Bariatric Surgery as a Treatment to Obesity

This paper focuses on the efficiency and effectiveness that bariatric surgery provides as a treatment for the obesity epidemic that is ever-growing in our country. By taking into account scientific, ethnographical, scholarly, statistic-based, and various other forms of research, this paper argues for the widespread use of bariatric surgery for weight loss, decrease in obesity, and resolution of obesity comorbidities. This paper also focuses on the various factors that affect patient success in bariatric surgery, such as gaps in access, economic problems, psychological issues associated with the procedure, and more. Nevertheless, bariatric surgery, if these factors are taken into consideration, is a favorable option in treating morbid obesity and should be readily and enthusiastically utilized to treat this epidemic

Continuous Hydrothermal Flow Synthesis of Blue-Luminescent, Excitation-Independent N-doped Carbon Quantum Dots as Nanosensors

Blue-luminescent N-doped carbon quantum dots (NCQDs) exhibiting rarely observed excitation independent optical properties are synthesised from citric acid in the presence of ammonia via a Continuous Hydrothermal Flow Synthesis (CHFS) approach. CHFS is an eco-friendly, rapid synthetic approach (within fractions of a second) facilitating ease of scale-up industrialization as well as offering materials with superior properties. The synthesised CQDs readily disperse in aqueous solution, have an average particle size of 3.3 ± 0.7 nm, with highest emission intensity at 441 nm (and a narrow full width at half maximum, FWHM ~78 nm) under a 360 nm excitation wavelength. Carbon quantum dots, without any further modification, exhibited a high selectivity and sensitivity as a nano-sensor for the highly toxic and carcinogenic chromium(VI) ions. The nano-chemo-sensor delivers significant advantages including simplicity of manufacturing via a continuous, cleaner technology (using targeted biomass precursor), high selectivity, sensitivity and fast response leading to potential applications in environmental industry as well photovoltaics, bio-tagging, bio-sensing and beyond

Maximising Social Interactions and Effectiveness within Distance Learning Courses: Cases from Construction

Advanced Internet technologies have revolutionised the delivery of distance learning education. As a result, the physical proximity between learners and the learning providers has become less important. However, whilst the pervasiveness of these technological developments has reached unprecedented levels, critics argue that the student learning experience is still not as effective as conventional face-to-face delivery. In this regard, surveys of distance learning courses reveal that there is often a lack of social interaction attributed to this method of delivery, which tends to leave learners feeling isolated due to a lack of engagement, direction, guidance and support by the tutor. This paper defines and conceptualises this phenomenon by investigating the extent to which distance-learning programmes provide the social interactions of an equivalent traditional classroom setting. In this respect, two distance learning case studies were investigated, covering the UK and Slovenian markets respectively. Research findings identified that delivery success is strongly dependent on the particular context to which the specific distance learning course is designed, structured and augmented. It is therefore recommended that designers of distance learning courses should balance the tensions and nuances associated with commercial viability and pedagogic effectiveness

Transgressing the moral economy: Wheelerism and management of the nationalised coal industry in Scotland

This article illuminates the links between managerial style and political economy in post-1945 Britain, and explores the origins of the 1984–1985 miners' strike, by examining in longer historical context the abrasive attitudes and policies of Albert Wheeler, Scottish Area Director of the National Coal Board (NCB). Wheeler built on an earlier emphasis on production and economic criteria, and his micro-management reflected pre-existing centralising tendencies in the industries. But he was innovative in one crucial aspect, transgressing the moral economy of the Scottish coalfield, which emphasised the value of economic security and changes by joint industrial agreement

Motivations, expectations, and experiences of expatriate academic staff on an international branch campus in China

This article explores the experiences of non-Chinese academic staff working on an international branch campus in China. The article presents findings from an interview study that explored the expectations of expatriate staff and what motivated them to want to work abroad. The second part of the article reports on whether and how these expectations and motivations were fulfilled. The findings suggest that, although staff found many benefits from working on the international branch campus, they were insufficiently prepared for the structural and cultural differences inherent in working as an academic in China. The authors argue that more of the academics’ initial expectations and motivations could have been realized if better staff induction and ongoing collective professional development had been in place. In particular, university-level discourse communicated through policy and marketing texts, which promoted the vision of one inclusive and diverse international university community, militated against attention being paid to the structural, political, and cultural differences inherent in working as an academic in China. The authors argue that professional development that acknowledges the differences, difficulties, and disjunctions that staff are likely to encounter in their work is important in building successful international branch campuses both at the level of the organization and of the individual

Strategies to Improve Recruitment to a De-escalation Trial:a Mixed-methods Study of the OPTIMA Prelim Trial in Early Breast Cancer

Aims: De-escalation trials are challenging and sometimes may fail due to poor recruitment. The OPTIMA Prelim randomised controlled trial (ISRCTN42400492) randomised patients with early stage breast cancer to chemotherapy versus ‘test-directed’ chemotherapy, with a possible outcome of no chemotherapy, which could confer less treatment relative to routine practice. Despite encountering challenges, OPTIMA Prelim reached its recruitment target ahead of schedule. This study reports the root causes of recruitment challenges and the strategies used to successfully overcome them. Materials and methods: A mixed-methods recruitment intervention (QuinteT Recruitment Intervention) was used to investigate the recruitment difficulties and feedback findings to inform interventions and optimise ongoing recruitment. Quantitative site-level recruitment data, audio-recorded recruitment appointments (n = 46), qualitative interviews (n = 22) with trialists/recruiting staff (oncologists/nurses) and patient-facing documentation were analysed using descriptive, thematic and conversation analyses. Findings were triangulated to inform a ‘plan of action’ to optimise recruitment. Results: Despite best intentions, oncologists' routine practices complicated recruitment. Discomfort about deviating from the usual practice of recommending chemotherapy according to tumour clinicopathological features meant that not all eligible patients were approached. Audio-recorded recruitment appointments revealed how routine practices undermined recruitment. A tendency to justify chemotherapy provision before presenting the randomised controlled trial and subtly indicating that chemotherapy would be more/less beneficial undermined equipoise and made it difficult for patients to engage with OPTIMA Prelim. To tackle these challenges, individual and group recruiter feedback focussed on communication issues and vignettes of eligible patients were discussed to address discomforts around approaching patients. ‘Tips’ documents concerning structuring discussions and conveying equipoise were disseminated across sites, together with revisions to the Patient Information Sheet. Conclusions: This is the first study illuminating the tension between oncologists' routine practices and recruitment to de-escalation trials. Although time and resources are required, these challenges can be addressed through specific feedback and training as the trial is underway

Magmatic and tectonic extension at mid-ocean ridges : 2. Origin of axial morphology

Author Posting. © American Geophysical Union, 2008. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 9 (2008): Q09O12, doi:10.1029/2008GC001970.We investigate the origin of mid-ocean ridge morphology with numerical models that successfully predict axial topographic highs, axial valleys, and the transition between the two. The models are time-dependent, simulating alternating tectonic and magmatic periods where far-field extension is accommodated by faulting and by magmatism, respectively. During tectonic phases, models predict faults to grow on either side of the ridge axis and axial height to decrease. During magmatic phases, models simulate magmatic extension by allowing the axial lithosphere to open freely in response to extension. Results show that fault size and spacing decreases with increasing time fraction spent in the magmatic phase F M . Magmatic phases also simulate the growth of topography in response to local buoyancy forces. The fundamental variable that controls the transition between axial highs and valleys is the “rise-sink ratio,” (F M /F T )(τ T /τ M ), where F M /F T is the ratio of the time spent in the magmatic and tectonic periods and τ T /τ M is the ratio of the characteristic rates for growing topography during magmatic phases (1/τ M ) and for reducing topography during tectonic phases (1/τ T ). Models predict the tallest axial highs when (F M /F T )(τ T /τ M ) ≫ 1, faulted topography without a high or valley when (F M /F T )(τ T /τ M ) ∼ 1, and the deepest median valleys when (F M /F T )(τ M /τ T ) < 1. New scaling laws explain a global negative correlation between axial topography and lithosphere thickness as measured by the depths of axial magma lenses and microearthquakes. Exceptions to this trend reveal the importance of other behaviors such as a predicted inverse relation between axial topography and spreading rate as evident along the Lau Spreading Center. Still other factors related to the frequency and spatial pervasiveness of magmatic intrusions and eruptions, as evident at the Mid-Atlantic and Juan de Fuca ridges, influence the rise-sink-ratio (F M /F T )(τ T /τ M ) and thus axial morphology.Funding for this research was provided by NSF grants OCE-0327018 (MDB), OCE-0548672 (MDB), OCE-0327051 (GI), and OCE-0351234 (GI)

The Generationing of Power: A Comparison of Child-Parent and Sibling Relations in Scotland

The paper concentrates on an exploration of power relations within families. The paper discusses parental power in relation to legitimacy, household resources and children’s anticipated reactions of adult discipline. The nature of sibling power is highlighted before exploring the reciprocal expectations of sibling and child-parent interactions. The paper ends by suggesting that the generationing of power relations can lead to differing degrees of backstage and frontstage performances within the home

BioTIME: A database of biodiversity time series for the Anthropocene.

MotivationThe BioTIME database contains raw data on species identities and abundances in ecological assemblages through time. These data enable users to calculate temporal trends in biodiversity within and amongst assemblages using a broad range of metrics. BioTIME is being developed as a community-led open-source database of biodiversity time series. Our goal is to accelerate and facilitate quantitative analysis of temporal patterns of biodiversity in the Anthropocene.Main types of variables includedThe database contains 8,777,413 species abundance records, from assemblages consistently sampled for a minimum of 2 years, which need not necessarily be consecutive. In addition, the database contains metadata relating to sampling methodology and contextual information about each record.Spatial location and grainBioTIME is a global database of 547,161 unique sampling locations spanning the marine, freshwater and terrestrial realms. Grain size varies across datasets from 0.0000000158 km2 (158 cm2) to 100 km2 (1,000,000,000,000 cm2).Time period and grainBioTIME records span from 1874 to 2016. The minimal temporal grain across all datasets in BioTIME is a year.Major taxa and level of measurementBioTIME includes data from 44,440 species across the plant and animal kingdoms, ranging from plants, plankton and terrestrial invertebrates to small and large vertebrates.Software format.csv and .SQL