Weight changes following lower limb arthroplasty : a prospective observational study

The aim of this study was to assess patterns of weight loss/gain following total hip or knee joint replacement. Four hundred and fifty primary lower limb arthroplasty patients, where the current surgery was the last limiting factor to improved mobility, were selected. Over a one year period 212 gained weight (mean 5.03kg), 92 remained static, and 146 lost weight. The median change was a weight gain of 0.50Kg (p=0.002). All patients had a significant improvement in Oxford outcome scores. Hip arthroplasty patients were statistically more likely to gain weight than knee arthroplasty patients. A successful arthroplasty, restoring a patient's mobility, does not necessarily lead to subsequent weight loss. The majority of patients put on weight with an overall net weight gain. No adverse effect on functional outcome was noted

Does nurses’ health affect their intention to remain in their current position?

© 2016 The Authors. Journal of Nursing Management Published by John Wiley & Sons Ltd Aim: To investigate and describe nurses’ and midwives’ physical health, rates of symptoms and disease, and to determine if these factors contribute to intention to leave. Background: The nursing and midwifery workforce is ageing yet little is known about their physical health or its relationship to intention to leave. Methods: An online survey of health and work-related assessments was distributed through the New South Wales Nurses and Midwives Association and professional contacts. Results: Nurses and midwives (n = 5041) reported good-very good health overall. With 22.2% intending to leave in the next 12 months, older age, better perceived health and job satisfaction, regional residence and not working shifts predicted no intention to leave while breathing problems predicted intention to leave. Conclusions: Study findings flag the importance of health as an influence on intention to leave. Alongside job satisfaction and shift-working, health presents opportunities for workplace initiatives to maintain nurses in the workforce. Implications for nursing management: Educators, managers and policy makers should heed the significant influence of health for retention of staff and consider what strategies may mitigate health risks for this workforce

Spectroscopic imaging of single atoms within a bulk solid

The ability to localize, identify and measure the electronic environment of individual atoms will provide fundamental insights into many issues in materials science, physics and nanotechnology. We demonstrate, using an aberration-corrected scanning transmission microscope, the spectroscopic imaging of single La atoms inside CaTiO3. Dynamical simulations confirm that the spectroscopic information is spatially confined around the scattering atom. Furthermore we show how the depth of the atom within the crystal may be estimated.Comment: 4 pages and 3 figures. Accepted in Phys.Rev.Let

Exposure of individual harbour seals (Phoca vitulina) and waters surrounding protected habitats to acoustic deterrent noise from aquaculture

This work was funded by the European Social Fund and Scottish Funding Council as part of Developing Scotland's Workforce in the Scotland 2014–2020 European Structural and Investment Fund Programme. NDM and AF were funded by the Centre for Environment, Fisheries and Aquaculture Science (Cefas). Funding for the seal tagging was provided by the Scottish Government to the Sea Mammal Research Unit (SMRU) as part of the Marine Mammal Scientific Support Program MMSS/002/15, with additional resources from the Natural Environment Research Council (grant numbers NE/J004251/1 and SMRU1001).1. Pinniped depredation at aquaculture sites is a globally recognized problem. To mitigate depredation, the aquaculture sector uses acoustic deterrent devices (ADDs) as a non-lethal alternative to shooting pinnipeds interacting with caged finfish. However, it is unclear whether sound emissions from ADDs have the potential to also impact non-target pinnipeds at spatial scales relevant to populations. 2. Global Positioning System (GPS) tracking data from seven harbour seals tagged in a non-aquaculture context, on the west coast of Scotland, in 2017 were combined with modelled maps of ADD noise to quantify sound exposure and estimate the potential for auditory impairment. The acoustic model applied an energy flux approach across the main frequency range of ADDs (2–40 kHz). Predictions of temporary and permanent auditory threshold shifts were made using seal location data and published noise exposure criteria. The acoustic exposure of waters (10-km buffers) surrounding protected habitats (i.e. designated haul outs and Special Areas of Conservation (SACs)) on the west coast of Scotland was also assessed. 3. All tagged seals and waters surrounding 51 of 56 protected sites were predicted to be exposed to ADD noise exceeding median ambient sound levels. Temporary auditory impairment was predicted to occur in one of the seven tagged harbour seals and across 1.7% of waters surrounding protected habitats over a 24-hour period, when assuming a 100% ADD duty cycle. 4. Although the predicted risk of auditory impairment appears to be relatively low, these findings suggest that harbour seals inhabiting inshore waters off western Scotland are routinely exposed to ADD noise that exceeds median ambient sound levels. This chronic exposure risks negative consequences for individual harbour seals among the wider population in this region. The use of ADDs to mitigate pinniped depredation should be carefully considered to reduce unintended habitat-wide impacts on non-target species, including pinnipeds that are not specifically interacting with aquaculture.Publisher PDFPeer reviewe

Three-Dimensional FDTD Simulation of Biomaterial Exposure to Electromagnetic Nanopulses

Ultra-wideband (UWB) electromagnetic pulses of nanosecond duration, or nanopulses, have been recently approved by the Federal Communications Commission for a number of various applications. They are also being explored for applications in biotechnology and medicine. The simulation of the propagation of a nanopulse through biological matter, previously performed using a two-dimensional finite difference-time domain method (FDTD), has been extended here into a full three-dimensional computation. To account for the UWB frequency range, a geometrical resolution of the exposed sample was $0.25 mm$, and the dielectric properties of biological matter were accurately described in terms of the Debye model. The results obtained from three-dimensional computation support the previously obtained results: the electromagnetic field inside a biological tissue depends on the incident pulse rise time and width, with increased importance of the rise time as the conductivity increases; no thermal effects are possible for the low pulse repetition rates, supported by recent experiments. New results show that the dielectric sample exposed to nanopulses behaves as a dielectric resonator. For a sample in a cuvette, we obtained the dominant resonant frequency and the $Q$-factor of the resonator.Comment: 15 pages, 8 figure

BODIPY-based conjugated polymers for broadband light sensing and harvesting applications

The synthesis of novel low band-gap polymers has significantly improved light sensing and harvesting in polymer-fullerene devices. Here the synthesis of two low band-gap polymers based on the 4,4-difluoro-4-bora-3a,4a-diaza-s-indacene core (BODIPY), and either bis(3,4-ethylenedioxythiophene) (bis-EDOT) or its all-sulfur analogue bis(3,4-ethylenedithiathiophene) (bis-EDTT) are described. The polymers demonstrate ambipolar charge transport and are shown to be suitable for broadband light sensing and solar energy harvesting in solution-processable polymer-fullerene devices

High Intensity Beams from the CERN PS Booster

The CERN Proton Synchrotron Booster (PSB) has been running for more than 30 years. Originally designed to accelerate particles from 50 to 800 MeV, later upgradedto an energy of 1 GeV and finally 1.4 GeV, it is steadily being pushed to its operational limits. One challenge is the permanent demand for intensity increase, in particular for CNGS and ISOLDE, but also in view of Linac4. As it is an accelerator working with very high space charge during the low energy part of its cycle, its operational conditions have to be precisely tuned. Amongst other things resonances must be avoided, stop band crossings optimised and the machine impedance minimised. Recently, an operational intensity record was achieved with >4.25×1013 protons accelerated. An orbit correction campaign performed during the 2007/2008 shutdown was a major contributing factor to achieving this intensity. As the PSB presently has very few orbit correctors available,the orbit correction has to be achieved by displacing and/or tilting some of the defocusing quadrupoles common to all 4 PSB rings. The contributing factors used to optimise performance will be reviewed

Posttranslational processing of concanavalin A precursors in jackbean cotyledons

Metabolic labeling of immature jackbean cotyledons with 14C-amino acids was used to determine the processing steps involved in the assembly of concanavalin A. Pulse-chase experiments and analyses of immunoprecipitated lectin forms indicated a complex series of events involving seven distinct species. The structural relatedness of all of the intermediate species was confirmed by two-dimensional mapping of 125I-tryptic peptides. An initial glycosylated precursor was deglycosylated and cleaved into smaller polypeptides, which subsequently reannealed over a period of 10-27 h. NH2-terminal sequencing of the abundant precursors confirmed that the intact subunit of concanavalin A was formed by the reannealing of two fragments, since the alignment of residues 1-118 and 119-237 was reversed in the final form of the lectin identified in the chase and the precursor first labeled. When the tissue was pulse-chased in the presence of monensin, processing of the glycosylated precursor was inhibited. The weak bases NH4Cl and chloroquine were without effect. Immunocytochemical studies showed that monensin treatment caused the accumulation of immunoreactive material at the cell surface and indicated that the ionophore had induced the secretion of a component normally destined for deposition within the protein bodies. Consideration of the tertiary structure of the glycosylated precursor and mature lectin showed that the entire series of processing events could occur without significant refolding of the initial translational product. Proteolytic events included removal of a peptide from the surface of the precursor molecule that connected the NH2- and COOH-termini of the mature protein. This processing activated the carbohydrate-binding activity of the lectin. The chase data suggest the occurrence of a simultaneous cleavage and formation of a peptide bond, raising the possibility that annealment of the fragments to give rise to the mature subunit involves a transpeptidation event rather than cleavage and subsequent religation

Shine 2014 Final Report: Social Prescribing: integrating GP and Community Assets for Health

Commissioned by City and Hackney Clinical Commissioning Group, in partnership with the University of East London and Queen Mary University of London