15 research outputs found

    The pursuit of quality: a clinical directorate’s progress in clinical governance a case study of the women and children’s directorate, GUH (HSE)

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    The aim of the overall study is to inform the design and delivery of a high reliability clinical directorate. This report is the result of the mapping phase in the case study of the Women’s and Children’s Directorate, Galway University Hospitals. It describes the current approach and the hospital’s progress in providing a quality service. The policy context clarifies the external and internal influences affecting the present performance level of the Directorate. The enquiry uses a mixed-method strategy to generate quantitative, qualitative, and documentary evidence. The findings provide perceptions of dimensions of clinical governance, and describe the nature and effects of context as opportunities and constraints on performance. Documentary evidence represents the intended or espoused state of performance, as well as realisation in structure, process and outcomes. Key findings from each method are triangulated on the basis of the emergent qualitative categories. While each method provides its own data set, the combined set of evidence is indicative of the hospital’s theory in use as against its espoused theory. This provides a foundation for the next step, i.e. the reflective phase of the project

    Mass Spectra and Yields of Intact Charged Biomolecules Ejected by Massive Cluster Impact for Bioimaging in a Time-of-Flight Secondary Ion Microscope

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    Impacts of massive, highly charged glycerol clusters (≳10<sup>6</sup> Da, ≳ ± 100 charges) have been used to eject intact charged molecules of peptides, lipids, and small proteins from pure solid samples, enabling imaging using these ion species in a time-of-flight secondary ion microscope with few-micrometer spatial resolution. Here, we report mass spectra and useful ion yields (ratio of intact charged molecules detected to molecules sputtered) for several molecular species–two peptides, bradykinin and angiotensin II; two lipids, phosphatidylcholine and sphingomyelin; Irganox 1010 (a detergent); insulin; and rhodamine B–and show that useful ion yields are high enough to enable bioimaging of peptides and lipids in biological samples with few-micrometer resolution and acceptable signals. For example, several hundred molecular ion counts should be detectable from a 3 × 3 μm<sup>2</sup> area of a pure lipid bilayer given appropriate instrumentation or tens of counts from a minor constituent of such a layer

    Propriétaire d'un coutre. Pas du tout fiché de la catastrophe : Les Travailleurs de la mer

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    Plume, encre brune et lavis (228 x 150 mn)Placé au début du chapitre «&nbsp;La perle au fond du précipice&nbsp;», cette caricature, proche de celles que dessinent alors Victor Hugo, notamment dans Théâtre de la Gaîté, incarne les réactions d'envieux à la nouvelle de la perte de la Durande&nbsp;: «&nbsp;On entendait ce mot&nbsp;: quel malheur&nbsp;! Plusieurs visages souriaient.&nbsp;» (T. M., I, VII, I)téléchargeabl

    Ctenophora Phylogeny Datasets and Core Orthologs

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    Data matrices, models used with RAxML, and inferred trees. Unless otherwise noted, all trees were inferred with RAxML using partitioning schemes and models in the model file. <div><br></div><div>Figures for ancestral state reconstruction using a posterior distribution of trees to incorporate uncertainty in branch-length estimates are included. </div><div><br></div><div>Pictures of species we sampled that we were able to photograph before obtaining tissue are included.<br><div><br></div><div>Core orthologs, for use with hamstr, that were used for ctenophore-centric data creation are also provided</div></div

    Developing a web-based patient decision aid for gastrostomy in motor neuron disease:a study protocol

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    Motor neuron disease (MND) is a progressive, incurable disease, characterised by degeneration of the nerves in the brain and spinal cord. Due to the multisystem effects of the disease, patients are faced with many complex, time-sensitive decisions, one of which is the decision on gastrostomy feeding. There are currently no published decision aids (DAs) to support patients making this decision in the UK. This study will develop and pilot a patient DA to provide evidence-based information on gastrostomy placement and feeding that is relevant to people with MND; communicate the risks and benefits associated with each option; check understanding and clarify personal values and preferences, enabling patients to make a decision congruent with their values and appropriate for them. Methods and analysis A two-phase process, observing the International Patient Decision Aid Standards, will be used to develop the DA, over 24 months starting January 2019. Phase 1 will use literature reviews and stakeholder interviews and surveys to identify essential content for the DA, and explore the best way to present this. In the second phase, a prototype DA will be developed and revised using stakeholder feedback in an iterative process. Stakeholders will include individuals with MND, their carers and the healthcare professionals working with them. Ethics and dissemination Ethical approval for the study has been granted by West of Scotland Research Ethics Service, reference 19/WS/0078. Study findings will be disseminated through academic and non-academic publications, conference presentations, stakeholder websites and social media. A feasibility study will follow to explore the acceptability and practicality of the DA for patients, carers and HCPs in practice and to assess whether the DA shows promise of being beneficial for the intended population

    <i>In vitro</i> characterization of PLGA/RPV NPs in thermosensitive gel.

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    <p>(A) Scanning electron microscope image of PLGA/RPV nanoparticles. (B) RPV uptake by HeLa cells. Cells were incubated with 5 ÎĽg/ml RPV in solution or in the PLGA/RPV NP formulation. Intracellular RPV and RPV in medium were analyzed by HPLC (n = 3). (C) <i>In vitro</i> analysis of the inhibition of HIV infection by PLGA/ RPV NPs. TZM-bl HIV indicator cells were treated with the indicated concentrations of RPV solution or PLGA/RPV NPs. Cells were challenged with HIV-1<sub>NLX</sub> 24 h after RPV treatment. Infection of cells was evaluated by ONE-Glo assay 48 h post infection (n = 3). Data were normalized to luminescence of untreated cells (100%); p = 0.0963.</p
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