Reconstructing the Narrative: The Usurpation of Nikephoros Bryennios the Elder

This paper traces the usurpation of Nikephoros Bryennios the elder, 1077/8 AD, by examining narratives from three Byzantine historians: Michael Attaleiates, John Skylitzes, and Nikephoros Bryennios the younger. For the most part, modern scholars have focussed on investigating successful usurpation candidates who managed to rise to imperial power. For this period, this included Nikephoros Botaneiates and Alexios Komnenos. Key questions are often asked, such as how usurpers managed to succeed and why did they choose to undertake a course of usurpation, often resulting in a narrative of justification and legitimacy.[1] For this period, albeit from Neville (2012) on Nikephoros Bryennios, appreciation has not been given to usurpers who failed.[2] This paper will provide a chronology of Nikephoros Bryennios’ usurpation, and how these three authors depict the incident, the correlations and differences between them, and lastly, preliminary thoughts why Bryennios’ usurpation failed compared to his successful contemporaries

The trial is owned by the team, not by an individual:A qualitative study exploring the role of teamwork in recruitment to randomised controlled trials in surgical oncology

BACKGROUND: Challenges exist in recruitment to trials involving interventions delivered by different clinical specialties. Collaboration is required between clinical specialty and research teams. The aim of this study was to explore how teamwork influences recruitment to a multicentre randomised controlled trial (RCT) involving interventions delivered by different clinical specialties. METHODS: Semi-structured interviews were conducted in three centres with a purposeful sample of members of the surgical, oncology and research teams recruiting to a feasibility RCT comparing definitive chemoradiotherapy with chemoradiotherapy and surgery for oesophageal squamous cell carcinoma. Interviews explored factors known to influence healthcare team effectiveness and were audio-recorded and thematically analysed. Sampling, data collection and analysis were undertaken iteratively and concurrently. RESULTS: Twenty-one interviews were conducted. Factors that influenced how team working impacted upon trial recruitment were centred on: (1) the multidisciplinary team (MDT) meeting, (2) leadership of the trial, and (3) the recruitment process. The weekly MDT meeting was reported as central to successful recruitment and formed the focus for creating a ‘study team’, bringing together clinical and research teams. Shared study leadership positively influenced healthcare professionals’ willingness to participate. Interviewees perceived their clinical colleagues to have strong treatment preferences which led to scepticism regarding whether the treatments were being described to patients in a balanced manner. CONCLUSIONS: This study has highlighted a number of aspects of team functioning that are important for recruitment to RCTs that span different clinical specialties. Understanding these issues will aid the production of guidance on team-relevant issues that should be considered in trial management and the development of interventions that will facilitate teamwork and improve recruitment to these challenging RCTs. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number (ISRCTN): ISRCTN89052791

Phoenix Y6

The mission of this project is to design and fabricate a vertical take-off and landing (VTOL) fixed-wing drone for use by firefighters and other emergency services. This vehicle will be designed for uses that include surveying wildfires, as well as spotting vehicular accidents, urban fires, and floods. Current drones available on the market are expensive or not designed specifically for emergency response. Our goal is to develop a working prototype of a vehicle that will be able to collect and relay important data such as live video and thermal images in addition to other measurements such as air velocity and humidity

Three nested randomized controlled trials of peer only or multiple stakeholder group feedback within Delphi surveys during core outcome and information set development

Top 10 items rated essential in round 1. (DOCX 17 kb

Testing Lorentz Invariance with Neutrinos from Ultrahigh Energy Cosmic Ray Interactions

We have previously shown that a very small amount of Lorentz invariance violation (LIV), which suppresses photomeson interactions of ultrahigh energy cosmic rays (UHECRs) with cosmic background radiation (CBR) photons, can produce a spectrum of cosmic rays that is consistent with that currently observed by the Pierre Auger Observatory (PAO) and HiRes experiments. Here, we calculate the corresponding flux of high energy neutrinos generated by the propagation of UHECR protons through the CBR in the presence of LIV. We find that LIV produces a reduction in the flux of the highest energy neutrinos and a reduction in the energy of the peak of the neutrino energy flux spectrum, both depending on the strength of the LIV. Thus, observations of the UHE neutrino spectrum provide a clear test for the existence and amount of LIV at the highest energies. We further discuss the ability of current and future proposed detectors make such observations.Comment: final version to appear in Astroparticle Physic

Surgical ward rounds in England: a trainee-led multi-centre study of current practice

BACKGROUND: Recent guidance advocates daily consultant-led ward rounds, conducted in the morning with the presence of senior nursing staff and minimising patients on outlying wards. These recommendations aim to improve patient management through timely investigations, treatment and discharge. This study sought to evaluate the current surgical ward round practices in England. METHODS: Information regarding timing and staffing levels of surgical ward rounds was collected prospectively over a one-week period. The location of each patient was also documented. Two surgical trainee research collaboratives coordinated data collection from 19 hospitals and 13 surgical subspecialties. RESULTS: Data from 471 ward rounds involving 5622 patient encounters was obtained. 367 (77.9%) ward rounds commenced before 9am. Of 422 weekday rounds, 190 (45%) were consultant-led compared with 33 of the 49 (67%) weekend rounds. 2474 (44%) patients were seen with a nurse present. 1518 patients (27%) were classified as outliers, with 361 ward rounds (67%) reporting at least one outlying patient. CONCLUSION: Recommendations for daily consultant-led multi disciplinary ward rounds are poorly implemented in surgical practice, and patients continue to be managed on outlying wards. Although strategies may be employed to improve nursing attendance on ward rounds, substantial changes to workforce planning would be required to deliver daily consultant-led care. An increasing political focus on patient outcomes at weekends may prompt changes in these areas

Chemical recycling of polyethylene by tandem catalytic conversion to propylene

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Methodological overview of systematic reviews to establish the evidence base for emergency general surgery

BACKGROUND: The evidence for treatment decision‐making in emergency general surgery has not been summarized previously. The aim of this overview was to review the quantity and quality of systematic review evidence for the most common emergency surgical conditions. METHODS: Systematic reviews of the most common conditions requiring unplanned admission and treatment managed by general surgeons were eligible for inclusion. The Centre for Reviews and Dissemination databases were searched to April 2014. The number and type (randomized or non‐randomized) of included studies and patients were extracted and summarized. The total number of unique studies was recorded for each condition. The nature of the interventions (surgical, non‐surgical invasive or non‐invasive) was documented. The quality of reviews was assessed using the AMSTAR checklist. RESULTS: The 106 included reviews focused mainly on bowel conditions (42), appendicitis (40) and gallstone disease (17). Fifty‐one (48·1 per cent) included RCTs alone, 79 (74·5 per cent) included at least one RCT and 25 (23·6 per cent) summarized non‐randomized evidence alone. Reviews included 727 unique studies, of which 30·3 per cent were RCTs. Sixty‐five reviews compared different types of surgical intervention and 27 summarized trials of surgical versus non‐surgical interventions. Fifty‐seven reviews (53·8 per cent) were rated as low risk of bias. CONCLUSION: This overview of reviews highlights the need for more and better research in this field

Orbital angular momentum-based dual-comb interferometer for ranging and rotation sensing

We present a dual-comb interferometer capable of measuring both the range to a target as well as the target&rsquo;s transverse rotation rate. Measurement of the transverse rotation of the target is achieved by preparing the probe comb with orbital angular momentum and measuring the resultant phase shift between interferograms, which arises from the rotational Doppler shift. The distance to the target is measured simultaneously by measuring the time-of-flight delay between the target and reference interferogram centerbursts. With 40 ms of averaging, we measure rotation rates up to 313 Hz with a precision reaching 1 Hz. Distances are measured with an ambiguity range of 75 cm and with a precision of 5.9 &micro;m for rotating targets and 400 nm for a static target. This is the first dual-comb ranging system capable of measuring transverse rotation of a target. This technique has many potential terrestrial and space-based applications for lidar and remote sensing systems. &nbsp;</p