A controlled trial was conducted to evaluate a prevention program aimed at reducing depressive and anxious symptoms in rural school children. Seventh-grade children with elevated depression were selected. Nine primary schools (n = 90) were randomly assigned to receive the program, and 9 control schools (n = 99) received their usual health education classes. Children completed questionnaires on depression, anxiety, explanatory style, and social skills. Parents completed the Child Behavior Checklist (T. M. Achenbach, 1991). No intervention effects were found for depression. Intervention group children reported less anxiety than the control group after the program and at 6-month follow-up and more optimistic explanations at postintervention. Intervention group parents reported fewer child internalizing and externalizing symptoms at postintervention only.

Wendelstein 7-X is the first comprehensively optimized stellarator aiming at good confinement with plasma parameters relevant to a future stellarator power plant. Plasma operation started in 2015 using a limiter configuration. After installing an uncooled magnetic island divertor, extending the energy limit from 4 to 80 MJ, operation continued in 2017. For this phase, the electron cyclotron resonance heating (ECRH) capability was extended to 7 MW, and hydrogen pellet injection was implemented. The enhancements resulted in the highest triple product (6.5 × 1019 keV m−3 s) achieved in a stellarator until now. Plasma conditions [Te(0) ≈ Ti(0) ≈ 3.8 keV, τE > 200 ms] already were in the stellarator reactor-relevant ion-root plasma transport regime. Stable operation above the 2nd harmonic ECRH X-mode cutoff was demonstrated, which is instrumental for achieving high plasma densities in Wendelstein 7-X. Further important developments include the confirmation of low intrinsic error fields, the observation of current-drive induced instabilities, and first fast ion heating and confinement experiments. The efficacy of the magnetic island divertor was instrumental in achieving high performance in Wendelstein 7-X. Symmetrization of the heat loads between the ten divertor modules could be achieved by external resonant magnetic fields. Full divertor power detachment facilitated the extension of high power plasmas significantly beyond the energy limit of 80 MJ.

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Adherence with antipsychotic monitoring guidelines is notoriously low nationally. Without active monitoring and measures to improve metabolic abnormalities, more patients may develop related morbidity and mortality. An audit highlighted antipsychotic monitoring in this learning disability service in London did not match guideline recommendations. People with intellectual disability also experience health inequalities. Psychiatrists are well placed to provide advice and assistance that is suitable for those with complex communication, behaviour, and social needs.The QI team tested ideas to increase rates of antipsychotic reviews. The focus was the follow up monitoring of all universal measures recommended by NICE 2014, collected at 2-weekly intervals. We trialled interventions in four broad categories; Intervention 1: to make monitoring more structured and planned; Intervention 2: to increase staff and patient awareness of healthy eating and exercise programs; Intervention 3: to increase the collection of diet and exercise histories from patients; Intervention 4: to improve the uptake of blood tests.The interventions created an improvement in monitoring. There are lessons in the methodology for others carrying out similar projects.

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