11 research outputs found

    Optimal control of circular cylinder wakes using long control horizons

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    The classical problem of suppressing vortex shedding in the wake of a circular cylinder by using body rotation is revisited in an adjoint-based optimal control framework. The cylinder's unsteady and fully unconstrained rotation rate is optimized at Reynolds numbers between 75 and 200 and over horizons that are longer than in previous studies, where they are typically of the order of a vortex shedding period or shorter. In the best configuration, the drag is reduced by 19%, the vortex shedding is effectively suppressed, and this low drag state is maintained with minimal cylinder rotation after transients. Unlike open-loop control, the optimal control is shown to maintain a specific phase relationship between the actuation and the shedding in order to stabilize the wake. A comparison is also given between the performance of optimizations for different Reynolds numbers, cost functions, and horizon lengths. It is shown that the long horizons used are necessary in order to stabilize the vortex shedding efficiently

    Cognitive Behavioral Therapy for Anxiety in ParkinsonĘĽs Disease: A Randomized Controlled Trial

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    Background Anxiety disorders are among the most prevalent and disabling neuropsychiatric syndromes in patients with Parkinson & apos;s disease (PD), but no randomized controlled treatment trials of anxiety have been published to date.Objective The aim of this study was to assess the effectiveness of cognitive behavioral therapy (CBT) in the treatment of anxiety in patients with PD.Methods Forty-eight patients with PD with anxiety were randomized 1:1 between CBT and clinical monitoring only (CMO). The CBT program was developed to specifically address anxiety symptoms in PD and consisted of 10 weekly sessions. Assessments were conducted by blinded assessors at baseline, at the end of the intervention, after 3 months, and after 6 months (CBT group only). Main outcome measures were the Hamilton Anxiety Rating Scale (HARS) and the Parkinson Anxiety Scale (PAS).Results Both the CBT and CMO groups showed clinically relevant improvement. Although there was no between-group difference in outcome on the Hamilton Anxiety Rating Scale (6.7-point reduction in the CBT group versus 3.9-point reduction in the CMO group; P = 0.15), there was both a statistically significant and a clinically relevant between-group difference on the total PAS in favor of CBT (9.9-point reduction in the CBT group versus 5.2-point reduction in the CMO group; P = 0.012), which was due to improvement on the PAS subscales for episodic (situational) anxiety and avoidance behavior. This greater improvement was maintained at 3- and 6-month follow-ups.Conclusion CBT is an effective treatment for anxiety in patients with PD and reduces situational and social anxiety, as well as avoidance behavior. (c) 2021 International Parkinson and Movement Disorder Societ
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