Navigating the maze: Qualitative research methodologies and their philosophical foundations

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this recordObjectives: One of the three objectives of the Society and College of Radiographers is the promotion and dissemination of research in radiography and radiotherapy. This article aims to assist in the production of high standard research by explaining how transparency in reporting the underpinning philosophical basis of a qualitative study can be achieved in addition to the more customary descriptions of how data were collected and analysed. Key findings: Unlike their quantitative equivalent, qualitative research methodologies are less well understood and reported in radiography research, in particular the philosophical and epistemological assumptions which underpin the methods used. Conclusion: Demonstrating consistency between the philosophical position taken and the methods used within a study is an important aspect of research quality. Implications for practice: Qualitative research can offer valuable insights into the social, organisational, behavioural and interpersonal aspects of medical imaging practice. These may include wellbeing, attitudes, perceptions and beliefs, leadership, management practices, education, professionalism and a wide range of issues around patients' experiences during medical imaging. Patient care and outcomes can be positively impacted as a result of acquiring these insights

Space shuttle abort separation pressure investigation. Volume 2, Part B: Orbiter data at Mach 5

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Diffusive equilibrium in thin films provides evidence of suppression of hyporheic exchange and large-scale nitrate transformation in a groundwater-fed river

The hyporheic zone of riverbed sediments has the potential to attenuate nitrate from upwelling, polluted groundwater. However, the coarse-scale (5–10 cm) measurement of nitrogen biogeochemistry in the hyporheic zone can often mask fine-scale (<1 cm) biogeochemical patterns, especially in near-surface sediments, leading to incomplete or inaccurate representation of the capacity of the hyporheic zone to transform upwelling NO3−. In this study, we utilised diffusive equilibrium in thin-films samplers to capture high resolution (cm-scale) vertical concentration profiles of NO3−, SO42−, Fe and Mn in the upper 15 cm of armoured and permeable riverbed sediments. The goal was to test whether nitrate attenuation was occurring in a sub-reach characterised by strong vertical (upwelling) water fluxes. The vertical concentration profiles obtained from diffusive equilibrium in thin-films samplers indicate considerable cm-scale variability in NO3− (4.4 ± 2.9 mg N/L), SO42− (9.9 ± 3.1 mg/l) and dissolved Fe (1.6 ± 2.1 mg/l) and Mn (0.2 ± 0.2 mg/l). However, the overall trend suggests the absence of substantial net chemical transformations and surface-subsurface water mixing in the shallow sediments of our sub-reach under baseflow conditions. The significance of this is that upwelling NO3−-rich groundwater does not appear to be attenuated in the riverbed sediments at <15 cm depth as might occur where hyporheic exchange flows deliver organic matter to the sediments for metabolic processes. It would appear that the chemical patterns observed in the shallow sediments of our sub-reach are not controlled exclusively by redox processes and/or hyporheic exchange flows. Deeper-seated groundwater fluxes and hydro-stratigraphy may be additional important drivers of chemical patterns in the shallow sediments of our study sub-reach. Copyright © 2014 John Wiley & Sons, Ltd

Diffusive equilibrium in thin-films (DET) provides evidence of suppression of hyporheic exchange and large-scale nitrate transformation in a groundwater-fed river

The hyporheic zone of riverbed sediments has the potential to attenuate nitrate from upwelling, polluted groundwater. However, the coarse-scale (5 – 10 cm) measurement of nitrogen biogeochemistry in the hyporheic zone can often mask fine-scale (<1 cm) biogeochemical patterns, especially in near-surface sediments, leading to incomplete or inaccurate representation of the capacity of the hyporheic zone to transform upwelling NO3-. In this study, we utilised diffusive equilibrium in thin-films (DET) samplers to capture high resolution (cm-scale) vertical concentration profiles of NO3-, SO42-, Fe and Mn in the upper 15 cm of armoured and permeable riverbed sediments. The goal was to test whether nitrate attenuation was occurring in a sub-reach characterised by strong vertical (upwelling) water fluxes. The vertical concentration profiles obtained from DET samplers indicate considerable cm-scale variability in NO3- (4.4 ± 2.9 mg N/L), SO42- (9.9 ± 3.1 mg/L) and dissolved Fe (1.6 ± 2.1 mg/L) and Mn (0.2 ± 0.2 mg/L). However, the overall trend suggests the absence of substantial net chemical transformations and surface-subsurface water mixing in the shallow sediments of our sub-reach under baseflow conditions. The significance of this is that upwelling NO3--rich groundwater does not appear to be attenuated in the riverbed sediments at <15 cm depth as might occur where hyporheic exchange flows deliver organic matter to the sediments for metabolic processes. It would appear that the chemical patterns observed in the shallow sediments of our sub-reach are not controlled exclusively by redox processes and / or hyporheic exchange flows. Deeper-seated groundwater fluxes and hydro-stratigraphy may be additional important drivers of chemical patterns in the shallow sediments of our study sub-reach. This article is protected by copyright. All rights reserved

What medical imaging professionals talk about when they talk about compassion

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordBackground Compassion is a poorly understood concept in Medical Imaging research, but an increase in its focus was recommended in the Francis Report (2013). Little research has been conducted in this area to date. Methods The project was conducted from within a constructivist paradigm with appropriate ethical approval. As part of a wider doctoral study, data were harvested from a Twitter journal club discussion between medical imaging professionals of the author's published literature review and one focus group of post-graduate radiographers. Data were transcribed and analysed thematically. Results Compassion in DI is conceptualised according to three themes constructed from the data: 1) Perceptible elements of the procedure; 2) Underlying qualities, skills and abilities of radiographers; 3) Moral and ethical foundations. When medical imaging professionals talk about compassion they talk about its importance in professional practice, the challenges faced in giving compassionate care and the strategies they employ to cope with the emotional as well as physical demands they face. Contradictory organisational values and an over-emphasis on individuals’ responsibility for providing compassionate care were also highlighted. Ethical professional practice need not necessarily include in every interaction expressions of compassion, or feelings in a medical imaging professional of caring about their patient. Conclusion The concept of compassion has depth, with surface appearances underpinned by moral values and behaviour-motivating drivers. These findings offer a clearer understanding of compassion that could inform radiographic practice and education

APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: protocol

Background: Observational studies indicate that approximately a third of dementia cases are attributable to modifiable cardiometabolic, physical and mental health, and social and lifestyle risk factors. There is evidence that intensive behaviour change interventions targeting these factors can reduce cognitive decline. / Methods and analysis: We will design and test a low intensity, secondary dementia‐prevention programme (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline, “APPLE‐Tree”) to slow cognitive decline in people with subjective cognitive decline with or without objective cognitive impairment. We will embed our work within social science research to understand how dementia prevention is currently delivered and structured. We will carry out systematic reviews and around 50 qualitative interviews with stakeholders, using findings to coproduce the APPLE‐Tree intervention. We plan a 10‐session group intervention, involving personalised goal‐setting, with individual sessions for those unable or unwilling to attend groups, delivered by psychology assistants who will be trained and supervised by clinical psychologists. The coproduction group (including public and patient involvement [PPI], academic and clinical/third‐sector professional representatives) will use the Behaviour Change Wheel theoretical framework to develop it. We will recruit and randomly allocate 704 participants, 1:1 to the intervention: informational control group. This sample size is sufficient to detect a between‐group difference at 2 years of 0.15 on the primary outcome (cognition: modified neuropsychological test battery; 90% power, 5% significance, effect size 0.25, SD 0.6). / Dissemination: We will work with Public Health England and third‐sector partners to produce an effective national implementation approach, so that if our intervention works, it is used in practice

Space shuttle abort separation pressure investigation. Volume 6: Orbiter data at Mach 2

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Investigation of the McDonnell-Douglas orbiter and booster shuttle models in proximity at Mach numbers 2.0 to 6.0. Volume 7: Proximity data at Mach 4 and 6, interference free and launch vehicle data

Aerodynamic data obtained from a space shuttle abort stage separation wind tunnel test are presented. The .00556 scale models of the orbiter and booster configuration were tested in close proximity using dual balances during the time period of April 21 to April 27 1971. Data were obtained for both booster and orbiter over an angle of attack range from -10 to 10 deg for zero degree sideslip angle. The models were tested at several relative incidence angles and separation distances and power conditions. Plug nozzles utilizing air were used to simulate booster and orbiter plumes at various altitudes along a nominal ascent trajectory. Powered conditions were 100, 50, 25 and 0 percent of full power for the orbiter and 100, 50 and 0 percent of full power for the booster. Pitch control effectiveness data were obtained for both booster and orbiter with power on and off. In addition, launch vehicle data with and without booster power were obtained utilizing a single balance in the booster model. Data were also obtained with the booster canard off in close proximity and for the launch configuration

Space shuttle abort separation pressure investigation. Volume 1, Part A: Booster data at Mach 5

Pressure data obtained from a joint Langley Research Center (LaRC)/Marshall Space Flight Center (MSFC) Space Shuttle about stage separation wind tunnel test are presented. The .00556 scale models of the McDonnell-Douglas orbiter and booster configurations were tested in proximity in Tunnel A of the Von Karman Facility (VKF), Arnold Engineering Development Center (AEDC). Mach numbers were 5.0, 3.0, and 2.0 and nominal Reynolds numbers were 1.09, 1.60, and 1.74 million per foot, respectively. Pressure data were obtained for the booster upper surface and orbiter lower surface at angles of attack of -10 deg, -5, 0, 5, and 10 deg for zero degrees sideslip. The models were tested at incidence angles of 0 and 5 deg for several separation distances and power conditions. Plug nozzles utilizing air were used to simulate booster and orbiter plumes at various altitudes along a nominal ascent trajectory. Powered conditions were 100, 50, and 0 percent of full power for the orbiter and 100, 50 and 0 percent of full power for the booster. Data were also obtained with the booster canard off in close proximity

Space shuttle abort separation pressure investigation. Volume 1, Part B: Booster data at Mach 5

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