57,017 research outputs found

    Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions

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    Background. Assessing illness perceptions has been useful in a range of medical disorders. This study of people with a recent relapse of their psychosis examines the relationship between illness perception, their emotional responses and their attitudes to medication.Method. One hundred patients diagnosed with a non-affective psychotic disorder were assessed within 3 months of relapse. Measures included insight, self-reported. illness perceptions, medication adherence, depression, self-esteem and anxiety.Results. Illness perceptions about psychosis explained 46, 36 and 34% of the variance in depression, anxiety and self-esteem respectively. However, self-reported medication adherence was more strongly associated with a measure of insight.Conclusions. Negative illness perceptions in psychosis are clearly related to depression, anxiety and self-esteem. These in turn have been linked to symptom maintenance and recurrence. Clinical interventions that foster appraisals of recovery rather than of chronicity and severity may therefore improve emotional well-being in people with psychosis. It might be better to address adherence to medication through direct attempts at helping them understand their need for treatment

    A Framework for Generalising the Newton Method and Other Iterative Methods from Euclidean Space to Manifolds

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    The Newton iteration is a popular method for minimising a cost function on Euclidean space. Various generalisations to cost functions defined on manifolds appear in the literature. In each case, the convergence rate of the generalised Newton iteration needed establishing from first principles. The present paper presents a framework for generalising iterative methods from Euclidean space to manifolds that ensures local convergence rates are preserved. It applies to any (memoryless) iterative method computing a coordinate independent property of a function (such as a zero or a local minimum). All possible Newton methods on manifolds are believed to come under this framework. Changes of coordinates, and not any Riemannian structure, are shown to play a natural role in lifting the Newton method to a manifold. The framework also gives new insight into the design of Newton methods in general.Comment: 36 page

    QAA subject benchmark statement architecture : version for consultation December 2019

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    The Statement is intended to guide lecturers and course leaders in the design of academic courses leading to qualifications in architecture, it will also be useful to those developing other related courses. Higher education providers may need to consider other reference points in addition to this Statement in designing, delivering and reviewing courses. These may include requirements set out by the Architects Registration Board (ARB), the Royal Institute of British Architects (RIBA) and the Institute for Apprenticeships and Technical Education (IfATE). Providers may also need to consider industry or employer expectations. Individual higher education providers will decide how they use this information. The broad subject of architecture is both academic and vocational. The bachelor's award for architecture is the first stage of the typical education of an architect. This is typically either a BSc or a BA degree. The second stage of academic qualification is a master's level degree, typically in the form of a two-year MArch, which is defined as an undergraduate master's award. Architecture qualifications typically require a total of 360 (Credit Accumulation and Transfer Scheme, or CATS) credits at bachelor's level and 240 (CATS) credits within a master's level degree. While this may equate to five years of 120 (CATS) credits each, higher education providers may construct alternatives to enable flexibility in student learning. This Statement seeks to encapsulate the nature of a rich and diverse academic discipline. It is not intended to prescribe a curriculum, but rather describes the broad intellectual territory within which individual higher education providers will locate their courses of study in architecture

    Planning with Information-Processing Constraints and Model Uncertainty in Markov Decision Processes

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    Information-theoretic principles for learning and acting have been proposed to solve particular classes of Markov Decision Problems. Mathematically, such approaches are governed by a variational free energy principle and allow solving MDP planning problems with information-processing constraints expressed in terms of a Kullback-Leibler divergence with respect to a reference distribution. Here we consider a generalization of such MDP planners by taking model uncertainty into account. As model uncertainty can also be formalized as an information-processing constraint, we can derive a unified solution from a single generalized variational principle. We provide a generalized value iteration scheme together with a convergence proof. As limit cases, this generalized scheme includes standard value iteration with a known model, Bayesian MDP planning, and robust planning. We demonstrate the benefits of this approach in a grid world simulation.Comment: 16 pages, 3 figure

    Bolometric light curves and explosion parameters of 38 stripped-envelope core-collapse supernovae

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    Literature data are collated for 38 stripped-envelope core-collapse supernovae (SE SNe; i.e. SNe IIb, Ib, Ic and Ic-BL) that have good light curve coverage in more than one optical band. Using bolometric corrections derived in previous work, the bolometric light curve of each SN is recovered and template bolometric light curves provided. Peak light distributions and decay rates are investigated; SNe subtypes are not cleanly distinguished in this parameter space, although some grouping of types does occur and there is a suggestion of a Phillips-like relation for most SNe Ic-BL. The bolometric light curves are modelled with a simple analytical prescription and compared to results from more detailed modelling. Distributions of the explosion parameters shows the extreme nature of SNe Ic-BL in terms of their 56Ni mass and the kinetic energy, however ejected masses are similar to other subtypes. SNe Ib and Ic have very similar distributions of explosion parameters, indicating a similarity in progenitors. SNe~IIb are the most homogeneous subtype and have the lowest average values for 56Ni mass, ejected mass, and kinetic energy. Ejecta masses for each subtype and SE SNe as a whole are inconsistent with those expected from very massive stars. The majority of the ejecta mass distribution is well described by more moderately massive progenitors in binaries, indicating these are the dominant progenitor channel for SE SNe

    Vasculitis in a patient with mevalonate kinase deficiency (MKD): a case report

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    Background: Mevalonate kinase deficiency (MKD) is a rare autoinflammatory condition caused by biallelic loss-of-function (LOF) mutations in mevalonate kinase (MVK) gene encoding the enzyme mevalonate kinase. Patients with MKD display a variety of non-specific clinical manifestations, which can lead to diagnostic delay. We report the case of a child presenting with vasculitis that was found by genetic testing to be caused by MKD, and now add this autoinflammatory disease to the ever-expanding list of causes of monogenic vasculitides. Case presentation: A 2-year-old male presented with an acute 7-day history of high-grade fever, abdominal pain, diarrhoea, rectal bleeding and extensive purpuric and necrotic lesions, predominantly affecting the lower limbs. He had been suffering from recurrent episodes of fever from early in infancy, associated with maculopapular/petechial rashes triggered by intercurrent infection, and after vaccines. Extensive infection screen was negative. Skin biopsy revealed small vessel vasculitis. Visceral digital subtraction arteriography was normal. With a diagnosis of severe idiopathic cutaneous vasculitis, he was treated with corticosteroids and mycophenolate mofetil. Despite that his acute phase reactants remained elevated, fever persisted and the vasculitic lesions progressed. Next-generation sequencing revealed compound heterozygous mutation in MVK c.928Gā€‰>ā€‰A (p.V310M) and c.1129Gā€‰>ā€‰A (p.V377I) while reduced mevalonate enzyme activity was confirmed suggesting a diagnosis of MKD as a cause of the severe vasculitis. Prompt targeted treatment with IL-1 blockade was initiated preventing escalation to more toxic vasculitis therapies and reducing unnecessary exposure to cytotoxic treatment. Conclusions: Our report highlights the broad clinical phenotype of MKD that includes severe cutaneous vasculitis and emphasizes the need to consider early genetic screening for young children presenting with vasculitis to exclude a monogenic vasculitis which may be amenable to targeted treatment

    Improving the perceptual quality of ideal binary masked speech

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    It is known that applying a time-frequency binary mask to very noisy speech can improve its intelligibility but results in poor perceptual quality. In this paper we propose a new approach to applying a binary mask that combines the intelligibility gains of conventional binary masking with the perceptual quality gains of a classical speech enhancer. The binary mask is not applied directly as a time-frequency gain as in most previous studies. Instead, the mask is used to supply prior information to a classical speech enhancer about the probability of speech presence in different time-frequency regions. Using an oracle ideal binary mask, we show that the proposed method results in a higher predicted quality than other methods of applying a binary mask whilst preserving the improvements in predicted intelligibility

    Computation with Polynomial Equations and Inequalities arising in Combinatorial Optimization

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    The purpose of this note is to survey a methodology to solve systems of polynomial equations and inequalities. The techniques we discuss use the algebra of multivariate polynomials with coefficients over a field to create large-scale linear algebra or semidefinite programming relaxations of many kinds of feasibility or optimization questions. We are particularly interested in problems arising in combinatorial optimization.Comment: 28 pages, survey pape
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