Ge hopp om ett nytt liv - riktlinjer för det ideala vårdandet av gravida missbrukare

Syfte med detta utvecklingsarbete är att framföra riktlinjer för det ideala vårdandet av gravida missbrukare. Meningen med riktlinjerna är att vårdpersonal skall kunna använda dem som stöd i sitt arbete. Studien strävar efter att ge svar på följande fråga: Vad skulle vara det ideala vårdandet av gravida missbrukare? Riktlinjerna bygger på ett lärdomsprov, Ge hopp om ett nytt liv? (Sand, 2011), Käypä hoito-suositukset om missbrukarvård för personer med problem med alkohol och droger(2006; 2010), samt begreppet vårdande enligt Eriksson(2000), Roach (1995), Paterson och Zderad (1988). Riktlinjerna gjordes för att vårdarna lätt skulle få mera kunskap av det ideala vårdandet av gravida missbrukare.The purpose of this study is to present guidelines, for the ideal care of pregnant substance users. The intention of the guidelines is that health professionals can use them as support in their work. The study seeks to answer the following question: What would be the ideal treatment of pregnant drug users? The guidelines are based on the thesis Give hope for a new life? (Sand, 2011), Käypä hoito-suositukset care recommendations for people with problems with alcohol and drugs (2006, 2010), and caring of Eriksson (2000), Roach (1995), Paterson and Zderad (1988). The guidelines were made in order to help nurses easily get more knowledge of the ideal treatment of pregnant addicts

Variable hastighedstavler: Effektundersøgelse af variable hastighedstavler ved kryds på veje i åbent land

Variable hastighedstavler ses flere steder anvendt som et hastighedsreducerende tiltag i kryds, hvor der er blevet udpeget sorte pletter som følge af for høj hastighed. I undersøgelsen er ha- stighedsdata fra tre kryds langs rute 26, hvor Vejdirektoratet i 2008/2009 har opsat variable hastighedstavler (Vejdirektoratet 2007, 2008a, 2008b), blevet analyseret, hvorved det har væ- ret muligt at dokumentere en effekt af de variable hastighedstavler. Der er i effektundersøgelsen af variable hastighedstavler redegjort for undersøgelser fra Eng- land, Sverige og Danmark. Disse undersøgelser har vist, at der kunne opnås en reduktion i middelhastighederne på op til 15 km/t og i hastighederne ved 85 %-fraktilerne på op til 9 km/t. Undersøgelserne viste også, at det var muligt at reducere antallet af tilskadekomne som følge af de variable tavler (Winnett og Wheeler 2002, Herrstedt og la Cour Lund 2006, Lind- kvist et al. 2006, Rosenstand 2008). I analysen af de variable hastighedstavler ved de tre betragtede kryds langs rute 26 er der fore- taget en sammenligning af de målte hastigheder, før systemerne blev taget i brug med efter- perioden i situationer, hvor tavlerne er hhv. tændte eller slukkede. De variable tavler blev etableret ved krydsene inden før-data blev indsamlet, hvorved det også har været mulig at undersøge effekten af de variable hastighedstavler ved slukket og tændt tavle, både i førperio- den, hvor tavlerne var ikke var synlige for trafikanterne og i efterperioden, hvor de var synli- ge. I før-perioden har tavlerne været dækket til for trafikanterne. Analysen af de tre kryds langs rute 26 viste, at det som følge af brugen af variable hastigheds- tavler var muligt at reducere middelhastighederne med op til 9 km/t. Det var desuden muligt at reducere 85 % fraktilen med op til 12 km/t. Alle hastighedsreduktionerne var signifikante. Ved at anvende Powermodellen viste analysen også, at det var muligt at reducere antallet af tilskadekomne som følge af de variable tavler

Variable hastighedstavler

Variable hastighedstavler ses flere steder anvendt som et hastighedsreducerende tiltag i kryds, hvor der er blevet udpeget sorte pletter som følge af for høj hastighed. I undersøgelsen er ha- stighedsdata fra tre kryds langs rute 26, hvor Vejdirektoratet i 2008/2009 har opsat variable hastighedstavler (Vejdirektoratet 2007, 2008a, 2008b), blevet analyseret, hvorved det har været muligt at dokumentere en effekt af de variable hastighedstavler. Der er i effektundersøgelsen af variable hastighedstavler redegjort for undersøgelser fra England, Sverige og Danmark. Disse undersøgelser har vist, at der kunne opnås en reduktion i middelhastighederne på op til 15 km/t og i hastighederne ved 85 %-fraktilerne på op til 9 km/t. Undersøgelserne viste også, at det var muligt at reducere antallet af tilskadekomne som følge af de variable tavler (Winnett og Wheeler 2002, Herrstedt og la Cour Lund 2006, Lind- kvist et al. 2006, Rosenstand 2008). I analysen af de variable hastighedstavler ved de tre betragtede kryds langs rute 26 er der foretaget en sammenligning af de målte hastigheder, før systemerne blev taget i brug med efter- perioden i situationer, hvor tavlerne er hhv. tændte eller slukkede. De variable tavler blev etableret ved krydsene inden før-data blev indsamlet, hvorved det også har været mulig at undersøge effekten af de variable hastighedstavler ved slukket og tændt tavle, både i førperioden, hvor tavlerne var ikke var synlige for trafikanterne og i efterperioden, hvor de var synlige. I før-perioden har tavlerne været dækket til for trafikanterne. Analysen af de tre kryds langs rute 26 viste, at det som følge af brugen af variable hastighedstavler var muligt at reducere middelhastighederne med op til 9 km/t. Det var desuden muligt at reducere 85 % fraktilen med op til 12 km/t. Alle hastighedsreduktionerne var signifikante. Ved at anvende Powermodellen viste analysen også, at det var muligt at reducere antallet af tilskadekomne som følge af de variable tavler

Analytic Gradients for Complete Active Space Pair-Density Functional Theory

Analytic gradient routines are a desirable feature for quantum mechanical methods, allowing for efficient determination of equilibrium and transition state structures and several other molecular properties. In this work, we present analytical gradients for multiconfiguration pair-density functional theory (MC-PDFT) when used with a state-specific complete active space self-consistent field reference wave function. Our approach constructs a Lagrangian that is variational in all wave function parameters. We find that MC-PDFT locates equilibrium geometries for several small- to medium-sized organic molecules that are similar to those located by complete active space second-order perturbation theory but that are obtained with decreased computational cost

2FGL J0846.0+2820: A new neutron star binary with a giant secondary and variable γ\gamma-ray emission

We present optical photometric and spectroscopic observations of the likely stellar counterpart to the unassociated \emph{Fermi}-Large Area Telescope (LAT) $\gamma$-ray source 2FGL J0846.0+2820, selected for study based on positional coincidences of optical variables with unassociated LAT sources. Using optical spectroscopy from the SOAR telescope, we have identified a late-G giant in an eccentric ($e$ = 0.06) 8.133 day orbit with an invisible primary. Modeling the spectroscopy and photometry together lead us to infer a heavy neutron star primary of $\sim 2 M_{\odot}$ and a partially stripped giant secondary of $\sim 0.8 M_{\odot}$. H$\alpha$ emission is observed in some of the spectra, perhaps consistent with the presence of a faint accretion disk. We find the $\gamma$-ray flux of 2FGL J0846.0+2820 dropped substantially in mid-2009, accompanied by an increased variation in the optical brightness, and since then it has not been detected by \emph{Fermi}. The long period and giant secondary are reminiscent of the $\gamma$-ray bright binary 1FGL J1417.7--4407, which hosts a millisecond pulsar apparently in the final stages of the pulsar recycling process. The discovery of 2FGL J0846.0+2820 suggests the identification of a new subclass of millisecond pulsar binaries that are the likely progenitors of typical field millisecond pulsars.Comment: 12 pages, 8 figures, 3 tables. Accepted for publication in Ap

USE OF SEXUAL PHEROMONES FOR MONITORING THE POPULATION OF THE PEST DELIA ANTIQUA (onion fly)

There were synthesized and tested: 2 variants for the Delia antiqua pheromone. The attack produced by the onion fly larvae in the onion culture was below 2%. In the climatic conditions of the year 2019, adults from generation 1 were captured in June, decades 1 and 2. The pheromonal variant V1 V1 - D (dipropyl disulfide) captured a greater number of adults, 57, 1%, compared to the control V2 - E (2 ø ethanol). - 42.9% of the total captured. Comparative study of the experiments carried out, setting up, experiments and testing of variants

Newborn infants with bilious vomiting: a national audit of neonatal transport services

Objective: The precautionary approach to urgently investigate infants with bilious vomiting has increased the numbers referred to transport teams and tertiary surgical centres. The aim of this national UK audit was to quantify referrals, determine the frequency of surgical diagnoses, with the purpose to inform the consequent inclusion of these referals in the national 'time critical' dataset. Method: A prospective, multi-centre UK-wide audit was conducted (01 August 2015 to 31 October 2015). Term infants, ≤ 7 days of age, referred for transfer due to bilious vomiting were included. Data at the time of transport and outcomes at seven days after transfer were collected by the local teams and tranferred anonymously for analysis. Results: Sixteen teams contributed data on 165 cases. Teams that consider such transfers as “time-critical” responded significantly faster than those that do not classify bilious vomiting as time-critical. There was a surgical diagnosis in 22% cases and 7% had a condition where delayed treatment may have caused bowel loss. Most surgical problems could be predicted by clinical and/or X-ray findings but two infants with normal X-ray features were found to have a surgical problem. Conclusion: The results of this study support the need for infants with bilious vomiting to be investigated for potential surgical pathologies, but the data do not provide evidence for the default designation of such referrals as “time critical.” Decisions should be made by clinical collaboration between the teams and, where appropriate, swift transfer provided

1FGL J1417.7-4407: A likely gamma-ray bright binary with a massive neutron star and a giant secondary

We present multiwavelength observations of the persistent Fermi-LAT unidentified gamma-ray source 1FGL J1417.7-4407, showing it is likely to be associated with a newly discovered X-ray binary containing a massive neutron star (nearly 2 M_sun) and a ~ 0.35 M_sun giant secondary with a 5.4 day period. SOAR optical spectroscopy at a range of orbital phases reveals variable double-peaked H-alpha emission, consistent with the presence of an accretion disk. The lack of radio emission and evidence for a disk suggests the gamma-ray emission is unlikely to originate in a pulsar magnetosphere, but could instead be associated with a pulsar wind, relativistic jet, or could be due to synchrotron self-Compton at the disk--magnetosphere boundary. Assuming a wind or jet, the high ratio of gamma-ray to X-ray luminosity (~ 20) suggests efficient production of gamma-rays, perhaps due to the giant companion. The system appears to be a low-mass X-ray binary that has not yet completed the pulsar recycling process. This system is a good candidate to monitor for a future transition between accretion-powered and rotational-powered states, but in the context of a giant secondary.Comment: ApJL in pres