Transmission of Schmallenberg virus in a housed dairy herd in the UK

No abstract available

Pain management programmes for non-English-speaking black and minority ethnic groups with long-term or chronic pain

Increasing ethnic diversity in the UK means that there is a growing need for National Health Service care to be delivered to non-English-speaking patients. The aims of the present systematic review were to: (1) better understand the outcomes of chronic pain management programmes (PMPs) for ethnic minority and non-English-speaking patients and (2) explore the perspectives on and experiences of chronic pain for these groups. A systematic review identified 26 papers meeting the inclusion criteria; no papers reported on the outcomes of PMPs delivered in the UK. Of the papers obtained, four reported on PMPs conducted outside the UK; eight reported on ethnic differences in patients seeking support from pain management services in America; and the remaining papers included literature reviews, an experimental pain study, a collaborative enquiry, and a survey of patient and clinician ratings of pain. The findings indicate a lack of research into UK-based pain management for ethnic minorities and non-English-speaking patients. The literature suggests that effective PMPs must be tailored to meet cultural experiences of pain and beliefs about pain management. There is a need for further research to explore these cultural beliefs in non-English-speaking groups in the UK. Culturally sensitive evaluations of interpreted PMPs with long-term follow-up are needed to assess the effectiveness of current provision

'I'd like to know what causes it, you know, anything I've done?' Are we meeting the information and support needs of patients with macular degeneration? A qualitative study

Objective: To examine patients' experiences of information and support provision for age-related macular degeneration (AMD) in the UK. Study design: Exploratory qualitative study investigating patient experiences of healthcare consultations and living with AMD over 18 months. Setting: Specialist eye clinics at a Birmingham hospital. Participants: 13 patients diagnosed with AMD. Main outcome measures: Analysis of patients' narratives to identify key themes and issues relating to information and support needs. Results: Information was accessed from a variety of sources. There was evidence of clear information deficits prior to diagnosis, following diagnosis and ongoing across the course of the condition. Patients were often ill informed and therefore unable to self-advocate and recognise when support was needed, what support was available and how to access support. Conclusions: AMD patients have a variety of information needs that are variable across the course of the condition. Further research is needed to determine whether these experiences are typical and identify ways of translating the guidelines into practice. Methods of providing information need to be investigated and improved for this patient group

On Invariant Notions of Segre Varieties in Binary Projective Spaces

Invariant notions of a class of Segre varieties \Segrem(2) of PG(2^m - 1, 2) that are direct products of $m$ copies of PG(1, 2), $m$ being any positive integer, are established and studied. We first demonstrate that there exists a hyperbolic quadric that contains \Segrem(2) and is invariant under its projective stabiliser group \Stab{m}{2}. By embedding PG(2^m - 1, 2) into \PG(2^m - 1, 4), a basis of the latter space is constructed that is invariant under \Stab{m}{2} as well. Such a basis can be split into two subsets whose spans are either real or complex-conjugate subspaces according as $m$ is even or odd. In the latter case, these spans can, in addition, be viewed as indicator sets of a \Stab{m}{2}-invariant geometric spread of lines of PG(2^m - 1, 2). This spread is also related with a \Stab{m}{2}-invariant non-singular Hermitian variety. The case $m=3$ is examined in detail to illustrate the theory. Here, the lines of the invariant spread are found to fall into four distinct orbits under \Stab{3}{2}, while the points of PG(7, 2) form five orbits.Comment: 18 pages, 1 figure; v2 - version accepted in Designs, Codes and Cryptograph

Unusual morphologies and the occurrence of pseudomorphs after ikaite (CaCO3•6H2O) in fast growing, hyperalkaline speleothem

Unusual speleothem, associated with hyperalkaline (pH>12) groundwaters have formed within a shallow, abandoned railway tunnel at Peak Dale, Derbyshire, UK. The hyperalkaline groundwaters are produced by the leaching of a thin layer (<2 m) of old lime kiln waste above the soil-bedrock surface above the tunnel by rainwater. This results in a different reaction and chemical process to that more commonly associated with the formation of calcium carbonate speleothems from Ca-HCO3-type groundwaters and degassing of CO2. Stalagmites within the Peak Dale tunnel have grown rapidly (averaging 33 mm y-1), following the closure of the tunnel 70 years ago. They have an unusual morphology comprising a central sub-horizontally-laminated column of micro- to nano-crystalline calcium carbonate encompassed by an outer sub-vertical assymetric ripple laminated layer. The stalagmites are largely composed of secondary calcite forming pseudomorphs (<1 mm) which we believe to be predominantly after the ‘cold climate’ calcium carbonate polymorph, ikaite (calcium carbonate hexahydrate: CaCO3•6H2O), with minor volumes of small (<5 μm) pseudomorphs after vaterite. The tunnel has a near constant temperature of 8-9°C which is slightly above the previously published crystallisation temperatures for ikaite (<6°C). Analysis of a stalagmite actively growing at the time of sampling, and preserved immediately within a dry nitrogen cryogenic vessel, indicates that following crystallisation of ikaite, decomposition to calcite occurs rapidly, if not instantaneously. We believe this is the first occurrence of this calcium carbonate polymorph observed within speleothem

Interactions between Simulant Vitrified Nuclear Wastes and high pH solutions: A Natural Analogue Approach

This study details the characterization of a glass sample exposed to hyperalkaline water and calcium-rich sediment for an extended time period (estimated as 2-70 years) at a lime (CaO) waste site in the UK. We introduce this site, known as Peak Dale, in reference to its use as a natural analogue for nuclear waste glass dissolution in the high pH environment of a cementitious engineered barrier of a geological disposal facility. In particular, a preliminary assessment of alteration layer chemistry and morphology is described and the initiation of a long-term durability assessment is outlined

Optical absorption in the strong coupling limit of Eliashberg theory

We calculate the optical conductivity of superconductors in the strong-coupling limit. In this anomalous limit the typical energy scale is set by the coupling energy, and other energy scales such as the energy of the bosons mediating the attraction are negligibly small. We find a universal frequency dependence of the optical absorption which is dominated by bound states and differs significantly from the weak coupling results. A comparison with absorption spectra of superconductors with enhanced electron-phonon coupling shows that typical features of the strong-coupling limit are already present at intermediate coupling.Comment: 10 pages, revtex, 4 uuencoded figure