635 research outputs found
Видавничі функції Науково-консультаційної ради Народного комісаріату земельних справ УСРР
У статті висвітлено видавничі функції Науково-консультаційної ради НКЗС
УСРР (1927-1930 рр.), а саме, коротко розглянуті наукові видання, де друкувалися
матеріали учених та організаторів сільськогосподарської науки того часу.В статье рассмотрены издательские функции Научно-консультационного совета НКНД УССР (1927-1930 гг.), а именно, коротко представлены научные издания, где печатались материалы ученых и организаторов сельскохозяйственного опытного дела того времени.The publishing functions of Scientific consultative
council of the Public commissariat of agriculture of USSR in 1927–1930 are considered in the
article, namely, briefly presented scientific journals, where printed materials scientists and
organizers of agricultural experimental work at the time
Measurement of disruption forces in JET using fiber-optic sensors
Monitoring the forces induced on the vacuum vessel when a disruption occurs is essential for the protection of the machine. Since divertor coils have been installed in JET, during disruptions a significant difference between the forces measured on the top and the bottom of the machine has been observed. In order to investigate these further, optical fiber transducers FBGs (Fiber Bragg Gratings) were installed in addition to the currently used strain gauges. During VDE (Vertical Displacement Event) tests, these new transducers were used to measure different level of disruptions ranging from 80T up to 230T vertical forces. The results were then compared with the strain gauges. The FBG measurement was carried out using a broadband light source illuminating an array of 4 FBGs through a combination of directional couplers, connectors and fiber-optic cable. The forces measured both by FBG and by the strain gauges are within the same range, except for the initial swing where large random differences are observed. The tests have demonstrated that the FBG-based force measurement system has adequate resolution (±1.52strain corresponding to a force of 4kN due to the geometry of the leg) and measurement range (50002strain or 13000kN) for this application
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Investigating the cultural and contextual determinants of antimicrobial stewardship programmes across low-, middle- and high-income countries—A qualitative study
Background
Most of the evidence on antimicrobial stewardship programmes (ASP) to help sustain the effectiveness of antimicrobials is generated in high income countries. We report a study investigating implementation of ASP in secondary care across low-, middle- and high-income countries. The objective of this study was to map the key contextual, including cultural, drivers of the development and implementation of ASP across different resource settings.
Materials and methods
Healthcare professionals responsible for implementing ASP in hospitals in England, France, Norway, India, and Burkina Faso were invited to participate in face-to face interviews. Field notes from observations, documentary evidence, and interview transcripts were analysed using grounded theory approach. The key emerging categories were analysed iteratively using constant comparison, initial coding, going back the field for further data collection, and focused coding. Theoretical sampling was applied until the categories were saturated. Cross-validation and triangulation of the findings were achieved through the multiple data sources.
Results
54 participants from 24 hospitals (England 9 participants/4 hospitals; Norway 13 participants/4 hospitals; France 9 participants/7 hospitals; India 13 participants/ 7 hospitals; Burkina Faso 8 participants/2 hospitals) were interviewed. Across Norway, France and England there was consistency in ASP structures. In India and Burkina Faso there were country level heterogeneity in ASP. State support for ASP was perceived as essential in countries where it is lacking (India, Burkina Faso), and where it was present, it was perceived as a barrier (England, France). Professional boundaries are one of the key cultural determinants dictating involvement in initiatives with doctors recognised as leaders in ASP. Nurse and pharmacist involvement was limited to England. The surgical specialty was identified as most difficult to engage with in each country. Despite challenges, one hospital in India provided the best example of interdisciplinary ASP, championed through organisational leadership.
Conclusions
ASP initiatives in this study were restricted by professional boundaries and hierarchies, with lack of engagement with the wider healthcare workforce. There needs to be promotion of interdisciplinary team work including pharmacists and nurses, depending on the available healthcare workforce in different countries, in ASP. The surgical pathway remains a hard to reach, but critical target for ASP globally. There is a need to develop contextually driven ASP targeting the surgical pathway in different resource settings
Groupoids and an index theorem for conical pseudo-manifolds
We define an analytical index map and a topological index map for conical
pseudomanifolds. These constructions generalize the analogous constructions
used by Atiyah and Singer in the proof of their topological index theorem for a
smooth, compact manifold . A main ingredient is a non-commutative algebra
that plays in our setting the role of . We prove a Thom isomorphism
between non-commutative algebras which gives a new example of wrong way
functoriality in -theory. We then give a new proof of the Atiyah-Singer
index theorem using deformation groupoids and show how it generalizes to
conical pseudomanifolds. We thus prove a topological index theorem for conical
pseudomanifolds
Experiences and perspectives of implementing antimicrobial stewardship in five French hospitals: a qualitative study
Objective To describe current antimicrobial stewardship program (ASP) in France, both at policy level and at local implementation level, and to assess how ASP leaders (ASPL) worked and prioritised their activities. Methods We conducted a qualitative study based on face-to-face semi-structured interviews with healthcare professionals responsible for ASP across five French hospitals. Five infectious disease specialists and one microbiologist were interviewed between April and June 2016. Results Stewards had dedicated time to perform ASP activities in two university-affiliated hospitals while in the other hospitals (one university, one general and one semi-private), ASPLs had to balance these activities with clinical practice. Consequently, they had to adapt interventions according to their resources (IT or human). Responding to colleagues' consultation requests formed baseline work. Systematic and pro-active measures allowed for provision of unsolicited counselling, while direct counselling on wards required appropriate staffing. ASPL aimed at increasing clinicians' ability to prescribe adequately and awareness of the unintended consequences of inappropriate use of antibiotics. Thus, persuasive e.g. education measures were preferred to coercive ones. ASPL faced several challenges in implementing ASP: overcoming physicians' or units' reluctance, and balancing the influence of medical hierarchy and professional boundaries. Conclusion Beyond resources constraints, ASPLs' conceptions of their work, as well as contextual and cultural aspects, led them to adopt a persuasive and collaborative approach of counselling. This is the first qualitative study about ASP in France exploring stewards' experiences and points of view
Advanced breast cancer clinical nursing curriculum: review and recommendations
Purpose The needs and concerns of patients with advanced
breast cancer are changing at every phase of the care
intervention. Management and coordination of hospital
resources and services are also steadily evolving. The
objective of the present expert report is to define a new
oncology nursing role specialising in advanced breast
cancer, to help guide patients throughout the whole
healthcare itinerary.
Methods A group of eight experts in oncology nursing and
medical oncology defined the content index of the curriculum
document. A systematic review of bibliography
was carried out, and the relevant contents were extracted.
Based on these contents and the participants’ experience
recommendations were formulated and validated through a
Delphi questionnaire and a participative meeting.
Results The advanced breast cancer clinical nurse
(ABCCN) should develop a clinical, psychosocial role
focused on coordinating patients in the healthcare network.
The nurse would be in charge of evaluating and supervising
the care administered and the healthcare resources used.
The ABCCN should be aware and participate in the protocols
and available resources, be able to solve conflicts,
deal with burn-out signs and have clinical, coaching and
team-working abilities. The proposed curriculum provides
a specific process for the care of patients, as well as an
implementation process.
Conclusions The ABCCN’s role is crucial to assume the
best care and the optimisation of available resources. This
review and consensus document provides the required tools
for the implementation in hospitalsThe development of this work has been possible thanks to the financial support of Novartis Oncolog
Redécouverte de l’holotype de <i>Proctotretus signifer</i> Duméril et Bibron, 1837 (Reptilia, Iguanidae)
L’holotype de Proctotretus signifer Dum. et Bibr., 1837, considéré comme perdu depuis 1851, a été retrouvé dans le matériel catalogué comme la série-type de P. fitzingerii Dum. et Bibr. Ce spécimen, qui fut récolté par d’Orbigny lors de sa traversée des Hauts-Plateaux andins, est redécrit. Les affinités et la distribution géographique de l’espèce sont précisées.The holotype of Proctotretus signifer Dum. et Bibr., 1837, considered as lost since 1851, has been found again in the Paris Museum material that was catalogued as a type-series of P. fitzingerii Dum. et Bibr. This specimen, collected by d’Orbigny during his travel across andin High-Plates, is redescribed. The geographic distribution and affinities of the species are precised.Material digitalizado en SEDICI gracias a la colaboración del Dr. Jorge Williams (FCNM-UNLP).Facultad de Ciencias Naturales y Muse
Redécouverte de l’holotype de <i>Proctotretus signifer</i> Duméril et Bibron, 1837 (Reptilia, Iguanidae)
L’holotype de Proctotretus signifer Dum. et Bibr., 1837, considéré comme perdu depuis 1851, a été retrouvé dans le matériel catalogué comme la série-type de P. fitzingerii Dum. et Bibr. Ce spécimen, qui fut récolté par d’Orbigny lors de sa traversée des Hauts-Plateaux andins, est redécrit. Les affinités et la distribution géographique de l’espèce sont précisées.The holotype of Proctotretus signifer Dum. et Bibr., 1837, considered as lost since 1851, has been found again in the Paris Museum material that was catalogued as a type-series of P. fitzingerii Dum. et Bibr. This specimen, collected by d’Orbigny during his travel across andin High-Plates, is redescribed. The geographic distribution and affinities of the species are precised.Material digitalizado en SEDICI gracias a la colaboración del Dr. Jorge Williams (FCNM-UNLP).Facultad de Ciencias Naturales y Muse
Redécouverte de l’holotype de <i>Proctotretus signifer</i> Duméril et Bibron, 1837 (Reptilia, Iguanidae)
L’holotype de Proctotretus signifer Dum. et Bibr., 1837, considéré comme perdu depuis 1851, a été retrouvé dans le matériel catalogué comme la série-type de P. fitzingerii Dum. et Bibr. Ce spécimen, qui fut récolté par d’Orbigny lors de sa traversée des Hauts-Plateaux andins, est redécrit. Les affinités et la distribution géographique de l’espèce sont précisées.The holotype of Proctotretus signifer Dum. et Bibr., 1837, considered as lost since 1851, has been found again in the Paris Museum material that was catalogued as a type-series of P. fitzingerii Dum. et Bibr. This specimen, collected by d’Orbigny during his travel across andin High-Plates, is redescribed. The geographic distribution and affinities of the species are precised.Material digitalizado en SEDICI gracias a la colaboración del Dr. Jorge Williams (FCNM-UNLP).Facultad de Ciencias Naturales y Muse
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