Reflections on research at the College of Medicine: Excellence yesterday, today, tomorrow

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The significance of 'the visit' in an English category-B prison: Views from prisoners, prisoners' families and prison staff

A number of claims have been made regarding the importance of prisoners staying in touch with their family through prison visits, firstly from a humanitarian perspective of enabling family members to see each other, but also regarding the impact of maintaining family ties for successful rehabilitation, reintegration into society and reduced re-offending. This growing evidence base has resulted in increased support by the Prison Service for encouraging the family unit to remain intact during a prisoner’s incarceration. Despite its importance however, there has been a distinct lack of research examining the dynamics of families visiting relatives in prison. This paper explores perceptions of the same event – the visit – from the families’, prisoners’ and prison staffs' viewpoints in a category-B local prison in England. Qualitative data was collected with 30 prisoners’ families, 16 prisoners and 14 prison staff, as part of a broader evaluation of the visitors’ centre. The findings suggest that the three parties frame their perspective of visiting very differently. Prisoners’ families often see visits as an emotional minefield fraught with practical difficulties. Prisoners can view the visit as the highlight of their time in prison and often have many complaints about how visits are handled. Finally, prison staff see visits as potential security breaches and a major organisational operation. The paper addresses the current gap in our understanding of the prison visit and has implications for the Prison Service and wider social policy

Spanish for optometrists: A curriculum developed for the elective course, Optometry 725

This project is a compilation of the class notes developed for the elective course, Optometry 725: Basic Spanish for Optometrists. The topics include basic Spanish pronunciation and grammar, as well as a simple-as-possible translation of the instruction sets for the most common tests in a comprehensive optometric vision exam

Growth of Inflaton Perturbations and the Post-Inflation Era in Supersymmetric Hybrid Inflation Models

It has been shown that hybrid inflation may end with the formation of non-topological solitons of inflaton field. As a first step towards a fully realistic picture of the post-inflation era and reheating in supersymmetric hybrid inflation models, we study the classical scalar field equations of a supersymmetric hybrid inflation model using a semi-analytical ansatz for the spatial dependence of the fields. Using the minimal D-term inflation model as an example, the inflaton field is evolved using the full 1-loop effective potential from the slow-rolling era to the U(1)_{FI} symmetry-breaking phase transition. Spatial perturbations of the inflaton corresponding to quantum fluctuations are introduced for the case where there is spatially coherent U(1)_{FI} symmetry breaking. The maximal growth of the dominant perturbation is found to depend only on the ratio of superpotential coupling \lambda to the gauge coupling g. The inflaton condensate fragments to non-topological solitons for \lambda/g > 0.09. Possible consequences of non-topological soliton formation in fully realistic SUSY hybrid inflation models are discussed.Comment: 27 pages LaTeX, 8 figures. Additional references and discussio

Beyond symbolism: the roles of action planning and case-making in immigrant integration policymaking

How do city-level policymakers build support for substantive action in policy domains characterized by low levels of national salience and limited local capacity, and which evidentiary resources support as well as reflect these uses? Despite much attention to policymakers’ engagement with evidence, existing work tends to focus on domains where the issues at stake attract high levels of input and influence from central governments. This limits empirical and theoretical understanding of how local efforts to implement potentially contentious policies arise, and through which means. In response, we examine how municipal actors in 12 cities and regions across the UK have devised and communicated policies on immigrant integration—an area that lacks national policy inputs yet is locally consequential—through the mechanism of “action planning.” Drawing on 6 years’ worth of documentary evidence generated through a university-initiated collaboration with these municipalities, we show how action plans gather attention for objectives and propagate examples of practice to other cities—what we call “case-making.” This serves as a micro-foundation for the action planning mechanism, which links symbolic statements about immigrant integration with substantive intended actions

Basal body stability and ciliogenesis requires the conserved component Poc1

Centrioles are the foundation for centrosome and cilia formation. The biogenesis of centrioles is initiated by an assembly mechanism that first synthesizes the ninefold symmetrical cartwheel and subsequently leads to a stable cylindrical microtubule scaffold that is capable of withstanding microtubule-based forces generated by centrosomes and cilia. We report that the conserved WD40 repeat domain–containing cartwheel protein Poc1 is required for the structural maintenance of centrioles in Tetrahymena thermophila. Furthermore, human Poc1B is required for primary ciliogenesis, and in zebrafish, DrPoc1B knockdown causes ciliary defects and morphological phenotypes consistent with human ciliopathies. T. thermophila Poc1 exhibits a protein incorporation profile commonly associated with structural centriole components in which the majority of Poc1 is stably incorporated during new centriole assembly. A second dynamic population assembles throughout the cell cycle. Our experiments identify novel roles for Poc1 in centriole stability and ciliogenesis

Clinical features and the factors associated with poor outcome of measles patients at Queen Elizabeth Central Hospital

In the twelve month period from March 1992 to February 1993. 266 consecutive children with measles were admitted to the children's unit at Queen Elizabeth Central Hospital (QECH). Blantyre. During the 12 month period the overall mortality was 10.9%; mortality was highest (22.5%) in children 12-23 months age. One-third of the children admitted were under 9 months of age. not eligible for measles vaccination. Pneumonia complicated illness of 30% of cases and was the greatest clinical predictor of mortality. Among infants under 9 months of age, who were receiving inappropriate food supplementation before 4 months of age the risk of death was 6.4 times the risk of death in children who were not receiving food supplementation. Other aspects of measles epidemiology are discussed

‘It was just like we were a family again’: play as a means to maintain family ties for children visiting an imprisoned parent

Children can find the process of visiting a prison traumatic and as a result of parental incarceration may experience a range of adverse outcomes. When children stay in contact with their imprisoned parent through prison visiting, however, this seems to be a protective factor. This paper reports on a play visits service based at Her Majesty's Prison Leeds, UK. The service provides supervised play work provision for children visiting their father. Data were derived from prisoners and prisoners' families and were triangulated as a means of achieving a level of validity. The findings reveal that play visits do produce positive outcomes for children and play visits are effective in maintaining and strengthening family ties. These effects may be stronger when compared to standard prison visits, but further research is needed to confirm this

K-infinite trends with burnup, enrichment, and cooling time for BWR fuel assemblies

This report documents the work performed by ORNL for the Yucca Mountain project (YMP) M and O contractor, Framatome Cogema Fuels. The goal of this work was to obtain k{sub inf} values for infinite arrays of flooded boiling-water-reactor (BWR) fuel assemblies as a function of various burnup/enrichment and cooling-time combinations. These scenarios simulate expected limiting criticality loading conditions (for a given assembly type) for drift emplacements in a repository. Upon consultation with the YMP staff, a Quad Cities BWR fuel assembly was selected as a baseline assembly. This design consists of seven axial enrichment zones, three of which contain natural uranium oxide. No attempt was made to find a bounding or even typical assembly design due to the wide variety in fuel assembly designs necessary for consideration. The current work concentrates on establishing a baseline analysis, along with a small number of sensitivity studies which can be expected later if desired. As a result of similar studies of this nature, several effects are known to be important in the determination of the final k{sub inf} for spent fuel in a cask-like geometry. For a given enrichment there is an optimal burnup: for lower burnups, excess energy (and corresponding excess reactivity) is present in the fuel assembly; for larger burnups, the assembly is overburned and essentially driven by neighboring fuel assemblies. The majority of the burnup/enrichment scenarios included in this study were for some near-optimum burnup/enrichment combinations as determined from Energy Information Administration (EIA) data. Several calculations were performed for under- and over-burned fuel to show these effects

The College of Medicine in the Republic of Malawi: towards sustainable staff development

BACKGROUND: Malawi has a critical human resources problem particularly in the health sector. There is a severe shortage of doctors; there are only few medical specialists. The College of Medicine (COM) is the only medical school and was founded in 1991. For senior staff it heavily depends on expatriates. In 2004 the COM started its own postgraduate training programme (Master of Medicine) in the clinical specialties. METHODS: We explore to what extent a brain drain took place among the COM graduates by investigating their professional development and geographical distribution. Using current experience with the postgraduate programme, we estimate at what point all senior academic positions in the clinical departments could be filled by Malawians. We demonstrate the need for expatriate staff for its most senior academic positions in the interim period and how this can be phased out. Lastly we reflect on measures that may influence the retention of Malawian doctors. RESULTS: Since the start of the COM 254 students have graduated with an average of 17 students per year. Most (60%) are working in Malawi. Of those working abroad, 60% are in various postgraduate training programmes. In 2015, adequate numbers of Malawi senior academics should be available to fill most senior positions in the clinical departments, taking into account a 65% increase in staff to cope with increasing numbers of students. CONCLUSION: There seems to be no significant brain drain among graduates of the COM. The postgraduate programme is in place to train graduates to become senior academic staff. In the interim, the COM depends heavily upon expatriate input for its most senior academic positions. This will be necessary at least until 2015 when sufficient numbers of well trained and experienced Malawian specialists may be expected to be available. Improved pay structure and career development perspectives will be essential to consolidate the trend that most doctors will remain in the country