102 research outputs found
Laser-generated ultrasound with optical fibres using functionalised carbon nanotube composite coatings
Optical ultrasound transducers were created by coating optical fibres with a composite of carbon nanotubes (CNTs) and polydimethylsiloxane (PDMS). Dissolution of CNTs in PDMS to create the composite was facilitated by functionalisation with oleylamine. Composite surfaces were applied to optical fibres using dip coating. Under pulsed laser excitation, ultrasound pressures of 3.6âMPa and 4.5âMPa at the coated end faces were achieved with optical fibre core diameters of 105 and 200âÎŒm, respectively. The results indicate that CNT-PDMS composite coatings on optical fibres could be viable alternatives to electrical ultrasound transducers in miniature ultrasound imaging probes
Use of the kidney failure risk equation to inform clinical care of patients with chronic kidney disease: a mixed-methods systematic review
Rationale and objective
The Kidney Failure Risk Equation (KFRE) predicts the risk of end-stage kidney disease in patients with chronic kidney disease (CKD). This study aimed to evaluate the impact of the utility of KFRE in clinical practice.
Study design
Systematic review.
Setting and study populations
Adult patients with CKD but not receiving renal replacement therapy enrolled in studies where KFRE was used in clinical care pathways.
Selection criteria for studies
All studies published from April 2011 to October 2021 identified from Medline, Cumulative Index to Nursing and Allied Health Literature, Embase and reference and citation searches of included studies.
Data extraction
Relevant data were extracted, and two reviewers independently assessed study quality using appropriate appraisal tools.
Analytical approach
Findings reported as a narrative synthesis due to heterogeneity of the included studies.
Results
Of 1635 studies identified, 440 duplicates were removed. The remaining 1195 titles and abstracts were screened. All five studies for full-text review were included in the analysis. Three uses of KFRE were assessed: (1) primary to specialty care interface; (2) general nephrology to multidisciplinary care transition; and (3) treatment planning. Evidence of impact on number of patient referrals into nephrology care was conflicting. However, wait times improved in one study. Although KFRE identified high-risk patients for increased multidisciplinary support, there was concern patients stepped down, no longer meeting eligibility criteria, may lack access to services.
Conclusions
This is the first systematic review of studies that have assessed the actual impact of KFRE in clinical practice with five studies of varying quality reported to date. Trials are in progress assessing the impact on clinical outcomes of using KFRE in clinical practice, and KFRE is being incorporated into guidelines for CKD management. Further studies are needed to assess the impact of KFRE on clinical care.
Trial registration number
Protocol registered on PROSPERO before initiation of the study (Ref: CRD42020219926)
Ogbu and the debate on educational achievement: an exploration of the links between education, migration, identity and belonging
This paper looks at some of the issues raised by Ogbuâs work in relation to the education of different minority ethnic groups. Ogbu poses questions such as the value attached to education,
its links to the future and its measurable outcomes in terms of âsuccessâ as experienced by black participants. The desire for better life chances leads families to consider migration to a new country or resettlement within the same country, thus making migration both a local and a global phenomenon. As an example, attention is drawn to the situation facing South Asian
children and their families in the UK. In terms of ethnicity and belonging, the wider question that is significant for many countries in the West after âNine-Elevenâ is the education of Muslim children. A consideration of this current situation throws Ogbuâs identification of âautonomous minorityâ into question. It is argued that a greater understanding of diverse needs has to be
accompanied by a concerted effort to confront racism and intolerance in schools and in society, thus enabling all communities to make a useful contribution and to avoid the âriskâ of failure and disenchantment
Diasporic virginities: social representations of virginity and identity formation amongst British arab muslim women
This study compares how practising and non-practising British Arab Muslim women position themselves in relation to representations of virginity. Overall, in our qualitative study, we found that representations of culture and religion influenced social practices and social beliefs in different ways: non-practising Muslim women felt bound by culture to remain virgins, while practising Muslim women saw it as a religious obligation but were still governed by culture regarding the consequences of engaging in premarital sex. Interestingly, some practising Muslim participants used Mutâa (a form of temporary âmarriageâ) to justify premarital sex. This, however, did not diminish the importance of virginity in their understanding and identification as Arab women. In fact, this study found that virginity, for the British Arabs interviewed, embodied a sense of âArabnessâ in British society. Positioning themselves as virgins went beyond simply honour; it was a significant cultural symbol that secured their sense of cultural identity. In fact this cultural identity was often so powerful that it overrode their Islamic identities, prescribing their behaviour even if religion was seen as more âforgivingâ
Awareness and understanding of dementia in South Asians: A synthesis of qualitative evidence
Hossain, M., Crossland, J., Stores, R., Dewey, A., & Hakak, Y. (2020). Awareness and understanding of dementia in South Asians: A synthesis of qualitative evidence. Dementia, 19(5), 1441â1473. Copyright © [2020] (The Author) DOI: https://doi.org/10.1177%2F147130121880064
Multifunctional P-Doped TiO 2
Multifunctional P-doped TiO2 thin films were synthesized by atmospheric pressure chemical vapor deposition (APCVD). This is the first example of P-doped TiO2 films with both P5+ and P3â states, with the relative proportion being determined by synthesis conditions. This technique to control the oxidation state of the impurities presents a new approach to achieve films with both self-cleaning and TCO properties. The origin of electrical conductivity in these materials was correlated to the incorporation of P5+ species, as suggested by Hall Effect probe measurements. The photocatalytic performance of the films was investigated using the model organic pollutant, stearic acid, with films containing predominately P3â states found to be vastly inferior photocatalysts compared to undoped TiO2 films. Transient absorption spectroscopy studies also showed that charge carrier concentrations increased by several orders of magnitude in films containing P5+ species only, whereas photogenerated carrier lifetimesâand thus photocatalytic activityâwere severely reduced upon incorporation of P3â species. The results presented here provide important insights on the influence of dopant nature and location within a semiconductor structure. These new P-doped TiO2 films are a breakthrough in the development of multifunctional advanced materials with tuned properties for a wide range of applications
Marriage and dowry among selected East African Sikh families in the United Kingdom
SIGLEAvailable from British Library Document Supply Centre- DSC:D70561/82 / BLDSC - British Library Document Supply CentreGBUnited Kingdo
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