8,104 research outputs found
Basking shark hotspots on the West Coast of Scotland: Key sites, threats and implications for conservation of the species
Copyright © Scottish Natural Heritage 2009.The Wildlife Trusts’ Basking Shark Project conducted effort-corrected line transect surveys for the basking shark (Cetorhinus maximus) along the west coast of Scotland between 2002- 2006. A total of 11,179km of linear transects consisting of 956 hours duration were covered, and a total of 593 sharks were recorded whilst on transect. The project aimed to establish whether key sites (hotspots) existed for the species within the overall region, where significant numbers of sharks could be seen at the surface on a regular basis. This information could then be used to develop practical means of protecting surface swimming sharks at such sites, such as educational maps of the hotspot sites for distribution to leisure and commercial boat users, and to inform future developments within the marine environment e.g. fisheries and renewable energy developments.The project enjoyed the support of many Organisations, both financially and in spirit. These
include Natural England, The Wildlife Trusts, WWF-UK, Earthwatch Institute (Europe), The
Born Free Foundation, The Shark Foundation (Hai Stiftung), The Shark Trust, the Marine
Conservation Society, the Heritage Lottery Fund, the National Express Group, the Save Our
Seas Foundation, Volvo Ocean Adventure, the Esmee Fairbairn Foundation, and Canon
(UK). Their support was invaluable
The disappearance of the "revolving door" patient in Scottish general practice: successful policies
<b>Background</b> We describe the health of "revolving door" patients in general practice in Scotland, estimate changes in their number over the timescale of the study, and explore reasons for changes, particularly related to NHS and government policy.<p></p>
<b>Methods</b> A mixed methods predominantly qualitative study, using a grounded theory approach, set in Scottish general practice. Semi-structured interviews were conducted with professional key informants, 6 Practitioner Services staff who administer the GP registration system and 6 GPs with managerial or clinical experience of working with "revolving door" patients. Descriptive statistical analysis and qualitative analysis of patient removal episodes linked with routine hospital admissions, outpatient appointments, drug misuse treatment episodes and deaths were carried out with cohorts of "revolving door" patients identified from 1999 to 2005 in Scotland.<p></p>
<b>Results</b> A "revolving door" patient is removed 4 or more times from GP lists in 7 years. Patients had complex health issues including substance misuse, psychiatric and physical health problems and were at high risk of dying. There was a dramatic reduction in the number of "revolving door" patients during the course of the study.<p></p>
<b>Conclusions</b> "Revolving door" patients in general practice had significant health problems. Their numbers have reduced dramatically since 2004 and this probably resulted from improved drug treatment services, pressure from professional bodies to reduce patient removals and the positive ethical regulatory and financial climate of the 2004 GMS GP contract. This is a positive development for the NHS
Digital gene expression analysis of two life cycle stages of the human-infective parasite, Trypanosoma brucei gambiense reveals differentially expressed clusters of co-regulated genes
<p><b>Background</b></p>
<p>The evolutionarily ancient parasite, Trypanosoma brucei, is unusual in that the majority of its genes are regulated post-transcriptionally, leading to the suggestion that transcript abundance of most genes does not vary significantly between different life cycle stages despite the fact that the parasite undergoes substantial cellular remodelling and metabolic changes throughout its complex life cycle. To investigate this in the clinically relevant sub-species, Trypanosoma brucei gambiense, which is the causative agent of the fatal human disease African sleeping sickness, we have compared the transcriptome of two different life cycle stages, the potentially human-infective bloodstream forms with the non-human-infective procyclic stage using digital gene expression (DGE) analysis.</p>
<p><b>Results</b></p>
<p>Over eleven million unique tags were generated, producing expression data for 7360 genes, covering 81% of the genes in the genome. Compared to microarray analysis of the related T. b. brucei parasite, approximately 10 times more genes with a 2.5-fold change in expression levels were detected. The transcriptome analysis revealed the existence of several differentially expressed gene clusters within the genome, indicating that contiguous genes, presumably from the same polycistronic unit, are co-regulated either at the level of transcription or transcript stability.</p>
<p><b>Conclusions</b></p>
<p>DGE analysis is extremely sensitive for detecting gene expression differences, revealing firstly that a far greater number of genes are stage-regulated than had previously been identified and secondly and more importantly, this analysis has revealed the existence of several differentially expressed clusters of genes present on what appears to be the same polycistronic units, a phenomenon which had not previously been observed in microarray studies. These differentially regulated clusters of genes are in addition to the previously identified RNA polymerase I polycistronic units of variant surface glycoproteins and procyclin expression sites, which encode the major surface proteins of the parasite. This raises a number of questions regarding the function and regulation of the gene clusters that clearly warrant further study.</p>
Are regulations safe? Reflections from developing a digital cancer decision support tool
PURPOSE
Informatics solutions to early diagnosis of cancer in primary care are increasingly prevalent, but it is not clear whether existing and planned standards and regulations sufficiently address patients' safety nor whether these standards are fit for purpose. We use a patient safety perspective to reflect on the development of a computerized cancer risk assessment tool embedded within a UK primary care electronic health record system.
METHODS
We developed a computerized version of the CAncer Prevention in ExetER studies risk assessment tool, in compliance with the European Union's Medical Device Regulations. The process of building this tool afforded an opportunity to reflect on clinical concerns and whether current regulations for medical devices are fit for purpose. We identified concerns for patient safety and developed nine practical recommendations to mitigate these concerns.
RESULTS
We noted that medical device regulations (1) were initially created for hardware devices rather than software, (2) offer one-shot approval rather than supporting iterative innovation and learning, (3) are biased toward loss-transfer approaches that attempt to manage the fallout of harm instead of mitigating hazards becoming harmful, and (4) are biased toward known hazards, despite unknown hazards being an expected consequence of health care as a complex adaptive system. Our nine recommendations focus on embedding less-reductionist and stronger system perspectives into regulations and standards.
CONCLUSION
Our intention is to share our experience to support research-led collaborative development of health informatics solutions in cancer. We argue that regulations in the European Union do not sufficiently address the complexity of healthcare information systems with consequences for patient safety. Future standards and regulations should continue to follow a system-based approach to risk, safety, and accident avoidance
The age of anxiety? It depends where you look: changes in STAI trait anxiety, 1970–2010
Purpose
Population-level surveys suggest that anxiety has been increasing in several nations, including the USA and UK. We sought to verify the apparent anxiety increases by looking for systematic changes in mean anxiety questionnaire scores from research publications.
Methods
We analyzed all available mean State–Trait Anxiety Inventory scores published between 1970 and 2010. We collected 1703 samples, representing more than 205,000 participants from 57 nations.
Results
Results showed a significant anxiety increase worldwide, but the pattern was less clear in many individual nations. Our analyses suggest that any increase in anxiety in the USA and Canada may be limited to students, anxiety has decreased in the UK, and has remained stable in Australia.
Conclusions
Although anxiety may have increased worldwide, it might not be increasing as dramatically as previously thought, except in specific populations, such as North American students. Our results seem to contradict survey results from the USA and UK in particular. We do not claim that our results are more reliable than those of large population surveys. However, we do suggest that mental health surveys and other governmental sources of disorder prevalence data may be partially biased by changing attitudes toward mental health: if respondents are more aware and less ashamed of their anxiety, they are more likely to report it to survey takers. Analyses such as ours provide a useful means of double-checking apparent trends in large population surveys
Maximum static inspiratory and expiratory pressures with different lung volumes
BACKGROUND: Maximum pressures developed by the respiratory muscles can indicate the health of the respiratory system, help to determine maximum respiratory flow rates, and contribute to respiratory power development. Past measurements of maximum pressures have been found to be inadequate for inclusion in some exercise models involving respiration. METHODS: Maximum inspiratory and expiratory airway pressures were measured over a range of lung volumes in 29 female and 19 male adults. A commercial bell spirometry system was programmed to occlude airflow at nine target lung volumes ranging from 10% to 90% of vital capacity. RESULTS: In women, maximum expiratory pressure increased with volume from 39 to 61 cmH(2)O and maximum inspiratory pressure decreased with volume from 66 to 28 cmH(2)O. In men, maximum expiratory pressure increased with volume from 63 to 97 cmH(2)O and maximum inspiratory pressure decreased with volume from 97 to 39 cmH(2)O. Equations describing pressures for both sexes are: P(e)/P(max )= 0.1426 Ln( %VC) + 0.3402 R(2 )= 0.95 P(i)/P(max )= 0.234 Ln(100 - %VC) - 0.0828 R(2 = )0.96 CONCLUSION: These results were found to be consistent with values and trends obtained by other authors. Regression equations may be suitable for respiratory mechanics models
Seeing two faces together: preference formation in humans and rhesus macaques
Humans, great apes and old world monkeys show selective attention to faces depending on conspecificity, familiarity, and social status supporting the view that primates share similar face processing mechanisms. Although many studies have been done on face scanning strategy in monkeys and humans, the mechanisms influencing viewing preference have received little attention. To determine how face categories influence viewing preference in humans and rhesus macaques (Macaca mulatta), we performed two eye-tracking experiments using a visual preference task whereby pairs of faces from different species were presented simultaneously. The results indicated that viewing time was significantly influenced by the pairing of the face categories. Humans showed a strong bias towards an own-race face in an Asian–Caucasian condition. Rhesus macaques directed more attention towards non-human primate faces when they were paired with human faces, regardless of the species. When rhesus faces were paired with faces from Barbary macaques
(Macaca sylvanus) or chimpanzees (Pan troglodytes), the novel species’ faces attracted more attention. These results
indicate that monkeys’ viewing preferences, as assessed by a visual preference task, are modulated by several factors,
species and dominance being the most influential
The magnetic structure and field dependence of the cycloid phas mediating the spin reorientation transition in Ca₃Ru₂O₇
We report a comprehensive experimental investigation of the magnetic structure of the cycloidal phase in Ca3Ru2O7, which mediates the spin reorientation transition, and establishes its magnetic phase diagram. In zero applied field, single-crystal neutron diffraction data confirms the scenario deduced from an earlier resonant x-ray scattering study: between 46.7~K <T<49.0~K the magnetic moments form a cycloid in the a−b plane with a propagation wavevector of (δ,0,1) with δ≃0.025 and an ordered moment of about 1 μB, with the eccentricity of the cycloid evolving with temperature. In an applied magnetic field applied parallel to the b-axis, the intensity of the (δ,0,1) satellite peaks decreases continuously up to about μ0H≃5 T, above which field the system becomes field polarised. Both the eccentricity of the cycloid and the wavevector increase with field, the latter suggesting an enhancement of the anti−symmetric Dzyaloshinskii−Moriya interaction via magnetostriction effects. Transitions between the various low-temperature magnetic phases have been carefully mapped out using magnetometry and resistivity. The resulting phase diagram reveals that the cycloid phase exists in a temperature window that expands rapidly with increasing field, before transitioning to a polarised paramagnetic state at 5 T. High-field magnetoresistance measurements show that below T≃70 K the resistivity increases continuously with decreasing temperature, indicating the inherent insulating nature at low temperatures of our high-quality, untwinned, single-crystals. We discuss our results with reference to previous reports of the magnetic phase diagram of Ca3Ru2O7 that utilised samples which were more metallic and/or poly-domain
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