853 research outputs found
Information utilization, marketing planning, and marketing performance: a study of New Zealand manufacturers.
57-Fe Mossbauer study of magnetic ordering in superconducting K_0.85Fe_1.83Se_2.09 single crystals
The magnetic ordering of superconducting single crystals of
K_0.85Fe_1.83Se_2.09 has been studied between 10K and 550K using 57-Fe
Mossbauer spectroscopy. Despite being superconducting below T_sc ~30K, the iron
sublattice in K_0.85Fe_1.83Se_2.09 clearly exhibits magnetic order from well
below T_sc to its N\'eel temperature of T_N = 532 +/- 2K. The iron moments are
ordered perpendicular to the single crystal plates, i.e. parallel to the
crystal c-axis. The order collapses rapidly above 500K and the accompanying
growth of a paramagnetic component suggests that the magnetic transition may be
first order, which may explain the unusual temperature dependence reported in
recent neutron diffraction studies.Comment: 6 pages, 4 figures Submitted to Phys.Rev.
Linkages Between the Phenologies of Jack Pine \u3ci\u3e(Pinus Banksiana)\u3c/i\u3e Foliage and Jack Pine Budworm (Lepidoptera: Tortricidae)
A field study conducted in 2001 and 2002 in the Michigan Upper Peninsula investigated seasonal associations between the development of jack pine, Pinus banksiana Lamb., and larvae of the jack pine budworm Choristoneura pinus Freeman (Lepidoptera: Tortricidae). There was almost no active relationship between post-diapause emerging second instars and elongation of vegetative shoots. Early instars were not closely synchronized with the flushing of current-year needle fascicles, which is required to optimize larval feeding. How- ever, there were close feeding and shelter relationships between early instars and year-2 pollen cone development. Associations with, and larval damage to, year-2 seed cones were dependent upon larval population size and posed only minimal and periodic threats to jack pine seed production. As a consequence, early instar jack pine budworm relied almost exclusively on pollen cones for survival. Third to fifth instars vacated pollen cones as soon as they became desiccated. Only then did these larvae start close associations with vegetative shoots. First, they excised partially emerged needles at their base, and when the needle-pairs completely escaped their fascicle sheath, the larvae fed routinely on the complete needle lamina. Late instars, pupae and adults were associated with previous years’ and current-year foliage without any apparent bias. This study has shown that it might be more practical to time insecticide strategies, which are intended to manage jack pine budworm larvae, to the tree’s phenology rather than jack pine budworm larval indices
A pilot study of the S-MAP (Solutions for Medications Adherence Problems) intervention for older adults prescribed polypharmacy in primary care: Study protocol
Background: Adhering to multiple medications as prescribed is challenging for older patients (aged ≥ 65 years) and a difficult behaviour to improve. Previous interventions designed to address this have been largely complex in nature but have shown limited effectiveness and have rarely used theory in their design. It has been recognised that theory ('a systematic way of understanding events or situations') can guide intervention development and help researchers better understand how complex adherence interventions work. This pilot study aims to test a novel community pharmacy-based intervention that has been systematically developed using the Theoretical Domains Framework (12-domain version) of behaviour change. Methods: As part of a non-randomised pilot study, pharmacists in 12 community pharmacies across Northern Ireland (n = 6) and London, England (n = 6), will be trained to deliver the intervention to older patients who are prescribed ≥ 4 regular medicines and are non-adherent (self-reported). Ten patients will be recruited per pharmacy (n = 120) and offered up to four tailored one-to-one sessions, in the pharmacy or via telephone depending on their adherence, over a 3-4-month period. Guided by an electronic application (app) on iPads, the intervention content will be tailored to each patient's underlying reasons for non-adherence and mapped to the most appropriate solutions using established behaviour change techniques. This study will assess the feasibility of collecting data on the primary outcome of medication adherence (self-report and dispensing data) and secondary outcomes (health-related quality of life and unplanned hospitalisations). An embedded process evaluation will assess training fidelity for pharmacy staff, intervention fidelity, acceptability to patients and pharmacists and the intervention's mechanism of action. Process evaluation data will include audio-recordings of training workshops, intervention sessions, feedback interviews and patient surveys. Analysis will be largely descriptive. Discussion: Using pre-defined progression criteria, the findings from this pilot study will guide the decision whether to proceed to a cluster randomised controlled trial to test the effectiveness of the S-MAP intervention in comparison to usual care in community pharmacies. The study will also explore how the intervention components may work to bring about change in older patients' adherence behaviour and guide further refinement of the intervention and study procedures. Trial registration: This study is registered at ISRCTN: https://doi.org/10.1186/ISRCTN7383153
A feasibility study of a theory-based intervention to improve appropriate polypharmacy for older people in primary care
Background: A general practitioner (GP)-targeted intervention aimed at improving the prescribing of appropriate polypharmacy for older people was previously developed using a systematic, theory-based approach based on the UK Medical Research Council’s complex intervention framework. The primary intervention component comprised a video demonstration of a GP prescribing appropriate polypharmacy during a consultation with an older patient. The video was delivered to GPs online and included feedback emphasising the positive outcomes of performing the behaviour. As a complementary intervention component, patients were invited to scheduled medication review consultations with GPs. This study aimed to test the feasibility of the intervention and study procedures (recruitment, data collection).
Methods: GPs from two general practices were given access to the video, and reception staff scheduled consultations with older patients receiving polypharmacy (≥4 medicines). Primary feasibility study outcomes were the usability and acceptability of the intervention to GPs. Feedback was collected from GP and patient participants using structured questionnaires. Clinical data were also extracted from recruited patients’ medical records (baseline and 1 month post-consultation). The feasibility of applying validated assessment of prescribing appropriateness (STOPP/ START criteria, Medication Appropriateness Index) and medication regimen complexity (Medication Regimen Complexity Index) to these data was investigated. Data analysis was descriptive, providing an overview of participants’ feedback and clinical assessment findings.
Results: Four GPs and ten patients were recruited across two practices. The intervention was considered usable and acceptable by GPs. Some reservations were expressed by GPs as to whether the video truly reflected resource and time pressures encountered in the general practice working environment. Patient feedback on the scheduled consultations was positive. Patients welcomed the opportunity to have their medications reviewed. Due to the short time to follow-up and a lack of detailed clinical information in patient records, it was not feasible to detect any prescribing changes or to apply the assessment tools to patients’ clinical data.
Conclusion: The findings will help to further refine the intervention and study procedures (including time to follow-up) which will be tested in a randomised pilot study that will inform the design of a definitive trial to evaluate the intervention’s effectiveness
Searches for violation of fundamental time reversal and space reflection symmetries in solid state experiments
The electric dipole moment (EDM) of a particle violates both time reversal
(T) and space reflection (P) symmetries. There have been recent suggestions for
searches of the electron EDM using solid state experiments [1,2]. These
experiments could improve the sensitivity compared to present atomic and
molecular experiments by several orders of magnitude. In the present paper we
calculate the expected effect. We also suggest that this kind of experiment is
sensitive to T,P-violation in nuclear forces and calculate effects caused by
the nuclear Schiff moment.
The compounds under consideration contain magnetic Gd ions and oxygen
O ions. We demonstrate that the main mechanism for the T,P-odd effects
is related to the penetration of the Oxygen 2p-electrons to the Gd core. All
the effects are related to the deformation of the crystal lattice.Comment: 13 pages, 6 figure
Mineralogia e química de um Latossolo câmbico desenvolvido de rocha pelítica do grupo Bambuí, MG.
Foram realizados analises quimica e mineralogica das fracoes argila e silte de amostras de um perfil de solo com tres camadas distintas: uma superficies xantizada, uma camada de subsuperficie vermelha e um horizonte C apresentado variegados amarelos e vermelhos. Os minerais de maior ocorrencia sao caulinita, mica/vermiculita e goethita. A cor do solo esta relacionada a proporcao hematita/goethita (determinada pela espectroscopia Mossbauer). A substituicao isomorfica de ferro por aluminio na goethita aumenta uniformemente, de 20 a 40 mol%, da base para o topo de perfil; SiO2 decresce uniformemente e ha, ainda, uma tendencia de o Fe 2+ ser continuamente oxidado, na medida em que mica se transforma em vermiculita. O aparecimento de hematita na camada vermelha nao pode ser explicado quantitativamente pela hipotese de que os silicatos sejam a unica fonte de ferro, a menos que haja uma consideravel reducao de volume de camada siltosa amarela do horizonte C para as camadas vermelhas do horizonte B. Os dados sugerem uma transformacao reversivel goethita hematita, em resposta as condicoes ambientais
Development of an intervention to improve appropriate polypharmacy in older people in primary care using a theory-based method
BACKGROUND: It is advocated that interventions to improve clinical practice should be developed using a systematic approach and intervention development methods should be reported. However, previous interventions aimed at ensuring that older people receive appropriate polypharmacy have lacked details on their development. This study formed part of a multiphase research project which aimed to develop an intervention to improve appropriate polypharmacy in older people in primary care.
METHODS: The target behaviours for the intervention were prescribing and dispensing of appropriate polypharmacy to older patients by general practitioners (GPs) and community pharmacists. Intervention development followed a systematic approach, including previous mapping of behaviour change techniques (BCTs) to key domains from the Theoretical Domains Framework that were perceived by GPs and pharmacists to influence the target behaviours. Draft interventions were developed to operationalise selected BCTs through team discussion. Selection of an intervention for feasibility testing was guided by a subset of the APEASE (Affordability, Practicability, Effectiveness/cost-effectiveness, Acceptability, Side-effects/safety, Equity) criteria.
RESULTS: Three draft interventions comprising selected BCTs were developed, targeting patients, pharmacists and GPs, respectively. Following assessment of each intervention using a subset of the APEASE criteria (affordability, practicability, acceptability), the GP-targeted intervention was selected for feasibility testing. This intervention will involve a demonstration of the behaviour and will be delivered as an online video. The video demonstrating how GPs can prescribe appropriate polypharmacy during a typical consultation with an older patient will also demonstrate salience of consequences (feedback emphasising the positive outcomes of performing the behaviour). Action plans and prompts/cues will be used as complementary intervention components. The intervention is designed to facilitate the prescribing of appropriate polypharmacy in routine practice.
CONCLUSION: A GP-targeted intervention to improve appropriate polypharmacy in older people has been developed using a systematic approach. Intervention content has been specified using an established taxonomy of BCTs and selected to maximise feasibility. The results of a future feasibility study will help to determine if the theory-based intervention requires further refinement before progressing to a larger scale randomised evaluation
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