2,248 research outputs found
Corotating light cylinders and Alfv\'en waves
Exact relativistic force free fields with cylindrical symmetry are explored.
Such fields are generated in the interstellar gas via their connection to
pulsar magnetospheres both inside and outside their light cylinders. The
possibility of much enhanced interstellar fields wound on cylinders of Solar
system dimensions is discussed but these are most likely unstable.Comment: 6 pages, 6 figures, accepted by MNRA
Fundamental nursing care: a systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene
This is the final version of the article. Available from Wiley via the DOI in this record.AIMS AND OBJECTIVES: To determine the effects of nursing interventions for people's nutrition, elimination, mobility and hygiene needs. BACKGROUND: Patient experience of health care is sensitive to nursing quality. A refocus on fundamental nursing care is undermined by lack of evidence of effectiveness for interventions in core areas such as elimination, nutrition, mobility and hygiene. DESIGN: SYSTEMATIC REVIEW: METHODS: We searched for and included experimental studies on interventions by professionally qualified and unregistered nurses that addressed participants' nutrition, elimination, mobility and hygiene needs. We extracted data on scope, quality and results of studies followed by descriptive narrative synthesis of included study outcomes using a novel form of harvest plots. RESULTS: We included 149 studies, 35 nutrition, 56 elimination, 16 mobility, 39 hygiene, and three addressing two or more areas simultaneously (67 randomised controlled trials (RCTs), 32 non-RCTs and 50 uncontrolled trials). Studies into interventions on participant self-management of nutrition (n=25), oral health (n=26), catheter care (n=23), and self-management of elimination (n=21) were the most prevalent. Most studies focussed their outcomes on observational or physiological measures, with very few collecting patient reported outcomes, such as quality of life, experience or self-reported symptoms. All but 13 studies were of low quality and at significant risk of bias. The majority of studies did not define primary outcomes, included multiple measures of identical concepts, used inappropriate analyses, and did not conform to standard reporting quality criteria. CONCLUSIONS: The current evidence for fundamental nursing care interventions is sparse, of poor quality and unfit to provide evidence-based guidance to practising nurses. This article is protected by copyright. All rights reserved.This study was funded by a Programme Development Grant from the UK National Institute of Health Research (NIHR). RP-DG-1214-10001. David Richards and Victoria Goodwin receive funding support from the UK National Institute for Health Research South West Peninsula Collaboration for Leadership in Applied Health Research and Care
Patients’ and nurses’ experiences of fundamental nursing care: a systematic review and qualitative synthesis
This is the final version. Available on open access from Wiley via the DOI in this recordAims and objectives
To systematically identify, appraise and synthesise patients’, residents’, and nurses’ experiences of
fundamental nursing care for nutrition, elimination, mobility, and hygiene.
Background
The evidence base for effective nursing behaviours to assist people with their fundamental care
needs is sparse, hampering the development of effective interventions. Synthesising data on
patients’ and nurses’ experiences of fundamentals of nursing care could contribute to the
development of such an intervention.
Methods
Systematic review and synthesis of qualitative data from qualitative studies on patients’ and nurses’
experiences of fundamental nursing care behaviours addressing peoples’ nutrition, elimination,
mobility, and hygiene needs. We appraised study quality and relevance and used a narrative
approach to data synthesis, fulfilling PRISMA criteria (Supplementary file 1).
Results
We identified 22,374 papers, 47 met our inclusion criteria. Most papers were of low quality. Sixteen
papers met our quality and relevance criteria and were included for synthesis. Papers were about
nutrition (2) elimination (2), mobility (5), hygiene (5) and multiple care areas (2). We found nurses
and patients report that fundamental nursing care practices involve strong leadership, collaborative
2
partnerships with patients and cohesive organisational practices aligned to nursing care objectives
and actions.
Conclusions.
To improve fundamental care and interventions suitable for testing may require attention to
leadership, patient-nurse relationships and organisational coherence plus the fundamentals of care
nursing interventions themselves.
Relevance to clinical practice.
More rigorous mixed methods research about fundamental nursing care is needed to inform nursing
practice and improve patient’s experience. Nursing interventions should include effective nurse
leadership and nurse patient collaboration and a focus on fundamental care by the host
organisation
Structural Parameters of Seven SMC Intermediate-Age and Old Star Clusters
We present structural parameters for the seven intermediate-age and old star
clusters NGC121, Lindsay 1, Kron 3, NGC339, NGC416, Lindsay 38, and NGC419 in
the Small Magellanic Cloud. We fit King profiles and Elson, Fall, and Freeman
profiles to both surface-brightness and star count data taken with the Advanced
Camera for Surveys aboard the Hubble Space Telescope. Clusters older than 1 Gyr
show a spread in cluster core radii that increases with age, while the youngest
clusters have relatively compact cores. No evidence for post core collapse
clusters was found. We find no correlation between core radius and distance
from the SMC center, although consistent with other studies of dwarf galaxies,
some relatively old and massive clusters have low densities. The oldest SMC
star cluster, the only globular NGC121, is the most elliptical object of the
studied clusters. No correlation is seen between ellipticity and distance from
the SMC center. The structures of these massive intermediate-age (1-8 Gyr) SMC
star clusters thus appear to primarily result from internal evolutionary
processes.Comment: 16 pages, 13 figure
Spatial differences between stars and brown dwarfs: a dynamical origin?
We use -body simulations to compare the evolution of spatial distributions
of stars and brown dwarfs in young star-forming regions. We use three different
diagnostics; the ratio of stars to brown dwarfs as a function of distance from
the region's centre, , the local surface density of
stars compared to brown dwarfs, , and we compare the global
spatial distributions using the method. From a suite of
twenty initially statistically identical simulations, 6/20 attain
, indicating that dynamical interactions could be responsible for
observed differences in the spatial distributions of stars and brown dwarfs in
star-forming regions. However, many simulations also display apparently
contradictory results - for example, in some cases the brown dwarfs have much
lower local densities than stars (), but their global
spatial distributions are indistinguishable () and the
relative proportion of stars and brown dwarfs remains constant across the
region (). Our results suggest that extreme caution
should be exercised when interpreting any observed difference in the spatial
distribution of stars and brown dwarfs, and that a much larger observational
sample of regions/clusters (with complete mass functions) is necessary to
investigate whether or not brown dwarfs form through similar mechanisms to
stars.Comment: 7 pages, 5 figures, accepted for publication in MNRA
Testing the universality of star formation - I. Multiplicity in nearby star-forming regions
We have collated multiplicity data for five clusters (Taurus, Chamaeleon I,
Ophiuchus, IC348, and the Orion Nebula Cluster). We have applied the same mass
ratio (flux ratios of delta K <= 2.5) and primary mass cuts (~0.1-3.0 Msun) to
each cluster and therefore have directly comparable binary statistics for all
five clusters in the separation range 62-620 au, and for Taurus, Chamaeleon I,
and Ophiuchus in the range 18-830 au. We find that the trend of decreasing
binary fraction with cluster density is solely due to the high binary fraction
of Taurus, the other clusters show no obvious trend over a factor of nearly 20
in density.
With N-body simulations we attempt to find a set of initial conditions that
are able to reproduce the density, morphology and binary fractions of all five
clusters. Only an initially clumpy (fractal) distribution with an initial total
binary fraction of 73 per cent (17 per cent in the range 62-620 au) is able to
reproduce all of the observations (albeit not very satisfactorily). Therefore,
if star formation is universal the initial conditions must be clumpy and with a
high (but not 100 per cent) binary fraction. This could suggest that most
stars, including M-dwarfs, form in binaries.Comment: Accepted for publication in MNRAS, 19 pages, 22 figure
Local structure study of the orbital order/disorder transition in LaMnO3
We use a combination of neutron and X-ray total scattering measurements
together with pair distribution function (PDF) analysis to characterise the
variation in local structure across the orbital order--disorder transition in
LaMnO. Our experimental data are inconsistent with a conventional
order--disorder description of the transition, and reflect instead the
existence of a discontinuous change in local structure between ordered and
disordered states. Within the orbital-ordered regime, the neutron and X-ray
PDFs are best described by a local structure model with the same local orbital
arrangements as those observed in the average (long-range) crystal structure.
We show that a variety of meaningfully-different local orbital arrangement
models can give fits of comparable quality to the experimental PDFs collected
within the disordered regime; nevertheless, our data show a subtle but
consistent preference for the anisotropic Potts model proposed in \emph{Phys
Rev.\ B} {\bf 79}, 174106 (2009). The key implications of this model are
electronic and magnetic isotropy together with the loss of local inversion
symmetry at the Mn site. We conclude with a critical assessment of the
interpretation of PDF measurements when characterising local symmetry breaking
in functional materials.Comment: 14 pages, 8 figures, 3 table
Structures in surface-brightness profiles of LMC and SMC star clusters: evidence of mergers?
The LMC and SMC are rich in binary star clusters, and some mergers are
expected. It is important to characterize single clusters, binary clusters and
candidates to mergers. We selected a sample of star clusters in each Cloud with
this aim. Surface photometry of 25 SMC and 22 LMC star clusters was carried
with the ESO Danish 1.54 m telescope. 23 clusters were observed for the first
time for these purposes. We fitted Elson, Fall and Freeman (1987, EFF) profiles
to the data, deriving structural parameters, luminosities and masses. We also
use isophotal maps to constrain candidates to cluster interactions.} {The
structural parameters, luminosities and masses presented good agreement with
those in the literature. Three binary clusters in the sample have a double
profile. Four clusters (NGC 376, K 50, K 54 and NGC 1810) do not have
companions and present as well important deviations from EFF profiles. The
present sample contains blue and red Magellanic clusters. Extended EFF profiles
were detected in some blue clusters. We find evidence that important deviations
from the body of EFF profiles might be used as a tool to detect cluster
mergers.Comment: 16 pages and 8 figures. Accepted by A&
The influence of stellar-dynamical ejections and collisions on the relation between the maximum-star and star-cluster-mass
We perform the largest currently available set of direct N-body calculations
of young star cluster models to study the dynamical influence, especially
through the ejections of the most massive star in the cluster, on the current
relation between the maximum-stellar-mass and the star-cluster-mass. We vary
several initial parameters such as the initial half-mass radius of the cluster,
the initial binary fraction, and the degree of initial mass segregation. Two
different pairing methods are used to construct massive binaries for more
realistic initial conditions of massive binaries. We find that lower mass
clusters (<= 10^2.5 Msun) do not shoot out their heaviest star. In the case of
massive clusters (>= 1000 Msun), no most-massive star escapes the cluster
within 3 Myr regardless of the initial conditions if clusters have initial
half-mass radii, r_0.5, >= 0.8 pc. However, a few of the initially smaller
sized clusters (r_0.5 = 0.3 pc), which have a higher density, eject their most
massive star within 3 Myr. If clusters form with a compact size and their
massive stars are born in a binary system with a mass-ratio biased towards
unity, the probability that the mass of the most massive star in the cluster
changes due to the ejection of the initially most massive star can be as large
as 20 per cent. Stellar collisions increase the maximum-stellar-mass in a large
number of clusters when clusters are relatively dense (M_ecl >= 10^3 Msun and
r_0.5 = 0.3 pc) and binary-rich. Overall, we conclude that dynamical effects
hardly influence the observational maximum-stellar-mass -- cluster mass
relation.Comment: 16 pages, 8 figures, 5 tables, accepted for publication in MNRA
- …