2,388 research outputs found
3D modelling of angiogenesis and vascular tumour growth
This paper was presented at the 3rd Micro and Nano Flows Conference (MNF2011), which was held at the Makedonia Palace Hotel, Thessaloniki in Greece. The conference was organised by Brunel University and supported by the Italian Union of Thermofluiddynamics, Aristotle University of Thessaloniki, University of Thessaly, IPEM, the Process Intensification Network, the Institution of Mechanical Engineers, the Heat Transfer Society, HEXAG - the Heat Exchange Action Group, and the Energy Institute
Exploring the behavioural drivers of veterinary surgeon antibiotic prescribing: a qualitative study of companion animal veterinary surgeons in the UK
Background:
Multi-drug resistant bacteria are an increasing concern in both human and veterinary medicine. Inappropriate prescribing and use of antibiotics within veterinary medicine may be a contributory factor to antimicrobial resistance (AMR). The ‘One Health’ Initiative aims to work across species and environments to reduce AMR, however; little is currently known about the factors which influence antibiotic prescribing among veterinary surgeons in companion animal practice.
This paper reports on qualitative data analysis of interviews with veterinary surgeons whose practice partially or wholly focuses on companion animals (N = 16). The objective of the research was to explore the drivers of companion animal veterinary surgeons’ antibiotic prescribing behaviours. The veterinary surgeons interviewed were all practising within the UK (England (n = 4), Scotland (n = 11), Northern Ireland (n = 1)). A behavioural thematic analysis of the data was undertaken, which identified barriers and facilitators to specific prescribing-related behaviours.
Results:
Five components of prescribing behaviours were identified: 1) confirming clinical need for antibiotics; 2) responding to clients; 3) confirming diagnosis; 4) determining dose, duration and type of antibiotic; and 5) preventing infection around surgery (with attendant appropriate and inappropriate antibiotic prescribing behaviours). Barriers to appropriate prescribing identified include: business, diagnostic, fear, habitual practice and pharmaceutical factors. Facilitators include: AMR awareness, infection prevention, professional learning and regulation and government factors.
Conclusion:
This paper uses a behavioural lens to examine drivers which are an influence on veterinary surgeons’ prescribing behaviours. The paper contributes new understandings about factors which influence antibiotic prescribing behaviours among companion animal veterinary surgeons. This analysis provides evidence to inform future interventions, which are focused on changing prescribing behaviours, in order to address the pressing public health concern of AMR
Good practice in social care: the views of people with severe and complex needs and those who support them
This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs, family carers and members of specialist organisations (n = 67), focusing on the features of social care services they considered to be good practice. Data were collected between August 2010 and June 2011. The approach to data collection was flexible, to accommodate participants' communication needs and preferences, including face-to-face and telephone interviews, Talking Mats(c) sessions and a focus group. Data were managed using Framework and analysed thematically. Features of good practice were considered at three levels: (i) everyday support, (ii) service organisation, and (iii) commissioning. Findings relating to the first two of these are presented here. Participants emphasised the importance of person-centred ways of working at all levels. Personalisation, as currently implemented in English social care, aims to shift power from professionals to service users through the allocation of personal budgets. This approach focuses very much on the role of the individual in directing his/her own support arrangements. However, participants in this study also stressed the importance of ongoing professional support, for example, from a specialist key worker or case manager to co-ordinate diverse services and ensure good practice at an organisational level. The paper argues that, despite the recent move to shift power from professionals to service users, people with the most complex needs still value support from professionals and appropriate organisational support. Without these, they risk being excluded from the benefits that personalisation, properly supported, could yield.
Keywords : continuity of care;
dementia;
people with disability;
qualitative research;
service delivery and organisation
Binary orbits as the driver of γ-ray emission and mass ejection in classical novae
Classical novae are the most common astrophysical thermonuclear explosions, occurring on the surfaces of white dwarf stars accreting gas from companions in binary star systems. Novae typically expel �10,000 solar masses of material at velocities exceeding 1,000 km/s. However, the mechanism of mass ejection in novae is poorly understood, and could be dominated by the impulsive flash of the thermonuclear runaway, prolonged optically thick winds, or binary interaction with the nova envelope. Classical novae are now routinely detected in GeV gamma-rays, suggesting that relativistic particles are accelerated by strong shocks in nova ejecta. Here we present high-resolution imaging of the gamma-ray-emitting nova V959 Mon at radio wavelengths, showing that its ejecta were shaped by binary motion: some gas was expelled rapidly along the poles as a wind from the white dwarf, while denser material drifted out along the equatorial plane, propelled by orbital motion. At the interface between the equatorial and polar regions, we observe synchrotron emission indicative of shocks and relativistic particle acceleration, thereby pinpointing the location of gamma-ray production. Binary shaping of the nova ejecta and associated internal shocks are expected to be widespread among novae, explaining why many novae are gamma-ray emitters
On the ability of spectroscopic SZ effect measurements to determine the temperature structure of galaxy clusters
(abridged) We explore in this paper the ability of spatially resolved
spectroscopic measurements of the SZ effect (SZE) to determine the temperature
profile of galaxy clusters. We derive a general formalism for the thermal SZE
in galaxy clusters with a non-uniform temperature profile that can be applied
to both cool-core clusters and non-cool core cluster with an isothermal or
non-isothermal temperature structure. We derive an inversion technique through
which the electron distribution function can be extracted from spectroscopic
SZE observations over a wide frequency range. We study the fitting procedure to
extract the cluster temperature from a set of simulated spatially resolved
spectroscopic SZE observations in different bands of the spectrum, from 100 to
450 GHz. The results of our analysis for three different cluster prototypes
(A2199 with a low-temperature cool core, Perseus with a relatively
high-temperature cool core, Ophiuchus with an isothermal temperature
distribution) provide both the required precision of the SZE observations and
the optimal frequency bands for a determination of the cluster temperature
similar or better than that obtainable from X-ray observations. The precision
of SZE-derived temperature is also discussed for the outer regions of clusters.
We also study the possibility to extract, from our method, the parameters
characterizing the non-thermal SZE spectrum of the relativistic plasma
contained in the lobes of radio galaxies as well as the spectrum of
relativistic electrons co-spatially distributed with the thermal plasma in
clusters with non-thermal phenomena. We find that the next generation SZE
experiments with spectroscopic capabilities can provide precise temperature
distribution measurements (...)Comment: Submitted to Astronomy & Astrophysic
An Open-System Quantum Simulator with Trapped Ions
The control of quantum systems is of fundamental scientific interest and
promises powerful applications and technologies. Impressive progress has been
achieved in isolating the systems from the environment and coherently
controlling their dynamics, as demonstrated by the creation and manipulation of
entanglement in various physical systems. However, for open quantum systems,
engineering the dynamics of many particles by a controlled coupling to an
environment remains largely unexplored. Here we report the first realization of
a toolbox for simulating an open quantum system with up to five qubits. Using a
quantum computing architecture with trapped ions, we combine multi-qubit gates
with optical pumping to implement coherent operations and dissipative
processes. We illustrate this engineering by the dissipative preparation of
entangled states, the simulation of coherent many-body spin interactions and
the quantum non-demolition measurement of multi-qubit observables. By adding
controlled dissipation to coherent operations, this work offers novel prospects
for open-system quantum simulation and computation.Comment: Pre-review submission to Nature. For an updated and final version see
publication. Manuscript + Supplementary Informatio
Squaring the circle: a priority-setting method for evidence-based service development, reconciling research with multiple stakeholder views.
BACKGROUND: This study demonstrates a technique to aid the implementation of research findings through an example of improving services and self-management in longer-term depression. In common with other long-term conditions, policy in this field requires innovation to be undertaken in the context of a whole system of care, be cost-effective, evidence-based and to comply with national clinical guidelines. At the same time, successful service development must be acceptable to clinicians and service users and choices must be made within limited resources. This paper describes a novel way of resolving these competing requirements by reconciling different sources and types of evidence and systematically engaging multiple stakeholder views.
METHODS: The study combined results from mathematical modelling of the care pathway, research evidence on effective interventions and findings from qualitative research with service users in a series of workshops to define, refine and select candidate service improvements. A final consensus-generating workshop used structured discussion and anonymised electronic voting. This was followed by an email survey to all stakeholders, to achieve a pre-defined criterion of consensus for six suggestions for implementation.
RESULTS: An initial list of over 20 ideas was grouped into four main areas. At the final workshop, each idea was presented in person, visually and in writing to 40 people, who assigned themselves to one or more of five stakeholder groups: i) service users and carers, ii) clinicians, iii) managers, iv) commissioners and v) researchers. Many belonged to more than one group. After two rounds of voting, consensus was reached on seven ideas and one runner up. The survey then confirmed the top six ideas to be tested in practice.
CONCLUSIONS: The method recruited and retained people with diverse experience and views within a health community and took account of a full range of evidence. It enabled a diverse group of stakeholders to travel together in a direction that converged with the messages coming out of the research and successfully yielded priorities for service improvement that met competing requirements
Cell walls of the dimorphic fungal pathogens Sporothrix schenckii and Sporothrix brasiliensis exhibit bilaminate structures and sloughing of extensive and intact layers
This work was supported by the Fundação Carlos Chagas de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ), grants E-26/202.974/2015 and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), grants 229755/2013-5, Brazil. LMLB is a senior research fellow of CNPq and Faperj. NG acknowledged support from the Wellcome Trust (Trust (097377, 101873, 200208) and MRC Centre for Medical Mycology (MR/N006364/1). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Peer reviewedPublisher PD
Photonic quantum technologies
The first quantum technology, which harnesses uniquely quantum mechanical
effects for its core operation, has arrived in the form of commercially
available quantum key distribution systems that achieve enhanced security by
encoding information in photons such that information gained by an eavesdropper
can be detected. Anticipated future quantum technologies include large-scale
secure networks, enhanced measurement and lithography, and quantum information
processors, promising exponentially greater computation power for particular
tasks. Photonics is destined for a central role in such technologies owing to
the need for high-speed transmission and the outstanding low-noise properties
of photons. These technologies may use single photons or quantum states of
bright laser beams, or both, and will undoubtably apply and drive
state-of-the-art developments in photonics
A Highly Parallelized and Vectorized Implementation of Max-Min Ant System on Intel Xeon Phi
The increasing trend in processor design towards many-core architectures with wide vector processing units is largely motivated by the fact that single core performance has hit a ‘power wall’, meaning that performance gains are currently achievable only through increasingly parallel and vectorized execution models. Consequently, applications can only exploit the full performance of modern processors if they achieve high parallel and vector efficiencies. In this paper, we illustrate how this might be achieved for the well-established Ant Colony Optimization metaheuristic. We describe a highly parallel and vectorized variant of the Max-Min Ant System algorithm applied to the Traveling Salesman Problem, and present two novel vectorized algorithms for selecting cities during the tour construction phase. We present experimental results from an implementation on the Intel R Xeon PhiTM platform, which show that very high parallel and vector efficiencies are achieved, and significant speedups are obtained compared to both the reference serial implementation and the previous best Xeon Phi implementation available in the literature
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