A qualitative study of the contribution of pharmacists to heart failure management in Scotland

Study objectives: (1) To identify the medication management needs of chronic heart failure (CHF) patients and their caregivers; (2) To examine the perceived support for medication management available to these people from health professionals; (3) To identify the actual and potential perceived contribution of pharmacists to medication management. Setting: A mixed urban/ rural region in the west of Scotland. Design: Semi-structured qualitative research interviews. Participants: A total of 50 people with CHF (NYHA Class II and III) due to left ventricular systolic dysfunction (33 males; mean age 67 years, 17 females; mean age 68 years) and 30 nominated caregivers recruited from the outpatient departments of two hospitals in the West of Scotland. Sampling was purposive to include patients from a range of CHF severity, ages and sexes. Main results: Managing medications was a responsibility shared by both the patients with CHF and caregivers. Treatment regimens were reported to be difficult to comply with. Health professionals were seen to provide little support for medication management. Pharmacists were viewed as being a good and accessible source of practical assistance who were also knowledgeable about the individual’s heart health history. Participants reported valuing advice from pharmacists about the side effects of medications and for their assistance in reducing the complex logistics of medication management and in having medications delivered. Conclusions: Patients with CHF and caregivers voiced a willingness to try to manage their medication regimen accurately but had a limited capacity to do so. Pharmacists were viewed as providing valuable support to patients with CHF and their caregivers, in terms of medication management. The extended role of pharmacists in medication management of CHF should be encouraged

Collective T=0 pairing in N=Z nuclei? Pairing vibrations around 56Ni revisited

We present a new analysis of the pairing vibrations around 56Ni, with emphasis on odd-odd nuclei. This analysis of the experimental excitation energies is based on the subtraction of average properties that include the full symmetry energy together with volume, surface and Coulomb terms. The results clearly indicate a collective behavior of the isovector pairing vibrations and do not support any appreciable collectivity in the isoscalar channel.Comment: RevTeX, two-column, 5 pages, 4 figure

Comparison of Two Self-organization and Hierarchical Routing Protocols for Ad Hoc Networks

International audienceIn this article, we compare two self-organization and hierarchical routing protocols for ad hoc networks. These two protocols apply the reverse approach from the classical one, since they use a reactive routing protocol inside the clusters and a proactive routing protocol between the clusters. We compare them regarding the cluster organization they provide and the routing that is then performed over it. This study gives an idea of the impact of the use of recursiveness and of the partition of the DHT on self-organization and hierarchical routing in ad hoc networks

Nanoscale surface domain formation on the +z face of lithium niobate by pulsed UV laser illumination

Single-crystal congruent lithium niobate samples have been illuminated on the +z crystal face by pulsed ultraviolet laser wavelengths below (248 nm) and around (298-329 nm) the absorption edge. Following exposure, etching with hydrofluoric acid reveals highly regular precise domain-like features of widths ~150-300 nm, exhibiting distinct three-fold symmetry. Examination of illuminated unetched areas by scanning force microscopy shows a corresponding contrast in piezoelectric response. These observations indicate the formation of nanoscale ferroelectric surface domains, whose depth has been measured via focused ion beam milling to be ~2 micron. We envisage this direct optical poling technique as a viable route to precision domain-engineered structures for waveguide and other surface applications

Relativistic many-body calculations of electric-dipole matrix elements, lifetimes and polarizabilities in rubidium

Electric-dipole matrix elements for ns-n'p, nd-n'p, and 6d-4f transitions in Rb are calculated using a relativistic all-order method. A third-order calculation is also carried out for these matrix elements to evaluate the importance of the high-order many-body perturbation theory contributions. The all-order matrix elements are used to evaluate lifetimes of ns and np levels with n=6, 7, 8 and nd levels with n=4, 5, 6 for comparison with experiment and to provide benchmark values for these lifetimes. The dynamic polarizabilities are calculated for ns states of rubidium. The resulting lifetime and polarizability values are compared with available theory and experiment.Comment: 8 pages, 2 figure

Optimizing the fast Rydberg quantum gate

The fast phase gate scheme, in which the qubits are atoms confined in sites of an optical lattice, and gate operations are mediated by excitation of Rydberg states, was proposed by Jaksch et al. Phys. Rev. Lett. 85, 2208 (2000). A potential source of decoherence in this system derives from motional heating, which occurs if the ground and Rydberg states of the atom move in different optical lattice potentials. We propose to minimize this effect by choosing the lattice photon frequency \omega so that the ground and Rydberg states have the same frequency-dependent polarizability \alpha(omega). The results are presented for the case of Rb.Comment: 5 pages, submitted to PR

Life-cycle analysis results for geothermal systems in comparison to other power systems: Part II.

A study has been conducted on the material demand and life-cycle energy and emissions performance of power-generating technologies in addition to those reported in Part I of this series. The additional technologies included concentrated solar power, integrated gasification combined cycle, and a fossil/renewable (termed hybrid) geothermal technology, more specifically, co-produced gas and electric power plants from geo-pressured gas and electric (GPGE) sites. For the latter, two cases were considered: gas and electricity export and electricity-only export. Also modeled were cement, steel and diesel fuel requirements for drilling geothermal wells as a function of well depth. The impact of the construction activities in the building of plants was also estimated. The results of this study are consistent with previously reported trends found in Part I of this series. Among all the technologies considered, fossil combustion-based power plants have the lowest material demand for their construction and composition. On the other hand, conventional fossil-based power technologies have the highest greenhouse gas (GHG) emissions, followed by the hybrid and then two of the renewable power systems, namely hydrothermal flash power and biomass-based combustion power. GHG emissions from U.S. geothermal flash plants were also discussed, estimates provided, and data needs identified. Of the GPGE scenarios modeled, the all-electric scenario had the highest GHG emissions. Similar trends were found for other combustion emissions

Wavelet analysis of epileptic spikes

Interictal spikes and sharp waves in human EEG are characteristic signatures of epilepsy. These potentials originate as a result of synchronous, pathological discharge of many neurons. The reliable detection of such potentials has been the long standing problem in EEG analysis, especially after long-term monitoring became common in investigation of epileptic patients. The traditional definition of a spike is based on its amplitude, duration, sharpness, and emergence from its background. However, spike detection systems built solely around this definition are not reliable due to the presence of numerous transients and artifacts. We use wavelet transform to analyze the properties of EEG manifestations of epilepsy. We demonstrate that the behavior of wavelet transform of epileptic spikes across scales can constitute the foundation of a relatively simple yet effective detection algorithm.Comment: 4 pages, 3 figure

The frequency of transforming growth factor-TGF-B gene polymorphisms in a normal southern Iranian population

Several single nucleotide polymorphisms (SNPs) of the transforming growth factor-β1 gene (TGFB1) have been reported. Determination of TGFB1 SNPs allele frequencies in different ethnic groups is useful for both population genetic analyses and association studies with immunological diseases. In this study, five SNPs of TGFB1 were determined in 325 individuals from a normal southern Iranian population using polymerase chain reaction-restriction fragment length polymorphism method. This population was in Hardy-Weinberg equilibrium for these SNPs. Of the 12 constructed haplotypes, GTCGC and GCTGC were the most frequent in the normal southern Iranian population. Comparison of genotype and allele frequencies of TGFB SNPs between Iranian and other populations (meta-analysis) showed significant differences, and in this case the southern Iranian population seems genetically similar to Caucasoid populations. However, neighbour-joining tree using Nei's genetic distances based on TGF-β1 allele frequencies showed that southern Iranians are genetically far from people from the USA, Germany, UK, Denmark and the Czech Republic. In conclusion, this is the first report of the distribution of TGFB1 SNPs in an Iranian population and the results of this investigation may provide useful information for both population genetic and disease studies. © 2008 The Authors

Empirical investigation of extreme single-particle behavior of nuclear quadrupole moments in highly collective A∼150 superdeformed bands

The intrinsic quadrupole moment Q0 of superdeformed rotational bands in A∼150 nuclei depends on the associated single-particle configuration. We have derived an empirical formula based on the additivity of effective quadrupole moments of single-particle orbitals that describes existing measurements from 142Sm to 152Dy. To further test the formula, the predicted Q0 moments for two superdeformed bands in 146Gd of 14.05eb were confronted with a new measurement yielding 13.9±0.4eb and 13.9 ± 0.3eb, respectively. This excellent agreement provides empirical evidence of extreme single-particle behavior in highly deformed, collective systems