Theology at the coal-face of hospitalisation - the development and evaluation of a postgraduate certificate in Healthcare Chaplaincy

Healthcare chaplaincy is working towards recognition as a registered health profession. An accredited programme of professional education is part of that process. The University of Glasgow supported by NHS Education for Scotland have developed a programme of professional education for healthcare chaplains that is integrated into an MSc. (MedSci) in healthcare. This article outlines the commissioning, development and evaluation of a postgraduate certificate in healthcare chaplaincy by students, clinical mentors and experienced healthcare chaplains. It also highlights an innovative approach to practice development in spiritual and religious care in healthcare

Propagation of Pericentral Necrosis During Acetaminophen-Induced Liver Injury: Evidence for Early Interhepatocyte Communication and Information Exchange.

Acetaminophen (APAP)-induced liver injury is clinically significant, and APAP overdose in mice often serves as a model for drug-induced liver injury in humans. By specifying that APAP metabolism, reactive metabolite formation, glutathione depletion, and mitigation of mitochondrial damage within individual hepatocytes are functions of intralobular location, an earlier virtual model mechanism provided the first concrete multiattribute explanation for how and why early necrosis occurs close to the central vein (CV). However, two characteristic features could not be simulated consistently: necrosis occurring first adjacent to the CV, and subsequent necrosis occurring primarily adjacent to hepatocytes that have already initiated necrosis. We sought parsimonious model mechanism enhancements that would manage spatiotemporal heterogeneity sufficiently to enable meeting two new target attributes and conducted virtual experiments to explore different ideas for model mechanism improvement at intrahepatocyte and multihepatocyte levels. For the latter, evidence supports intercellular communication via exosomes, gap junctions, and connexin hemichannels playing essential roles in the toxic effects of chemicals, including facilitating or counteracting cell death processes. Logic requiring hepatocytes to obtain current information about whether downstream and lateral neighbors have triggered necrosis enabled virtual hepatocytes to achieve both new target attributes. A virtual hepatocyte that is glutathione-depleted uses that information to determine if it will initiate necrosis. When a less-stressed hepatocyte is flanked by at least two neighbors that have triggered necrosis, it too will initiate necrosis. We hypothesize that the resulting intercellular communication-enabled model mechanism is analogous to the actual explanation for APAP-induced hepatotoxicity at comparable levels of granularity

Theology at the coal-face of hospitalisation - the development and evaluation of a postgraduate certificate in Healthcare Chaplaincy

Healthcare chaplaincy is working towards recognition as a registered health profession. An accredited programme of professional education is part of that process. The University of Glasgow supported by NHS Education for Scotland have developed a programme of professional education for healthcare chaplains that is integrated into an MSc. (MedSci) in healthcare. This article outlines the commissioning, development and evaluation of a postgraduate certificate in healthcare chaplaincy by students, clinical mentors and experienced healthcare chaplains. It also highlights an innovative approach to practice development in spiritual and religious care in healthcare

A New Metaheuristic Bat-Inspired Algorithm

Metaheuristic algorithms such as particle swarm optimization, firefly algorithm and harmony search are now becoming powerful methods for solving many tough optimization problems. In this paper, we propose a new metaheuristic method, the Bat Algorithm, based on the echolocation behaviour of bats. We also intend to combine the advantages of existing algorithms into the new bat algorithm. After a detailed formulation and explanation of its implementation, we will then compare the proposed algorithm with other existing algorithms, including genetic algorithms and particle swarm optimization. Simulations show that the proposed algorithm seems much superior to other algorithms, and further studies are also discussed.Comment: 10 pages, 2 figure

Exercise-induced growth in golden hamsters: Effects of age, weight, and activity level

The relationship between the exercise-induced growth and the endogenous controls of growth was examined in 356 golden hamsters of which equal numbers were given access to horizontal disc exercisers and maintained sedentary at different ages (17 and 42 days) and body weights (25-180 g). Hamsters started exercising around Day 35, increased their activity levels to 30,000 revolutions per day (RPD) by Day 35, and ran progressively less as their weight increased above 65 g. Exercise accelerated growth only in hamsters which have entered the slow asymptotic phase of growth, which weighed between 60-180 g and generated over 15,000 RPD. Disc exercise appears to reinstate higher rates of ponderal and linear growth after hamsters have entered the slow asymptotic phase of growth. Sustained inhibition of exponential growth may participate in the long-term regulation of body size in adult rodents.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/23013/1/0000582.pd

Alpha Band Signatures of Social Synchrony

Previous research has reported changes in mu rhythm, the central rhythm of the alpha frequency band, in both intentional and spontaneous interpersonal coordination. The current study was designed to extend existing findings on social synchrony to the pendulum swinging task and simultaneously measured time unfolding behavioral synchrony and EEG estimation of mu activity during spontaneous, intentional in-phase and intentional anti-phase interpersonal coordination. As expected, the behavioral measures of synchrony demonstrated the expected pattern of weak synchronization for spontaneous coordination, moderate synchronization for intentional anti-phase coordination, and strong synchronization for in-phase coordination. With respect to the EEG measures, we found evidence for mu enhancement for spontaneous coordination in contrast to mu suppression for intentional coordination (both in phase and anti-phase), with higher levels of synchronization associated with higher levels of mu suppression in the right hemisphere. The implications of the research findings and methodology for understanding the underlying mechanisms contributing to social problems in psychological disorders, leader-follower relationships, and inter-brain dynamics are discussed

Conscious surgery: influence of the environment on patient anxiety

Aims: i) To investigate anxiety arising from the experience of the clinical environment during surgery under local/ regional anaesthesia and, ii) to uncover the specific aspects patients find anxiety provoking and possibly dissuade them from opting for such anaesthesia. Background: Operating theatres have historical been designed for safe, efficient surgery on the unconscious patient and not primarily designed for the care of the ‘awake’ patient. However, with the rise in day surgery, the quantity of surgery performed under local/ regional anaesthesia is increasing. Method: As part of a larger study investigating anxiety within modern elective day surgery, adult patients undergoing surgery and local/ regional anaesthesia (n=214) were provided with a questionnaire on the day of surgery for return by mail 24 - 48 hours following surgery. Findings: The experience of being awake, possibly feeling surgeon, seeing body cut open or surgery being more painful were anxiety provoking aspects. Utilising factor analysis ‘intra-operative apprehension’, ‘anaesthetic information provision and ‘health control’ were identified as central features. Moreover, when employing multiple regression, apprehension associated with the intra-operative experience and anaesthetic information provision were significantly associated with an increase in the overall level of anxiety. Conclusions: Although the surrounding clinical environment has previously been a cause of apprehension, the sensations associated with the physical act of surgery on the conscious self appear also to have a considerable influence. Focusing care upon managing patient intra-operative experience and providing anaesthetic information in advance may help limit anxiety and expel the apparent misapprehensions associated with conscious surgery

A study of cultivation and sowing systems for cereals.

End of Project ReportDue to the pressure on cereal margins growers are seeking ways of reducing their costs of production. Reduced cultivation may provide cheaper and faster crop establishment, but in the past has been subject to problems with (poor crop establishment) weeds and soil compaction. With modern cultivation and sowing technology and methodology it may be possible to overcome these difficulties. In addition reduced cultivation is considered to be more environmentally friendly and sustainable than the conventional plough-based system. With these considerations in mind it was decided to start an experiment in autumn 2000 to compare the conventional system (PL) with reduced cultivation (RC) for crop establishment, and to examine the effect of incorporating the straw into then soil or baling and removing it. The treatments were assessed on winter wheat, and winter and spring barley. The parameters assessed included – crop establishment, yield and quality effects on disease levels, invertebrate pests and beneficials (aphids, slugs, earthworms, beetles), and soil conditions. The work reported here was conducted on four trial sites at Oak Park, Carlow and Knockbeg, Co. Laois from 2000 to 2003. the objectives were to establish the efficacy of RC compared with PL and to its effects on the parameters outlined above. Plant establishment was lower after RC in most of the experiments. Winter wheat yields were good irrespective of the number of plants established and there were no significant differences between cultivation or straw disposal method. The relative yields of the PL and RC treatments in winter barley varied over the three years; in 2001 there was no difference, in 2002 PL yielded 1 t/ha more than RC, while in 2003 the PL area produced 2 t/ha extra. Spring barley yields were similar on the PL and RC treatments. Broadleaved weeds were not a problem on the PL or RC treatments but there were more annual grass weeds on the RC plots. This was particularly serious in the winter barley experiments where sterile brome (Bromus sterilis) had a big effect on yield by 2003. annual meadow grass (Poa annua) was a problem in both PL and RC areas if not controlled by timely herbicide application; this was particularly so on the headland areas in the spring barley field. Disease assessment on the winter wheat trail showed no significant differences in Take-all or Eyespot levels between cultivation or straw disposal methods, although Take-all levels tended to be lower on the RC plots. Soil strength as measured by cone penetrometer and shear vane was higher on the RC treatments. In the winter wheat there was no difference in slug numbers between any of the treatments. Leaf damage by slugs increased in RC relative to PL but not significantly, in 2003. No below ground slug damage was found. Earthworm numbers in the winter barley increased significantly on the RC treatment relative to the PL as the study progressed. Straw incorporation increased earthworm numbers on both PL and RC treatments. Allolobophora chlorotia was the most common species in 2004. In the winter wheat the RC and straw incorporation increased earthworm numbers. Cultivation method had a greater effect on ground beetle numbers than method of straw disposal. Large species (e.g. Pterostichies malanarius) were favoured by RC while smaller species (e.g. Bembidon species) were more numerous in the PL plots. Molecular studies on virus diseases, vectors and vector-predators are underway in progress. In the invertebrate pests and beneficials investigations the RC winter barley had 11% fewer aphids and 27% less BYDV than the PL. Incorporating straw reduced aphid numbers and virus incidence by 36% and 32% respectively; the comparable values for the PL + straw treatment were 15% and 15%. In the winter wheat there was less BYDV in the RC plots than the PL + less were the straw was incorporated than where the straw was removed. Aphid infestation of wheat ears was low in the three years of the experiment. The insecticide seed treatment imidacloprid significantly reduced aphid numbers and virus incidence in winter barley but was less effective than a single insecticide spray in controlling the disease. The seed treatment was more effective in controlling BYDV in RC than in the PL plots. Estimations of slug numbers in the winter barley showed that the dominant species was the grey field slug (Deroceras reticulatum). Slug numbers increased significantly on all treatments between 2001 and 2004. In November 2004, slugs were significantly more numerous in the RC treatments than in the PL areas. Leaf damage was proportional to slug populations, but the slugs did not damage the barely seed or reduce plant populations in continuous winter barley under RC. Root and stem diseases (Take-all and Eyespot) were not nay worse under RC than after PL. In fact there was a tendency towards lower disease levels on the RC areas and there was significantly less sharp eyespot on the RC treatment

A framework for information visualisation

In this paper we examine the issues involved in developing information visualisation systems and present a framework for their construction. The framework addresses the components which must be considered in providing effective visualisations. The framework is specified using a declarative object oriented language; the resulting object model may be mapped to a variety of graphical user interface development platforms. This provides general support to developers of visualisation systems. A prototype system exists which allows the investigation of alternative visualisations for a range of data sources. The authors conclude with the benefits of this approach and issues requiring further investigation