31 research outputs found

    Spin-polarized tunneling with Au impurity layers

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    We have inserted nonmagnetic impurity layers of Au into sputtered AlOx-based magnetic tunnel junctions (F/I/F) and Meservey–Tedrow junctions (S/I/F) in order to study their effect on the tunneling magnetoresistance (TMR) and spin polarization (TSP). Both room temperature TMR and the TSP at 250 mK decay exponentially as an interfacial Au layer is introduced between the barrier and one Co electrode, with 1/e decay lengths λTMR=11±3 Å and λTSP=14±2 Å. We also inserted a 1 Å thick Au layer at a variable distance from the barrier/Co interface and find that both the TMR and TSP recover to the undoped value with the shorter exponential length scales of λTMR=7±4 Å and λTSP=6±2 Å

    Room temperature magnetic stabilization of buried cobalt nanoclusters within a ferromagnetic matrix studied by soft x-ray magnetic circular dichroism

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    Single dusting layers of size-selected Co nanoclusters (NCs) of sizes ranging from 1.5–5.5 nm have been deposited by a gas-phase aggregation method in ultrahigh vacuum, and embedded within a NiFe matrix. Magnetic hysteresis loops have been obtained using soft x-ray magnetic circular dichroism, which shows that these Co NCs embedded in NiFe exhibit room temperature ferromagnetism with identical coercivity to the surrounding NiFe film. The strong local exchange field at the interface between NiFe and Co NCs, combined with the magnetic anisotropy of the NiFe film, allows stabilization of NC ferromagnetism which persists to room temperature

    Supplementary Material for: Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality

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    <b><i>Background:</i></b> Substantial health care resources are expended on standardised formal neonatal resuscitation training (SFNRT) programmes, but their effectiveness has not been proven. <b><i>Objectives:</i></b> To determine whether SFNRT programmes reduce neonatal mortality and morbidity, improve acquisition and retention of knowledge and skills, or change teamwork and resuscitation behaviour. <b><i>Methods:</i></b> We searched CENTRAL, MEDLINE, PREMEDLINE, EMBASE, CINAHL, Web of Science and the Oxford Database of Perinatal Trials, ongoing trials and conference proceedings in April 2015, and included randomised or quasi-randomised trials that reported at least one of our specified outcomes. <b><i>Results:</i></b> SFNRT in low- and middle-income countries decreased early neonatal mortality [risk ratio (RR) 0.85 (95% CI 0.75-0.96)]; the number needed to treat for benefit [227 (95% CI 122-1,667; 3 studies, 66,162 participants, moderate-quality evidence)], and 28-day mortality [RR 0.55 (95% CI 0.33-0.91); 1 study, 3,355 participants, low-quality evidence]. Decreasing trends were noted for late neonatal mortality [RR 0.47 (95% CI 0.20-1.11)] and perinatal mortality [RR 0.94 (95% CI 0.87-1.00)], but there were no differences in fresh stillbirths [RR 1.05 (95% CI 0.93-1.20)]. Teamwork training with simulation increased the frequency of teamwork behaviour [mean difference (MD) 2.41 (95% CI 1.72-3.11)] and decreased resuscitation duration [MD -149.54 (95% CI -214.73 to -84.34); low-quality evidence, 2 studies, 130 participants]. <b><i>Conclusions:</i></b> SFNRT in low- and middle-income countries reduces early neonatal mortality, but its effects on birth asphyxia and neurodevelopmental outcomes remain uncertain. Follow-up studies suggest normal neurodevelopment in resuscitation survivors

    A palliative care goals model for people with dementia and their family:Consensus achieved in an international Delphi study

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    Background:Advance care planning in dementia includes supporting the person and their family to consider important goals of care. International research reports the importance of psycho-social-spiritual aspects towards end of life.Aim:To develop a multidimensional international palliative care goals model in dementia for use in practice.Design:International Delphi study integrating consensus and evidence from a meta-qualitative study. The Delphi panel rated statements about the model on a 5-point agreement scale. The criteria for consensus were pre-specified.Setting/participants:Seventeen researchers from eight countries developed an initial model, and 169 candidate panellists were invited to the international online Delphi study.Results:Panellists (107; response 63.3%) resided in 33 countries. The model comprised four main care goals: (1) Comfort ensured; (2) Control over function maintained; (3) Identity protected and personhood respected and (4) Coping with grief and loss−person and caregiver supported. The model reflects how needs and care goals change over time with the progression of dementia, concluding with bereavement support. The first version of the model achieved a consensus after which it was slightly refined based on feedback. We did not achieve a consensus on adding a goal of life prolongation, and on use of the model by people with dementia and family themselves.Conclusion:A new palliative care goals model for people with dementia and their families includes relationship aspects for use by professionals and achieved a consensus among a panel with diverse cultural background. The position of life prolongation in relation to palliative care goals needs further research
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