4,263 research outputs found
Recommended from our members
The solar influence on the probability of relatively cold UK winters in the future
Recent research has suggested that relatively cold UK winters are more common when solar activity is low (Lockwood et al 2010 Environ. Res. Lett. 5 024001). Solar activity during the current sunspot minimum has fallen to levels unknown since the start of the 20th century (Lockwood 2010 Proc. R. Soc. A 466 303â29) and records of past solar variations inferred from cosmogenic isotopes (Abreu et al 2008 Geophys. Res. Lett. 35 L20109) and geomagnetic activity data (Lockwood et al 2009 Astrophys. J. 700 937â44) suggest that the current grand solar maximum is coming to an end and hence that solar activity can be expected to continue to decline. Combining cosmogenic isotope data with the long record of temperatures measured in central England, we estimate how solar change could influence the probability in the future of further UK winters that are cold, relative to the hemispheric mean temperature, if all other factors remain constant. Global warming is taken into account only through the detrending using mean hemispheric temperatures. We show that some predictive skill may be obtained by including the solar effect
Still I Love Thee
https://digitalcommons.library.umaine.edu/mmb-vp/6693/thumbnail.jp
Don\u27t You Go, Tommy
Illustration of men and woman outside househttps://scholarsjunction.msstate.edu/cht-sheet-music/13620/thumbnail.jp
Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal Xâray reporting service within the NHS in England: a systematic literature review
Introduction
The United Kingdom (UK) governmentâs healthcare policy in the early 1990s paved the way adoption
of the skills mix development and implementation of diagnostic radiographersâ X-ray reporting service. Current
clinical practice within the public UK healthcare system reflects the same pressures of increased demand in patient
imaging and limited capacity of the reporting workforce (radiographers and radiologists) as in the 1990s. This study
aimed to identify, define and assess the longitudinal macro, meso, and micro barriers and enablers to the implementation
of the diagnostic radiographer musculoskeletal X-ray reporting service in the National Healthcare System (NHS)
in England.
Methods
Multiple independent databases were searched, including PubMed, Ovid MEDLINE; Embase; CINAHL,
and Google Scholar, as well as journal databases (Scopus, Wiley), healthcare databases (NHS Evidence Database;
Cochrane Library) and grey literature databases (OpenGrey, GreyNet International, and the British Library EthOS
depository) and recorded in a PRISMA flow chart. A combination of keywords, Boolean logic, truncation, parentheses and wildcards with inclusion/exclusion criteria and a time frame of 1995â2022 was applied. The literature
was assessed against Joanna Briggs Instituteâs critical appraisal checklists. With meta-aggregation to synthesize each paper, and coded using NVivo, with context grouped into macro, meso, and micro-level sources and categorised
into subgroups of enablers and barriers.
Results The wide and diverse range of data (n = 241 papers) identified barriers and enablers of implementation,
which were categorised into measures of macro, meso, and micro levels, and thematic categories of context, culture,
environment, and leadership.
Conclusion
The literature since 1995 has reframed the debates on implementation of the radiographer reporting
role and has been instrumental in shaping clinical practice. There has been clear influence upon both meso (professional
body) and macro-level (governmental/health service) policies and guidance, that have shaped change
at micro-level NHS Trust organisations. There is evidence of a shift in culturally intrenched legacy perspectives within and between different meso-level professional bodies around skills mix acceptance and role boundaries. This
has helped shape capacity building of the reporting workforce. All of which have contributed to conceptual understandings of the skills mix workforce within modern radiology services
A survey of the NHS reporting radiographer workforce in England
Introduction: At present there is no national register of the population size and scope of reporting radiographers in England. This makes operational workforce and succession planning for sustainable healthcare services in the National Health Service England (NHSE) difficult, affecting implementing NHSE policies and priorities such as 50% of X-rays reported by reporting radiographers and decreasing reporting Turnaround Times (TATs). This survey aimed to establish the workforce population employed as reporting radiographers in NHSE.
Methods: An online anonymous seven question survey was distributed on social media and at the UK Imaging and Oncology Congress. Participant criteria included NHSE radiology staff (diagnostic radiographer, reporting radiographer, radiology manager, imaging superintendent modality lead, consultant radiologist, etc.) or a student diagnostic radiographer working within an NHSE trust. The survey recorded the participant's NHSE region (North Western, North Eastern and Yorkshire, Midlands, East of England, London, South Eastern and South Western regions), Integrated Care Systems (ICS), NHSE Trust, hospital, the amount of reporting radiographers and trainees employed, the Agenda for Change (AfC) job banding and imaging modality reported (X-ray, CT, MRI, NM, PET, DEXA). The data analysis applied descriptive statistics for estimating patterns and trends in the distribution of data (English region, AfC banding and imaging modality).
Results: Responses were received from all seven of the NHSE regions (n=36/43 ICSs). The data demonstrated a larger workforce in the north of England than in the south, with employment at a range of AfC bandings from 5-8. The imaging modalities reported by radiographers in England demonstrated X-ray (n=34), the most reported imaging examination by region, and Nuclear Medicine (n=3) the least, with evidence of clinical reporting for CT (n=20), MRI (n=18), DEXA (n=16), Mammography (n=13) and fluoroscopy (n=12) being completed by radiographers in England.
Conclusion: The findings for England (n=704 reporters; n=142 trainees) provide an estimate based on the response rate of the current reporting radiographer workforce across the NHSE regions, and their contribution to the skills mix radiology reporting service delivery. It is hoped future surveys will provide ongoing workforce estimates for the diagnostic radiographer reporting workforce in NHSE to support workforce transformation and sustainability plans for the radiography profession and to meet government healthcare targets and priorities
The evolution of inverted magnetic fields through the inner heliosphere
Local inversions are often observed in the heliospheric magnetic field (HMF), but their origins and evolution are not yet fully understood.Parker Solar Probe has recently observed rapid, AlfvĂ©nic, HMF inversions in the inner heliosphere, known as âswitchbacksâ, which have been interpreted as the possible remnants of coronal jets. It has also been suggested that inverted HMF may be produced by near-Sun interchange reconnection; a key process in mechanisms proposed for slow solar wind release. These cases suggest that the source of inverted HMF is near the Sun, and it follows that these inversions would gradually decay and straighten as they propagate out through the heliosphere. Alternatively, HMF inversions could form during solar wind transit, through phenomena such velocity shears, draping over ejecta, or waves and turbulence. Such processes are expected to lead to a qualitatively radial evolution of inverted HMF structures. Using Helios measurements spanning 0.3â1 AU, we examine the occurrence rate of inverted HMF, as well as other magnetic field morphologies, as a function of radial distance r, and find that it continually increases. This trend may be explained by inverted HMF observed between 0.3â1 AU being primarily driven by one or more of the above in-transit processes, rather than created at the Sun. We make suggestions as to the relative importance of these different processes based on the evolution of the magnetic field properties associated with inverted HMF. We also explore alternative explanations outside of our suggested driving processes which may lead to the observed trend
Recommended from our members
The modelled occurrence of non-thermal plasma in the ionospheric F-region and the possible consequences for ion outflows into the magnetosphere
A global, time-dependent, three-dimensional, coupled ionosphere-thermosphere model is used to predict the spatial distribution of non-thermal plasma in the F-layer. It is shown that, even for steady-state conditions with Kp as low as 3, the difference between the ion and neutral velocities often exceeds the neutral thermal speed by a factor, D', which can be as large as 4. Theoretically, highly non-Maxwellian, and probably toroidal, ion velocity distributions are expected when D' exceeds about 1.5. The lack of response of the neutral winds to sunward ion drifts in the dawn sector of the auroral oval cause this to be the region most likely to contain toroidal distributions. The maximum in D' is found in the throat region of the convection pattern, where the strong neutral winds of the afternoon sector meet the eastward ion flows of the morning sector. These predictions are of interest, not only to radar scientists searching for non-thermal ionospheric plasma, but also as one possible explanation of the initial heating and upward flows of ions in the cleft ion fountain and nightside auroral oval, both of which are a major source of plasma for the magnetosphere
Recommended from our members
The influence of anisotropic F region ion velocity distributions on ionospheric ion outflows into the magnetosphere
The contribution to the field-aligned ionospheric ion momentum equation, due to coupling between pressure anisotropy and the inhomogeneous geomagnetic field, is investigated. We term this contribution the âhydrodynamic mirror forceâ and investigate its dependence on the ion drift and the resulting deformations of the ion velocity distribution function from an isotropic form. It is shown that this extra upforce increases rapidly with ion drift relative to the neutral gas but is not highly dependent on the ion-neutral collision model employed. An example of a burst of flow observed by EISCAT, thought to be the ionospheric signature of a flux transfer event at the magnetopause, is studied in detail and it is shown that the nonthermal plasma which results is subject to a hydrodynamic mirror force which is roughly 10% of the gravitational downforce. In addition, predictions by the coupled University College London-Sheffield University model of the ionosphere and thermosphere show that the hydrodynamic mirror force in the auroral oval is up to 3% of the gravitational force for Kp of about 3, rising to 10% following a sudden increase in cross-cap potential. The spatial distribution of the upforce shows peaks in the cusp region and in the post-midnight auroral oval, similar to that of observed low-energy heavy ion flows from the ionosphere into the magnetosphere. We suggest the hydrodynamic mirror force may modulate these outflows by controlling the supply of heavy ions to regions of ion acceleration and that future simulations of the effects of Joule heating on ion outflows should make allowance for it
The relationship between propagule pressure and establishment success in alien bird populations: a re-analysis of Moulton & Cropper (2019)
A recent analysis by Moulton & Cropper (2019) of a global dataset on alien bird population introductions claims to find no evidence that establishment success is a function of the size of the founding population. Here, we re-analyse Moulton & Cropperâs data and show that this conclusion is based on flawed statistical methodsâtheir data in fact confirm a strong positive relationship between founding population size and establishment success. We also refute several non-statistical arguments against the likelihood of such an effect presented by Moulton & Cropper. We conclude that a core tenet of population biologyâthat small populations are more prone to extinctionâapplies to alien populations beyond their native geographic range limits as much as to native populations within them
- âŠ