15 research outputs found
Chemical telemetry of OH observed to measure interstellar magnetic fields
We present models for the chemistry in gas moving towards the ionization
front of an HII region. When it is far from the ionization front, the gas is
highly depleted of elements more massive than helium. However, as it approaches
the ionization front, ices are destroyed and species formed on the grain
surfaces are injected into the gas phase. Photodissociation removes gas phase
molecular species as the gas flows towards the ionization front. We identify
models for which the OH column densities are comparable to those measured in
observations undertaken to study the magnetic fields in star forming regions
and give results for the column densities of other species that should be
abundant if the observed OH arises through a combination of the liberation of
H2O from surfaces and photodissociation. They include CH3OH, H2CO, and H2S.
Observations of these other species may help establish the nature of the OH
spatial distribution in the clouds, which is important for the interpretation
of the magnetic field results.Comment: 11 pages, 2 figures, accepted by Astrophysics and Space Scienc
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Timely care for frail older people referred to hospital improves efficiency and reduces mortality without the need for extra resources
NoHospitals are under pressure to reduce waiting times and costs. One strategy that may be effective focuses on optimising the flow of emergency patients. We undertook a patient flow analysis of older emergency patients to identify and address delays in ensuring timely care, without additional resources. Prospective systems redesign study over 2 years. The Geriatric Medicine Directorate in an acute hospital (Sheffield Teaching Hospitals NHS Foundation Trust) with 1920 beds. Older patients admitted as emergencies. Diagnostic patient flow analysis followed by a series of Plan Do Study Act cycles to test and implement changes by a multidisciplinary team using time series run charts. 60% of patients aged 75+ years arrived in the Emergency Department during office hours, but two-thirds of the admissions to GM wards were outside office hours highlighting a major delay. Three changes were undertaken to address this, Discharge to Assess, Seven Day Working and the establishment of a Frailty Unit. Average bed occupancy fell by 20.4 beds (95% confidence interval (CI) -39.6 to -1.2, P = 0.037) for similar demand. The risk of hospital mortality also fell by 2.25% (before 11.4% (95% CI 10.4-12.4%), after 9.15% (95% CI 7.6-10.7%) which equates to a number needed to treat of 45 and a 19.7% reduction in relative risk of mortality. The risk of re-admission remained unchanged. Redesigning the system of care for older emergency patients led to reductions in bed occupancy and mortality without affecting re-admission rates or requiring additional resources