Knowledge, attitudes and practices towards evidence based practice::A survey amongst radiographers

Introduction: It is increasingly becoming a requirement for radiographers to use the concept of Evidence Based Practice (EBP) to inform their clinical practice. The purpose of this study was to assess knowledge, attitudes and practices towards the use of EBP as well as to establish factors that influence the use of EBP amongst radiographers in Uganda. Methods: A total of 83 respondents participated in a cross-sectional survey conducted amongst qualified radiographers licensed to practice in Uganda. Data was collected using a self-reporting questionnaire that was accessed through the Bristol Online Survey Software. Using SPSS version 21, descriptive and inferential statistics were generated. Results: The study revealed that 47 (57%) and 36 (43%) respondents scored themselves as having high and low knowledge of EBP respectively. However, 52 (63%) respondents scored themselves as having a negative attitude towards EBP. As regards use of EBP, 49 (59%) out of 83 respondents reported use of EBP in clinical practice. Using binary logistic regression, a significant association was found between a high knowledge level and the use of EBP (Adjusted OR, 95% CI: 9.89: 3.54–27.64). Conclusion: Overall, majority of the respondents had high knowledge levels about EBP. However, a high proportion of them were found to have a negative attitude towards EBP. High knowledge levels of EBP were strongly associated with use of EBP in practice. This finding provides helpful insights for policy makers to consider a holistic approach towards improving the use of EBP among radiographers through devising interventions that strengthen both knowledge and attitude towards EBP.</p

Observed Effect of Magnetic Fields on the Propagation of Magnetoacoustic Waves in the Lower Solar Atmosphere

We study Hinode/SOT-FG observations of intensity fluctuations in Ca II H-line and G-band image sequences and their relation to simultaneous and co-spatial magnetic field measurements. We explore the G-band and H-line intensity oscillation spectra both separately and comparatively via their relative phase differences, time delays and cross-coherences. In the non-magnetic situations, both sets of fluctuations show strong oscillatory power in the 3 - 7 mHz band centered at 4.5 mHz, but this is suppressed as magnetic field increases. A relative phase analysis gives a time delay of H-line after G-band of 20\pm1 s in non-magnetic situations implying a mean effective height difference of 140 km. The maximum coherence is at 4 - 7 mHz. Under strong magnetic influence the measured delay time shrinks to 11 s with the peak coherence near 4 mHz. A second coherence maximum appears between 7.5 - 10 mHz. Investigation of the locations of this doubled-frequency coherence locates it in diffuse rings outside photospheric magnetic structures. Some possible interpretations of these results are offered.Comment: 19 pages, 6 figure

Larkin-Ovchinnikov-Fulde-Ferrell state in quasi-one-dimensional superconductors

The properties of a quasi-one-dimensional (quasi-1D) superconductor with {\it an open Fermi surface} are expected to be unusual in a magnetic field. On the one hand, the quasi-1D structure of the Fermi surface strongly favors the formation of a non-uniform state (Larkin-Ovchinnikov-Fulde-Ferrell (LOFF) state) in the presence of a magnetic field acting on the electron spins. On the other hand, a magnetic field acting on an open Fermi surface induces a dimensional crossover by confining the electronic wave-functions wave-functions along the chains of highest conductivity, which results in a divergence of the orbital critical field and in a stabilization at low temperature of a cascade of superconducting phases separated by first order transistions. In this paper, we study the phase diagram as a function of the anisotropy. We discuss in details the experimental situation in the quasi-1D organic conductors of the Bechgaard salts family and argue that they appear as good candidates for the observation of the LOFF state, provided that their anisotropy is large enough. Recent experiments on the organic quasi-1D superconductor (TMTSF)$_2$ClO$_4$ are in agreement with the results obtained in this paper and could be interpreted as a signature of a high-field superconducting phase. We also point out the possibility to observe a LOFF state in some quasi-2D organic superconductors.Comment: 24 pages+17 figures (upon request), RevTex, ORSAY-LPS-24109

Multiscale magnetic underdense regions on the solar surface: Granular and Mesogranular scales

The Sun is a non-equilibrium dissipative system subjected to an energy flow which originates in its core. Convective overshooting motions create temperature and velocity structures which show a temporal and spatial evolution. As a result, photospheric structures are generally considered to be the direct manifestation of convective plasma motions. The plasma flows on the photosphere govern the motion of single magnetic elements. These elements are arranged in typical patterns which are observed as a variety of multiscale magnetic patterns. High resolution magnetograms of quiet solar surface revealed the presence of magnetic underdense regions in the solar photosphere, commonly called voids, which may be considered a signature of the underlying convective structure. The analysis of such patterns paves the way for the investigation of all turbulent convective scales from granular to global. In order to address the question of magnetic structures driven by turbulent convection at granular and mesogranular scales we used a "voids" detection method. The computed voids distribution shows an exponential behavior at scales between 2 and 10 Mm and the absence of features at 5-10 Mm mesogranular scales. The absence of preferred scales of organization in the 2-10 Mm range supports the multiscale nature of flows on the solar surface and the absence of a mesogranular convective scale

A proposal for reducing maximum target doses of drugs for psychosis: Reviewing dose-response literature

YesBackground: Presently, there is limited guidance on the maximal dosing of psychosis drugs that is based on effectiveness rather than safety or toxicity. Current maximum dosing recommendations may far exceed the necessary degree of dopamine D2 receptor blockade required to treat psychosis. This may lead to excess harm through cognitive impairment and side effects. Aims: This analysis aimed to establish guidance for prescribers by optimally dosing drugs for psychosis based on efficacy and benefit. Methods: We used data from two dose–response meta-analyses and reviewed seven of the most prescribed drugs for psychosis in the UK. Where data were not available, we used appropriate comparison techniques based on D2 receptor occupancy to extrapolate our recommendations. Results: We found that the likely threshold dose for achieving remission of psychotic symptoms was often significantly below the currently licensed dose for these drugs. We therefore recommend that clinicians are cautious about exceeding our recommended doses. Individual factors, however, should be accounted for. We outline potentially relevant factors including age, ethnicity, sex, smoking status and pharmacogenetics. Additionally, we recommend therapeutic drug monitoring as a tool to determine individual pharmacokinetic variation. Conclusions: In summary, we propose a new set of maximum target doses for psychosis drugs based on efficacy. Further research through randomised controlled trials should be undertaken to evaluate the effect of reducing doses from current licensing maximums or from doses that are above our recommendations. However, dose reductions should be implemented in a manner that accounts for and reduces the effects of drug withdrawal

A proposal for reducing maximum target doses of drugs for psychosis: Reviewing dose–response literature

Background: Presently, there is limited guidance on the maximal dosing of psychosis drugs that is based on effectiveness rather than safety or toxicity. Current maximum dosing recommendations may far exceed the necessary degree of dopamine D2 receptor blockade required to treat psychosis. This may lead to excess harm through cognitive impairment and side effects. Aims: This analysis aimed to establish guidance for prescribers by optimally dosing drugs for psychosis based on efficacy and benefit. Methods: We used data from two dose–response meta-analyses and reviewed seven of the most prescribed drugs for psychosis in the UK. Where data were not available, we used appropriate comparison techniques based on D2 receptor occupancy to extrapolate our recommendations. Results: We found that the likely threshold dose for achieving remission of psychotic symptoms was often significantly below the currently licensed dose for these drugs. We therefore recommend that clinicians are cautious about exceeding our recommended doses. Individual factors, however, should be accounted for. We outline potentially relevant factors including age, ethnicity, sex, smoking status and pharmacogenetics. Additionally, we recommend therapeutic drug monitoring as a tool to determine individual pharmacokinetic variation. Conclusions: In summary, we propose a new set of maximum target doses for psychosis drugs based on efficacy. Further research through randomised controlled trials should be undertaken to evaluate the effect of reducing doses from current licensing maximums or from doses that are above our recommendations. However, dose reductions should be implemented in a manner that accounts for and reduces the effects of drug withdrawal

Fractional vortices on grain boundaries --- the case for broken time reversal symmetry in high temperature superconductors

We discuss the problem of broken time reversal symmetry near grain boundaries in a d-wave superconductor based on a Ginzburg-Landau theory. It is shown that such a state can lead to fractional vortices on the grain boundary. Both analytical and numerical results show the structure of this type of state.Comment: 9 pages, RevTeX, 5 postscript figures include

Quantitative predictions on auxin-induced polar distribution of PIN proteins during vein formation in leaves

The dynamic patterning of the plant hormone auxin and its efflux facilitator the PIN protein are the key regulator for the spatial and temporal organization of plant development. In particular auxin induces the polar localization of its own efflux facilitator. Due to this positive feedback auxin flow is directed and patterns of auxin and PIN arise. During the earliest stage of vein initiation in leaves auxin accumulates in a single cell in a rim of epidermal cells from which it flows into the ground meristem tissue of the leaf blade. There the localized auxin supply yields the successive polarization of PIN distribution along a strand of cells. We model the auxin and PIN dynamics within cells with a minimal canalization model. Solving the model analytically we uncover an excitable polarization front that triggers a polar distribution of PIN proteins in cells. As polarization fronts may extend to opposing directions from their initiation site we suggest a possible resolution to the puzzling occurrence of bipolar cells, such we offer an explanation for the development of closed, looped veins. Employing non-linear analysis we identify the role of the contributing microscopic processes during polarization. Furthermore, we deduce quantitative predictions on polarization fronts establishing a route to determine the up to now largely unknown kinetic rates of auxin and PIN dynamics.Comment: 9 pages, 4 figures, supplemental information included, accepted for publication in Eur. Phys. J.