Co-emergence Reinforcement and its Relevance to Interoceptive Desensitization in Mindfulness and Therapies Aiming at Transdiagnostic Efficacy.

Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidation and reconsolidation stages. Accordingly, “interoceptive reinforcement” during emotional distress is a common factor to all emotional disorders and a major cause for relapse. We propose that interoceptive desensitization has transdiagnostic benefits, readily achievable through the cultivation of equanimity during mindfulness training and can be integrated in cognitive and behavioral interventions to permit a transdiagnostic applicability. We summarize the contributions of this approach into 10 specific and testable propositions

Simulation of the flow inside an annular can combustor

In the gas turbine combustion system, the external flows in annuli play one of the key roles in controlling pressure loss, air flow distribution around the combustor liner, and the attendant effects on performance, durability, and stability. This paper describes a computational fluid dynamics (CFD) simulation of the flow in the outer annulus of a can combustor. Validating this simulation was done with experimental results obtained from analyzing the flow inside a can combustor annulus that was used in a Babylon/Iraq gas turbine power station. Pitot static tubes were used to measure the velocity in ten stations in the annular region. By using the velocity profile for comparison, a good agreement between the CFD simulation and experimental work was observed

The Roles of ‘Conventional’ and Demand-Responsive Bus Services

Purpose - The roles of ‘conventional’ (fixed-route and fixed-timetable) bus services is examined and compared to demand-responsive services, taking rural areas in England as the basis for comparison. It adopts a ‘rural’ definition of settlements under a population of 10,000. Design/methodology/approach - Evidence from the National Travel Survey, technical press reports and academic work is brought together to examine the overall picture. Findings - Inter-urban services between towns can provide a cost-effective way of serving rural areas where smaller settlements are suitably located. The cost structures of both fixed-route and demand-responsive services indicate that staff time and cost associated with vehicle provision are the main elements. Demand-responsive services may enable larger areas to be covered, to meet planning objectives of ensuring a minimum of level of service, but experience often shows high unit cost and public expenditure per passenger trip. Economic evaluation indicates user benefits per passenger trip of similar magnitude to existing average public expenditure per trip on fixed-route services. Considerable scope exists for improvements to conventional services through better marketing and service reliability. Practical implications - The main issue in England is the level of funding for rural services in general, and the importance attached to serving those without access to cars in such areas. Social implications - The boundary between fixed-route and demand-responsive operation may lie at relatively low population densities. Originality/value - The chapter uses statistical data, academic research and operator experience of enhanced conventional bus services to provide a synthesis of outcomes in rural areas

Cooling of high-power-density computer components

This report summarizes work carried out during the first two years of a research program sponsored by IBM Corporation. This study has elucidated a number of the heat-transfer characteristics of several fluorochemicals which have potential application as coolants for high power density computer components. Single-phase heat-transfer coefficients have been determined for Freon-113 and FC-78 flowing in a rectangular channel with one of the wide sides heated. Heat-transfer coefficients for the short channels are significantly higher than those predicted by conventional correlations due to entrance effects and superimposed free convection. Uncertainties as to the actual values of certain thermophysical properties introduce corresponding uncertainty in correlation. Subcooled flow boiling data were taken with the rectangular channel for a wide variety of fluid-surface combinations, and over a wide range of flow conditions. These data should facilitate a close estimate of surface temperatures in actual systems. Data taken with an annular test section delineated hysteresis effects which were tentatively identified in the rectangular channel tests. Pool boiling tests indicated large temperature overshoots in the boiling curve with Freon-113. It was found that conventional correlations do not adequately describe critical heat flux data for horizontal circular heaters. The critical heat flux increases as diameter decreases, and increases as the wall thickness increases. The observed hysteresis effects in pool and flow boiling were examined in detail. It is suggested that the phenomenon of temperature overshoot hysteresis is due to two causes: a) the existence of metastable bubbles which are triggered only at sufficiently high disturbance level, and b) the deactivation of larger nucleation sites by displacing the vapor by liquid during subcooling.(cont.) Under conditions of low velocity or pool boiling, a) is probably most important, but at high velocity b) should be controlling. Increased heat-transfer coefficients observed prior to nucleation appear to be due to thermocapillary circulation induced by the metastable bubbles. It is demonstrated that a random array of Teflon pits on the surface is effective in augmenting heat transfer for pool boiling or low velocity flow boiling of water; however, there is no improvement in heat transfer with boiling of Freon-113 or FC-78. The mechanism of augmentation is examined from the standpoint of incipient boiling, and a plausible explanation for this behavior is suggested. An investigation of the factors controlling the void fraction for subcooled boiling was carried out with a horizontal visual section using Freon-113 and Freon TA. The observed point of net vapor generation was much farther upstream than that indicated by a recent prediction, due primarily to the dominance of the buoyant force. An examination of the void collapse in the unheated downstream portion of the tube revealed that bubble collapse theory cannot be used to predict the void fraction. The large void fractions produced by boiling fluorochemicals can be minimized by using twisted-tape inserts.Heat Transfer Development Laboratory, Systems Development Division, International Business Machines Corporation Massachusetts Institute of Technology, Division of Sponsored Researc

Addressing Professional Competency Problems in Clinical Psychology Trainees

© 2017 The Australian Psychological Society Objective: Clinical psychology trainees with problems of professional competence (PPC) continue to be a challenge for courses. Despite the rapid development of competency-based training models, the impact of this shift to the identification and management of professional competency problems is unclear. This project aims to describe how clinical psychology trainees with PPC are identified and managed within the Australian and New Zealand context. Method: An online survey was distributed through Australian and New Zealand universities offering clinical psychology training programmes. Questions addressed approaches to monitoring progress on placements, identification and management of trainees determined to be underperforming on placements, and the perceived usefulness of a range of strategies such as the use of standardised-rating tools. Results: Thirty one responses were received, representing 40 clinical psychology training courses in 22 institutions across Australia and New Zealand. In all cases, at least one trainee with a PPC had been detected in the previous 5 years, most commonly attributed to psychological, behavioural, and developmental issues. Respondents reported the use of a range of preventive and remedial strategies, including the use of psychometrically validated competency evaluation rating forms to assist in the grading of placements. Conclusion: Trainees with PPC occur on a fairly regular basis in clinical psychology training courses in Australian and New Zealand. While some processes involved in the identification and management of these students have been refined and systematised, some opportunities to facilitate early identification and remediation may yet need further enhancement

Dynamic Response of Circulation Control for Step and Sinusoidal Inputs

A numerical study of the dynamic performance of a circulation controlled (CC) airfoil is performed to explore the feasibility of using circulation control as means of gust suppression. Steady and unsteady two-dimensional computational fluid dynamics (CFD) simulations were initially validated using published data. The dynamic performance of a CC airfoil was subsequently assessed. The response of the CC airfoil to step and sinusoidal inputs were obtained from unsteady CFD simulations. It was found that the actuation speed of circulation control is significantly faster than a conventional mechanical flap at the same flight condition. Additionally, the lift response to a step input was found to be very similar to the Küssner function

3D URANS analysis of a vertical axis wind turbine in skewed flows

The paper demonstrates the potential of an unsteady RANS 3D approach to predict the effects of skewed winds on the performance of an H-type vertical-axis wind turbine (VAWT). The approach is validated through a comparison between numerical and experimental results for a full-scale Darrieus turbine, demonstrating an improved prediction ability of 3D CFD with respect to both 2D CFD and semi-empirical models based on the double multiple stream tubes method. A 3D URANS approach is then adopted to investigate the power increase observed for a straight-bladed small-scale turbine in a wind tunnel when the rotational axis is inclined from 0° to 15° from the vertical. The main advantage of this approach is a more realistic description of complex three-dimensional flow characteristics, such as dynamic stall, and the opportunity to derive local blade flow conditions on any blade portion during upwind and downwind paths. Consequently, in addition to deriving the turbine overall performance in terms of power coefficient, a better insight into the temporal and spatial evolution of the physical mechanisms is obtained. Our principal finding is that the power gain in skewed flows is obtained during the downwind phase of the revolution as the end part of the blade is less disturbed by the wake generated during the upwind phase

Transphobia rather than education predicts provider knowledge of transgender health care

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/148342/1/medu13796.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/148342/2/medu13796_am.pd