Service user involvement in the evaluation of psycho-social intervention for self-harm: a systematic literature review

Background: The efficacy of interventions and treatments for self-harm is well researched. Previous reviews of the literature have highlighted the lack of definitively effective interventions for self-harm and have highlighted the need for future research. These recommendations are also reflected in clinical guidelines published by the National Institute for Health and Clinical Excellence (NICE, 2004) which also call for service user involvement in studies of treatment efficacy. Aims: A systematic review was undertaken to determine i) what contributions service users have made to the evaluation of psychosocial interventions ii) by what methods have service users been involved iii) in what ways could service user involvement supplement empirical evidence for interventions

Adaptive control system for line-commutated inverters

A control system for a permanent magnet motor driven by a multiphase line commutated inverter is provided with integration for integrating the back EMF of each phase of the motor. This is used in generating system control signals for an inverter gate logic using a sync and firing angle (alpha) control generator connected to the outputs of the integrators. A precision full wave rectifier provides a speed control feedback signal to a phase delay rectifier via a gain and loop compensation circuit and to the integrators for adaptive control of the attenuation of low frequencies by the integrators as a function of motor speed. As the motor speed increases, the attenuation of low frequency components by the integrators is increased to offset the gain of the integrators to spurious low frequencies

Vibration of skewed cantilever plates and helicoidal shells

Theoretical vibration frequencies and mode shapes are obtained for skewed plates and helicoidal shells with a cantilever boundary. Using Hamilton's law of varying action, a power series solution is developed to obtain converged numerical results for the five lowest frequencies. Effects of geometrical variables such as aspect ratio, sweep angle and shell radius to thickness ratio are investigated. Accuracy of the solution method is substantiated by comparison with existing skewed plate spherical cap, and conical shell results

An Evaluation of a Battery of Functional and Structural Tests as Predictors of Likely Risk of Progression of Age-Related Macular Degeneration.

Purpose: To evaluate the ability of visual function and structural tests to identify the likely risk of progression from early/intermediate to advanced AMD, using the Age-Related Eye Disease Study (AREDS) simplified scale as a surrogate for risk of progression. The secondary aim was to determine the relationship between disease severity grade and the observed functional and structural deficits. Methods: A total of 100 participants whose AMD status varied from early to advanced were recruited. Visual function was assessed using cone dark adaptation, 14 Hz flicker and chromatic threshold tests and retinal structure was assessed by measuring drusen volume and macular thickness. The predictive value of the tests was estimated using ordinal regression analysis. Group comparisons were assessed using analysis of covariance. Results: Change in cone dark adaptation (cone τ) and yellow-blue (YB) chromatic sensitivity were independent predictors for AMD progression risk (cone τ, pseudo R2 = 0.35, P < 0.001; YB chromatic threshold, pseudo R2 = 0.16, P < 0.001). The only structural predictor was foveal thickness (R2 = 0.05, P = 0.047). Chromatic sensitivity and cone dark adaptation were also the best functional tests at distinguishing between severity groups. Drusen characteristics clearly differentiated between participants with early and advanced disease, but were not able to differentiate between those with early AMD and controls. Mean differences in retinal thickness existed between severity groups at the foveal (P = 0.040) and inner (P = 0.001) subfields. Conclusions: This study indicates that cone τ, YB chromatic threshold and foveal thickness are independent predictors of likely risk of AMD progression

Characteristic impedance of microstrip lines

The dyadic Green's function for a current embedded in a grounded dielectric slab is used to analyze microstrip lines at millimeter wave frequencies. The dyadic Green's function accounts accurately for fringing fields and dielectric cover over the microstrip line. Using Rumsey's reaction concept, an expression for the characteristic impedance is obtained. The numerical results are compared with other reported results

Electronic compensation for reflector surface distortion to improve radiation pattern characteristics of antennas

A simple procedure is described for determining the excitation coefficients of an array feed which compensates for the surface distortion of a reflector antenna to improve the radiation pattern in such a way as to approximate the performance of the undistorted antenna. A computer simulation for a practical feed array is presented as an example of compensation for the distortion of an actual antenna

Time-delay and Doppler tests of the Lorentz symmetry of gravity

Modifications to the classic time-delay effect and Doppler shift in General Relativity (GR) are studied in the context of the Lorentz-violating Standard-Model Extension (SME). We derive the leading Lorentz-violating corrections to the time-delay and Doppler shift signals, for a light ray passing near a massive body. It is demonstrated that anisotropic coefficients for Lorentz violation control a time-dependent behavior of these signals that is qualitatively different from the conventional case in GR. Estimates of sensitivities to gravity-sector coefficients in the SME are given for current and future experiments, including the recent Cassini solar conjunction experiment.Comment: 13 pages, 4 figures, references added, matches PRD versio

Laser driven launch vehicles for continuous access to space

The availability of megawatt laser systems in the next century will make laser launch systems from ground to orbit feasible and useful. Systems studies indicate launch capabilities of 1 ton payload per gigawatt laser power. Recent research in ground to orbit laser propulsion has emphasized laser supported detonation wave thrusters driven by repetitively pulsed infrared lasers. In this propulsion concept each laser repetition cycle consists of two pulses. A lower energy first pulse is used to vaporize a small amount of solid propellant and then after a brief expansion period, a second and higher energy laser pulse is used to drive a detonation wave through the expanded vapor. The results are reported of numerical studies comparing the detonation wave properties of various candidate propellants, and the simulation of thruster performance under realistic conditions. Experimental measurements designed to test the theoretical predictions are also presented. Measurements are discussed of radiance and opacity in absorption waves, and mass loss and momentum transfer. These data are interpreted in terms of specific impulse and energy conversion efficiency

Influence of surgery and rehabilitation conditioning on psychophysiological fitness

The purpose of this study was to assess changes in psychophysiological fitness following reconstructive knee surgery and early phase (2.5 months) physical rehabilitation. Nine patients (7 male, 2 female; mean age, 29.9 years) electing to undergo anterior cruciate ligament reconstructive surgery (central third, bone-patella tendon-bone graft) were assessed on four separate assessment occasions post-surgery. Repeated measures ANOVAs showed significant condition (injured/non-injured leg) by test occasion (2 weeks pre-surgery and 6, 8 and 10 weeks post-surgery) interactions for knee ligamentous compliance (anterior tibiofemoral displacement), peak force and electromechanical delay associated with the knee flexors of the injured and noninjured legs (F3,24 = 4.7 to 6.6; p < 0.01), together with individualized emotional profile disturbance scores that were significantly less at 10 weeks post-surgery compared to pre-surgery, 6 weeks and 8 weeks post-surgery (F3,24 = 7.6; p < 0.01). Spearman rank correlation coefficients identified significant relationships between musculoskeletal fitness and emotional profile scores at pre-surgery (r = 0.69–0.72; p < 0.05) and at 8 weeks post-surgery (r = 0.70–0.73; p < 0.05). The 6 Bi-POMS subscales and the 12 ERAIQ responses found inconsistent patterns of response and relationships across the assessment occasions. Overall, the patterning of changes and associations amongst emotional performance profile discrepancy scores in conjunction with those scores from indices of musculoskeletal fitness performance capability offered important support for the efficacy of an approach which integrates self-perceptive and objective measurements of fitness capability during rehabilitation following surgery to a synovial joint