239 research outputs found
A serological investigation of caseous lymphadenitis in four flocks of sheep
A double antibody sandwich ELISA developed by ID-DLO, Lelystad to detect Corynebocterium pseudotuberculosis infection was used on 329 sheep from four pedigree Suffolk flocks in which clinical cases of caseous lymphadenitis (CLA) had occurred. At subsequent necropsy, typical CLA lesions were seen in 133 sheep, and the diagnosis was confirmed on culture. Lesions were most commonly seen in lungs (n = 46), parotid lymph nodes (n = 44), prescapular lymph nodes (n = 38) and mediastinal lymph nodes (n = 31). The sensitivity of the ELISA test for detecting culture-positive sheep was 0.88, while the specificity of the test was 0.55. The antibody ELISA detected 87.5 per cent of sheep that had CLA lesions restricted to internal organs only. It was concluded that the ELISA test has a valuable role in detecting sheep with both clinical and subclinical CLA
Standard and Embedded Solitons in Nematic Optical Fibers
A model for a non-Kerr cylindrical nematic fiber is presented. We use the
multiple scales method to show the possibility of constructing different kinds
of wavepackets of transverse magnetic (TM) modes propagating through the fiber.
This procedure allows us to generate different hierarchies of nonlinear partial
differential equations (PDEs) which describe the propagation of optical pulses
along the fiber. We go beyond the usual weakly nonlinear limit of a Kerr medium
and derive an extended Nonlinear Schrodinger equation (eNLS) with a third order
derivative nonlinearity, governing the dynamics for the amplitude of the
wavepacket. In this derivation the dispersion, self-focussing and diffraction
in the nematic are taken into account. Although the resulting nonlinear
may be reduced to the modified Korteweg de Vries equation (mKdV), it also has
additional complex solutions which include two-parameter families of bright and
dark complex solitons. We show analytically that under certain conditions, the
bright solitons are actually double embedded solitons. We explain why these
solitons do not radiate at all, even though their wavenumbers are contained in
the linear spectrum of the system. Finally, we close the paper by making
comments on the advantages as well as the limitations of our approach, and on
further generalizations of the model and method presented.Comment: "Physical Review E, in press
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The theory of agency and breastfeeding
Objective: In this paper, we apply psychological agency theory to womenâs interviews of their breastfeeding experiences to understand the role of agency in relation to breastfeeding initiation, maintenance and duration.
Design: Qualitative, video interviews were collected from 49 women in the UK from a wide range of ethnic, religious, educational and employment backgrounds about their breastfeeding experiences. We undertook secondary analysis of the data focusing on their accounts of vulnerability and agency.
Findings: Womenâs agency was impacted by a variety of factors including their own vulnerability, knowledge, expectations and experience, the feeding environment and the support of health professionals in sharing decision-making and dealing with uncertainty.
Conclusion: Health professionals as co-agents with women are well positioned to maintain, enhance or restore womenâs sense of agency. Breastfeeding goals should be included in womenâs birth plans. Training related to agency, continuity of care, and staffing and workload management supported by national breastfeeding policies could improve breastfeeding rates and experiences
Self-assembled nanogel made of mannan : synthesis and characterization
Amphiphilic mannan (mannan-C16) was synthesized by the Michael addition of hydrophobic 1-hexadecanethiol (C16)
to hydroxyethyl methacrylated mannan (mannan-HEMA). Mannan-C16 formed nanosized aggregates in water by selfassembly
via the hydrophobic interaction among C16molecules as confirmed by hydrogen nuclearmagnetic resonance (1H
NMR), fluorescence spectroscopy, cryo-field emission scanning electron microscopy (cryo-FESEM), and dynamic light
scattering (DLS). The mannan-C16 critical aggregation concentration (cac), calculated by fluorescence spectroscopy with
Nile red and pyrene, ranged between 0.04 and 0.02mg/mL depending on the polymer degree of substitution ofC16 relative
to methacrylated groups. Cryo-FESEM micrographs revealed that mannan-C16 formed irregular spherical macromolecular
micelles, in this work designated as nanogels, with diameters ranging between 100 and 500 nm. The influence of the
polymer degree of substitution, DSHEMA andDSC16, on the nanogel size and zeta potential was studied byDLS at different
pH values and ionic strength and as a function of mannan-C16 and urea concentrations. Under all tested conditions, the
nanogel was negatively charged with a zeta potential close to zero. Mannan-C16 with higher DSHEMA and DSC16
values
formed larger nanogels andwere also less stable over a 6month storage period and at concentrations close to the cac.When
exposed to solutions of different pH and aggressive conditions of ionic strength and urea concentration, the size of
mannan-C16 varied to some extent but was always in the nanoscale range.International Iberian
Nanotechnology Laboratory (INL)Fundação para a Ciência e a Tecnologia (FCT
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Pharmacists in general practice: a qualitative interview case study of stakeholdersâ experiences in a West London GP Federation
Background
Increased patient demand for healthcare services coupled with a shortage of general practitioners necessitates changes in professional roles and service delivery. In 2016, NHS England began a three year pilot study of pharmacists in general practice, however, this is not an entirely new initiative. There is limited, current, evidence-based, UK research to inform the pilot so studies of pre-existing services must suffice until findings from a formal national evaluation are available.
Methods
The aim of this exploratory, descriptive interview study was to explore the experiences of stakeholders in eight general practices in the Ealing GP Federation, West London, where pharmacy services have been provided for several years. Forty-seven participants, including pharmacy team members (pre-registration and clinical pharmacists, independent prescribers and pharmacy technicians), general practitioners, patients, practice managers, practice nurses and receptionists took part in semi-structured, audio-recorded qualitative interviews which were transcribed verbatim, coded and analysed thematically to extract the issues raised by participants and the practicalities of providing pharmacy services in general practice.
Results
Findings are reported under the themes of Complementarity (incorporating roles, skills, education and workloads); Integration (incorporating relationships, trust and communication) and Practicalities (incorporating location and space, access, and costs). Participants reported the need for time to develop and understand the various roles, develop communication processes and build inter-professional trust. Once these were established, however, experiences were positive and included decreased workloads, increased patient safety, improved job satisfaction, improved patient relationships, and enhanced cost savings. Areas for improvement included patientsâ awareness of services; pharmacistsâ training; and regular, onsite access for practice staff to the pharmacy team.
Conclusions
Recommendations are made for the development of clear role definitions, identification of training needs, dedication of time for team building, production of educational materials for practice staff members and patients, and provision of on-site, full-time pharmacy services. Future work should focus on evaluation of various models of employing pharmacy teams in general practice; integration of pharmacists and pharmacy technicians into multidisciplinary general practice teams; relationships between local community pharmacy and general practice personnel and patientsâ service and information needs. A formal national evaluation of the pilot scheme is overdue
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