572 research outputs found
“To feel or not to feel ? - that is the question”: Evaluating newly qualified social worker’s experiences during their first year in practice. How can we promote more effective use of self?
Decolonising curriculum in education: continuing proclamations and provocations
There is no denying the importance and increased significance of interest in decolonisation in education and the wider social sciences. This article aims to bring a continuing contribution to an evolving and important discussion. The methodology of this work allows a range of academics from different cultural contexts to voice their decolonising proclamations. The authors of the article are a combination of White, Black, Asian and mixed-race academic researchers in higher education who have come together to proclaim their viewpoints. They draw upon their research and apply professional practice in relation to differing aspects of generally decolonising education and specifically decolonising curricula. As a group, we believe that the notion of decolonising applies to all sections of education – not only to primary schools, but also to nurseries, secondary schools, colleges and universities. We hope this article will encourage more research, advocacy and action within education and interdisciplinary contexts into the complexity of decolonising the curriculum
Mechanisms of Manganese-Assisted Nonradiative Recombination in Cd(Mn)Se/Zn(Mn)Se Quantum Dots
Mechanisms of nonradiative recombination of electron-hole complexes in
Cd(Mn)Se/Zn(Mn)Se quantum dots accompanied by interconfigurational excitations
of Mn ions are analyzed within the framework of single electron model of
deep {\it 3d}-levels in semiconductors. In addition to the mechanisms caused by
Coulomb and exchange interactions, which are related because of the Pauli
principle, another mechanism due to {\it sp-d} mixing is considered. It is
shown that the Coulomb mechanism reduces to long-range dipole-dipole energy
transfer from photoexcited quantum dots to Mn ions. The recombination
due to the Coulomb mechanism is allowed for any states of Mn ions and
{\it e-h} complexes. In contrast, short-range exchange and
recombinations are subject to spin selection rules, which are the result of
strong {\it lh-hh} splitting of hole states in quantum dots. Estimates show
that efficiency of the {\it sp-d} mechanism can considerably exceed that of the
Coulomb mechanism. The phonon-assisted recombination and processes involving
upper excited states of Mn ions are studied. The increase in PL
intensity of an ensemble of quantum dots in a magnetic field perpendicular to
the sample growth plane observed earlier is analyzed as a possible
manifestation of the spin-dependent recombination.Comment: 14 pages, 2 figure
Continuous regional anaesthesia provides effective pain management and reduces opioid requirement following major lower limb amputation
Objectives: Postoperative stump pain after major lower limb amputation is a significant impediment to the recovery of amputees. The vast majority of patients require opioid analgesics following surgery, which are associated with opioid-related side-effects. Here, we investigate whether intraoperative placement of a peripheral nerve stump catheter followed by continuous infusion of local anesthetic is as effective at pain control as current analgesic practices. If beneficial, this procedure could potentially reduce post-amputation opioid consumption and opioid-related adverse effects.
Methods: A retrospective chart review was conducted of 198 patients over a 4-year period who had undergone a major lower limb amputation for indications related to peripheral vascular disease. Postoperatively, 102 patients received a perineural catheter were compared to 96 patients who did not. The primary outcomes of this study were the amount of morphine equivalents used in the first 72 hours postoperatively and postoperative pain intensity in the first 24 hours.
Results: A total of 198 lower-limb amputations were selected for analyses. Multiple regression analyses indicated that perineural catheter use was associated with a lower cumulative postoperative opioid consumption over the first 72 hours but not postoperative pain scores at 24 hours. Perineural catheter use led to a 40% reduction in opioid use during the first 72 hours postoperatively. Mixed model repeated measures analysis demonstrated that this opioid reduction was consistent over time. Other variables related to total opioid use included age, presurgical chronic pain, pre-surgical opioid use, patient-controlled analgesia.
Conclusions: Continuous perineural infusions of local anesthetic are a safe and effective method for reducing post-amputation opioid analgesic medications after major lower limp amputation.This study was supported by Canadian Society for Vascular Surgery 2013 National Student Research Award
Fishes of the Cocos (Keeling) Islands: new records, community composition and biogeographic significance
The Cocos (Keeling) Islands comprise the most isolated oceanic atoll in the tropical Indian Ocean and are situated 1000 km south-west of Indonesia. The remoteness of the islands has shaped the composition of marine communities but also limited scientific research. This study summarises field research on the marine fishes of the Cocos (Keeling) Islands over the last 14 years (2001–2014). Sixty-seven new records (from 28 families) are described and raise the total number of known fishes to 602 species from 84 families. New records span a variety of body sizes (3 cm TL Gobiodon unicolor to 500 cm TL Rhincodon typus), were observed in all major habitats,and found at both the Southern Atoll and at North Keeling Island. Notable new records include first records for the families Alopiidae, Coryphaenidae, Eleotridae, Gempylidae, Istiophoridae, Molidae, Polymixiidae, Rhincodontidae, Sillaginidae and Xiphiidae. Sampling from pelagic and deepwater (60–300 m) reef environments significantly increased the number of species described from these habitats. New records include species that have dispersed more than 2500 km (Centropyge acanthops) and dispersal ability appears to explain the lack of syngnathids and the high representation of acanthurids and holocentrids in the community. Some of the Indian Ocean species that have colonised the Cocos (Keeling) Islands now co-occur with their Pacific Ocean sister species, increasing the potential for hybridisation. Although the fish community of the Cocos (Keeling) Island resembles that of the Indo-West Pacific, the isolation and co-occurrence of Indian and Pacific Ocean species distinguishes it from all other locations
Impact of Reduced Rainfall on Above Ground Dry Matter Production of Semi-natural Grassland in South Gloucestershire, UK: A Rainfall Manipulation Study
In the United Kingdom, agricultural grasslands cover 40% of the land area, make up 89% of the total agricultural area and are an important land use for ecosystem services and food security. Climate change predictions suggest that the United Kingdom will experience more frequent and severe periods of drought that may impact these grasslands. As part of the Drought Risk and You (DRY) project, a field experiment in which rain shelters reduced precipitation reaching the vegetation by approximately 50%, was set up in the South West of England. The experiment ran for 3years, from October 2015 to October 2018. The study was carried out at two locations in the catchment of the Bristol River Frome. Both sites were species-rich semi-natural pastures that had received no inputs of fertilizer or herbicide for many years. Automatic weather stations recorded environmental conditions, especially rainfall, within the experimental area. The existing agricultural management regimes were approximated by cutting the vegetation in the plots, by hand, at the appropriate times of year. The effect of rainfall reduction on plant growth was assessed by biomass sampling. At both sites, the rainfall reduction treatment had only small effects on total above ground dry matter production (biomass). These effects were much smaller than the year-to-year variation in total biomass. Our results suggested that well-established permanent pastures in the South West of England were able to tolerate a 3-year period of reduced water supply. The observed year-to-year variation in biomass demonstrated how important the timing of dry weather is for biomass production, and this will be reflected in effects on yield and quality of hay
Quantitative faecal immunochemical test for patients with 'high risk' bowel symptoms: a prospective cohort study
Objectives: To evaluate whether quantitative measurement of faecal haemoglobin (f-Hb) using faecal immunochemical testing (FIT) can be used to rule out colorectal cancer (CRC) for patients who present to primary care with ‘high risk’ symptoms defined by national guidelines for urgent referral for suspected cancer (NICE NG12). /
Design: Prospective cohort study carried out between April 2017 and March 2019. /
Setting: 59 GP practices in London and 24 hospitals in England. /
Participants: Symptomatic patients in England referred to the urgent CRC pathway who provided a faecal sample for FIT in addition to standard investigations for cancer. /
Main outcome measures: CRC was confirmed by established clinical and histopathology procedures. f-Hb (μg per gram of stool) was measured in a central laboratory blinded to cancer outcome. We calculated sensitivity (percentage of patients with CRC who have f-Hb exceeding specified cut-offs); false-positive rate [FPR] (percentage of patients without CRC whose f-Hb exceeds the same cut-offs); and positive predictive value [PPV] (percentage of all patients with f-Hb above the cut-offs who have CRC). /
Results: 4676 patients were recruited of whom 3596 patients were included (had a valid FIT test and a known definitive diagnosis). Among the 3596, median age was 67 years, 53% were female and 78% had colonoscopy. 90 patients were diagnosed with CRC, 7 with other cancers, and 3499 with no cancer found. f-Hb did not correlate with age, sex or ethnicity. Using f-Hb ≥4μg/g (lowest limit of detection), sensitivity, FPR and PPV were 87.8%, 27.0% and 7.7% respectively. Using f-Hb ≥10μg/g, the corresponding measures were 83.3%, 19.9% and 9.7%. 15 patients with CRC had f-Hb below 10μg/g. If FIT had been used at thresholds of 10μg/g or 4μg/g, 1 in 6 or 1 in 8 patients with cancer respectively would have been missed. If the absence of anaemia or abdominal pain is used alongside f-Hb 10 μg/g, only 1 in 18 cancers would be missed but 56% of people without CRC could potentially avoid further investigations including colonoscopies. /
Conclusions: In our study, if FIT alone had been used to determine urgent referral for patients with ‘high risk’ symptoms for definitive cancer investigation, some patients with bowel cancer would not have been diagnosed. If used in conjunction with clinical features, particularly in the absence of anaemia, the efficacy of FIT is significantly improved. With appropriate safety netting, FIT could be used to focus secondary care diagnostic capacity on patients most at risk of CRC
A Novel Rapid DNA Microarray Assay Enables Identification of 37 Mycoplasma Species and Highlights Multiple Mycoplasma Infections
Mycoplasmas comprise a conglomerate of pathogens and commensals occurring in humans and animals. The genus Mycoplasma alone contains more than 120 species at present, and new members are continuously being discovered. Therefore, it seems promising to use a single highly parallel detection assay rather than develop separate tests for each individual species. In this study, we have designed a DNA microarray carrying 70 oligonucleotide probes derived from the 23S rRNA gene and 86 probes from the tuf gene target regions. Following a PCR amplification and biotinylation step, hybridization on the array was shown to specifically identify 31 Mycoplasma spp., as well as 3 Acholeplasma spp. and 3 Ureaplasma spp. Members of the Mycoplasma mycoides cluster can be recognized at subgroup level. This procedure enables parallel detection of Mollicutes spp. occurring in humans, animals or cell culture, from mono- and multiple infections, in a single run. The main advantages of the microarray assay include ease of operation, rapidity, high information content, and affordability. The new test's analytical sensitivity is equivalent to that of real-time PCR and allows examination of field samples without the need for culture. When 60 field samples from ruminants and birds previously analyzed by denaturing-gradient gel electrophoresis (DGGE) were tested by the microarray assay both tests identified the same agent in 98.3% of the cases. Notably, microarray testing revealed an unexpectedly high proportion (35%) of multiple mycoplasma infections, i.e., substantially more than DGGE (15%). Two of the samples were found to contain four different Mycoplasma spp. This phenomenon deserves more attention, particularly its implications for epidemiology and treatment
Faecal immunochemical test for patients with 'high-risk' bowel symptoms: a large prospective cohort study and updated literature review
Background:
We evaluated whether faecal immunochemical testing (FIT) can rule out colorectal cancer (CRC) among patients presenting with ‘high-risk’ symptoms requiring definitive investigation.
Methods:
Three thousand five hundred and ninety-six symptomatic patients referred to the standard urgent CRC pathway were recruited in a multi-centre observational study. They completed FIT in addition to standard investigations. CRC miss rate (percentage of CRC cases with low quantitative faecal haemoglobin [f-Hb] measurement) and specificity (percentage of patients without cancer with low f-Hb) were calculated. We also provided an updated literature review.
Results:
Ninety patients had CRC. At f-Hb < 10 µg/g, the miss rate was 16.7% (specificity 80.1%). At f-Hb < 4 µg/g, the miss rate was 12.2% (specificity 73%), which became 3.3% if low FIT plus the absence of anaemia and abdominal pain were considered (specificity 51%). Within meta-analyses of 9 UK studies, the pooled miss rate was 7.2% (specificity 74%) for f-Hb < 4 µg/g.
Discussion:
FIT alone as a triage tool would miss an estimated 1 in 8 cases in our study (1 in 14 from meta-analysis), while many people without CRC could avoid investigations. FIT can focus secondary care diagnostic capacity on patients most at risk of CRC, but more work on safety netting is required before incorporating FIT triage into the urgent diagnostic pathway
Toward a Social Practice Theory of Relational Competing
This paper brings together the competitive dynamics and strategy-aspractice literatures to investigate relational competition. Drawing on a global ethnography of the reinsurance market, we develop the concept of micro-competitions, which are the focus of competitors’ everyday competitive practices. We find variation in relational or rivalrous competition by individual competitors across the phases of a micro-competition, between competitors within a micro-competition, and across multiple micro-competitions. These variations arise from the interplay between the unfolding competitive arena and the implementation of each firm’s strategic portfolio. We develop a conceptual framework that makes four contributions to: relational competition; reconceptualizing action and response; elaborating on the awareness-motivation-capability framework within competitive dynamics; and the recursive dynamic by which implementing strategy inside firms shapes, and is shaped by, the competitive arena
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