7,259 research outputs found
Can student mental health nurses be prepared for medicines management?
Aim
This paper reports on an evaluation of the Medicines with Respect project, which implemented a stepped approach to education and training in medicines management (MM) for mental health nurses (MHNs).
Method
In the retrospective qualitative study, nine MHNs were interviewed to gain their perceptions of the MM training they received at university and to find out if it still had relevance.
Results
Content analysis of the interview data revealed that overall the participants valued the theoretical and practical learning strategies they experienced, although criticisms relating to all aspects of the education and training were reported. The participants also reported that the approach prepared them for clinical practice as registered nurses. Such an approach may also build the capacity of MHNs to develop as prescribers
Comments on the superluminal motion in Cygnus X-3
Following the recent discovery that Cyg X-3 exhibits superluminal motion, the
implications of superluminal expansion and contraction are investigated. We
propose that the effect is due to either a propagating photon pattern or to
outwardly moving shells illuminated by an intense beam of radiation.Comment: accepted for publication in MNRAS; 5 pages, 3 figure
High Density Mesoscopic Atom Clouds in a Holographic Atom Trap
We demonstrate the production of micron-sized high density atom clouds of
interest for meso- scopic quantum information processing. We evaporate atoms
from 60 microK, 3x10^14 atoms/cm^3 samples contained in a highly anisotropic
optical lattice formed by interfering di racted beams from a holographic phase
plate. After evaporating to 1 microK by lowering the con ning potential, in
less than a second the atom density reduces to 8x10^13 cm^- 3 at a phase space
density approaching unity. Adiabatic recompression of the atoms then increases
the density to levels in excess of 1x10^15 cm^-3. The resulting clouds are
typically 8 microns in the longest dimension. Such samples are small enough to
enable mesoscopic quantum manipulation using Rydberg blockade and have the high
densities required to investigate new collision phenomena.Comment: 4 pages, 4 figures, submitted to PR
Mifepristone reduces insulin resistance in patient volunteers with adrenal incidentalomas that secrete low levels of cortisol : a pilot study
Background: Incidental adrenal masses are commonly detected during imaging for other pathologies. 10% of the elderly
population has an ‘adrenal incidentaloma’, up to 20% of these show low-grade autonomous cortisol secretion and 60% of
patients with autonomous cortisol secretion have insulin resistance. Cortisol excess is known to cause insulin resistance, an
independent cardiovascular risk marker, however in patients with adrenal incidentalomas it is unknown whether their
insulin resistance is secondary to the excess cortisol and therefore potentially reversible. In a proof of concept study we
examined the short-term effects of glucocorticoid receptor (GR) antagonism in patients with an adrenal incidentaloma to
determine whether their insulin resistance was reversible.
Methodology/Principal Findings: In a prospective open-label pilot study, six individuals with adrenal incidentalomas and
autonomous cortisol secretion were treated with mifepristone (a GR antagonist) 200 mg twice daily and studied for 4 weeks
on a Clinical Research Facility. Insulin resistance at four weeks was assessed by insulin resistance indices, lnHOMA-IR and
lnMatsuda, and AUC insulin during a 2-hour glucose tolerance test. Biochemical evidence of GR blockade was shown in all
individuals and across the group there was a significant reduction in insulin resistance: lnHOMA-IR (1.0vs0.6; p = 0.03),
lnHOMA-%beta (4.8vs4.3; p = 0.03) and lnMatsuda (1.2vs1.6; p = 0.03). Five out of six individuals showed a reduction in
insulin AUC .7237 pmol/l.min, and in two patients this showed a clinically significant cardiovascular benefit (as defined by
the Helsinki heart study).
Conclusions: Short-term GR antagonism is sufficient to reduce insulin resistance in some individuals with adrenal
incidentalomas and mild cortisol excess. Further assessment is required to assess if the responses may be used to stratify
therapy as adrenal incidentalomas may be a common remediable cause of increased cardiovascular risk
Empathic humanitarianism: Understanding the motivations behind humanitarian work with migrants at the US–Mexico border
Executive Summary
The growing numbers of vulnerable migrants seeking shelter and refuge in the United States and Europe are finding increased racism and xenophobia as well as renewed efforts by humanitarian volunteers to offer them aid, sanctuary, and protection. This article sets forth a typology to better understand the motivations of volunteers working to help migrants in need of humanitarian assistance. Why do people go out of their way to offer humanitarian aid to someone they do not know and, in some cases, they will never meet? What are the drivers of altruistic behavior of humanitarian volunteers in the face of rising injustice, nationalism, and xenophobia?
In answer to these questions, we offer a typology centered on empathic concern, differentiating secular/faith-based motivations, and deontological/moral-virtue motivations, with particular behaviors in each of the four resulting categories: the Missionary Type, the Good Samaritan Type, the Do Gooder Type, and the Activist Type. We also suggest four additional self-centered (non-altruistic, or not-other-centered) types (Militant, Crusader, Martyr, and Humanitarian Tourist).
The nuances offered by this typology can help organizations working with migrants and refugees better understand and channel the enthusiasm of their volunteers and better meet the needs of the vulnerable populations they serve. This is especially important at a time when migration is being criminalized and when humanitarian aid is deemed unpatriotic, if not outright illegal. In the face of increased nationalistic and xenophobic messages surrounding migration, we need to articulate the altruistic humanitarian motivations of volunteers in the context of migration aid.
Our typology may also be used to understand altruistic behaviors in other contexts such as disaster relief, community organization and activism, international adoptions, or organ donations to strangers, among others, in which altruistic empathic concern can be an important motivation driving people to act for the well-being of distant others
First measurements of the flux integral with the NIST-4 watt balance
In early 2014, construction of a new watt balance, named NIST-4, has started
at the National Institute of Standards and Technology (NIST). In a watt
balance, the gravitational force of an unknown mass is compensated by an
electromagnetic force produced by a coil in a magnet system. The
electromagnetic force depends on the current in the coil and the magnetic flux
integral. Most watt balances feature an additional calibration mode, referred
to as velocity mode, which allows one to measure the magnetic flux integral to
high precision. In this article we describe first measurements of the flux
integral in the new watt balance. We introduce measurement and data analysis
techniques to assess the quality of the measurements and the adverse effects of
vibrations on the instrument.Comment: 7 pages, 8 figures, accepted for publication in IEEE Trans. Instrum.
Meas. This Journal can be found online at
http://ieeexplore.ieee.org/xpl/RecentIssue.jsp?punumber=1
Structural phase transitions of vortex matter in an optical lattice
We consider the vortex structure of a rapidly rotating trapped atomic
Bose-Einstein condensate in the presence of a co-rotating periodic optical
lattice potential. We observe a rich variety of structural phases which reflect
the interplay of the vortex-vortex and vortex-lattice interactions. The lattice
structure is very sensitive to the ratio of vortices to pinning sites and we
observe structural phase transitions and domain formation as this ratio is
varied.Comment: 4 pages, 3 figure
Are you a researcher as well as a medical illustrator?
When we list the areas of practice for medical illustrators we always include research, but how involved in research are we? The aim of this activity is to encourage your professional development not just as a medical illustrator but your involvement with research whether that is undertaking your own research, undertaking evidence based practice (1) , working as part of a research team, advising researchers on the value of medical illustration or supporting a student undertaking a research project for their degree or post-graduate qualification
Square Patterns and Quasi-patterns in Weakly Damped Faraday Waves
Pattern formation in parametric surface waves is studied in the limit of weak
viscous dissipation. A set of quasi-potential equations (QPEs) is introduced
that admits a closed representation in terms of surface variables alone. A
multiscale expansion of the QPEs reveals the importance of triad resonant
interactions, and the saturating effect of the driving force leading to a
gradient amplitude equation. Minimization of the associated Lyapunov function
yields standing wave patterns of square symmetry for capillary waves, and
hexagonal patterns and a sequence of quasi-patterns for mixed capillary-gravity
waves. Numerical integration of the QPEs reveals a quasi-pattern of eight-fold
symmetry in the range of parameters predicted by the multiscale expansion.Comment: RevTeX, 11 pages, 8 figure
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