4,603 research outputs found

    An audit of the quality of inpatient care for adults with learning disability in the UK

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    OBJECTIVES: To audit patient hospital records to evaluate the performance of acute general and mental health services in delivering inpatient care to people with learning disability and explore the influence of organisational factors on the quality of care they deliver. SETTING: Nine acute general hospital Trusts and six mental health services. PARTICIPANTS: Adults with learning disability who received inpatient hospital care between May 2013 and April 2014. PRIMARY AND SECONDARY OUTCOME MEASURES: Data on seven key indicators of high-quality care were collected from 176 patients. These covered physical health/monitoring, communication and meeting needs, capacity and decision-making, discharge planning and carer involvement. The impact of services having an electronic system for flagging patients with learning disability and employing a learning disability liaison nurse was assessed. RESULTS: Indicators of physical healthcare (body mass index, swallowing assessment, epilepsy risk assessment) were poorly recorded in acute general and mental health inpatient settings. Overall, only 34 (19.3%) patients received any assessment of swallowing and 12 of the 57 with epilepsy (21.1%) had an epilepsy risk assessment. For most quality indicators, there was a non-statistically significant trend for improved performance in services with a learning disability liaison nurse. The presence of an electronic flagging system showed less evidence of benefit. CONCLUSIONS: Inpatient care for people with learning disability needs to be improved. The work gives tentative support to the role of a learning disability liaison nurse in acute general and mental health services, but further work is needed to confirm these benefits and to trial other interventions that might improve the quality and safety of care for this high-need group

    Ion acceleration and anomalous transport in the near wake of a plasma limiter

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    Ion acceleration and anomalous transport were studied experimentally in the near wake region of an electrically floating disk limiter immersed in two different types of collisionless, supersonically flowing, magnetized plasmas: the first initially quiescent, the second initially turbulent. Ion densities and velocity distributions were obtained using a nonperturbing laser induced fluorescence diagnostic. Large-amplitude, low-frequency turbulence was observed at the obstacle edge and in the wake. Rapid ion and electron configuration space transport and ion velocity space transport were observed. Configuration space and velocity space transport were similar for both quiescent and turbulent plasma-obstacle systems, suggesting that plasma-obstacle effects outweigh the effects of initial plasma turbulence levels

    A hidden dimension? Work ideology and psychological contracts.

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    This paper explores whether the concept of psychological contracts underpinned by relational/transactional exchanges provides an adequate description of knowledge workers’ contracts. Interviews were conducted with scientists from the CSIRO. The analysis identified content of the psychological contract for the knowledge worker best understood by reference to an ideological currency. It raises questions over the role of normative occupation-specific beliefs about work, and the sharing of common currency elements by individuals in the same organization within the same occupation. The analysis lends support to calls in the literature for a reconsideration of the transactional/relational interpretative framework that underpins the psychological contract

    The psychological contract of knowledge workers

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    Purpose: This paper explores whether the concept of psychological contracts underpinned by relational/transactional exchanges provides an adequate description of knowledge workers’ contracts. Methodology: The research approach uses interviews with 10 scientists from within a pre-eminent Australian scientific research and development organisation, the Commonwealth Scientific & Industrial Research Organisation (CSIRO). Findings: The research strong evidence of an ideological currency within the psychological contract for this set of knowledge workers. Implications: The research raises questions over the role of normative occupation-specific beliefs about work, and the sharing of common currency elements by individuals in the same organization within the same occupation. The analysis lends support to calls in the literature for a reconsideration of the transactional/relational interpretative framework that underpins the psychological contract

    Simple overdense rf plasma source

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    A simple, gas‐fed, radio‐frequency‐driven plasma source is described. By use of lower hybrid waves, noble gas plasmas were produced with electron densities up to 10^12 cm -3 over a range of magnetic fields from 400 G to 1.5 kG and rf frequencies from 2–220 MHz

    The production of highly unidirectional lower-hybrid waves

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    The development of a highly unidirectional lower-hybrid wave source would improve the electron current drive efficiency in tokamaks. Lower-hybrid waves launched from a phased wave array are shown to be reflected from a grid placed in a cold, low-density plasma. The antenna-grid combination results in highly unidirectional lower-hybrid waves

    Thermodynamics of quantum Brownian motion with internal degrees of freedom: the role of entanglement in the strong-coupling quantum regime

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    We study the influence of entanglement on the relation between the statistical entropy of an open quantum system and the heat exchanged with a low temperature environment. A model of quantum Brownian motion of the Caldeira-Leggett type - for which a violation of the Clausius inequality has been stated by Th.M. Nieuwenhuizen and A.E. Allahverdyan [Phys. Rev. E 66, 036102 (2002)] - is reexamined and the results of the cited work are put into perspective. In order to address the problem from an information theoretical viewpoint a model of two coupled Brownian oscillators is formulated that can also be viewed as a continuum version of a two-qubit system. The influence of an additional internal coupling parameter on heat and entropy changes is described and the findings are compared to the case of a single Brownian particle.Comment: 10 pages, 11 figure

    J D Bernal: philosophy, politics and the science of science

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    This paper is an examination of the philosophical and political legacy of John Desmond Bernal. It addresses the evidence of an emerging consensus on Bernal based on the recent biography of Bernal by Andrew Brown and the reviews it has received. It takes issue with this view of Bernal, which tends to be admiring of his scientific contribution, bemused by his sexuality, condescending to his philosophy and hostile to his politics. This article is a critical defence of his philosophical and political position

    J D Bernal: philosophy, politics and the science of science

    Get PDF
    This paper is an examination of the philosophical and political legacy of John Desmond Bernal. It addresses the evidence of an emerging consensus on Bernal based on the recent biography of Bernal by Andrew Brown and the reviews it has received. It takes issue with this view of Bernal, which tends to be admiring of his scientific contribution, bemused by his sexuality, condescending to his philosophy and hostile to his politics. This article is a critical defence of his philosophical and political position
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