1,192 research outputs found

    DRIVER - Supporting Institutional Repositories in Europe

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    This workshop will provide an analysis of the current state of development of institutional repositories across Europe, how this compares to initiatives in the rest of the world and will explain how the DRIVER project will promote and support the development of an integrated European repository network. The workshop will provide information on DRIVER technological developments and services and on the DRIVER test bed of repositories being used to test DRIVER software and services. The success of the DRIVER project depends, not just on the technical integration and enhancement of a European repository network, but also on the involvement and participation of all those actively involved in European research or in its publication, dissemination or access. Hence DRIVER has an active advocacy and community building programme to address and support key stakeholder groups in Europe. DRIVER draws on existing services within the DRIVER partnership such as OpenDOAR and SHERPA/RoMEO as well as developing new services such as the Mentor service. This workshop will be of value to all involved in European research and for those keen to play a role in its future development. It will be of particular interest to those involved in the development of individual repositories, those co-ordinating national repository networks and those interested in the implications of a European repository network for European research. The workshop will provide a unique opportunity to learn about the DRIVER project, to meet DRIVER representatives, share best practice and discuss the current trends in the development and future of institutional repository networks

    Factors influencing common diagnoses made during first-opinion small-animal consultations in the United Kingdom

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    It is currently unclear how frequently a diagnosis is made during small-animal consultations or how much of a role making a diagnosis plays in veterinary decision-making. Understanding more about the diagnostic process will help direct future research towards areas relevant to practicing veterinary surgeons. The aim of this study was to determine the frequency with which a diagnosis was made, classify the types of diagnosis made (and the factors influencing these) and determine which specific diagnoses were made for health problems discussed during small-animal consultations. Data were gathered during real-time direct observation of small-animal consultations in eight practices in the United Kingdom. Data collected included characteristics of the consultation (e.g. consultation type), patient (e.g. breed), and each problem discussed (e.g. new or pre-existing problem). Each problem discussed was classified into one of the following diagnosis types: definitive; working; presumed; open; previous. A three-level multivariable logistic-regression model was developed, with problem (Level 1) nested within patient (Level 2) nested within consulting veterinary surgeon (Level 3). Problems without a previous diagnosis, in cats and dogs only, were included in the model, which had a binary outcome variable of definitive diagnosis versus no definitive diagnosis. Data were recorded for 1901 animals presented, and data on diagnosis were gathered for 3192 health problems. Previous diagnoses were the most common diagnosis type (n = 1116/3192; 35.0%), followed by open (n = 868/3192; 27.2%) then definitive (n = 660/3192; 20.7%). The variables remaining in the final model were patient age, problem history, consultation type, who raised the problem, and body system affected. New problems, problems in younger animals, and problems raised by the veterinary surgeon were more likely to result in a definitive diagnosis than pre-existing problems, problems in older animals, and problems raised by the owner. The most common diagnoses made were overweight/obese and periodontal disease (both n = 210; 6.6%). Definitive diagnoses are rarely made during small-animal consultations, with much of the veterinary caseload involving management of ongoing problems or making decisions around new problems prior to a diagnosis being made. This needs to be taken into account when considering future research priorities, and it may be necessary to conduct research focused on the approach to common clinical presentations, rather than purely on the common diagnoses made. Examining how making a diagnosis affects the actions taken during the consultation may shed further light on the role of diagnosis in the clinical decision-making process

    Common decisions made and actions taken during small-animal consultations at eight first-opinion practices in the United Kingdom

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    In order for veterinary surgeons to undertake an evidence-based approach to making decisions about theirpatients, it is important that new evidence is generated to support the clinical decision-making process.Many of the decisions are likely to be around the actions taken to treat or manage health problemsdiscussed during the consultation, and little is currently known about the factors which affect the typeof action taken. The aim of this study was to determine the decisions made and actions taken for healthproblems discussed during first-opinion small-animal consultations, as well as identifying factors whichmay affect the decision-making process.Data were gathered during direct observation of small-animal consultations conducted by 62 veterinarysurgeons in eight first-opinion practices in the United Kingdom. For each patient presented, data weregathered on all health problems discussed during the consultation. The decision made (whether an actionwas taken or not) and the action taken where applicable (e.g. therapeutic treatment with antibiotics) wasalso recorded. A three-level multivariable logistic-regression model was developed, with problem (Level1) nested within patient (Level 2) nested within consulting veterinary surgeon (Level 3), and a binaryoutcome variable of action versus no action.At least one action was taken for 69% (n = 2203/3192) of all problems discussed. Therapeutic treatmentwas the most common action taken (n = 1286/3192 problems; 40.3%), followed by management advice(n = 1040/3192; 32.6%) and diagnostic work-up (n = 323/3192; 10.1%). The most common therapeutictreatment was antibiotics (n = 386/1286; 30%), while the most common management advice given wasdietary advice (n = 509/1040; 48.9%). The three explanatory variables remaining in the final model werewhether the problem was a presenting or non-presenting problem, the type of diagnosis made, andthe body system affected. Explanatory variables which did not remain in the final model were patientsignalment, problem history, consultation type, clinical examination type, and who raised the problem(veterinary surgeon or owner).For over two-thirds of problems discussed, an action was taken which suggests these problems maybe seen as important by the veterinary surgeon and/or pet owner. No action was taken for almost a thirdof cases which could represent ‘watchful waiting’, which has been highlighted as important in humanhealthcare. Future research should focus on the common actions taken, further exploring the complexdecision-making process, and examining the effect of the decisions made on long-term patient outcomes

    Youngstock management as “The key for everything”? Perceived value of calves and the role of calf performance monitoring and advice on dairy farms

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    Replacement heifers are key to the future milking herd and farm economic efficiency but are not always prioritised on dairy farms. Dairy enterprises are comprised of components which compete for limited resources; scarce information about calf performance and the associated losses and (potential) gains on farms can mean calves are prioritised less in management and investment decisions. The research reported in this paper explored the personal and contextual factors that influence calf management decisions on dairy farms. Forty in-depth, semi-structured interviews were conducted with dairy farmers (26 interviews) and farm advisors (14 interviews) who were recruited using purposive and “snowball” sampling. Interviews were recorded, transcribed, and thematically analysed. Six major themes were constructed from the interview data relating to: the perceived importance of youngstock management, the role and influence of calf rearers, calf performance monitoring, farmer engagement with information and advice, the quality of communication and advice, and veterinary involvement in calf rearing. Results indicated that although the wider dairy industry has promoted the importance of youngstock, calves often have not been fully integrated into the whole dairy farm system, nor culturally accepted as an integral part of the productive herd. Calves tended to be marginalised on farms, largely due to limited resources, lack of data monitoring, and their unrecognised potential, as well as social norms and scarcity of support structures impacting upon farm investment and management decisions. Many calf rearers were disappointed by the repetition and impractical nature of information in print media. Most farmers did not routinely consult their veterinarian about their calves, rather following a reactive treatment model even when a preventive herd health strategy was applied to the adult herd. Advisory structures often require a driven individual with calf-centric interest to prevent calves from being overlooked. Furthermore, advisory efforts often failed to motivate farmers to act on advice. These findings indicate the need for greater focus on how to achieve rearing targets by provision of technical and support structures to foster action toward improved calf wellbeing, and for the status of calves to be raised in line with their vital importance for the future dairy herd

    Giving calves 'the best start': perceptions of colostrum management on dairy farms in England

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    Good colostrum management can confer protective immunity to newborn calves, making calves less susceptible to infectious disease, and fundamentally improving both their short- and long-term health, welfare and productivity. Industry recommendations commonly refer to 'The Three 'Q's' of colostrum management: the need for calves to receive sufficient 'Quantity' of high 'Quality' colostrum 'Quickly' after birth; some also include 'sQueaky clean' and 'Quantification of passive transfer'. However, research to date suggests that the failure of passive transfer of colostral antibodies is common on commercial dairy farms, contributing to sub-optimal calf health and mortality. This paper explores why this may be the case by investigating stakeholder perceptions of colostrum management and how these perceptions might affect the practice of ensuring adequate colostrum administration to newborn calves. Calf rearing and youngstock management practices on English dairy farms were investigated using 40 in-depth semi-structured interviews: 26 with dairy farmers and 14 with advisors (including veterinarians, feed and pharmaceutical company representatives). Interviews were audio-recorded, transcribed and thematically coded for analysis. 'The Three 'Q's' were found to act as useful reminders about the goals of colostrum management, and a case can be made for further publicising the inclusion of 'sQueaky clean' and 'Quantification of passive transfer' as there remains a lack of focus on colostrum hygiene and measurement of successful antibody transfer. Knowledge of the 'Q's' did not guarantee implementation, and time and labour constraints alongside farmer misconceptions must be addressed when offering professional advice on improving calf health. Further research to encourage on-farm collection and analysis of monitoring data including rates of passive transfer is particularly needed. Advisors must not overlook the importance of colostrum management when assessing farm practices and ensure that they promote evidence-based recommendations if dairy calf morbidity and mortality is to be reduced

    Stakeholder perceptions of disease management for dairy calves: “it’s just little things that make such a big difference”

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    Calf morbidity and mortality rates are often high in dairy herds, raising animal welfare concerns and negatively affecting farm economic efficiency and future performance. Disease prevention is critical to maintain calves in good health, but interventions are dependent upon the persons conducting them. This paper explores the perceptions of farmers, farm workers, veterinarians, and other advisors on the management of calfhood disease on dairy farms in England. Participants were recruited using purposive and “snowball” sampling, resulting in 40 in-depth, semi-structured interviews—26 with dairy farmers and 14 with advisors. Interviews were recorded, transcribed, and thematically coded. Three major themes were derived on the basis of interview data: disease occurrence and treatments, management of calf environment, and the role of stockmanship and perceived control. Respiratory and gastrointestinal diseases in calves were those reported to be most problematic on dairy farms. Limited time and financial resources caused some farmers and advisors to experience a perceived inability to control calf health without antimicrobial treatments. Overall, the findings emphasise the importance of human influences on calf health and disease in the context of influencing the interactions among the host, pathogens, and the environment. Further research should investigate what “attention to detail” means within different farm contexts and practices, as this was believed to be important in the promotion of better husbandry standards and health. We recommend the use of supportive knowledge exchange processes, including facilitation, to empower farmers to promote continuous improvement in calf health

    Conversion electron spectra : A line shape analysis for permanent magnet spectrographs

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    A computer analysis of the line shapes for semi-circular magnetic spectrographs has been carried out for a wide variety of parameters. New information on the optimum positioning of the photographic plate for given source and slit configurations has been obtained. The utility of a wide source, narrow slit configuration is pointed out.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34011/1/0000286.pd

    Statistical Survey of Type III Radio Bursts at Long Wavelengths Observed by the Solar TErrestrial RElations Observatory (STEREO)/Waves Instruments: Radio Flux Density Variations with Frequency

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    We have performed a statistical study of 152152 Type III radio bursts observed by Solar TErrestrial RElations Observatory (STEREO)/Waves between May 2007 and February 2013. We have investigated the flux density between 125125kHz and 1616MHz. Both high- and low-frequency cutoffs have been observed in 60 60\,% of events suggesting an important role of propagation. As already reported by previous authors, we observed that the maximum flux density occurs at 11MHz on both spacecraft. We have developed a simplified analytical model of the flux density as a function of radial distance and compared it to the STEREO/Waves data.Comment: published in Solar Physic

    Trends in surgical treatment of early-stage breast cancer reveal decreasing mastectomy use between 2003 and 2016 by age, race, and rurality

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    Purpose: To examine trends in the surgical treatment of breast cancer by age, rurality, and among Black women in a populous, racially diverse, state in the Southeastern United States of America. Methods: We identified women diagnosed with localized or regional breast cancer between 2003 and 2016 in the North Carolina Central Cancer Registry (n = 86,776). Using Joinpoint regression we evaluated the average annual percentage change in proportion of women treated with mastectomy versus breast-conserving surgery overall, by age group, among Black women, and for women residing in rural areas. Results: Overall, the rate of mastectomy usage in the population declined 2.5% per year between 2003 and 2016 (95% CI − 3.2, − 1.7). Over this same time interval, breast-conserving surgery increased by 1.6% per year (95% CI 0.9, 2.2). These temporal trends in surgery were also observed among Black women and rural residing women. Trends in surgery type varied by age group: mastectomy declined over time among women > 50 years, but not among women aged 18–49 at diagnosis. Discussion: In contrast to national studies that reported increasing use of mastectomy, we found declining mastectomy rates in the early 2000s in a Southern US state with a racially and geographically diverse population. These decreasing trends were consistent among key subgroups affected by cancer inequities, including Black and White rural women
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