295 research outputs found
Electromagnetically induced transparency and four-wave mixing in a cold atomic ensemble with large optical depth
We report on the delay of optical pulses using electromagnetically induced
transparency in an ensemble of cold atoms with an optical depth exceeding 500.
To identify the regimes in which four-wave mixing impacts on EIT behaviour, we
conduct the experiment in both rubidium 85 and rubidium 87. Comparison with
theory shows excellent agreement in both isotopes. In rubidium 87, negligible
four-wave mixing was observed and we obtained one pulse-width of delay with 50%
efficiency. In rubidium 85, four-wave-mixing contributes to the output. In this
regime we achieve a delay-bandwidth product of 3.7 at 50% efficiency, allowing
temporally multimode delay, which we demonstrate by compressing two pulses into
the memory medium.Comment: 8 pages, 6 figure
An ethnographic investigation of maternity healthcare experience of immigrants in rural and urban Alberta, Canada
Background: Canada is among the top immigrant-receiving nations in the world. Immigrant populations may face structural and individual barriers in the access to and navigation of healthcare services in a new country. The aims of the study were to (1) generate new understanding of the processes that perpetuate immigrant disadvantages in maternity healthcare, and (2) devise potential interventions that might improve maternity experiences and outcomes for immigrant women in Canada.
Methods: The study utilized a qualitative research approach that focused on ethnographic research design and data analysis contextualized within theories of organizational behaviour and critical realism. Data were collected over 2.5 years using focus groups and in-depth semistructured interviews with immigrant women (n = 34), healthcare providers (n = 29), and social service providers (n = 23) in a Canadian province. Purposive samples of each subgroup were generated, and recruitment and data collection – including interpretation and verification of translations – were facilitated through the hiring of community researchers and collaborations with key informants.
Results: The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care, such as lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock.
Conclusions: Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination
Can the quality of social research on ethnicity be improved through the introduction of guidance? Findings from a research commissioning pilot exercise
As the volume of UK social research addressing ethnicity grows, so too do concerns regarding the ethical and scientific rigour of this research domain and its potential to do more harm than good. The establishment of standards and principles and the introduction of guidance documents at critical points within the research cycle might be one way to enhance the quality of such research. This article reports the findings from the piloting of a guidance document within the research commissioning process of a major funder of UK social research. The guidance document was positively received by researchers, the majority of whom reported it to be comprehensible, relevant and potentially useful in improving the quality of research proposals. However, a review of the submitted proposals suggested the guidance had had little impact on practice. While guidance may have a role to play, it will need to be strongly promoted by commissioners and other gatekeepers. Findings also suggest the possibility that guidance may discourage some researchers from engaging with ethnicity if it raises problems without solutions; highlighting the need for complementary investments in research capacity development in this area
Plugging a hole and lightening the burden: A process evaluation of a practice education team
Aim: To investigate the perceptions of clinical and senior managers about the role of Practice Educators employed in one acute hospital in the UK.
Background: Producing nurses who are fit for practice, purpose and academic award is a key issue for nurse education partnership providers in the UK. Various new models for practice learning support structures and new
roles within health care institutions have been established. To sustain funding and policy support for these models, there is a need for evaluation research.
Design: A process evaluation methodology was employed to determine the current value of a practice education team and to provide information to guide future direction.
Methods: Data were collected through semi-structured telephone interviews using a previously designed schedule. All senior nurse managers (N=5) and a purposive sample of clinical managers (n=13) who had personal experience of and perceptions about the role of practice educators provided the data. Interview notes were transcribed, coded and a thematic framework devised to present the results.
Results: A number of key themes emerged including: qualities needed for being a successful practice educator; visibility and presence of practice educators; providing a link with the university; ‘plugging a hole’ in supporting
learning needs; providing relief to practitioners in dealing with ‘the burden of students’; alleviating the ‘plight of students’; and effects on student attrition.
Conclusions: Findings provided evidence for the continued funding of the practice educator role with improvements to be made in dealing with stakeholder expectations and outcomes.
Relevance to clinical practice: In the UK, there still remain concerns about the fitness for practice of newly registered nurses, prompting a recent national consultation by the professional regulating body. Despite fiscal pressures, recommendations for further strengthening of all systems that will support the quality of practice learning may continue to sustain practice learning support roles
Distinct Regions of the Large Extracellular Domain of Tetraspanin CD9 Are Involved in the Control of Human Multinucleated Giant Cell Formation
Multinucleated giant cells, formed by the fusion of monocytes/macrophages, are features of chronic granulomatous inflammation associated with infections or the persistent presence of foreign material. The tetraspanins CD9 and CD81 regulate multinucleated giant cell formation: soluble recombinant proteins corresponding to the large extracellular domain (EC2) of human but not mouse CD9 can inhibit multinucleated giant cell formation, whereas human CD81 EC2 can antagonise this effect. Tetraspanin EC2 are all likely to have a conserved three helix sub-domain and a much less well-conserved or hypervariable sub-domain formed by short helices and interconnecting loops stabilised by two or more disulfide bridges. Using CD9/CD81 EC2 chimeras and point mutants we have mapped the specific regions of the CD9 EC2 involved in multinucleated giant cell formation. These were primarily located in two helices, one in each sub-domain. The cysteine residues involved in the formation of the disulfide bridges in CD9 EC2 were all essential for inhibitory activity but a conserved glycine residue in the tetraspanin-defining ‘CCG’ motif was not. A tyrosine residue in one of the active regions that is not conserved between human and mouse CD9 EC2, predicted to be solvent-exposed, was found to be only peripherally involved in this activity. We have defined two spatially-distinct sites on the CD9 EC2 that are required for inhibitory activity. Agents that target these sites could have therapeutic applications in diseases in which multinucleated giant cells play a pathogenic role
Rethinking 'risk' and self-management for chronic illness
Self-management for chronic illness is a current high profile UK healthcare policy. Policy and clinical recommendations relating to chronic illnesses are framed within a language of lifestyle risk management. This article argues the enactment of risk within current UK self-management policy is intimately related to neo-liberal ideology and is geared towards population governance. The approach that dominates policy perspectives to ‘risk' management is critiqued for positioning people as rational subjects who calculate risk probabilities and act upon them. Furthermore this perspective fails to understand the lay person's construction and enactment of risk, their agenda and contextual needs when living with chronic illness. Of everyday relevance to lay people is the management of risk and uncertainty relating to social roles and obligations, the emotions involved when encountering the risk and uncertainty in chronic illness, and the challenges posed by social structural factors and social environments that have to be managed. Thus, clinical enactments of self-management policy would benefit from taking a more holistic view to patient need and seek to avoid solely communicating lifestyle risk factors to be self-managed
A transient ultraviolet outflow in the short-period X-ray binary UW CrB
This research is based on observations made with the NASA/ESA Hubble Space Telescope obtained from the Space Telescope Science Institute, which is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS5–26555. These observations are associated with program(s) 12039.Accreting low mass X-ray binaries (LMXBs) are capable of launching powerful outflows such as accretion disc winds. In disc winds, vast amounts of material can be carried away, potentially greatly impacting the binary and its environment. Previous studies have uncovered signatures of disc winds in the X-ray, optical, near-infrared, and recently even the UV band, predominantly in LMXBs with large discs (Porb ≥ 20 hrs). Here, we present the discovery of transient UV outflow features in UW CrB, a high-inclination (i ≥ 77○) neutron star LMXB with an orbital period of only Porb ≈ 111 min. We present P-Cygni profiles identified for Si iv 1400Å and tentatively for N v 1240Å in one 15 min exposure, which is the only exposure covering orbital phase φ ≈ 0.7 − 0.8, with a velocity of ≈1500 km s−1. We show that due to the presence of black body emission from the neutron star surface and/or boundary layer, a thermal disc wind can be driven despite the short Porb, but explore alternative scenarios as well. The discovery that thermal disc winds may occur in NS-LMXBs with Porb as small as ≈111 min, and can potentially be transient on time scales as short as ≈15 min, warrants further observational and theoretical work.PostprintPeer reviewe
Accretion disc winds in tidal disruption events: Ultraviolet spectral lines as orientation indicators
ABSTRACT
Some tidal disruption events (TDEs) exhibit blueshifted broad absorption lines (BALs) in their rest-frame ultraviolet (UV) spectra, while others display broad emission lines (BELs). Similar phenomenology is observed in quasars and accreting white dwarfs, where it can be interpreted as an orientation effect associated with line formation in an accretion disc wind. We propose and explore a similar unification scheme for TDEs. We present synthetic UV spectra for disc and wind-hosting TDEs, produced by a state-of-the-art Monte Carlo ionization and radiative transfer code. Our models cover a wide range of disc wind geometries and kinematics. Such winds naturally reproduce both BALs and BELs. In general, sightlines looking into the wind cone preferentially produce BALs, while other orientations preferentially produce BELs. We also study the effect of wind clumping and CNO-processed abundances on the observed spectra. Clumpy winds tend to produce stronger UV emission and absorption lines, because clumping increases both the emission measure and the abundances of the relevant ionic species, the latter by reducing the ionization state of the outflow. The main effect of adopting CNO-processed abundances is a weakening of C iv 1550 Å and an enhancement of N v 1240 Å in the spectra. We conclude that line formation in an accretion disc wind is a promising mechanism for explaining the diverse UV spectra of TDEs. If this is correct, the relative number of BAL and BEL TDEs can be used to estimate the covering factor of the outflow. The models in this work are publicly available online and upon request.</jats:p
Deforestation dynamics in an endemic-rich mountain system: conservation successes and challenges in West Java 1990-2015
While much has been published on recent rates of forest loss in the Sundaic lowlands, deforestation rates and patterns on Java’s endemic-rich mountains have been rather neglected. We used nearly 1,000 Landsat images to examine spatio-altitudinal and temporal patterns of forest loss in montane West Java over the last 28 years, and the effectiveness of protected areas in halting deforestation over that period. Around 40% of forest has been lost since 1988, the bulk occurring pre-2000 (2.5% per annum), falling to 1% per annum post-2007. Most deforestation has occurred at lower altitudes (< 1,000 m), both as attrition of the edges of forested mountain blocks as well as the near-total clearance of lower-altitude forested areas. Deforestation within protected areas was rife pre-2000 but greatly decreased thereafter, almost ceasing post-2007 in protected areas of high International Union for Conservation of Nature (IUCN) status. While apparent recent protection against land clearance is welcome, it must be stressed that the area of remaining forest is only 5,234 km2, that most accessible lower-altitude forest has already disappeared, and that the extant montane forest is largely fragmented and isolated. The biological value of these forests is huge and without strong intervention, we anticipate imminent loss of populations of taxa such as the Javan Slow Loris Nycticebus javanicus and Javan Green Magpie Cissa thalassina
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