Impact of NHS Direct on other services: the characteristics and origins of its nurses

OBJECTIVE:: To characterise the NHS Direct nurse workforce and estimate the impact of NHS Direct on the staffing of other NHS nursing specialties. METHOD: A postal survey of NHS Direct nurses in all 17 NHS Direct call centres operating in June 2000. RESULTS: The response rate was 74% (682 of 920). In the three months immediately before joining NHS Direct, 20% (134 of 682, 95% confidence intervals 17% to 23%) of respondents had not been working in the NHS. Of the 540 who came from NHS nursing posts, one fifth had come from an accident and emergency department or minor injury unit (110 of 540), and one in seven from practice nursing (75 of 540). One in ten (65 of 681) nurses said that previous illness, injury, or disability had been an important reason for deciding to join NHS Direct. Sixty two per cent (404 of 649) of nurses felt their job satisfaction and work environment had improved since joining NHS Direct. CONCLUSION: The NHS Direct nurse workforce currently constitutes a small proportion (about 0.5%) of all qualified nurses in the NHS, although it recruits relatively experienced and well qualified nurses more heavily from some specialties, such as accident and emergency nursing, than others. However, its overall impact on staffing in any one specialty is likely to be small. NHS Direct has succeeded in providing employment for some nurses who might otherwise be unable to continue in nursing because of disability

The robustness and general applicability of Optimal Resistivity Surveys designed by maximising model resolution

Most optimal survey design algorithms for resistivity imaging have not incorporated prior knowledge of the resistivity of the subsurface. The resulting surveys are optimal for a homogeneous earth, but little investigation has yet been carried out to test whether they are robust, i.e. that they remain optimal when applied to imaging heterogeneous subsurface resistivity distributions. This paper compares a generic survey, which is designed to maximise the estimated model resolution evenly across a homogeneous earth, with specific surveys similarly designed for a number of heterogeneous resistivity distributions. In terms of both the average estimated model resolution and the correlations between the inverted and true resistivity models, the generic and heterogeneous survey designs give near-identical results. This suggests that surveys designed using homogeneous earth approximations are robust in the presence of resistivity heterogeneities and are therefore generally applicable. Traditional dipole-dipole surveys with the same number of measurements do not give such good inverted images, and their degree of optimality (measured either by average resolution or image correlation) is less robust in the presence of heterogeneity

Peptide sequence effects control the single pot reduction, nucleation, and growth of Au nanoparticles

YesPeptides have demonstrated unique capabilities to fabricate inorganic nanomaterials of numerous compositions through noncovalent binding of the growing surface in solution. In this contribution, we demonstrate that these biomolecules can control all facets of Au nanoparticle fabrication, including Au3+ reduction, without the use of secondary reagents. In this regard using the AuBP1 peptide, the N-terminal tryptophan residue is responsible for driving Au3+ reduction to generate Au nanoparticles passivated by the oxidized peptide in solution, where localized residue context effects control the reducing strength of the biomolecule. The process was fully monitored by both time-resolved monitoring of the growth of the localized surface plasmon resonance and transmission electron microscopy. Nanoparticle growth occurs by a unique disaggregation of nanoparticle aggregates in solution. Computational modeling demonstrated that the oxidized residue of the peptide sequence does not impact the biomolecule’s ability to bind the inorganic surface, as compared to the parent peptide, confirming that the biomolecule can be exploited for all steps in the nanoparticle fabrication process. Overall, these results expand the utility of peptides for the fabrication of inorganic nanomaterials, more strongly mimicking their use in nature via biomineralization processes. Furthermore, these capabilities enhance the simplicity of nanoparticle production and could find rapid use in the generation of complex multicomponent materials or nanoparticle assembly.Air Force Office of Scientific Research, grant FA9550-12-1-0226

Do South African international cricket pace bowlers have similar bowling volume and injury risk associates compared to other elite fast bowlers?

BACKGROUND While many cricket-playing nations have conducted research on bowling volume (BV) and injury risk, this relationship among international South African pace bowlers is yet to be investigated. Environmental, socio-economic, and training strategy differences warrant similar research in a South African context. The purpose of this preliminary study was to establish if South African pace bowlers have similar bowling volume and injury associates compared to other elite fast bowlers. METHODS This study was a prospective, observational, cohort study that monitored match and training BV and injuries among pace bowlers playing for the South African national team between April 2017 and April 2019. A sample of convenience that included fourteen bowlers was selected. Bowling volume was quantified as the number of deliveries bowled during training and competition. Acute-, chronic- and acute: chronic bowling volume ratios were independently modeled as association variables. RESULTS There were 39 injuries with the most being to the lumbar spine (25.64%). Moderate-to-low and a moderate-to-high acute: chronic bowling load ratios were associated with a lower risk of injury. Chronic bowling load was associated with injury (z = 2.82, p = 0.01). A low acute workload, low chronic workload, moderate-high chronic workload, and moderate-low acute: chronic ratio was also associated with an increased risk of injury. CONCLUSION These findings confirm that there appears to be a dose-response effect between training bowling volume and the likelihood of an injury occurring with a moderate-to-low and a moderate-to-high bowling volume ratio being optimal. Considering the small sample size, the findings should be interpreted with caution

Dynamics of Lennard-Jones clusters: A characterization of the activation-relaxation technique

The potential energy surface (PES) of Lennard-Jones clusters is investigated using the activation-relaxation technique (ART). This method defines events in the configurational energy landscape as a two-step process: (a) a configuration is first activated from a local minimum to a nearby saddle-point and (b) is then relaxed to a new minimum. Although ART has been applied with success to a wide range of materials such as a-Si, a-SiO2 and binary Lennard-Jones glasses, questions remain regarding the biases of the technique. We address some of these questions in a detailed study of ART-generated events in Lennard-Jones (LJ) clusters, a system for which much is already known. In particular, we study the distribution of saddle-points, the pathways between configurations, and the reversibility of paths. We find that ART can identify all trajectories with a first-order saddle point leaving a given minimum, is fully reversible, and samples events following the Boltzmann weight at the saddle point.Comment: 8 pages, 7 figures in postscrip

Interplanetary and Geomagnetic Consequences of Interacting CMEs of 13-14 June 2012

We report on the kinematics of two interacting CMEs observed on 13 and 14 June 2012. Both CMEs originated from the same active region NOAA 11504. After their launches which were separated by several hours, they were observed to interact at a distance of 100 Rs from the Sun. The interaction led to a moderate geomagnetic storm at the Earth with Dst index of approximately, -86 nT. The kinematics of the two CMEs is estimated using data from the Sun Earth Connection Coronal and Heliospheric Investigation (SECCHI) onboard the Solar Terrestrial Relations Observatory (STEREO). Assuming a head-on collision scenario, we find that the collision is inelastic in nature. Further, the signatures of their interaction are examined using the in situ observations obtained by Wind and the Advance Composition Explorer (ACE) spacecraft. It is also found that this interaction event led to the strongest sudden storm commencement (SSC) (approximately 150 nT) of the present Solar Cycle 24. The SSC was of long duration, approximately 20 hours. The role of interacting CMEs in enhancing the geoeffectiveness is examined.Comment: 17 pages, 5 figures, Accepted in Solar Physics Journa

Automated Coronal Hole Detection using Local Intensity Thresholding Techniques

We identify coronal holes using a histogram-based intensity thresholding technique and compare their properties to fast solar wind streams at three different points in the heliosphere. The thresholding technique was tested on EUV and X-ray images obtained using instruments onboard STEREO, SOHO and Hinode. The full-disk images were transformed into Lambert equal-area projection maps and partitioned into a series of overlapping sub-images from which local histograms were extracted. The histograms were used to determine the threshold for the low intensity regions, which were then classified as coronal holes or filaments using magnetograms from the SOHO/MDI. For all three instruments, the local thresholding algorithm was found to successfully determine coronal hole boundaries in a consistent manner. Coronal hole properties extracted using the segmentation algorithm were then compared with in situ measurements of the solar wind at 1 AU from ACE and STEREO. Our results indicate that flux tubes rooted in coronal holes expand super-radially within 1 AU and that larger (smaller) coronal holes result in longer (shorter) duration high-speed solar wind streams

D-concurrence bounds for pair coherent states

The pair coherent state is a state of a two-mode radiation field which is known as a state with non-Gaussian wave function. In this paper, the upper and lower bounds for D-concurrence (a new entanglement measure) have been studied over this state and calculated.Comment: 11 page

A Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients

Objective: This review examines nature and effectiveness of interventions to reduce the use of mechanical restraint and seclusion among adult psychiatric inpatients. Method: Electronic searches were conducted to locate post-1960 empirical studies of restraint and seclusion reduction in English. A total of 36 studies were identified, mostly from the USA. Analysis was conducted using a structured data extraction tool. Results: The majority of studies reported reduced levels or mechanical restraint and/or seclusion, but the standard of evidence was poor. There were no randomised trials. Most were retrospective studies of official records before and after the intervention was introduced, with varying follow-up periods. The interventions were diverse, but tended to include one or more of the following: new restraint and/or seclusion policies, staffing changes, staff training, review procedures and crisis management initiatives. The research was unable to address which of these elements was most effective. There was also evidence that some improved outcomes were achieved by substituting restraint or seclusion for each other or for alternatives forms of containment (medication in particular). Nurses’ attitudes, skills and approach to patient care were absent from the literature. Conclusions: Interventions probably can reduce the use of restraint and seclusion, but better designed research is required to demonstrate their effectiveness conclusively. More attention should also be paid to understanding how interventions work, particularly from the perspective of nursing staff. This is essential to the successful implementation of restraint and seclusion interventions across different psychiatric settings and treatment populations