Migrant workers in the East Midlands labour market 2007

This report provides a profile of international migrants in the East Midlands and their role in the regional labour marke

Portable Perimetry Using Eye-Tracking on a Tablet Computer—A Feasibility Assessment

Purpose: Visual field (VF) examination by standard automated perimetry (SAP) is an important method of clinical assessment. However, the complexity of the test, and its use of bulky, expensive equipment makes it impractical for case-finding. We propose and evaluate a new approach to paracentral VF assessment that combines an inexpensive eye-tracker with a portable tablet computer (“Eyecatcher”). Methods: Twenty-four eyes from 12 glaucoma patients, and 12 eyes from six age-similar controls were examined. Participants were tested monocularly (once per eye), with both the novel Eyecatcher test and traditional SAP (HFA SITA standard 24-2). For Eyecatcher, the participant's task was to simply to look at a sequence of fixed-luminance dots, presented relative to the current point of fixation. Start and end fixations were used to determine locations where stimuli were seen/unseen, and to build a continuous map of sensitivity loss across a VF of approximately 20°. Results: Eyecatcher was able to clearly separate patients from controls, and the results were consistent with those from traditional SAP. In particular, mean Eyecatcher scores were strongly correlated with mean deviation scores (r2 = 0.64, P < 0.001), and there was good concordance between corresponding VF locations (∼84%). Participants reported that Eyecatcher was more enjoyable, easier to perform, and less tiring than SAP (all P < 0.001). Conclusions: Portable perimetry using an inexpensive eye-tracker and a tablet computer is feasible, although possible means of improvement are suggested. Translational Relevance: Such a test could have significant utility as a case finding device

Development of Auditory Selective Attention: Why Children Struggle to Hear in Noisy Environments

Children’s hearing deteriorates markedly in the presence of unpredictable noise. To explore why, 187 school-age children (4–11 years) and 15 adults performed a tone-in-noise detection task, in which the masking noise varied randomly between every presentation. Selective attention was evaluated by measuring the degree to which listeners were influenced by (i.e., gave weight to) each spectral region of the stimulus. Psychometric fits were also used to estimate levels of internal noise and bias. Levels of masking were found to decrease with age, becoming adult-like by 9–11 years. This change was explained by improvements in selective attention alone, with older listeners better able to ignore noise similar in frequency to the target. Consistent with this, age-related differences in masking were abolished when the noise was made more distant in frequency to the target. This work offers novel evidence that improvements in selective attention are critical for the normal development of auditory judgments

Learning to detect a tone in unpredictable noise

Eight normal-hearing listeners practiced a tone-detection task in which a 1-kHz target was masked by a spectrally unpredictable multitone complex. Consistent learning was observed, with mean masking decreasing by 6.4 dB over five sessions (4500 trials). Reverse-correlation was used to estimate how listeners weighted each spectral region. Weight-vectors approximated the ideal more closely after practice, indicating that listeners were learning to attend selectively to the task relevant information. Once changes in weights were accounted for, no changes in internal noise (psychometric slope) were observed. It is concluded that this task elicits robust learning, which can be understood primarily as improved selective attention

Design and development of a self-healing fuse

Mercury-filled self-healing fuses for protecting solid state circuits from faults - design and developmen

The Role of Response Bias in Perceptual Learning

Sensory judgments improve with practice. Such perceptual learning is often thought to reflect an increase in perceptual sensitivity. However, it may also represent a decrease in response bias, with unpracticed observers acting in part on a priori hunches rather than sensory evidence. To examine whether this is the case, 55 observers practiced making a basic auditory judgment (yes/no amplitude-modulation detection or forced-choice frequency/amplitude discrimination) over multiple days. With all tasks, bias was present initially, but decreased with practice. Notably, this was the case even on supposedly “bias-free,” 2-alternative forced-choice, tasks. In those tasks, observers did not favor the same response throughout (stationary bias), but did favor whichever response had been correct on previous trials (nonstationary bias). Means of correcting for bias are described. When applied, these showed that at least 13% of perceptual learning on a forced-choice task was due to reduction in bias. In other situations, changes in bias were shown to obscure the true extent of learning, with changes in estimated sensitivity increasing once bias was corrected for. The possible causes of bias and the implications for our understanding of perceptual learning are discussed

Can children withhold consent to treatment

A dilemma exists when a doctor is faced with a child or young person who refuses medically indicated treatment. The Gillick case has been interpreted by many to mean that a child of sufficient age and intelligence could validly consent or refuse consent to treatment. Recent decisions of the Court of Appeal on a child's refusal of medical treatment have clouded the issue and undermined the spirit of the Gillick decision and the Children Act 1989. It is now the case that a child patient whose competence is in doubt will be found rational if he or she accepts the proposal to treat but may be found incompetent if he or she disagrees. Practitioners are alerted to the anomalies now exhibited by the law on the issue of children's consent and refusal. The impact of the decisions from the perspectives of medicine, ethics, and the law are examined. Practitioners should review each case of child care carefully and in cases of doubt seek legal advice

Destruction of Interstellar Dust in Evolving Supernova Remnant Shock Waves

Supernova generated shock waves are responsible for most of the destruction of dust grains in the interstellar medium (ISM). Calculations of the dust destruction timescale have so far been carried out using plane parallel steady shocks, however that approximation breaks down when the destruction timescale becomes longer than that for the evolution of the supernova remnant (SNR) shock. In this paper we present new calculations of grain destruction in evolving, radiative SNRs. To facilitate comparison with the previous study by Jones et al. (1996), we adopt the same dust properties as in that paper. We find that the efficiencies of grain destruction are most divergent from those for a steady shock when the thermal history of a shocked gas parcel in the SNR differs significantly from that behind a steady shock. This occurs in shocks with velocities >~ 200 km/s for which the remnant is just beginning to go radiative. Assuming SNRs evolve in a warm phase dominated ISM, we find dust destruction timescales are increased by a factor of ~2 compared to those of Jones et al. (1996), who assumed a hot gas dominated ISM. Recent estimates of supernova rates and ISM mass lead to another factor of ~3 increase in the destruction timescales, resulting in a silicate grain destruction timescale of ~2-3 Gyr. These increases, while not able resolve the problem of the discrepant timescales for silicate grain destruction and creation, are an important step towards understanding the origin, and evolution of dust in the ISM.Comment: 30 pages, 8 figures, accepted for publication in the Astrophysical Journa

The segregation of starless and protostellar clumps in the Hi-GAL l=224deg region

Stars form in dense, dusty structures, which are embedded in larger clumps of molecular clouds often showing a clear filamentary structure on large scales (> 1pc). One of the best-studied regions in the Hi-GAL survey can be observed toward the l=224deg field. Here, a filamentary region has been studied and it has been found that protostellar clumps are mostly located along the main filament, whereas starless clumps are detected off this filament and are instead found on secondary, less prominent filaments. We want to investigate this segregation effect and how it may affect the clumps properties. We mapped the 12CO(1-0) line and its main three isotopologues toward the two most prominent filaments observed toward the l=224deg field using the Mopra radio telescope, in order to set observational constraints on the dynamics of these structures and the associated starless and protostellar clumps. Compared to the starless clumps, the protostellar clumps are more luminous, more turbulent and lie in regions where the filamentary ambient gas shows larger linewidths. We see evidence of gas flowing along the main filament, but we do not find any signs of accretion flow from the filament onto the Hi-GAL clumps. We analyze the radial column density profile of the filaments and their gravitational stability. The more massive and highly fragmented main filament appears to be thermally supercritical and gravitationally bound, assuming that all of the non-thermal motion is contributing thermal-like support, suggesting a later stage of evolution compared to the secondary filament. The status and evolutionary phase of the Hi-GAL clumps would then appear to correlate with that of the host filament.Comment: Accepted for publication on "Astronomy and Astrophysics

The Only Eye Study (OnES): a qualitative study of surgeon experiences of only eye surgery and recommendations for patient safety

OBJECTIVE: Performing surgery on patients with only one seeing-eye, where complications may result in catastrophic vision loss, presents unique challenges for the ophthalmic care team. There is currently no evidence regarding how surgeons augment their care when treating only eye patients and no guidelines for how these patients should be managed in hospital eye services. This study aimed to explore ophthalmic surgeons' experiences of only eye surgery and perceptions of current practice. DESIGN AND PARTICIPANTS: Ten ophthalmic surgeons were asked to relate their experiences and views on performing only eye surgery in indepth, semistructured interviews. Interviews were audio-recorded and transcribed. Qualitative data were subjected to thematic analysis to identify key themes. SETTING: Hospital eye service. RESULTS: Five key themes emerged relating to surgeons' experiences and perceptions of only eye surgery: (1) differences in approach to consent, (2) strategies for risk reduction, (3) unmet training needs, (4) value of surgical mentor and (5) emotional impact of unsuccessful outcomes. Recommendations for improving the surgical journey for both the patient and the surgeon related primarily to better recognition and understanding of the complexities inherent with only eye surgery. CONCLUSIONS: Outcomes of only eye surgery may be improved through a number of methods, including development of purpose-designed training fellowships, adoption of stress-reducing strategies and enhancement of available support services. The findings identify emerging themes unique to only eye surgery and the need for guidelines on the provision of care for these high-stakes surgical patients