2,454 research outputs found

    Excavations at the Viking Barrow Cemetery at Heath Wood, Ingleby, Derbyshire

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    The cemetery at Heath Wood, Ingleby, Derbyshire, is the only known Scandinavian cremation cemetery in the British Isles. It comprises fifty-nine barrows, of which about one-third have been excavated on previous occasions, although earlier excavators concluded that some were empty cenotaph mounds. From 1998 to 2000 three barrows were examined. Our investigations have suggested that each of the barrows contained a burial, although not all contain evidence of a pyre. A full report of the 1998-2000 excavations is provided, alongside a summary of the earlier finds. The relationship of Heath Wood to the neighbouring site at Repton is examined, in order to understand its significance for the Scandinavian settlement of the Danelaw. It is concluded that Heath Wood may have been a war cemetery of the Viking Great Army of AD 873-8

    Chemical Analyses of Water from Selected Wells and Springs in the Yucca Mountain Area, Nevada and Southeastern California

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    Chemical analysis of water samples from 279 wells and springs in the Yucca Mountain area are presented. Where data are available, this report includes: site location expressed as Nevada Central Coordinates and latitude and longitude; source of data; name of analyzing laboratory; geologic unit from which water was obtained; lithology; water use; elevation of well or spring; well depth; depth to water; time pumped before taking the sample; yield; type of filtration; sampling method; date the sample was collected; and anion-cation balance. Yucca Mountain, Nevada (fig. 1), is being investigated by the U.S. Geological Survey, in cooperation with the U.S. Department of Energy, as a possible repository for the disposal of high-level nuclear wastes. Yucca Mountain is underlain by partially altered volcanic tuffs that probably extend to depths greater than 3,000 m (Snyder and Carr, 1982). If approved, the repository will most likely be excavated within the unsaturated zone, 150 to 300 m above the water table. One concern is that radionuclides might be leached from the stored wastes and eventually reach the saturated zone, where they would be transported in the ground-water system away from the repository. The purpose of this report is to present a data base that consolidates the available ground-water data for the area surrounding the potential Yucca Mountain nuclear-waste repository. The objective of assembling this data is to provide a data base that potentially could be used to help determine: (1) Ground-water flow paths; (2) velocities and residence times of ground water; (3) the degree of vertical and lateral chemical heterogeneity of the ground-water system; and (4) chemical processes that affect the potential movement radionuclide species

    Characterisation of sleep in intensive care using 24-hour polysomnography: An observational study

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    Introduction: Many intensive care patients experience sleep disruption potentially related to noise, light and treatment interventions. The purpose of this study was to characterise, in terms of quantity and quality, the sleep of intensive care patients, taking into account the impact of environmental factors.Methods: This observational study was conducted in the adult ICU of a tertiary referral hospital in Australia, enrolling 57 patients. Polysomnography (PSG) was performed over a 24-hour period to assess the quantity (total sleep time: hh:mm) and quality (percentage per stage, duration of sleep episode) of patients' sleep while in ICU. Rechtschaffen and Kales criteria were used to categorise sleep. Interrater checks were performed. Sound pressure and illuminance levels and care events were simultaneously recorded. Patients reported on their sleep quality in ICU using the Richards Campbell Sleep Questionnaire and the Sleep in Intensive Care Questionnaire. Data were summarised using frequencies and proportions or measures of central tendency and dispersion as appropriate and Cohen's Kappa statistic was used for interrater reliability of the sleep data analysis.Results: Patients' median total sleep time was 05:00 (IQR: 02:52 to 07:14). The majority of sleep was stage 1 and 2 (medians: 19 and 73%) with scant slow wave and REM sleep. The median duration of sleep without waking was 00:03. Sound levels were high (mean Leq 53.95 dB(A) during the day and 50.20 dB(A) at night) and illuminance levels were appropriate at night (median <2 lux) but low during the day (median: 74.20 lux). There was a median 1.7 care events/h. Patients' mean self-reported sleep quality was poor. Interrater reliability of sleep staging was highest for slow wave sleep and lowest for stage 1 sleep.Conclusions: The quantity and quality of sleep in intensive care patients are poor and may be related to noise, critical illness itself and treatment events that disturb sleep. The study highlights the challenge of quantifying sleep in the critical care setting and the need for alternative methods of measuring sleep. The results suggest that a sound reduction program is required and other interventions to improve clinical practices to promote sleep in intensive care patients.Trial registration: Australian New Zealand clinical trial registry (http://www.anzctr.org.au/): ACTRN12610000688088. © 2013 Elliott et al.; licensee BioMed Central Ltd

    Examining Gender Equity in Newspaper Coverage of West-Central Ohio High School Basketball Games

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    Across eight high school basketball seasons between 2000 and 2010, we investigated the coverage of over 300 high school basketball games and compared the quantity of coverage allotted to boys’ and girls’ teams within two west-central Ohio newspapers.   Unlike previous investigations on media coverage of high school sports, we restricted our sample to coverage of actual games and did not include feature articles about individual athletes, coaches, or booster clubs, and we determined article length by counting the number of words used in each article.   We found that boys’ games received two to three times the length of coverage of girls’ games.   Media coverage of girls’ games was also less likely to include a photograph and tended to begin lower on the sports page.   We discuss the potential implications of ignoring girls’ high school athletics within community media.

    The Family Name as Socio-Cultural Feature and Genetic Metaphor: From Concepts to Methods

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    A recent workshop entitled The Family Name as Socio-Cultural Feature and Genetic Metaphor: From Concepts to Methods was held in Paris in December 2010, sponsored by the French National Centre for Scientific Research (CNRS) and by the journal Human Biology. This workshop was intended to foster a debate on questions related to the family names and to compare different multidisciplinary approaches involving geneticists, historians, geographers, sociologists and social anthropologists. This collective paper presents a collection of selected communications

    Development of a behaviour change intervention: a case study on the practical application of theory

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    BACKGROUND: Use of theory in implementation of complex interventions is widely recommended. A complex trial intervention, to enhance self-management support for people with osteoarthritis (OA) in primary care, needed to be implemented in the Managing Osteoarthritis in Consultations (MOSAICS) trial. One component of the trial intervention was delivery by general practitioners (GPs) of an enhanced consultation for patients with OA. The aim of our case study is to describe the systematic selection and use of theory to develop a behaviour change intervention to implement GP delivery of the enhanced consultation. METHODS: The development of the behaviour change intervention was guided by four theoretical models/frameworks: i) an implementation of change model to guide overall approach, ii) the Theoretical Domains Framework (TDF) to identify relevant determinants of change, iii) a model for the selection of behaviour change techniques to address identified determinants of behaviour change, and iv) the principles of adult learning. Methods and measures to evaluate impact of the behaviour change intervention were identified. RESULTS: The behaviour change intervention presented the GPs with a well-defined proposal for change; addressed seven of the TDF domains (e.g., knowledge, skills, motivation and goals); incorporated ten behaviour change techniques (e.g., information provision, skills rehearsal, persuasive communication); and was delivered in workshops that valued the expertise and professional values of GPs. The workshops used a mixture of interactive and didactic sessions, were facilitated by opinion leaders, and utilised 'context-bound communication skills training.' Methods and measures selected to evaluate the behaviour change intervention included: appraisal of satisfaction with workshops, GP report of intention to practise and an assessment of video-recorded consultations of GPs with patients with OA. CONCLUSIONS: A stepped approach to the development of a behaviour change intervention, with the utilisation of theoretical frameworks to identify determinants of change matched with behaviour change techniques, has enabled a systematic and theory-driven development of an intervention designed to enhance consultations by GPs for patients with OA. The success of the behaviour change intervention in practice will be evaluated in the context of the MOSAICS trial as a whole, and will inform understanding of practice level and patient outcomes in the trial

    Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study

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    Objectives: To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design: A complex intervention development study. Setting: North East Scotland and Glasgow. Participants: Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions: A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures: Qualitative assessment of intervention feasibility and acceptability. Results: Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions: Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated
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