The introduction of a surgical safety checklist in a tertiary referral obstetric centre

Background: Surgery-related adverse events remain a significant and often under-reported problem. In a recent study, the introduction of a perioperative checklist by the WHO reduced deaths and complications by 46% and 36% respectively. The authors wished to evaluate the introduction of a surgical safety checklist in a busy obstetric tertiary referral centre by assessing staff attitudes, checklist compliance and effects upon patients. Methods: A questionnaire-based assessment was performed on staff working in obstetric theatres before and after the introduction of the surgical safety checklist. Checklist compliance was assessed at 3 months and 1 year. Patients were asked questions relating to the performance of the surgical safety checklist in order to evaluate any anxiety caused. Results: Non-medical staff were significantly more likely than medical staff to feel familiar with other team members both before (p<0.001) and after (

Auxin-induced growth inhibition a natural consequence of two-point attachment

It is characteristic of a great number of biologically active substances that the responses which they elicit are twofold, low concentrations of the material promoting a particular activity, and higher concentrations inhibiting it. This is the case with the auxin-induced growth responses of plants. An active auxin such as indole acetic acid (IAA) brings about and is essential to growth in length of stems, hypocotyls and other plant organs including the Avena coleoptile

Extending the Latent Multinomial Model with Complex Error Processes and Dynamic Markov Bases

The latent multinomial model (LMM) model of Link et al. (2010) provided a general framework for modelling mark-recapture data with potential errors in identification. Key to this approach was a Markov chain Monte Carlo (MCMC) scheme for sampling possible configurations of the counts true capture histories that could have generated the observed data. This MCMC algorithm used vectors from a basis for the kernel of the linear map between the true and observed counts to move between the possible configurations of the true data. Schofield and Bonner (2015) showed that a strict basis was sufficient for some models of the errors, including the model presented by Link et al. (2010), but a larger set called a Markov basis may be required for more complex models. We address two further challenges with this approach: 1) that models with more complex error mechanisms do not fit easily within the LMM and 2) that the Markov basis can be difficult or impossible to compute for even moderate sized studies. We address these issues by extending the LMM to separately model the capture/demographic process and the error process and by developing a new MCMC sampling scheme using dynamic Markov bases. Our work is motivated by a study of Queen snakes (Regina septemvittata) in Kentucky, USA, and we use simulation to compare the use of PIT tags, with perfect identification, and brands, which are prone to error, when estimating survival rates

The Fast Wandering of Slow Birds

I study a single "slow" bird moving with a flock of birds of a different, and faster (or slower) species. I find that every "species" of flocker has a characteristic speed $\gamma\ne v_0$, where $v_0$ is the mean speed of the flock, such that, if the speed $v_s$ of the "slow" bird equals $\gamma$, it will randomly wander transverse to the mean direction of flock motion far faster than the other birds will: its mean-squared transverse displacement will grow in $d=2$ with time $t$ like $t^{5/3}$, in contrast to $t^{4/3}$ for the other birds. In $d=3$, the slow bird's mean squared transverse displacement grows like $t^{5/4}$, in contrast to $t$ for the other birds. If $v_s\neq \gamma$, the mean-squared displacement of the "slow" bird crosses over from $t^{5/2}$ to $t^{4/3}$ scaling in $d=2$, and from $t^{5/4}$ to $t$ scaling in $d=3$, at a time $t_c$ that scales according to $t_c \propto|v_s-\gamma|^{-2}$.Comment: 10 pages; 5 pages of which did not appear in earlier versions, but were added in response to referee's suggestion

A tow concept for the space shuttle orbiter approach and landing test

The tow concept provides the means for evaluating the orbiter aerodynamic performance and handling qualities in the same configuration as expected in actual space shuttle flight operation. A Boeing 747-100 aircraft has engine-out capability to tow the orbiter to an altitude that permits a safe orbiter approach and landing. The tow concept also provides a means for conducting a comprehensive ground test program before proceeding into the actual ALT flight operations. The implementation of the tow concept requires only a minor structural modification in the nose section of the orbiter vehicle; requires minor modifications in the 747 cargo bay; and makes use of those orbiter onboard systems installed in the ALT orbiter vehicle. The 747 wake turbulence does not constitute a problem for the orbiter during take-off or climb to altitude. The impact that the tow concept would have on the cost and schedule of the space shuttle program was not evaluated in this study

Crystal Structure and Magnetism of the Linear-Chain Copper Oxides Sr5Pb3-xBixCuO12

The title quasi-1D copper oxides (0=< x =<0.4) were investigated by neutron diffraction and magnetic susceptibility studies. Polyhedral CuO4 units in the compounds were found to comprise linear-chains at inter-chain distance of approximately 10 A. The parent chain compound (x = 0), however, shows less anisotropic magnetic behavior above 2 K, although it is of substantially antiferromagnetic (mu_{eff}= 1.85 mu_{B} and Theta_{W} = -46.4 K) spin-chain system. A magnetic cusp gradually appears at about 100 K in T vs chi with the Bi substitution. The cusp (x = 0.4) is fairly characterized by and therefore suggests the spin gap nature at Delta/k_{B} ~ 80 K. The chain compounds hold electrically insulating in the composition range.Comment: To be published in PR

Using Direct-Sequenced Spread Spectrum in a Wired Local Area Network

Code division multiple access provides an ability to share channel bandwidth amongst users at the same time. Individual user performance is not degraded with the addition of more users, unlike traditional Ethernet. Using direct sequenced spread spectrum in a wired local area network, network performance is improved. For a network in overload conditions, individual station throughput is increased by nearly 212% while mean end-to-end delay was reduced by 800%. The vast improvement demonstrated by this research has the capability to extend legacy-cabling infrastructures for many years to come while easily accommodating new bandwidth intensive multimedia applications

An assessment of scup (Stenotomus chrysops) and black sea bass (Centropristas striata) discards in the directed otter trawl fisheries in the Mid-Atlantic Bight

This study was undertaken to re-assess the level of scup (Stenotomus chrysops) discards by weight and to evaluate the effect of various codend mesh sizes on the level of scup discards in the winter-trawl scup fishery. Scup discards were high in directed scup tows regardless of codend mesh — typically one to five times the weight of landings. The weight of scup discards in the present study did not differ significantly from that recorded in scup-targeted tows in the NMFS observer database. Most discards were required as such by the 22.86 cm TL (total length) fish-size limit for catches. Mesh sizes ≤12.7 cm, including the current legal mesh size (11.43 cm) did not adequately filter out scup smaller than 22.86 cm. The median length of scup discards was about 19.83 cm TL. Lowering the legal size for scup from 22.86 to 19.83 cm TL would greatly reduce discard mortality. Scup discards were a small fraction (0.4%) of black sea bass (Centropristis striata) landings in blacksea-bass−targeted tows. The black sea bass fishery is currently regulated under the small-mesh fishery gearrestricted area plan in which fishing is prohibited in some areas to reduce scup mortality. Our study found no evidence to support the efficacy of this management approach. The expectations that discarding would increase disproportionately as the trip limit (limit [in kilograms] on catch for a species) was reached towards the end of the trip and that discards would increase when the trip limit was reduced from 4536 kg to 454 kg at the end of the directed fishing season were not supported. Trip limits did not significantly affect discard mortality

Geochemistry of biomolecules

A highly sensitive fluorometric technique is developed for the determination of biological and geo-organic compounds in ancient sediments and extraterrestrial samples. This technique is used to establish chemical evidence for fossil pigments in an extraterrestrial sample. Also developed is a highly sensitive and specific fluorometric method for the determination of total primary amine nitrogen in soil samples