The use of otolith morphology to indicate the stock structure of common coral trout (Plectropomus leopardus) on the Great Barrier Reef, Australia

We investigated the use of otolith morphology to indicate the stock structure of an exploited serranid coral reef fish, Plectropomus leopardus, on the Great Barrier Reef (GBR), Australia. Otoliths were measured by traditional one-and two-dimensional measures (otolith length, width, area, perimeter, circularity, and rectangularity), as well as by Fourier analysis to capture the finer details of otolith shape. Variables were compared among four regions of the GBR separated by hundreds of kilometers, as well as among three reefs within each region, hundreds of meters to tens of kilometers apart. The temporal stability in otolith structure was examined by comparing two cohorts of fully recruited four-year-old P. leopardus collected two years before and two years after a signif icant disturbance in the southern parts of the GBR caused by a large tropical cyclone in March 1997. Results indicated the presence of at least two stocks of P. leopardus, although the structure of each stock varied depending on the cohort considered. The results highlight the importance of incorporating data from several years in studies using otolith morphology to discriminate temporary and possibly misleading signals from those that indicate persistent spatial structure in stocks. We conclude that otolith morphology can be used as an initial step to direct further research on groups of P. leopardus that have lived at least a part of their life in different environments

What is the contribution of physician associates in hospital care in England? A mixed methods, multiple case study.

OBJECTIVES: To investigate the deployment of physician associates (PAs); the factors supporting and inhibiting their employment and their contribution and impact on patients' experience and outcomes and the organisation of services. DESIGN: Mixed methods within a case study design, using interviews, observations, work diaries and documentary analysis. SETTING: Six acute care hospitals in three regions of England in 2016-2017. PARTICIPANTS: 43 PAs, 77 other health professionals, 28 managers, 28 patients and relatives. RESULTS: A key influencing factor supporting the employment of PAs in all settings was a shortage of doctors. PAs were found to be acceptable, appropriate and safe members of the medical/surgical teams by the majority of doctors, managers and nurses. They were mainly deployed to undertake inpatient ward work in the medical/surgical team during core weekday hours. They were reported to positively contribute to: continuity within their medical/surgical team, patient experience and flow, inducting new junior doctors, supporting the medical/surgical teams' workload, which released doctors for more complex patients and their training. The lack of regulation and attendant lack of authority to prescribe was seen as a problem in many but not all specialties. The contribution of PAs to productivity and patient outcomes was not quantifiable separately from other members of the team and wider service organisation. Patients and relatives described PAs positively but most did not understand who and what a PA was, often mistaking them for doctors. CONCLUSIONS: This study offers new insights concerning the deployment and contribution of PAs in medical and surgical specialties in English hospitals. PAs provided a flexible addition to the secondary care workforce without drawing from existing professions. Their utility in the hospital setting is unlikely to be completely realised without the appropriate level of regulation and authority to prescribe medicines and order ionising radiation within their scope of practice

Total contact cast wall load in patients with a plantar forefoot ulcer and diabetes

BACKGROUND: The total contact cast (TCC) is an effective intervention to reduce plantar pressure in patients with diabetes and a plantar forefoot ulcer. The walls of the TCC have been indirectly shown to bear approximately 30 % of the plantar load. A new direct method to measure inside the TCC walls with capacitance sensors has shown that the anterodistal and posterolateral-distal regions of the lower leg bear the highest load. The objective of this study was to directly measure these two regions in patients with Diabetes and a plantar forefoot ulcer to further understand the mechanism of pressure reduction in the TCC. METHODS: A TCC was applied to 17 patients with Diabetes and a plantar forefoot ulcer. TCC wall load (contact area, peak pressure and max force) at the anterodistal and posterolateral-distal regions of the lower leg were evaluated with two capacitance sensor strips measuring 90 cm(2) (pliance®, novel GmbH, Germany). Plantar load (contact area, peak pressure and max force) was measured with a capacitance sensor insole (pedar®, novel GmbH, Germany) placed inside the TCC. Both pedar® and pliance® collected data simultaneously at a sampling rate of 50Hz synchronised to heel strike. The magnitude of TCC wall load as a proportion of plantar load was calculated. The TCC walls were then removed to determine the differences in plantar loading between the TCC and the cut down shoe-cast for the whole foot, rearfoot, midfoot and forefoot (region of interest). RESULTS: TCC wall load was substantial. The anterodistal lower leg recorded 48 % and the posterolateral-distal lower leg recorded 34 % of plantar contact area. The anterodistal lower leg recorded 28 % and the posterolateral-distal lower leg recorded 12 % of plantar peak pressure. The anterodistal lower leg recorded 12 % and the posterolateral-distal lower leg recorded 4 % of plantar max force. There were significant differences in plantar load between the TCC and the cut down shoe-cast for the whole foot, rearfoot, midfoot and forefoot (region of ulcer). Contact area significantly increased by 5 % beneath the whole foot, 8 % at the midfoot and 6 % at the forefoot in the shoe-cast (p < 0.05). Peak pressure significantly increased by 8 % beneath the midfoot and 13 % at the forefoot in the shoe-cast (p < 0.05). Max force significantly increased 6 % beneath the midfoot in the (shoe-cast p < 0.05). CONCLUSION: In patients with diabetes and a plantar forefoot ulcer, the walls of the TCC bear considerable load. Reduced plantar contact area in the TCC compared to the shoe-cast suggests that the foot is suspended by the considerable load bearing capacity of the walls of the TCC which contributes mechanically to the pressure reduction and redistribution properties of the TCC

Characterization of flow in a scroll duct

A quantitative, flow visualization study was made of a partially elliptic cross section, inward curving duct (scroll duct), with an axial outflow through a vaneless annular cutlet. The working fluid was water, with a Re(d) of 40,000 at the inlet to the scroll duct, this Reynolds number being representative of the conditions in an actual gas turbine scroll. Both still and high speed moving pictures of fluorescein dye injected into the flow and illuminated by an argon ion laser were used to document the flow. Strong secondary flow, similar to the secondary flow in a pipe bend, was found in the bottom half of the scroll within the first 180 degs of turning. The pressure field set up by the turning duct was strong enough to affect the inlet flow condition. At 90 degs downstream, the large scale secondary flow was found to be oscillatory in nature. The exit flow was nonuniform in the annular exit. By 270 degs downstream, the flow appeared unorganized with no distinctive secondary flow pattern. Large scale structures from the upstream core region appeared by 90 degs and continued through the duct to reenter at the inlet section

Assessment of 2D and 3D image characteristics of an optical CT scanner for 3D dosimetry

Gel dosimetry is a method of measuring a dose distribution in three dimensions and requires an efficient accurate read-out approach. Optical CT has the potential to provide this. It is the aim of the present study to characterise the components and properties of a commercially available cone beam optical CT scanner and investigate procedures which could be used for commissioning or as part of an ongoing scanner quality assurance program. Light spectra, CCD response, warm-up time, spatial resolution, response to light intensity, uniformity and the influence of scatter were all demonstrated to influence the accuracy of the optical CT scanner, with the light source/ filter combination and warm up time demonstrating the most significant impact. Individual phantom attenuation coefficients were characterised and used to determine the stability of the phantoms over a period of time. Profiles measured from 2D projections and 3D reconstructions were measured and compared to absorbing solutions to determine uniformity and scattering properties. Recommendations are made for a set of quality assurance procedures, which include geometry calibration of the scanner, characterising the light source, verifying the CCD is functioning correctly, checking the reconstructed accuracy and verifying the reconstruction spatial fidelity. Commissioning of an optical CT scanner should include an optimisation of the scanner geometry and lens settings, measurement of the spectra and temporal stability of the light source, measurement of CCD reciprocity, quantification of attenuation coefficient accuracy, uniformity and noise and measurement of spatial resolution. This work has shown that appropriate warm up times, light source and filter combinations and phantom material selection and manufacturing processors can significantly influence measured attenuation coefficient accuracy, uniformity and noise

Use of ERTS-1 data in identification, classification, and mapping of salt-affected soils in California

There are no author-identified significant results in this report

Fluctuations and Non-Hermiticity in the Stochastic Approach to Quantum Spins

We investigate the non-equilibrium dynamics of isolated quantum spin systems via an exact mapping to classical stochastic differential equations. We show that one can address significantly larger system sizes than recently obtained, including two-dimensional systems with up to 49 spins. We demonstrate that the results for physical observables are in excellent agreement with exact results and alternative numerical techniques where available. We further develop a hybrid stochastic approach involving matrix product states. In the presence of finite numerical sampling, we show that the non-Hermitian character of the stochastic representation leads to the growth of the norm of the time-evolving quantum state and to departures for physical observables at late times. We demonstrate approaches that correct for this and discuss the prospects for further development.Comment: 5 pages, 4 figures, Supplementary Materia

Identification of foot pathologies based on plantar pressure asymmetry

Foot pathologies can negatively influence foot function, consequently impairing gait during daily activity, and severely impacting an individual’s quality of life. These pathologies are often painful and correspond with high or abnormal plantar pressure, which can result in asymmetry in the pressure distribution between the two feet. There is currently no general consensus on the presence of asymmetry in able-bodied gait, and plantar pressure analysis during gait is in dire need of a standardized method to quantify asymmetry. This paper investigates the use of plantar pressure asymmetry for pathological gait diagnosis. The results of this study involving plantar pressure analysis in fifty one participants (31 healthy and 20 with foot pathologies) support the presence of plantar pressure asymmetry in normal gait. A higher level of asymmetry was detected at the majority of the regions in the feet of the pathological population, including statistically significant differences in the plantar pressure asymmetry in two regions of the foot, metatarsophalangeal joint 3 (MPJ3) and the lateral heel. Quantification of plantar pressure asymmetry may prove to be useful for the identification and diagnosis of various foot pathologies

Trajectory-Resolved Weiss Fields for Quantum Spin Dynamics

We explore the dynamics of quantum spin systems in two and three dimensions using an exact mapping to classical stochastic processes. In recent work we explored the effectiveness of sampling around the mean field evolution as determined by a stochastically averaged Weiss field. Here, we show that this approach can be significantly extended by sampling around the instantaneous Weiss field associated with each stochastic trajectory taken separately. This trajectory-resolved approach incorporates sample to sample fluctuations and allows for longer simulation times. We demonstrate the utility of this approach for quenches in the two-dimensional and three-dimensional quantum Ising model. We show that the method is particularly advantageous in situations where the average Weiss-field vanishes, but the trajectory-resolved Weiss fields are non-zero. We discuss the connection to the gauge-P phase space approach, where the trajectory-resolved Weiss field can be interpreted as a gauge degree of freedom.Comment: 11 pages, 7 figure