5,165 research outputs found
Beam alignment techniques based on the current multiplication effect in photoconductors Third summary technical progress report, 15 Nov. 1966 - 15 Oct. 1967
Beam alignment techniques developed for infrared sensitive single crystal germanium to study multiplication effect in photoconductor
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An analysis of media reporting on the closure of freestanding midwifery units in England
PROBLEM: Despite clinical guidelines and policy promoting choice of place of birth, 14 Freestanding Midwifery Units were closed between 2008 and 2015, closures justified by low use and financial constraints.
BACKGROUND: The Birthplace in England Programme found that freestanding midwifery units provided the most cost-effective birthplace for women at low risk of complications. Women planning birth in a freestanding unit were less likely to experience interventions than those planning obstetric unit birth, with no difference in outcomes for babies.
METHODS: This paper uses an interpretative technique developed for policy analysis to explore the representation of these closures in 191 news articles, to explore the public climate in which they occurred.
FINDINGS AND DISCUSSION: The articles focussed on underuse by women and financial constraints on services. Despite the inclusion of service user voices, the power of framing was held by service managers and commissioners. The analysis exposed how neoliberalist and austerity policies has privileged representation of individual consumer choice and market-driven provision as drivers of changes in health services. This normative framing makes the reasons given for closure as hard to refute and cultural norms persist that birth is safest in an obstetric setting, despite evidence to the contrary.
CONCLUSION: The rise of neoliberalism and austerity in contemporary Britain has influenced the reform of maternity services, in particular the closure of midwifery units. Justifications given for closure silence other narratives, predominantly from service users, that attempt to present women's choice in terms of rights and a social model of care
Calibration and evaluation of a semi-distributed watershed model of Sub-Saharan Africa using GRACE data
International audienceIrrigation development is rapidly expanding inmostly rainfed Sub-Saharan Africa. This expansion underscoresthe need for a more comprehensive understandingof water resources beyond surface water. Gravity Recoveryand Climate Experiment (GRACE) satellites provide valuableinformation on spatio-temporal variability in water storage.The objective of this study was to calibrate and evaluatea semi-distributed regional-scale hydrologic model basedon the Soil and Water Assessment Tool (SWAT) code forbasins in Sub-Saharan Africa using seven-year (July 2002–April 2009) 10-day GRACE data and multi-site river dischargedata. The analysis was conducted in a multi-criteriaframework. In spite of the uncertainty arising from the tradeoffin optimising model parameters with respect to two noncommensurablecriteria defined for two fluxes, SWAT wasfound to perform well in simulating total water storage variabilityin most areas of Sub-Saharan Africa, which havesemi-arid and sub-humid climates, and that among variouswater storages represented in SWAT, water storage variationsin soil, vadose zone and groundwater are dominant. Thestudy also showed that the simulated total water storage variationstend to have less agreement with GRACE data in aridand equatorial humid regions, and model-based partitioningof total water storage variations into different water storagecompartments may be highly uncertain. Thus, future workwill be needed for model enhancement in these areas with inferiormodel fit and for uncertainty reduction in componentwiseestimation of water storage variations
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Factors influencing utilisation of ‘free-standing’ and ‘alongside’ midwifery units for low-risk births in England: a mixed-methods study
Background
Midwifery-led units (MUs) are recommended for ‘low-risk’ births by the National Institute for Health and Care Excellence but according to the National Audit Office were not available in one-quarter of trusts in England in 2013 and, when available, were used by only a minority of the low-risk women for whom they should be suitable. This study explores why.
Objectives
To map the provision of MUs in England and explore barriers to and facilitators of their development and use; and to ascertain stakeholder views of interventions to address these barriers and facilitators.
Design
Mixed methods – first, MU access and utilisation across England was mapped; second, local media coverage of the closure of free-standing midwifery units (FMUs) were analysed; third, case studies were undertaken in six sites to explore the barriers and facilitators that have an impact on the development of MUs; and, fourth, by convening a stakeholder workshop, interventions to address the barriers and facilitators were discussed.
Setting
English NHS maternity services.
Participants
All trusts with maternity services.
Interventions
Establishing MUs.
Main outcome measures
Numbers and types of MUs and utilisation of MUs.
Results
Births in MUs across England have nearly tripled since 2011, to 15% of all births. However, this increase has occurred almost exclusively in alongside units, numbers of which have doubled. Births in FMUs have stayed the same and these units are more susceptible to closure. One-quarter of trusts in England have no MUs; in those that do, nearly all MUs are underutilised. The study findings indicate that most trust managers, senior midwifery managers and obstetricians do not regard their MU provision as being as important as their obstetric-led unit provision and therefore it does not get embedded as an equal and parallel component in the trust’s overall maternity package of care. The analysis illuminates how provision and utilisation are influenced by a complex range of factors, including the medicalisation of childbirth, financial constraints and institutional norms protecting the status quo.
Limitations
When undertaking the case studies, we were unable to achieve representativeness across social class in the women’s focus groups and struggled to recruit finance directors for individual interviews. This may affect the transferability of our findings.
Conclusions
Although there has been an increase in the numbers and utilisation of MUs since 2011, significant obstacles remain to MUs reaching their full potential, especially FMUs. This includes the capacity and willingness of providers to address women’s information needs. If these remain unaddressed at commissioner and provider level, childbearing women’s access to MUs will continue to be restricted.
Future work
Work is needed on optimum approaches to improve decision-makers’ understanding and use of clinical and economic evidence in service design. Increasing women’s access to information about MUs requires further studies of professionals’ understanding and communication of evidence. The role of FMUs in the context of rural populations needs further evaluation to take into account user and community impact.
Funding
This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 12. See the NIHR Journals Library website for further project information
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Factors influencing the utilisation of free-standing and alongside midwifery units in England: a qualitative research study
OBJECTIVE: To identify factors influencing the provision, utilisation and sustainability of midwifery units (MUs) in England.
DESIGN: Case studies, using individual interviews and focus groups, in six National Health Service (NHS) Trust maternity services in England.
SETTING AND PARTICIPANTS: NHS maternity services in different geographical areas of England Maternity care staff and service users from six NHS Trusts: two Trusts where more than 20% of all women gave birth in MUs, two Trusts where less than 10% of all women gave birth in MUs and two Trusts without MUs. Obstetric, midwifery and neonatal clinical leaders, managers, service user representatives and commissioners were individually interviewed (n=57). Twenty-six focus groups were undertaken with midwives (n=60) and service users (n=52).
MAIN OUTCOME MEASURES: Factors influencing MU use.
FINDINGS: The study findings identify several barriers to the uptake of MUs. Within a context of a history of obstetric-led provision and lack of decision-maker awareness of the clinical and economic evidence, most Trust managers and clinicians do not regard their MU provision as being as important as their obstetric unit (OU) provision. Therefore, it does not get embedded as an equal and parallel component in the Trust's overall maternity package of care. The analysis illuminates how implementation of complex interventions in health services is influenced by a range of factors including the medicalisation of childbirth, perceived financial constraints, adequate leadership and institutional norms protecting the status quo.
CONCLUSIONS: There are significant obstacles to MUs reaching their full potential, especially free-standing midwifery units. These include the lack of commitment by providers to embed MUs as an essential service provision alongside their OUs, an absence of leadership to drive through these changes and the capacity and willingness of providers to address women's information needs. If these remain unaddressed, childbearing women's access to MUs will continue to be restricted
Utility of Pop-Up Satellite Archival Tags to Study the Summer Dispersal and Habitat Occupancy of Dolly Varden in Arctic Alaska
In Arctic Alaska, Dolly Varden Salvelinus malma is highly valued as a subsistence fish; however, little is known about its marine ecology. New advances in electronic tagging, such as pop-up satellite archival tags (PSATs), provide scientists with a fishery-independent means of studying several aspects of this species’ movement and ecology. To evaluate the usefulness of this technology, we attached 52 PSATs to Dolly Varden in the Wulik River, which flows from northwestern Alaska into the Chukchi Sea, to study several characteristics of the marine habits of this species. Overall, PSATs provided unprecedented information about summer dispersal of Dolly Varden, including the first evidence of offshore dispersal in the Chukchi Sea, as well as previously documented dispersal types such as movement to other rivers and southerly nearshore movements in northwestern Alaska. On the basis of minimal observable evidence of tag-induced behavioral effects, as well as movements of more than 450 km by fish at liberty (i.e., between tag deployment and release or recapture), we conclude that PSATs offer an effective alternative method for studying several aspects of Dolly Varden dispersal and ecology in areas where it is not practical or feasible to capture these fish, such as coastal and offshore regions of Arctic AlaskaDans l’Alaska de l’Arctique, l’omble du Pacifique, Salvelinus malma revêt une grande importance en tant que poisson de subsistance. Toutefois, on en sait peu sur son écologie marine. Les progrès réalisés en matière de traçabilité électronique, notamment en ce qui a trait aux étiquettes de collecte de données par satellite (PSAT) permettent aux scientifiques d’étudier plusieurs aspects des déplacements et de l’écologie de cette espèce sans dépendre de la pêche. Afin d’évaluer l’utilité de cette technologie, nous avons fixé 52 PSAT à des ombles du Pacifique de la rivière Wulik, qui s’écoule depuis le nord-ouest de l’Alaska jusqu’à la mer des Tchouktches, pour étudier plusieurs caractéristiques des habitudes aquatiques de cette espèce. Dans l’ensemble, les PSAT ont permis de recueillir des renseignements sans précédent au sujet de la dispersion estivale de l’omble du Pacifique, y compris la première preuve de dispersion extracôtière dans la mer des Tchouktches et d’autres types de dispersion anciennement documentés, comme les déplacements vers d’autres cours d’eau et les déplacements sublittoraux en direction sud, dans le nord-ouest de l’Alaska. D’après un minimum d’éléments de preuve observables quant aux effets découlant de la présence d’étiquettes sur le comportement ainsi que d’après les déplacements de plus de 450 kilomètres des poissons en liberté (c’est-à -dire entre l’installation des étiquettes et le relâchement ou la recapture), nous concluons que les PSAT présentent une méthode de rechange efficace pour étudier plusieurs aspects de la dispersion et de l’écologie de l’omble du Pacifique dans des endroits où il n’est pas pratique ou réalisable de prendre ces poissons, comme dans les régions côtières et extracôtières de l’Alaska de l’Arctique
Structural and magnetic characterization of the complete delafossite solid solution (CuAlO2){1-x}(CuCrO2){x}
We have prepared the complete delafossite solid solution series between
diamagnetic CuAlO2 and the t2g^3 frustrated antiferromagnet CuCrO2. The
evolution with composition x in CuAl(1-x)Cr(x)O2 of the crystal structure and
magnetic properties has been studied and is reported here. The room-temperature
unit cell parameters follow the Vegard law and increase with x as expected. The
effective moment is equal to the Cr^3+ spin-only S = 3/2 value throughout the
entire solid solution. Theta is negative, indicating that the dominant
interactions are antiferromagnetic, and its magnitude increases with Cr
substitution. For dilute Cr compositions, J_BB was estimated by mean-field
theory to be 2.0 meV. Despite the sizable Theta, long-range antiferromagnetic
order does not develop until very large x, and is preceeded by glassy behavior.
Data presented here, and that on dilute Al-substitution from Okuda et al.,
suggest that the reduction in magnetic frustration due to the presence of
non-magnetic Al does not have as dominant an effect on magnetism as chemical
disorder and dilution of the magnetic exchange. For all samples, the 5 K
isothermal magnetization does not saturate in fields up to 5 T and minimal
hysteresis is observed. The presence of antiferromagnetic interactions is
clearly evident in the sub-Brillouin behavior with a reduced magnetization per
Cr atom. An inspection of the scaled Curie plot reveals that significant
short-range antiferromagnetic interactions occur in CuCrO2 above its Neel
temperature, consistent with its magnetic frustration. Uncompensated
short-range interactions are present in the Al-substituted samples and are
likely a result of chemical disorder
Local corrugation and persistent charge density wave in ZrTe3 with Ni intercalation
The mechanism of emergent bulk superconductivity in t ransition-metal intercalated ZrTe3 is investigated by studying the effect of Ni doping on the band structure and charge density wave (CDW). The study reports theoretical and experimental results in the range of Ni0.01ZrTe3 to Ni0.05ZrTe3. In the highest doped samples, bulk superconductivity with Tc < TCDW is observed, with a reduced TCDW compared with pure ZrTe3. Relativistic ab initio calculations reveal that Ni incorporation occurs preferentially through intercalation in the van der Waals gap. Analysis of the structural and electronic effects of intercalation indicate buckling of the Te sheets adjacent to the Ni site akin to a locally stabilized CDW-like lattice distortion. In contrast to the changes of TCDW observed in resistivity, experiments with low-temperature x-ray diffraction, angle-resolved-photoemission spectroscopy, as well as temperature-dependent resistivity reveal the nearly unchanged persistence of the CDW into the regime of bulk superconductivity. The CDW gap is found to be unchanged in its extent in momentum space, with the gap size also unchanged or possibly slightly reduced upon Ni intercalation. Both experimental observations suggest that superconductivity coexists with the CDW in NixZrTe3
Onset of Surface-Tension-Driven Benard Convection
Experiments with shadowgraph visualization reveal a subcritical transition to
a hexagonal convection pattern in thin liquid layers that have a free upper
surface and are heated from below. The measured critical Marangoni number (84)
and observation of hysteresis (3%) agree with theory. In some experiments,
imperfect bifurcation is observed and is attributed to deterministic forcing
caused in part by the lateral boundaries in the experiment.Comment: 4 pages. The RevTeX file has a macro allowing various styles. The
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