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Evaluation approaches are needed to ensure the development of effective design support. These approaches help developers ensure that their design support possesses the general design support characteristics necessary to enable designers to achieve their desired outcomes. Consequently, evaluating design support based on these characteristics ensures that the design support fulfils its intended purpose.
This work reviews design support definitions and identifies and describes 11 design support characteristics. The characteristics are applied to evaluate a proposed design support that uses additive manufacturing (AM) design artefacts (AMDAs) to explore design uncertainties. Product-specific design artefacts were designed and tested to investigate buildability limits and the relationship between surface roughness and fatigue performance of a design feature in a space industry component. The AMDA approach aided the investigation of design uncertainties, identified design solution constraints, and uncovered previously unknown uncertainties. However, the results provided by product-specific artefacts depend on how well the user frames their problem and understands their AM process and product. Hence, iterations can be required. Based on the evaluation of the AMDA process, setting test evaluation criteria is recommended, and the AMDA method is proposed.
Whilst many people try to make healthy food choices to improve their health, for others the focus on healthy eating can become obsessive and lead to maladaptive eating behaviours and poorer health. Orthorexia nervosa is a preoccupation with the quality of healthy food, where a refusal of certain foods is driven by the desire to be healthy. Orthorexia Nervosa: Current Understanding and Perspectives is the first clinical book that systematically explores this condition. The book contains in-depth information, with chapters highlighting diagnostic criteria, assessment, prevalence, multidimensional characteristics, future directions and treatment. Additional expert commentary delivers valuable insights to further provide readers with a better understanding of this condition. This informative and engaging book is a valuable resource for academics, researchers, health professionals and students interested in eating behaviour. It is an essential read for anyone wanting a better understanding of orthorexia nervosa and its impact on individuals' health.
Chapter 2 explores the potential positive and negative characteristics of dyslexia in adulthood. It will discuss a framework for understanding dyslexia in terms of the impact of biology and cognition, as well as the environment. This is linked to the key elements discussed in chapter 1, providing a basis for understanding the impact that dyslexia can have on learning and performance both in education and the workplace, and how these can interact: poor qualifications restricting access to employment. The aim is to provide an explanation for challenges that many with dyslexia faces and how these may impact on employment, as well as on confidence and self-esteem. It will also highlight the potential strengths that a dyslexic individual can bring to work performance and daily life. As part of this discussion, a profile of skills/abilities is also presented. This includes many of the tests that comprise a typical dyslexia diagnosis, which can form the basis for understanding such assessments. The aim is that, by the end of this chapter, the reader will have a good foundation in understanding adult dyslexia, its potential consequences and some possible solutions to those challenges.
We conducted a retrospective cross-sectional population-based survey among recovered COVID-19 cases in Uganda to establish the case presentations of the second wave SARS-CoV-2 infections. We interviewed 1,120 recovered COVID-19 cases from 10 selected districts in Uganda. We further conducted 38 key informant interviews with members of the COVID-19 District Taskforce and 19 in-depth interviews among COVID-19 survivors from March to June 2021. Among them, 62% were aged 39 years and below and 51.5% were female with 90.9% under home-based care management. Cases were more prevalent among businesspeople (25.9%), students (16.2%), farmers (16.1%), and health workers (12.4%). Being asymptomatic was found to be associated with not seeking healthcare (APR 2, P < 0.001). The mortality rate was 3.6% mostly among the elderly (6.3%) and 31.3% aged 40 years and above had comorbidities of high blood pressure, diabetes, and asthma. Being asymptomatic, or under home-based care management (HBCM), working/operating/studying at schools, and not being vaccinated were among the major drivers of the second wave of the resurgence of COVID19 in Uganda. Managing future COVID-19 waves calls for proactive efforts for improving homebased care services, ensuring strict observation of SOPs in schools, and increasing the uptake of COVID-19 vaccination.
The National Institute of Mental Health describe the main symptoms of bipolar disorder as alternating episodes of high and low mood. Changes in energy levels, sleep patterns, ability to focus, and other features can dramatically impact a person’s behavior, work, relationships, and other aspects of life. Most people experience mood changes at some time, but those related to bipolar disorder are more intense than regular mood changes, and other symptoms can occur. Some people experience psychosis, which can include delusions, hallucinations, and paranoia.
Objectives
Through this research we aimed to identify all the special features of bipolar depression which will help the clinical psychiatrists in easier diagnosis and management of the disorder.
Methods
Literature review (PubMed)
Results
Clinical Characteristics in Favour of Bipolarity in Depression: psychomotor retardation, history of psychotic depression,history of psychotic depression shortly after giving childbirth, frequent catatonic symptoms, atypical depressive features, severe impairment in interpersonal relationships, inconsistency in business life, history of hypomania, mania or mixed episode,common feeling of numbness and anhedonia; less common sadness and feelings of guilt, mood instability, volatility in temperament, frequent change in affect, daydreaming during the episode and daily life, short duration of depression <3 months, poor cognitive functions during depressive episode, generally similar symptom severity during the day and night etc.
Conclusions
This leads to misdiagnosis of bipolar depression as unipolar depression, which in turn leads to delayed correct diagnosis and treatment and may severely affect the patient’s entire life.
Digital design tools have dominated engineering and design practice offering many advantages that ultimately improve efficiency in the design process. Digital sketching is one such example of these tools yet, its current use is primarily to present work to stakeholders (External Communication). It is relatively underused to externalise ideas (Externalisation) where sketching on paper is still favoured. This paper aims to understand the characteristics of digital sketching that motivate or discourage designers to use the tool. Semi-structured interviews were undertaken with 12 designers to gain insights on the tool's use in External Communication and Externalisation. Results highlight a trade-off between fidelity of visualisations and time and effort expended to achieve visualisations. The key difference between the use scenarios is the way in which this trade-off is connected to managing stakeholder involvement. While designers acknowledge advantages that digital sketching can offer in externalisation, it is viewed as requiring a level of detail to begin use. In conclusion we suggest segmenting roles of digital sketching in terms of the characteristics identified in this study would help to motivate use in Externalisation.
Multiphase flows refer to the flows with distinctively different dynamic responses of each phase in the transport and phase interactions that impact the transport phenomena. Aimed to serve as an educational, learning-oriented text that introduces multiphase flows to engineering students, advanced researchers, and other readers, this unified textbook methodically encompasses a broad range of the important elements of knowledge in the multiphase flow field, along with sufficient theoretical and applied details in a manner suitable to both introductory and advanced level learning in an instructional setting.The book has twelve chapters, with six on a systematic introduction of multidisciplinary fundamentals critical to understanding multiphase flows, two on the numerical methods and experimental techniques of multiphase flows, and four on selected subjects of multiphase flow systems. Aided with ample examples and problems in each chapter (with available solution manual), this book can be used for advanced undergraduate and graduate courses in many engineering disciplines including mechanical, power, chemical, pharmaceutical, environmental, and process system engineering.
The aim of this study was to present the clinical characteristics and dynamic changes in laboratory parameters of the coronavirus disease 2019 (COVID-19) in Guangzhou, and explore the probable early warning indicators of disease progression.
Method:
We enrolled all the patients diagnosed with COVID-19 in the Guangzhou No. 8 People’s Hospital. The patients’ demographic and epidemiologic data were collected, including chief complaints, lab results, and imaging examination findings.
Results:
The characteristics of the patients in Guangzhou are different from those in Wuhan. The patients were younger in age, predominately female, and their condition was not commonly combined with other diseases. A total of 75% of patients suffered fever on admission, followed by cough occurring in 62% patients. Comparing the mild/normal and severe/critical patients, being male, of older age, combined with hypertension, abnormal blood routine test results, raised creatine kinase, glutamic oxaloacetic transaminase, lactate dehydrogenase, C-reactive protein, procalcitonin, D-dimer, fibrinogen, activated partial thromboplastin time, and positive proteinuria were early warning indicators of severe disease.
Conclusion:
The patients outside epidemic areas showed different characteristics from those in Wuhan. The abnormal laboratory parameters were markedly changed 4 weeks after admission, and also were different between the mild and severe patients. More evidence is needed to confirm highly specific and sensitive potential early warning indicators of severe disease.
Since December 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been discovered in Wuhan and spread rapidly across China and worldwide. Characteristics of infected patients are needed to get insight into the full spectrum of the disease.
Methods:
Epidemiological and clinical information of 1738 diagnosed patients during February 7-26, 2020 in Wuhan Dongxihu Fangcang Hospital were analyzed. A total of 709 patients were followed up on symptom, mental health, isolation site, and medication after discharge.
Results:
There were 852 males and 886 females in the cohort. The average age of the patients was 48.8 y. A total of 79.98% of the patients were from Wuhan, Hubei Province. The most common initial symptoms were fever, cough, and shortness of breath. Among all the patients, 1463 had complications, with respiratory distress as the most common complication. The average duration of hospitalization was 15.95 ± 14.69 d. The most common postdischarge symptom is cough. After discharge, most patients were full of energy and chose hotel as their self-isolation site. Coronavirus disease 2019 (COVID-19) Chinese medicine No.2 prescription is the medication used most commonly by the patients after discharge.
Conclusions:
The population is generally susceptible to SARS-CoV-2. After receiving aggressive treatment of combined Chinese and Western medicine, most patients had a good prognosis and mental health after discharge.
We turn now to the important question of what constitutes a ‘quotation’. Clearly, the breadth of the concept of ‘quotation’ will affect the scope of any quotation exception and so it is vital to identify what can be characterised as quotation. Our central argument in this chapter is that the concept of ‘quotation’ in Article 10(1) is far wider than the ‘typical’ case of textual quotation and that the attributes of ‘typical’ quotation must not be elevated to conditions for the availability of the exception.
Past studies using the positive deviance (PD) approach in the field of infection prevention and control (IPC) have primarily focused on impacts on healthcare-associated infection rates. This research aimed to determine if health professionals who exhibit PD behaviours have distinctive socio-cognitive profiles compared to non-PD professionals, and to examine the impact of a PD intervention on healthcare professionals’ (HPs) behavioural changes in maintaining IPC guidelines. In a cross-sectional study among 135 HPs, respondents first filled out a socio-cognitive characteristics questionnaire, and after 5 months were requested to complete a self-reported behavioural change questionnaire. The main findings indicate that socio-cognitive variables such as external locus of control, perceived threat and social learning were significant predictors of a person exhibiting PD behaviours. Almost 70% of HPs reported behavioural change and creating social networks as a result of the PD intervention in maintaining IPC guidelines, 16.9% of them are a ‘PD boosters’ (a new group of HPs who have adopted the positive practices of PDs that were originally identified, and also added additional practices of their own). Social networks can contribute to internalizing and raising personal accountability even among non-PD professionals, by creating a mind map that makes each person believe they are an important node in the network, regardless of their status and role. Health intervention programmes should purposely make visible and prominent social network connections in the hospital system.
Communities with high levels of social capital enjoy an array of positive economic and community development outcomes. We assess the role of several key community characteristics, including the strength of government institutions, in explaining local social capital variation. The analysis draws on data from United States counties and includes regression modelling and a Blinder–Oaxaca decomposition to explore differences in social capital across an area’s metropolitan status and region. The data show social capital determinants vary by place both due to the endowment levels of these determinants and the productive value of their coefficients. For example, the coefficient productive values of government capacity explain some differences in social capital levels across metropolitan status (but not across region). Concurrently, variations in government capacity endowment levels help explain some differences in social capital levels across region (but not across metropolitan status).
This chapter defines artificial intelligence and discusses its history and evolution, explains the differences between major types of AI (symbolic/classical and connectionist), and describes AI’s most recent advances, applications, and impact. It also weighs in on the question of whether AI can “think,” noting that the question is less relevant to regulatory efforts, which should focus on promoting behaviors that improve social outcomes.
This is an analytical-descriptive study aimed at analyzing individual specifications of addicts who have gone to treatment centers of Tehran in the year 2008.
Materials and methods
Investigation members were all addicts admitted to treatment centers of Tehran, investigation method was random sampling, investigation place was Behzisty rehabilitating drug addicts and NGOs, the number of all members was 256 and input assembling instrument was questionnaires comprising Demography and MMPI questionnaire. The results are derived from descriptive and deductive statistics and are analyzed by SPSS software.
Results
The results demonstrate the fact that 19.1% of addicts are jobless, 38% are lessees, 2.3% are illiterate, 60.5% are single and 57.8% of them have an income of less than 2,000,000 Rials, reflecting the fact that unemployment has no relation with the tendency to addiction - Even those with high economic and educational position have a great tendency to addiction mirroring the failure of society's supporting. Based upon MMPI, the amount of exposition to danger in addicts consists of 7.81% in mania, 28.12% SC, 12.5% in paranoia, 33.98% in unsociability, 12.5% mysterious?,57.42% in depression and 22.26 in self-assumption of illness, reflecting disorder in their personality.
Conclusion
So, according to MPI, if the results of D, PD and SC in addicts are high and the L and K rates are low, treatment and consulting service is advised.
Dipetalonema gracile is a common parasite in squirrel monkeys (Saimiri sciureus), which can cause malnutrition and progressive wasting of the host, and lead to death in the case of massive infection. This study aimed to identify a suspected D. gracile worm from a dead squirrel monkey by means of molecular biology, and to amplify its complete mitochondrial genome by polymerase chain reaction (PCR) and sequence analysis. The results identified the worm as D. gracile, and the full length of its complete mitochondrial genome was 13,584 bp, which contained 22 tRNA genes, 12 protein-coding genes, two rRNA genes, one AT-rich region and one small non-coding region. The nucleotide composition included A (16.89%), G (20.19%), T (56.22%) and C (6.70%), among which A + T = 73.11%. The 12 protein-coding genes used TTG and ATT as start codons, and TAG and TAA as stop codons. Among the 22 tRNA genes, only trnS1AGN and trnS2UCN exhibited the TΨC-loop structure, while the other 20 tRNAs showed the TV-loop structure. The rrnL (986 bp) and rrnS (685 bp) genes were single-stranded and conserved in secondary structure. This study has enriched the mitochondrial gene database of Dipetalonema and laid a scientific basis for further study on classification, and genetic and evolutionary relationships of Dipetalonema nematodes.
Clinical supervision is an essential feature of high-quality psychological practice. However, it has been under-investigated within the field of school psychology and particularly in Australia. An overview of the field of school psychology, its clinical supervision, and its use by school psychologists is provided. Past literature has suggested inadequate engagement with supervision among these practitioners. In order to examine current work contexts and supervision experiences, 77 school psychologists were surveyed. Engagement in supervision appears to have markedly increased since the Australian Health Practitioner Regulation Agency (AHPRA) Continuing Professional Development mandates in 2010. However, the data indicated that further organisational and policy support of school psychologists is warranted.
To characterise German vitamin and mineral supplement users differentiated by their motives for supplement use.
Design
Data were obtained from the German National Nutrition Monitoring (2010/11) via two 24 h dietary recalls and a telephone interview. Motive-based subgroups of supplement users were identified by factor and cluster analysis. Sociodemographic, lifestyle, health and dietary characteristics and supplement use were examined. Differences were analysed using χ2 tests, logistic and linear regression models.
Setting
Germany, nationwide.
Subjects
Individuals (n 1589) aged 18–80 years.
Results
Three motive-based subgroups were identified: a ‘Prevention’ subgroup (n 324), characterised by the motive to prevent nutrient deficiencies; a ‘Prevention and additional benefits’ subgroup (n 166), characterised by motives to prevent health problems and improve well-being and performance; and a ‘Treatment’ subgroup (n 136), characterised by motives to treat nutrient deficiencies or diseases. Members of the two prevention subgroups had a higher Healthy Eating Index score and tended to be more physically active than non-users. Those in the ‘Prevention and additional benefits’ subgroup supplemented with a greater number of micronutrients. Members of the ‘Treatment’ subgroup tended to be older and have a lower self-reported health status than non-users, and supplemented with a smaller number of micronutrients.
Conclusions
The majority of supplement users take supplements for preventive purposes and they are more health conscious than non-users of supplements due to their concerns about developing health problems. Those supplementing for treatment purposes may have underlying health indications and may be more likely to benefit from supplementation than those supplementing for preventive purposes.
Japanese quail (Coturnix coturnix japonica), the smallest farmed avian species, has become a popular meat source among consumers. From the producers’ point of view, commercial quail farming is a profitable avenue and the volume is increasing significantly. Producing value added quail meat is an important way to improve marketing opportunities. The purpose of this paper is to review slaughter, carcass characteristics, meat quality and meat composition of Japanese quail. The status of Japanese quail meat consumption, along with marketing strategies, such as the development of new products and processing methods is discussed, and in addition, the paper covers adding value to spent Japanese quail meat by means of tenderisation with natural agents.