4,205 research outputs found

    A CrC^{r} Closing Lemma for a Class of Symplectic Diffeomorphisms

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    We prove a CrC^r closing lemma for a class of partially hyperbolic symplectic diffeomorphisms. We show that for a generic CrC^r symplectic diffeomorphism, r=1,2,...,r =1, 2, ...,, with two dimensional center and close to a product map, the set of all periodic points is dense

    Bringing the Inside Out and the Outside in: The Therapeutic Relationship in Compassion Focused Therapy Chairwork

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    Chairwork is a central component in Compassion Focused Therapy (CFT). Despite its importance, there has been no prior research on the relational factors underpinning the application of chairwork in CFT. There is also a general paucity of research on the role of the therapeutic relationship in chairwork across modalities. This paper analyses data from interviews with 21 clients following a CFT chairwork intervention to ascertain how relational factors influenced their experience of this method. An Interpretative Phenomenological Analysis (IPA) found three main themes: 1) direction and coaching during enactment; 2) externalisation: bringing the inside out and outside in; 3) regulation and trust: the relational requirements to ‘let go’. The implications of these findings, both for the delivery and training of chairwork, are then discussed in the context of CFT

    Global consequences of afforestation and bioenergy cultivation on ecosystem service indicators

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    Land management for carbon storage is discussed as being indispensable for climate change mitigation because of its large potential to remove carbon dioxide from the atmosphere, and to avoid further emissions from deforestation. However, the acceptance and feasibility of land-based mitigation projects depends on potential side effects on other important ecosystem functions and their services. Here, we use projections of future land use and land cover for different land-based mitigation options from two land-use models (IMAGE and MAgPIE) and evaluate their effects with a global dynamic vegetation model (LPJ-GUESS). In the land-use models, carbon removal was achieved either via growth of bioenergy crops combined with carbon capture and storage, via avoided deforestation and afforestation, or via a combination of both. We compare these scenarios to a reference scenario without land-based mitigation and analyse the LPJ-GUESS simulations with the aim of assessing synergies and trade-offs across a range of ecosystem service indicators: carbon storage, surface albedo, evapotranspiration, water runoff, crop production, nitrogen loss, and emissions of biogenic volatile organic compounds. In our mitigation simulations cumulative carbon storage by year 2099 ranged between 55 and 89 GtC. Other ecosystem service indicators were influenced heterogeneously both positively and negatively, with large variability across regions and land-use scenarios. Avoided deforestation and afforestation led to an increase in evapotranspiration and enhanced emissions of biogenic volatile organic compounds, and to a decrease in albedo, runoff, and nitrogen loss. Crop production could also decrease in the afforestation scenarios as a result of reduced crop area, especially for MAgPIE land-use patterns, if assumed increases in crop yields cannot be realized. Bioenergy-based climate change mitigation was projected to affect less area globally than in the forest expansion scenarios, and resulted in less pronounced changes in most ecosystem service indicators than forest-based mitigation, but included a possible decrease in nitrogen loss, crop production, and biogenic volatile organic compounds emissions

    Retrofitting Crude Oil Refinery Heat Exchanger Networks to Minimise Fouling While Maximising Heat Recovery

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    The use of fouling factors in heat exchanger design and the lack of appreciation of fouling in traditional pinch approach has often resulted badly designed crude preheat networks that are expensive to maintain. The development of thermal and pressure drop models for crude oil fouling has allowed its effects to be quantified, so that techno-economic analyses can be performed and various design options compared. Application of these fouling models is carried out on two levels: on the assessment of adding extra area to individual exchangers, and the design of a complete network using the Modified Temperature Field Plot. Application to a refinery case study showed that both at the exchanger and network levels, designing for maximum heat recovery using traditional pinch approach results in the least efficient heat recovery over a time period when fouling occurs

    An Efficient Algorithm for Optimizing Adaptive Quantum Metrology Processes

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    Quantum-enhanced metrology infers an unknown quantity with accuracy beyond the standard quantum limit (SQL). Feedback-based metrological techniques are promising for beating the SQL but devising the feedback procedures is difficult and inefficient. Here we introduce an efficient self-learning swarm-intelligence algorithm for devising feedback-based quantum metrological procedures. Our algorithm can be trained with simulated or real-world trials and accommodates experimental imperfections, losses, and decoherence

    The diagnostic accuracy of a single CEA blood test in detecting colorectal cancer recurrence: Results from the FACS trial

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    Objective: To evaluate the diagnostic accuracy of a single CEA (carcinoembryonic antigen) blood test in detecting colorectal cancer recurrence. Background: Patients who have undergone curative resection for primary colorectal cancer are typically followed up with scheduled CEA testing for 5 years. Decisions to investigate further (usually by CT imaging) are based on single test results, reflecting international guidelines. Methods: A secondary analysis was undertaken of data from the FACS trial (two arms included CEA testing). The composite reference standard applied included CT-CAP imaging, clinical assessment and colonoscopy. Accuracy in detecting recurrence was evaluated in terms of sensitivity, specificity, likelihood ratios, predictive values, time-dependent area under the ROC curves, and operational performance when used prospectively in clinical practice are reported. Results: Of 582 patients, 104 (17.9%) developed recurrence during the 5 year follow-up period. Applying the recommended threshold of 5µg/L achieves at best 50.0% sensitivity (95% CI: 40.1-59.9%); in prospective use in clinical practice it would lead to 56 missed recurrences (53.8%; 95% CI: 44.2-64.4%) and 89 false alarms (56.7% of 157 patients referred for investigation). Applying a lower threshold of 2.5µg/L would reduce the number of missed recurrences to 36.5% (95% CI: 26.5-46.5%) but would increase the false alarms to 84.2% (924/1097 referred). Some patients are more prone to false alarms than others – at the 5µg/L threshold, the 89 episodes of unnecessary investigation were clustered in 29 individuals. Conclusion: Our results demonstrated very low sensitivity for CEA, bringing to question whether it could ever be used as an independent triage test. It is not feasible to improve the diagnostic performance of a single test result by reducing the recommended action threshold because of the workload and false alarms generated. Current national and international guidelines merit re-evaluation and options to improve performance, such as making clinical decisions on the basis of CEA trend, should be further assessed
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