6,548 research outputs found

    A Triage Information Agent (TIA) based on the IDA Technology

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    Abundance: a new high-yielding storage-type hybrid onion

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    On Dec. 1, 1953, the Iowa and Idaho agricultural experiment stations and the United States Department of Agriculture, cooperating, announced the release of the F1 hybrid onion, Abundance, pedigree B 2108 x B 2215 . This is a long-day exceptionally high-yielding storage-type hybrid. The bulb is a high globe, light yellow in color. Abundance should find acceptance as a yellow globe type for limited storage where Early Yellow Globe is adapted.https://lib.dr.iastate.edu/specialreports/1001/thumbnail.jp

    Nickel Exposure Reduces Enterobactin Production in Escherichia Coli

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    Escherichia coli is a well- studied bacterium that can be found in many niches, such as industrial wastewater, where the concentration of nickel can rise to low- millimolar levels. Recent studies show that nickel exposure can repress pyochelin or induce pyo-verdine siderophore production in Pseudomonas aueroginosa. Understanding the mo-lecular cross- talk between siderophore production, metal homeostasis, and metal toxicity in microorganisms is critical for designing bioremediation strategies for metal- contaminated sites. Here, we show that high- nickel exposure prolongs lag phase duration as a result of low- intracellular iron levels in E. coli. Although E. coli cells respond to low- intracellular iron during nickel stress by maintaining high expres-sion of iron uptake systems such as fepA, the demand for iron is not met due to a lack of siderophores in the extracellular medium during nickel stress. Taken together, these results indicate that nickel inhibits iron accumulation in E. coli by reducing the presence of enterobactin in the extracellular medium

    Improving the content, wording, structure and formatting of the NHS Injectable Medicines Guide (“Medusa”) with user testing

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    The NHS Injectable Medicines Guide (IMG) is used by nurses in >100 hospitals to guide the preparation & administration of IV medicines. Surveys suggest users find it too detailed & confusing. This may make it difficult to find relevant, unambiguous information & could lead to serious medication errors. We aimed to identify & resolve problems in two typical IMG guides via user testing

    Effects of cooling on the propagation of magnetized jets

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    We present multidimensional simulations of magnetized radiative jets appropriate to young stellar objects (YSOs). Magnetized jets subject to collisionally excited radiative losses have not, as yet, received extensive scrutiny. The purpose of this Letter is to articulate the propagation dynamics of radiative MHD jets in the context of the extensive jet literature. Most importantly, we look for morphological and kinematic diagnostics that may distinguish hydrodynamic protostellar jets from their magnetically dominated cousins. Our simulations are axisymmetric (2.5 dimensions). A toroidal (B-phi) field geometry is used. Our models have high sonic Mach numbers (M-f approximate to 10) but lower fast-mode Mach number (M-f approximate to 5). This is approximately the case for jets formed via disk-wind or X-wind models-currently the consensus choice for launching and collimating YSO jets. Time-dependent radiative losses are included via a coronal cooling curve. Our results demonstrate that the morphology and propagation characteristics of strongly magnetized radiative jets can differ significantly from jets with weak fields. In particular, the formation of nose cones via postshock hoop stresses leads to narrow bow shocks and enhanced bow shock speeds. In addition, the hoop stresses produce strong shocks in the jet beam, which contrasts with the relatively unperturbed beam in radiative hydrodynamic jets. Our simulations show that pinch modes produced by magnetic tension can strongly affect magnetized protostellar jets. These differences may be useful in observational studies designed to distinguish between competing jet collimation scenariosopen515

    Exploring the Role of Guidelines in Contributing to Medication Errors: A Descriptive Analysis of National Patient Safety Incident Data.

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    INTRODUCTION: Clinical guidelines can contribute to medication errors but there is no overall understanding of how and where these occur. OBJECTIVES: We aimed to identify guideline-related medication errors reported via a national incident reporting system, and describe types of error, stages of medication use, guidelines, drugs, specialties and clinical locations most commonly associated with such errors. METHODS: Retrospective analysis of reports to the National Reporting and Learning System for England and Wales. A hierarchical task analysis (HTA) was developed, describing expected practice when using guidelines. A free-text search was conducted of medication incident reports (2016-2021) using search terms related to common guidelines. All identified reports linked to moderate-severe harm or death, and a random sample of 5100 no/low-harm reports were coded to describe deviations from the HTA. A random sample of 500 cases were independently double-coded. RESULTS: In total, 28,217 reports were identified, with 608 relating to moderate-severe harm or death. Fleiss' kappa for interrater reliability was 0.46. Of the 5708 reports coded, 642 described an HTA step discrepancy (including four linked to a death), suggesting over 3200 discrepancies in the entire dataset of 28,217 reports. Discrepancies related to finding guidelines (n = 300 reports), finding information within guidelines (n = 166) and using information (n = 176). Discrepancies were most frequently identified for guidelines produced by a local organisation (n = 405), and most occurred during prescribing (n = 277) or medication administration (n = 241). CONCLUSION: Difficulties finding and using information from clinical guidelines contribute to thousands of prescribing and medication administration incidents, some of which are associated with substantial patient harm

    Relationships between selective neuronal loss and microglial activation after ischaemic stroke in man.

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    Modern ischaemic stroke management involves intravenous thrombolysis followed by mechanical thrombectomy, which allows markedly higher rates of recanalization and penumbral salvage than thrombolysis alone. However, <50% of treated patients eventually enjoy independent life. It is therefore important to identify complementary therapeutic targets. In rodent models, the salvaged penumbra is consistently affected by selective neuronal loss, which may hinder recovery by interfering with plastic processes, as well as by microglial activation, which may exacerbate neuronal death. However, whether the salvaged penumbra in man is similarly affected is still unclear. Here we determined whether these two processes affect the non-infarcted penumbra in man and, if so, whether they are inter-related. We prospectively recruited patients with (i) acute middle-cerebral artery stroke; (ii) penumbra present on CT perfusion obtained <4.5 h of stroke onset; and (iii) early neurological recovery as a marker of penumbral salvage. PET with 11C-flumazenil and 11C-PK11195, as well as MRI to map the final infarct, were obtained at predefined follow-up times. The presence of selective neuronal loss and microglial activation was determined voxel-wise within the MRI normal-appearing ipsilateral non-infarcted zone and surviving penumbra masks, and their inter-relationship was assessed both across and within patients. Dilated infarct contours were consistently excluded to control for partial volume effects. Across the 16 recruited patients, there was reduced 11C-flumazenil and increased 11C-PK11195 binding in the whole ipsilateral non-infarcted zone (P = 0.04 and 0.02, respectively). Within the non-infarcted penumbra, 11C-flumazenil was also reduced (P = 0.001), but without clear increase in 11C-PK11195 (P = 0.18). There was no significant correlation between 11C-flumazenil and 11C-PK11195 in either compartment. This mechanistic study provides direct evidence for the presence of both neuronal loss and microglial activation in the ipsilateral non-infarcted zone. Further, we demonstrate the presence of neuronal loss affecting the surviving penumbra, with no or only mild microglial activation, and no significant relationship between these two processes. Thus, microglial activation may not contribute to penumbral neuronal loss in man, and its presence in the ipsilateral hemisphere may merely reflect secondary remote degeneration. Selective neuronal loss in the surviving penumbra may represent a novel therapeutic target as an adjunct to penumbral salvage to further improve functional outcome. However, microglial activation may not stand as the primary therapeutic approach. Protecting the penumbra by acutely improving perfusion and oxygenation in conjunction with thrombectomy for example, may be a better approach. 11C-flumazenil PET would be useful to monitor the effects of such therapies

    ‘Working with the media taught us a lot’: Understanding The Guardian’s Katine initiative

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    One of the more important ventures in the world of media and development over the past decade has been The Guardian newspaper’s ‘Katine’ project in Uganda. The newspaper, with funding from its readers and Barclays Bank, put more than 2.5 million pounds into a Ugandan sub-county over the course of 4 years. The project was profiled on a dedicated Guardian microsite, with regular updates in the printed edition of the newspaper. In this article, I look at the relationship that developed between journalists and the non-governmental organisation and show that the experience was both disorienting and reorienting for the development project that was being implemented. The scrutiny of the project that appeared on the microsite disoriented the non-governmental organisation, making its work the subject of public criticism. The particular issues explored by journalists also reoriented what the non-governmental organisation did on the ground. I also point to the ways the relationship grew more settled as the project moved along, suggesting the amount of work that sometimes goes into what is often characterised as the relatively uncritical relationship between journalists and non-governmental organisations

    Religious faith and psychosocial adaptation among stroke patients in Kuwait: A mixed method study

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    This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Springer Science+Business Media.Religious faith is central to life for Muslim patients in Kuwait, so it may influence adaptation and rehabilitation. This study explored quantitative associations among religious faith, self-efficacy, and life satisfaction in 40 female stroke patients and explored the influence of religion within stroke rehabilitation through qualitative interviews with 12 health professionals. The quantitative measure of religious faith did not relate to life satisfaction or self-efficacy in stroke patients. However, the health professionals described religious coping as influencing adaptation post-stroke. Fatalistic beliefs were thought to have mixed influences on rehabilitation. Measuring religious faith among Muslims through a standardized scale is debated. The qualitative accounts suggest that religious beliefs need to be acknowledged in stroke rehabilitation in Kuwait
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