Patients' views on improving sickle cell disease management in primary care: focus group discussion.

OBJECTIVES: To assess sickle cell disease (SCD) patient and carer perspectives on the primary care services related to SCD that they receive from their general practitioner (GP). DESIGN: A focus group discussion was used to elicit the views of patients about the quality of care they receive from their primary health-care providers and what they thought was the role of primary care in SCD management. The focus group discussion was video recorded. The recording was then examined by the project team and recurring themes were identified. A comparison was made with notes made by two scribes also present at the discussion. SETTING: Sickle Cell Society in Brent, UK. PARTICIPANTS: Ten participants with SCD or caring for someone with SCD from Northwest London, UK. MAIN OUTCOME MEASURES: Patients perceptions about the primary care services they received, and a list of key themes and suggestions. RESULTS: Patients and carers often bypassed GPs for acute problems but felt that GPs had an important role to play around repeat prescriptions and general health care. These service users believed SCD is often ignored and deemed unimportant by GPs. CONCLUSION: Participants wanted the health service to support primary health-care providers to improve their knowledge and understanding of SCD. Key themes and suggestions from this focus group have been used to help develop an educational intervention for general practice services that will be used to improve SCD management in primary care

Flight Tests, Performances and Flight Certification of a Twin-Engine Light Aircraft

This paper deals with flight test activities performed on P2006T, a twin-engine light aircraft recently designed and produced by Tecnam. Research activities and flight tests have been conducted during the flight certification of P2006T for the normal category under CS-23. All the acquired data and flight results presented have been focused on both aircraft certification and on aircraft performances, stability and flight qualities measurement. The data have been acquired through a light, accurate and reliable flight instrumentation available at DIAS (Department of Aerospace Engineering). Some flight data about aircraft leveled speed, stall speed, climb characteristics and ground performances (take-off and landing) will be presented. After preliminary flight tests, winglets have been designed and added to the final configuration in order to obtain good climb performances also in OEI (One Engine Inoperative) conditions. Accurate stall tests have been performed in all configurations and influence of both entry-rate and load factor on stall speed have been highlighted. Excellent ground performances have been measured with short take-off and landing distances compared with similar airplanes. All measured flight performances can be considered very good for this aircraft category and have been used to demonstrate aircraft safety and to obtain CS23 certification

Path finding strategies in scale-free networks

We numerically investigate the scale-free network model of Barab{\'a}si and Albert [A. L. Barab{\'a}si and R. Albert, Science {\bf 286}, 509 (1999)] through the use of various path finding strategies. In real networks, global network information is not accessible to each vertex, and the actual path connecting two vertices can sometimes be much longer than the shortest one. A generalized diameter depending on the actual path finding strategy is introduced, and a simple strategy, which utilizes only local information on the connectivity, is suggested and shown to yield small-world behavior: the diameter $D$ of the network increases logarithmically with the network size $N$, the same as is found with global strategy. If paths are sought at random, $D \sim N^{0.5}$ is found.Comment: 4 pages, final for

Hydrodynamic obstruction to bubble expansion

We discuss a hydrodynamic obstruction to bubble wall acceleration during a cosmological first-order phase transition. The obstruction results from the heating of the plasma in the compression wave in front of the phase transition boundary. We provide a simple criterion for the occurrence of the obstruction at subsonic bubble wall velocity in terms of the critical temperature, the phase transition temperature, and the latent heat of the model under consideration. The criterion serves as a sufficient condition of subsonic bubble wall velocities as required by electroweak baryogenesis.Comment: 18 pages, 4 figures; comments and reference added, published versio

Collaborative multidisciplinary learning : quantity surveying students’ perspectives

The construction industry is highly fragmented and is known for its adversarial culture, culminating in poor quality projects not completed on time or within budget. The aim of this study is thus to guide the design of QS programme curricula in order to help students develop the requisite knowledge and skills to work more collaboratively in their multi-disciplinary future workplaces. A qualitative approach was considered appropriate as the authors were concerned with gathering an initial understanding of what students think of multi-disciplinary learning. The data collection method used was a questionnaire which was developed by the Behaviours4Collaboration (B4C) team. Knowledge gaps were still found across all the key areas where a future QS practitioner needs to be collaborative (either as a project contributor or as a project leader) despite the need for change instigated by the multi-disciplinary (BIM) education revolution. The study concludes that universities will need to be selective in teaching, and innovative in reorienting, QS education so that a collaborative BIM education can be effected in stages, increasing in complexity as the students’ technical knowledge grows. This will help students to build the competencies needed to make them future leaders. It will also support programme currency and delivery

Energy Budget of Cosmological First-order Phase Transitions

The study of the hydrodynamics of bubble growth in first-order phase transitions is very relevant for electroweak baryogenesis, as the baryon asymmetry depends sensitively on the bubble wall velocity, and also for predicting the size of the gravity wave signal resulting from bubble collisions, which depends on both the bubble wall velocity and the plasma fluid velocity. We perform such study in different bubble expansion regimes, namely deflagrations, detonations, hybrids (steady states) and runaway solutions (accelerating wall), without relying on a specific particle physics model. We compute the efficiency of the transfer of vacuum energy to the bubble wall and the plasma in all regimes. We clarify the condition determining the runaway regime and stress that in most models of strong first-order phase transitions this will modify expectations for the gravity wave signal. Indeed, in this case, most of the kinetic energy is concentrated in the wall and almost no turbulent fluid motions are expected since the surrounding fluid is kept mostly at rest.Comment: 36 pages, 14 figure

Measurements of scattering observables for the pdpd break-up reaction

High-precision measurements of the scattering observables such as cross sections and analyzing powers for the proton-deuteron elastic and break-up reactions have been performed at KVI in the last two decades and elsewhere to investigate various aspects of the three-nucleon force (3NF) effects simultaneously. In 2006 an experiment was performed to study these effects in $\vec{p}+d$ break-up reaction at 135 MeV with the detection system, Big Instrument for Nuclear polarization Analysis, BINA. BINA covers almost the entire kinematical phase space of the break-up reaction. The results are interpreted with the help of state-of-the-art Faddeev calculations and are partly presented in this contribution.Comment: Proceedings of 19th International IUPAP Conference on Few-Body Problems in Physics, Bonn University, 31.08 - 05.09.2009, Bonn, GERMAN

Authentication of Tokaj Wine (Hungaricum) with the Electronic Tongue and Near Infrared Spectroscopy

Tokaj wines (Hungaricum) are botrytized wines acknowledged for the unique organoleptic properties bestowed by botrytized grape berries during production. Excluding these berries during wine production or manipulating the sugar content of low-grade wines to imitate high-grade wines are some recent suspicious activities that threaten the wine quality. Advanced methods such as spectroscopy and sensor-based devices have been lauded for rapid, reliable, and cost-effective analysis, but there has been no report of their application to monitor grape must concentrate adulteration in botrytized wines. The study aimed to develop models to rapidly discriminate lower grade Tokaj wines, "Forditas I" and "Forditas II," that were artificially adulterated with grape must concentrate to match the sugar content of high-grade Tokaj wines using an electronic tongue (e-tongue) and two near infrared spectrometers (NIRS). Data were evaluated with the following chemometrics: principal component analysis (PCA), discriminant analysis (LDA), partial least square regression (PLSR), and aquaphotomics (a novel approach). There was a noticeable pattern of separation in PCA for all three instruments and 100% classification of adulterated and nonadulterated wines in LDA using the e-tongue. Aquagrams from the aquaphotomics approach showed important water absorption bands capable of being markers of Tokaj wine quality. PLSR models showed coefficient of determination ((RCV)-C-2) of 0.98 (e-tongue), 0.97 (benchtop NIRS), 0.87 (handheld NIRS), and low root mean squared errors of cross-validation. All three instruments could discriminate, classify, and predict grape must concentrate adulteration in Tokaj with a high accuracy and low error. The methods can be applied for routine quality checks of botrytized wines. Practical Application Tokaj wines (Hungaricum) are botrytized wines acknowledged for the unique organoleptic properties bestowed by botrytized grape berries during production. Excluding these berries during wine production or manipulating the sugar content of low-grade wines to imitate high-grade wines are some recent suspicious activities that threaten the wine quality. Using advanced instruments, the electronic tongue, benchtop near infrared spectroscopy, and a handheld near infrared spectroscopy, we could discriminate, classify, and predict grape must concentrate adulteration in Tokaj with a high accuracy and low error. The models in our study can be applied for routine quality checks of botrytized wines

Frame transformation and geoid undulation transfer to GNSS real time positions through the new RTCM 3.1 transformation messages

Radio Technical Commission for Marine Services (RTCM) standardised messages play an important role in real time Global Navigation Satellite Systems (GNSS) applications such as navigation, positioning, civil engineering, surveying, and cartographic or cadastral production. One of the latest agreements on RTCM definitions contains the data fields for real time geodetic reference frame transformation and orthometric heights computation by received geoid undulations via internet protocol. These parameters can be generated dynamically by a GNSS data centre in a network of reference stations, encapsulated in RTCM messages and broadcasted to the rover location so they are centrally administered and the same frame transformations and geoid model are available to every user in the field, obtaining results in a local reference frame in real time. This paper summarises the functionality of the new RTCM 3?1 transformation messages, describes limitations and provides ideas about the possible use for solving specific problems. Test field campaigns are used to describe the real performance and usefulness of these new RTCM 3?1 messagesCapilla Roma, R.; Martín Furones, ÁE.; Anquela Julián, AB.; Berné Valero, JL. (2012). Frame transformation and geoid undulation transfer to GNSS real time positions through the new RTCM 3.1 transformation messages. Survey Review. 44(324):30-36. doi:10.1179/1752270611Y.0000000010S303644324Benciolini, B., Biagi, L., Crespi, M., Manzino, A. M., & Roggero, M. (2008). Reference frames for GNSS positioning services: Some problems and proposed solutions. Journal of Applied Geodesy, 2(1). doi:10.1515/jag.2008.006González-Matesanz, J., Dalda, A., & Malpica, J. A. (2006). A RANGE OF ED50-ETRS89 DATUM TRANSFORMATION MODELS TESTED ON THE SPANISH GEODETIC NETWORK. Survey Review, 38(302), 654-667. doi:10.1179/sre.2006.38.302.654Soler, T., & Marshall, J. (2003). A note on frame transformations with applications to geodetic datums. GPS Solutions, 7(2), 148-149. doi:10.1007/s10291-003-0063-