Perioperative nurse practitioners (NP) - The first two perioperative NPs are authorised in NSW

This paper explores the development and subsequent authorisation of the first two perioperative nurse practitioners in NSW. It locates their experiences within the wider debate concerning the evolution of advanced nursing practice and roles, both in Australia and globally. However, the focus is on the role of nurse practitioners (NPs). The need for a collaborative, systematic and evidence-based process to develop perioperative NPs (like others), the lack of clarity about the terminology associated with advanced perioperative nursing practice, and the role confusion evident in the literature, was mirrored in the experiences of the two Sydney-based perioperative NPs. Their still-evolving role, associated activities and future directions are described here in detail. The external factors which contributed to NP role development are also addressed. What is known about the topic Advanced nursing roles, including those in perioperative settings, have been evident for many decades outside Australia. The development of NPs, particularly in Australia and New Zealand, is much more recent. What this article contributes It describes the development, role and activities of the first authorised perioperative NPs in NSW. It locates NP role development within a model of emergency surgery clinical redesign

The response of macroinvertebrates to artificially enhanced detritus levels in plantation streams

International audienceThe leaves and wood from vegetation surrounding headwater streams constitute a major food source for aquatic invertebrates, providing they are retained upon the streambed and not transported downstream. This study investigated the response of aquatic invertebrates to artificially increased detritus retention, in an effort to reproduce the naturally occurring build up of dead organic matter associated with streams in old-growth forest. The background detrital standing stock in streams in Kielder Forest (Northumberland, UK) was low, approximately 32 gm-2. Two streams flowing through dense conifer plantation and one in open broadleaved woodland were manipulated by the addition of logs over a 10 m stream reach. After several months, log addition significantly enhanced detrital standing stocks in both conifer and broadleaved streams. Total invertebrate abundance, taxon richness and the numbers of certain numerically dominant families were significantly higher in experimental than reference reaches in both conifer and broadleaved streams. This response was most marked for detritivores, whilst non-detritivore groups often showed no response to the manipulation. Whilst in the short term the responses to enhanced retention may reflect a redistribution of the local fauna, it is argued that over a longer time-scale, a genuine increase in invertebrate density and diversity could occur. Allowing old-growth forest to develop in planted valley bottoms may be a viable management option for conservation. If established alongside streams, it would ensure continuous input of woody material and the fauna may benefit from the resulting increase in detritus retention. Keywords: forestry, detritivores, old-growth conifers, river management, woody debri

Many-body approach to infinite non-periodic systems: application to the surface of semi-infinite jellium

A method to implement the many-body Green function formalism in the GW approximation for infinite non periodic systems is presented. It is suitable to treat systems of known ``asymptotic'' properties which enter as boundary conditions, while the effects of the lower symmetry are restricted to regions of finite volume. For example, it can be applied to surfaces or localized impurities. We illustrate the method with a study of the surface of semi-infinite jellium. We report the dielectric function, the effective potential and the electronic self-energy discussing the effects produced by the screening and by the charge density profile near the surface.Comment: 11 pages, 4 figure

Thermal expansion and crystal structure of cementite, Fe3C, between 4 and 600K determined by time-of-flight neutron powder diffraction

The cementite phase of Fe3C has been studied by high-resolution neutron powder diffraction at 4.2 K and at 20 K intervals between 20 and 600 K. The crystal structure remains orthorhombic (Pnma) throughout, with the fractional coordinates of all atoms varying only slightly (the magnetic structure of the ferromagnetic phase could not be determined). The ferromagnetic phase transition, with Tc 480 K, greatly affects the thermal expansion coefficient of the material. The average volumetric coefficient of thermal expansion above Tc was found to be 4.1 (1) × 10-5 K-1; below Tc it is considerably lower (< 1.8 × 10-5 K-1) and varies greatly with temperature. The behaviour of the volume over the full temperature range of the experiment may be modelled by a third-order Grüneisen approximation to the zero-pressure equation of state, combined with a magnetostrictive correction based on mean-field theory

The phosphatase activity of mammalian polynucleotide kinase takes precedence over its kinase activity in repair of single strand breaks

The dual function mammalian DNA repair enzyme, polynucleotide kinase (PNK), facilitates strand break repair through catalysis of 5′-hydroxyl phosphorylation and 3′-phosphate dephosphorylation. We have examined the relative activities of the kinase and phosphatase functions of PNK using a novel assay, which allows the simultaneous characterization of both activities in processing nicks and gaps containing both 3′-phosphate and 5′-hydroxyl. Under multiple turnover conditions the phosphatase activity of the purified enzyme is significantly more active than its kinase activity. Consistent with this result, phosphorylation of the 5′-hydroxyl is rate limiting in cell extract mediated-repair of a nicked substrate. On characterizing the effects of individually mutating the two active sites of PNK we find that while site-directed mutagenesis of the kinase domain of PNK does not affect its phosphatase activity, disruption of the phosphatase domain also abrogates kinase function. This loss of kinase function requires the presence of a 3′-phosphate, but it need not be present in the same strand break as the 5′-hydroxyl. PNK preferentially binds 3′-phosphorylated substrates and DNA binding to the phosphatase domain blocks further DNA binding by the kinase domain

Correlation potentials for molecular bond dissociation within the self-consistent random phase approximation

Self-consistent correlation potentials for H$_2$ and LiH for various inter-atomic separations are obtained within the random phase approximation (RPA) of density functional theory. The RPA correlation potential shows a peak at the bond midpoint, which is an exact feature of the true correlation potential, but lacks another exact feature: the step important to preserve integer charge on the atomic fragments in the dissociation limit. An analysis of the RPA energy functional in terms of fractional charge is given which confirms these observations. We find that the RPA misses the derivative discontinuity at odd integer particle numbers but explicitly eliminates the fractional spin error in the exact-exchange functional. The latter finding explains the accurate total energy in the dissociation limit.Comment: 9 pages, 10 figure

Pupil mobility, attainment and progress in secondary school

This paper is the second of two articles arising from a study of the association between pupil mobility and attainment in national tests and examinations in an inner London borough. The first article (Strand & Demie, 2006) examined the association of pupil mobility with attainment and progress during primary school. It concluded that pupil mobility had little impact on performance in national tests at age 11, once pupils’ prior attainment at age 7 and other pupil background factors such as age, sex, special educational needs, stage of fluency in English and socio-economic disadvantage were taken into account. The present article reports the results for secondary schools (age 11-16). The results indicate that pupil mobility continues to have a significant negative association with performance in public examinations at age 16, even after including statistical controls for prior attainment at age 11 and other pupil background factors. Possible reasons for the contrasting results across school phases are explored. The implications for policy and further research are discussed

Severity of disease and risk of malignant change in hereditary multiple exostoses. A genotype-phenotype study

We performed a prospective genotype-phenotype study using molecular screening and clinical assessment to compare the severity of disease and the risk of sarcoma in 172 individuals (78 families) with hereditary multiple exostoses. We calculated the severity of disease including stature, number of exostoses, number of surgical procedures that were necessary, deformity and functional parameters and used molecular techniques to identify the genetic mutations in affected individuals. Each arm of the genotype-phenotype study was blind to the outcome of the other. Mutations EXT1 and EXT2 were almost equally common, and were identified in 83% of individuals. Non-parametric statistical tests were used. There was a wide variation in the severity of disease. Children under ten years of age had fewer exostoses, consistent with the known age-related penetrance of this condition. The severity of the disease did not differ significantly with gender and was very variable within any given family. The sites of mutation affected the severity of disease with patients with EXT1 mutations having a significantly worse condition than those with EXT2 mutations in three of five parameters of severity (stature, deformity and functional parameters). A single sarcoma developed in an EXT2 mutation carrier, compared with seven in EXT1 mutation carriers. There was no evidence that sarcomas arose more commonly in families in whom the disease was more severe. The sarcoma risk in EXT1 carriers is similar to the risk of breast cancer in an older population subjected to breast-screening, suggesting that a role for regular screening in patients with hereditary multiple exostoses is justifiable. ©2004 British Editorial Society of Bone and Joint Surgery

Exchange and Correlation Kernels at the Resonance Frequency -- Implications for Excitation Energies in Density-Functional Theory

Specific matrix elements of exchange and correlation kernels in time-dependent density-functional theory are computed. The knowledge of these matrix elements not only constraints approximate time-dependent functionals, but also allows to link different practical approaches to excited states, either based on density-functional theory, or on many-body perturbation theory, despite the approximations that have been performed to derive them.Comment: Submitted to Phys. Rev. Lett. (February 4, 1999). Other related publications can be found at http://www.fhi-berlin.mpg.de/th/paper.htm

Power-law carrier dynamics in semiconductor nanocrystals at nanosecond time scales

We report the observation of power law dynamics on nanosecond to microsecond time scales in the fluorescence decay from semiconductor nanocrystals, and draw a comparison between this behavior and power-law fluorescence blinking from single nanocrystals. The link is supported by comparison of blinking and lifetime data measured simultaneously from the same nanocrystal. Our results reveal that the power law coefficient changes little over the nine decades in time from 10 ns to 10 s, in contrast with the predictions of some diffusion based models of power law behavior.Comment: 3 pages, 2 figures, compressed for submission to Applied Physics Letter