2,257 research outputs found

    Experiences of diagnosis, stigma, culpability, and disclosure in male patients with hepatitis C virus: an interpretative phenomenological analysis

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    The current study aimed to explore the lived experience of patients with hepatitis C virus infection. Semi-structured interviews were conducted with seven male participants living with hepatitis C virus and were analysed using interpretative phenomenological analysis. Two master themes were identified: (1) diagnosis and the search for meaning and (2) impact of stigma on disclosure. Participants reported fears of contaminating others, feelings of stigma and concerns of disclosing the condition to others. Response to diagnosis, stigma and disclosure among the participants appeared to be interrelated and directly related to locus of blame for virus contraction. More specifically, hepatitis C virus transmission via medical routes led to an externalisation of culpability and an openness to disclosure. Transmission of hepatitis C virus as a direct result of intravenous drug use led to internalised blame and a fear of disclosure. The inter- and intra-personal consequences of hepatitis C virus explored in the current study have potential implications for tailoring future psychological therapy and psychoeducation to the specific needs of the hepatitis C virus population

    The impact of genetic counselling on risk perception in women with a family history of breast cancer.

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    Women with a family history of breast cancer generally self-refer because they have a feeling that their risk is high. However, they have, in general, only a hazy notion of the population risk of breast cancer and their own risk in relation to this. It is probable that they are helped by genetic counselling and, if at substantial risk, by annual mammography. However, the psychological impact of assigning true risk and the value of mammography need to be evaluated. We have assessed risk perception by questionnaire in 517 new referrals to a family history clinic and 200 women returning to the clinic at least 1 year after counselling. Correct assignment of population lifetime risk of breast cancer was 16% in the uninformed precounsel group and 33% in the post-counsel group, likewise personal risk was correct in 11% and 41% respectively. Post-counsel women were significantly more likely to retain information if they were sent a post-clinic letter or if they assessed their personal risk as too high initially

    A novel sputtering technique: Inductively Coupled Impulse Sputtering (ICIS)

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    Sputtering magnetic materials with magnetron based systems has the disadvantage of field quenching and variation of alloy composition with target erosion. The advantage of eliminating magnetic fields in the chamber is that this enables sputtered particles to move along the electric field more uniformly. Inductively coupled impulse sputtering (ICIS) is a form of high power impulse magnetron sputtering (HIPIMS) without a magnetic field where a high density plasma is produced by a high power radio frequency (RF) coil in order to sputter the target and ionise the metal vapour. In this emerging technology, the effects of power and pressure on the ionisation and deposition process are not known. The setup comprises of a 13.56 MHz pulsed RF coil pulsed with a duty cycle of 25 %. A pulsed DC voltage of 1900 V was applied to the cathode to attract Argon ions and initiate sputtering. Optical emission spectra (OES) for Cu and Ti neutrals and ions at constant pressure show a linear intensity increase for peak RF powers of 500 W – 3400 W and a steep drop of intensity for a power of 4500 W. Argon neutrals show a linear increase for powers of 500 W – 2300 W and a saturation of intensity between 2300 W – 4500 W. The influence of pressure on the process was studied at a constant peak RF power of 2300 W. With increasing pressure the ionisation degree increased. The microstructure of the coatings shows globular growth at 2.95×10−2 mbar and large-grain columnar growth at 1.2×10−1 mbar. Bottom coverage of unbiased vias with a width of 0.360 μm and aspect ratio of 2.5:1 increased from 15 % to 20 % for this pressure range. The current work has shown that the concept of combining a RF powered coil with a magnet-free high voltage pulsed DC powered cathode is feasible and produces very stable plasma. The experiments have shown a significant influence of power and pressure on the plasma and coating microstructure

    Characteristic depths, fluxes and timescales for Greenland's tidewater glacier fjords from subglacial discharge‐driven upwelling during summer

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    © The Author(s), 2022. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Slater, D., Carroll, D., Oliver, H., Hopwood, M., Straneo, F., Wood, M., Willis, J., & Morlighem, M. Characteristic depths, fluxes and timescales for Greenland’s tidewater glacier fjords from subglacial discharge‐driven upwelling during summer. Geophysical Research Letters, 49(10),(2022): e2021GL097081, https://doi.org/10.1029/2021gl097081.Greenland's glacial fjords are a key bottleneck in the earth system, regulating exchange of heat, freshwater and nutrients between the ice sheet and ocean and hosting societally important fisheries. We combine recent bathymetric, atmospheric, and oceanographic data with a buoyant plume model to show that summer subglacial discharge from 136 tidewater glaciers, amounting to 0.02 Sv of freshwater, drives 0.6–1.6 Sv of upwelling. Bathymetric analysis suggests that this is sufficient to renew most major fjords within a single summer, and that these fjords provide a path to the continental shelf that is deeper than 200 m for two-thirds of the glaciers. Our study provides a first pan-Greenland inventory of tidewater glacier fjords and quantifies regional and ice sheet-wide upwelling fluxes. This analysis provides important context for site-specific studies and is a step toward implementing fjord-scale heat, freshwater and nutrient fluxes in large-scale ice sheet and climate models.DAS acknowledges support from NERC Independent Research Fellowship NE/T011920/1. DAS and FS acknowledge support from NSF award 2020547. HO acknowledges support from a WHOI Postdoctoral Scholar award. MW and JKW performed this work at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration
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