17,918 research outputs found
Coolant passage fin heat transfer and pressure drop performance
Coolant passage fin heat transfer and pressure drop in hypersonic research engine test
Telespectrograph Patent
Telespectrograph for analyzing upper atmosphere by tracking bodies reentering atmosphere at high velocitie
The clientâs explicit expression of anger towards their therapist: a grounded theory study of female trainee therapists
This study aimed to understand the clientâs experience of explicitly expressing anger towards their therapist. This research developed from there being little existing knowledge about these experiences from the clientâs perspective, even though they are seen to present some of the most challenging experiences in the therapeutic setting.
The research was conducted through interviewing 9 female therapy clients using semi-structured interviews and carrying out the analysis using constructivist grounded theory.
The research found there were different processes at play that were present within the therapeutic relationship leading up to the explicit expression. The anger was experienced in relation to other emotions and was expressed in several different ways, resulting in mixed outcomes to the expression of anger.
Different responses from both the therapist and the client that were facilitative in enabling or disabling them to try to work through these anger events were identified. At moments of the explicit expression of anger, the therapist and client could get caught up in detrimental negative interactional cycles, which served to close down the therapeutic space or lead to a lack of connection through withdrawal. Consequentially there was little space for affective attunement and reflective dialogue, shaped by a rigid and detached stance, lack of humility, distancing interpretations and uncontained emotional or personal responses. However, in contrast, if the therapist and client were able to remain emotionally connected to one another during the explicit expression of anger and contain the process and engage in a reflective dialogue this could open up the therapeutic space to beneficial effect
The AF structure of non commutative toroidal Z/4Z orbifolds
For any irrational theta and rational number p/q such that q|qtheta-p|<1, a
projection e of trace q|qtheta-p| is constructed in the the irrational rotation
algebra A_theta that is invariant under the Fourier transform. (The latter is
the order four automorphism U mapped to V, V mapped to U^{-1}, where U, V are
the canonical unitaries generating A_theta.) Further, the projection e is
approximately central, the cut down algebra eA_theta e contains a Fourier
invariant q x q matrix algebra whose unit is e, and the cut downs eUe, eVe are
approximately inside the matrix algebra. (In particular, there are Fourier
invariant projections of trace k|qtheta-p| for k=1,...,q.) It is also shown
that for all theta the crossed product A_theta rtimes Z_4 satisfies the
Universal Coefficient Theorem. (Z_4 := Z/4Z.) As a consequence, using the
Classification Theorem of G. Elliott and G. Gong for AH-algebras, a theorem of
M. Rieffel, and by recent results of H. Lin, we show that A_theta rtimes Z_4 is
an AF-algebra for all irrational theta in a dense G_delta.Comment: 35 page
Planning for Excellence: Insights from an International Review of Regulatorsâ Strategic Plans
What constitutes regulatory excellence? Answering this question is an indispensable first step for any public regulatory agency that is measuring, striving towards, and, ultimately, achieving excellence. One useful way to answer this question would be to draw on the broader literature on regulatory design, enforcement, and management. But, perhaps a more authentic way would be to look at how regulators themselves define excellence. However, we actually know remarkably little about how the regulatory officials who are immersed in the task of regulation conceive of their own success.
In this Article, we investigate regulatorsâ definitions of regulatory excellence by drawing on a unique source of data that provides an important window on regulatorsâ own aspirations: their strategic plans. Strategic plans have been required or voluntarily undertaken for the past decade or longer by regulators around the globe. In these plans, regulators offer mission statements, strategic goals, and measurable and achievable outcomes, all of which indicate what regulators value and are striving to become. Occasionally, they even state explicitly where they have fallen short of âbest-in-classâ status and how they intend to improve. To date, a voluminous literature exists examining agency practices in strategic planning, but we are aware of no study that tries to glean from the substance of a sizeable number of plans how regulators themselves construe regulatory excellence. The main task of this Article is undertaking this effort. This Article draws on twenty plans from different regulators in nine countries. We found most generally that excellent regulators describe themselves (though not necessarily using exactly these words) as institutions that are more (1) efficient, (2) educative, (3) multiplicative, (4) proportional, (5) vital, (6) just, and (7) honest. In addition to these seven shared attribute categories, our reading of the plans also revealed five other âunusualâ attributes that only one or two agencies mentioned. Beyond merely cataloguing the attributes identified by agencies, this Article also discusses commonalities (and differences) between plan structures, emphases, and framings. We found that the plans differed widely in features such as the specificity of their mission statements, the extent to which they emphasized actions over outcomes (or vice versa), and the extent to which commitments were organized along organizational fiefdoms or cut across bureaucratic lines.
We urge future scholarship to explore alternative methods of text mining, and to study strategic plans over time within agencies, in order to track how agenciesâ notions of regulatory excellence respond to changes in the regulatory context and the larger circumstances within which agencies operate. Looking longitudinally will also shed light on how agencies handle strategic goals that are either met or that prove to be unattainable
Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms
Exploring the reliability of the modified Rankin Scale
<p><b>Background and Purpose:</b> The modified Rankin Scale (mRS) is the most prevalent outcome measure in stroke trials. Use of the mRS may be hampered by variability in grading. Previous estimates of the properties of the mRS have used diverse methodologies and may not apply to contemporary trial populations. We used a mock clinical trial design to explore inter- and intraobserver variability of the mRS.</p>
<p><b>Methods:</b> Consenting patients with stroke attending for outpatient review had the mRS performed by 2 independent assessors with pairs of assessors selected from a team of 3 research nurses and 4 stroke physicians. Before formal assessment, interviewers estimated disability based only on initial patient observation. Each patient was then randomized to undergo the mRS using standard assessment or a prespecified structured interview. The second interviewer in the pair reassessed the patient using the same method blinded to the colleagueâs score. For each patient assessed, one rater was randomly assigned to video record their interview. After 3 months, this interviewer reviewed and regraded their original video assessment.</p>
<p><b>Results:</b> Across 100 paired assessments, interobserver agreement was moderate (k=0.57). Intraobserver variability was good (k=0.72) but less than would be expected from previous literature. Forty-nine assessments were performed using the structured interview approach with no significant difference between structured and standard mRS. Researchers were unable to reliably predict mRS from initial limited patient assessment (k=0.16).</p>
<p><b>Conclusions:</b> Despite availability of training and structured interview, there remains substantial interobserver variability in mRS grades awarded even by experienced researchers. Additional methods to improve mRS reliability are required.</p>
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