A mixed method study into obstetric sonographer-led-discharge and other forms of sonographer role extension

INTRODUCTION: Sonographer-led-discharge was proposed in a maternity unit to provide a holistic service, cut waiting times, ease staffing pressures and increase job satisfaction. This study explored sonographers’ experiences and perspectives of this new extended role and other areas of non-obstetric role extension. Understanding these will inform future practice and the success of the proposed obstetric sonographer-led-discharge and career structure. METHODS: A mixed methodology, cross-sectional study was performed, with a purposive, non-probability sample using an online data collection tool. The data were analysed using descriptive statistics and thematic analysis. RESULTS: In total, 93 sonographers participated in the study. Of these, 25% of sonographers currently practising obstetric ultrasound said they would not undertake the proposed obstetric sonographer-led-discharge role extension although 90% of the participants said role extension provides job satisfaction. Several themes emerged from the data, including job satisfaction, benefits to the hospital, improved patient pathway, time, personal factors, litigation and intra- and interprofessional resistance. A total of 54% of staff currently performing a role extension have experienced either inter- or intraprofessional conflict and only 48.5% said their workload was manageable. CONCLUSIONS: The data collected suggested that, with training and support, the proposed obstetric sonographer-led-discharge role is an appropriate role extension for sonographers. These findings support the premise of the proposed sonographic career structure, although the inter- and intraprofessional resistance identified in the study could form a significant barrier if it is not appropriately considered and managed

Relationships between climate and winter cereal grain quality in Finland and their potential for forecasting

Many studies have demonstrated the effects of climate on cereal yield, but there has been little work carried out examining the relationships between climate and cereal grain quality on a national scale. In this study national mean hectolitre weight for both rye and winter wheat in Finland was modelled using monthly gridded accumulated snow depth, precipitation rate, solar radiation and temperature over the period 1971 to 2001. Variables with significant relationships in correlation analysis both before and after difference detrending were further investigated using forward stepwise regression. For rye, March snow depth, and June and July solar radiation accounted for 66% of the year-to-year variance in hectolitre weight, and for winter wheat January snow depth, June solar radiation and August temperature accounted for 62% of the interannual variance in hectolitre weight. Further analysis of national variety trials and weather station data was used to support proposed biological mechanisms. Finally a cross validation technique was used to test forecast models with those variables available by early July by making predictions of above or below the mean hectolitre weight. Analysis of the contingency tables for these predictions indicated that national hectolitre weight forecasts are feasible for both cereals in advance of harvest

Water-Saving Traits Can Protect Wheat Grain Number Under Progressive Soil Drying at the Meiotic Stage:A Phenotyping Approach

In wheat, water deficit during meiosis of pollen mother cells greatly reduces seed set and grain number. A promising option to avoid grain losses and maintain wheat productivity under water stress is to exploit conservative water-use strategies during reproduction. In this work, two cultivars known to be adapted to different environments were studied. Water stress, with or without a polymer spray known to reduce stomatal conductance, was applied to both cultivars just prior to meiosis. Two experiments were carried out in a phenotyping platform to (1) assess and validate daily non-destructive estimation of projected leaf area and to (2) evaluate different water-use (WU) strategies across the meiotic period and their effect on physiology and yield components. Gladius displays an elevated breakpoint (BP) in the regression of WU against fraction of transpirable soil water (FTSW) for both daily and night-time WU suggesting higher conservative whole-plant response when compared to Paragon. At the same time, Gladius maintained flag leaf gas-exchange with a significant reduction at ~ 0.2 FTSW only, suggesting an uncoupled mechanism of WU reduction that optimized the water resource available for flag leaf gas-exchange maintenance. Under progressive soil drying, seed set and grain number of tillers stressed at GS41 were significantly reduced in Paragon (p < 0.05) thus leading to lower grain yield and grain number at plant level than Gladius. Polymer-induced reduction of transpiration is potentially useful when applied to the non-conservative stressed Paragon, maintaining higher FTSW, water-use efficiency and RWC during the progressive soil drying treatment. This led to better seed set (p < 0.05) and grain number maintenance (p < 0.05) than in the stressed Paragon control. We conclude that the different conservative traits detected in this work, protect grain development around meiosis and therefore maintain grain number under water-limiting conditions. Additionally, non-conservative genotypes (often with a greater expected yield potential) can be protected at key stages by reducing their water use with a polymer spray. Thus, future efforts can integrate both crop breeding and management strategies to achieve drought-resilience during the early reproductive phase in wheat and potentially other cereals

Potential for Forecasting UK Summer Grass Growth from the North Atlantic Oscillation

The North Atlantic Oscillation (NAO) is a large-scale atmospheric circulation pattern which is well-known to influence the UK winter climate (Wilby et al., 1997). Recently, it has been shown that the winter NAO also affects summer rainfall in the UK (Kettlewell et al., 2003). Since water supply is an important limitation to summer grass growth in many parts of the UK, the winter NAO may influence summer growth. The objective of this study was to test the hypothesis that there is a relationship between the winter NAO and summer grass growth using data from reference plots at North Wyke in Devon

Wheat area expansion into northern higher latitudes and global food security

Wheat is an important crop for global food security, but it is unlikely that the upper end of future global food demand projections can be satisfied from improving wheat yield on the existing cropping area. Climate warming is, however, enabling wheat to be grown on previously uncropped land at higher northern latitudes. There are numerous problems with growing wheat in these regions, including perhaps most importantly release of greenhouse gases. Research and development of wheat production techniques which minimise environmental damage in high latitudes is needed

Exercise training reverses myocardial dysfunction induced by CaMKIIδC overexpression by restoring Ca2+-homeostasis

Several conditions of heart disease, including heart failure and diabetic cardiomyopathy, are associated with upregulation of cytosolic Ca2+/calmodulin-dependent protein kinase II (CaMKIIδC) activity. In the heart, CaMKIIδC isoform targets several proteins involved in intracellular Ca2+ homeostasis. We hypothesized that high-intensity endurance training activates mechanisms that enable a rescue of dysfunctional cardiomyocyte Ca2+ handling and thereby ameliorate cardiac dysfunction despite continuous and chronic elevated levels of CaMKIIδC. CaMKIIδC transgenic (TG) and wild-type (WT) mice performed aerobic interval exercise training over 6 wk. Cardiac function was measured by echocardiography in vivo, and cardiomyocyte shortening and intracellular Ca2+ handling were measured in vitro. TG mice had reduced global cardiac function, cardiomyocyte shortening (47% reduced compared with WT, P &#60; 0.01), and impaired Ca2+ homeostasis. Despite no change in the chronic elevated levels of CaMKIIδC, exercise improved global cardiac function, restored cardiomyocyte shortening, and reestablished Ca2+ homeostasis to values not different from WT. The key features to explain restored Ca2+ homeostasis after exercise training were increased L-type Ca2+ current density and flux by 79 and 85%, respectively (P &#60; 0.01), increased sarcoplasmic reticulum (SR) Ca2+-ATPase (SERCA2a) function by 50% (P &#60; 0.01), and reduced diastolic SR Ca2+ leak by 73% (P &#60; 0.01), compared with sedentary TG mice. In conclusion, exercise training improves global cardiac function as well as cardiomyocyte function in the presence of a maintained high CaMKII activity. The main mechanisms of exercise-induced improvements in TG CaMKIIδC mice are mediated via increased L-type Ca2+ channel currents and improved SR Ca2+ handling by restoration of SERCA2a function in addition to reduced diastolic SR Ca2+ leak

A Fourier transform infrared trace gas and isotope analyser for atmospheric applications

Concern in recent decades about human impacts on Earth's climate has led to the need for improved and expanded measurement capabilities of greenhouse gases in the atmosphere. In this paper we describe in detail an in situ trace gas analyser based on Fourier Transform Infrared (FTIR) spectroscopy that is capable of simultaneous and continuous measurements of carbon dioxide (CO&lt;sub&gt;2&lt;/sub&gt;), methane (CH&lt;sub&gt;4&lt;/sub&gt;), carbon monoxide (CO), nitrous oxide (N&lt;sub&gt;2&lt;/sub&gt;O) and &lt;sup&gt;13&lt;/sup&gt;C in CO&lt;sub&gt;2&lt;/sub&gt; in air with high precision. High accuracy is established by reference to measurements of standard reference gases. Stable water isotopes can also be measured in undried airstreams. The analyser is automated and allows unattended operation with minimal operator intervention. Precision and accuracy meet and exceed the compatibility targets set by the World Meteorological Organisation – Global Atmosphere Watch for baseline measurements in the unpolluted troposphere for all species except &lt;sup&gt;13&lt;/sup&gt;C in CO&lt;sub&gt;2&lt;/sub&gt;. &lt;br&gt;&lt;br&gt; The analyser is mobile and well suited to fixed sites, tower measurements, mobile platforms and campaign-based measurements. The isotopic specificity of the optically-based technique and analysis allows its application in isotopic tracer experiments, for example in tracing variations of &lt;sup&gt;13&lt;/sup&gt;C in CO&lt;sub&gt;2&lt;/sub&gt; and &lt;sup&gt;15&lt;/sup&gt;N in N&lt;sub&gt;2&lt;/sub&gt;O. We review a number of applications illustrating use of the analyser in clean air monitoring, micrometeorological flux and tower measurements, mobile measurements on a train, and soil flux chamber measurements

はじめに : 人文社会科学研究科研究プロジェクト報告書第237集『起業家教育に関する実践的研究』

千葉大学大学院人文社会科学研究科研究プロジェクト報告書第237集『起業家教育に関する実践的研究』 藤川 大祐 編“A Practical Study About Entrepreneurship education Report on Research Project No.23

Seasonal total methane depletion in limestone caves

Methane concentration in caves is commonly much lower than the external atmosphere, yet the cave CH4 depletion causal mechanism is contested and dynamic links to external diurnal and seasonal temperature cycles unknown. Here, we report a continuous 3-year record of cave methane and other trace gases in Jenolan Caves, Australia which shows a seasonal cycle of extreme CH4 depletion, from ambient ∼1,775 ppb to near zero during summer and to ∼800 ppb in winter. Methanotrophic bacteria, some newly-discovered, rapidly consume methane on cave surfaces and in external karst soils with lifetimes in the cave of a few hours. Extreme bacterial selection due to the absence of alternate carbon sources for growth in the cave environment has resulted in an extremely high proportion 2-12% of methanotrophs in the total bacteria present. Unexpected seasonal bias in our cave CH4 depletion record is explained by a three-step process involving methanotrophy in aerobic karst soil above the cave, summer transport of soil-gas into the cave through epikarst, followed by further cave CH4 depletion. Disentangling cause and effect of cave gas variations by tracing sources and sinks has identified seasonal speleothem growth bias, with implied palaeo-climate record bias