6,949 research outputs found
Agriculture's Role in Greenhouse Gas Mitigation
Examines technical, economic, and policy trends. Explores efforts to encourage farmers to adopt new agricultural practices that reduce agricultural greenhouse gas emissions. Reviews biofuel options, and related policy implications
An audit of the quality of inpatient care for adults with learning disability in the UK
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
Initial infant feeding decisions and duration of breastfeeding in women from English, Arabic and Chinese-speaking backgrounds in Australia.
Anecdotally, concerns are often expressed about the varying infant feeding decisions among women from different cultural groups. This paper reports the early infant feeding decisions and duration of breastfeeding in 986 women from English, Chinese and Arabic-speaking backgrounds in Sydney during 1997 and 1998. Data were collectedfrom an audit of medical records and through a questionnaire at eight weeks postpartum. Chinese-speaking women were less likely to express an intention to breastfeed and fewer initiated breastfeeding compared with other women. Arabic-speaking women had significantly longer duration rates compared with other women. A greater proportion of the Chinese-speaking women who initiated breastfeeding were still breastfeeding at eight weeks compared with English-speaking women. This study suggests that there are differences in the infant feeding decisions between English, Arabic and Chinese-speaking women. Clinicians need to further understand cultural differences when providing care, education and support in a multicultural context
Birth room images: What they tell us about childbirth. A discourse analysis of birth rooms in developed countries
© 2016 Elsevier Ltd. Objective: this study examined images of birth rooms in developed countries to analyse the messages and visual discourse being communicated through images. Design: a small qualitative study using Kress and van Leeuwen's (2006) social semiotic theoretical framework for image analysis, a form of discourse analysis. Setting/participants: forty images of birth rooms were collected in 2013 from Google Images, Flickr, Wikimedia Commons and midwifery colleagues. The images were from obstetric units, alongside and freestanding midwifery units located in developed countries (Australia, Canada, Europe, New Zealand, United Kingdom and the United States of America). Main findings: findings demonstrated three kinds of birth room images; the technological, the 'homelike', and the hybrid domesticated birth room. The most dominant was the technological birth room, with a focus on the labour bed and medical equipment. The visual messages from images of the technological birth room reinforce the notion that the bed is the most appropriate place to give birth and the use of medical equipment is intrinsically involved in the birth process. Childbirth is thus construed as risky/dangerous. Key conclusions and implications for practice: as images on the Internet inform and persuade society about stereotypical behaviours, the trends of our time and sociocultural norms, it is important to recognise images of the technological birth room on the Internet may be influential in dictating women's attitudes, choices and behaviour, before they enter the birth room
Coherent control of photocurrent in a strongly scattering photoelectrochemical system
A fundamental issue that limits the efficiency of many photoelectrochemical
systems is that the photon absorption length is typically much longer than the
electron diffusion length. Various photon management schemes have been
developed to enhance light absorption; one simple approach is to use randomly
scattering media to enable broadband and wide-angle enhancement. However, such
systems are often opaque, making it difficult to probe photo-induced processes.
Here we use wave interference effects to modify the spatial distribution of
light inside a highly-scattering dye-sensitized solar cell to control photon
absorption in a space-dependent manner. By shaping the incident wavefront of a
laser beam, we enhance or suppress photocurrent by increasing or decreasing
light concentration on the front side of the mesoporous photoanode where the
collection efficiency of photoelectrons is maximal. Enhanced light absorption
is achieved by reducing reflection through the open boundary of the photoanode
via destructive interference, leading to a factor of two increase in
photocurrent. This approach opens the door to probing and manipulating
photoelectrochemical processes in specific regions inside nominally opaque
media.Comment: 21 pages, 4 figures, in submission. The first two authors contributed
equally to this paper, and should be regarded as co-first author
J D Bernal: philosophy, politics and the science of science
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
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
Anomalous CO2 Ice Toward HOPS-68: A Tracer of Protostellar Feedback
We report the detection of a unique CO2 ice band toward the deeply embedded,
low-mass protostar HOPS-68. Our spectrum, obtained with the Infrared
Spectrograph onboard the Spitzer Space Telescope, reveals a 15.2 micron CO2 ice
bending mode profile that cannot modeled with the same ice structure typically
found toward other protostars. We develop a modified CO2 ice profile
decomposition, including the addition of new high-quality laboratory spectra of
pure, crystalline CO2 ice. Using this model, we find that 87-92% of the CO2 is
sequestered as spherical, CO2-rich mantles, while typical interstellar ices
show evidence of irregularly-shaped, hydrogen-rich mantles. We propose that (1)
the nearly complete absence of unprocessed ices along the line-of-sight is due
to the flattened envelope structure of HOPS-68, which lacks cold absorbing
material in its outer envelope, and possesses an extreme concentration of
material within its inner (10 AU) envelope region and (2) an energetic event
led to the evaporation of inner envelope ices, followed by cooling and
re-condensation, explaining the sequestration of spherical, CO2 ice mantles in
a hydrogen-poor mixture. The mechanism responsible for the sublimation could be
either a transient accretion event or shocks in the interaction region between
the protostellar outflow and envelope. The proposed scenario is consistent with
the rarity of the observed CO2 ice profile, the formation of nearly pure CO2
ice, and the production of spherical ice mantles. HOPS-68 may therefore provide
a unique window into the protostellar feedback process, as outflows and heating
shape the physical and chemical structure of protostellar envelopes and
molecular clouds.Comment: Accepted to the Astrophysical Journal, 2013 February 15: 14 pages, 9
figures, 3 table
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