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A metasurface reflector-backed wideband planar antenna is designed for millimeter-wave (mmWave) applications. A simple meandering structure is used for radiation element design, while the back side consists of a partial ground plane and parasitic elements. The utilization of meander-shaped element led to small antenna dimensions. The partial ground plane is used to achieve wide bandwidth, while the parasitic elements are used to improve the impedance matching toward higher frequency bands. To achieve high gain and directional radiation characteristics, an array of metasurfaces is placed behind the radiating element. It is observed from the simulated results that the proposed antenna system offers 17.72 GHz of impedance bandwidth in the operating range of 22.28–40 GHz, while the measured impedance bandwidth is noted to be 15.8 GHz, ranging from 23 to 38.8 GHz. Furthermore, it is observed that a metasurface-based planar antenna tends to achieve a peak gain of ≈9 dBi in the band of interest.
Contrasting the well-described effects of early intervention (EI) services for youth-onset psychosis, the potential benefits of the intervention for adult-onset psychosis are uncertain. This paper aims to examine the effectiveness of EI on functioning and symptomatic improvement in adult-onset psychosis, and the optimal duration of the intervention.
360 psychosis patients aged 26–55 years were randomized to receive either standard care (SC, n = 120), or case management for two (2-year EI, n = 120) or 4 years (4-year EI, n = 120) in a 4-year rater-masked, parallel-group, superiority, randomized controlled trial of treatment effectiveness (Clinicaltrials.gov: NCT00919620). Primary (i.e. social and occupational functioning) and secondary outcomes (i.e. positive and negative symptoms, and quality of life) were assessed at baseline, 6-month, and yearly for 4 years.
Compared with SC, patients with 4-year EI had better Role Functioning Scale (RFS) immediate [interaction estimate = 0.008, 95% confidence interval (CI) = 0.001–0.014, p = 0.02] and extended social network (interaction estimate = 0.011, 95% CI = 0.004–0.018, p = 0.003) scores. Specifically, these improvements were observed in the first 2 years. Compared with the 2-year EI group, the 4-year EI group had better RFS total (p = 0.01), immediate (p = 0.01), and extended social network (p = 0.05) scores at the fourth year. Meanwhile, the 4-year (p = 0.02) and 2-year EI (p = 0.004) group had less severe symptoms than the SC group at the first year.
Specialized EI treatment for psychosis patients aged 26–55 should be provided for at least the initial 2 years of illness. Further treatment up to 4 years confers little benefits in this age range over the course of the study.
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