15,595 research outputs found

    Overdue Investigations Into Popular Beliefs

    Get PDF
    Panel Chair: Susan Grimland Papers Presented: Megan Greer: “The True Case of Amelia Earhart’s Disappearance” Trace Hughes: “Is Chinua Achebe Right about Conrad’s Heart of Darkness?” Rebecca Netherton: “Pharmageddon or Pharmaheaven” Jordan La Grenad

    Young people's opinions of cancer care in England: the BRIGHTLIGHT cohort

    Get PDF
    OBJECTIVES: The BRIGHTLIGHT cohort study was the national evaluation of cancer services for teenager and young adults (TYA). This was analysis of free-text survey data to better understand their experiences of cancer care. DESIGN: Cohort study SETTING: National Health Service hospitals delivering cancer care in England PARTICIPANTS: 830 young people newly diagnosed with cancer. INTERVENTIONS: Exposure to specialist care in the first 6 months after diagnosis defined as care in a TYA Principal Treatment Centre (PTC). This was categorised as follows: all care in a TYA-PTC (ALL-TYA-PTC), no care in a TYA-PTC (NO-TYA-PTC) so care delivered in a children/adult unit only and some care in a TYA-PTC with additional care in a children's/adult unit (SOME-TYA-PTC). PRIMARY OUTCOME: Data were collected through the BRIGHTLIGHT survey included free-text questions which asked patients 'what was the best aspects of their experiences of care' and 'what aspects could be improved'. These comments were analysed using content analysis. Themes were compared between categories of care, then ranked in order of frequency, ranging from the most endorsed to the least. RESULTS: Overall, young people were most positive about their healthcare team, while the area highlighted for improvement was diagnostic experience. Differences between the three groups suggested those who had some or all treatment in a TYA-PTC valued the place of care. Regardless of where TYA were treated their healthcare teams were favourably viewed. Age appropriate place of care was highlighted to be of value for those in PTCs. CONCLUSIONS: These data show the value young people placed on the care they received in TYA specific wards. Young people who accessed some or all of their care in a TYA-PTC highly endorsed their place of care as one of the best elements of their care, and it is further emphasised by those who had shared care who experienced difficulty with lack of age-appropriate care when treated outside the TYA-PTC

    A comparative study of the effects of particle grading and compaction effort on the strength and stiffness of earth building materials at different humidity levels

    Get PDF
    This paper presents an investigation of the mechanical properties of three different earth building materials manufactured by compacting two soils with distinct particle size distributions under two markedly different efforts. Multiple samples of each material have been equalised either inside a climatic chamber at different humidity levels or oven-dried, before being subjected to shearing inside a triaxial cell to measure the corresponding levels of strength and stiffness. Triaxial shearing has been performed under different levels of radial stress to investigate the effect of material confinement inside thick walls. Consistent with previous research, the study has indicated that strength and stiffness increase as ambient humidity reduces and degree of saturation decreases, though the actual variation of these properties strongly depends on the dry density and clay content of the material. Most importantly, particle grading has emerged as a key material parameter, whose impact on earth building has often been overlooked. Particle grading appears to influence strength and stiffness even more than compaction effort, dry density and average particle size, which are usually quoted as the most important variables for the design of earth building materials

    Earth stabilisation via carbonate precipitation by plant-derived urease for building applications

    Get PDF
    Raw (unfired) earth represents a sustainable and efficient alternative to traditional construction materials but its dissemination into building practice has been hindered by a relatively high vulnerability to water erosion. Enzyme induced carbonate precipitation (EICP) can improve the durability of earth materials without using traditional chemical binders such as cement and lime. EICP utilises the urease enzyme to catalyse the hydrolysis of urea, which produces carbonate ions that react with the calcium ions dissolved in the pore water, thus resulting in the precipitation of calcium carbonate. The calcium carbonate fills the soil voids and binds particles together, which reduces water permeability and increases material strength. The urease enzyme is a hexameric protein that is found in the tissues of many common plants. This work proposes a low-cost and simple stabilisation technology that makes use of crude urease enzyme extracted from soybeans. This technology is applied to the stabilisation of compacted earth, whose properties are then assessed via unconfined compression, moisture buffering and durability tests. The findings suggest a noticeable improvement of material strength and durability, though further investigation is necessary to increase the competitiveness of EICP stabilisation against standard techniques using cement and lime

    Exploring the behavioural drivers of veterinary surgeon antibiotic prescribing: a qualitative study of companion animal veterinary surgeons in the UK

    Get PDF
    Background: Multi-drug resistant bacteria are an increasing concern in both human and veterinary medicine. Inappropriate prescribing and use of antibiotics within veterinary medicine may be a contributory factor to antimicrobial resistance (AMR). The ‘One Health’ Initiative aims to work across species and environments to reduce AMR, however; little is currently known about the factors which influence antibiotic prescribing among veterinary surgeons in companion animal practice. This paper reports on qualitative data analysis of interviews with veterinary surgeons whose practice partially or wholly focuses on companion animals (N = 16). The objective of the research was to explore the drivers of companion animal veterinary surgeons’ antibiotic prescribing behaviours. The veterinary surgeons interviewed were all practising within the UK (England (n = 4), Scotland (n = 11), Northern Ireland (n = 1)). A behavioural thematic analysis of the data was undertaken, which identified barriers and facilitators to specific prescribing-related behaviours. Results: Five components of prescribing behaviours were identified: 1) confirming clinical need for antibiotics; 2) responding to clients; 3) confirming diagnosis; 4) determining dose, duration and type of antibiotic; and 5) preventing infection around surgery (with attendant appropriate and inappropriate antibiotic prescribing behaviours). Barriers to appropriate prescribing identified include: business, diagnostic, fear, habitual practice and pharmaceutical factors. Facilitators include: AMR awareness, infection prevention, professional learning and regulation and government factors. Conclusion: This paper uses a behavioural lens to examine drivers which are an influence on veterinary surgeons’ prescribing behaviours. The paper contributes new understandings about factors which influence antibiotic prescribing behaviours among companion animal veterinary surgeons. This analysis provides evidence to inform future interventions, which are focused on changing prescribing behaviours, in order to address the pressing public health concern of AMR

    2019 Workforce Assessment of Michigans Local and Regional Food System

    Get PDF
    This report is the first in a series summarizing a 2019 workforce assessment of Michigan's local and regional food system. The local and regional food system can be defined in a number of ways. For the purposes of this study, the local and regional food systems encompass organizations that produce, process, or distribute food from Michigan that is available to Michigan consumers, and/or organizations that support this system.The research included: a scan of Michigan's food system jobs: where we collected and analyzed secondary labormarket data to identify local and regional food systems employment; demand; projected growth; median wages; and worker demographics, an employer's perspective of Michigan's local and regional food system workforce, and a scan of education and training opportunities in Michigan's local and regional food system: an inventory of education and training programs for local and regional food system jobs

    A microarray analysis of gene expression in the free-living stages of the parasitic nematode Strongyloides ratti

    Get PDF
    BACKGROUND: The nematode Strongyloides ratti has two adult phases in its lifecycle: one obligate, female and parasitic and one facultative, dioecious and free-living. The molecular control of the development of this free-living generation remains to be elucidated. RESULTS: We have constructed an S. ratti cDNA microarray and used it to interrogate changes in gene expression during the free-living phase of the S. ratti life-cycle. We have found very extensive differences in gene expression between first-stage larvae (L1) passed in faeces and infective L3s preparing to infect hosts. In L1 stages there was comparatively greater expression of genes involved in growth. We have also compared gene expression in L2 stages destined to develop directly into infective L3s with those destined to develop indirectly into free-living adults. This revealed relatively small differences in gene expression. We find little evidence for the conservation of transcription profiles between S. ratti and S. stercoralis or C. elegans. CONCLUSION: This is the first multi-gene study of gene expression in S. ratti. This has shown that robust data can be generated, with consistent measures of expression within computationally determined clusters and contigs. We find inconsistencies between EST representation data and microarray hybridization data in the identification of genes with stage-specific expression and highly expressed genes. Many of the genes whose expression is significantly different between L1 and iL3s stages are unknown beyond alignments to predicted genes. This highlights the forthcoming challenge in actually determining the role of these genes in the life of S. ratti
    • 

    corecore