A double continuum hydrological model for glacier applications

Peer reviewedPublisher PD

Seasonal variations in Greenland Ice Sheet motion : Inland extent and behaviour at higher elevations

Peer reviewedPreprin

Liquid Metal Sources in Ion Microscopy and Secondary Ion Mass Spectrometry

This paper reports on state-of-the-art developments in liquid metal sources and some of the finer points of their operating characteristics that are especially relevant to the satisfactory functioning of analytical ion scanning microscopes equipped with secondary ion mass spectrometers. Such effects include unwanted emissions from the source and their exclusion by means of filters and mass separators in the ion-optical column. The design of the ion-optical column is also discussed and some applications of this rapidly advancing form of analytical microscopy are described

Investigation of factors affecting recruitment and retention in the UK veterinary profession

Background Recruitment and retention is currently of major concern and resulted in the veterinary profession being returned to the UK’s Shortage Occupation List in 2019. Methods An online questionnaire of veterinary employees and employers investigating factors contributing to leaving/staying in current employment and the profession. The questionnaire was distributed via specialist veterinary associations’ email lists and social media from September to October 2018. Results Respondents had few job changes (median 3), however, 43.7% (n=2390) reported that they were likely or very likely to leave their employment within two years. Vets who were recently qualified, on lower salaries and female were more likely to plan to leave. Most frequently chosen reasons to stay in a position were: team, location and family. Most commonly cited reasons to leave were: work-life balance, management and salary. Respondents most disliked dealing with people, work-life balance and the physical/emotional impacts of the job. They would most like to change the hours worked, team aspects and management. Employers suggested that it was difficult to employ a veterinary surgeon, especially an experienced individual. Conclusion The current retention crisis is due in part to the differing requirements between modern-day veterinary employees, their employers, the public and the profession

MOTOR CONTROL PATTERNS IN ELITE SWIMMERS’ FREESTYLE STROKE DURING DRYLAND SWIMMING

The purpose of this study was to compare motor control patterns of elite freestyle swimmers when asked to swim at 100m freestyle pace using a dryland swimbench. Collegiate and masters level swimmers (n=15) whose 100m freestyle time were faster than 75% of the FINA cutoff time, performed four 10 second trials of freestyle swimming on a dryland swimbench. 3-D kinematic analysis was used to calculate displacement in the hand in the cranial-caudal, vertical, and medial-lateral directions. A 2-way repeated measures ANOVA was used to compare hand path between swimmers and within trials (n=58). Data was not statically significant, but three distinct combinations of hand paths were used to perform the 100m freestyle task on the swimbench. These hand paths differed from historical in-water data. Findings imply individual swimmers adjusted kinematics on the swimbench to accommodate for environmental constraints

Considerations for monitoring of deep circular excavations

Understanding the magnitude and distribution of ground movements associated with deep shaft construction is a key factor in designing efficient damage prevention/mitigation measures. Therefore, a large-scale monitoring scheme was implemented at Thames Water's 68 m deep Abbey Mills Shaft F in East London, UK, constructed as part of the Lee Tunnel Project. The scheme comprised inclinometers and extensometers which were installed in the diaphragm walls and in boreholes around the shaft to measure deflections and ground movements. However, interpreting the measurements from inclinometers can be a challenging task, as it is often not feasible to extend the boreholes into ground unaffected by movements. The paper describes in detail how the data are corrected. The corrected data showed very small wall deflections of less than 4 mm at the final shaft excavation depth. Similarly, very small ground movements were measured around the shaft. Empirical ground settlement prediction methods derived from different shaft construction methods significantly overestimate settlements for a diaphragm wall shaft. The results of this study will help to inform future projects, such as the forthcoming 25 km long Thames Tideway Tunnel with its 18 deep shafts being constructed adjacent to existing infrastructure. Engineering and Physical Sciences Research CouncilThis is the author accepted manuscript. The final version is available from ICE Publishing via http://dx.doi.org/10.1680/jgeen.15.0006

Multimorbidity and co-morbidity in atrial fibrillation and effects on survival: findings from UK Biobank cohort

Aims: To examine the number and type of co-morbid long-term health conditions (LTCs) and their associations with all-cause mortality in an atrial fibrillation (AF) population. Methods and results: Community cohort participants (UK Biobank n = 502 637) aged 37–73 years were recruited between 2006 and 2010. Self-reported LTCs (n = 42) identified in people with AF at baseline. All-cause mortality was available for a median follow-up of 7 years (interquartile range 76–93 months). Hazard ratios (HRs) examined associations between number and type of co-morbid LTC and all-cause mortality, adjusting for age, sex, socio-economic status, smoking, and anticoagulation status. Three thousand six hundred fifty-one participants (0.7% of the study population) reported AF; mean age was 61.9 years. The all-cause mortality rate was 6.7% (248 participants) at 7 years. Atrial fibrillation participants with ≥4 co-morbidities had a six-fold higher risk of mortality compared to participants without any LTC. Co-morbid heart failure was associated with higher risk of mortality [HR 2.96, 95% confidence interval (CI) 1.83–4.80], whereas the presence of co-morbid stroke did not have a significant association. Among non-cardiometabolic conditions, presence of chronic obstructive pulmonary disease (HR 3.31, 95% CI 2.14–5.11) and osteoporosis (HR 3.13, 95% CI 1.63–6.01) was associated with a higher risk of mortality. Conclusion: Survival in middle-aged to older individuals with self-reported AF is strongly correlated with level of multimorbidity. This group should be targeted for interventions to optimize their management, which in turn may potentially reduce the impact of their co-morbidities on survival. Future AF clinical guidelines need to place greater emphasis on the issue of co-morbidity

Communication in cross-cultural consultations in primary care in Europe: the case for improvement. The rationale for the RESTORE FP 7 project

The purpose of this paper is to substantiate the importance of research about barriers and levers to the implementation of supports for cross-cultural communication in primary care settings in Europe. After an overview of migrant health issues, with the focus on communication in cross-cultural consultations in primary care and the importance of language barriers, we highlight the fact that there are serious problems in routine practice that persist over time and across different European settings. Language and cultural barriers hamper communication in consultations between doctors and migrants, with a range of negative effects including poorer compliance and a greater propensity to access emergency services. It is well established that there is a need for skilled interpreters and for professionals who are culturally competent to address this problem. A range of professional guidelines and training initiatives exist that support the communication in cross-cultural consultations in primary care. However, these are commonly not implemented in daily practice. It is as yet unknown why professionals do not accept or implement these guidelines and interventions, or under what circumstances they would do so. A new study involving six European countries, RESTORE (REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings), aims to address these gaps in knowledge. It uses a unique combination of a contemporary social theory, normalisation process theory (NPT) and participatory learning and action (PLA) research. This should enhance understanding of the levers and barriers to implementation, as well as providing stakeholders, with the opportunity to generate creative solutions to problems experienced with the implementation of such interventions