469 research outputs found
Exact pressure evolution equation for incompressible fluids
An important aspect of computational fluid dynamics is related to the
determination of the fluid pressure in isothermal incompressible fluids. In
particular this concerns the construction of an exact evolution equation for
the fluid pressure which replaces the Poisson equation and yields an algorithm
which is a Poisson solver, i.e., it permits to time-advance exactly the same
fluid pressure \textit{without solving the Poisson equation}% . In fact, the
incompressible Navier-Stokes equations represent a mixture of hyperbolic and
elliptic pde's, which are extremely hard to study both analytically and
numerically. In this paper we intend to show that an exact solution to this
problem can be achieved adopting the approach based on inverse kinetic theory
(IKT) recently developed for incompressible fluids by Ellero and Tessarotto
(2004-2007). In particular we intend to prove that the evolution of the fluid
fields can be achieved by means of a suitable dynamical system, to be
identified with the so-called Navier-Stokes (N-S) dynamical system. As a
consequence it is found that the fluid pressure obeys a well-defined evolution
equation. The result appears relevant for the construction of Lagrangian
approaches to fluid dynamics.Comment: Contributed paper at RGD26 (Kyoto, Japan, July 2008
Further development of the 12-item EDEQS: identifying a cut-off for screening purposes
Background: The Eating Disorder Examination – Questionnaire Short (EDE-QS) was developed as a 12-item versionof the Eating Disorder Examination Questionnaire (EDE-Q) with a 4-point response scale that assesses eatingdisorder (ED) symptoms over the preceding 7 days. It has demonstrated good psychometric properties at initialtesting. The purpose of this brief report is to determine a threshold score that could be used in screening forprobable ED cases in community settings.Methods: Data collected from Gideon et al. (2016) were re-analyzed. In their study, 559 participants (80.86% female;9.66% self-reported ED diagnosis) completed the EDE-Q, EDE-QS, SCOFF, and Clinical Impairment Assessment (CIA).Discriminatory power was compared between ED instruments using receiver operating characteristic (ROC) curveanalyses.Results: A score of 15 emerged as the threshold that ensured the best trade-off between sensitivity (.83) andspecificity (.85), and good positive predictive value (.37) for the EDE-QS, with discriminatory power comparable toother ED instruments.Conclusion: The EDE-QS appears to be an instrument with good discriminatory power that could be used for EDscreening purposes
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Diabetes and disordered eating behaviours in a community-based sample of australian adolescents
Background:People with diabetes have been shown to be at risk for disordered eating compared to their non-diabetic peers. However, the majority of studies have been conducted in relatively small samples drawn from clinical diabetes settings or registries. Community-based samples are required to better understand disordered eating behaviours in this population. In a large community-based population sample of Australian adolescents, this study aimed to (1) investigate disordered eating behaviours in adolescents reporting a diagnosis of diabetes compared to their non-diabetic peers and (2) test associations between disordered eating behaviours and insulin restriction.Methods:Secondary school students (n = 4854; mean (SD) age 14.4 (1.6) years; 47% boys) completed an online survey, including self-reported presence of diabetes, demographics, weight status, substance use, insulin restriction and disordered eating behaviours. Clinically meaningful cut-offs for disordered eating behaviours were generated for analysis.Results:Disordered eating behaviours, specifically self-induced vomiting (diabetes 19.2%, no diabetes 3.3%; p p p p Conclusion:There was a high rate of disordered eating behaviours in adolescents with diabetes compared to their peers without diabetes. The findings of this study may have the potential to inform future health promotion, prevention, and early intervention approaches for those with comorbid diabetes and disordered eating behaviours. Future longitudinal studies are required to evaluate disordered eating behaviours in those with diabetes over time in community-based samples
Kinetic approaches to particle acceleration at cosmic ray modified shocks
Kinetic approaches provide an effective description of the process of
particle acceleration at shock fronts and allow to take into account the
dynamical reaction of the accelerated particles as well as the amplification of
the turbulent magnetic field as due to streaming instability. The latter does
in turn affect the maximum achievable momentum and thereby the acceleration
process itself, in a chain of causality which is typical of non-linear systems.
Here we provide a technical description of two of these kinetic approaches and
show that they basically lead to the same conclusions. In particular we discuss
the effects of shock modification on the spectral shape of the accelerated
particles, on the maximum momentum, on the thermodynamic properties of the
background fluid and on the escaping and advected fluxes of accelerated
particles.Comment: 22 pages, 7 figures, accepted for publication in MNRA
Health and Well-Being of International University Students, and Comparison with Domestic Students, in Tasmania, Australia
International students comprise an increasingly larger proportion of higher education students globally. Empirical evidence about the health and well-being of these students is, however, limited. We sought to examine the health and well-being of international students, primarily from Asian countries, attending the University of Tasmania, Australia, using domestic students as a comparison group. Ethics approval was given to invite (via email) all currently enrolled students to participate in the study by completing a pilot-tested, online survey. The survey was completed by 382 international students (response rate = 8.9%) and 1013 domestic students (9.2%). Independent samples t-tests, analysis of variance (ANOVA) and chi-square tests were used for bivariate comparisons between international and domestic students, and between subgroups of international students. Regression models were used to examine the associations between student status (international vs. domestic) and health outcomes, controlling for demographic and enrolment variables. International students, particularly male students, were found to be at increased risk of several adverse health outcomes while also being less likely to seek help for mental health and related problems. The findings indicate the need for accessible, targeted, culturally-sensitive health promotion and early intervention programs
Do Children and Adolescents with Anorexia Nervosa Display an Inefficient Cognitive Processing Style?
Objective: This study aimed to examine neuropsychological processing in children and adolescents with Anorexia Nervosa (AN). The relationship of clinical and demographic variables to neuropsychological functioning within the AN group was also explored. Method: The performance of 41 children and adolescents with a diagnosis of AN were compared to 43 healthy control (HC) participants on a number of neuropsychological measures. Results: There were no differences in IQ between AN and HC groups. However, children and adolescents with AN displayed significantly more perseverative errors on the Wisconsin Card Sorting Test, and lower Style and Central Coherence scores on the Rey Osterrieth Complex Figure Test relative to HCs. Conclusion: Inefficient cognitive processing in the AN group was independent of clinical and demographic variables, suggesting it might represent an underlying trait for AN. The implications of these findings are discussed
A pragmatic effectiveness study of 10-session cognitive behavioural therapy (CBT-T) for eating disorders: Targeting barriers to treatment provision
Objective
Ten‐session cognitive behavioural therapy (CBT‐T) for transdiagnostic eating disorders targets several barriers to treatment, including cost, therapist expertise, and lengthy wait lists.
Method
We used a case series design to investigate the effectiveness of CBT‐T delivered by trainee psychologists in a postgraduate training clinic. Participants were randomly allocated to commence treatment either immediately or after a 4‐week waitlist period. CBT‐T was delivered to 52 patients, by six different trainees under supervision. Measures of eating disorder cognitions and behaviours, quality of life, and general psychopathology were examined in completer and intention‐to‐treat analyses using multilevel modelling. Last observation carried forward was applied for abstinence, remission, and good outcome analyses to aid comparison with prior studies.
Results
Significant improvements, associated with medium to large effect sizes, were found for eating disorder cognitions, behaviours quality of life, and negative affect from baseline to posttreatment, and at 1‐ and 3‐month follow‐up. Attrition (38.5%) was comparable with other treatment studies.
Conclusion
Results provide evidence for the effectiveness of CBT‐T delivered by trainee psychologists for transdiagnostic eating disorder patients, thus tackling some important barriers for treatment. Longer follow‐up, randomised controlled trial designs, and moderator analyses will provide more robust evidence about which patients do best with a shorter therapy
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Radically open-dialectical behavior therapy for adult anorexia nervosa: feasibility and outcomes from an inpatient program
Background
Anorexia Nervosa (AN) is a highly life-threatening disorder that is extremely difficult to treat. There is evidence that family-based therapies are effective for adolescent AN, but no treatment has been proven to be clearly effective for adult AN. The methodological challenges associated with studying the disorder have resulted in recommendations that new treatments undergo preliminary testing prior to being evaluated in a randomized clinical trial. The aim of this study was to provide preliminary evidence on the effectiveness of a treatment
program based on a novel adaptation of Dialectical Behavior Therapy (DBT) for adult Anorexia Nervosa (Radically Open-DBT; RO-DBT) that conceptualizes AN as a disorder of
overcontrol.
Methods
Forty-seven individuals diagnosed with Anorexia Nervosa-restrictive type (AN-R; mean admission body mass index = 14.43) received the adapted DBT inpatient program (mean
length of treatment = 21.7 weeks).
Results
Seventy-two percent completed the treatment program demonstrating substantial increases in body mass index (BMI; mean change in BMI = 3.57) corresponding to a large effect size (d = 1.91). Thirty-five percent of treatment completers were in full remission, and an additional
55% were in partial remission resulting in an overall response rate of 90%. These same individuals demonstrated significant and large improvements in eating-disorder related psychopathology symptoms (d = 1.17), eating disorder-related quality of life (d = 1.03), and reductions in psychological distress (d = 1.34).
Conclusions
RO-DBT was associated with significant improvements in weight gain, reductions in eating disorder symptoms, decreases in eating-disorder related psychopathology and increases in eating disorder-related quality of life in a severely underweight sample. These findings provide preliminary support for RO-DBT in treating AN-R suggesting the importance of further evaluation examining long-term outcomes using randomized controlled trial methodology
Predicting Weight Outcomes in Preadolescence: The Role of Toddlers? Self-regulation Skills and the Temperament Dimension of Pleasure
Objective To investigate the role of toddlers? self-regulation skills and temperament in predicting weight outcomes in preadolescence. Method Participants for this study included 195 children (114 girls) obtained from three different cohorts participating in a larger ongoing longitudinal study. At 2 years of age, participants participated in several laboratory tasks designed to assess their self-regulation abilities, including emotion regulation, sustained attention, and delay of gratification, while parents filled out a temperament questionnaire to assess toddlers? pleasure expression. Height and weight measures were collected when children were 4, 5, 7, and 10 years of age. Children also filled out a body image and eating questionnaire at the 10 year visit. Results Self-regulation skills in toddlers were associated with both BMI development, pediatric obesity, and body image/eating concerns. The temperament dimension of pleasure was also associated with BMI development and pediatric obesity but not body image/eating concerns. Conclusion Self-regulation difficulties across domains as well as temperament based pleasure in toddlers represented significant individual risk factors for the development of pediatric obesity eight years later. Early self-regulation difficulties also contributed to body image and eating concerns that typically accompanied overweight children. The mechanisms by which early self-regulation skills and temperament based pleasure may contribute to the development of pediatric obesity and associated weight concerns are discussed
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