The pharmacist's contribution towards monitoring and reporting adverse drug reactions

The activities and function of the West Midlands Adverse Drug Reaction Study Group are described. The impact of the Group on the reporting of adverse drug reactions to the CSM by the yellow card system has been evaluated in several ways including a comparison with the Trent Region. The role of the pharmacist in the Group is highlighted. A nationwide survey of the hospital pharmacist's involvement in adverse drug reaction reporting and monitoring is described, the results are reported and discussed. The available sources of information on adverse drug reactions, both primary and secondary, are critically reviewed. A checklist of necessary details for case reports is developed and examples of problems in the literature are given. The contribution of the drug information pharmacist in answering enquiries and encouraging reporting is examined. A role for the ward pharmacist in identifying, reporting, documenting and following up adverse drug reactions is proposed. Studies conducted to support this role are described and the results discussed. The ward pharmacist's role in preventing adverse drug reactions is also outlined. The reporting of adverse drug reactions in Australia is contrasted with the U.K. and particular attention is drawn to the pharmacist's contribution in the former. The problems in evaluating drug safety are discussed and examples are given where serious reactions have only been recognised after many patients have been exposed. To remedy this situation a case is made for enhancing the CSM yellow card scheme by further devolution of reporting, increasing the involvement of pharmacists and improving arrangements at the CSM. It is proposed that pharmacists should undertake the responsibility for reporting reactions to the CSM in some instances

Why do high jumpers use a curved approach?

Currently all elite high jumpers use the Fosbury Flop technique with a curved approach. This suggests that the curved approach presents some clear advantage although there is no general agreement upon the mechanism or the mechanics. This study aimed to determine the characteristics of the approach curve and to investigate how it contributes to the generation of somersault rotation. A simple theoretical model was used to demonstrate that a tightening approach curve would change the inward lean towards the centre of the curve into outwards lean. Three-dimensional video analysis was conducted on performances of two elite male high jumpers in competition. It was found that in each case the radius of the approach curve and the inward lean angle both decreased towards the end of the approach (p < 0.01). The amount of outward lean angular velocity generated was shown to be a major proportion of the required somersault angular velocity for a jump. It was concluded that the main advantage of a curved approach was that it resulted in the generation of somersault velocity providing the curve tightened towards the end of the approach

Screening and Characterization of Biosurfactant-Producing Bacillus Species Isolated from Contaminated Soils in Makurdi Metropolis

Biosurfactants synthesized by microorganisms are chemically diverse and have gained interest industrially due to their surface and interfacial tensions-reducing activities. In this study Bacillus species from contaminated soils were screened and characterized for biosurfactant production. The study was carried out at the Microbiology Laboratory, Federal University of Agriculture Makurdi, Nigeria. The Bacillus species were isolated from kerosene shops, palm oil shops, nearby restaurants, mechanic workshops and abattoir effluents- contaminated soil samples collected from Makurdi metropolis. The Bacillus spp. were screened for biosurfactants production potentials using various screening methods (oil spreading, beta haemolysis, drop collapse and emulsification index). Specific primers were used to amplify the srfAA (surfactin gene) gene in the Bacillus isolates and the nucleotide sequences were determined at Inqaba Biotec, South Africa. The screening results were statistically analysed using analysis of variance (ANOVA) at 95 % confidence level. Isolate RT7(4)B exhibited the ability to produce biosurfactant, as well as the highest emulsification index (E24) of 73.25 % while isolate PO7(3)C gave the highest oil displacement of 6.77 mm. The supernatant obtained from isolate RT7(4)B showed reduction in surface tension of up to 30.26 mN/m. The isolates gave positive results for biosurfactant production when subjected to drop collapse and Beta haemolytic tests. The Polymerase chain reaction (PCR) results revealed amplifications of srfAA gene from 7 isolates. Based on these findings, the isolates used in this study can be utilized for biosurfactant production, and can also be useful for bioremediation and industrial biotechnology applications. Keywords: Biosurfactants; emulsification index; Bacillus; surface tension; Drop collaps

Specht modules and semisimplicity criteria for Brauer and Birman--Murakami--Wenzl Algebras

A construction of bases for cell modules of the Birman--Murakami--Wenzl (or B--M--W) algebra $B_n(q,r)$ by lifting bases for cell modules of $B_{n-1}(q,r)$ is given. By iterating this procedure, we produce cellular bases for B--M--W algebras on which a large abelian subalgebra, generated by elements which generalise the Jucys--Murphy elements from the representation theory of the Iwahori--Hecke algebra of the symmetric group, acts triangularly. The triangular action of this abelian subalgebra is used to provide explicit criteria, in terms of the defining parameters $q$ and $r$, for B--M--W algebras to be semisimple. The aforementioned constructions provide generalisations, to the algebras under consideration here, of certain results from the Specht module theory of the Iwahori--Hecke algebra of the symmetric group

1861-10-24 Assistant Adjutant General corrects the name of John C.C. Bowen on commissions

https://digitalmaine.com/cw_me_1st_cav/1162/thumbnail.jp

Beyond single-photon localization at the edge of a Photonic Band Gap

We study spontaneous emission in an atomic ladder system, with both transitions coupled near-resonantly to the edge of a photonic band gap continuum. The problem is solved through a recently developed technique and leads to the formation of a ``two-photon+atom'' bound state with fractional population trapping in both upper states. In the long-time limit, the atom can be found excited in a superposition of the upper states and a ``direct'' two-photon process coexists with the stepwise one. The sensitivity of the effect to the particular form of the density of states is also explored.Comment: to appear in Physical Review

Impact of highly basic solutions on sorption of Cs+ to subsurface sediments from the Hanford site, USA

The effect of caustic NaNO3 solutions on the sorption of 137Cs to a Hanford site micaceous subsurface sediment was investigated as a function of base exposure time (up to 168 d), temperature (10°C or 50°C), and NaOH concentration (0.1 mol/L to 3 mol/L). At 10°C and 0.1 M NaOH, the slow evolution of [Al]aq was in stark contrast to the rapid increase and subsequent loss of [Al]aq observed at 50°C (regardless of base concentration). Exposure to 0.1 M NaOH at 10°C for up to 168 d exhibited little if any measurable effect on sediment mineralogy, Cs+ sorption, or Cs+ selectivity; sorption was well described with a two-site ion exchange model modified to include enthalpy effects. At 50°C, dissolution of phyllosilicate minerals increased with [OH]. A zeolite (tetranatrolite; Na2Al2Si3O10·2H2O) precipitated in 0.1 M NaOH after about 7 days, while an unnamed mineral phase (Na14Al12Si13O51·6H2O) precipitated after 4 and 2 days of exposure to 1 M and 3 M NaOH solutions, respectively. Short-term (16 h) Cs+ sorption isotherms (10−9–10−2 mol/L) were measured on sediment after exposure to 0.1 M NaOH for 56, 112, and 168 days at 50°C. There was a trend toward slightly lower conditional equilibrium exchange constants (∆log NaCsKc ~ 0.25) over the entire range of surface coverage, and a slight loss of high affinity sites (15%) after 168 days of pretreatment with 0.1 M base solution. Cs+ sorption to sediment over longer times was also measured at 50°C in the presence of NaOH (0.1 M, 1 M, and 3MNaOH) at Cs+ concentrations selected to probe a range of adsorption densities. Model simulations of Cs+ sorption to the sediment in the presence of 0.1 M NaOH for 112 days slightly under-predicted sorption at the lower Cs+ adsorption densities. At the higher adsorption densities, model simulations under-predicted sorption by 57%. This under-prediction was surmised to be the result of tetranatrolite precipitation, and subsequent slow Na → Cs exchange. At higher OH concentrations, Cs+ sorption in the presence of base for 112 days was unexpectedly equal to, or greater than that expected for pristine sediment. The precipitation of secondary phases, coupled with the fairly unique mica distribution and quantity across all size-fractions in the Hanford sediment, appears to mitigate the impact of base dissolution on Cs+ sorption

Impact of highly basic solutions on sorption of Cs+ to subsurface sediments from the Hanford site, USA

The effect of caustic NaNO3 solutions on the sorption of 137Cs to a Hanford site micaceous subsurface sediment was investigated as a function of base exposure time (up to 168 d), temperature (10°C or 50°C), and NaOH concentration (0.1 mol/L to 3 mol/L). At 10°C and 0.1 M NaOH, the slow evolution of [Al]aq was in stark contrast to the rapid increase and subsequent loss of [Al]aq observed at 50°C (regardless of base concentration). Exposure to 0.1 M NaOH at 10°C for up to 168 d exhibited little if any measurable effect on sediment mineralogy, Cs+ sorption, or Cs+ selectivity; sorption was well described with a two-site ion exchange model modified to include enthalpy effects. At 50°C, dissolution of phyllosilicate minerals increased with [OH]. A zeolite (tetranatrolite; Na2Al2Si3O10·2H2O) precipitated in 0.1 M NaOH after about 7 days, while an unnamed mineral phase (Na14Al12Si13O51·6H2O) precipitated after 4 and 2 days of exposure to 1 M and 3 M NaOH solutions, respectively. Short-term (16 h) Cs+ sorption isotherms (10−9–10−2 mol/L) were measured on sediment after exposure to 0.1 M NaOH for 56, 112, and 168 days at 50°C. There was a trend toward slightly lower conditional equilibrium exchange constants (∆log NaCsKc ~ 0.25) over the entire range of surface coverage, and a slight loss of high affinity sites (15%) after 168 days of pretreatment with 0.1 M base solution. Cs+ sorption to sediment over longer times was also measured at 50°C in the presence of NaOH (0.1 M, 1 M, and 3MNaOH) at Cs+ concentrations selected to probe a range of adsorption densities. Model simulations of Cs+ sorption to the sediment in the presence of 0.1 M NaOH for 112 days slightly under-predicted sorption at the lower Cs+ adsorption densities. At the higher adsorption densities, model simulations under-predicted sorption by 57%. This under-prediction was surmised to be the result of tetranatrolite precipitation, and subsequent slow Na → Cs exchange. At higher OH concentrations, Cs+ sorption in the presence of base for 112 days was unexpectedly equal to, or greater than that expected for pristine sediment. The precipitation of secondary phases, coupled with the fairly unique mica distribution and quantity across all size-fractions in the Hanford sediment, appears to mitigate the impact of base dissolution on Cs+ sorption

Service Business Model and Service Innovativeness

Service innovativeness has been hailed as a key success factor in being able to differentiate a new service from its competing offerings. In spite of a number of literatures suggesting the impact that a service business model can have on service innovativeness, no comprehensive and empirical study has examined the relationship between the distinctive design themes of a service business model and service innovativeness. This paper fills the research gap by conducting a series of pilot tests and then the subsequent questionnaire survey on top service firms in Taiwan. Results based on 211 responding service firms indicate that the novelty-centred business model has a U-shaped effect on service innovativeness, while the efficiency-centred business model has an inverted U-shaped effect on service innovativeness. Theoretical and managerial implications of these key findings are discussed. </jats:p

AN ECCENTRIC BINARY MILLISECOND PULSAR with A HELIUM WHITE DWARF COMPANION in the GALACTIC FIELD

Low-mass white dwarfs (LMWDs) are believed to be exclusive products of binary evolution, as the universe is not old enough to produce them from single stars. Because of the strong tidal forces operating during the binary interaction phase, the remnant systems observed today are expected to have negligible eccentricities. Here, we report on the first unambiguous identification of an LMWD in an eccentric (e = 0.13) orbit around the millisecond pulsar PSR J2234+0511, which directly contradicts this picture. We use our spectra and radio-timing solution (derived elsewhere) to infer the WD temperature (Teff = 8600 ±190 K), and peculiar systemic velocity relative to the local standard of rest ( km s-1). We also place model-independent constraints on the WD radius ( ) and surface gravity ( dex). The WD and kinematic properties are consistent with the expectations for low-mass X-ray binary evolution and disfavor a dynamic three-body formation channel. In the case of the high eccentricity being the result of a spontaneous phase transition, we infer a mass of ∼1.60 M o for the pulsar progenitor, which is too low for the quark-nova mechanism proposed by Jiang et al., and too high for the scenario of Freire & Tauris, in which a WD collapses into a neutron star via a rotationally delayed accretion-induced collapse. We find that eccentricity pumping via interaction with a circumbinary disk is consistent with our inferred parameters. Finally, we report tentative evidence for pulsations that, if confirmed, would transform the star into an unprecedented laboratory for WD physics