Callers’ attitudes and experiences of UK breastfeeding helpline support

Background: Breastfeeding peer support, is considered to be a key intervention for increasing breastfeeding duration rates. Whilst a number of national organisations provide telephone based breastfeeding peer support, to date there have been no published evaluations into callers’ experiences and attitudes of this support. In this study we report on the descriptive and qualitative insights provided by 908 callers as part of an evaluation of UK-based breastfeeding helpline(s). Methods: A structured telephone interview, incorporating Likert scale responses and open-ended questions was undertaken with 908 callers over May to August, 2011 to explore callers’ experiences of the help and support received via the breastfeeding helpline(s). Results: Overall satisfaction with the helpline was high, with the vast majority of callers’ recalling positive experiences of the help and support received. Thematic analysis was undertaken on all qualitative and descriptive data recorded during the evaluation, contextualised within the main areas addressed within the interview schedule in terms of ‘contact with the helplines’; ‘experiences of the helpline service’, ‘perceived effectiveness of support provision’ and ‘impact on caller wellbeing’. Conclusion: Callers valued the opportunity for accessible, targeted, non-judgmental and convenient support. Whilst the telephone support did not necessarily influence women’s breastfeeding decisions, the support they received left them feeling reassured, confident and more determined to continue breastfeeding. We recommend extending the helpline service to ensure support can be accessed when needed, and ongoing training and support for volunteers. Further advertising and promotion of the service within wider demographic groups is warranted

Enter evaluation of mitral inflow velocity profile: optimal through plane location for mitral inflow assessment with cardiac magnetic resonance

Diastology is usually assessed using transthoracic echocardiography (TTE). Velocity‐encoded phase‐contrast imaging permits evaluation with cardiac magnetic resonance (CMR). Heterogeneous contour locations have been used to measure mitral (MV) inflow velocities and the optimal contour location is uncertain. We evaluated CMR MV inflow velocities against TTE to identify the optimal location

Diagnostic Accuracy of Adenosine Stress Cardiovascular Magnetic Resonance Following Acute ST-segment Elevation Myocardial Infarction Post Primary Angioplasty

Extent: 8p.Background: Adenosine stress cardiovascular magnetic resonance (CMR) has been proven an effective tool in detection of reversible ischemia. Limited evidence is available regarding its accuracy in the setting of acute coronary syndromes, particularly in evaluating the significance of non-culprit vessel ischaemia. Adenosine stress CMR and recent advances in semi-quantitative image analysis may prove effective in this area. We sought to determine the diagnostic accuracy of semi-quantitative versus visual assessment of adenosine stress CMR in detecting ischemia in non-culprit territory vessels early after primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI). Methods: Patients were prospectively enrolled in a CMR imaging protocol with rest and adenosine stress perfusion, viability and cardiac functional assessment 3 days after successful primary-PCI for STEMI. Three short axis slices each divided into 6 segments on first pass adenosine perfusion were visually and semi-quantitatively analysed. Diagnostic accuracy of both methods was compared with non-culprit territory vessels utilising quantitative coronary angiography (QCA) with significant stenosis defined as ≥70%. Results: Fifty patients (age 59 ± 12 years) admitted with STEMI were evaluated. All subjects tolerated the adenosine stress CMR imaging protocol with no significant complications. The cohort consisted of 41% anterior and 59% non anterior infarctions. There were a total of 100 non-culprit territory vessels, identified on QCA. The diagnostic accuracy of semi-quantitative analysis was 96% with sensitivity of 99%, specificity of 67%, positive predictive value (PPV) of 97% and negative predictive value (NPV) of 86%. Visual analysis had a diagnostic accuracy of 93% with sensitivity of 96%, specificity of 50%, PPV of 97% and NPV of 43%. Conclusion: Adenosine stress CMR allows accurate detection of non-culprit territory stenosis in patients successfully treated with primary-PCI post STEMI. Semi-quantitative analysis may be required for improved accuracy. Larger studies are however required to demonstrate that early detection of non-culprit vessel ischemia in the post STEMI setting provides a meaningful test to guide clinical decision making and ultimately improved patient outcomes.Dennis TL Wong, Michael CH Leung, Rajiv Das, Gary YH Liew, Kerry Williams, Benjamin K Dundon, Payman Molaee, Karen SL Teo, Ian T Meredith, Matthew I Worthley and Stephen G Worthle

Spin-flipping a stored polarized proton beam with an rf dipole

Frequent polarization reversals, or spin-flips, of a stored polarized high-energy beam may greatly reduce systematic errors of spin asymmetry measurements in a scattering asymmetry experiment. We studied the spin-flipping of a 120 MeV horizontally-polarized proton beam stored in the IUCF Cooler Ring by ramping an rf-dipole magnet’s frequency through an rf-induced depolarizing resonance in the presence of a nearly-full Siberian snake. After optimizing the frequency ramp parameters, we used multiple spin-flips to measure a spin-flip efficiency of 86.5±0.5%.86.5±0.5%. The spin-flip efficiency was apparently limited by the rf-dipole’s field strength. This result indicates that an efficient spin-flipping a stored polarized beam should be possible in high energy rings such as RHIC and HERA where Siberian snakes are certainly needed and only dipole rf-flipper-magnets are practical. © 2000 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87561/2/662_1.pd

Spin-flipping with an rf-dipole and a full Siberian snake

We recently used a vertical-field rf-dipole magnet to study the spin-flipping of a 120 MeV horizontally polarized proton beam stored in the presence of a nearly-full Siberian snake in the IUCF Cooler Ring. The spin was flipped by ramping the rf-dipole’s frequency through an rf-induced depolarizing resonance. After optimizing the frequency ramp parameters, we used multiple spin-flips to measure a maximum spin-flip efficiency of 86.5±0.5%86.5±0.5% in April 2000, and 92.5±0.5%92.5±0.5% in June 2000. The spin-flip efficiency was apparently limited by the maximum achievable current in the rf-dipole. This result indicates that spin-flipping a stored polarized proton beam should be possible in high energy rings such as RHIC (and perhaps HERA in the future), where Siberian snakes are utilized and the dipole rf-flipper-magnets should be quite practical. During the June 2000 run, a new faster technique of locating the rf depolarizing resonance frequency was developed. © 2001 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87739/2/736_1.pd

Phase Space Description of the Leading Order Quark and Gluon Production from a Space-Time Dependent Chromofield

We derive source terms for the production of quarks and gluons from the QCD vacuum in the presence of a space-time dependent external chromofield A_{cl} to the order of S^{(1)}. We found that the source terms for the parton production processes A_{cl} -> q\bar{q} and A_{cl},A_{cl}A_{cl} -> gg also include the annihilation processes q\bar{q} -> A_{cl} and gg -> A_{cl},A_{cl}A_{cl}. The source terms we derive are applicable for the description of the production of partons with momentum p larger rhan gA which itself must be larger than \Lambda_{QCD}. We observe that these source terms for the production of partons from a space-time dependent chromofield can be used to study the production and equilibration of the quark-gluon plasma during the very early stages of an ultrarelativistic heavy-ion collision.Comment: 30 pages latex (single spaced), 7 eps figures, Revised Version, To appear in Physical Review

99.9% Spin‐Flip Efficiency in the Presence of a Strong Siberian Snake

We recently studied the spin‐flipping efficiency of an rf‐dipole magnet using a 120‐MeV horizontally polarized proton beam stored in the Indiana University Cyclotron Facility Cooler Ring, which contained a full Siberian snake. We flipped the spin by ramping the rf dipole’s frequency through an rf‐induced depolarizing resonance. By adiabatically turning on the rf dipole, we minimized the beam loss, while preserving almost all of the beam’s polarization. After optimizing the frequency ramp parameters, we used up to 400 multiple spin flips to measure a spin‐flip efficiency of 99.93 ± 0.02%. This result indicates that spin flipping should be possible in very‐high‐energy polarized storage rings, where Siberian snakes are certainly needed and only dipole rf‐flipper magnets are practical. © 2003 American Institute of PhysicsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87684/2/776_1.pd