1,711 research outputs found

    Resonances of the Earth-ionosphere Cavity Observed at Cambridge, England.

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    Comparison of atmospheric electric field in 1 to 30 c/s band and resonant frequencies of modes of electromagnetic field in earth-ionosphere cavity excited by radiation from lightning discharge

    A realistic evaluation : the case of protocol-based care

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    Background 'Protocol based care' was envisioned by policy makers as a mechanism for delivering on the service improvement agenda in England. Realistic evaluation is an increasingly popular approach, but few published examples exist, particularly in implementation research. To fill this gap, within this paper we describe the application of a realistic evaluation approach to the study of protocol-based care, whilst sharing findings of relevance about standardising care through the use of protocols, guidelines, and pathways. Methods Situated between positivism and relativism, realistic evaluation is concerned with the identification of underlying causal mechanisms, how they work, and under what conditions. Fundamentally it focuses attention on finding out what works, for whom, how, and in what circumstances. Results In this research, we were interested in understanding the relationships between the type and nature of particular approaches to protocol-based care (mechanisms), within different clinical settings (context), and what impacts this resulted in (outcomes). An evidence review using the principles of realist synthesis resulted in a number of propositions, i.e., context, mechanism, and outcome threads (CMOs). These propositions were then 'tested' through multiple case studies, using multiple methods including non-participant observation, interviews, and document analysis through an iterative analysis process. The initial propositions (conjectured CMOs) only partially corresponded to the findings that emerged during analysis. From the iterative analysis process of scrutinising mechanisms, context, and outcomes we were able to draw out some theoretically generalisable features about what works, for whom, how, and what circumstances in relation to the use of standardised care approaches (refined CMOs). Conclusions As one of the first studies to apply realistic evaluation in implementation research, it was a good fit, particularly given the growing emphasis on understanding how context influences evidence-based practice. The strengths and limitations of the approach are considered, including how to operationalise it and some of the challenges. This approach provided a useful interpretive framework with which to make sense of the multiple factors that were simultaneously at play and being observed through various data sources, and for developing explanatory theory about using standardised care approaches in practice

    Deformation and Failure of Amorphous Solidlike Materials

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    Since the 1970's, theories of deformation and failure of amorphous, solidlike materials have started with models in which stress-driven, molecular rearrangements occur at localized flow defects via "shear transformations". This picture is the basis for the modern theory of "shear transformation zones" (STZ's), which is the focus of this review. We begin by describing the structure of the theory in general terms and by showing several applications, specifically: interpretation of stress-strain measurements for a bulk metallic glass, analysis of numerical simulations of shear banding, and the use of the STZ equations of motion in free-boundary calculations. In the second half of this article, we focus for simplicity on what we call an "athermal" model of amorphous plasticity, and use that model to illustrate how the STZ theory emerges within a systematic formulation of nonequilibrium thermodynamics.Comment: 28 pages, 4 figures, submitted to Annual Reviews of Condensed Matter Physic

    It’s More Complicated than That; Comment on “Translating Evidence into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”

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    In this commentary the findings from a systematic review that concluded there is no compelling evidence to suggest that implementing complicated, multi-faceted interventions is more effective than simple, single component interventions to changing healthcare professional’s behaviour are considered through the lens of Harvey and Kitson’s editorial. Whilst an appealing conclusion, it is one that hides a myriad of complexities. These include issues concerning how best to tailor interventions and how best to evaluate such efforts. These are complex issues that do not have simple solutions

    Molecular, morphological, and phytochemical evidence for a broad species concept of Plagiochila bifaria (Hepaticae)

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    Debate over the synonymy of the European Plagiochila killarniensis and the Neotropical P bifaria of R sect. Arrectae has focused on differences in secondary metabolite composition. The broad morphological species concept of R bifaria proposed in recent papers has now been tested by comparing nrDNA ITS1 and ITS2 sequences of R bifaria populations encompassing several different morpho- and chemotypes from the British Isles, Tenerife, Costa Rica, Brazil, Ecuador, and Bolivia, with sequences of other species of R sects. Arrectae, Rutilantes, and Fuscoluteae. Phylogenetic analyses demonstrate that specimens of P. bifaria form a well supported clade within Plagiochila sect. Arrectae. Sequences of R bifaria from the British Isles, Tenerife, and Ecuador, representing the "methyl everninate" chemotype, form a well supported subclade within the P bifaria clade. Sequences of specimens from Costa Rica, Brazil, and Bolivia are placed in the basal part of the R bifaria clade. The data support a broad species concept of P bifaria. The different chemotypes do not warrant distinct taxonomic ranks. Plagiochila centrifuga and P. compressula are treated as new synonyms of R bifaria

    A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequences

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    Background: The policy drive for the UK National Health Service (NHS) has focused on the need for high quality services informed by evidence of best practice. The introduction of care pathways and protocols to standardise care and support implementation of evidence into practice has taken place across the NHS with limited evaluation of their impact. A multi-site case study evaluation was undertaken to assess the impact of use of care pathways and protocols on clinicians, service users and service delivery. One of the five sites was a midwifery-led Birth Centre, where an adapted version of the All Wales Clinical Pathway for Normal Birth had been implemented. Methods: The overarching framework was realistic evaluation. A case study design enabled the capture of data on use of the pathway in the clinical setting, use of multiple methods of data collection and opportunity to study and understand the experiences of clinicians and service users whose care was informed by the pathway. Women attending the Birth Centre were recruited at their 36 week antenatal visit. Episodes of care during labour were observed, following which the woman and the midwife who cared for her were interviewed about use of the pathway. Interviews were also held with other key stakeholders from the study site. Qualitative data were content analysed. Results: Observations were undertaken of four women during labour. Eighteen interviews were conducted with clinicians and women, including the women whose care was observed and the midwives who cared for them, senior midwifery managers and obstetricians. The implementation of the pathway resulted in a number of anticipated benefits, including increased midwifery confidence in skills to support normal birth and promotion of team working. There were also unintended consequences, including concerns about a lack of documentation of labour care and negative impact on working relationships with obstetric and other midwifery colleagues. Women were unaware their care was informed by a care pathway. Conclusion: Care pathways are complex interventions which generate a number of consequences for practice. Those considering introduction of pathways need to ensure all relevant stakeholders are engaged with this and develop robust evaluation strategies to accompany implementation

    Plagiochila rutilans (Hepaticae): A poorly known species from tropical America

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    The neotropical liverwort, Plagiochila rutilans Lindenb., is conspecific with P. remotifolia Hampe and Gottsche, P. farlowii Steph., P. harrisana Steph, and P. organensis Herzog. Plagiochila standleyi Carl is reduced to a variety of P. rutilans. Plagiochila gymnocalycina (Lehm. and Lindenb.) Mont. and P. portoricensis Hampe and Gottsche (= P. simplex (Sw.) Lindenb.) are excluded from the synonymy of P. rutilans. Plagiochila rutilans var. liebmanniana Gottsche is a synonym of P. crispabilis Lindenb.; P. rutilans var. laxa Lindenb. and var. angustifolia Herzog are conspecific with P. gymnocalycina. Sporophytes of P. rutilans are described for the first time. Fresh material of P. rutilans exhibits a distinct odor of peppermint caused by the presence of several menthane monoterpenoids, principally pulegone. NMR (nuclear magnetic resonance) fingerprints and GC-MS data indicate that the lipophilic secondary metabolite profiles are distinct for the two varieties accepted in this study

    The systematic position of Plagiochila moritziana, P. trichostoma and P. deflexa based on ITS sequence variation of nuclear ribosomal DNA, morphology, and lipophilic secondary metabolites

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    According to phylogenetic analyses of nrDNA ITS1 and ITS2 sequences (including the 5.8S unit) the Neotropical Plagiochila moritziana, P. rutilans var. rutilans, P. rutilans var. standleyi, P. trichostoma (= P. permista, syn. nov.), and P. subtrinitensis form a monophyletic lineage and are placed in P. sect. Rutilantes; all five taxa lack a ca 20 base pair sequence that is present in all the taxa of the other Plagiochila sections investigated. The Central American P. subtrinitensis is treated as a synonym of the Hawaiian endemic P. deflexa. Plagiochila moritziana is excluded from sect. Fuscoluteae and reduced to a variety of P. rutilans; P. sect. Permistae is treated as a synonym of P. sect. Rutilantes. The sporophytes of P. trichostoma and P. deflexa are described for the first time. Fresh material of P. rutilans var. moritziana exhibits a distinct odor of peppermint caused by the presence of several menthane monoterpenoids, principally pulegone. The Central American P. rutilans var. standleyi is reported from Ecuador, new to South America. Lectotypes are designated for P. rutilans var. moritziana, P. subtrinitensis, and P. trichostoma
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