A community-based group-guided self-help intervention for low mood and stress: study protocol for a randomized controlled trial

<br>Background: Depression is a mental health condition which affects millions of people each year, with worldwide rates increasing. Cognitive behavioral therapy (CBT) is recommended in the National Institute for Health and Clinical Excellence (NICE) guidelines for the treatment of depression. However, waiting lists can cause delays for face-to-face therapy. Also a proportion of people decline to present for help through the health service – the so-called treatment gap. Self-referral to CBT using community-based group interventions delivered by a voluntary sector organization may serve to resolve this problem. The aim of this randomized controlled trial (RCT) is to determine the efficacy of such a guided CBT self-help course, the ‘Living Life to the Full’ (LLTTF) classes delivered by the charity Action on Depression (AOD). The primary outcome is level of depression at 6 months assessed using the patient health questionnaire-9 (PHQ9) depression scale. Secondary measures include levels of anxiety and social functioning.</br> <br>Methods/design: Participants with symptoms of low mood will be recruited from the community through newspaper adverts and also via the AOD website. Participants will receive either immediate or delayed access to guided CBT self-help classes - the eight session LLTTF course. The primary endpoint will be at 6 months at which point the delayed group will be offered the intervention. Levels of depression, anxiety and social functioning will be assessed and an economic analysis will be carried out.</br> <br>Discussion: This RCT will test whether the LLTTF intervention is effective and/or cost-effective. If the LLTTF community-based classes are found to be cost effective, they may be helpful as both an intervention for those already seeking care in the health service, as well as those seeking help outside that setting, widening access to psychological therapy.</br&gt

Consumer trust and confidence: Some recent ideas in the literature

This is a post-print version of the article. The official published version can be accessed from the link below - © IWA Publishing 2008This paper reflects on two recent debates in the consumer literature on trust that have implications for consumer relations in the water industry. The first concerns an important yet seldom made distinction between trust and confidence. The second concerns when and how trust is related to acceptance of, for example, new tariffs or new technologies, and it challenges the conventional view that trust is usually a precursor of acceptance. New conceptual models addressing these debates are described and their implications for future water-related consumer research are discussed as are potential implications for industry relationships with consumers

Relaxation to magnetohydrodynamics equilibria via collision brackets

Metriplectic dynamics is applied to compute equilibria of fluid dynamical systems. The result is a relaxation method in which Hamiltonian dynamics (symplectic structure) is combined with dissipative mechanisms (metric structure) that relaxes the system to the desired equilibrium point. The specific metric operator, which is considered in this work, is formally analogous to the Landau collision operator. These ideas are illustrated by means of case studies. The considered physical models are the Euler equations in vorticity form, the Grad-Shafranov equation, and force-free MHD equilibria.Comment: Conference Proceeding (Theory of Fusions Plasmas, 2018), 9 pages, 8 figure

Hamiltonian closures for fluid models with four moments by dimensional analysis

Fluid reductions of the Vlasov-Amp{\`e}re equations that preserve the Hamiltonian structure of the parent kinetic model are investigated. Hamiltonian closures using the first four moments of the Vlasov distribution are obtained, and all closures provided by a dimensional analysis procedure for satisfying the Jacobi identity are identified. Two Hamiltonian models emerge, for which the explicit closures are given, along with their Poisson brackets and Casimir invariants

Exactly Conservative Integrators

Traditional numerical discretizations of conservative systems generically yield an artificial secular drift of any nonlinear invariants. In this work we present an explicit nontraditional algorithm that exactly conserves these invariants. We illustrate the general method by applying it to the three-wave truncation of the Euler equations, the Lotka--Volterra predator--prey model, and the Kepler problem. This method is discussed in the context of symplectic (phase space conserving) integration methods as well as nonsymplectic conservative methods. We comment on the application of our method to general conservative systems.Comment: 30 pages, postscript (1.3MB). Submitted to SIAM J. Sci. Comput

Weld microfissuring in Inconel 718 minimized by minor elements

Manganese, silicon, and magnesium markedly reduce the tendency of Inconel 718 to weld microfissuring. By combining a manganese, 0.20 percent by content, with silicon, greater than 0.25 percent content, or by adding 20 ppm of magnesium, the weld microfissuring decreased in the standard alloy

A study of poultry processing plant noise control techniques

A number of techniques can be used to reduce noise in poultry processing plants. In general, covering the ceiling with a noise-absorbing medium is a practical first step. Once the reflected noise levels are abated, treatment of specific identifiable noise courses can take place. The development, flammability, and mechanical properties of acoustic panels to be vertically suspended from the ceiling are discussed as well as the covers need to comply with USDA cleanability requirements. The isolation of drive motors and pumps from large expansive areas, the muffling of pneumatic devices, and the insulation of ice chutes are methods of source quieting. Proper maintenance of machinery and vibration monitoring are also needed to reduce hearing damage risk and to improve worker productivity and employee/supervisor relations

Derivation of reduced two-dimensional fluid models via Dirac's theory of constrained Hamiltonian systems

We present a Hamiltonian derivation of a class of reduced plasma two-dimensional fluid models, an example being the Charney-Hasegawa-Mima equation. These models are obtained from the same parent Hamiltonian model, which consists of the ion momentum equation coupled to the continuity equation, by imposing dynamical constraints. It is shown that the Poisson bracket associated with these reduced models is the Dirac bracket obtained from the Poisson bracket of the parent model