Nursing teamwork in the care of older people: A mixed methods study

Healthcare is increasingly complex and requires the ability to adapt to changing demands. Teamwork is essential to delivering high quality care and is central to nursing. The aims of this study were to identify the processes that underpin nursing teamwork and how these affect the care of older people, identify the relationship between perceived teamwork and perceived quality of care, and explore in depth the experience of working in nursing teams. The study was carried out in three older people's wards in a London teaching hospital. Nurses and healthcare assistants completed questionnaires (n=65) on known dynamics of teamwork (using the Nursing Teamwork Survey) together with ratings of organisational quality (using an adapted AHRQ HSPS scale). A sample (n=22; 34%) was then interviewed about their perceptions of care, teamwork and how good outcomes are delivered in everyday work. Results showed that many care difficulties were routinely encountered, and confirmed the importance of teamwork (e.g. shared mental models of tasks and team roles and responsibilities, supported by leadership) in adapting to challenges. Perceived quality of teamwork was positively related to perceived quality of care. Work system variability and the external environment influenced teamwork, and confirmed the importance of team adaptive capacity. The CARE model shows the centrality of teamwork in adapting to variable demand and capacity to deliver care processes, and the influence of broader system factors on teamworking

Porting Decision Tree Algorithms to Multicore using FastFlow

The whole computer hardware industry embraced multicores. For these machines, the extreme optimisation of sequential algorithms is no longer sufficient to squeeze the real machine power, which can be only exploited via thread-level parallelism. Decision tree algorithms exhibit natural concurrency that makes them suitable to be parallelised. This paper presents an approach for easy-yet-efficient porting of an implementation of the C4.5 algorithm on multicores. The parallel porting requires minimal changes to the original sequential code, and it is able to exploit up to 7X speedup on an Intel dual-quad core machine.Comment: 18 pages + cove

Local genomic adaptation of coral reef-associated microbiomes to gradients of natural variability and anthropogenic stressors

Holobionts are species-specific associations between macro- and microorganisms. On coral reefs, the benthic coverage of coral and algal holobionts varies due to natural and anthropogenic forcings. Different benthic macroorganisms are predicted to have specific microbiomes. In contrast, local environmental factors are predicted to select for specific metabolic pathways in microbes. To reconcile these two predictions, we hypothesized that adaptation of microbiomes to local conditions is facilitated by the horizontal transfer of genes responsible for specific metabolic capabilities. To test this hypothesis, microbial metagenomes were sequenced from 22 coral reefs at 11 Line Islands in the central Pacific that together span a wide range of biogeochemical and anthropogenic influences. Consistent with our hypothesis, the percent cover of major benthic functional groups significantly correlated with particular microbial taxa. Reefs with higher coral cover had a coral microbiome with higher abundances of Alphaproteobacteria (such as Rhodobacterales and Sphingomonadales), whereas microbiomes of algae-dominated reefs had higher abundances of Gammaproteobacteria (such as Alteromonadales, Pseudomonadales, and Vibrionales), Betaproteobacteria, and Bacteriodetes. In contrast to taxa, geography was the strongest predictor of microbial community metabolism. Microbial communities on reefs with higher nutrient availability (e.g., equatorial upwelling zones) were enriched in genes involved in nutrient-related metabolisms (e.g., nitrate and nitrite ammonification, Ton/Tol transport, etc.). On reefs further from the equator, microbes had more genes encoding chlorophyll biosynthesis and photosystems I/II. These results support the hypothesis that core microbiomes are determined by holobiont macroorganisms, and that those core taxa adapt to local conditions by selecting for advantageous metabolic genes

A highly divergent Encephalomyocarditis virus isolated from nonhuman primates in Singapore

10.1186/1743-422X-10-248Virology Journal10

Slewing Mirror Telescope optics for the early observation of UV/optical photons from Gamma-Ray Bursts

We report on design, manufacture, and testing of a Slewing Mirror Telescope (SMT), the first of its kind and a part of Ultra-Fast Flash Observatory-pathfinder (UFFO-p) for space-based prompt measurement of early UV/optical light curves from Gamma-Ray Bursts (GRBs). Using a fast slewing mirror of 150 mm diameter mounted on a 2 axis gimbal stage, SMT can deliver the images of GRB optical counterparts to the intensified CCD detector within 1.5∼1.8 s over ± 35 degrees in the slewing field of view. Its Ritchey-Chrétien telescope of 100 mm diameter provides a 17 × 17 arcmin2 instantaneous field of view. Technical details of design, construction, the laboratory performance tests in space environments for this unique SMT are described in conjunction with the plan for in-orbit operation onboard the Lomonosov satellite in 2013. © 2013 Optical Society of America.This research was supported by the Korean Creative Research Initiatives (RCMST) of MEST/NRF, the Basic Science Research program of MEST/NRF (2010-0025056), the World Class University program of MEST/NRF (R32-2009-000-10130-0), the Spanish MINECO project AYA-2009-14027-C05-01, AYA-2011-29936-C05-01, AYA-2012-39727-C03-01, and AYA 2009-14000-C03-01/ESP, Taiwan's National Science Council Vanguard Program (100-2119-M-002-025) LeCosPA of National Taiwan University, Program of development of Lomonosov Moscow State University and Korean programs NRF 2012-0006632, 20100029390 and Yonsei-KASI joint research for the Frontiers of Astronomy and Space Science Program 2012Peer Reviewe

A Biased Review of Sociophysics

Various aspects of recent sociophysics research are shortly reviewed: Schelling model as an example for lack of interdisciplinary cooperation, opinion dynamics, combat, and citation statistics as an example for strong interdisciplinarity.Comment: 16 pages for J. Stat. Phys. including 2 figures and numerous reference

Surface and porous characterisation of activated carbons made from a novelbiomass precursor, the esparto grass

In the work now reported the production of activated carbons from a novel precursor, esparto grass, by activation with carbon dioxide is presented. The results show that the materials produced have interesting properties, namely BET apparent surface area and pore volume up to 1122 m(2) g(-1) and 0.46 cm(3) g(-1), respectively. The activated carbons have basic characteristics with point of zero charge between 9.25 and 10.27 and show a very fascinating structure, as shown by the SEM images. (C) 2012 Elsevier B.V. All rights reserved.The authors are grateful to the Fundacao para a Ciencia e Tecnologia (Portugal) and the European Regional Development Fund (FEDER) through the Operational Programme for Competitiveness Factors (COMPETE) and QREN for financial support through Project PTDC/CTM/66552/2006 (FCOMP-01-0124-FEDER-007142) and under the Strategic Project PEst-OE/QUI/UI0619/2011 (CQE/UE).Valente Nabais, J.; Laginhas, C.; Ribeiro Carrott, MML.; Carrott, PJM.; Crespo Amorós, JE.; Nadal Gisbert, AV. (2013). Surface and porous characterisation of activated carbons made from a novelbiomass precursor, the esparto grass. Applied Surface Science. 265:919-924. doi:10.1016/j.apsusc.2012.11.164S91992426

Surface preparation of powder metallurgical tool steels by means of wire electrical discharge machining

The surface of two types of powder metallurgical (PM) tool steels (i.e., with and without nitrogen) was prepared using wire electrical discharge machining (WEDM). From each grade of tool steel, seven surfaces corresponding to one to seven passes of WEDM were prepared. The WEDM process was carried out using a brass wire as electrode and deionized water as dielectric. After eachWEDM pass the surface of the tool steels was thoroughly examined. Surface residual stresses were measured by the X-ray diffraction (XRD) technique. The measured stresses were found to be of tensile nature. The surface roughness of the WEDM specimens was measured using interference microscopy. The surface roughness as well as the residual stress measurements indicated an insignificant improvement of these parameters after four passes of WEDM. In addition, the formed recast layer was characterized by means of scanning electron microscopy (SEM), XRD, and X-ray photoelectron spectroscopy (XPS). The characterization investigation clearly shows diffusion of copper and zinc from the wire electrode into the work material, even after the final WEDM step. Finally, the importance of eliminating excessive WEDM steps is thoroughly discussed