Primary care groups - Modernising primary and community health services

Developing primary and community health services is a key component of the government's plans for modernising the NHS. Primary care groups and trusts have a vital part to play in overcoming the variability, fragmentation, and isolation that have been the weaknesses of primary health care in the NHS. Primary care groups and trusts have introduced initiatives to promote greater collaboration between general practices and to share expertise and resources. Improving access to care is an important feature of the modernisation plan, and most groups and trusts are actively promoting access, particularly for people who have been poorly served traditionally. Groups and trusts are tackling staff shortages by using clinical specialists and promoting extended roles for nurses and pharmacist

Can my mechanic fix blue cars? A discussion of health clinician\u27s interactions with Aboriginal Australian clients

We expect our professional mechanics to ‘diagnose’ and \u27treat\u27 our cars irrespective of colour, but are we expecting less from our health professionals? There is an increasing focus in the literature on health practitioner decision-making and its influence on the nature and quality of health care. In this article we explore how the basic diagnostic and therapeutic skills that health care practitioners have should be utilised equitably for all clients and propose ways this might be realised. Could the development of Indigenous specific curricula be teaching our medical students to think that Aboriginal patients are different from the norm? We conclude that despite the gains in introducing more comprehensive Aboriginal health curricula there remains considerable work to be done before we can be confident that we are ensuring that health practitioners are no longer contributing to health disparities

Former High School Music Students’ Motivation To Persist Through Yearly Adjudicated Music Festivals

The purpose of this qualitative intrinsic case study was to understand what motivated former high school music students who failed an adjudicated festival audition, their perseverance to improve, and their return to the audition process in following years. In direct connection, this study fills a gap in literature regarding why students remain motivated throughout their high school years of music festival auditions. A focus on what motivated these students to persist through challenging music auditions was guided by the theoretical framework of self-determination theory. Data analysis was conducted on Intrinsic Motivation Inventory evaluations and in-depth student interviews. Through this case study, three primary themes of relationships, audition, and persistence/rejection emerged with 10 emergent subthemes. The primary supports in motivation for learning music were positive attitudes, an interest in learning to play music, and external factors such as relationships with their music educator and their course of study. When educators create systems to support students through autonomy, positive relations, and a focus on the process of learning, students develop intrinsic motivation and build a level of persistence. Findings from this study may be useful for festival organizers, K–12 school systems, high school music students, music teachers, and teachers in general

Small scale noise and wind tunnel tests of upper surface blowing nozzle flap concepts. Volume 1. Aerodynamic test results

The results and analyses of aerodynamic and acoustic studies conducted on the small scale noise and wind tunnel tests of upper surface blowing nozzle flap concepts are presented. Various types of nozzle flap concepts were tested. These are an upper surface blowing concept with a multiple slot arrangement with seven slots (seven slotted nozzle), an upper surface blowing type with a large nozzle exit at approximately mid-chord location in conjunction with a powered trailing edge flap with multiple slots (split flow or partially slotted nozzle). In addition, aerodynamic tests were continued on a similar multi-slotted nozzle flap, but with 14 slots. All three types of nozzle flap concepts tested appear to be about equal in overall aerodynamic performance but with the split flow nozzle somewhat better than the other two nozzle flaps in the landing approach mode. All nozzle flaps can be deflected to a large angle to increase drag without significant loss in lift. The nozzle flap concepts appear to be viable aerodynamic drag modulation devices for landing

Storage stability of whole and nibbed, conventional and high oleic peanuts (<i>Arachis hypogeae </i>L.)

Peanuts are increasingly being used as nibbed ingredients in cereal bars, confectionery and breakfast cereals. However, studies on their oxidative stability in this format are limited. Storage trials to determine the stability to oxidation were carried out on whole and nibbed kernels of conventional (CP) and high oleic (HOP) peanuts, with respect to temperature and modified atmosphere packaging. HOP exhibited the highest oxidative stability, with a lag phase in whole kernels of 12–15 weeks before significant oxidation occurred. HOP also showed higher levels of intrinsic antioxidants, a trolox equivalent antioxidant capacity (TEAC) of 70 mMol equivalence and radical scavenging percentage (RSP) of 99.8 % at the beginning of storage trials, whereas CP showed values of 40 mMol and 81.2 %, respectively. The intrinsic antioxidants at the beginning of these storage trials were shown to affect the peroxide value (PV), where RSP and TEAC decreased, and PV increased. Therefore, in peanuts the processing format (nibbed or whole) had the highest influence on susceptibility of lipid oxidation, highest to lowest importance: processing format &gt; temperature &gt; atmospheric conditions

Discovery of an optical bow-shock around pulsar B0740-28

We report the discovery of a faint H-alpha pulsar wind nebula (PWN) powered by the radio pulsar B0740-28. The characteristic bow-shock morphology of the PWN implies a direction of motion consistent with the previously measured velocity vector for the pulsar. The PWN has a flux density more than an order of magnitude lower than for the PWNe seen around other pulsars, but, for a distance 2 kpc, it is consistent with propagation through a medium of atomic density n_H ~ 0.25 cm^{-3}, and neutral fraction of 1%. The morphology of the PWN in the area close to the pulsar is distinct from that in downstream regions, as is also seen for the PWN powered by PSR B2224+65. In particular, the PWN associated with PSR B0740-28 appears to close at its rear, suggesting that the pulsar has recently passed through a transition from low density to high density ambient gas. The faintness of this source underscores that deep searches are needed to find further examples of optical pulsar nebulae.Comment: 5 pages, 1 figure, to appear in Astronomy & Astrophysics Letter

Evaluation of Salmon (<i>Salmo salar</i>) and Rainbow Trout (<i>Oncorhynchus mykiss</i>) pin bones using textural analysis and micro X-ray computational tomography

Industrially, common problems arise with the deboning pin bone process, where Atlantic Salmon (Salmo salar) and Rainbow Trout (Oncorhynchus mykiss) fillets, post rigor, are subjected to a pulling process to remove the pin bones from the fillet. This study measured the length of pin bones from two species of fish and two different industrial graded weights, and then used a texture analyser and lCT X-ray to measure the pulling force, break point and volume of the pin bones of both species of fish. Results showed that salmon pin bones required significantly higher pulling force to remove pin bones from the fish fillet when compared with Trout pin bones. Interestingly Trout pin bones were significantly longer and stronger than Salmon pin bones, but had significantly lower volume. This research has progressed the issues surrounding pin boning industrially, however, more studies are required in order to understand if these differences affect the overall deboning pin bone process

The effect of collagenase, water and calcium chloride on the removal of <i>Salmo salar</i> (salmon) and <i>Oncorhynchus mykiss</i> (trout) pin bones

The aim of this study was to determine the influence of the fillet structure on the deboning force required to remove salmon and trout pin bones. Salmon and trout fillets with differing fillet structure were used, in order to study the importance of the fillet structure on the deboning process. In the first test naturally gaping and non-gaping fillets were compared. To confirm the role that the collagen plays within the fillet structure, the fillets underwent series of treatments. Fillets were put into (i) a collagenase solution to remove the collagen in the fillet (ii) a calcium chloride solution to determine if collagen was the main influential factor. Both treated salmon and trout fillets were again compared to untreated fillets from the same batch. The results indicate that collagenase and calcium chloride have a large interaction on deboning force compared to water or no treatments

Condensation of `composite bosons' in a rotating BEC

We provide evidence for several novel phases in the dilute limit of rotating BECs. By exact calculation of wavefunctions and energies for small numbers of particles, we show that the states near integer angular momentum per particle are best considered condensates of composite entities, involving vortices and atoms. We are led to this result by explicit comparison with a description purely in terms of vortices. Several parallels with the fractional quantum Hall effect emerge, including the presence of the Pfaffian state.Comment: 4 pages, Latex, 3 figure

Exact Eignstates for Trapped Weakly Interacting Bosons in Two Dimensions

A system of N two-dimensional weakly interacting bosons in a harmonic trap is considered. When the two-particle potential is a delta function Smith and Wilkin have analytically proved that the elementary symmetric polynomials of particle coordinates measured from the center of mass are exact eigenstates. In this study, we point out that their proof works equally well for an arbitrary two-particle potential which possesses the translational and rotational symmetries. We find that the interaction energy associated with the eigenstate with angular momentum L is equal to aN(N-1)/2+(b-a)NL/2, where a and b are the interaction energies of two bosons in the lowest-energy one-particle state with zero and one unit of angular momentum, respectively. Additionally, we study briefly the case of attractive quartic interactions. We prove rigorously that the lowest-energy state is the one in which all angular momentum is carried by the center of mass motion.Comment: 4 pages, minor changes made, to appear in PRA Brie