Maladaptive daydreaming is a distinct syndrome in which the main symptom is excessive vivid fantasising that causes clinically significant distress and functional impairment in academic, vocational and social domains. Unlike normal daydreaming, maladaptive daydreaming is persistent, compulsive and detrimental to one’s life. It involves detachment from reality in favour of intense emotional engagement with alternative realities and often includes specific features such as psychomotor stereotypies (e.g. pacing in circles, jumping or shaking one’s hands), mouthing dialogues, facial gestures or enacting fantasy events. Comorbidity is common, but existing disorders do not account for the phenomenology of the symptoms. Whereas non-specific therapy is ineffective, targeted treatment seems promising. Thus, we propose that maladaptive daydreaming be considered a formal syndrome in psychiatric taxonomies, positioned within the dissociative disorders category. Maladaptive daydreaming satisfactorily meets criteria for conceptualisation as a psychiatric syndrome, including reliable discrimination from other disorders and solid interrater agreement. It involves significant dissociative aspects, such as disconnection from perception, behaviour and sense of self, and has some commonalities with but is not subsumed under existing dissociative disorders. Formal recognition of maladaptive daydreaming as a dissociative disorder will encourage awareness of a growing problem and spur theoretical, research and clinical developments.

The remnant phase of a radio galaxy begins when the jets launched from an active galactic nucleus are switched off. To study the fraction of radio galaxies in a remnant phase, we take advantage of a $8.31$ deg$^2$ subregion of the GAMA 23 field which comprises of surveys covering the frequency range 0.1–9 GHz. We present a sample of 104 radio galaxies compiled from observations conducted by the Murchison Widefield Array (216 MHz), the Australia Square Kilometer Array Pathfinder (887 MHz), and the Australia Telescope Compact Array (5.5 GHz). We adopt an ‘absent radio core’ criterion to identify 10 radio galaxies showing no evidence for an active nucleus. We classify these as new candidate remnant radio galaxies. Seven of these objects still display compact emitting regions within the lobes at 5.5 GHz; at this frequency the emission is short-lived, implying a recent jet switch off. On the other hand, only three show evidence of aged lobe plasma by the presence of an ultra-steep-spectrum ($\alpha<-1.2$) and a diffuse, low surface brightness radio morphology. The predominant fraction of young remnants is consistent with a rapid fading during the remnant phase. Within our sample of radio galaxies, our observations constrain the remnant fraction to $4\%\lesssim f_{\mathrm{rem}} \lesssim 10\%$; the lower limit comes from the limiting case in which all remnant candidates with hotspots are simply active radio galaxies with faint, undetected radio cores. Finally, we model the synchrotron spectrum arising from a hotspot to show they can persist for 5–10 Myr at 5.5 GHz after the jets switch of—radio emission arising from such hotspots can therefore be expected in an appreciable fraction of genuine remnants.

Antimicrobial spectrum scoring is a method to quantify the spectrum of antimicrobial utilization. Herein, we applied a locally adapted scoring system, with other pre-existing scoring systems, using a data set of prophylactically administered antibiotics following a 2-stage antimicrobial stewardship program (ASP) intervention in a population of patients on extracorporeal membrane oxygenation (ECMO).

We consider the time-dependent response of a gravitationally thinning inviscid liquid sheet (a coating curtain) leaving a vertical slot to sinusoidal ambient pressure disturbances. The theoretical investigation employs the hyperbolic partial differential equation developed by Weinstein et al. (Phys. Fluids, vol. 9, issue 12, 1997, pp. 3625–3636). The response of the curtain is characterized by the slot Weber number, $W_{e_0} = \rho q V/2\sigma$, where $V$ is the speed of the curtain at the slot, $q$ is the volumetric flow rate per unit width, $\sigma$ is the surface tension and $\rho$ is the fluid density. Flow disturbances travel along characteristics with speeds relative to the curtain of $\pm \sqrt {uV/W_{e_0}}$, where $u = \sqrt {V^{2} + 2gx}$ is the curtain speed at a distance $x$ downstream from the slot. Here g is the acceleration of gravity. When the flow is subcritical ($W_{e_0} < 1$), upstream travelling disturbances near the slot affect the curtain centreline, and the slope of the curtain centreline at the slot oscillates with an amplitude that is a function of $W_{e_0}$. In contrast, all disturbances travel downstream in supercritical curtains ($W_{e_0} > 1$) and the slope of the curtain at the slot is vertical. Here, we specifically examine the curtain response under supercritical and subcritical flow conditions near $W_{e_0} = 1$ to deduce whether there is a substantial change in the overall shape and magnitude of the curtain responses. Despite the local differences in the curtain solution near the slot, we find that subcritical and supercritical curtains have similar responses for all imposed sinusoidal frequencies.

In a recent paper (J. Fluid Mech., vol. 861, 2019, pp. 328–348), Benilov derived equations governing a laminar liquid sheet (a curtain) that emanates from a slot whose centreline is inclined to the vertical. The equations are valid for slender sheets whose characteristic length scale in the direction of flow is much larger than its cross-sectional thickness. For a liquid that leaves a slot with average speed, $u_{0}$, volumetric flow rate per unit width, $q$, surface tension, $\unicode[STIX]{x1D70E}$, and density, $\unicode[STIX]{x1D70C}$, Benilov obtains parametric equations that predict steady-state curtain shapes that bend upwards against gravity provided $\unicode[STIX]{x1D70C}qu_{0}/2\unicode[STIX]{x1D70E}<1$. Benilov’s parametric equations are shown to be identical to those derived by Finnicum, Weinstein, and Ruschak (J. Fluid Mech., vol. 255, 1993, pp. 647–665). In the latter form, it is straightforward to deduce an alternative solution of Benilov’s equations where a curtain falls vertically regardless of the slot’s orientation. This solution is consistent with prior experimental and theoretical results that show that a liquid curtain can emerge from a slot at an angle different from that of the slot centreline.

Performing patient care while wearing high-level personal protective equipment presents risks to healthcare providers. Our failure mode effects analysis identified 81 overall risks associated with providing hygienic care and linen change to a patient with continuous watery stool. Implementation of checklists and scheduled pauses could potentially mitigate 76.5% of all risks.

Infect Control Hosp Epidemiol 2016;37:867–871

A consensus conference on the reasons for the undertreatment of depression was organized by the National Depressive and Manic Depressive Association (NDMDA) on January 17–18,1996. The target audience included health policymakers, clinicians, patients and their families, and the public at large. Six key questions were addressed: (1) Is depression undertreated in the community and in the clinic? (2) What is the economic cost to society of depression? (3) What have been the efforts in the past to redress undertreatment and how successful have they been? (4) What are the reasons for the gap between our knowledge of the diagnosis and treatment of depression and actual treatment received in this country? (5) What can we do to narrow this gap? (6) What can we do immediately to narrow this gap?

The female-produced sex pheromone blend of the pandora moth, Coloradia pandora pandora Blake, a pest responsible for periodic defoliation of pine forests in the western United States, has been identified. The pheromone consisted of a mixture of E10,Z12-hexadecadienal, E10,Z12-hexadecadienyl acetate, and E10,E12-hexadecadienyl acetate. All three components were essential for optimal attraction. E10,Z12-Hexadecadienol, tentatively identified in trace amounts in pheromone gland extracts, elicited strong responses from male antennae in coupled gas chromatography – electroantennogram analyses but had no apparent effect as a pheromone component at physiologically relevant levels. Hexadecanal, octadecanal, and hexadecyl acetate also were identified in extracts of female pheromone glands but elicited no responses from male antennae, nor did they appear to be components of the attractant blend. In field trials, each trap baited with the optimized three-component blend of E10,Z12-hexadecadienal, E10,Z12-hexadecadienyl acetate, and E10,E12-hexadecadienyl acetate captured an average of more than 40 male moths per night.

The cognitive profile of early onset Parkinson’s disease (EOPD) has not been clearly defined. Mutations in the parkin gene are the most common genetic risk factor for EOPD and may offer information about the neuropsychological pattern of performance in both symptomatic and asymptomatic mutation carriers. EOPD probands and their first-degree relatives who did not have Parkinson’s disease (PD) were genotyped for mutations in the parkin gene and administered a comprehensive neuropsychological battery. Performance was compared between EOPD probands with (N = 43) and without (N = 52) parkin mutations. The same neuropsychological battery was administered to 217 first-degree relatives to assess neuropsychological function in individuals who carry parkin mutations but do not have PD. No significant differences in neuropsychological test performance were found between parkin carrier and noncarrier probands. Performance also did not differ between EOPD noncarriers and carrier subgroups (i.e., heterozygotes, compound heterozygotes/homozygotes). Similarly, no differences were found among unaffected family members across genotypes. Mean neuropsychological test performance was within normal range in all probands and relatives. Carriers of parkin mutations, whether or not they have PD, do not perform differently on neuropsychological measures as compared to noncarriers. The cognitive functioning of parkin carriers over time warrants further study. (JINS, 2011, 17, 1–10)