Why we need interprofessional education to improve the delivery of safe and effective care

Interprofessional education (IPE) is an activity that involves two or more professions who learn interactively together to improve collaboration and the quality of care. Research has continually revealed that health and social care professionals encounter a range of problems with interprofessional coordination and collaboration which impact on the quality and safety of care. This empirical work resulted in policymakers across health care education and practice to invest in IPE to help resolve this collaborative failures. It is anticipated that IPE will provide health and social care professionals with the abilities required to work together effectively in providing safe high quality care to patients. Through a discussion of a range of key professional, educational and organization issues related to IPE, this paper argues that this form of education is an important strategy to improve the delivery of safe and effective care

A changing inner radius in the accretion disc of Q0056-363?

Q0056-363 is the most powerful X-ray quasar known to exhibit a broad, likely relativistic iron line (Porquet & Reeves 2003). It has been observed twice by XMM-$Newton$, three and half years apart (July 2000 and December 2003). In the second observation, the UV and soft X-ray fluxes were fainter, the hard X-ray power law flatter, and the iron line equivalent width (EW) smaller than in the 2000 observation. These variations can all be explained, at least qualitatively, if the disc is truncated in the second observation. We report also on the possible detection of a transient, redshifted iron absorption line during the 2003 observation.Comment: Accepted for publication in A&

Low-Altitude Reconnection Inflow-Outflow Observations during a 2010 November 3 Solar Eruption

For a solar flare occurring on 2010 November 3, we present observations using several SDO/AIA extreme-ultraviolet (EUV) passbands of an erupting flux rope followed by inflows sweeping into a current sheet region. The inflows are soon followed by outflows appearing to originate from near the termination point of the inflowing motion - an observation in line with standard magnetic reconnection models. We measure average inflow plane-of-sky speeds to range from ~150-690 km/s with the initial, high-temperature inflows being the fastest. Using the inflow speeds and a range of Alfven speeds, we estimate the Alfvenic Mach number which appears to decrease with time. We also provide inflow and outflow times with respect to RHESSI count rates and find that the fast, high-temperature inflows occur simultaneously with a peak in the RHESSI thermal lightcurve. Five candidate inflow-outflow pairs are identified with no more than a minute delay between detections. The inflow speeds of these pairs are measured to be 10^2 km/s with outflow speeds ranging from 10^2-10^3 km/s - indicating acceleration during the reconnection process. The fastest of these outflows are in the form of apparently traveling density enhancements along the legs of the loops rather than the loop apexes themselves. These flows could either be accelerated plasma, shocks, or waves prompted by reconnection. The measurements presented here show an order of magnitude difference between the retraction speeds of the loops and the speed of the density enhancements within the loops - presumably exiting the reconnection site.Comment: 31 pages, 13 figures, 1 table, Accepted to ApJ (expected publication ~July 2012

How an Oat Plant Develops

This publication describes the general growth, nutrient uptake, and accumulation patterns from planting to harvest. The stages of growth are related to developmental processes that occur through time

Event-specific chorus wave and electron seed population models in DREAM3D using the Van Allen Probes

Abstract The DREAM3D diffusion model is applied to Van Allen Probes observations of the fast dropout and strong enhancement of MeV electrons during the October 2012 double-dip storm. We show that in order to explain the very different behavior in the two dips, diffusion in all three dimensions (energy, pitch angle, and Lo) coupled with data-driven, event-specific inputs, and boundary conditions is required. Specifically, we find that outward radial diffusion to the solar wind-driven magnetopause, an event-specific chorus wave model, and a dynamic lower-energy seed population are critical for modeling the dynamics. In contrast, models that include only a subset of processes, use statistical wave amplitudes, or rely on inward radial diffusion of a seed population, perform poorly. The results illustrate the utility of the high resolution, comprehensive set of Van Allen Probes\u27 measurements in studying the balance between source and loss in the radiation belt, a principal goal of the mission. Key Points DREAM3D uses event-specific driving conditions measured by Van Allen Probes Electron dropout is due to outward radial diffusion to compressed magnetopause Event-specific chorus and seed electrons are necessary for the enhancement

How to identify when a performance indicator has run its course

The official published version can be found at the link below.Increasing numbers of countries are using indicators to evaluate the quality of clinical care, with some linking payment to achievement. For performance frameworks to remain effective the indicators need to be regularly reviewed. The frameworks cannot cover all clinical areas, and achievement on chosen indicators will eventually reach a ceiling beyond which further improvement is not feasible. However, there has been little work on how to select indictors for replacement. The Department of Health decided in 2008 that it would regularly replace indicators in the national primary care pay for performance scheme, the Quality and Outcomes Framework, making a rigorous approach to removal a priority. We draw on our previous work on pay for performance and our current work advising the National Institute for Health and Clinical Excellence (NICE) on the Quality and Outcomes Framework to suggest what should be considered when planning to remove indicators from a clinical performance framework

Quantifying the radiation belt seed population in the 17 March 2013 electron acceleration event

Abstract We present phase space density (PSD) observations using data from the Magnetic Electron Ion Spectrometer instrument on the Van Allen Probes for the 17 March 2013 electron acceleration event. We confirm previous results and quantify how PSD gradients depend on the first adiabatic invariant. We find a systematic difference between the lower-energy electrons (1-MeV with a source region within the radiation belts. Our observations show that the source process begins with enhancements to the 10s-100s-keV energy seed population, followed by enhancements to the \u3e1-MeV population and eventually leading to enhancements in the multi-MeV electron population these observations provide the clearest evidence to date of the timing and nature of the radial transport of a 100s keV electron seed population into the heart of the outer belt and subsequent local acceleration of those electrons to higher radiation belt energies. Key Points Quantification of phase space density gradients inside geostationary orbit Clear differences between the source of low energy and relativistic electrons Clear observations of how the acceleration process evolves in energy