Search Results (7)

Women with schizophrenia require health interventions that differ, in many ways, from those of men. The aim of this paper is to review male and female care needs and describe a newly established care unit for the treatment of women with schizophrenia. After reviewing the literature on the differentiated needs of men and women with schizophrenia, we describe the new unit’s assessment, intervention, and evaluation measures. The program consists of (1) individual/group patient/family therapy, (2) therapeutic drug monitoring and adherence checks, (3) perinatal mental health, (4) medical liaison, (5) suicide prevention/intervention, (6) social services with special focus on parenting, domestic abuse, and sexual exploitation, (7) home-based services, (8) peer support, (9) occupational therapies (physical activity and leisure programs), and (10) psychoeducation for both patients and families. Still in the planning stage are quality evaluation of diagnostic assessment, personalized care, drug optimization, health screening (reproductive health, metabolic syndrome, cardiovascular health, cancer, menopausal status), and patient and family satisfaction with services provided. Woman-specific care represents an important resource that promises to deliver state-of-the-art treatment to women and, ideally, prevent mental illness in their offspring. Full article

Secondary school ATs (SSATs) are uniquely positioned healthcare providers at an optimal public health intersection where they can provide equitable healthcare to low socioeconomic status (SES) adolescents. SSATs face similar challenges to physicians in treating low SES patients, but their strategies may be different compared to other medical professions. However, the consequences of low SES population healthcare delivery by SSATs have not been explored. SSATs were asked to share what challenges, if any, they encounter with providing care for their low SES patients and what strategies they find most effective to overcome these challenges. Data were collected via semi-structured interviews and reflective field notes and analyzed using a four-step, interpretative phenomenological analysis (IPA) guided theme development. Data saturation was met, and the sample size aligned with other IPA studies. Trustworthiness was established with research triangulation and Yardley’s four principles. Three interrelated themes emerged: (a) mechanisms for identifying SES, (b) the impact of SES on care, and (c) navigating SES challenges. SSATs described many strategies that were gained through their clinical experiences to overcome healthcare barriers. SSATs have the potential to decrease health disparities through their role as a liaison and advocates for their low SES patients. Full article

In this paper, a low-order approximation (LOA) of fractional order PID (FOPID) for an automatic voltage regulator (AVR) based on the modified artificial bee colony (ABC) is proposed. The improved artificial bee colony (IABC) high-order approximation (HOA)-based fractional order PID (IABC/HOA-FOPID) controller, which is distinguished by a significant order approximation and by an integer order transfer function, requires the use of a large number of parameters. To improve the AVR system’s performance in terms of transient and frequency response analysis, the memory capacity of the IABC/HOA-FOPID controller was lowered so that it could fit better in the corrective loop. The new robust controller is named the improved artificial bee colony (IABC) low-order approximation (LOA)-based fractional order PID (IABC/LOA-FOPID). The performance of the proposed IABC/LOA-FOPID controller was compared not only to the original ABC algorithm-tuned PID controller, but also to other controllers tuned by state-of-the-art meta-heuristic algorithms such as the improved whale optimization algorithm (IWOA), particle swarm optimization (PSO), cuckoo search (CS), many optimizing liaisons (MOL), genetic algorithm (GA), local unimodal sampling (LUS), and the tree seed algorithm (TSA). Step response, root locus, frequency response, robustness test, and disturbance rejection abilities are all compared. The simulation results and comparisons with the proposed IABC/LOA-FOPID controller and other existing controllers clearly show that the proposed IABC/LOA-FOPID controller outperforms the optimal PID controllers found by other algorithms in all the aforementioned performance tests. Full article

In CMOS integrated circuit (IC) design, operational amplifiers are one of the most useful active devices to enhance applications in analog signal processing, signal conditioning and so on. However, due to the CMOS technology downscaling, along the very large number of design variables and their trade-offs, it results difficult to reach target specifications without the application of optimization methods. For this reason, this work shows the advantages of performing many-objective optimization and this algorithm is compared to the well-known mono- and multi-objective metaheuristics, which have demonstrated their usefulness in sizing CMOS ICs. Three CMOS operational transconductance amplifiers are the case study in this work; they were sized by applying mono-, multi- and many-objective algorithms. The well-known non-dominated sorting genetic algorithm version 3 (NSGA-III) and the many-objective metaheuristic-based on the R2 indicator (MOMBI-II) were applied to size CMOS amplifiers and their sized solutions were compared to mono- and multi-objective algorithms. The CMOS amplifiers were optimized considering five targets, associated to a figure of merit (FoM), differential gain, power consumption, common-mode rejection ratio and total silicon area. The designs were performed using UMC 180 nm CMOS technology. To show the advantage of applying many-objective optimization algorithms to size CMOS amplifiers, the amplifier with the best performance was used to design a fractional-order integrator based on OTA-C filters. A variation analysis considering the process, the voltage and temperature (PVT) and a Monte Carlo analysis were performed to verify design robustness. Finally, the OTA-based fractional-order integrator was used to design a fractional-order chaotic oscillator, showing good agreement between numerical and SPICE simulations. Full article

The execution time that takes to perform numerical simulation of a chaotic oscillator mainly depends on the time-step h. This paper shows that the optimization of chaotic oscillators can be enhanced by estimating the highest h in either one-step or multi-step methods. Four chaotic oscillators are used as a case study, and the optimization of their Kaplan-Yorke dimension ($D_{KY}$) is performed by applying three metaheuristics, namely: particle swarm optimization (PSO), many optimizing liaison (MOL), and differential evolution (DE) algorithms. Three representative one-step and three multi-step methods are used to solve the four chaotic oscillators, for which the estimation of the highest h is obtained from their stability analysis. The optimization results show the effectiveness of using a high h value for the six numerical methods in reducing execution time while maximizing the positive Lyapunov exponent ($LE+$) and $D_{KY}$ of the chaotic oscillators by applying PSO, MOL, and DE algorithms. Full article

The sizes of the metal-oxide-semiconductor (MOS) transistors in an operational amplifier must guarantee strong direct current operating point (DCOP) conditions. This paper shows the usefulness of two population-based optimization algorithms to size transistors, namely—particle swarm optimization (PSO) and many optimizing liaisons (MOL). Both optimization algorithms link the circuit simulator SPICE to measure electrical characteristics. However, SPICE provides an output-file indicating that a transistor is in strong inversion but the DCOP can be in the limit, and it can switch to a different condition. In this manner, we highlight the application of PSO and MOL to size operational transconductance amplifiers (OTAs), which DCOP conditions are improved by the introduction of a procedure that handles constraints to ensure that the transistors are in the appropriate DCOP. The Miller and RFC-OTA are the cases of study, and their sizing is performed using UMC 180 nm CMOS technology. In both OTAs, the objective function is the maximization of the gain-bandwidth product under the main constraint of guaranteeing DCOPs to improve two figures of merit and to provide robustness to Monte Carlo simulations and PVT variations. Full article

Epinephrine is the only medication recommended by the International Liaison Committee on Resuscitation for use in newborn resuscitation. Strong evidence from large clinical trials is lacking owing to the infrequent use of epinephrine during neonatal resuscitation. Current recommendations are weak as they are extrapolated from animal models or pediatric and adult studies that do not adequately depict the transitioning circulation and fluid-filled lungs of the newborn in the delivery room. Many gaps in knowledge including the optimal dosing, best route and timing of epinephrine administration warrant further studies. Experiments on a well-established ovine model of perinatal asphyxial cardiac arrest closely mimicking the newborn infant provide important information that can guide future clinical trials. Full article