Memory for the experiences of one's life, autobiographical memory (AM), is one of the most human types of memory, yet comparatively little is known of its neurobiology. A positron emission tomography (PET) study of AM retrieval revealed that the left frontal cortex was significantly active during retrieval (compared to memory control tasks), together with activation in the inferior temporal and occipital lobes in the left hemisphere. We propose that this left frontal lobe activation reflects the operation of control processes that modulate the construction of AMs in posterior neocortical networks.
In the United States, older adults have become the fastest growing segment of the population and are expected to double in number to 70 million by 2030. As a whole, older adults have different health care needs than younger patients, and some of these needs should be met by pharmacists. Clinical pharmacy practice affecting older adults occurs in a variety of settings, including community, ambulatory care, primary care, hospital, assisted living, nursing home, home health care, hospice, and Alzheimer's disease units. Although specialty training in geriatrics or gerontology is not required for pharmacists to care for older adults, it is extremely helpful. Pharmacy education related to the care of older adults has improved slightly in the past several years but will need to increase even more to provide all pharmacists with the basic skills and knowledge to care for this unique group of patients. In addition, pharmacotherapy research targeting older adults needs to increase. Although it can be challenging, funding for this type of research is available. Patient and political advocacy is also important to support this growing population.
This is the first of a two-part study that examines, from the exergy management standpoint, the fundamental thermodynamic requirements for maximizing internal combustion (IC) engine cycle efficiency. The optimal cycle is shown to comprise three distinct engine architectural elements -reactant preparation, combustion, and work extraction from the products -each of which can be analysed separately. This study shows, based on dynamical system optimization, that it is the equilibrium thermodynamics (specifically, the constantinternal energy-volume (UV) product state at the end of combustion) and not chemical kinetics (i.e. reactions taking place during combustion) that ultimately dictates the amount of exergy destroyed due to combustion. The strategy for minimizing this destruction term reduces to carrying out reactions at the highest possible internal energy state -following what may be called the 'extreme state' principle -so as to minimize the corresponding constant-UV entropy change from reactants to equilibrium products. The extreme state principle remains unaltered when system inhomogeneity (from fuel vaporization and mixing with air) and heat loss are accounted for. Based on this optimal combustion strategy, the companion paper examines the remaining elements of the engine cycle (reactant preparation and work extraction) so as to improve overall cycle efficiency.
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