392 research outputs found

    Ischaemic colitis

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    Interesting magnetic properties of Fe1−x_{1-x}Cox_xSi alloys

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    Solid solution between nonmagnetic narrow gap semiconductor FeSi and diamagnetic semi-metal CoSi gives rise to interesting metallic alloys with long-range helical magnetic ordering, for a wide range of intermediate concentration. We report various interesting magnetic properties of these alloys, including low temperature re-entrant spin-glass like behaviour and a novel inverted magnetic hysteresis loop. Role of Dzyaloshinski-Moriya interaction in the magnetic response of these non-centrosymmetric alloys is discussed.Comment: 11 pages and 3 figure

    Lesbian and bisexual women's human rights, sexual rights and sexual citizenship: negotiating sexual health in England.

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    Lesbian and bisexual women's sexual health is neglected in much Government policy and practice in England and Wales. This paper examines lesbian and bisexual women's negotiation of sexual health, drawing on findings from a small research project. Themes explored include invisibility and lack of information, influences on decision-making and sexual activities and experiences of services and barriers to sexual healthcare. Key issues of importance in this respect are homophobic and heterosexist social contexts. Drawing on understandings of lesbian, gay and bisexual human rights, sexual rights and sexual citizenship, it is argued that these are useful lenses through which to examine and address lesbian and bisexual women's sexual health and related inequalities

    Billing practices among us tobacco use treatment providers

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    and improving coordination between intensive therapies validated in research and "real-world" logistics.Objectives: The US Affordable Care Act (ACA) now requires almost all health insurance plans to cover tobacco use treatment (TUT), but TUT remains underutilized. Methods: We conducted an anonymous online survey of US TUT providers in 2016 regarding their billing practices. Results: Participants (n131) provided services primarily in medical and behavioral health settings and were from a variety of professions. Most provided intensive individual (>15 minutes per session) and/or group counseling. Although most reported that their organization accepted at least 1 form of insurance, only 34% reported that TUT services were billed, with about equal proportions endorsing billing under their own independent tax ID and "incident to" billing under a supervisor. Half of billers (52%) reported using at least 1 Current Procedural Terminology code. The most common codes were 99406 and 99407, but 18 unique codes were specified. Themes of qualitative responses (n101) included concern about how to initiate and sustain adequate reimbursement, and experiences with billing not being "worth" the time or effort. Conclusions: Overall, results demonstrate a need for providers, administrators, and billing managers to work collaboratively. Even with the ACA mandate, and consistent with prior reports, reimbursement rates may be inadequate for intensive counseling. Areas for advocacy include recognizing that TUT requires similar intensity, expertise, and reimbursement as other substance use disorders and chronic medical conditionsgiving Tobacco Treatment Specialists the ability to bill independentl

    Soil mineral nitrogen benefits derived from legumes and comparisons of the apparent recovery of legume or fertiliser nitrogen by wheat

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    Nitrogen (N) contributed by legumes is an important component of N supply to subsequent cereal crops, yet few Australian grain-growers routinely monitor soil mineral N before applying N fertiliser. Soil and crop N data from 16 dryland experiments conducted in eastern Australia from 1989–2016 were examined to explore the possibility of developing simple predictive relationships to assist farmer decision-making. In each experiment, legume crops were harvested for grain or brown-manured (BM, terminated before maturity with herbicide), and wheat, barley or canola were grown. Soil mineral N measured immediately before sowing wheat in the following year was significantly higher (P < 0.05) after 31 of the 33 legume pre-cropping treatments than adjacent non-legume controls. The average improvements in soil mineral N were greater for legume BM (60 ± 16 kg N/ha; n = 5) than grain crops (35 ± 20 kg N/ha; n = 26), but soil N benefits were similar when expressed on the basis of summer fallow rainfall (0.15 ± 0.09 kg N/ha per mm), residual legume shoot dry matter (9 ± 5 kg N/ha per t/ha), or total legume residue N (28 ± 11%). Legume grain crops increased soil mineral N by 18 ± 9 kg N/ha per t/ha grain harvested. Apparent recovery of legume residue N by wheat averaged 30 ± 10% for 20 legume treatments in a subset of eight experiments. Apparent recovery of fertiliser N in the absence of legumes in two of these experiments was 64 ± 16% of the 51–75 kg fertiliser-N/ha supplied. The 25 year dataset provided new insights into the expected availability of soil mineral N after legumes and the relative value of legume N to a following wheat crop, which can guide farmer decisions regarding N fertiliser use.Mark B. Peoples, Antony D. Swan, Laura Goward, John A. Kirkegaard, James R. Hunt, Guangdi D. Li, Graeme D. Schwenke, David F. Herridge, Michael Moodie, Nigel Wilhelm, Trent Potter, Matthew D. Denton, Claire Browne, Lori A. Phillips, and Dil Fayaz Kha

    Understanding and responding to COVID-19 in Wales: protocol for a privacy-protecting data platform for enhanced epidemiology and evaluation of interventions

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    INTRODUCTION: The emergence of the novel respiratory SARS-CoV-2 and subsequent COVID-19 pandemic have required rapid assimilation of population-level data to understand and control the spread of infection in the general and vulnerable populations. Rapid analyses are needed to inform policy development and target interventions to at-risk groups to prevent serious health outcomes. We aim to provide an accessible research platform to determine demographic, socioeconomic and clinical risk factors for infection, morbidity and mortality of COVID-19, to measure the impact of COVID-19 on healthcare utilisation and long-term health, and to enable the evaluation of natural experiments of policy interventions. METHODS AND ANALYSIS: Two privacy-protecting population-level cohorts have been created and derived from multisourced demographic and healthcare data. The C20 cohort consists of 3.2 million people in Wales on the 1 January 2020 with follow-up until 31 May 2020. The complete cohort dataset will be updated monthly with some individual datasets available daily. The C16 cohort consists of 3 million people in Wales on the 1 January 2016 with follow-up to 31 December 2019. C16 is designed as a counterfactual cohort to provide contextual comparative population data on disease, health service utilisation and mortality. Study outcomes will: (a) characterise the epidemiology of COVID-19, (b) assess socioeconomic and demographic influences on infection and outcomes, (c) measure the impact of COVID-19 on short -term and longer-term population outcomes and (d) undertake studies on the transmission and spatial spread of infection. ETHICS AND DISSEMINATION: The Secure Anonymised Information Linkage-independent Information Governance Review Panel has approved this study. The study findings will be presented to policy groups, public meetings, national and international conferences, and published in peer-reviewed journals

    Examining Contextual Factors and Individual Value Dimensions of Healthcare Providers Intention to Adopt Electronic Health Technologies in Developing Countries

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    Part 5: Research in ProgressInternational audienceDespite substantial research on electronic health (e-Health) adoption, there still exist vast differences between resource-rich and resource-poor populations regarding Information Technology adoption. To help bridge the technological gulf between developed and developing countries, this research-in-progress paper examines healthcare providers’ intention to adopt e-health technologies from two perspectives 1) contextual factors (i.e. specific to developing world settings) and 2) individual value dimensions (i.e. cultural, utilitarian, social and personal). The primary output of this paper is a theoretical model merging both the contextual factors and value dimensions; this forms a strong baseline to examine and help ensure the successful adoption of e-Health technologies within developing countries. Future research will be performed to validate the model developed in this paper, with a specific focus on mobile Health in Malawi, Africa

    Search for a W' boson decaying to a bottom quark and a top quark in pp collisions at sqrt(s) = 7 TeV

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    Results are presented from a search for a W' boson using a dataset corresponding to 5.0 inverse femtobarns of integrated luminosity collected during 2011 by the CMS experiment at the LHC in pp collisions at sqrt(s)=7 TeV. The W' boson is modeled as a heavy W boson, but different scenarios for the couplings to fermions are considered, involving both left-handed and right-handed chiral projections of the fermions, as well as an arbitrary mixture of the two. The search is performed in the decay channel W' to t b, leading to a final state signature with a single lepton (e, mu), missing transverse energy, and jets, at least one of which is tagged as a b-jet. A W' boson that couples to fermions with the same coupling constant as the W, but to the right-handed rather than left-handed chiral projections, is excluded for masses below 1.85 TeV at the 95% confidence level. For the first time using LHC data, constraints on the W' gauge coupling for a set of left- and right-handed coupling combinations have been placed. These results represent a significant improvement over previously published limits.Comment: Submitted to Physics Letters B. Replaced with version publishe
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