Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting

Objective: To develop a validated measure of professionals' attitudes towards clinical adverse event reporting (CAER). Design: Cross-sectional survey with follow-up. Participants: 201 doctors and nurse/nurse-midwives undergoing postqualification training in Leeds, York and Hull Universities in 2003. Materials: A questionnaire which comprised 73 items extracted from interviews with professionals; a second, statistically reduced version of this questionnaire. Results: The analysis supported a 25-item questionnaire comprising five factors: blame as a consequence of reporting (six items); criteria for reporting (six items); colleagues' expectations (six items); perceived benefits of reporting events (five items); and clarity of reporting procedures (two items). The resulting questionnaire, the Reporting of Clinical Adverse Effects Scale (RoCAES), had satisfactory internal consistency (Cronbach's alpha = 0.83) and external reliability (Spearman's correlation = 0.65). The construct validity hypothesis -doctors have less positive attitudes towards CAER than nurses -was supported (t = 5.495; p < 0.0001). Conclusion: Initial development of an evidence-based, psychometrically rigorous measure of attitudes towards CAER has been reported. Following additional testing, RoCAES may be used to systematically elicit professionals' views about, and inform interventions to improve, reporting behaviour

CHANDRA Observations of X-ray Jet Structure on kpc to Mpc Scales

With its exquisite spatial resolution of better than 0.5 arcsecond, the Chandra observatory is uniquely capable of resolving and studying the spatial structure of extragalactic X-ray jets on scales of a few to a few hundred kilo-parsec. Our analyses of four recent Chandra images of quasar jets interpret the X-ray emission as inverse Compton scattering of high energy electrons on the cosmic microwave background. We infer that these jets are in bulk relativistic motion, carrying kinetic powers upwards of 10^46 ergs/s to distances of hundreds of kpc, with very high efficiency.Comment: 4 pages, 3 figures, to be published in the proceedings of the Bologna jet workshop, "The Physics of Relativistic Jets in the CHANDRA and XMM Era.

Differential regulation of effector- and central-memory responses to Toxoplasma gondii infection by IL-12 revealed by tracking of Tgd057-specific CD8+ T cells

10.1371/journal.ppat.1000815PLoS Pathogens6

Markers of the ageing macrophage: a systematic review and meta-analysis

Introduction: Ageing research is establishing macrophages as key immune system regulators that undergo functional decline. Due to heterogeneity between species and tissue populations, a plethora of data exist and the power of scientific conclusions can vary substantially. This meta-analysis by information content (MAIC) and systematic literature review (SLR) aims to determine overall changes in macrophage gene and protein expression, as well as function, with age. Methods: PubMed was utilized to collate peer-reviewed literature relating to macrophage ageing. Primary studies comparing macrophages in at least two age groups were included. Data pertaining to gene or protein expression alongside method used were extracted for MAIC analysis. For SLR analysis, data included all macrophage-specific changes with age, as well as species, ontogeny and age of groups assessed. Results: A total of 240 studies were included; 122 of which qualified for MAIC. The majority of papers focussed on changes in macrophage count/infiltration as a function of age, followed by gene and protein expression. The MAIC found iNOS and TNF to be the most commonly investigated entities, with 328 genes and 175 proteins showing consistent dysregulation with age across the literature. Overall findings indicate that cytokine secretion and phagocytosis are reduced and reactive oxygen species production is increased in the ageing macrophage. Discussion: Collectively, our analysis identifies critical regulators in macrophage ageing that are consistently dysregulated, highlighting a plethora of targets for further investigation. Consistent functional changes with age found here can be used to confirm an ageing macrophage phenotype in specific studies and experimental models

Askey-Wilson Type Functions, With Bound States

The two linearly independent solutions of the three-term recurrence relation of the associated Askey-Wilson polynomials, found by Ismail and Rahman in [22], are slightly modified so as to make it transparent that these functions satisfy a beautiful symmetry property. It essentially means that the geometric and the spectral parameters are interchangeable in these functions. We call the resulting functions the Askey-Wilson functions. Then, we show that by adding bound states (with arbitrary weights) at specific points outside of the continuous spectrum of some instances of the Askey-Wilson difference operator, we can generate functions that satisfy a doubly infinite three-term recursion relation and are also eigenfunctions of $q$-difference operators of arbitrary orders. Our result provides a discrete analogue of the solutions of the purely differential version of the bispectral problem that were discovered in the pioneering work [8] of Duistermaat and Gr\"unbaum.Comment: 42 pages, Section 3 moved to the end, minor correction

Self-consistent description of nuclear compressional modes

Isoscalar monopole and dipole compressional modes are computed for a variety of closed-shell nuclei in a relativistic random-phase approximation to three different parametrizations of the Walecka model with scalar self-interactions. Particular emphasis is placed on the role of self-consistency which by itself, and with little else, guarantees the decoupling of the spurious isoscalar-dipole strength from the physical response and the conservation of the vector current. A powerful new relation is introduced to quantify the violation of the vector current in terms of various ground-state form-factors. For the isoscalar-dipole mode two distinct regions are clearly identified: (i) a high-energy component that is sensitive to the size of the nucleus and scales with the compressibility of the model and (ii) a low-energy component that is insensitivity to the nuclear compressibility. A fairly good description of both compressional modes is obtained by using a ``soft'' parametrization having a compression modulus of K=224 MeV.Comment: 28 pages and 10 figures; submitted to PR

Surface critical exponents at a uniaxial Lifshitz point

Using Monte Carlo techniques, the surface critical behaviour of three-dimensional semi-infinite ANNNI models with different surface orientations with respect to the axis of competing interactions is investigated. Special attention is thereby paid to the surface criticality at the bulk uniaxial Lifshitz point encountered in this model. The presented Monte Carlo results show that the mean-field description of semi-infinite ANNNI models is qualitatively correct. Lifshitz point surface critical exponents at the ordinary transition are found to depend on the surface orientation. At the special transition point, however, no clear dependency of the critical exponents on the surface orientation is revealed. The values of the surface critical exponents presented in this study are the first estimates available beyond mean-field theory.Comment: 10 pages, 7 figures include

On the origin of M81 group extended dust emission

Galactic cirrus emission at far-infrared wavelengths affects many extragalactic observations. Separating this emission from that associated with extragalactic objects is both important and difficult. In this paper we discuss a particular case, the M81 group, and the identification of diffuse structures prominent in the infrared, but also detected at optical wavelengths. The origin of these structures has previously been controversial, ranging from them being the result of a past interaction between M81 and M82 or due to more local Galactic emission. We show that over an order of a few arcmin scales, the far-infrared (Herschel 250 mu m) emission correlates spatially very well with a particular narrow-velocity (2-3 km s(-1)) component of the Galactic HI. We find no evidence that any of the far-infrared emission associated with these features actually originates in the M81 group. Thus we infer that the associated diffuse optical emission must be due to galactic light-back scattered off dust in our galaxy. Ultraviolet observations pick out young stellar associations around M81, but no detectable far-infrared emission. We consider in detail one of the Galactic cirrus features, finding that the far-infrared HI relation breaks down below arcmin scales and that at smaller scales there can be quite large dust-temperature variation

Tribbles-1 expression and its function to control inflammatory cytokines, including interleukin-8 levels are regulated by miRNAs in macrophages and prostate cancer cells

The pseudokinase TRIB1 controls cell function in a range of contexts, by regulating MAP kinase activation and mediating protein degradation via the COP1 ubiquitin ligase. TRIB1 regulates polarization of macrophages and dysregulated Trib1 expression in murine models has been shown to alter atherosclerosis burden and adipose homeostasis. Recently, TRIB1 has also been implicated in the pathogenesis of prostate cancer, where it is often overexpressed, even in the absence of genetic amplification. Well described TRIB1 effectors include MAP kinases and C/EBP transcription factors, both in immune cells and in carcinogenesis. However, the mechanisms that regulate TRIB1 itself remain elusive. Here, we show that the long and conserved 3’untranslated region (3’UTR) of TRIB1 is targeted by miRNAs in macrophage and prostate cancer models. By using a systematic in silico analysis, we identified multiple “high confidence” miRNAs potentially binding to the 3’UTR of TRIB1 and report that miR-101-3p and miR-132-3p are direct regulators of TRIB1 expression and function. Binding of miR-101-3p and miR-132-3p to the 3’UTR of TRIB1 mRNA leads to an increased transcription and secretion of interleukin-8. Our data demonstrate that modulation of TRIB1 by miRNAs alters the inflammatory profile of both human macrophages and prostate cancer cells

‘An uglier duckling than before’: Reclaiming agency and visibility amongst facially-wounded ex-servicemen in Britain after the First World War

In total, 60,500 British soldiers were wounded in the head or eyes during the First World War. Despite these numbers facially-wounded ex-servicemen, in particular their post-war experiences, are largely overlooked in the social history of the conflict. Whilst part of a wider constituency of war-wounded veterans, owing to the value ascribed to the face in terms of personal identity and socio-economic values, disfigured veterans were excluded from the discourse of masculine heroism in which other war wounds were framed. Narratives of facial injury emphasised despairing passivity, which acted to emasculate and ‘other’ the facially-wounded. How accurately though does this reflect their lived experiences? Using first-hand testimony from facially-injured ex-servicemen this article challenges the representation of the disfigured veteran as passive, arguing that men exercised agency through their self-representations and behavioural responses. Drawing on normative conceptions of masculinity, and on idealised images of war-wounded veterans, facially-wounded ex-servicemen constructed counter-narratives of their emotional response to facial injury which emphasised conformity to these ideals. The conceptualisation of disfigurements as war wounds, and the high cultural status of the war-disabled, allowed facially-wounded ex-servicemen to reclaim the masculine status which they were denied in popular representations, and to assert their right to social visibility in post-war Britain