Ask the patients - they may want to know more than you think

What information do patients need about medicines? Partnership between health professionals and patients depends, in part, on the provision and exchange of accurate and reliable information about drugs, but who should provide it? We invited contributors to answer the question from the perspectives of patients, clinicians, and the pharmaceutical industry People's appetite for information about their treatment is often greater than doctors believe.1 Clearly, patients vary in the extent of their desire for partnership in making medical decisions. It follows that part of the duty of a health professional is to work out how much partnership a patient wants, and what information he or she needs to support that level of partnership

The z=0.8596 Damped Lyman Alpha Absorbing Galaxy Toward PKS 0454+039

We present {\it Hubble Space Telescope} and ground--based data on the $z_{abs}=0.8596$ metal line absorption system along the line of sight to PKS 0454+0356. The system is a moderate redshift damped Lyman alpha system, with ${\rm N(HI)}=(5.7\pm0.3)\times10^{20}$~cm$^{-2}$ as measured from the {\it Faint Object Spectrograph} spectrum. We also present ground--based images which we use to identify the galaxy which most probably gives rise to the damped system; the most likely candidate is relatively underluminous by QSO absorber standards ($M_B \sim -19.0$ for $q_0=0.5$ and $H_0=50$ \kms Mpc$^{-1}$), and lies $\sim 8.5h^{-1}$ kpc in projection from the QSO sightline. Ground--based measurements of Zn~II, Cr~II, and Fe~II absorption lines from this system allow us to infer abundances of [Zn/H]=$-1.1$, [Cr/H]=$-1.2$, and [Fe/H]=$-1.2$, indicating overall metallicity similar to damped systems at $z >2$, and that the depletion of Cr and Fe onto dust grains may be even {\it less} important than in many of the high redshift systems of comparable metallicity. Limits previously placed on the 21-cm optical depth in the $z=0.8596$ system, together with our new N(H~I) measurement, suggest a very high spin temperature for the H~I, $T_S >> 580$ K.Comment: changed uuencode header to produce .Z file so that unix uncompress command will work without modifying file nam

A TEM investigation of optical variations in sphalerite.

Sphalerites from the Force Crag Pb-Zn vein, N England, show darker coloured zones found not only to be richer in Cu, Fe, Sb, Ag and Pb but also to contain precipitates of tetrahedrite-like composition. Sphalerites from Silvermines, Ireland, also showed trace-element enriched colour banding but were devoid of precipitates. A low-iron sphalerite from Tyndrum, Scotland, showed opaque bands found to be enriched in Cu and Fe related to the intergrowths of digenite. -R.A.H

Using the local gyrokinetic code, GS2, to investigate global ITG modes in tokamaks. (I) s-α{\alpha} model with profile and flow shear effects

This paper combines results from a local gyrokinetic code with analytical theory to reconstruct the global eigenmode structure of the linearly unstable ion-temperature-gradient (ITG) mode with adiabatic electrons. The simulations presented here employ the s-${\alpha}$ tokamak equilibrium model. Local gyrokinetic calculations, using GS2 have been performed over a range of radial surfaces, x, and for ballooning phase angle, p, in the range -${\pi} {\leq} p {\leq\pi}$, to map out the complex local mode frequency, ${\Omega_0(x, p) = \omega_0(x, p) + i\gamma_0(x, p)}$. Assuming a quadratic radial profile for the drive, namely ${\eta_i = L_n/L_T}$, (holding constant all other equilibrium profiles such as safety factor, magnetic shear etc.), ${\Omega_0(x, p)}$ has a stationary point. The reconstructed global mode then sits on the outboard mid plane of the tokamak plasma, and is known as a conventional or isolated mode, with global growth rate, ${\gamma}$ ~ Max[${\gamma_0(x, p)}$], where ${\gamma_0(x, p)}$ is the local growth rate. Taking the radial variation in other equilibrium profiles (e.g safety factor q(x)) into account, removes the stationary point in ${\Omega_0(x, p)}$ and results in a mode that peaks slightly away from the outboard mid-plane with a reduced global growth rate. Finally, the influence of flow shear has also been investigated through a Doppler shift, ${\omega_0 \rightarrow \omega_0 + n\Omega^{\prime}x}$, where n is the toroidal mode number and ${\Omega^{\prime}}$ incorporates the effect of flow shear. The equilibrium profile variation introduces an asymmetry to the growth rate spectrum with respect to the sign of ${\Omega^{\prime}}$, consistent with recent global gyrokinetic calculations.Comment: 10 pages, 8 figures and 1 tabl

Fall prevention in the community: what older people say they need

Original article can be found at: http://www.bjcn.co.uk/ Copyright MA HealthcareUptake of and adherence to fall prevention interventions is often poor and we know little about how older people’s perceptions of and beliefs about fall prevention interventions affect uptake. This study aimed to explore older people’s perceptions of the facilitators and barriers to participation in fall prevention interventions. We undertook a qualitative study with older people who had taken part in, declined to participate or adhere to fall prevention interventions using semi-structured interviews (n=65), and 17 focus groups (n=122) with older people (including 32 South Asian and 30 Chinese older people) in primary and community care settings in the South of England. A number of factors acted as either barriers or facilitators to uptake of interventions. Older people also made recommendations for improving access to interventions. Community nurses are ideally placed to screen older people, identify those at risk of falling and refer them to appropriate interventions as well as providing health promotion and education.Peer reviewe

Lower thermosphere densities of N2, O and Ar under high latitude winter conditions

Measurements of the neutral thermosphere were conducted in northern Scandinavia during the Energy Budget Campaign. These measurements included determinations of N2, O, and Ar densities using rocket-borne experiments. The results obtained in the experiments are presented, taking into account also details regarding the employed experimental methods, and an evaluation of the significance of the data. It is found that there are striking differences in thermospheric distributions of the neutral constituents under different geomagnetic conditions. Under quiet geomagnetic conditions there was reasonable agreement with the United States Standard Atmosphere. The concentrations of N2 and Ar were about 70 percent of the predicted values, while the O concentration was about 2.5 times greater

Producing graphite with desired properties

Isotropic or anisotropic graphite is synthesized with precise control of particle size, distribution, and shape. The isotropic graphites are nearly perfectly isotropic, with thermal expansion coefficients two or three times those of ordinary graphites. The anisotropic graphites approach the anisotropy of pyrolytic graphite