A Delphi study to validate competency-based criteria to assess undergraduate midwifery students' competencies in the maternity ward

Background: workplace learning plays a crucial role in midwifery education. Twelve midwifery schools in Flanders (Belgium) aimed to implement a standardised and evidence-based method to learn and assess competencies in practice. This study focuses on the validation of competency-based criteria to guide and assess undergraduate midwifery students’ postnatal care competencies in the maternity ward. Method: an online Delphi study was carried out. During three consecutive sessions, experts from workplaces and schools were invited to score the assessment criteria as to their relevance and feasibility, and to comment on the content and their formulation. A descriptive quantitative analysis, and a qualitative thematic content analysis of the comments were carried out. A Mann-Whitney U-test was used to investigate diferences between expert groups. Findings:eleven competencies and fifty-six assessment criteria were found appropriate to assess midwifery students’ competencies in the maternity ward. Overall median scores were high and consensus was obtained for all criteria, except for one during the first round. Although all initial assessment criteria (N=89) were scored as relevant, some of them appeared not feasible in practice. Little difference was found between the expert groups. Comments mainly included remarks about concreteness and measurability. Conclusion: this study resulted in validated criteria to assess postnatal care competencies in the maternity ward

Leaky vessels as a potential source of stromal acidification in tumours

Malignant tumours are characterised by higher rates of acid production and a lower extracellular pH than normal tissues. Previous mathematical modelling has indicated that the tumour-derived production of acid leads to a gradient of low pH in the interior of the tumour extending to a normal pH in the peritumoural tissue. This paper uses mathematical modelling to examine the potential of leaky vessels as an additional source of stromal acidification in tumours. We explore whether and to what extent increasing vascular permeability in vessels can lead to the breakdown of the acid gradient from the core of the tumour to the normal tissue, and a progressive acidification of the peritumoural stroma. We compare our mathematical simulations to experimental results found in vivo with a tumour implanted in the mammary fat pad of a mouse in a window chamber construct. We find that leaky vasculature can cause a net acidification of the normal tissue away from the tumour boundary, though not a progressive acidification over time as seen in the experiments. Only through progressively increasing the leakiness can the model qualitatively reproduce the experimental results. Furthermore, the extent of the acidification predicted by the mathematical model is less than as seen in the window chamber, indicating that although vessel leakiness might be acting as a source of acid, it is not the only factor contributing to this phenomenon. Nevertheless, tumour destruction of vasculature could result in enhanced stromal acidification and invasion, hence current therapies aimed at buffering tumour pH should also examine the possibility of preventing vessel disruption

Pulse-splitting in light propagation through NN-type atomic media due to an interplay of Kerr-nonlinearity and group velocity dispersion

We investigate the spatio-temporal evolution of a Gaussian probe pulse propagating through a four-level $N$-type atomic medium. At two-photon resonance of probe-and control fields, weaker probe pulses may propagate through the medium with low absorption and pulse shape distortion. In contrast, we find that increasing the probe pulse intensity leads to a splitting of the initially Gaussian pulse into a sequence of subpulses in the time domain. The number of subpulses arising throughout the propagation can be controlled via a suitable choice of the probe and control field parameters. Employing a simple theoretical model for the nonlinear pulse propagation, we conclude that the splitting occurs due to an interplay of Kerr nonlinearity and group velocity dispersion.Comment: 9 pages, 7 figure

Finite Size Effect in Persistence

We have investigated the random walk problem in a finite system and studied the crossover induced in the the persistence probability scales by the system size.Analytical and numerical work show that the scaling function is an exponentially decaying function.The particle here is trapped with in a box of size $L$ . We have also considered the problem when the particle in trapped in a potential. Direct calculation and numerical result show that the scaling function here also an exponentially decaying function. We also present numerical works on harmonically trapped randomly accelerated particle and randomly accelerated particle with viscous drag.Comment: revtex4, 4 pages, 4 figure

Emission lines and optical continuum in low-luminosity radio galaxies

We present spectroscopic observations of a complete sub-sample of 13 low-luminosity radio galaxies selected from the 2Jy sample. The underlying continuum in these sources is carefully modelled in order to make a much-needed comparison between the emission line and continuum properties of FRIs with those of other classes of radio sources. We find that 5 galaxies in the sample show a measurable UV excess: 2 of the these sources are BL Lacs and in the remaining 3 galaxies we argue that the most likely contributor to the UV excess is a young stellar component. Excluding the BL Lacs, we therefore find that \~30% of the sample show evidence for young stars, which is similar to the results obtained for higher luminosity samples. We compare our results with far-infrared measurements in order to investigate the far-infrared-starburst link. The nature of the optical-radio correlations is investigated in light of this new available data and, in contrast to previous studies, we find that the FRI sources follow the correlations with a similar slope to that found for the FRIIs. Finally, we compare the luminosity of the emission lines in the FRI and BL Lac sources and find a significant difference in the [OIII] line luminosities of the two groups. Our results are discussed in the context of the unified schemes.Comment: 18 pages, 31 figures, MNRAS in press, (all enquiries to Clive Tadhunter ([email protected])

PKS1932-46: a radio source in an interacting group?

We present the results of a multiwavelength study of the z=0.23 radio source PKS1932-46. VIMOS IFU spectroscopy is used to study the morphology, kinematics and ionisation state of the EELR surrounding this source, and also a companion galaxy at a similar redshift. Near- and far-IR imaging observations obtained using the NTT and SPITZER are used to analyse the underlying galaxy morphologies and the nature of the AGN. The host galaxy is identified as an ~M* elliptical. Combining Spitzer mid-IR with X-ray, optical and near-IR imaging observations of this source, we conclude that its AGN is underluminous for a radio source of this type, despite its status as a BLRG. However, given its relatively large [OIII] luminosity it is likely that the AGN was substantially more luminous in the recent past (<10^4 years ago). The EELR is remarkably extensive and complex, reminiscent of the systems observed around sources at higher redshifts/radio powers, and the gas is predominantly ionised by a mixture of AGN photoionisation and emission from young stars. We confirm the presence of a series of star-forming knots extending N-S from the host galaxy, with more prodigious star formation occuring in the merging companion galaxy to the northeast, which has sufficient luminosity at mid- to far-IR wavelengths to be classified as a LIRG. The most plausible explanation of our observations is that PKS1932-46 is a member of an interacting galaxy group, and that the impressive EELR is populated by star-forming, tidal debris. We suggest that the AGN itself may currently be fuelled by material associated either with the current interaction, or with a previous merger event. Surprisingly, it is the companion object, rather than the radio source host galaxy, which is undergoing the bulk of the star formation activity within the group.Comment: 15 pages, 14 figures (compressed for astro-ph, 1 colour). Accepted for publication in MNRAS. Abstract abridge