MUMBAI

The last ten years of growth in the Indian economy has nurtured dreams of the ‘good life’ among both the rich and the poor in the city of Mumbai (Bombay). The city and the home are important scenes in which the realizations of this metropolis’ 16 million inhabitants are played out. Whilst the middle classes, to an ever growing extent, realize dreams of the good life, inspired by the tranquil suburban life of the Western middle-class, the underclass must employ other life strategies in their attempt to turn dreams into reality. &nbsp

First-principles calculation of the intersublattice exchange interactions and Curie temperatures of full Heusler alloys Ni2MnX (X=Ga, In, Sn, Sb)

The interatomic exchange interactions and Curie temperatures in Ni-based full Heusler alloys Ni2MnX with X=Ga, In, Sn and Sb are studied within the framework of the density-functional theory. The calculation of the exchange parameters is based on the frozen-magnon approach. Despite closeness of the experimental Curie temperatures for all four systems their magnetism appeared to differ strongly. This difference involves both the Mn-Mn and Mn-Ni exchange interactions. The Curie temperatures, Tc, are calculated within the mean-field approximation by solving a matrix equation for a multi-sublattice system. Good agreement with experiment for all four systems is obtained. The role of different exchange interactions in the formation of Tc of the systems is discussed.Comment: 6 pages, 4 figure

Involving patients in medicines optimisation in general practice:a development study of the "PREparing Patients for Active Involvement in medication Review" (PREPAIR) tool

BACKGROUND: Many patients have multiple health conditions and take multiple medications (polypharmacy). Active patient involvement may improve treatment outcomes and ensure patient-centred care. Yet, patient involvement remains a challenge in clinical practice. We aimed to develop and pilot test a questionnaire-based preparation and dialogue tool, the PREparing Patients for Active Involvement in medication Review (PREPAIR) tool, to encourage the involvement of patients with polypharmacy in medicines optimisation in general practice. METHODS: We conducted a literature review followed by a co-production process to develop the tool: a workshop with six GPs and pilot testing, including observations and interviews, with 22 patients, three GPs and three practice staff. During this process, we made continuous adaptations to the prototype. We analysed the qualitative data thematically, focusing on the development process and mechanisms of impact. FINDINGS: The final PREPAIR tool included five items concerning the patient’s experience of 1) adverse drug reactions, 2) excess medication, 3) unnecessary medication, 4) medication satisfaction and 5) medication-related topics to discuss with the GP (open-ended question). The applied workflow during testing was as follows; the patient completed the PREPAIR tool at home, to encourage reflection on the medication, and brought it to the GP consultation. During the consultation, the GP and the patient reviewed the patient’s responses and discussed potential medication-related problems. For some patients, the increased reflection led to worries about the medications. Still, the pilot testing showed that, when using the PREPAIR tool, the patients arrived at the clinic well prepared and empowered to speak. From the PREPAIR-supported dialogue, the GPs obtained a better understanding of patients’ perspectives and provided a more patient-centred consultation. For the patients, the PREPAIR-supported dialogue ultimately promoted an increased sense of security, satisfaction and insight into their medication, despite initial worries for some patients. CONCLUSIONS: We developed a brief tool to support active patient involvement in medication review in general practice. The PREPAIR-tool was well received by both patients and GPs and fitted well into the existing clinical practice. Our findings suggest that the PREPAIR-tool can support patient involvement during consultations and facilitate patient-centred care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-022-01733-8