1,351 research outputs found
Close-Packing of Clusters: Application to Al_100
The lowest energy configurations of close-packed clusters up to N=110 atoms
with stacking faults are studied using the Monte Carlo method with Metropolis
algorithm. Two types of contact interactions, a pair-potential and a many-atom
interaction, are used. Enhanced stability is shown for N=12, 26, 38, 50, 59,
61, 68, 75, 79, 86, 100 and 102, of which only the sizes 38, 75, 79, 86, and
102 are pure FCC clusters, the others having stacking faults. A connection
between the model potential and density functional calculations is studied in
the case of Al_100. The density functional calculations are consistent with the
experimental fact that there exist epitaxially grown FCC clusters starting from
relatively small cluster sizes. Calculations also show that several other
close-packed motifs existwith comparable total energies.Comment: 9 pages, 7 figure
Clinical, radiologic, pathologic, and molecular characteristics of long-term survivors of diffuse intrinsic pontine glioma (DIPG): a collaborative report from the International and European Society for Pediatric Oncology DIPG registries
Purpose Diffuse intrinsic pontine glioma (DIPG) is a brainstem malignancy with a median survival of < 1 year. The International and European Society for Pediatric Oncology DIPG Registries collaborated to compare clinical, radiologic, and histomolecular characteristics between short-term survivors (STSs) and long-term survivors (LTSs). Materials and Methods Data abstracted from registry databases included patients from North America, Australia, Germany, Austria, Switzerland, the Netherlands, Italy, France, the United Kingdom, and Croatia. Results Among 1,130 pediatric and young adults with radiographically confirmed DIPG, 122 (11%) were excluded. Of the 1,008 remaining patients, 101 (10%) were LTSs (survival ≥ 2 years). Median survival time was 11 months (interquartile range, 7.5 to 16 months), and 1-, 2-, 3-, 4-, and 5-year survival rates were 42.3% (95% CI, 38.1% to 44.1%), 9.6% (95% CI, 7.8% to 11.3%), 4.3% (95% CI, 3.2% to 5.8%), 3.2% (95% CI, 2.4% to 4.6%), and 2.2% (95% CI, 1.4% to 3.4%), respectively. LTSs, compared with STSs, more commonly presented at age < 3 or > 10 years (11% v 3% and 33% v 23%, respectively; P < .001) and with longer symptom duration ( P < .001). STSs, compared with LTSs, more commonly presented with cranial nerve palsy (83% v 73%, respectively; P = .008), ring enhancement (38% v 23%, respectively; P = .007), necrosis (42% v 26%, respectively; P = .009), and extrapontine extension (92% v 86%, respectively; P = .04). LTSs more commonly received systemic therapy at diagnosis (88% v 75% for STSs; P = .005). Biopsies and autopsies were performed in 299 patients (30%) and 77 patients (10%), respectively; 181 tumors (48%) were molecularly characterized. LTSs were more likely to harbor a HIST1H3B mutation (odds ratio, 1.28; 95% CI, 1.1 to 1.5; P = .002). Conclusion We report clinical, radiologic, and molecular factors that correlate with survival in children and young adults with DIPG, which are important for risk stratification in future clinical trials
Copyright Solutions for Institutional Repositories: A Collaboration With Subject Librarians
This work investigates using subject librarians to conduct copyright clearance in an institutional repository (IR). At Utah State University, the library assures copyright clearance for faculty scholarship, thereby garnering input of faculty scholarship into the IR. Currently, subject librarians are not widely participating in routine IR work; however, the involvement of subject librarians with the IR offers benefits to the subject librarians and the institution as a whole. This article provides a model for institutions needing new solutions for copyright clearance using subject librarians and discusses the rationale, benefits and challenges of adopting this model
Evidence for a hopping mechanism in metal|single molecule|metal junctions involving conjugated metal–terpyridyl complexes; potential-dependent conductances of complexes [M(pyterpy)₂] ²⁺ (M = Co and Fe; pyterpy = 4′-(pyridin-4-yl)-2,2′:6′,2′′-terpyridine) in ionic liquid
Extensive studies of various families of conjugated molecules in metal|molecule|metal junctions suggest that the mechanism of conductance is usually tunnelling for molecular lengths < ca. 4 nm, and that for longer molecules, coherence is lost as a hopping element becomes more significant. In this work we present evidence that, for a family of conjugated, redox-active metal complexes, hopping may be a significant factor for even the shortest molecule studied (ca. 1 nm between contact atoms). The length dependence of conductance for two series of such complexes which differ essentially in the number of conjugated 1,4-C₆H₄- rings in the structures has been studied, and it is found that the junction conductances vary linearly with molecular length, consistent with a hopping mechanism, whereas there is significant deviation from linearity in plots of log(conductance) vs. length that would be characteristic of tunnelling, and the slopes of the log(conductance)–length plots are much smaller than expected for an oligophenyl system. Moreover, the conductances of molecular junctions involving the redox–active molecules, [M(pyterpy)₂] ²⁺/³⁺ (M = Co, Fe) have been studied as a function of electrochemical potential in ionic liquid electrolyte, and the conductance–overpotential relationship is found to fit well with the Kuznetsov–Ulstrup relationship, which is essentially a hopping description
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Factors associated with quality of life and mood in adults with strabismus
Background/Aims To explore the factors associated with the mood and quality of life (QoL) of patients with strabismus due to undergo realignment surgery. Methods A cross-sectional study was undertaken with adult patients. Along with demographic, clinical and psychosocial process variables, the Hospital Anxiety and Depression Scale and AS-20 QoL measures were administered. Regression models were used to identify the factors associated with QoL and mood. Results Of the 220 participants, 11% were experiencing clinical levels of depression, and 24% clinical anxiety. This is in line with other forms of facial disfigurement but higher than other chronic diseases. Although mood and QoL were associated with age and diplopia, it was beliefs and cognitions which were more consistently associated with well-being. This included feelings of social anxiety and avoidance, a belief that strabismus has negative consequences, poor understanding of strabismus, social support, fear of negative evaluation and the perceived visibility of their condition. Conclusions Psychosocial rather than clinical characteristics were identified as determinants of wellbeing in this population. It is important for clinicians planning surgery to be aware of these factors which could influence outcomes. Longitudinal studies need to be conducted to explore the direction of causality before interventions to improve well-being are developed and evaluated
The Cassandra Project- building a sustainable workload activity model for future community and district nursing workforce capacity planning
Purpose
This paper presents work in progress from a two year mixed methods study in the UK to evaluate the impact of a community nursing workload activity tool as a mechanism for modelling optimum caseloads to underpin decisions about safe staffing levels. Current methods of measuring workload and output in the community context are not robust enough to capture the complexity of care differences in rural and urban populations. Many teams have heavy caseloads, poor/inappropriate referrals, and an inability to state when capacity has been reached. .
Research Aim
To develop and evaluate a robust model to predict and plan for optimum community nursing caseload activity within a whole system.
Research Objectives
1. To develop a taxonomy and associated database that provides a consistent language for describing community nursing interventions that can be used to provide reliable and comparable metrics.
2. To determine the utility of the Cassandra tool in capturing community nursing interventions.
3 To use the data collected to build an inter-relational model of community nursing practice that can be used to determine, case-load, activity and develop a predictive model.
4. To evaluate the usability of the model in assisting managers and local decision-makers in workforce planning.
5. To assess the effectiveness of the model in capturing community nursing care left undone or missed
6. To explore how the model interrelates community nursing caseload activity with other care provision in a whole system.
Methods
Informed by critical realism, which attempts to understand real world issues, the design is guided by optimum caseload modelling, and given the multivariate nature of the environment in which workload activity takes place, a multiple case study evaluation across six NHS Pilot sites in England. Full ethical approval is in place.
Results
Results from case study sites demonstrated we have created a robust tool that captures an accurate picture of the multidimensional complexity of community nursing intervention, context of care, users of care and care left undone and are beginning to mine the data to identify patterns and relationships to build and test more accurate predictive optimum caseload activity tools to support workforce planning around patient acuity and skill mix, and provide an economic analysis of the cost of care left undone. Application in international contexts will be considered.
Conclusions
The tool can accurately capture a representative picture of how community and district nurses spend their time by generating both individual and organisational level reports. This reporting is speedy and enables workforce planners to work with robust evidence to make decisions about commissioning education for nurses, identifying skills shortages to target recruitment and retention activities, and to underpin decision making about commissioning services and the workforce required to provide high quality care
Critical Buckling Load for Lattice Column Elements with Variable Dimensions
Lattice structures are used in a variety of high-value engineering applications; for example, in automobile, aerospace and biomedical applications, due to their light weight, high specific strength, stiffness, heat transfer control and energy absorption. Additive Manufacturing (AM) technologies, such as Selective Laser Melting (SLM), offer radical net-shape manufacturing solutions for metallic structures directly from digital data. The prediction of AM lattice structure mechanical properties prior to manufacture is both cost and time-consuming; particularly as existing models do not readily accommodate the effects of manufacturing defects and lattice node geometry on column buckling. The critical buckling load of columns was algebraically and numerically simulated for a full Design of Experiments (DOE) of independent variables, including column length, column radius, node radius and material type. This simulation data quantifies the effect of independent variables on critical buckling load and demonstrates the limitations of algebraically prediction. This research can be extended to allow the simulation of the load carrying capacity of entire lattice structures; and to accommodate the effect of manufacturing variation on the associated load carrying capacity of AM lattice structures
Developing a caseload model to reflect the complexity of district and community nursing
A study by the England Centre for Practice Development proposes to develop and evaluate an optimum caseload model for district and community nursing, building on two rounds of funded pilot research in the south east of England using the Cassandra MatrixTM. It addresses national calls for a strategic capacity-and-demand model to measure and reflect the multidimensional complexity of the community nursing workload, maximising the potential of the workforce to meet the needs of clients with increasingly complex comorbidities and interdependencies. It also addresses the ambitions of the NHS Five Year Forward View to enable planned growth of the workforce for the future
The Cassandra project: recognising the multidimensional complexity of community nursing for workforce development
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