1,172 research outputs found
Effectiveness of ultrasound-guided vs direct approach corticosteroid injections for carpal tunnel syndrome: A double-blind randomized controlled trial
Peierls barrier characteristic and anomalous strain hardening provoked by dynamic-strain-aging strengthening in a body-centered-cubic high-entropy alloy
The temperature effect on the mechanical behavior of the HfNbTaTiZr high entropy alloy (HEA) was investigated at 77–673 K. The decrease of the yield strength with increasing the temperature was mechanistically analyzed by considering contributions from various strengthening mechanisms. An anomalous dependence of strain hardening on temperature was observed and was justified to be caused by dynamic strain aging (DSA) as an extra strengthening mechanism at elevated temperatures. A model was constructed to split the overall strain hardening into forest hardening and DSA hardening, both of which were theoretically quantified at all temperatures considered.
The work quantifies the height of Peierls barriers in the bcc HfNbTaTiZr HEA, and reveals dynamic strain aging as the strengthening mechanism causing the anomalous strain hardening at elevated temperatures
Platelet counts modulate the quantitative relationship between hepatitis B viral DNA and surface antigen concentrations: a cross-sectional study of hematological, histological and viral factors
Suitability for salt-lick tourism: A preliminary assessment on the natural saltlicks at Segaliud-Lokan Forest Reserve, Sandakan, Sabah
The natural salt-licks are visited by various species of terrestrial mammals, hence ideal for mammal watching, although the suitability for salt-lick tourism is influenced by other factors. Preliminary research was conducted on the suitability of four natural salt-licks for mammal watching in Segaliud-Lokan Forest Reserve (SLFR), Sabah. The camera trapping survey and field assessment were conducted for eight months, and then the assessment criteria applied in this study included the lick accessibility, detection frequency, species richness, viewable activity sighting probability, reliability and visibility on the terrestrial mammals, at a given lick. A total of 12 different mammal species were recorded, where Sambar Deer, Bearded Pig, Banteng, and Bornean Orang-utan were determined as the main visitor species of this study. Among the four selected salt-licks, the rating score of SL50A (Score=1.71) was significantly lower than those of SL50B, SL56 and SL59 (Score=2.57 respectively, χ2 2=6.794, p=0.042), hence highlighting that SL50A was not suitable for conducting mammal watching activity, unlike the other three natural licks at SLFR. The assessment on the compatibility between the supply (mammalian physical availability) and demand (highly anticipated species) was excluded from this research, therefore emphasizing the need to fill up this particular research gap in the future
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Collaborative practice among general ward staff on escalating care in clinical deterioration: A systematic review
Aim
To understand the issues surrounding collaborative practice and collaboration experiences among general ward staff in the escalation of care for clinically deteriorating patients.
Design
A systematic synthesis without meta-analysis.
Review Methods
Seven electronic databases (CINAHL, Cochrane, Embase, PsycINFO, PubMed, Scopus and ProQuest Theses and Dissertations) were searched from their inception to 30 April 2022. Two reviewers independently screened titles, abstracts and full text for eligibility. The critical appraisal skill programme, Joanna Briggs Institute checklist for analytical cross-sectional studies and mixed methods appraisal tool were used to appraise the quality of the included studies. Both quantitative and qualitative research data were extracted, analysed and then synthesised using the data-based convergent qualitative synthesis approach. This review adhered to the Synthesis without meta-analysis (SWiM) reporting guidelines.
Results
A total of 17 studies were included. Two themes and six sub-themes were generated: (1) intraprofessional factors—inadequate handover, workload and mutual support, raising and acting on concerns, and seeking help from seniors and (2) interprofessional factors—differences in communication styles, and hierarchical approach versus interpersonal relationships.
Conclusions
This systematic review highlights the need to address the intra- and interprofessional issues surrounding collaborative practice in escalation of care among general ward staff.
Implications for the Profession
Findings from this review will inform healthcare leaders and educators on the development of relevant strategies and multi-disciplinary training to foster effective teamwork among nurses and doctors, with the goal of improving the escalation of care for patients with clinical deterioration.
No Patient or Public Contribution
This systematic review did not directly involve patient or public contribution to the manuscript
A highly divergent Encephalomyocarditis virus isolated from nonhuman primates in Singapore
10.1186/1743-422X-10-248Virology Journal10
Characterization of Turing diffusion-driven instability on evolving domains
In this paper we establish a general theoretical framework for Turing diffusion-driven instability for reaction-diffusion systems on time-dependent evolving domains. The main result is that Turing diffusion-driven instability for reaction-diffusion systems on evolving domains is characterised by Lyapunov exponents of the evolution family associated with the linearised system (obtained by linearising the original system along a spatially independent solution). This framework allows for the inclusion of the analysis of the long-time behavior of the solutions of reaction-diffusion systems. Applications to two special types of evolving domains are considered: (i) time-dependent domains which evolve to a final limiting fixed domain and (ii) time-dependent domains which are eventually time periodic. Reaction-diffusion systems have been widely proposed as plausible mechanisms for pattern formation in morphogenesis
Critical Review of Theoretical Models for Anomalous Effects (Cold Fusion) in Deuterated Metals
We briefly summarize the reported anomalous effects in deuterated metals at
ambient temperature, commonly known as "Cold Fusion" (CF), with an emphasis on
important experiments as well as the theoretical basis for the opposition to
interpreting them as cold fusion. Then we critically examine more than 25
theoretical models for CF, including unusual nuclear and exotic chemical
hypotheses. We conclude that they do not explain the data.Comment: 51 pages, 4 Figure
Dirichlet Multinomial Mixtures: Generative Models for Microbial Metagenomics
We introduce Dirichlet multinomial mixtures (DMM) for the probabilistic modelling of microbial metagenomics data. This data can be represented as a frequency matrix giving the number of times each taxa is observed in each sample. The samples have different size, and the matrix is sparse, as communities are diverse and skewed to rare taxa. Most methods used previously to classify or cluster samples have ignored these features. We describe each community by a vector of taxa probabilities. These vectors are generated from one of a finite number of Dirichlet mixture components each with different hyperparameters. Observed samples are generated through multinomial sampling. The mixture components cluster communities into distinct ‘metacommunities’, and, hence, determine envirotypes or enterotypes, groups of communities with a similar composition. The model can also deduce the impact of a treatment and be used for classification. We wrote software for the fitting of DMM models using the ‘evidence framework’ (http://code.google.com/p/microbedmm/). This includes the Laplace approximation of the model evidence. We applied the DMM model to human gut microbe genera frequencies from Obese and Lean twins. From the model evidence four clusters fit this data best. Two clusters were dominated by Bacteroides and were homogenous; two had a more variable community composition. We could not find a significant impact of body mass on community structure. However, Obese twins were more likely to derive from the high variance clusters. We propose that obesity is not associated with a distinct microbiota but increases the chance that an individual derives from a disturbed enterotype. This is an example of the ‘Anna Karenina principle (AKP)’ applied to microbial communities: disturbed states having many more configurations than undisturbed. We verify this by showing that in a study of inflammatory bowel disease (IBD) phenotypes, ileal Crohn's disease (ICD) is associated with a more variable community
Hydrophobically Modified Sulfobetaine Copolymers with Tunable Aqueous UCST through Postpolymerization Modification of Poly(pentafluorophenyl acrylate)
Polysulfobetaines, polymers carrying highly polar zwitterionic side chains, present a promising research field by virtue of their antifouling properties, hemocompatibility, and stimulus-responsive behavior. However, limited synthetic approaches exist to produce sulfobetaine copolymers comprising hydrophobic components. Postpolymerization modification of an activated ester precursor, poly(pentafluorophenyl acrylate), employing a zwitterionic amine, 3-((3-aminopropyl)dimethylammonio)propane-1-sulfonate, ADPS, is presented as a novel, one-step synthetic concept toward sulfobetaine (co)polymers. Modifications were performed in homogeneous solution using propylene carbonate as solvent with mixtures of ADPS and pentylamine, benzylamine, and dodecylamine producing a series of well-defined statistical acrylamido sulfobetaine copolymers containing hydrophobic pentyl, benzyl, or dodecylacrylamide comonomers with well-controllable molar composition as evidenced by NMR and FT-IR spectroscopy and size exclusion chromatography.This synthetic strategy was exploited to investigate, for the first time, the influence of hydrophobic modification on the upper critical solution temperature (UCST) of sulfobetaine copolymers in aqueous solution. Surprisingly, incorporation of pentyl groups was found to increase solubility over a wide composition range, whereas benzyl groups decreased solubility—an effect attributed to different entropic and enthalpic contributions of both functional groups. While UCST transitions of polysulfobetaines are typically limited to higher molar mass samples, incorporation of 0–65 mol % of benzyl groups into copolymers with molar masses of 25.5–34.5 kg/mol enabled sharp, reversible transitions from 6 to 82 °C in solutions containing up to 76 mM NaCl, as observed by optical transmittance and dynamic light scattering. Both synthesis and systematic UCST increase of sulfobetaine copolymers presented here are expected to expand the scope and applicability of these smart materials
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