130 resultados para Cheshire


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Tephra fallout layers and volcaniclastic deposits, derived from volcanic sources around and on the Papuan Peninsula, form a substantial part of the Woodlark Basin marine sedimentary succession. Sampling by the Ocean Drilling Program Leg 180 in the western Woodlark Basin provides the opportunity to document the distribution of the volcanically-derived components as well as to evaluate their chronology, chemistry, and isotope compositions in order to gain information on the volcanic sources and original magmatic systems. Glass shards selected from 57 volcanogenic layers within the sampled Pliocene-Pleistocene sedimentary sequence show predominantly rhyolitic compositions, with subordinate basaltic andesites, basaltic trachy-andesites, andesites, trachy-andesites, dacites, and phonolites. It was possible to correlate only a few of the volcanogenic layers between sites using geochemical and age information apparently because of the formation of strongly compartmentalised sedimentary realms on this actively rifting margin. In many cases it was possible to correlate Leg 180 volcanic components with their eruption source areas based on chemical and isotope compositions. Likely sources for a considerable number of the volcanogenic deposits are Moresby and Dawson Strait volcanoes (D'Entrecasteaux Islands region) for high-K calc-alkaline glasses. The Dawson Strait volcanoes appear to represent the source for five peralkaline tephra layers. One basaltic andesitic volcaniclastic layer shows affinities to basaltic andesites from the Woodlark spreading tip and Cheshire Seamount. For other layers, a clear identification of the sources proved impossible, although their isotope and chemical signatures suggest similarities to south-west Pacific subduction volcanism, e.g. New Britain and Tonga- Kermadec island arcs. Volcanic islands in the Trobriand Arc (for example, Woodlark Island Amphlett Islands and/or Egum Atoll) are probable sources for several volcaniclastic layers with ages between 1.5 to 3 Ma. The Lusancay Islands can be excluded as a source for the volcanogenic layers found during Leg 180. Generally, the volcanogenic layers indicate much calc-alkaline rhyolitic volcanism in eastern Papua since 3.8 Ma. Starting at 135 ka, however, peralkaline tephra layers appear. This geochemical change in source characteristics might reflect the onset of a change in geotectonic regime, from crustal subduction to spreading, affecting the D'Entrecasteaux Islands region. Initial 143Nd/144Nd ratios as low as 0.5121 and 0.5127 for two of the tephra layers are interpreted as indicating that D'Entrecasteaux Islands volcanism younger than 2.9 Ma occasionally interacted with the Late Archean basement, possibly reflecting the mobilisation of the deep continental crust during active rift propagation.

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A high-resolution, 55-kyr long record of chalcophile and redox-sensitive trace element accumulation (Ag, Cd, Re, Mo) from MD02-2515, western Guaymas Basin, is investigated in conjunction with patterns in stratigraphy and productivity. High opal concentrations (~58 wt. %), representing increased diatom production, coincide with laminated sediments, and dilute the concentrations of organic carbon (Corg) and metals. A similarity between opal and normalized Corg, Ag and Cd concentrations suggests delivery to the sediments by diatom export production, while patterns in normalized Re and Mo accumulation suggest a different emplacement mechanism. Although Mo enrichment in organic-rich, laminated sediments typically represents anoxic conditions at other locations, Mo (and Re) in Guaymas Basin is enriched in nonlaminated and bioturbated sediments that are representative of oxygenated conditions. Adsorption onto Fe- and/or Mn-oxyhydroxide surfaces during oxygenation inadequately explains both the Re and Mo enrichments. Thus, recently published mechanisms invoking direct Re and Mo removal from the water column and bioturbation-assisted irrigation of Re into the sediments are used to explain the counterintuitive observations in Guaymas Basin. The MD02-2515 stratigraphic and proxy records are also different from other records in the northeast Pacific in that there is little correspondence with Greenland Dansgaard-Oeschger interstadials. There is some correlation with Heinrich events, suggesting that ventilation of intermediate waters and/or reduced productivity may be important in controlling stratigraphy and trace element accumulation. The results question whether MD02-2515 records can be compared to northeast Pacific open-margin records, especially before 17 kyr BP.

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Background: Chronic fatigue syndrome, also known as myalgic encephalomyelitis (CFS/ME), is characterized by chronic disabling fatigue and other symptoms, which are not explained by an alternative diagnosis. Previous trials have suggested that graded exercise therapy (GET) is an effective and safe treatment. GET itself is therapist-intensive with limited availability. Objective: While guided self-help based on cognitive behavior therapy appears helpful to patients, Guided graded Exercise Self-help (GES) is yet to be tested. Methods: This pragmatic randomized controlled trial is set within 2 specialist CFS/ME services in the South of England. Adults attending secondary care clinics with National Institute for Health and Clinical Excellence (NICE)-defined CFS/ME (N=218) will be randomly allocated to specialist medical care (SMC) or SMC plus GES while on a waiting list for therapist-delivered rehabilitation. GES will consist of a structured booklet describing a 6-step graded exercise program, supported by up to 4 face-to-face/telephone/Skype™ consultations with a GES-trained physiotherapist (no more than 90 minutes in total) over 8 weeks. The primary outcomes at 12-weeks after randomization will be physical function (SF-36 physical functioning subscale) and fatigue (Chalder Fatigue Questionnaire). Secondary outcomes will include healthcare costs, adverse outcomes, and self-rated global impression change scores. We will follow up all participants until 1 year after randomization. We will also undertake qualitative interviews of a sample of participants who received GES, looking at perceptions and experiences of those who improved and worsened. Results: The project was funded in 2011 and enrolment was completed in December 2014, with follow-up completed in March 2016. Data analysis is currently underway and the first results are expected to be submitted soon. Conclusions: This study will indicate whether adding GES to SMC will benefit patients who often spend many months waiting for rehabilitative therapy with little or no improvement being made during that time. The study will indicate whether this type of guided self-management is cost-effective and safe. If this trial shows GES to be acceptable, safe, and comparatively effective, the GES booklet could be made available on the Internet as a practitioner and therapist resource for clinics to recommend, with the caveat that patients also be supported with guidance from a trained physiotherapist. The pragmatic approach in this trial means that GES findings will be generalizable to usual National Health Service (NHS) practice.

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Knight M, Acosta C, Brocklehurst P, Cheshire A, Fitzpatrick K, Hinton L, Jokinen M, Kemp B, Kurinczuk JJ, Lewis G, Lindquist A, Locock L, Nair M, Patel N, Quigley M, Ridge D, Rivero-Arias O, Sellers S, Shah A on behalf of the UKNeS coapplicant group. Background Studies of maternal mortality have been shown to result in important improvements to women’s health. It is now recognised that in countries such as the UK, where maternal deaths are rare, the study of near-miss severe maternal morbidity provides additional information to aid disease prevention, treatment and service provision. Objectives To (1) estimate the incidence of specific near-miss morbidities; (2) assess the contribution of existing risk factors to incidence; (3) describe different interventions and their impact on outcomes and costs; (4) identify any groups in which outcomes differ; (5) investigate factors associated with maternal death; (6) compare an external confidential enquiry or a local review approach for investigating quality of care for affected women; and (7) assess the longer-term impacts. Methods Mixed quantitative and qualitative methods including primary national observational studies, database analyses, surveys and case studies overseen by a user advisory group. Setting Maternity units in all four countries of the UK. Participants Women with near-miss maternal morbidities, their partners and comparison women without severe morbidity. Main outcome measures The incidence, risk factors, management and outcomes of uterine rupture, placenta accreta, haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, severe sepsis, amniotic fluid embolism and pregnancy at advanced maternal age (≥ 48 years at completion of pregnancy); factors associated with progression from severe morbidity to death; associations between severe maternal morbidity and ethnicity and socioeconomic status; lessons for care identified by local and external review; economic evaluation of interventions for management of postpartum haemorrhage (PPH); women’s experiences of near-miss maternal morbidity; long-term outcomes; and models of maternity care commissioned through experience-led and standard approaches. Results Women and their partners reported long-term impacts of near-miss maternal morbidities on their physical and mental health. Older maternal age and caesarean delivery are associated with severe maternal morbidity in both current and future pregnancies. Antibiotic prescription for pregnant or postpartum women with suspected infection does not necessarily prevent progression to severe sepsis, which may be rapidly progressive. Delay in delivery, of up to 48 hours, may be safely undertaken in women with HELLP syndrome in whom there is no fetal compromise. Uterine compression sutures are a cost-effective second-line therapy for PPH. Medical comorbidities are associated with a fivefold increase in the odds of maternal death from direct pregnancy complications. External reviews identified more specific clinical messages for care than local reviews. Experience-led commissioning may be used as a way to commission maternity services. Limitations This programme used observational studies, some with limited sample size, and the possibility of uncontrolled confounding cannot be excluded. Conclusions Implementation of the findings of this research could prevent both future severe pregnancy complications as well as improving the outcome of pregnancy for women. One of the clearest findings relates to the population of women with other medical and mental health problems in pregnancy and their risk of severe morbidity. Further research into models of pre-pregnancy, pregnancy and postnatal care is clearly needed.

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The workshop will invite participants to engage in a discussion of the characteristics of outstanding leadership by taking part in an interactive activity which we have developed and used in different types of schools and colleges in England. The activity uses Q-methodology to develop and refine characteristics of outstanding leaders and outstanding leadership in education from a range of stakeholder perspectives. Q-methodology is a research method which originates from psychology and is used to study people's subjective viewpoints. We are applying the methodology to the study of enacted leadership practice in different educational contexts. Our sample of stakeholders consists of school and college leaders, governors, middle leaders, teachers, teacher educators, researchers and scholars in educational leadership and management research and practice. The range of contexts in which they work represents different age phases of education; primary, secondary and further education colleges, urban and rural schools and colleges and selective and non-selective schools. In the workshop participants will be invited to take part in the Q-sort activity we have used with in our research, using statements from leadership theory and practice. The Q-sort will be followed by discussion and reflection on the statements in relation to participants’ own experiences of leadership, management and governance in different contexts.

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Le site Gaudreau est un site perturbé et à occupations multiples situé dans le sud-est du Québec, et présente des occupations datant du Paléoindien Récent jusqu’à la période historique. Les occupations Archaïques du site, noté par la présence de bifaces diagnostiques de l’Archaïque Supérieur et de l’Archaïque Terminal et par des Macrooutils de l’Archaïque Moyen et de l’Archaïque Supérieur, sont le sujet principal de ce mémoire. Puisqu’aucune occupation ne peut être différencié horizontalement ni verticalement, et qu’aucun objet non-diagnostique ne peut être associé avec certitude, seul un échantillon de 32 objets ont été observés. Étant donné la faible taille de l’échantillon analysé, il est fort probable qu’un plus grand nombre de sources de matières premières aient été utilisés durant les occupations de l’Archaïque. Toutefois, un réseau de matières premières lithiques similaire à ceux des sites du Lac Mégantic a été observé, avec une forte représentation de la rhyolite Kineo-Traveller et des cherts Appalachiens. Des cherts des Grands Lacs et le quartzite de Cheshire sont aussi présents. Le mudstone silicifié d’origine locale et le quartz sont par contre faiblement représentés dans l’échantillon, probablement dû à un biais de proximité de source. L’analyse technique de l’échantillon, sans contrôle pour les pratiques techno-économiques, dénote plusieurs récurrences techniques à l’intérieur des unités typologiques, sans toutefois appuyer des différences récurrentes significatives entre les matières premières de régions différentes. À cause de la taille de l’échantillon et du contexte perturbé, la pertinence des fortes similarités entre certains objets est douteuse. La segmentation interpersonnelle des chaînes opératoires ne pouvait être déterminée dans l’échantillon. Cependant, les résultats incitent plutôt à croire que les matières premières devaient circuler sous diverses formes. Il peut être considéré que, en dehors des matières premières locales, les occupants Archaïques du site Gaudreau n’avaient pas d’accès direct aux matières premières exogènes.

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Le site Gaudreau est un site perturbé et à occupations multiples situé dans le sud-est du Québec, et présente des occupations datant du Paléoindien Récent jusqu’à la période historique. Les occupations Archaïques du site, noté par la présence de bifaces diagnostiques de l’Archaïque Supérieur et de l’Archaïque Terminal et par des Macrooutils de l’Archaïque Moyen et de l’Archaïque Supérieur, sont le sujet principal de ce mémoire. Puisqu’aucune occupation ne peut être différencié horizontalement ni verticalement, et qu’aucun objet non-diagnostique ne peut être associé avec certitude, seul un échantillon de 32 objets ont été observés. Étant donné la faible taille de l’échantillon analysé, il est fort probable qu’un plus grand nombre de sources de matières premières aient été utilisés durant les occupations de l’Archaïque. Toutefois, un réseau de matières premières lithiques similaire à ceux des sites du Lac Mégantic a été observé, avec une forte représentation de la rhyolite Kineo-Traveller et des cherts Appalachiens. Des cherts des Grands Lacs et le quartzite de Cheshire sont aussi présents. Le mudstone silicifié d’origine locale et le quartz sont par contre faiblement représentés dans l’échantillon, probablement dû à un biais de proximité de source. L’analyse technique de l’échantillon, sans contrôle pour les pratiques techno-économiques, dénote plusieurs récurrences techniques à l’intérieur des unités typologiques, sans toutefois appuyer des différences récurrentes significatives entre les matières premières de régions différentes. À cause de la taille de l’échantillon et du contexte perturbé, la pertinence des fortes similarités entre certains objets est douteuse. La segmentation interpersonnelle des chaînes opératoires ne pouvait être déterminée dans l’échantillon. Cependant, les résultats incitent plutôt à croire que les matières premières devaient circuler sous diverses formes. Il peut être considéré que, en dehors des matières premières locales, les occupants Archaïques du site Gaudreau n’avaient pas d’accès direct aux matières premières exogènes.

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“Aqui, todos são loucos. Eu sou louco. Tu és louca!”, diz o Gato de Cheshire empoleirado numa árvore, donde parece adquirir o ponto de vista abrangente de um esclarecido filósofo, em Alice no País das Maravilhas. Este iluminado pensamento, verbalizado por um animal conotado com a prática da reflexividade e da contemplação, revela-nos como Lewis Carroll usou o nonsense para nos dizer que este nos é muitas vezes imposto sem que se possa controlar nem escapar à perplexidade que nos causa. Todas as definições aprendidas para nos podermos orientar no mundo serão, assim, completamente arbitrárias, não tendo este afinal qualquer sentido a priori, exigindo que cada um lhe atribua o seu próprio sentido. Quando no capítulo VII, intitulado “Um Lanche Maluco”, Alice toma chá com a Lebre de Março e o Chapeleiro, este tenta definir a semelhança surreal entre um corvo e uma secretaria, interpretada por Alice como uma adivinha, mas não havendo para esta qualquer solução, como sem explicação ficarão muitas situações comuns vividas no nosso quotidiano.