Safe use of symbols in handover documentation for medical teams

Concern has been reported about the safe use of medical abbreviations in documents such as handover sheets and medical notes, especially when information is being communicated between staff of different specialties (BBC 2008, Sheppard et al. 2008). This article describes a study to investigate whether the use of symbols in handover documentation that is shared within and between multidisciplinary teams (MDTs) has similar safety implications. We asked 19 healthcare professionals from a range of specialties to identify 45 different combinations of 38 individual symbols. The symbols and combinations of symbols were extracted from 102 handover sheets taken from 6 different healthcare contexts in 4 London hospitals. Three symbols proposed in Microsoft's Common User Interface guidelines for alert symbols were also included. Results reveal that while some symbols are well understood, many others are either ambiguous or unknown. These results have implications for the safe use of symbols in medical documents, including paper and electronic handover documents and Electronic Patient Records (EPRs), especially where teams comprise individuals from different professional backgrounds, i.e. MDTs. We offer initial suggestions for standardisation and further research

Using heat as a tracer to estimate the depth of rapid porewater advection below the sediment–water interface

SummaryRapid exchange of surface waters and porewaters in shallow sediments has important biogeochemical implications for streams and marine systems alike, but mapping these important reaction zones has been difficult. As a means of bridging the gap between the stream and submarine groundwater discharge communities we suggest that the rapid, transient mixing in this zone be called “hydrodynamic exchange”. We then present a new model, MATTSI, which was developed to estimate the timing, depth and magnitude of hydrodynamic exchange below the sediment–water interface by inverting thermal time-series observations. The model uses an effective thermal dispersion term to emulate 3-D hydrodynamic exchange in a 1-D model. The effective dispersion is assumed to decline exponentially below the sediment water interface. Application of the model to a synthetic dataset and two field datasets from 50km offshore in the South Atlantic Bight shows that exchange events can be clearly identified from thermal data. The model is relatively insensitive to realistic errors in sensor depth and thermal conductivity. Although the datasets tested here were too shallow to fully span the depth of flushing, we were able to estimate the depth of hydrodynamic exchange via sensitivity studies

The Organic Research Centre; Elm Farm Bulletin 84 July 2006

Regular bulletin with technical updates of the Organic Advisory Service Issue contains: Battling on for Avian Flu preventive vaccination; Organic Colombian Blacktail eggs; UK Co-existence - GMOand non-GMO crops; Aspects of Poultry Behaviour; CAP in the service of biodiversity; Seeing the Wood, the Trees and the Catch 22; Beware of organic market "statistics"; A central role in energy review

Study of the volume and spin collapse in orthoferrite LuFeO_3 using LDA+U

Rare earth (R) orthoferrites RFeO_3 exhibit large volume transitions associated with a spin collapse. We present here ab initio calculations on LuFeO_3. We show that taking into account the strong correlation among the Fe-3d electrons is necessary. Indeed, with the LDA+U method in the Projector Augmented Wave (PAW), we are able to describe the isostructural phase transition at 50 GPa, as well as a volume discontinuity of 6.0% at the transition and the considerable reduction of the magnetic moment on the Fe ions. We further investigate the effect of the variation of U and J and find a linear dependence of the transition pressure on these parameters. We give an interpretation for the non-intuitive effect of J. This emphasizes the need for a correct determination of these parameters especially when the LDA+U is applied to systems (e.g in geophysical investigations) where the transition pressure is a priori unknown

The Reconstruction Problem and Weak Quantum Values

Quantum Mechanical weak values are an interference effect measured by the cross-Wigner transform W({\phi},{\psi}) of the post-and preselected states, leading to a complex quasi-distribution {\rho}_{{\phi},{\psi}}(x,p) on phase space. We show that the knowledge of {\rho}_{{\phi},{\psi}}(z) and of one of the two functions {\phi},{\psi} unambiguously determines the other, thus generalizing a recent reconstruction result of Lundeen and his collaborators.Comment: To appear in J.Phys.: Math. Theo

Regulating Access to Adult Content (with Privacy Preservation)

In the physical world we have well-established mechanisms for keeping children out of adult-only areas. In the virtual world this is generally replaced by self declaration. Some service providers resort to using heavy-weight identification mechanisms, judging adulthood as a side effect thereof. Collection of identification data arguably constitutes an unwarranted privacy invasion in this context, if carried out merely to perform adulthood estimation. This paper presents a mechanism that exploits the adult's more extensive exposure to public media, relying on the likelihood that they will be able to recall details if cued by a carefully chosen picture. We conducted an online study to gauge the viability of this scheme. With our prototype we were able to predict that the user was a child 99% of the time. Unfortunately the scheme also misclassified too many adults. We discuss our results and suggest directions for future research

Bluebelle pilot randomised controlled trial of three wound dressing strategies to reduce surgical site infection in primary surgical wounds

Objective Surgical site infection (SSI) affects up to 25% of primary surgical wounds. Dressing strategies may influence SSI risk. The Bluebelle study assessed the feasibility of a multicentre randomised controlled trial (RCT) to evaluate the effectiveness and cost-effectiveness of different dressing strategies to reduce SSI in primary surgical wounds. Design A pilot, factorial RCT. Setting Five UK hospitals. Participants Adults undergoing abdominal surgery with a primary surgical wound. Interventions Participants were randomised to ‘simple dressing’, ‘glue-as-a-dressing’ or ‘no dressing’, and to the time at which the treatment allocation was disclosed to the surgeon (disclosure time, before or after wound closure). Primary and secondary outcome measures Feasibility outcomes focused on recruitment, adherence to randomised allocations, reference assessment of SSI and response rates to participant-completed and observer-completed questionnaires to assess SSI (proposed primary outcome for main trial), wound experience and symptoms, and quality of life (EQ-5D-5L). Results Between March and November 2016, 1115 patients were screened; 699 (73.4%) were eligible and approached, 415 (59.4%) consented and 394 (35.3%) were randomised (simple dressing=133, glue=129 and ‘no dressing’=132). Non-adherence to dressing allocation was 2% (3/133), 6% (8/129) and 15% (20/132), respectively. Adherence to disclosure time was 99% and 86% before and after wound closure, respectively. The overall rate of SSI (reference assessment) was 18.1% (51/281). Response rates to the Wound Healing Questionnaire and other questionnaires ranged from >90% at 4 days to 68% at 4–8 weeks. Conclusions A definitive RCT of dressing strategies including ‘no dressing’ is feasible. Further work is needed to optimise questionnaire response rates

Density Functional Study of Cubic to Rhombohedral Transition in α\alpha-AlF3_3

Under heating, $\alpha$-AlF$_3$ undergoes a structural phase transition from rhombohedral to cubic at temperature $T$ around 730 K. The density functional method is used to examine the $T$=0 energy surface in the structural parameter space, and finds the minimum in good agreement with the observed rhombohedral structure. The energy surface and electronic wave-functions at the minimum are then used to calculate properties including density of states, $\Gamma$-point phonon modes, and the dielectric function. The dipole formed at each fluorine ion in the low temperature phase is also calculated, and is used in a classical electrostatic picture to examine possible antiferroelectric aspects of this phase transition.Comment: A 6-page manuscript with 4 figures and 4 table

SeaWiFS technical report series. Volume 10: Modeling of the SeaWiFS solar and lunar observations

Post-launch stability monitoring of the Sea-viewing Wide Field-of-view Sensor (SeaWifs) will include periodic sweeps of both an onboard solar diffuser plate and the moon. The diffuser views will provide short-term checks and the lunar views will monitor long-term trends in the instrument's radiometric stability. Models of the expected sensor response to these observations were created on the SeaWiFS computer at the National Aeronautics and Space Administration's (NASA) Goddard Space Flight Center (GSFC) using the Interactive Data Language (IDL) utility with a graphical user interface (GUI). The solar model uses the area of intersecting circles to simulate the ramping of sensor response while viewing the diffuser. This model is compared with preflight laboratory scans of the solar diffuser. The lunar model reads a high-resolution lunar image as input. The observations of the moon are simulated with a bright target recovery algorithm that includes ramping and ringing functions. Tests using the lunar model indicate that the integrated radiance of the entire lunar surface provides a more stable quantity than the mean of radiances from centralized pixels. The lunar model is compared to ground-based scans by the SeaWiFS instrument of a full moon in December 1992. Quality assurance and trend analyses routines for calibration and for telemetry data are also discussed

Elm Farm Organic Research Centre Bulletin 83 April 2006

Regular bulleting with technical updates from Organic Advisory Service Issue contains: Testing for Tolerance - a pragmatic view GM Debate Vaccination nation - to jab or not to jab Future shape of OCIS Evolutionary wheat makes the grade? NIAB tracks health of organic cereal seed Stopping erosion of soil quality - the organic way Care needed to halt butterfly collapse Aspects of poultry behaviour: How free range is free range? On choosing an organic wheat A local education challenge New Wakelyns Science Building Organic vegetable market growt