A Case Report of Hydrops Amnii

On March 24, 1955, I was called to see a 6-year-old Angus cow. A diagnoses of hydrops amnii was made. The exact freshening date was not known but was estimated to be about 3-4 weeks away. Since the fluid content had increased considerably in the last week it was decided to do a Caesarean section to save the cow

The spectrum of HM Sagittae: A planetary nebula excited by a Wolf-Rayet star

A total of image tube spectrograms of HM Sagittae were obtained. More than 70 emission lines, including several broad emission features, were identified. An analysis of the spectra indicates that HM Sagittae is a planetary nebula excited by a Wolf-Rayet star. The most conspicuous Wolf-Rayet feature is that attributed to a blend of C III at 4650 A and He II at 4686 A

Cosmic ray energy changes at the termination shock and in the heliosheath

Voyager 1 crossed the termination shock of the solar wind in December 2004 at 94 AU and currently measures the cosmic ray intensity in the heliosheath. To better understand this modulation region beyond the shock, where adiabatic energy changes should be small, we review the net effect of energy changes during the modulation process, including adiabatic deceleration in the solar wind, acceleration at the termination shock, and the possibility that stochastic acceleration in the heliosheath may also make a contribution

Galaxy Counts, Sizes, Colours and Redshifts in the Hubble Deep Field

We compare the galaxy evolution models of Bruzual & Charlot (1993) with the faint galaxy count, size and colour data from the Hubble and Herschel Deep Fields (Metcalfe et al 1996). For qo=0.05, we find that models where the SFR increases exponentially out to z>2 are consistent with all of the observational data. For qo=0.5, such models require an extra population of galaxies which are only seen at high redshift and then rapidly fade or disappear. We find that, whatever the cosmology, the redshift of the faint blue galaxies and hence the epoch of galaxy formation is likely to lie at z>2. We find no implied peak in the SFR at z=1 and we suggest that the reasons for this contradiction with the results of Madau et al (1996) include differences in faint galaxy photometry, in the treatment of spiral dust and in the local galaxy count normalisation.Comment: 8 pages, 5 eps figures, needs paspconf.st

Mixed experiences and perceptions of psychological treatment for chronic pain in Singapore: Skepticism, ambivalence, satisfaction and potential

There is little research in Southeast Asia focusing on patients’ experiences of seeking psychological treatment for chronic pain. Objective: This study aims to understand the experiences of patients seeking psychological treatment for chronic pain in this region. Setting: Outpatient pain clinic at a tertiary hospital in Singapore. Subjects: People with experiences of attending psychological treatment for chronic pain, including some who were not receiving this type of treatment. Study design and methods: Fifteen inductive semi-structured interviews were conducted to explore patients’ experiences regarding psychological treatment for their chronic pain. Thematic analysis was then applied. Results: Three main themes were identified: ‘Expectations and Realities of Health Professionals’, ‘Patients’ Attitudes and Beliefs’ and ‘Practical and Social Factors.’ From the patients’ perspectives, an empathetic health professional who was willing to listen contributed to a positive treatment seeking experience. Patients felt that health professionals’ lack of knowledge about appropriate treatment contributed to their frustration. Patients could not understand how psychological treatment was related to pain treatment and queried why they were “paying just to talk”. On the other hand, their experiences were quite positive, and they found psychological treatments helpful when they participated in them. Conclusion: Education for both patients and health professionals unfamiliar with psychological treatments for pain may improve access to these treatments

Healthcare Professionals’ Perceptions of Psychological Treatment for Chronic Pain in Singapore: Challenges, Barriers and the Way Forward

Purpose: There are very few studies on healthcare providers’ experiences of delivering treatment for chronic pain in a Southeast Asian setting. The aims of this study are to understand the experiences of professionals delivering treatment for people with chronic pain in Singapore and identify possible barriers to psychological treatment for this condition within the broader experiences of these professionals. Method: Healthcare professionals with at least one year experience treating chronic pain were recruited and purposefully sampled. Fifteen inductive semi-structured interviews were conducted to explore healthcare professionals’ experiences of treating people with chronic pain. Interviews were transcribed verbatim and analysed using thematic analysis. Results: Four main themes were identified: ‘System Barriers’, ‘Core Beliefs and management of Chronic Pain’, ‘Engaging Patients in treatment’’, and ‘Creating Awareness for Chronic Pain Management.’ Professionals trained in a multidisciplinary approach to pain management were seen as rare. Professionals who could refer patients for psychological treatment do not refer due to costs, and their perception that patients may lack understanding of such a treatment. Conclusion: Reducing barriers in the access to psychological treatment in settings like Singapore will require a multifaceted approach