The effect of radio frequency interference on the 136- to 138-MHz return link and 400.5- to 401.5-MHz forward link of the Tracking and Data Relay Satellite System

The purpose is to update the RFI estimates in the 136- to 138-MHz VHF band and to make estimates for the first time for the 400.5- to 401.5-MHz UHF band. These preliminary predictions are based on primarily ITU frequency-registration data, with missing data bridged by engineering judgement

Major RFI conditions effecting TDRSS

An evaluation of the radio frequency interference (RFI) conditions which would affect operating frequency band selections and data communications equipment design approaches for the Tracking Data Relay Satellite System (TDRSS) is presented. The subjects discussed are: (1) the scope of the investigation, (2) relative RFI in the frequency bands considered, (3) radar RFI power and duty factor, (4) radio relay communications RFI, (5) radio frequency band usage recommendations, and (6) radar RFI impact areas

New onset strabismus in association with ear pain

Case report of rare diagnosis with peculiar finding

British guideline on the management of asthma: SIGN Clinical Guideline 141, 2014

Overview of national asthma guidance for paediatric

The transition to clinical expert: Enhanced decision making for children aged less than 5years attending the paediatric ED with acute respiratory conditions

© Published by the BMJ Publishing Group Limited. Background Rates of unplanned paediatric admissions are persistently high. Many admissions are short-stay events, lasting less than 48 hours. Objective This qualitative research explores factors that influence clinical decision making in the paediatric ED (PED) for children under 5 attending with acute respiratory conditions, focusing on how management decisions adapt with increasing experience. Method Semi-structured interviews were conducted with 15 PED clinicians (doctors, emergency nurse practitioners and registered nurses) with varying levels of experience in paediatric emergency medicine (PEM), emergency medicine or paediatrics. Audio-recorded interviews were transcribed and analysed thematically. Results There were clear differences in decision-making approaches between experienced clinicians and junior staff. The latter were more risk adverse, relying heavily on guidelines, set admission criteria, clinical theory and second opinions. This was particularly true for doctors. 'Informal' learning was apparent in accounts from less-experienced doctors and nurses, whereby tacit knowledge and risk management played an increasing role in the development of clinical intuition that permitted rapid assessment and treatment of young patients. Conclusions The emergence of intuition entwined with approaches to risk management and the role of these skills in clinical decision making, carry implications for the development of training programmes for clinicians working in PEM. Enhanced training for such groups to permit development of the supplementary skills described in this study could have the ability to improve care delivery and even reduce paediatric admissions

Are you a SCEPTIC? SoCial mEdia Precision and uTility in Conferences

We analysed Twitter feeds at an emergency medicine scientific conference to determine the (1) accuracy of disseminated educational messages and the (2) use in providing rapid feedback to speakers. Most speakers were happy for key messages to be tweeted, and the majority of tweets (34/37) represented these accurately. It is important that speakers and conference organisers consider Twitter use and its potential benefits and disadvantages

Making Sense of Cultural Complexity: An Experimental Study of Third Culture Individuals’ Interpersonal Sensitivity as a Result of Intercultural Adaptation

This study examined third culture individuals, defined as people who lived in a country other than that of their nationality during their developmental years, seeking to determine a difference in interpersonal sensitivity between third culture individuals and mono-cultured persons. While popular literature asserts such specialized skills developed as a result of intercultural adaptation, this assertion has not been empirically supported. Data was collected using web-based surveys, which yielded a sample size of 142. The instrument measured participants\u27 intercultural experience and interpersonal sensitivity in two classifications, emotional sensitivity and social sensitivity. Results showed third culture individuals as having significantly higher social sensitivity than mono-cultured individuals; however, mono-cultured individuals\u27 self-reported aptitude for emotional sensitivity was significantly higher than that of the third culture sample. Additionally, no significant correlation was found between greater intercultural experience and heightened interpersonal sensitivity