55 research outputs found
Nonlinear Localization in Metamaterials
Metamaterials, i.e., artificially structured ("synthetic") media comprising
weakly coupled discrete elements, exhibit extraordinary properties and they
hold a great promise for novel applications including super-resolution imaging,
cloaking, hyperlensing, and optical transformation. Nonlinearity adds a new
degree of freedom for metamaterial design that allows for tuneability and
multistability, properties that may offer altogether new functionalities and
electromagnetic characteristics. The combination of discreteness and
nonlinearity may lead to intrinsic localization of the type of discrete
breather in metallic, SQUID-based, and symmetric metamaterials. We
review recent results demonstrating the generic appearance of breather
excitations in these systems resulting from power-balance between intrinsic
losses and input power, either by proper initialization or by purely dynamical
procedures. Breather properties peculiar to each particular system are
identified and discussed. Recent progress in the fabrication of low-loss,
active and superconducting metamaterials, makes the experimental observation of
breathers in principle possible with the proposed dynamical procedures.Comment: 19 pages, 14 figures, Invited (Review) Chapte
Child/Adolescent Anxiety Multimodal Study (CAMS): rationale, design, and methods
<p>Abstract</p> <p>Objective</p> <p>To present the design, methods, and rationale of the Child/Adolescent Anxiety Multimodal Study (CAMS), a recently completed federally-funded, multi-site, randomized placebo-controlled trial that examined the relative efficacy of cognitive-behavior therapy (CBT), sertraline (SRT), and their combination (COMB) against pill placebo (PBO) for the treatment of separation anxiety disorder (SAD), generalized anxiety disorder (GAD) and social phobia (SoP) in children and adolescents.</p> <p>Methods</p> <p>Following a brief review of the acute outcomes of the CAMS trial, as well as the psychosocial and pharmacologic treatment literature for pediatric anxiety disorders, the design and methods of the CAMS trial are described.</p> <p>Results</p> <p>CAMS was a six-year, six-site, randomized controlled trial. Four hundred eighty-eight (N = 488) children and adolescents (ages 7-17 years) with DSM-IV-TR diagnoses of SAD, GAD, or SoP were randomly assigned to one of four treatment conditions: CBT, SRT, COMB, or PBO. Assessments of anxiety symptoms, safety, and functional outcomes, as well as putative mediators and moderators of treatment response were completed in a multi-measure, multi-informant fashion. Manual-based therapies, trained clinicians and independent evaluators were used to ensure treatment and assessment fidelity. A multi-layered administrative structure with representation from all sites facilitated cross-site coordination of the entire trial, study protocols and quality assurance.</p> <p>Conclusions</p> <p>CAMS offers a model for clinical trials methods applicable to psychosocial and psychopharmacological comparative treatment trials by using state-of-the-art methods and rigorous cross-site quality controls. CAMS also provided a large-scale examination of the relative and combined efficacy and safety of the best evidenced-based psychosocial (CBT) and pharmacologic (SSRI) treatments to date for the most commonly occurring pediatric anxiety disorders. Primary and secondary results of CAMS will hold important implications for informing practice-relevant decisions regarding the initial treatment of youth with anxiety disorders.</p> <p>Trial registration</p> <p>ClinicalTrials.gov NCT00052078.</p
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