To cite: Parry G, Power M. BMJ Qual Saf Published Online First: [please include Day Month Year] doi:10.1136/bmjqs-2015004862 Williams et al describe a well-conducted cluster randomised trial of a stoke quality improvement (QI) initiative, which aimed to improve two inpatient stroke indicators with strong evidence linking them to improved patient outcomes. They randomised five hospitals to recei...

The grinding is one of the most important methods that directly affects tolerances in dimensions, quality and finished surface of products. One of the major problems in the material removal processes specially grinding is the heat generation during the process and the residual tensile stress in the surfaces of product. Therefore, optimization of High Efficiency Deep Grinding (HEDG) process is t...

The endemic Mediterranean seagrass Posidonia oceanica is highly threatened by the increased frequency and intensity of heatwaves. Meadows of the species offer a unique opportunity to unravel mechanisms marine plants activate to cope transient warming, since their wide depth distribution impose divergent heat-tolerance. Understanding these mechanisms is imperative for their conservation. Shallow...

Recordings were made from small and medium diameter dorsal root ganglia (DRG) neurons that expressed transient receptor potential (TRP) proteins. Physiologically characterized skin nociceptors expressed either TRPV1 (type 2) or TRPV2 (type 4) in isolation. Other nociceptors co-expressed both TRP proteins and innervated deep tissue sites (gastrocnemius muscle, distal colon; type 5, type 8) and s...

A model is proposed to analyze the heat transfer of deep borehole exchanger (DBHE)arrays. Based on this, a dimension reduction algorithm for numerical simulation DBHE arrays, which can improve calculation speed by several orders magnitude compared with that CFD software. An index extraction capacity (HECI) adopted evaluate arrays. The influence spacing, operation time, annual heating duration, ...

Because of the fundamental role feedbacks play in determining the response of surface temperature to perturbations in radiative forcing, it is important we understand the dynamic characteristics of these feedbacks. Rather than attribute the aggregate surface temperature feedback to particular physical processes, this paper adopts a linear systems approach to investigate the partitioning with re...

Abyssal global and deep Southern Ocean temperature trends are quantified between the 1990s and 2000s to assess the role of recent warming of these regions in global heat and sea level budgets. The authors 1) compute warming rates with uncertainties along 28 full-depth, high-quality hydrographic sections that have been occupied two or more times between 1980 and 2010; 2) divide the global ocean ...

A study of intracardiac and intravascular temperatures was undertaken with the thought that such measurements might provide further information concerning the mechanisms which normally maintain body temperature within its narrow limits and also that they might help to explain the deviations from normal temperature in certain disease states. Whereas the temperature of the peripheral tissues may ...

Urban systems account for about two-thirds of global primary energy consumption and energy-related greenhouse gas emissions, with a projected increasing trend. Deep geothermal energy and woody biomass can be used for the production of heat, electricity and biofuels, thus constituting a renewable alternative to fossil fuels for all end-uses in cities: heating, cooling, electricity and mobility. ...