"If Not Me, Then Who?": Exploring the Challenges Experienced by Front-Line Clinicians Screening for, and Communicating About, Domestic Violence in the Emergency Department.

Screening for domestic violence in healthcare settings increases detection. The emergency department (ED) is one setting where victims frequently attend with injuries and illnesses sustained from violence. However, screening rates remain suboptimal. There is little research about how formal screening occurs, or how less structured interactions are negotiated within the ED context. This article explores this important, but non-mandatory procedure within the context of clinician-patient interactions in Australia. A descriptive qualitative study was undertaken with 21 clinicians across seven EDs in Australia. Thematic analysis was undertaken by two researchers. Results indicate a lack of confidence around DV screening, and tensions in clinicians initiating conversation while managing their own emotional stressors. No participants expressed knowledge of formal screening processes in their workplaces. Successful DV screening programs must provide clinicians with the tools to minimize perceived discomfort in initiating and sustaining conversations while accepting patient preferences regarding disclosure

Energy averages and fluctuations in the decay out of superdeformed bands

We derive analytic formulae for the energy average (including the energy average of the fluctuation contribution) and variance of the intraband decay intensity of a superdeformed band. Our results may be expressed in terms of three dimensionless variables: $\Gamma^{\downarrow}/\Gamma_S$, $\Gamma_N/d$, and $\Gamma_N/(\Gamma_S+\Gamma^{\downarrow})$. Here $\Gamma^{\downarrow}$ is the spreading width for the mixing of a superdeformed (SD) state $|0>$ with the normally deformed (ND) states $|Q>$ whose spin is the same as $|0>$'s. The $|Q>$ have mean level spacing $d$ and mean electromagnetic decay width $\Gamma_N$ whilst $|0>$ has electromagnetic decay width $\Gamma_S$. The average decay intensity may be expressed solely in terms of the variables $\Gamma^{\downarrow}/\Gamma_S$ and $\Gamma_N/d$ or, analogously to statistical nuclear reaction theory, in terms of the transmission coefficients $T_0(E)$ and $T_N$ describing transmission from the $|Q>$ to the SD band via $|0\angle$ and to lower ND states. The variance of the decay intensity, in analogy with Ericson's theory of cross section fluctuations depends on an additional variable, the correlation length \Gamma_N/(\Gamma_S+\Gamma^{\downarrow})=\frac{d}{2\pi}T_N/(\Gamma_S+\Gamma^{\d ownarrow}). This suggests that analysis of an experimentally obtained variance could yield the mean level spacing $d$ as does analysis of the cross section autocorrelation function in compound nuclear reactions. We compare our results with those of Gu and Weidenm\"uller.Comment: revtex4, 14 pages, 4 figures, to appear in Physical Review

An evaluation framework for assessing the dependability of Dynamic Binding in Service-Oriented Computing

Service-Oriented Computing (SOC) provides a flexible framework in which applications may be built up from services, often distributed across a network. One of the promises of SOC is that of Dynamic Binding where abstract consumer requests are bound to concrete service instances at runtime, thereby offering a high level of flexibility and adaptability. Existing research has so far focused mostly on the design and implementation of dynamic binding operations and there is little research into a comprehensive evaluation of dynamic binding systems, especially in terms of system failure and dependability. In this paper, we present a novel, extensible evaluation framework that allows for the testing and assessment of a Dynamic Binding System (DBS). Based on a fault model specially built for DBS's, we are able to insert selectively the types of fault that would affect a DBS and observe its behavior. By treating the DBS as a black box and distributing the components of the evaluation framework we are not restricted to the implementing technologies of the DBS, nor do we need to be co-located in the same environment as the DBS under test. We present the results of a series of experiments, with a focus on the interactions between a real-life DBS and the services it employs. The results on the NECTISE Software Demonstrator (NSD) system show that our proposed method and testing framework is able to trigger abnormal behavior of the NSD due to interaction faults and generate important information for improving both dependability and performance of the system under test

Prevalence of Escherichia coli O157:H7 in cow-calf herds in Kansas

Fecal samples from cows and calves and samples of water sources were collected monthly for 8 months from 10 Kansas cow-calf farms to determine the prevalence of E. coli O157:H7. The bacterium was found in 8% of fecal samples from cows that were within 24 hours of calving, 1.4% of fecal samples from cows which were not within 24 hours of calving, 1.4% of calf fecal samples, and 1.5% of water samples. E. coli O157:H7 was identified from at least one sample on all farms

Study protocol: Reporting characteristics of intervention trials of animals published in the Journal of Dairy Science in 2017

Objectives The scope of this cross-sectional observational study is to evaluate prevalence of reporting the 19 objective items of the REFLECT statement checklist (Sargeant et al., 2010), with the primary outcome being prevalence of sample size calculation, in clinical trials published in the Journal of Dairy Science from January to December of 2017. We will also determine risk of bias in individual studies using the Cochrane Risk of Bias 2.0 tools for individually randomized, parallel group trials; cluster randomized, parallel group trials; and individually randomized, cross-over trials (Higgins et al., 2016)

Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology – Veterinary (STROBE-Vet) Statement

BACKGROUND Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines. OBJECTIVE To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. DESIGN Consensus meeting of experts. SETTING Mississauga, Canada. PARTICIPANTS Seventeen experts from North America, Europe, and Australia. METHODS Experts completed a pre-meeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended and whether additions were warranted. Anonymous voting was used to determine consensus. RESULTS Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). CONCLUSION The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife

Observational Study Design in Veterinary Pathology, Part 1: Study Design

Observational studies are the basis for much of our knowledge of veterinary pathology and are highly relevant to the daily practice of pathology. However, recommendations for conducting pathology-based observational studies are not readily available. In part 1 of this series, we offer advice on planning and conducting an observational study with examples from the veterinary pathology literature. Investigators should recognize the importance of creativity, insight, and innovation in devising studies that solve problems and fill important gaps in knowledge. Studies should focus on specific and testable hypotheses, questions, or objectives. The methodology is developed to support these goals. We consider the merits and limitations of different types of analytic and descriptive studies, as well as of prospective vs retrospective enrollment. Investigators should define clear inclusion and exclusion criteria and select adequate numbers of study subjects, including careful selection of the most appropriate controls. Studies of causality must consider the temporal relationships between variables and the advantages of measuring incident cases rather than prevalent cases. Investigators must consider unique aspects of studies based on archived laboratory case material and take particular care to consider and mitigate the potential for selection bias and information bias. We close by discussing approaches to adding value and impact to observational studies. Part 2 of the series focuses on methodology and validation of methods

Using Boulder Tracks as a Tool to Understand the Bearing Capacity of Permanently Shadowed Regions of the Moon

Permanently shadowed regions (PSRs) are abundant at the lunar poles. They experience no direct sunlight and reach temperatures as low as 30 K. PSRs are of interest as evidence suggests that some may contain water ice (H2O/OH‐), which could provide a record of the evolution of volatiles in the inner solar system. This water ice is also a critical resource for life‐support systems and rocket propellant. A better understanding of mechanical properties of PSR regolith, such as its bearing capacity, will help optimize the design of future exploration rovers and landers. Thirteen boulder tracks were identified on the edge of, or inside, south polar lunar PSR enhanced imagery and used to estimate the strength of the PSR regolith at latitudes of 70° to 76° in sites with maximum annual temperatures of 65 to 210 K. PSR boulder track features are similar to those observed in highland, mare, and pyroclastic regions of the Moon, implying similar properties of the regolith. Measured features were used to estimate bearing capacity for PSR regolith at depths of ~0.28 to 4.68 m. Estimated bearing capacity values suggest that these PSRs may be somewhat stronger than highland and mare regions at depths of 0.28 to 1.00 m. Bearing capacity in these PSRs is statistically the same as those in other regions of the Moon at depths of 1.00 to 2.00 m. The results of this study can be used to infer bearing capacity as one measure for the trafficability of lower‐latitude PSRs of the type measured here

The Infrared Spectral Properties of Magellanic Carbon Stars

The Infrared Spectrograph on the Spitzer Space Telescope observed 184 carbon stars in the Magellanic Clouds. This sample reveals that the dust-production rate (DPR) from carbon stars generally increases with the pulsation period of the star. The composition of the dust grains follows two condensation sequences, with more SiC condensing before amorphous carbon in metal-rich stars, and the order reversed in metal-poor stars. MgS dust condenses in optically thicker dust shells, and its condensation is delayed in more metal-poor stars. Metal-poor carbon stars also tend to have stronger absorption from C2H2 at 7.5 μm. The relation between DPR and pulsation period shows significant apparent scatter, which results from the initial mass of the star, with more massive stars occupying a sequence parallel to lower-mass stars, but shifted to longer periods. Accounting for differences in the mass distribution between the carbon stars observed in the Small and Large Magellanic Clouds reveals a hint of a subtle decrease in the DPR at lower metallicities, but it is not statistically significant. The most deeply embedded carbon stars have lower variability amplitudes and show SiC in absorption. In some cases they have bluer colors at shorter wavelengths, suggesting that the central star is becoming visible. These deeply embedded stars may be evolving off of the asymptotic giant branch and/or they may have non-spherical dust geometries