Exploring aspects of physiotherapy care valued by breast cancer patients

OBJECTIVE: To explore the reported value of physiotherapy care received by patients who had accessed a Specialist Breast Care Physiotherapy Service. DESIGN: Exploratory qualitative study using in-depth interviews to explore aspects of physiotherapy care valued by breast cancer patients. Thematic network analysis was used to interpret the data and bring together the different experiences of the participants and identify common themes. SETTING: Physiotherapy Department at a NHS Foundation Trust Teaching Hospital. PARTICIPANTS: Nineteen participants were recruited and three were selected to take part in the in-depth interviews. All participants had received physiotherapy care from a Specialist Breast Care Physiotherapy Service and had been discharged within the last six months. RESULTS: Participants valued a patient-centred holistic approach to care and access to a Specialist Service with an experienced clinician. In particular the importance of the therapeutic alliance and the value of psychological, emotional and educational support emerged, with the participants feeling empowered in their recovery. CONCLUSION AND CLINICAL IMPLICATIONS: Participants reported an overall positive experience of their physiotherapy care. This study supports the need for service providers to evaluate their current physiotherapy provision and subsequently develop Specialised Services to meet the physiotherapy needs of breast cancer patients throughout all stages of their treatment pathway from the delivery of pre-operative care through to post-treatment follow-up

Ambient noise tomography reveals basalt and sub-basalt velocity structure beneath the Faroe Islands, North Atlantic

The Faroe Islands Passive Seismological Experiment (FIPSE) was funded by Sindri (contract C46-52-01) and formed a collaborative project between Dr. David Cornwell, Prof. Richard England (University of Leicester) and Prof. Graham Stuart (University of Leeds). Seismological equipment was loaned from the NERC geophysical equipment facility (GEF, loan 918), with field assistance from David Hawthorn and data processing assistance from Victoria Lane (SEIS-UK). We acknowledge the help, advice and support of Jarðfeingi, especially Thomas Varming, Uni Petersen, Bartal Højgaard, Romica Øster and Heri Ziska. Rannvá M. Arge and Magni Jøkladal are thanked for their assistance with fieldwork. Research undertaken in this article was supported by the Carnegie Trust for the Universities of Scotland, via a Collaborative Research Grant. Rosie Fletcher is thanked for her comments, which greatly improved the text.Peer reviewedPostprin

Development and application of the GIM code for the Cyber 203 computer

The GIM computer code for fluid dynamics research was developed. Enhancement of the computer code, implicit algorithm development, turbulence model implementation, chemistry model development, interactive input module coding and wing/body flowfield computation are described. The GIM quasi-parabolic code development was completed, and the code used to compute a number of example cases. Turbulence models, algebraic and differential equations, were added to the basic viscous code. An equilibrium reacting chemistry model and implicit finite difference scheme were also added. Development was completed on the interactive module for generating the input data for GIM. Solutions for inviscid hypersonic flow over a wing/body configuration are also presented

Exactly solvable 1D model explains the low-energy vibrational level structure of protonated methane

A new one-dimensional model is proposed for the low-energy vibrational quantum dynamics of CH5+ based on the motion of an effective particle confined to a 60-vertex graph ${\Gamma}_{60}$ with a single edge length parameter. Within this model, the quantum states of CH5+ are obtained in analytic form and are related to combinatorial properties of ${\Gamma}_{60}$. The bipartite structure of ${\Gamma}_{60}$ gives a simple explanation for curious symmetries observed in numerically exact variational calculations on CH5+

Evidence of micro-continent entrainment during crustal accretion

Peer reviewedPublisher PD

Enterovirus infection and type 1 diabetes mellitus: systematic review and meta-analysis of observational molecular studies

Objective To review the association between current enterovirus infection diagnosed with molecular testing and development of autoimmunity or type 1 diabetes

Crustal structure of southeast Australia from teleseismic receiver functions

Abstract. In an effort to improve our understanding of the seismic character of the crust beneath southeast Australia and how it relates to the tectonic evolution of the region, we analyse teleseismic earthquakes recorded by 24 temporary and 8 permanent broadband stations using the receiver function method. Due to the proximity of the temporary stations to Bass Strait, only 13 of these stations yielded usable receiver functions, whereas seven permanent stations produced receiver functions for subsequent analysis. Crustal thickness, bulk seismic velocity properties, and internal crustal structure of the southern Tasmanides – an assemblage of Palaeozoic accretionary orogens that occupy eastern Australia – are constrained by H–κ stacking and receiver function inversion, which point to the following: a ∼ 39.0 km thick crust; an intermediate–high Vp/Vs ratio (∼ 1.70–1.76), relative to ak135; and a broad (> 10 km) crust–mantle transition beneath the Lachlan Fold Belt. These results are interpreted to represent magmatic underplating of mafic materials at the base of the crust. a complex crustal structure beneath VanDieland, a putative Precambrian continental fragment embedded in the southernmost Tasmanides, that features strong variability in the crustal thickness (23–37 km) and Vp/Vs ratio (1.65–193), the latter of which likely represents compositional variability and the presence of melt. The complex origins of VanDieland, which comprises multiple continental ribbons, coupled with recent failed rifting and intraplate volcanism, likely contributes to these observations. stations located in the East Tasmania Terrane and eastern Bass Strait (ETT + EB) collectively indicate a crust of uniform thickness (31–32 km), which clearly distinguishes it from VanDieland to the west. Moho depths are also compared with the continent-wide AusMoho model in southeast Australia and are shown to be largely consistent, except in regions where AusMoho has few constraints (e.g. Flinders Island). A joint interpretation of the new results with ambient noise, teleseismic tomography, and teleseismic shear wave splitting anisotropy helps provide new insight into the way that the crust has been shaped by recent events, including failed rifting during the break-up of Australia and Antarctica and recent intraplate volcanism.PhD study of lead author has been jointly funded by Abubakar TafawaBalewa University (ATBU

Total Angular Momentum Conservation in Ab Initio Born-Oppenheimer Molecular Dynamics

We prove both analytically and numerically that the total angular momentum of a molecular system undergoing adiabatic Born-Oppenheimer dynamics is conserved only when pseudo-magnetic Berry forces are taken into account. This finding sheds light on the nature of Berry forces for molecular systems with spin-orbit coupling and highlights how ab initio Born-Oppenheimer molecular dynamics simulations can successfully capture the entanglement of spin and nuclear degrees of freedom as modulated by electronic interactions

A common deep source for upper-mantle upwellings below the Ibero-western Maghreb region from teleseismic P-wave travel-time tomography

Upper-mantle upwellings are often invoked as the cause of Cenozoic volcanism in the Ibero-western Maghreb region. However, their nature, geometry and origin are unclear. This study takes advantage of dense seismic networks, which cover an area extending from the Pyrenees in the north to the Canaries in the south, to provide a new high-resolution P-wave velocity model of the upper-mantle and topmost lower-mantle structure. Our images show three subvertical upper-mantle upwellings below the Canaries, the Atlas Ranges and the Gibraltar Arc, which appear to be rooted beneath the upper-mantle transition zone (MTZ). Two other mantle upwellings beneath the eastern Rif and eastern Betics surround the Gibraltar subduction zone. We propose a new geodynamic model in which narrow upper-mantle upwellings below the Canaries, the Atlas Ranges and the Gibraltar Arc rise from a laterally-propagating layer of material below the MTZ, which in turn is fed by a common deep source below the Canaries. In the Gibraltar region, the deeply rooted upwelling interacts with the Gibraltar slab. Quasi-toroidal flow driven by slab rollback induces the hot mantle material to flow around the slab, creating the two low-velocity anomalies below the eastern Betics and eastern Rif. Our results suggest that the Central Atlantic plume is a likely source of hot mantle material for upper-mantle upwellings in the Ibero-western Maghreb region