith Glück, Ashok K. Goel, Megan M. Griffin, Elena L. Grigorenko, Richard J. Haier, Diane F. Halpern, Christopher Hertzog, Robert M. Hodapp, Earl Hunt, Alan S. Kaufman, James C. Kaufman, Scott Barry Kaufman, Iris A. Kemp, John F. Kihlstrom, Joni M. Lakin, Christina S. Lee, David F. Lohman, N. J. Mackintosh, Brooke Macnamara, Samuel D. Mandelman, John D. Mayer, Richard E. Mayer, Martha J. Morelock, Ted Nettelbeck, Raymond S. Nickerson, Weihua Niu, Anthony J. Onwuegbuzie, Jonathan A. Plucker, Sally M. Reis, Joseph S. Renzulli, Heiner Rindermann, L. Todd Rose, Anne Russon, Peter Salovey, Scott Seider, Ellen L. Short, Keith E. Stanovich, Ursula M. Staudinger, Robert J. Sternberg, Carli A. Straight, Lisa A. Suzuki, Mei Ling Tan, Maggie E. Toplak, Susana Urbina, Richard K. Wagner, Richard F. West, Wendy M. Williams, John O. Willis, Thomas R. Zentall
- Edited by Robert J. Sternberg, Oklahoma State University, Scott Barry Kaufman, New York University
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- Book:
- The Cambridge Handbook of Intelligence
- Published online:
- 05 June 2012
- Print publication:
- 30 May 2011, pp xi-xiv
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High Performance Nanostructured Coatings and Nanopowders by NanoSpraySM Combustion Processing
- Yong Dong Jiang, Ganesh Venugopal, Marvis White, Kwang Choi, Andrew T. Hunt
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- Journal:
- MRS Online Proceedings Library Archive / Volume 1353 / 2011
- Published online by Cambridge University Press:
- 10 August 2011, mrss11-1353-hh02-04
- Print publication:
- 2011
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nGimat has commercialized a number of nanotechnology applications with all being based on its core competence of fabricating low cost high quality nanomaterials. The company offers a wide range of compositions as coatings and also in both nanopowder and dispersion forms. A few of these nanomaterials and applications will be covered as examples including superhydrophobic coatings, various nanopowders (including Li-battery based), high temperature thin wire coatings, and tunable RF components.
The combustion chemical vapor deposition (CCVD) technique, which is the thin film NanoSpraySM combustion process, can be easily scaled up to large substrates and integrated into an existing production line, thus enabling a license business model. The combustion chemical vapor condensation (CCVC) technique or NanoSpraySM CCVC (nCCVC), which is the nanopowder NanoSpraySM combustion process, is also readily scalable. The manufacture of these nanopowder based products is internationally competitive even when made in the USA.
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. 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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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Contributors
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- By Susan Bewley, Annette Briley, Sarah Germain, Ian A. Greer, Claire Harrison, Beverley Hunt, Eleftheria Lefkou, Vivek Kakar, Hamish Lyall, Alec McEwan, Claire McLintock, Andrew Mumford, Michael Murphy, Bethan Myers, Catherine Nelson-Piercy, Pat O'Brien, Christina Oppenheimer, Geraldine O'Sullivan, Sue Pavord, Seonaid Pye, Margaret Ramsay, John F. Reidy, Susan E. Robinson, Nina Salooja, Marie Scully, Paul Sharpe, Jane Strong, Isobel D. Walker, Emma Welch, Josh Wright
- Edited by Sue Pavord, Beverley Hunt
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- The Obstetric Hematology Manual
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- 06 December 2010
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- 15 April 2010, pp vii-viii
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22 - Generalized anxiety disorder: Clinician Guide
- Gavin Andrews, University of New South Wales, Sydney, Mark Creamer, University of Melbourne, Rocco Crino, University of New South Wales, Sydney, Caroline Hunt, University of New South Wales, Sydney, Lisa Lampe, University of New South Wales, Sydney, Andrew Page, University of Western Australia, Perth
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- 14 November 2002, pp 407-416
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Summary
The present chapter aims to guide clinicians in the principles of treatment and the use of the treatment Manual, as well as highlight some of the more common problems encountered in therapy. fihile further studies are needed to identify the active components of effective treatment for generalized anxiety disorder, it appears that two core elements are:
•An underlying rationale, based on the ‘coping skills’ model of cognitive
behavioral therapy, where patients are taught skills to manage their anxiety and
to take responsibility for change and control over their thoughts, feelings, and
behavior.
•Cognitive therapy with the goal of bringing the process of worry under the
patients control.
Relaxation training, usually a form of progressive muscle relaxation, is a useful adjunct to treatment, particularly where the effects of chronic and high levels of muscle tension trouble an individual.
Assessment
It is assumed that before the commencement of treatment, a clinical assessment will have ruled out comorbid diagnoses in need of immediate specific treatment, such as a major depressive episode. fihere depression is present, it becomes the treatment priority and the need for further treatment of anxiety symptoms reviewed when the depression is resolved. Given the phenomenological similarities between the two disorders, it is often necessary to establish from historical information whether GAD existed before the onset of a major depressive episode, or to assess whether a GAD continues to exist following effective treatment of the depressive disorder.
fihile patients with a primary diagnosis of GAD will not always meet criteria for another diagnosis, they will often have concerns and behaviors that are characteristic of other anxiety disorders. Panic attacks, social anxiety, phobic avoidance, obsessions, and illness anxiety are common. The treating clinician will therefore need to be able to recognize these different features and address these in the course of treatment. For example, some time can be spent focusing specifically on fears of scrutiny and negative evaluation or fears that a physical sensation is really a sign of a serious, life-threatening illness within the framework of the cognitive behavioral approach. The use of a slow-breathing exercise (possibly due to its meditation-like features) can provide temporary control over acute episodes of high anxiety for many individuals. Hence patients can be relatively quickly provided with an increased sense of control that allows them to recognize the triggers of their anxiety and implement cognitive strategies.