The IM&T training needs of doctors in an acute UK NHS trust

Advanced information systems are seen as a key factor in plans to modernise the delivery of healthcare. In the UK, the General Medical Council and the Information Authority have stressed the need for doctors to possess not just IT skills, but more generic Health Informatics competencies. Trust hospitals have a responsibility to ensure that clinicians in their employ have the requisite skills, knowledge and competencies to use the systems which will soon be implemented (e.g. electronic patient record systems, booking systems, prescribing systems). There is concern that the lack of formal IM&T training in senior clinicians will threaten the implementation of electronic patient record systems in the UK [1,2]. This poster reports on a training needs analysis of 116 doctors working in a UK acute hospital. Three key sets of findings emerged from the questionnaire study. Firstly, contrary to expectations, the IT skills and perceived training needs of the Senior and Junior Staff were not significantly different. Secondly, Senior doctors were better informed than the juniors about health informatics topics. Finally, all doctors defined their own training needs not in relation to Health Informatics but in terms of acquiring IT skills. Education programmes must take into account the current skills of the workforce and their perceptions of their training needs

Characterization of interstitial stem cells in hydra by cloning

A procedure has been developed for cloning interstitial stem cells from hydra. Clones are prepared by introducing small numbers of viable cells into aggregates of nitrogen mustard-inactivated host tissue. Clones derived from added stem cells are identified after 1–2 weeks of growth by staining with toluidine blue. The incidence of clones increases with increasing input of viable cells according to one-hit Poisson statistics, indicating that clones arise from single cells. After correction for cell losses in the procedure, about 1.2% of the input cells are found to form clones. This compares with estimates from in vivo experiments of about 4% stem cells in whole hydra [David, C. N., and Gierer, A. (1974). Cell cycle kinetics and development of Hydra attenuata. III. Nerve and nematocyte differentiation. J. Cell Sci. 16, 359–375.] Differentiation of nematocytes and nerve cells in clones was analyzed by labeling precursors with [3H]thymidine and scoring labeled nerves and nematocytes 2 days later. Nine clones examined in this way contained both differentiated nerve cells and nematocytes, demonstrating that the interstitial stem cell is multipotent. This result suggests that the observed localization of nerve and nematocyte differentiation in whole hydra probably occurs at the level of stemcell determination. The observation that differentiated cells occur very early in clone development suggests that a stem cell's decision to proliferate or differentiate is regulated by shortrange feedback signals which are already saturated in young clones

C*-Algebras with the Approximate Positive Factorization Property

We say that a unital C*-algrebra A has the approximate positive factorization property (APFP) if every element of A is a norm limit of products of positive elements of A. (There is also a definition for the nonunital case.) T. Quinn has recently shown that a unital AF algebra has the APFP if and only if it has no finite dimensional quotients. This paper is a more systematic investigation of C*-algebras with the APFP. We prove various properties of such algebras. For example: They have connected invertible group, trivial K_1, and stable rank 1. In the unital case, the K_0 group separates the tracial states. The APFP passes to matrix algebras. and if I is an ideal in A such that I and A/I have the APFP, then so does A. We also give some new examples of C*-algebras with the APFP, including type II_1 factors and infinite-dimensional simple unital direct limits with slow dimension growth, real rank zero, and trivial K_1 group. An infinite- dimensional simple unital direct limit with slow dimension growth and with the APFP must have real rank zero, but we also give examples of unital algebras with the APFP which do not have real rank zero. Our analysis also leads to the introduction of a new concept of rank for a C*-algebra that may be of interest in the future.Comment: plain TeX; 19 page

Farm-gate N and P balances and use efficiencies across specialist dairy farms in the Republic Ireland

working paperThis study establishes farm gate N and P balances and use efficiencies based on the average of 2 years of Teagasc National Farm Survey data in 2009 and 2010. The weighted average farm gate N surplus for this nationally representative sample of specialist dairy farms was 143.4 kg N ha-1. Average farm gate nitrogen use efficiency was 23.2%. For dairy farms operating under an EU Nitrates Derogation, the average N surplus was higher at 181.8 kg N ha-1 and averageN use efficiency was slightly lower at 22.2%. The total average farm gate P balance was 4.1 kg ha-1 in surplus, and P use efficiency averaged 83.9%. P balance ranged from -7.3 to 23.0 kg ha-1. A total of 27% had a negative P balance. The average P surplus for farms with a Nitrates Derogation was below the average of all farms at 3.5 kg P ha-1 and average P use efficiency for these Derogation farms was above the average of all farms at 90%

Pattern avoidance classes and subpermutations

Pattern avoidance classes of permutations that cannot be expressed as unions of proper subclasses can be described as the set of subpermutations of a single bijection. In the case that this bijection is a permutation of the natural numbers a structure theorem is given. The structure theorem shows that the class is almost closed under direct sums or has a rational generating function.Comment: 18 pages, 4 figures (all in-line

A computational model for three-dimensional incompressible wall jets with large cross flow

A computational model for the flow field of three dimensional incompressible wall jets prototypic of thrust augmenting ejectors with large cross flow is presented. The formulation employs boundary layer equations in an orthogonal curvilinear coordinate system. Simulation of laminar as well as turbulen wall jets is reported. Quantification of jet spreading, jet growth, nominal separation, and jet shrink effects due to corss flow are discussed

Intake ground vortex characteristics

The development of ground vortices when an intake operates in close proximity to the ground has been studied computationally for several configurations including front and rear quarter approaching flows as well as tailwind arrangements. The investigations have been conducted at model scale using a generic intake geometry. Reynolds Averaged Navier–Stokes calculations have been used and an initial validation of the computational model has been carried out against experimental data. The computational method has subsequently been applied to configurations that are difficult to test experimentally by including tailwind and rear quarter flows. The results, along with those from a previous compatible study of headwind and pure cross-wind configurations, have been used to assess the ground vortex behaviour under a broad range of velocity ratios and approaching wind angles. The characteristics provide insights on the influence of the size and strength of ground vortices on the overall quality of the flow ingested by the intake

Attacks on midwives, attacks on women’s choices

Nadine Edwards, Jo Murphy-Lawless, Mavis Kirkham and Sarah Davies ask whether recent attacks on midwives are a Human Rights issu