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Sample records for studies utilising dehydroabietic

  1. (+)-Dehydroabietic Acid, an Abietane-Type Diterpene, Inhibits Staphylococcus aureus Biofilms in Vitro

    PubMed Central

    Fallarero, Adyary; Skogman, Malena; Kujala, Janni; Rajaratnam, Mohanathas; Moreira, Vânia M.; Yli-Kauhaluoma, Jari; Vuorela, Pia

    2013-01-01

    Potent drugs are desperately needed to counteract bacterial biofilm infections, especially those caused by gram-positive organisms, such as Staphylococcus aureus. Moreover, anti-biofilm compounds/agents that can be used as chemical tools are also needed for basic in vitro or in vivo studies aimed at exploring biofilms behavior and functionability. In this contribution, a collection of naturally-occurring abietane-type diterpenes and their derivatives was tested against S. aureus biofilms using a platform consisting of two phenotypic assays that have been previously published by our group. Three active compounds were identified: nordehydroabietylamine (1), (+)-dehydroabietic acid (2) and (+)-dehydroabietylamine (3) that prevented biofilm formation in the low micromolar range, and unlike typical antibiotics, only 2 to 4-fold higher concentrations were needed to significantly reduce viability and biomass of existing biofilms. Compound 2, (+)-dehydroabietic acid, was the most selective towards biofilm bacteria, achieving high killing efficacy (based on log Reduction values) and it was best tolerated by three different mammalian cell lines. Since (+)-dehydroabietic acid is an easily available compound, it holds great potential to be used as a molecular probe in biofilms-related studies as well as to serve as inspirational chemical model for the development of potent drug candidates. PMID:23739682

  2. The synthesis and BK channel-opening activity of N-acylaminoalkyloxime derivatives of dehydroabietic acid.

    PubMed

    Cui, Yong-Mei; Liu, Xin-Lan; Zhang, Wen-Ming; Lin, Hai-Xia; Ohwada, Tomohiko; Ido, Katsutoshi; Sawada, Kohei

    2016-01-15

    A series of N-acylaminoalkyloxime derivatives of dehydroabietic acid were synthesized and evaluated for BK channel-opening activities in an assay system of CHO-K1 cells expressing hBK? channels. The structure-activity relationship study revealed that a non-covalent interaction between the S atom of the 2-thiophene and the carbonyl O atom may contribute to conformation restriction for interaction with the ion channel. This research could guide the design and synthesis of novel abietane-based BK channel opener. PMID:26707391

  3. New derivatives of dehydroabietic acid target planktonic and biofilm bacteria in Staphylococcus aureus and effectively disrupt bacterial membrane integrity.

    PubMed

    Manner, Suvi; Vahermo, Mikko; Skogman, Malena E; Krogerus, Sara; Vuorela, Pia M; Yli-Kauhaluoma, Jari; Fallarero, Adyary; Moreira, Vânia M

    2015-09-18

    The combination of the dehydroabietic acid scaffold with different amino acids resulted in the discovery of a new class of hybrid compounds that targets both planktonic and biofilms bacteria in Staphylococcus aureus strains and are far more potent anti-biofilm agents than conventional antibiotics. Unlike dehydroabietic acid, these compounds can disrupt biofilms within a short time period and compromise the integrity of the bacterial membrane. Two of the compounds identified in our study are the most potent abietane-type anti-biofilm agents reported so far and display robust activity against pre-formed biofilms at concentrations only 3-6-fold higher than those required to inhibit biofilm formation. Their easy preparation based on proteolysis-resistant d- and unusual amino acids makes them useful chemical probes to gain a deeper understanding of bacterial biofilms and outstanding candidates for further development into new drugs to fight infections. PMID:26241878

  4. A new isolation method for biomass-burning tracers in snow: Measurements of p-hydroxybenzoic, vanillic, and dehydroabietic acids

    NASA Astrophysics Data System (ADS)

    Gao, Shaopeng; Liu, Dameng; Kang, Shichang; Kawamura, Kimitaka; Wu, Guangming; Zhang, Guoshuai; Cong, Zhiyuan

    2015-12-01

    Organic acids such as p-hydroxybenzoic, vanillic, and dehydroabietic acids are unique biomass-burning tracers for black carbon (BC) and dissolved organic carbon (DOC) in the snow of mountain glaciers, Arctic and Antarctic ice sheets. In this study, we developed a method by solid-phase extraction (SPE) coupled with gas chromatography/ion trap mass spectrometry for the determination of those organic acids in snow. The limit of detection (LOD) is 0.002, 0.001, 0.004 ng mL-1 for p-hydroxybenzoic, vanillic, and dehydroabietic acids, respectively. For p-hydroxybenzoic and vanillic acids, all the four SPE cartridges used produce good recoveries (>75%). However, for dehydroabietic acid, HLB cartridge has much better performance than DPA, FEP-2 and PAX cartridges. The method was applied to the snow samples collected from Zhadang Glacier in the Tibetan Plateau (TP), and demonstrated its feasibility in pretreating and detecting of these target compounds. We found that BC and DOC accumulated in the snow during winter and spring over the TP glaciers are mainly derived from biomass burning. This result demonstrates the capability of our analytical method for a deep understanding on the source of carbonaceous materials in snow.

  5. Optimal radiotherapy utilisation rate in developing countries: An IAEA study.

    PubMed

    Rosenblatt, Eduardo; Barton, Michael; Mackillop, William; Fidarova, Elena; Cordero, Lisbeth; Yarney, Joel; Lim, Gerard; Abad, Anthony; Cernea, Valentin; Stojanovic-Rundic, Suzana; Strojan, Primoz; Kobachi, Lotfi; Quarneti, Aldo

    2015-07-01

    Optimal radiotherapy utilisation rate (RTU) is the proportion of all cancer cases that should receive radiotherapy. Optimal RTU was estimated for 9 Middle Income Countries as part of a larger IAEA project to better understand RTU and stage distribution. PMID:26164776

  6. Activity of dehydroabietic acid derivatives against wood contaminant fungi.

    PubMed

    Savluchinske-Feio, Sonia; Nunes, Lina; Pereira, Pablo Tavares; Silva, Ana M; Roseiro, José C; Gigante, Bárbara; Marcelo Curto, Maria João

    2007-09-01

    The antifungal activity of 10 dehydroabietic acid derivatives with different configuration in A and B rings (cis/trans A/B junction) and different substituents and/or functionalities was evaluated in bioassays in vitro and in situ (pine wood blocks). The test compounds dissolved in acetone were assayed at several concentrations w/w (test compound/culture medium) against the fungi. The Relative Inhibition (RI) was determined by measuring the radial growth of colonies of the fungi treated with the test compounds by comparison with those of control cultures; the results are expressed as EC(50). The results of bioassays in vitro have shown that hydroxyl and aldehyde functions are required for antifungal activity in this group of compounds and deisopropylation can increase the activity. Our assay of antifungal activity in situ (in pine wood blocks) provides a means to investigate the preservative activities of these antifungal compounds under actual conditions of use. The dehydroabietic acid derivative cis-deisopropyldehydroabietanol (10) inhibited the growth of several of the fungi tested, in vitro and in situ. The results obtained in situ with the test compound (10) at 6% and 8% were not significantly different from the reference products and a good level of protection of the wood against the organisms tested was achieved. The results in wood bioassays present new possibilities in the search for natural new compounds in the wood protection, as an alternative to conventional fungicides. PMID:17628730

  7. Feasibility study for an innovative industrial red mud utilisation method.

    PubMed

    Kounalakis, Petros; Aravossis, Konstantinos; Karayianni, ChS

    2016-02-01

    Red mud is a high volume industrial waste, and its management poses a unique challenge. For the utilisation of red mud, an economical, energy saving, environmental friendly and widely applicable method has been found. The proposed novel method is purely chemical, and achieves the recovery of all the oxides contained in red mud totally and transforms them into high value added products. The present work shows that an investment in an industrial plant, treating red mud and turning a toxic industrial waste in commercial products, is safe and viable. PMID:26608901

  8. Illness behaviour and general practice utilisation: a prospective study.

    PubMed

    Pilowsky, I; Smith, Q P; Katsikitis, M

    1987-01-01

    The Illness Behaviour Questionnaire (IBQ) was used to compare general practice patients who presented physical complaints in the absence of objective pathology, with those in whom the presence of pathology was established. Patients without pathology showed a greater conviction as to the presence of disease, and greater degrees of anxiety, depression and irritability. Males and females differed on their IBQ scores: males showing more disease conviction, somatic focusing and hypochondriasis. Utilisation of general practitioner services (as indicated by the number of visits in the six months subsequent to completing the IBQ) was associated with greater age, and for the group as a whole, utilisation was predicted by higher scores on the following IBQ scales: disease conviction, affective disturbance and disease affirmation. This was also the case for males, but in females only affective disturbance correlated with a greater number of visits. Four patterns were delineated in the relationship between age, illness behaviour variables, the presence or absence of objective pathology, and G.P. contacts. PMID:3585819

  9. EIMS Fragmentation Pathways and MRM Quantification of 7?/?-Hydroxy-Dehydroabietic Acid TMS Derivatives

    NASA Astrophysics Data System (ADS)

    Rontani, Jean-François; Aubert, Claude; Belt, Simon T.

    2015-09-01

    EI mass fragmentation pathways of TMS derivatives ?f 7?/?-hydroxy-dehydroabietic acids resulting from NaBH4-reduction of oxidation products of dehydroabietic acid (a component of conifers) were investigated and deduced by a combination of (1) low energy CID-GC-MS/MS, (2) deuterium labeling, (3) different derivatization methods, and (4) GC-QTOF accurate mass measurements. Having identified the main fragmentation pathways, the TMS-derivatized 7?/?-hydroxy-dehydroabietic acids could be quantified in multiple reaction monitoring (MRM) mode in sea ice and sediment samples collected from the Arctic. These newly characterized transformation products of dehydroabietic acid constitute potential tracers of biotic and abiotic degradation of terrestrial higher plants in the environment.

  10. EIMS Fragmentation Pathways and MRM Quantification of 7α/β-Hydroxy-Dehydroabietic Acid TMS Derivatives.

    PubMed

    Rontani, Jean-François; Aubert, Claude; Belt, Simon T

    2015-09-01

    EI mass fragmentation pathways of TMS derivatives οf 7α/β-hydroxy-dehydroabietic acids resulting from NaBH(4)-reduction of oxidation products of dehydroabietic acid (a component of conifers) were investigated and deduced by a combination of (1) low energy CID-GC-MS/MS, (2) deuterium labeling, (3) different derivatization methods, and (4) GC-QTOF accurate mass measurements. Having identified the main fragmentation pathways, the TMS-derivatized 7α/β-hydroxy-dehydroabietic acids could be quantified in multiple reaction monitoring (MRM) mode in sea ice and sediment samples collected from the Arctic. These newly characterized transformation products of dehydroabietic acid constitute potential tracers of biotic and abiotic degradation of terrestrial higher plants in the environment. PMID:26138887

  11. The conifer biomarkers dehydroabietic and abietic acids are widespread in Cyanobacteria

    PubMed Central

    Costa, Maria Sofia; Rego, Adriana; Ramos, Vitor; Afonso, Tiago B.; Freitas, Sara; Preto, Marco; Lopes, Viviana; Vasconcelos, Vitor; Magalhães, Catarina; Leão, Pedro N.

    2016-01-01

    Terpenes, a large family of natural products with important applications, are commonly associated with plants and fungi. The diterpenoids dehydroabietic and abietic acids are defense metabolites abundant in resin, and are used as biomarkers for conifer plants. We report here for the first time that the two diterpenoid acids are produced by members of several genera of cyanobacteria. Dehydroabietic acid was isolated from two cyanobacterial strains and its identity was confirmed spectroscopically. One or both of the diterpenoids were detected in the cells of phylogenetically diverse cyanobacteria belonging to four cyanobacterial ‘botanical orders’, from marine, estuarine and inland environments. Dehydroabietic acid was additionally found in culture supernatants. We investigated the natural role of the two resin acids in cyanobacteria using ecologically-relevant bioassays and found that the compounds inhibited the growth of a small coccoid cyanobacterium. The unexpected discovery of dehydroabietic and abietic acids in a wide range of cyanobacteria has implications for their use as plant biomarkers. PMID:26996104

  12. Floodwater utilisation values of wetland services - a case study in Northeastern China

    NASA Astrophysics Data System (ADS)

    Lü, S. B.; Xu, S. G.; Feng, F.

    2012-02-01

    Water plays a significant role in wetlands. Floodwater utilisation in wetlands brings a wide range of wetland services, from goods production and water regulation to animal protection and aesthetics related to water supply in wetlands. In this study, the floodwater utilisation values of wetland services were estimated within the Momoge wetland and Xianghai wetland in western Jilin province of northeastern China. From 2003 to 2008, the floodwater diverted from the Nenjiang and Tao'er River is 381 million m3, which translates into a monetary value of approximately 1.35 billion RMB in 2008 (RMB: Chinese Currency, RMB 6.80 = US 1), and the ratio of economic value, eco-environmental value, and social value is 1:12:2. Besides the monetary value of the water itself, excessive floodwater utilisation may bring losses to wetlands; the threshold floodwater utilisation volumes in wetlands are discussed. Floodwater utilisation can alleviate water shortages in wetlands, and the evaluation of floodwater utilisation in wetland services in monetary terms is a guide for the effective use of the floodwater resources and for the conservation of wetlands.

  13. Factors influencing health care utilisation among Aboriginal cardiac patients in central Australia: a qualitative study

    PubMed Central

    2013-01-01

    Background Aboriginal Australians suffer from poorer overall health compared to the general Australian population, particularly in terms of cardiovascular disease and prognosis following a cardiac event. Despite such disparities, Aboriginal Australians utilise health care services at much lower rates than the general population. Improving health care utilisation (HCU) among Aboriginal cardiac patients requires a better understanding of the factors that constrain or facilitate use. The study aimed to identify ecological factors influencing health care utilisation (HCU) for Aboriginal cardiac patients, from the time of their cardiac event to 6–12 months post-event, in central Australia. Methods This qualitative descriptive study was guided by an ecological framework. A culturally-sensitive illness narrative focusing on Aboriginal cardiac patients’ “typical” journey guided focus groups and semi-structured interviews with Aboriginal cardiac patients, non-cardiac community members, health care providers and community researchers. Analysis utilised a thematic conceptual matrix and mixed coding method. Themes were categorised into Predisposing, Enabling, Need and Reinforcing factors and identified at Individual, Interpersonal, Primary Care and Hospital System levels. Results Compelling barriers to HCU identified at the Primary Care and Hospital System levels included communication, organisation and racism. Individual level factors related to HCU included language, knowledge of illness, perceived need and past experiences. Given these individual and health system barriers patients were reliant on utilising alternate family-level supports at the Interpersonal level to enable their journey. Conclusion Aboriginal cardiac patients face significant barriers to HCU, resulting in sub-optimal quality of care, placing them at risk for subsequent cardiovascular events and negative health outcomes. To facilitate HCU amongst Aboriginal people, strategies must be implemented to improve communication on all levels and reduce systemic barriers operating within the health system. PMID:23497140

  14. Analysis of abietic acid and dehydroabietic acid residues in raw ducks and cooked ducks.

    PubMed

    Zhu, Yongzhi; Zhang, Suzhen; Geng, Zhiming; Wang, Daoying; Liu, Fang; Zhang, Muhan; Bian, Huan; Xu, Weimin

    2014-10-01

    Rosin was once widely used for removal of duck feathers in China and is still being used secretly in some poultry processing enterprises. Abietic acid (AA) and dehydroabietic acid (DHAA) are the major compounds of rosin. In the present study, 90 duck samples were collected for investigation of AA and DHAA residues. Abietic acid and DHAA were simultaneously detected in 13 out 40 raw ducks, 8 out of 26 water-boiled salted ducks, and 7 out of 24 roasted ducks, respectively. In positive samples, averages of AA were significantly higher than those of DHAA in positive samples of the 3 types of ducks (P < 0.05). Averages of AA and DHAA in positive raw ducks were significantly higher than those in positive roasted ducks (P < 0.05). The results indicated that almost one-third of raw ducks were defeathered by means of rosin-containing defeathering agent, and cooking processes could reduce the AA and DHAA residues to some extent, but could not eliminate them completely. PMID:25104764

  15. Synthesis and antiproliferative activity of some novel triazole derivatives from dehydroabietic acid.

    PubMed

    Pertino, Mariano Walter; Verdugo, Valery; Theoduloz, Cristina; Schmeda-Hirschmann, Guillermo

    2014-01-01

    Dehydroabietic acid (DHA) is a naturally occurring diterpene with different and relevant biological activities. Previous studies have shown that some DHA derivatives display antiproliferative activity. However, the reported compounds did not include triazole derivatives. Starting from DHA (8,11,13-abietatrien-18-oic acid), and its alcohol dehydroabietinol (8,11,13-abietatrien-18-ol), four alkyl esters were prepared. The alkyl terpenes were treated with different aromatic azides to synthesize hybrid compounds using click chemistry. Some 16 new DHA hybrids were thus synthesized and their structures were confirmed by spectroscopic and spectrometric means. The antiproliferative activity of the new compounds was assessed towards human cell lines, namely normal lung fibroblasts (MRC-5), gastric epithelial adenocarcinoma (AGS), lung cancer (SK-MES-1) and bladder carcinoma (J82) cells. Better antiproliferative effect was found for compound 5, with an IC50 of 6.1 ?M and selectivity on SK-MES-1 cells. Under the same experimental conditions, the IC50 of etoposide, was 1.83 µM. PMID:24566318

  16. Drug Utilisation Study in a Tertiary Care Center: Recommendations for Improving Hospital Drug Dispensing Policies

    PubMed Central

    Mittal, Niti; Mittal, R.; Singh, I.; Shafiq, Nusrat; Malhotra, S.

    2014-01-01

    Drug therapy accounts for a major portion of health expenditure. A useful strategy for achieving cost efficient healthcare is drug utilisation research as it forms the basis for making amendments in drug policies and helps in rational drug use. The present observational study was conducted to generate data on drug utilization in inpatients of our tertiary care hospital to identify potential targets for improving drug prescribing patterns. Data was collected retrospectively from randomly selected 231 medical records of patients admitted in various wards of the hospital. WHO Anatomical Therapeutic Chemical/Defined Daily Dose methodology was used to assess drug utilisation data and drug prescriptions were analysed by WHO core drug indicators. Antibiotics were prescribed most frequently and also accounted for majority of drug costs. The prescribed daily dose for most of the antibiotics corresponded to defined daily dose reflecting adherence to international recommendations. Brand name prescribing and polypharmacy was very common.78% of the total drugs prescribed were from the National List of Essential Medicines 2003. Restricting the use of newer and costlier antibiotics, branded drugs and number of drugs per prescription could be considered as targets to cut down the cost of drug therapysignificantly. PMID:25284928

  17. Ice core records of biomass burning tracers (levoglucosan and dehydroabietic, vanillic and p-hydroxybenzoic acids) and total organic carbon for past 300 years in the Kamchatka Peninsula, Northeast Asia

    NASA Astrophysics Data System (ADS)

    Kawamura, Kimitaka; Izawa, Yusuke; Mochida, Michihiro; Shiraiwa, Takayuki

    2012-12-01

    We successfully detected biomass burning tracers including levoglucosan and vanillic, p-hydroxybenzoic and dehydroabietic acids in an ice core (153 m long, ca. 300 years old) taken from Ushkovsky ice cap (altitude, 3903 m), the Kamchatka Peninsula, Northeast Asia. Concentrations of total organic carbon (TOC) were also determined in the ice core. Levoglucosan, which is produced by pyrolysis of cellulose and hemicellulose and thus is a general tracer of biomass burning, showed sporadic peaks in the years of 1705, 1759, 1883, 1915, 1949 and 1972, with the largest peak in 1949. However, its concentrations did not show a systematic increase in the last century although the concentration peaks seemingly corresponded to the higher ambient temperatures in the northern high latitudes. In contrast, dehydroabietic acid, a specific tracer of the pyrolysis of conifer resin, showed a gradual increase from the early 1900s to 1990s with a significant peak in 1970. Contributions of dehydroabietic acid to TOC also showed an increasing trend for the 20th century. Similarly, vanillic and p-hydroxybenzoic acids presented higher concentrations in the last half-century with sporadic peaks in 1705, 1759 and 1949. This study showed that general biomass burning tracers such as levoglucosan have been sporadically transported over the glacier of the Kamchatka Peninsula. In contrast, the ice core record of dehydroabietic acid indicated that fires of boreal conifer forest have more frequently and increasingly occurred in Far East and Siberia during the last century and transported to the Northwestern Pacific. The present study demonstrates that organic tracers of biomass burning preserved in ice core could provide historical records of biomass burning and boreal forest fires.

  18. Implementation and utilisation of community-based mortality surveillance: a case study from Chad

    PubMed Central

    2012-01-01

    Background Prospective surveillance is a recognised approach for measuring death rates in humanitarian emergencies. However, there is limited evidence on how such surveillance should optimally be implemented and on how data are actually used by agencies. This case study investigates the implementation and utilisation of mortality surveillance data by Médecins Sans Frontières (MSF) in eastern Chad. We aimed to describe and analyse the community-based mortality surveillance system, trends in mortality data and the utilisation of these data to guide MSF’s operational response. Methods The case study included 5 MSF sites including 2 refugee camps and 3 camps for internally displaced persons (IDPs). Data were obtained through key informant interviews and systematic review of MSF operational reports from 2004–2008. Results Mortality data were collected using community health workers (CHWs). Mortality generally decreased progressively. In Farchana and Breidjing refugee camps, crude death rates (CDR) decreased from 0.9 deaths per 10,000 person-days in 2004 to 0.2 in 2008 and from 0.7 to 0.1, respectively. In Gassire, Ade and Kerfi IDP camps, CDR decreased from 0.4 to 0.04, 0.3 to 0.04 and 1.0 to 0.3. Death rates among children under 5 years (U5DR) followed similar trends. CDR and U5DR crossed emergency thresholds in one site, Kerfi, where CDR rapidly rose to 2.1 and U5DR to 7.9 in July 2008 before rapidly decreasing to below emergency levels by September 2008. Discussion Mortality data were used regularly to monitor population health status and on two occasions as a tool for advocacy. Lessons learned included the need for improved population estimates and standardized reporting procedures for improved data quality and dissemination; the importance of a simple and flexible model for data collection; and greater investment in supervising CHWs. Conclusions This model of community based mortality surveillance can be adapted and used by humanitarian agencies working in complex settings. Humanitarian organisations should however endeavour to disseminate routinely collected mortality data and improve utilisation of data for operational planning and evaluation. Accurate population estimation continues to be a challenge, limiting the accuracy of mortality estimates. PMID:23186330

  19. Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data

    PubMed Central

    Lee, Chang-Hoon; Kim, Jimin; Jang, Eun Jin; Kim, Yun Jung; Choi, Seongmi; Lee, Joon-Ho; Kim, Deog Kyeom; Yim, Jae-Joon; Yoon, Ho Il

    2015-01-01

    Objectives Few nationwide population-based studies have examined the burden of asthma during pregnancy. Here, we investigated the burden and medical treatment of asthma during pregnancy requiring healthcare utilisation in South Korea. Design Cohort study. Setting Nationwide insurance claims database. Participants A total of 1?306?281 pregnant women who delivered in South Korea in 2009–2011. Outcomes The prevalence and exacerbation rates of asthma requiring healthcare utilisation, and the prescription of antiasthmatic drugs during pregnancy. Results The prevalence of asthma requiring healthcare utilisation was 0.43% among pregnant women. Among those with asthma requiring healthcare utilisation, 6.9% were hospitalised and treated with systemic steroids and short-acting ?2-agonists during pregnancy. Oral drugs were prescribed less during the third trimester than during the first trimester (all p values for trends were <0.001). A significant number of patients with asthma were likely to stop taking antiasthmatic drugs after becoming pregnant. Conclusions The prevalence of asthma requiring healthcare utilisation during pregnancy was not very high. However, a significant number of women were likely to stop taking antiasthmatic drugs, and those who did tended to experience exacerbations. PMID:26546138

  20. Morphometric study on the development of magnocellular neurons of the supraoptic nucleus utilising immunohistochemical methods.

    PubMed Central

    Lazcano, M A; Bentura, M L; Toledano, A

    1990-01-01

    Vasopressin (VP)- and oxytocin (OXY)-producing neurons, components of the rat supraoptic nucleus, have been located with immunohistochemical methods, with the purpose of studying their morphofunctional characteristics during different phases of life (embryonic, juvenile, adult and senile). To carry out this study, an IBAS I (Kontron) computerised image analyser has been utilised. The hormone VP is first detected in the neuronal cytoplasm of 21 days old rat embryos and the hormone OXY appears in the neuronal cytoplasm later, in the newborn phase. The neuronal area with a positive reaction for the two neurohormones has been evaluated and it has been found that the quantity of reaction substance is proportional to the age. In the adult period, VP neurons possess a reaction area (198 microns 2) greater than that of OXY neurons (153 microns 2). In the SON, there are two neuronal shapes, fusiform and round; these shapes coexist in both hormonal types of neurons. Until Day 15 of postnatal development, the SON neurons are intermixed in the interior of the nucleus but in this period a neuronal redistribution is initiated. In the adult phase, OXY neurons are situated preferentially in the anterior, posterior and dorsal parts and VP neurons in the ventral and posterior parts, with both neurons being present in the intermediate part of the SON. Images Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11 Figs. 12-14 Fig. 15 Fig. 16 PMID:2182586

  1. Synthesis and Biological Evaluation of Novel Dehydroabietic Acid Derivatives Conjugated with Acyl-Thiourea Peptide Moiety as Antitumor Agents

    PubMed Central

    Jin, Le; Qu, Hong-En; Huang, Xiao-Chao; Pan, Ying-Ming; Liang, Dong; Chen, Zhen-Feng; Wang, Heng-Shan; Zhang, Ye

    2015-01-01

    A series of dehydroabietic acid (DHAA) acyl-thiourea derivatives were designed and synthesized as potent antitumor agents. The in vitro pharmacological screening results revealed that the target compounds exhibited potent cytotoxicity against HeLa, SK-OV-3 and MGC-803 tumor cell lines, while they showed lower cytotoxicity against HL-7702 normal human river cells. Compound 9n (IC50 = 6.58 ± 1.11 ?M) exhibited the best antitumor activity against the HeLa cell line and even displayed more potent inhibitory activity than commercial antitumor drug 5-FU (IC50 = 36.58 ± 1.55 ?M). The mechanism of representative compound 9n was then studied by acridine orange/ethidium bromide staining, Hoechst 33,258 staining, JC-1 mitochondrial membrane potential staining, TUNEL assay and flow cytometry, which illustrated that this compound could induce apoptosis in HeLa cells. Cell cycle analysis indicated that compound 9n mainly arrested HeLa cells in the S phase stage. Further investigation demonstrated that compound 9n induced apoptosis of HeLa cells through a mitochondrial pathway. PMID:26132564

  2. The natural phytochemical dehydroabietic acid is an anti-aging reagent that mediates the direct activation of SIRT1.

    PubMed

    Kim, Juewon; Kang, Young-Gyu; Lee, Jee-young; Choi, Dong-hwa; Cho, Young-uk; Shin, Jae-Min; Park, Jun Seong; Lee, John Hwan; Kim, Wan Gi; Seo, Dae Bang; Lee, Tae Ryong; Miyamoto, Yusei; No, Kyoung Tai

    2015-09-01

    Dehydroabietic acid (DAA) is a naturally occurring diterpene resin acid of confers, such as pinus species (P. densiflora, P. sylvestris) and grand fir (Abies grandis), and it induces various biological actions including antimicrobial, antiulcer, and cardiovascular activities. The cellular targets that mediate these actions are largely unknown yet. In this report, we suggest that DAA is an anti-aging reagent. DAA has lifespan extension effects in Caenorhabditis elegans, prevents lipofuscin accumulation, and prevents collagen secretion in human dermal fibroblasts. We found that these anti-aging effects are primarily mediated by SIRT1 activation. Lifespan extension effects by DAA were ameliorated in sir-2.1 mutants and SIRT1 protein expression was increased, resulting in the deacetylation of SIRT1 target protein PGC-1α. Moreover, DAA binds directly to the SIRT1 protein independent of the SIRT1 substrate NAD(+) levels. Through a molecular docking study, we also propose a binding model for DAA-SIRT1. Taken together, our results demonstrate that the anti-aging effects are the first identified biological property of DAA and that the direct activation of SIRT1 enzymatic activity suggests the potential use of this natural diterpene, or related compounds, in age-related diseases or as a preventive reagent against the aging process. PMID:25976661

  3. Dehydroabietic acid (DHAA) alters metabolic enzyme activity and the effects of 17?-estradiol in rainbow trout (Oncorhynchus mykiss).

    PubMed

    Pandelides, Z; Guchardi, J; Holdway, D

    2014-03-01

    Recent studies have shown that dehydroabietic acid (DHAA), a resin acid present in pulp and paper mill effluent, affects liver energy metabolism and may have anti-estrogenic effects in fish. A chronic-exposure toxicity experiment using immature rainbow trout (Oncorhynchus mykiss) was conducted in order to assess the endocrine disrupting and liver metabolic effects of the model estrogen 17?-estradiol (E2) and the wood extractives DHAA and ?-sitosterol (BS), regularly present in pulp and paper mill effluents. Exposure to 5ppm of E2 significantly increased hepatosomatic index (HSI), vitellogenin (VTG) and plasma sorbitol dehydrogenase (SDH). This latter effect was reduced by mixing E2 with DHAA, indicating that DHAA does not cause its endocrine disrupting effects indirectly due to liver damage. Exposure to 0.5ppm of DHAA as well as all the DHAA mixed treatments caused significant increases in liver citrate synthase (CS), activity after 7 days, however, the fish returned to control values by 28 days. Results indicate that DHAA may alter metabolic enzyme activity as well as alter the effects of E2 in juvenile rainbow trout. PMID:24507142

  4. Biotransformation of Dehydroabietic, Abietic, and Isopimaric Acids by Mortierella isabellina Immobilized in Polyurethane Foam

    PubMed Central

    Kutney, James P.; Berset, Jean-Daniel; Hewitt, Gary M.; Singh, Mahatam

    1988-01-01

    Polyurethane foam supports immobilization of Mortierella isabellina ATCC 38063, a zygomycete that hydroxylates and thereby detoxifies resin acids found in certain pulp mill effluents. The fungus becomes entrapped as it threads growing mycelia through the open foam matrix. The tenacity of binding and the amount of biomass bound depend on initial spore numbers and nutrient concentration. Optimal dehydroabietic acid transformation occurs with early-stationary-phase foam-bound mycelia suspended in buffer at pH 6.5 to 8.5 with aeration >0.1 liter liter?1 min?1 and near a temperature maximum of 33°C. Neither a greater number of similarly loaded foam cubes nor a greater surface area for similar amounts of biomass increased transformation rates. Compared to free mycelial cultures, foam presence retards growth and decreases the rate of precursor transformation but does not alter the nature of the metabolites formed from dehydroabietic acid, abietic acid, or isopimaric acid. Diffusional barriers or binding of substrates in an inaccessible manner may cause the observed inhibitions. Overall, foam immobilization stabilizes enzymic activity and is a facile laboratory process with scaleup potential. PMID:16347596

  5. Biotransformation of Dehydroabietic, Abietic, and Isopimaric Acids by Mortierella isabellina Immobilized in Polyurethane Foam.

    PubMed

    Kutney, J P; Berset, J D; Hewitt, G M; Singh, M

    1988-04-01

    Polyurethane foam supports immobilization of Mortierella isabellina ATCC 38063, a zygomycete that hydroxylates and thereby detoxifies resin acids found in certain pulp mill effluents. The fungus becomes entrapped as it threads growing mycelia through the open foam matrix. The tenacity of binding and the amount of biomass bound depend on initial spore numbers and nutrient concentration. Optimal dehydroabietic acid transformation occurs with early-stationary-phase foam-bound mycelia suspended in buffer at pH 6.5 to 8.5 with aeration >0.1 liter liter min and near a temperature maximum of 33 degrees C. Neither a greater number of similarly loaded foam cubes nor a greater surface area for similar amounts of biomass increased transformation rates. Compared to free mycelial cultures, foam presence retards growth and decreases the rate of precursor transformation but does not alter the nature of the metabolites formed from dehydroabietic acid, abietic acid, or isopimaric acid. Diffusional barriers or binding of substrates in an inaccessible manner may cause the observed inhibitions. Overall, foam immobilization stabilizes enzymic activity and is a facile laboratory process with scaleup potential. PMID:16347596

  6. In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms

    PubMed Central

    Dwamena, Francesca C; Lyles, Judith S; Frankel, Richard M; Smith, Robert C

    2009-01-01

    Background High utilising primary care patients with medically unexplained symptoms (MUS) often frustrate their primary care providers. Studies that elucidate the attitudes of these patients may help to increase understanding and improve confidence of clinicians who care for them. The objective of this study was to describe and analyze perceptions and lived experiences of high utilising primary care patients with MUS. Methods A purposive sample of 19 high utilising primary care patients for whom at least 50% (69.6% in this sample) of visits for two years could not be explained medically, were encouraged to talk spontaneously about themselves and answer semi-structured questions. Verbatim transcripts of interviews were analyzed using an iterative consensus building process. Results Patients with MUS almost universally described current and/or past family dysfunction and were subjected to excessive testing and ineffective empirical treatments. Three distinct groups emerged from the data. 1) Some patients, who had achieved a significant degree of psychological insight and had success in life, primarily sought explanations for their symptoms. 2) Patients who had less psychological insight were more disabled by their symptoms and felt strongly entitled to be excused from normal social obligations. Typically, these patients primarily sought symptom relief, legitimization, and support. 3) Patients who expressed worry about missed diagnoses demanded excessive care and complained when their demands were resisted. Conclusion High utilising primary care patients are a heterogeneous group with similar experiences and different perceptions, behaviours and needs. Recognizing these differences may be critical to effective treatment and reduction in utilisation. PMID:19772582

  7. Bioavailability of benzo(a)pyrene and dehydroabietic acid from a few lake waters containing varying dissolved organic carbon concentrations to Daphnia magna

    SciTech Connect

    Oikari, A.; Kukkonen, J. )

    1990-07-01

    Dissolved organic carbon (DOC) in natural waters consists of a great variety of organic molecules. Some of these molecules have been identified but most of them cannot be identified. This unidentified group of heterogeneous organic macromolecules is considered as humic substances. The role of humic substances in water chemistry and in aquatic toxicology is receiving increasing attention. The effects of DOC on the bioavailability of organic pollutants have been demonstrated in several studies. A decreased bioavailability has been demonstrated in most cases. Both the quantity and the quality of DOC are suggested determinants of this apparent ecotoxicological buffer of inland waters worldwide. In this study, the authors measured the bioaccumulation of benzo(a)pyrene (BaP) and dehydroabietic acid (DHAA) in Daphnia magna using a wide range of naturally occurring DOC levels. Another objective was to associate the reduced bioavailability with the chemical characteristics of water and DOC.

  8. Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study

    PubMed Central

    Gerritsen, Annette AM; Bramsen, Inge; Devillé, Walter; van Willigen, Loes HM; Hovens, Johannes E; van der Ploeg, Henk M

    2004-01-01

    Background This article discusses the design of a study on the prevalence of health problems (both physical and mental) and the utilisation of health care services among asylum seekers and refugees in the Netherlands, including factors that may be related to their health and their utilisation of these services. Methods/Design The study will include random samples of adult asylum seekers and refugees from Afghanistan, Iran and Somali (total planned sample of 600), as these are among the largest groups within the reception centres and municipalities in the Netherlands. The questionnaire that will be used will include questions on physical health (chronic and acute diseases and somatization), mental health (Hopkins Symptoms Checklist-25 and Harvard Trauma Questionnaire), utilisation of health care services, pre- and post-migratory traumatic experiences, life-style, acculturation, social support and socio-demographic background. The questionnaire has gone through a translation process (translation and back-translation, several checks and a pilot-study) and cross-cultural adaptation. Respondents will be interviewed by bilingual and bicultural interviewers who will be specifically trained for this purpose. This article discusses the selection of the study population, the chosen outcome measures, the translation and cross-cultural adaptation of the measurement instrument, the training of the interviewers and the practical execution of the study. The information provided may be useful for other researchers in this relatively new field of epidemiological research among various groups of asylum seekers and refugees. PMID:15070416

  9. Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination: An Observational Prospective Study in a GEM Ward

    PubMed Central

    Kawryshanker, Sujatha; Raymond, Warren; Inderjeeth, Charles A.

    2014-01-01

    Background. A geriatric evaluation and management unit (GEM) manages elderly inpatients with functional impairments. There is a paucity of literature on frailty and whether this impacts on rehabilitation outcomes. Objectives. To examine frailty score (FS) as a predictor of functional gain, resource utilisation, and destinations for GEM patients. Methods. A single centre prospective case study design. Participants (n = 136) were ?65 years old and admitted to a tertiary hospital GEM. Five patients were excluded by the preset exclusion criteria, that is, medically unstable, severe dementia or communication difficulties after stroke. Core data included demographics, frailty score (FS), and functional independence. Results. The mean functional improvement (FIM) from admission to discharge was 11.26 (95% CI 8.87, 13.66; P < 0.001). Discharge FIM was positively correlated with admission FIM (? = 0.748; P < 0.001) and negatively correlated with frailty score (? = ?1.151; P = 0.014). The majority of the patients were in the “frail” group. “Frail” and “severely frail” subgroups improved more on mean FIM scores at discharge, relative to that experienced by the “pre-frail” group. Conclusion. All patients experienced functional improvement. Frailer patients improved more on their FIM and improved relatively more than their prefrail counterparts. Higher frailty correlated with reduced independence and greater resource utilisation. This study demonstrates that FS could be a prognostic indicator of physical independence and resource utilisation. PMID:24695584

  10. Utilisation of Healthcare and Associated Services in Huntington’s disease: a data mining study

    PubMed Central

    Busse, Monica; Al-Madfai, Dr. Hasan; Kenkre, Joyce; Landwehrmeyer, G. Bernhard; Bentivoglio, AnnaRita; Rosser, Anne

    2011-01-01

    Background: People with Huntington’s disease (HD) often require tailored healthcare and support packages that develop as the disease progresses. The Client Service Receipt Inventory (CSRI) gathers retrospective information on service utilization. This study investigated the use of formal services and informal care as measured by the CSRI and explored associations between informal care, disease severity and functional ability as measured by the Unified Huntington’s Disease Rating Scale Total Motor Score (UHDRS-TMS) and functional scales. Methods: All monitored longitudinal data from annual clinical assessments of UHDRS-TMS and functional assessments and CSRI collected under the auspices of the European Huntington’s Disease Network (EHDN) REGISTRY study between the years 2004 and 2009 were utilised in the analyses. Disease severity was reflected by UHDRS-TMS. Functional ability was measured using the UHDRS functional scales. CSRI data were analysed according to percentage use of individual formal services and total estimated hours per week of informal care. Regression analyses were conducted to identify any associations between disease severity, functional ability and hours of informal care. Results: 451 HD patients (212 female; 239 male) completed one visit; 105 patients (54 females; 51 males) completed two visits and 47 patients (20 females; 27 males) completed three visits in total over the 5 year period. The mean time between visits was 1.2 years. At visit one, 74% of the participants reported being in receipt of at least one formal hospital-based service in the previous six months, and 89% reported receipt of formal primary and community care services. In contrast, at the third visit, 62% of people had used hospital based services and 94% formal community based services in the previous six months. Fifty % of individuals required some form of informal care in the home at visit 1; this increased to 68% at visits 2 and 3. The mean (SD) estimated weekly total informal care hours at visits 1, 2 and 3 were 32.8 (49.4); 21.6 (53.6) and 21.3 (62.4) respectively. Only the scores on the Functional Assessment Scale (FAS) accounted for the variance in the weekly total informal care hours at each visit. Conclusions: Although it must be acknowledged that service use is supply driven, most HD patients across Europe surveyed as part of this study were in receipt of formal primary and community care services and to a lesser extent formal hospital based services. There was however a large reliance on informal care in the home. The FAS appear to have predictive value on informal care requirements and may have utility in facilitating pro-active service provision and in particular when managing carer burden in this population. PMID:21304753

  11. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study

    PubMed Central

    2013-01-01

    Background Poor utilisation of facility-based antenatal and delivery care services in Kenya hampers reduction of maternal mortality. Studies suggest that the participation of men in antenatal and delivery care is associated with better health care seeking behaviour, yet many reproductive health programs do not facilitate their involvement. This qualitative study conducted in rural Western Kenya, explored men’s perceptions of antenatal and delivery care services and identified factors that facilitated or constrained their involvement. Methods Eight focus group discussions were conducted with 68 married men between 20-65 years of age in May 2011. Participants were of the Luo ethnic group residing in Asembo, western Kenya. The area has a high HIV-prevalence and polygamy is common. A topic guide was used to guide the discussions and a thematic framework approach for data analysis. Results Overall, men were positive in their views of antenatal and delivery care, as decision makers they often encouraged, some even ‘forced’, their wives to attend for antenatal or delivery care. Many reasons why it was beneficial to accompany their wives were provided, yet few did this in practice unless there was a clinical complication. The three main barriers relating to cultural norms identified were: 1) pregnancy support was considered a female role; and the male role that of provider; 2) negative health care worker attitudes towards men’s participation, and 3) couple unfriendly antenatal and delivery unit infrastructure. Conclusion Although men reported to facilitate their wives’ utilisation of antenatal and delivery care services, this does not translate to practice as adherence to antenatal-care schedules and facility based delivery is generally poor. Equally, reasons proffered why they should accompany their wives are not carried through into practice, with barriers outweighing facilitators. Recommendations to improve men involvement and potentially increase services utilisation include awareness campaigns targeting men, exploring promotion of joint HIV testing and counselling, staff training, and design of couple friendly antenatal and delivery units. PMID:23800139

  12. Regulation of liver cell glucose homeostasis by dehydroabietic acid, abietic acid and squalene isolated from balsam fir (Abies balsamea (L.) Mill.) a plant of the Eastern James Bay Cree traditional pharmacopeia.

    PubMed

    Nachar, Abir; Saleem, Ammar; Arnason, John T; Haddad, Pierre S

    2015-09-01

    In our previous study, Abies balsamea (L.) Mill., a plant used in Cree traditional medicine, had a strong effect on the regulation of glucose homeostasis in liver cells. This study aimed to isolate and identify its active constituents using a bioassay-guided fractionation approach as well as to elucidate their mechanism(s) of action. The effect of the crude extract and its constituents was evaluated on the activity of Glucose-6-Phosphatase (G6Pase) and Glycogen Synthase (GS) and phosphorylation of three kinases, AMP-activated protein kinase (AMPK), Akt and Glycogen Synthase Kinase-3 (GSK-3). Three compounds, abietic acid, dehydroabietic acid and squalene, were isolated from the most active fraction in the bioassays (hexane). The compounds were able to decrease the activity of G6Pase and to stimulate GS. Their effect on G6Pase activity involved both Akt and AMPK phosphorylation with significant correlations between insulin-dependent and -independent pathways and the bioassay. In addition, the compounds were able to stimulate GS through GSK-3 phosphorylation with a significant correlation between the signaling pathway and the bioassay. Dehydroabietic acid stood out for its strongest effect in all the experiments close to that of the crude extract. These compounds may have potential applications in the treatment of type 2 diabetes and insulin resistance. PMID:26164238

  13. Acceptance and utilisation of the Incident Command System in first response and allied disciplines: an Ohio study.

    PubMed

    Decker, Russell J

    2011-10-01

    In response to the terrorist attacks of September 11th, 2001, an effort was made to establish a common and uniform command structure for use by the nation's first responder organisations, as well as those disciplines generally expected to assist first responders during a major incident or disaster. The result was the issuance of the National Incident Management System1 or NIMS by the US Department of Homeland Security in 2004. Included in the NIMS document was an embracing of the Incident Command System or ICS, long utilised in the fire service for the effective management of emergency response. The NIMS doctrine also identified certain allied disciplines that needed to adopt this new system for responding to major events. Some of these disciplines included specialised first response units, such as, bomb squads and hazardous materials teams. Other partner disciplines not usually associated with emergency response to include public health and public works were also included. This study will attempt to look at a single component of NIMS, specifically the Incident Command System, and measure its acceptance and utilisation by first responder organisations and selected allied disciplines in the state of Ohio. This is particularly important at this time since the US government is being forced to reduce budgets significantly and determine which laudable policies and programmes will be cut. PMID:22130340

  14. Bacteria obtained from a sequencing batch reactor that are capable of growth on dehydroabietic acid.

    PubMed Central

    Mohn, W W

    1995-01-01

    Eleven isolates capable of growth on the resin acid dehydroabietic acid (DhA) were obtained from a sequencing batch reactor designed to treat a high-strength process stream from a paper mill. The isolates belonged to two groups, represented by strains DhA-33 and DhA-35, which were characterized. In the bioreactor, bacteria like DhA-35 were more abundant than those like DhA-33. The population in the bioreactor of organisms capable of growth on DhA was estimated to be 1.1 x 10(6) propagules per ml, based on a most-probable-number determination. Analysis of small-subunit rRNA partial sequences indicated that DhA-33 was most closely related to Sphingomonas yanoikuyae (Sab = 0.875) and that DhA-35 was most closely related to Zoogloea ramigera (Sab = 0.849). Both isolates additionally grew on other abietanes, i.e., abietic and palustric acids, but not on the pimaranes, pimaric and isopimaric acids. For DhA-33 and DhA-35 with DhA as the sole organic substrate, doubling times were 2.7 and 2.2 h, respectively, and growth yields were 0.30 and 0.25 g of protein per g of DhA, respectively. Glucose as a cosubstrate stimulated growth of DhA-33 on DhA and stimulated DhA degradation by the culture. Pyruvate as a cosubstrate did not stimulate growth of DhA-35 on DhA and reduced the specific rate of DhA degradation of the culture. DhA induced DhA and abietic acid degradation activities in both strains, and these activities were heat labile. Cell suspensions of both strains consumed DhA at a rate of 6 mumol mg of protein-1 h-1.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7793937

  15. Bacteria obtained from a sequencing batch reactor that are capable of growth on dehydroabietic acid.

    PubMed

    Mohn, W W

    1995-06-01

    Eleven isolates capable of growth on the resin acid dehydroabietic acid (DhA) were obtained from a sequencing batch reactor designed to treat a high-strength process stream from a paper mill. The isolates belonged to two groups, represented by strains DhA-33 and DhA-35, which were characterized. In the bioreactor, bacteria like DhA-35 were more abundant than those like DhA-33. The population in the bioreactor of organisms capable of growth on DhA was estimated to be 1.1 x 10(6) propagules per ml, based on a most-probable-number determination. Analysis of small-subunit rRNA partial sequences indicated that DhA-33 was most closely related to Sphingomonas yanoikuyae (Sab = 0.875) and that DhA-35 was most closely related to Zoogloea ramigera (Sab = 0.849). Both isolates additionally grew on other abietanes, i.e., abietic and palustric acids, but not on the pimaranes, pimaric and isopimaric acids. For DhA-33 and DhA-35 with DhA as the sole organic substrate, doubling times were 2.7 and 2.2 h, respectively, and growth yields were 0.30 and 0.25 g of protein per g of DhA, respectively. Glucose as a cosubstrate stimulated growth of DhA-33 on DhA and stimulated DhA degradation by the culture. Pyruvate as a cosubstrate did not stimulate growth of DhA-35 on DhA and reduced the specific rate of DhA degradation of the culture. DhA induced DhA and abietic acid degradation activities in both strains, and these activities were heat labile. Cell suspensions of both strains consumed DhA at a rate of 6 mumol mg of protein-1 h-1.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7793937

  16. Utilisation of primary total knee joint replacements across socioeconomic status in the Barwon Statistical Division, Australia, 2006–2007: a cross-sectional study

    PubMed Central

    Brennan, Sharon Lee; Stanford, Tyman; Wluka, Anita E; Page, Richard S; Graves, Stephen E; Kotowicz, Mark A; Nicholson, Geoffrey C; Pasco, Julie A

    2012-01-01

    Objectives There are few Australian data that examine the association between total knee joint replacement (TKR) utilisation and socioeconomic status (SES). This study examined TKR surgeries with a diagnosis of osteoarthritis (OA) performed for residents of Barwon Statistical Division (BSD) for 2006–2007. Design Cross-sectional. Setting BSD, South-eastern Victoria, Australia Participants All patients who underwent a TKR for OA, 2006–2007, and whose residential postcode was identified as within the BSD of Australia, and for whom SES data were available, were eligible for inclusion. Primary outcome measure Primary TKR data ascertained from the Australian Orthopaedic Association National Joint Replacement Registry. Residential addresses were matched with the Australian Bureau of Statistics census data, and the Index of Relative Socioeconomic Disadvantage was used to determine SES, categorised into quintiles whereby quintile 1 indicated the most disadvantaged and quintile 5 the least disadvantaged. Age-specific and sex-specific rates of TKR utilisation per 1000 person-years were reported for 10-year age bands. Results Females accounted for 62.7% of the 691 primary TKR surgeries performed during 2006–2007. The greatest utilisation rates of TKR in males was 7.6 observed in those aged >79?years, and in 10.2 in females observed in those aged 70–79?years. An increase in TKR was observed for males in SES quintile four compared to quintile 1 in which the lowest utilisation which was observed (p=0.04). No differences were observed in females across SES quintiles. Conclusions Further investigation is warranted on a larger scale to examine the role that SES may play in TKR utilisation, and to determine whether any social disparities in TKR utilisation reflect health system biases or geographic differences. PMID:23035014

  17. Stroke patients’ utilisation of extrinsic feedback from computer-based technology in the home: a multiple case study realistic evaluation

    PubMed Central

    2014-01-01

    Background Evidence indicates that post???stroke rehabilitation improves function, independence and quality of life. A key aspect of rehabilitation is the provision of appropriate information and feedback to the learner. Advances in information and communications technology (ICT) have allowed for the development of various systems to complement stroke rehabilitation that could be used in the home setting. These systems may increase the provision of rehabilitation a stroke survivor receives and carries out, as well as providing a learning platform that facilitates long-term self-managed rehabilitation and behaviour change. This paper describes the application of an innovative evaluative methodology to explore the utilisation of feedback for post-stroke upper-limb rehabilitation in the home. Methods Using the principles of realistic evaluation, this study aimed to test and refine intervention theories by exploring the complex interactions of contexts, mechanisms and outcomes that arise from technology deployment in the home. Methods included focus groups followed by multi-method case studies (n?=?5) before, during and after the use of computer-based equipment. Data were analysed in relation to the context-mechanism-outcome hypotheses case by case. This was followed by a synthesis of the findings to answer the question, ‘what works for whom and in what circumstances and respects?’ Results Data analysis reveals that to achieve desired outcomes through the use of ICT, key elements of computer feedback, such as accuracy, measurability, rewarding feedback, adaptability, and knowledge of results feedback, are required to trigger the theory-driven mechanisms underpinning the intervention. In addition, the pre-existing context and the personal and environmental contexts, such as previous experience of service delivery, personal goals, trust in the technology, and social circumstances may also enable or constrain the underpinning theory-driven mechanisms. Conclusions Findings suggest that the theory-driven mechanisms underpinning the utilisation of feedback from computer-based technology for home-based upper-limb post-stroke rehabilitation are dependent on key elements of computer feedback and the personal and environmental context. The identification of these elements may therefore inform the development of technology; therapy education and the subsequent adoption of technology and a self-management paradigm; long-term self-managed rehabilitation; and importantly, improvements in the physical and psychosocial aspects of recovery. PMID:24903401

  18. Utilising a Virtual World to Teach Performance Appraisal: An Exploratory Study

    ERIC Educational Resources Information Center

    Morse, Shona

    2010-01-01

    Purpose: The aim of this paper is to give a critical assessment of a study designed to investigate the potential of a new method for teaching HRD students about performance appraisal. It is argued that this approach is in the vanguard of developments in IT and learning. Design/methodology/approach: The paper takes the form of an explorative study…

  19. Technology Utilisation in Elementary Schools in Turkey's Capital: A Case Study

    ERIC Educational Resources Information Center

    Karaca, Feride; Can, Gulfidan; Yildirim, Soner

    2013-01-01

    A case study was conducted to explore teachers' current technology use in elementary schools in Ankara, the capital of Turkey. The data were collected through a survey, and participants included 1030 classroom teachers across eight districts. The present study results revealed that significant challenges remain with regard to technology use…

  20. Technology Utilisation in Elementary Schools in Turkey's Capital: A Case Study

    ERIC Educational Resources Information Center

    Karaca, Feride; Can, Gulfidan; Yildirim, Soner

    2013-01-01

    A case study was conducted to explore teachers' current technology use in elementary schools in Ankara, the capital of Turkey. The data were collected through a survey, and participants included 1030 classroom teachers across eight districts. The present study results revealed that significant challenges remain with regard to technology use…

  1. School Reform for Positive Behaviour Support through Collaborative Learning: Utilising Lesson Study for a Learning Community

    ERIC Educational Resources Information Center

    Saito, Eisuke; Watanabe, Miki; Gillies, Robyn; Someya, Ikuo; Nagashima, Takashi; Sato, Masaaki; Murase, Masatsugu

    2015-01-01

    Recent research has emphasised educating children about positive behaviours to overcome delinquency issues, but there is little clarification of what factors lead to positive behaviours. This study analyses factors that led to children's positive behaviours at a junior high school in Japan, which experienced a dramatic turnaround after…

  2. Study of calcification formation and disease diagnostics utilising advanced vibrational spectroscopy

    NASA Astrophysics Data System (ADS)

    Kerssens, Marleen Maartje

    The accurate and safe diagnosis of breast cancer is a significant societal issue, with annual disease incidence of 48,000 women and around 370 men in the UK. Early diagnosis of the disease allows more conservative treatments and better patient outcomes. Microcalcifications in breast tissue are an important indicator for breast cancers, and often the only sign of their presence. Several studies have suggested that the type of calcification formed may act as a marker for malignancy and its presence may be of biological significance. In this work, breast calcifications are studied with FTIR, synchrotron FTIR, ATR FTIR, and Raman mapping to explore their disease specific composition. From a comparison between vibrational spectroscopy and routine staining procedures it becomes clear that calcium builds up prior to calcification formation. Raman and FTIR indicate the same size for calcifications and are in agreement with routine staining techniques. From the synchrotron FTIR measurements it can be proven that amide is present in the centre of the calcifications and the intensity of the bands depends on the pathology. Special attention is paid to the type of carbonate substitution in the calcifications relating to different pathology grades. In contrast to mammography, Raman spectroscopy has the capability to distinguish calcifications based on their chemical composition. The ultimate goal is to turn the acquired knowledge from the mapping studies into a clinical tool based on deep Raman spectroscopy. Deep Raman techniques have a considerable potential to reduce large numbers of normal biopsies, reduce the time delay between screening and diagnosis and therefore diminish patient anxiety. In order to achieve this, a deep Raman system is designed and after evaluation of its performance tested on buried calcification standards in porcine soft tissue and human mammary tissue. It is shown that, when the calcification is probed through tissue, the strong 960 cm-1 phosphate band can be used as a pseudo marker for carbonate substitution which is related to the pathology of the surrounding tissue. Furthermore, the first study in which human breast calcifications are measured in bulk tissue with a thickness of several millimetres to centimetres is presented. To date, measurements have been performed at 41 specimens with a thickness up to 25 mm. Measurements could be performed through skin and blue dye. The proposed deep Raman technique is promising for probing of calcifications through tissue but will need refinement before being adopted in hospitals.

  3. Association between secure patient–clinician email and clinical services utilisation in a US integrated health system: a retrospective cohort study

    PubMed Central

    Meng, Di; Palen, Ted E; Tsai, Joanne; McLeod, Melanie; Garrido, Terhilda; Qian, Heather

    2015-01-01

    Objective To assess associations between secure patient–clinician email use and clinical services utilisation over time. Design Retrospective cohort study between July 2010 and December 2013. Controlling for a utilisation surge around first secure email use, we analysed difference of differences between propensity score-matched groups of secure patient–clinician email users and non-users for utilisation 1–12?months before and 7–18?months after first email (users) or a randomly assigned index date (non-users). Setting US integrated healthcare delivery system. Participants 9345 adults with first secure email use between July 2011 and July 2012 and continuous enrolment for ?30?months and 9345 adults without secure email use between July 2010 and July 2012 matched to users on demographics, health status, and baseline utilisation. Primary Outcome Measures Rates of office visits, patient-initiated phone calls, scheduled telephone visits, after-hours clinic visits, emergency department visits, and hospitalisations. Results After controlling for multiple factors, no statistically significant differences in utilisation between secure email users and non-users occurred. Utilisation transiently increased by 88–237% around first email use. Annual rates of patient-initiated phone calls decreased among secure email users, 0.2 fewer calls per person (95% CI ?0.3 to ?0.1), from a mean of 4.1 calls per person 1–12?months before first use to a mean of 3.8 calls per person 7–18?months after first use. Rates of patient-initiated phone calls also decreased among non-users, 0.1 fewer calls per person (95% CI ?0.2 to 0.0), from a mean of 4.2 calls per person 1–12?months before the index date to mean of 4.1 calls per person 7–18?months after the index date. Conclusions Compared with non-users, patient use of secure email with clinicians was not associated with statistically significant differences in clinical services utilisation 7–18?months after first use. PMID:26553841

  4. Distance and utilisation of out-of-hours services in a Norwegian urban/rural district: an ecological study

    PubMed Central

    2013-01-01

    Background Long travel distances limit the utilisation of health services. We wanted to examine the relationship between the utilisation of a Norwegian out-of-hours service and the distance from the municipality population centroid to the associated casualty clinic. Methods All first contacts from ten municipalities in Arendal out-of-hours district were registered from 2007 through 2011. The main outcomes were contact and consultation rates for each municipality for each year. The associations between main outcomes and distance from the population centroid of the participating municipalities to the casualty clinic and were examined by linear regression. Demographic and socioeconomic factors were included in multivariate linear regression. Secondary endpoints include association between distance and rates of different first actions taken and priority grades assessed by triage nurses. Age and gender specific subgroup analyses were performed. Results 141 342 contacts were included in the analyses. Increasing distance was associated with marked lower rates of all contact types except telephone consultations by doctor. Moving 43 kilometres away from the casualty clinic led to a 50 per cent drop in the rate of face-to-face consultations with a doctor. Availability of primary care doctors and education level contributed to a limited extent to the variance in consultation rate. The rates of all priority grades decreased significantly with increasing distance. The rate of acute events was reduced by 22 per cent when moving 50 kilometres away. The proportion of patients above 66 years increased with increasing distance, while the proportion of 13- to 19 year olds decreased. The proportion of female patients decreased with increasing distance. Conclusions The results confirm that increasing distance is associated with lower utilisation of out-of-hours services, even for the most acute cases. Extremely long distances might compromise patient safety. This must be taken into consideration when organising future out-of-hours districts. PMID:23773207

  5. Biotransformation of dehydroabietic acid with resting cell suspensions and calcium alginate-immobilized cells of Mortierella isabellina.

    PubMed Central

    Kutney, J P; Choi, L S; Hewitt, G M; Salisbury, P J; Singh, M

    1985-01-01

    Mortierella isabellina ATCC 38063 is a zygomycete capable of hydroxylating fish-toxic resin acids which occur in certain pulp mill effluents to nontoxic metabolites. Addition of dehydroabietic acid (1) (80 mg/liter) to a freshly inoculated culture of M. isabellina in dextrose-yeast extract broth resulted in precursor disappearance in 28 to 30 h. During growth phase, hydroxylation occurred at C-2, whereas hydroxylation at C-15 and C-16 commenced with onset of stationary phase. Alternatively, 1 added to stationary-phase culture (40 mg/liter) disappeared within 2 h and hydroxylation occurred concurrently at C-2, C-15, and C-16. Enzymatic activity of stationary-phase culture was totally cell associated and was present despite the absence of 1 during the preparatory growth phase. Resuspension of mature fungi as free mycelia or immobilized in calcium alginate beads did not diminish the effectiveness of the biotransformation, although two new metabolites, 15-hydroxy-8,9,11,12-tetradehydro-7,8-dihydroabietic acid (5) and 16-hydroxy-8,9,11,12-tetradehydro-7,8-dihydroabietic acid (7) were formed. Immobilized mycelia retained hydroxylase activity for greater than 110 days whether or not they were challenged with fresh 1 on a regular basis. In this respect they are more long-lived than resuspended free mycelia are. PMID:3883900

  6. Early primary care physician contact and health service utilisation in a large sample of recently released ex-prisoners in Australia: prospective cohort study

    PubMed Central

    Arnold-Reed, Diane; Preen, David; Bulsara, Max; Lennox, Nick; Kinner, Stuart A

    2015-01-01

    Objective To describe the association between ex-prisoner primary care physician contact within 1?month of prison release and health service utilisation in the 6?months following release. Design A cohort from the Passports study with a mean follow-up of 219 (±44) days postrelease. Associations were assessed using a multivariate Andersen-Gill model, controlling for a range of other factors. Setting Face-to-face, baseline interviews were conducted in a sample of prisoners within 6?weeks of expected release from seven prisons in Queensland, Australia, from 2008 to 2010, with telephone follow-up interviews 1, 3 and 6?months postrelease. Participants From an original population-based sample of 1325 sentenced adult (?18?years) prisoners, 478 participants were excluded due to not being released from prison during follow-up (n=7, 0.5%), loss to follow-up (n=257, 19.4%), or lacking exposure data (n=214, 16.2%). A total of 847 (63.9%) participants were included in the analyses. Exposure Primary care physician contact within 1 month of follow-up as a dichotomous measure. Main outcome measures Adjusted time-to-event hazard rates for hospital, mental health, alcohol and other drug and subsequent primary care physician service utilisations assessed as multiple failure time-interval data. Results Primary care physician contact prevalence within 1 month of follow-up was 46.5%. One-month primary care physician contact was positively associated with hospital (adjusted HR (AHR)=2.07; 95% CI 1.39 to 3.09), mental health (AHR=1.65; 95% CI 1.24 to 2.19), alcohol and other drug (AHR=1.48; 95% CI 1.15 to 1.90) and subsequent primary care physician service utilisation (AHR=1.47; 95% CI 1.26 to 1.72) over 6?months of follow-up. Conclusions Engagement with primary care physician services soon after prison release increases health service utilisation during the critical community transition period for ex-prisoners. Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12608000232336). PMID:26068513

  7. Population-based cross-sectional study of barriers to utilisation of refraction services in South India: Rapid Assessment of Refractive Errors (RARE) Study

    PubMed Central

    Keeffe, Jill E; Raman, Usha; Rao, Gullapalli N

    2011-01-01

    Aim To assess the barriers to the uptake of refraction services in the age group of 15–49?years in rural Andhra Pradesh, India. Methods A population-based cross-sectional study was conducted using cluster random sampling to enumerate 3300 individuals from 55 clusters. A validated questionnaire was used to elicit information on barriers to utilisation of services among individuals with uncorrected refractive error (presenting visual acuity <6/12 but improving to ?6/12 on using a pinhole) and presbyopia (binocular near vision 35?years with binocular distance visual acuity of ?6/12). Results 3095 (94%) were available for examination. Those with uncorrected refractive errors cited affordability as the main barrier to the uptake of eye-care services. Among people with uncorrected presbyopia, lack of ‘felt need’ was the leading barrier. Conclusion The barriers that were ‘relatively easy to change’ were reported by those with uncorrected refractive errors in contrast to ‘difficult to change’ barriers reported by those with uncorrected presbyopia. Together, the data on prevalence and an understanding of the barriers for the uptake of services are critical to the planning of refractive error services. PMID:22021782

  8. Growth, induction, and substrate specificity of dehydroabietic acid-degrading bacteria isolated from a kraft mill effluent enrichment.

    PubMed Central

    Bicho, P A; Martin, V; Saddler, J N

    1995-01-01

    We investigated resin acid degradation in five bacteria isolated from a bleach kraft mill effluent enrichment. All of the bacteria grew on dehydroabietic acid (DHA), a resin acid routinely detected in pulping effluents, or glycerol as the sole carbon source. None of the strains grew on acetate or methanol. Glycerol-grown, high-density, resting-cell suspensions were found to undergo a lag for 2 to 4 h before DHA degradation commenced, suggesting that this activity was inducible. This was further investigated by spiking similar cultures with tetracycline, a protein synthesis inhibitor, at various times during the DHA disappearance curve. Cultures to which the antibiotic was added prior to the lag did not degrade DHA. Those that were spiked with the antibiotic after the lag phase (4 h) degraded DHA at the same rate as did controls with no added tetracycline. Therefore, de novo protein synthesis was required for DHA biodegradation, confirming that this activity is inducible. The five strains were also evaluated for their ability to degrade other resin acids. All strains behaved in a similar fashion. Unchlorinated abietane-type resin acids (abietic acid, DHA, and 7-oxo-DHA) were completely degraded within 7 days, whereas pimarane resin acids (sandaracopimaric acid, isopimaric acid, and pimaric acid) were poorly degraded (25% or less). Chlorination of DHA affected biodegradation, with both 12,14-dichloro-DHA and 14-chloro-DHA showing resistance to degradation. However, 50 to 60% of the 12-chloro-DHA was consumed within the same period. PMID:7574634

  9. Growth, induction, and substrate specificity of dehydroabietic acid-degrading bacteria isolated from a kraft mill effluent enrichment.

    PubMed

    Bicho, P A; Martin, V; Saddler, J N

    1995-09-01

    We investigated resin acid degradation in five bacteria isolated from a bleach kraft mill effluent enrichment. All of the bacteria grew on dehydroabietic acid (DHA), a resin acid routinely detected in pulping effluents, or glycerol as the sole carbon source. None of the strains grew on acetate or methanol. Glycerol-grown, high-density, resting-cell suspensions were found to undergo a lag for 2 to 4 h before DHA degradation commenced, suggesting that this activity was inducible. This was further investigated by spiking similar cultures with tetracycline, a protein synthesis inhibitor, at various times during the DHA disappearance curve. Cultures to which the antibiotic was added prior to the lag did not degrade DHA. Those that were spiked with the antibiotic after the lag phase (4 h) degraded DHA at the same rate as did controls with no added tetracycline. Therefore, de novo protein synthesis was required for DHA biodegradation, confirming that this activity is inducible. The five strains were also evaluated for their ability to degrade other resin acids. All strains behaved in a similar fashion. Unchlorinated abietane-type resin acids (abietic acid, DHA, and 7-oxo-DHA) were completely degraded within 7 days, whereas pimarane resin acids (sandaracopimaric acid, isopimaric acid, and pimaric acid) were poorly degraded (25% or less). Chlorination of DHA affected biodegradation, with both 12,14-dichloro-DHA and 14-chloro-DHA showing resistance to degradation. However, 50 to 60% of the 12-chloro-DHA was consumed within the same period. PMID:7574634

  10. Health service utilisation for anogenital warts in Ontario, Canada prior to the human papillomavirus (HPV) vaccine programme introduction: a retrospective longitudinal population-based study

    PubMed Central

    Guerra, Fiona M; Rosella, Laura C; Dunn, Sheila; Wilson, Sarah E; Chen, Cynthia; Deeks, Shelley L

    2016-01-01

    Objective Trends in occurrence of anogenital warts (AGWs) can provide early evidence of human papillomavirus (HPV) vaccination programme impact on preventing HPV infection and HPV-induced lesions. The objective of this study was to provide a baseline of AGW epidemiology in Ontario prior to the introduction of the publicly-funded school-based HPV vaccination programme in September 2007. Setting and participants As a retrospective longitudinal population-based study, we used health administrative data as a proxy to estimate incident AGWs and total health service utilisation (HSU) for AGWs for all Ontario residents 15 years and older with valid health cards between 1 April 2003 and 31 March 2007. Outcome measures The outcome of interest was AGW healthcare utilisation identified using the International Classification of Diseases, 10th revision (ICD-10) diagnostic code for AGWs, as well as an algorithm for identifying AGW physician office visits in a database with a unique system of diagnostic and procedural codes. An AGW case was considered incident if preceded by 12 months without HSU for AGWs. Time trends by age group and sex were analysed. Results Between fiscal years 2003 and 2006, we identified 123 247 health service visits for AGWs by 51 436 Ontario residents 15 years and older. Incident AGWs peaked in females and males in the 21–23 year age group, at 3.74 per 1000 and 2.81 per 1000, respectively. HSU for AGWs peaked in females and males within the 21–23 year age group, at 9.34 per 1000 and 7.22 per 1000, respectively. Conclusions To the best of our knowledge, this is the first population-based study of AGW incidence and HSU in Ontario. The sex and age distribution of individuals with incident and prevalent AGWs in Ontario was similar to that of other provinces before HPV vaccine programme implementation in Canada. PMID:26966057

  11. Health care utilisation under the 30-Baht Scheme among the urban poor in Mitrapap slum, Khon Kaen, Thailand: a cross-sectional study

    PubMed Central

    Coronini-Cronberg, Sophie; Laohasiriwong, Wongsa; Gericke, Christian A

    2007-01-01

    Background In 2001, the Government of Thailand introduced a universal coverage scheme with the aim of ensuring equitable health care access for even the poorest citizens. For a flat user fee of 30 Baht per consultation, or for free for those falling into exemption categories, every scheme participant may access registered health services. The exemption categories include children under 12 years of age, senior citizens aged 60 years and over, the very poor, and volunteer health workers. The functioning of these exemption mechanisms and the effect of the scheme on health service utilisation among the poor is controversial. Methods This cross-sectional study investigated the prevalence of 30-Baht Scheme registration and subsequent self-reported health service utilisation among an urban poor population in the Teparuk community within the Mitrapap slum in Khon Kaen city, northeastern Thailand. Furthermore, the effectiveness of the exemption mechanisms in reaching the very poor and the elderly was examined. Factors for users' choice of health facilities were identified. Results Overall, the proportion of the Teparuk community enrolled with the 30-Baht Scheme was high at 86%, with over one quarter of these exempted from paying the consultation fee. User fee exemption was significantly more frequent among households with an above-poverty-line income (64.7%) compared to those below the poverty line (35.3%), ?2 (df) = 5.251 (1); p-value = 0.018. In addition, one third of respondents over 60 years of age were found to be still paying user fees. Self-reported use of registered medical facilities in case of illness was stated to be predominantly due to the service being available through the scheme, with service quality not a chief consideration. Overall consumer satisfaction was high, especially among those not required to pay the 30 Baht user fee. Conclusion Whilst the 30-Baht Scheme seems to cover most of the poor population of Mitrapap slum in Khon Kaen, the user fee exemption mechanism only works partially with regard to reaching the poorest and exempting senior citizens. Service utilisation and satisfaction are highest amongst those who are fee-exempt. Service quality was not an important factor influencing choice of health facility. Ways should be sought to improve the effectiveness of the current exemption mechanisms. PMID:17883874

  12. Increased utilisation of primary healthcare in persons exposed to severe stress in prenatal life: a national population-based study in Denmark

    PubMed Central

    Li, Jiong; Yang, Hu; Guldin, Mai-Britt; Vedsted, Peter; Vestergaard, Mogens

    2015-01-01

    Objective Recent studies have suggested that stress in a pregnant mother may affect the future health of the unborn child negatively. An excellent proxy for health problems is the use of healthcare resources. Using nationwide data, we examined whether persons born to mothers who lost a close relative during pregnancy have more contacts to general practice. Design Population-based cohort study. Setting Denmark. Participants We included all children born in Denmark from 1973 to 2002 (N=2 032 528). Exposure of prenatal stress was defined as maternal bereavement by the death of a close relative during the antenatal period. The outcome of interest was contact with general practice between 2003 and 2009 when the participants were between 1 and 35 years of age. Poisson regression was used to assess the association between exposure and outcome. Outcome measures Contacts to general practitioner. Results Overall, persons exposed to prenatal stress had 2% more GP contacts than those not exposed, primarily due to increased utilisation of healthcare services during late adolescence and early adulthood. The exposed persons born to mothers who had lost a spouse had a higher risk (relative risk (RR) 1.12, 95% CI 1.10 to 1.14) and so did those born to mothers who had lost a close relative due to unexpected death (RR 1.06, 95% CI 1.05 to 1.06). Exposed persons had more contacts to general practice in daytime and more psychometric tests, talk therapies and C reactive protein tests than unexposed persons. Conclusions Prenatal stress following maternal bereavement was associated with a slightly increased utilisation of primary healthcare, mainly due to increased healthcare needs related to mental health and infections. Understanding how stress during pregnancy influences the future health of the child is an important aspect of prenatal care. PMID:25573520

  13. The experience of palliative patients and their families of a family meeting utilised as an instrument for spiritual and psychosocial care: A qualitative study

    PubMed Central

    2011-01-01

    Background This study explores the experience of palliative patients and their family members of a family meeting model, utilised as an instrument for the provision of spiritual and psychosocial care. In doing so the study embraces a broad understanding of spirituality which may or may not include formal religious practice and a concept of psychosocial care that includes: social and emotional well-being, communication, self esteem, mental health and adaptation to illness. The meeting of spiritual and psychosocial needs is considered to be an important aspect of palliative care. Methods This qualitative study, philosophically underpinned by hermeneutic phenomenology, investigates the participatory experience of palliative care patients and their significant family members of such a family meeting. People registered with two large metropolitan palliative care services, who met selection criteria, were referred by medical staff. Twelve of the 66 referred took part in family meetings which also included significant others invited by the patient. A total of 36 family members participated. The number of participants of individual family meetings ranged from two to eleven. After the family meeting every participant was invited to take part in an individual in-depth interview about their experience of the meeting. Forty seven interviews were conducted. These were audio recorded and transcribed. Results Data analysis, utilising Ricoeur's theory of interpretation, revealed seven main themes: personal experience of the meeting, personal outcomes, observation of others' experience, observation of experience and outcomes for the family unit, meeting facilitation, how it could have been different and general applicability of the family meeting. Throughout these themes were numerous references to aspects of the web of relationships which describe the concept of spirituality as it is defined for the purpose of this study. Conclusions The findings indicate the potential of the type of family meeting reported for use in the spiritual and psychosocial care of people receiving palliative care and their families. However further research is needed to explore its application to more culturally diverse groups and its longer term impact on family members. PMID:21435259

  14. Utilising a Collaborative Macro-Script to Enhance Student Engagement: A Mixed Method Study in a 3D Virtual Environment

    ERIC Educational Resources Information Center

    Bouta, Hara; Retalis, Symeon; Paraskeva, Fotini

    2012-01-01

    This study examines the effect of using an online 3D virtual environment in teaching Mathematics in Primary Education. In particular, it explores the extent to which student engagement--behavioral, affective and cognitive--is fostered by such tools in order to enhance collaborative learning. For the study we used a purpose-created 3D virtual…

  15. Utilising a Collaborative Macro-Script to Enhance Student Engagement: A Mixed Method Study in a 3D Virtual Environment

    ERIC Educational Resources Information Center

    Bouta, Hara; Retalis, Symeon; Paraskeva, Fotini

    2012-01-01

    This study examines the effect of using an online 3D virtual environment in teaching Mathematics in Primary Education. In particular, it explores the extent to which student engagement--behavioral, affective and cognitive--is fostered by such tools in order to enhance collaborative learning. For the study we used a purpose-created 3D virtual…

  16. Crew time utilisation and Habitat interface investigations for future planetary habitat definition studies: field tests at MDRS

    NASA Astrophysics Data System (ADS)

    Pletser, Vladimir

    To prepare future Lunar and Martian planetary exploration definition studies, the European Space Agency (ESA) has interests in gathering data on human aspects during long term space and planetary exploration missions, namely limited resources, limited social interactions, long term living and working in confined and isolated areas. To assess their impact on long term space missions and to attempt a general quantification, the environmental and technical condi-tions to which astronauts may be confronted need to be reproduced as closely as possible. Used since 2001 to conduct various types of simulation campaigns of planetary exploration missions, The Mars Society's `Mars Desert Research Station' (MDRS) in the Desert of Utah is one of the analogue facilities suited for this kind of human aspect investigations. In this frame, the ESA's Directorate of Human Space Flight was associated to the EuroGeoMars campaign conducted in February 2009 by the MDRS Crews 76 and 77. The EuroGeoMars campaign lasted five weeks and encompassed two groups of experiments, on human crew related aspects and field experiments in geology, biology and astronomy/astrophysics. The human crew related aspects covered evaluations of (a) the different functions and interfaces of a planetary habitat, (b) the crew time organization, (c) man-machine interfaces of science and technical equipment. The paper recalls the objectives of the human crew related experiments of the EuroGeoMars cam-paign and presents the results of these field investigations. Some recommendations and lessons learnt are presented and used as first inputs for future planetary habitat definition studies.

  17. Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study

    PubMed Central

    Harris, Matthew J; Patel, Brijesh; Bowen, Simon

    2011-01-01

    Background Recent health service policies in the UK have focused on improving primary care access in order to reduce the use of costly emergency department services, even though the relationship between the two is based on weak or little evidence. Research is required to establish whether improving primary care access can influence emergency department attendance. Aim To ascertain whether a relationship exists between the degree of access to GP practices and avoidable emergency department attendances in an inner-London primary care trust (PCT). Design and setting Observational, cross-sectional ecological study in 68 general practices in Brent Primary Care Trust, north London, UK. Method GP practices were used as the unit of analysis and avoidable emergency department attendance as the dependent variable. Routinely collected data from GP practices, Hospital Episode Statistics, and census data for the period covering 2007–2009 were used across three broad domains: GP access characteristics, population characteristics, and health status aggregated to the level of the GP practice. Multiple linear regression was used to ascertain which variables account for the variation in emergency department attendance experienced by patients registered to each GP practice. Results None of the GP access variables accounted for the variation in emergency department attendance. The only variable that explained this variance was the Index of Multiple Deprivation (IMD). For every unit increase in IMD score of the GP practice, there would be an increase of 6.13 (95% CI = 4.56, 7.70) per 1000 patients per year in emergency department attendances. This accounted for 47.9% of the variance in emergency department attendances in Brent. Conclusion Avoidable emergency department attendance appears to be mostly driven by underlying deprivation rather than by the degree of access to primary care. PMID:22137415

  18. Direct targeting of risk factors significantly increases the detection of liver cirrhosis in primary care: a cross-sectional diagnostic study utilising transient elastography

    PubMed Central

    Harman, David J; Ryder, Stephen D; James, Martin W; Jelpke, Matthew; Ottey, Dominic S; Wilkes, Emilie A; Card, Timothy R; Aithal, Guruprasad P; Guha, Indra Neil

    2015-01-01

    Objectives To assess the feasibility of a novel diagnostic algorithm targeting patients with risk factors for chronic liver disease in a community setting. Design Prospective cross-sectional study. Setting Two primary care practices (adult patient population 10?479) in Nottingham, UK. Participants Adult patients (aged 18?years or over) fulfilling one or more selected risk factors for developing chronic liver disease: (1) hazardous alcohol use, (2) type 2 diabetes or (3) persistently elevated alanine aminotransferase (ALT) liver function enzyme with negative serology. Interventions A serial biomarker algorithm, using a simple blood-based marker (aspartate aminotransferase:ALT ratio for hazardous alcohol users, BARD score for other risk groups) and subsequently liver stiffness measurement using transient elastography (TE). Main outcome measures Diagnosis of clinically significant liver disease (defined as liver stiffness ?8?kPa); definitive diagnosis of liver cirrhosis. Results We identified 920 patients with the defined risk factors of whom 504 patients agreed to undergo investigation. A normal blood biomarker was found in 62 patients (12.3%) who required no further investigation. Subsequently, 378 patients agreed to undergo TE, of whom 98 (26.8% of valid scans) had elevated liver stiffness. Importantly, 71/98 (72.4%) patients with elevated liver stiffness had normal liver enzymes and would be missed by traditional investigation algorithms. We identified 11 new patients with definite cirrhosis, representing a 140% increase in the number of diagnosed cases in this population. Conclusions A non-invasive liver investigation algorithm based in a community setting is feasible to implement. Targeting risk factors using a non-invasive biomarker approach identified a substantial number of patients with previously undetected cirrhosis. Trial registration number The diagnostic algorithm utilised for this study can be found on clinicaltrials.gov (NCT02037867), and is part of a continuing longitudinal cohort study. PMID:25941185

  19. Estimation of the real population and its impact on the utilisation of healthcare services in Mediterranean resort regions: an ecological study

    PubMed Central

    Perea-Milla, Emilio; Pons, Sergi Mari; Rivas-Ruiz, Francisco; Gallofre, Anna; Jurado, Enrique Navarro; Ales, Marco A Navarro; Jimenez-Puente, Alberto; Fernandez-Nieto, Fidel; Cerda, Joan C March; Carrasco, Manuel; Martin, Lydia; Cano, Damian Lopez; Gutierrez, Gonzalo E; Macías, Rafael Cortes; Garcia-Ruiz, Jose A

    2007-01-01

    Background The demographic structure has a significant influence on the use of healthcare services, as does the size of the population denominators. Very few studies have been published on methods for estimating the real population such as tourist resorts. The lack of information about these problems means there is a corresponding lack of information about the behaviour of populational denominators (the floating population or tourist load) and the effect of this on the use of healthcare services. The objectives of the study were: a) To determine the Municipal Solid Waste (MSW) ratio, per person per day, among populations of known size; b) to estimate, by means of this ratio, the real population in an area where tourist numbers are very significant; and c) to determine the impact on the utilisation of hospital emergency healthcare services of the registered population, in comparison to the non-resident population, in two areas where tourist numbers are very significant. Methods An ecological study design was employed. We analysed the Healthcare Districts of the Costa del Sol and the island of Menorca. Both are Spanish territories in the Mediterranean region. Results In the two areas analysed, the correlation coefficient between the MSW ratio and admissions to hospital emergency departments exceeded 0.9, with p < 0.001. On the basis of MSW generation ratios, obtained for a control zone and also measured in neighbouring countries, we estimated the real population. For the summer months, when tourist activity is greatest and demand for emergency healthcare at hospitals is highest, this value was found to be double that of the registered population. Conclusion The MSW indicator, which is both ecological and indirect, can be used to estimate the real population in areas where population levels vary significantly during the year. This parameter is of interest in planning and dimensioning the provision of healthcare services. PMID:17266744

  20. Modelling the Factors that Affect Individuals' Utilisation of Online Learning Systems: An Empirical Study Combining the Task Technology Fit Model with the Theory of Planned Behaviour

    ERIC Educational Resources Information Center

    Yu, Tai-Kuei; Yu, Tai-Yi

    2010-01-01

    Understanding learners' behaviour, perceptions and influence in terms of learner performance is crucial to predict the use of electronic learning systems. By integrating the task-technology fit (TTF) model and the theory of planned behaviour (TPB), this paper investigates the online learning utilisation of Taiwanese students. This paper provides a…

  1. Effect of telehealth on hospital utilisation and mortality in routine clinical practice: a matched control cohort study in an early adopter site

    PubMed Central

    Steventon, Adam; Ariti, Cono; Fisher, Elizabeth; Bardsley, Martin

    2016-01-01

    Objectives To assess the effects of a home-based telehealth intervention on the use of secondary healthcare and mortality. Design Observational study of a mainstream telehealth service, using person-level administrative data. Time to event analysis (Cox regression) was performed comparing telehealth patients with controls who were matched using a machine-learning algorithm. Setting A predominantly rural region of England (North Yorkshire). Participants 716 telehealth patients were recruited from community, general practice and specialist acute care, between June 2010 and March 2013. Patients had chronic obstructive pulmonary disease, congestive heart failure or diabetes, and a history of associated inpatient admission. Patients were matched 1:1 to control patients, also selected from North Yorkshire, with respect to demographics, diagnoses of health conditions, previous hospital use and predictive risk score. Interventions Telehealth involved the remote exchange of medical data between patients and healthcare professionals as part of the ongoing management of the patient's health condition. Monitoring centre staff alerted healthcare professionals if the telemonitored data exceeded preset thresholds. Control patients received usual care, without telehealth. Primary and secondary outcome measures Time to the first emergency (unplanned) hospital admission or death. Secondary metrics included time to death and time to first admission, outpatient attendance and emergency department visit. Results Matched controls and telehealth patients were similar at baseline. Following enrolment, telehealth patients were more likely than matched controls to experience emergency admission or death (adjusted HR 1.34, 95% CI 1.16 to 1.56, p<0.001). They were also more likely to have outpatient attendances (adjusted HR=1.25, 1.11 to 1.40, p<0.001), but mortality rates were similar between groups. Sensitivity analyses showed that we were unlikely to have missed reductions in the likelihood of an emergency admission or death because of unobserved baseline differences between patient groups. Conclusions Telehealth was not associated with a reduction in secondary care utilisation. PMID:26842270

  2. Effect of Paying for Performance on Utilisation, Quality, and User Costs of Health Services in Tanzania: A Controlled Before and After Study

    PubMed Central

    Binyaruka, Peter; Patouillard, Edith; Powell-Jackson, Timothy; Greco, Giulia; Maestad, Ottar; Borghi, Josephine

    2015-01-01

    Background Despite widespread implementation across Africa, there is limited evidence of the effect of payment for performance (P4P) schemes in low income countries on the coverage of quality services and affordability, consistent with universal health coverage objectives. We examined the effect of a government P4P scheme on utilisation, quality, and user costs of health services in Tanzania. Methods We evaluated the effects of a P4P scheme on utilisation of all maternal and child immunization services targeted by the scheme, and non-targeted general outpatient service use. We also evaluated effects on patient satisfaction with care and clinical content of antenatal care, and user costs. The evaluation was done in 150 facilities across all 7 intervention districts and 4 comparison districts with two rounds of data collection over 13-months in January 2012 and February 2013. We sampled 3000 households of women who had delivered in the 12 months prior to interview; 1500 patients attending health facilities for targeted and non-targeted services at each round of data collection. Difference-in-difference regression analysis was employed. Findings We estimated a significant positive effect on two out of eight targeted indicators. There was an 8.2% (95% CI: 3.6% to 12.8%) increase in coverage of institutional deliveries among women in the intervention area, and a 10.3% (95% CI: 4.4% to 16.1%) increase in the provision of anti-malarials during pregnancy. Use of non-targeted services reduced at dispensaries by 57.5 visits per month among children under five (95% CI: -110.2 to -4.9) and by 90.8 visits per month for those aged over five (95% CI: -156.5 to -25.2). There was no evidence of an effect of P4P on patient experience of care for targeted services. There was a 0.05 (95% CI: 0.01 to 0.10) increase in the patient satisfaction score for non-targeted services. P4P was associated with a 5.0% reduction in those paying out of pocket for deliveries (95% CI: -9.3% to -0.7%) but there was no evidence of an effect on the average amount paid. Conclusion This study adds to the very limited evidence on the effects of P4P at scale and highlights the potential risks of such schemes in relation to non-targeted service use. Further consideration of the design of P4P schemes is required to enhance progress towards universal health coverage, and close monitoring of effects on non-targeted services and user costs should be encouraged. PMID:26317510

  3. Utilisation of rheumatology care services in Germany: the case of physical therapy and self-help groups

    PubMed Central

    Thieme, Holm; Borgetto, Bernhard

    2012-01-01

    Physical Therapy (PT) and self-help groups (SHG) are important components of health care in rheumatic diseases. The utilisation of PT and SHG by patients with rheumatic diseases may be influenced by several factors. The aim of this study is to summarize the evidence on PT and SHG utilisation of patients with rheumatic diseases in Germany. We systematically searched the MEDLINE-database for studies that evaluated the utilisation and factors that possibly influence the utilisation of PT and SHG. Eight studies were found for PT-utilisation and one for SHG-utilisation. Between 25 and 59 percent of patients with rheumatic diseases received PT services. Several individual and contextual factors that may influence the utilisation could be identified. In conclusion, evidence exists for wide variations in the utilisation of PT services and an underuse of such services among patients with rheumatic diseases in Germany. By contrast, little evidence exists on the utilisation of SHG. PMID:23133502

  4. Capacity utilisation in medical education.

    PubMed

    Walsh, Kieran

    2014-05-01

    It is uncertain as to whether medical schools are operating to their maximum capacity or whether they could further maximise their capacity. It is also uncertain what problems medical schools might run into by striving to drive maximum capacity utilisation. Certainly there is no shortage of reports on why and how medical education providers should scale up, and yet there is inadequate scholarship on how medical education might do this in practice. It makes economic sense for medical schools to operate at maximum efficient capacity and yet adverse effects might result if schools are driven too hard. The main casualty of nearing the maximum efficient capacity is likely to be staff and staff morale. Staff will start to suffer from stress as a result of continually working to their limits. It is better to get buy-in from staff before implementing major changes that might increase capacity utilisation. PMID:24848401

  5. An ARXPS and ERXPS study of quaternary ammonium and phosphonium ionic liquids: utilising a high energy Ag L?' X-ray source.

    PubMed

    Blundell, Rebecca K; Delorme, Astrid E; Smith, Emily F; Licence, Peter

    2016-02-17

    A series of ammonium- and phosphonium-based ionic liquids have been probed using X-ray photoelectron spectroscopy (XPS) with a high energy Ag L?' X-ray source. The capability of the Ag L?' X-ray source for ionic liquid analysis is confirmed alongside the characterisation of previously undetected high energy core photoelectron emissions. Additionally, the utilisation of the Ag L?' X-ray source as a depth profiling technique (ERXPS) to investigate the structure of the ionic liquid/vacuum interface has been demonstrated, with comparison made to angle resolved X-ray photoelectron spectroscopy (ARXPS). PMID:26846969

  6. Good Practice Chaplaincy: An Exploratory Study Identifying the Appropriate Skills, Attitudes and Practices for the Selection, Training and Utilisation of Chaplains.

    PubMed

    Carey, Lindsay B; Rumbold, Bruce

    2015-08-01

    This article presents an overview of exploratory research regarding the skills, knowledge, attitudes and practices considered necessary for chaplains to be highly competent in providing holistic care to clients and staff. Utilising a qualitative methodology, two focus groups comprising Salvation Army chaplains and their managers provided data about their expectations of chaplaincy personnel and about the pastoral care interventions undertaken by chaplains. The results indicated that while there were some differences in opinion, nevertheless, in overall terms, there was general agreement between chaplains and their managers about particular personal and professional qualities necessary for chaplains to be considered appropriate and proficient. Evidence was also obtained indicating a need for change with regard to the organisational attitude and culture of The Salvation Army towards chaplaincy. Recommendations are presented concerning (1) the selection criteria for chaplaincy, (2) training and utilisation of chaplains plus (3) issues relating to organizational cultural change necessary to develop a future-ready chaplaincy more suitable for the twenty-first century. PMID:25371346

  7. Utilising inorganic nanocarriers for gene delivery.

    PubMed

    Loh, Xian Jun; Lee, Tung-Chun; Dou, Qingqing; Deen, G Roshan

    2015-12-15

    The delivery of genetic materials into cells to elicit cellular responses has been extensively studied by biomaterials scientists globally. Many materials such as lipids, peptides, viruses, synthetically modified cationic polymers and certain inorganic nanomaterials could be used to complex the negatively charged plasmids and deliver the formed package into cells. The recent literature on the delivery of genetic materials utilising inorganic nanoparticles is carefully examined in this review. We have picked out the most relevant references and concisely summarised the findings with illustrated examples. We further propose alternative approaches and suggest future pathways towards the practical use of multifunctional nanocarriers. PMID:26484365

  8. The consequences of introducing stochasticity in nutrient utilisation models: the case of phosphorus utilisation by pigs.

    PubMed

    Symeou, V; Leinonen, I; Kyriazakis, I

    2016-02-01

    Simulation models of nutrient utilisation ignore that variation in pig system components can influence the predicted mean and variance of the performance of a group of pigs. The objective of this study was to develop a methodology to investigate how variation in feed composition would (a) affect the outputs of a nutrient utilisation model and (b) interact with variation that arises from the traits of individual pigs. We used a P intake and utilisation model to address these characteristics. Introduction of stochasticity gave rise to a number of methodological challenges - for example, how to generate variation in both feed composition and pigs and account for correlations between ingredients when modelling variation associated with feed mixing efficiency. Introducing variation in feed composition and pig phenotype resulted in moderate decreases in mean digested, retained and excreted P predicted for a population of pigs and an increase in their associated CV. A lower percentage of pigs in the population were predicted to meet their requirements during the feeding period considered, by comparison with the no-variation scenario. Variation in feed ingredient composition contributed more to performance variation than variation due to mixing efficiency. When variations in both feed composition and pig traits were considered, it was the former rather than the latter that had the dominant influence on variability in pig performance. The developed framework emphasises the consequences of random variability on the predictions of nutrient utilisation models. Such consequences will have a significant impact on decisions about management strategies such as feeding that are subject to variation. PMID:26608351

  9. The impact of late-starts and overruns on theatre utilisation rates.

    PubMed

    Al-Benna, Sammy

    2012-06-01

    The NHS Management Executive recommends that hospitals should aim to use 90% of planned theatre time and that theatre utilisation should be used as a key performance indicator. This study aims to investigate the impact of late-starts and overruns on theatre utilisation rates. Data were retrieved from a prospectively updated theatre database for all elective plastic surgical main theatre operating sessions carried out over a one year period. Theatre list utilisation was calculated as the percentage of the total allocated session time that was used for anaesthesia and operating. A total of 2,944 elective main theatre operations were performed in one year. Total theatre utilisation was 90.9%. Utilisation of lists starting less than one hour after the scheduled start time was similar to the utilisation of sessions starting more than one hour late (90.1% versus 91.7% respectively, p = 0.527). In contrast, overrunning lists demonstrated much higher utilisation rates than those that finished before the end of the session (96.7% versus 76.6% respectively, p < 0.001). The study shows that late-starts and overruns represent obvious sources of theatre inefficiency yet their impact on utilisation is misleading: overruns exaggerate theatre usage and late-starts have little impact upon it. We conclude that the use of utilisation as a marker of theatre performance requires caution. PMID:22774654

  10. Environmental assessment of incinerator residue utilisation.

    PubMed

    Toller, S; Kärrman, E; Gustafsson, J P; Magnusson, Y

    2009-07-01

    Incineration ashes may be treated either as a waste to be dumped in landfill, or as a resource that is suitable for re-use. In order to choose the best management scenario, knowledge is needed on the potential environmental impact that may be expected, including not only local, but also regional and global impact. In this study, A life cycle assessment (LCA) based approach was outlined for environmental assessment of incinerator residue utilisation, in which leaching of trace elements as well as other emissions to air and water and the use of resources were regarded as constituting the potential environmental impact from the system studied. Case studies were performed for two selected ash types, bottom ash from municipal solid waste incineration (MSWI) and wood fly ash. The MSWI bottom ash was assumed to be suitable for road construction or as drainage material in landfill, whereas the wood fly ash was assumed to be suitable for road construction or as a nutrient resource to be recycled on forest land after biofuel harvesting. Different types of potential environmental impact predominated in the activities of the system and the use of natural resources and the trace element leaching were identified as being relatively important for the scenarios compared. The scenarios differed in use of resources and energy, whereas there is a potential for trace element leaching regardless of how the material is managed. Utilising MSWI bottom ash in road construction and recycling of wood ash on forest land saved more natural resources and energy than when these materials were managed according to the other scenarios investigated, including dumping in landfill. PMID:19362462

  11. Burden of illness, visual impairment and health resource utilisation of patients with neovascular age?related macular degeneration: results from the UK cohort of a five?country cross?sectional study

    PubMed Central

    Lotery, Andrew; Xu, Xiao; Zlatava, Gergana; Loftus, Jane

    2007-01-01

    Background/aims Quantitative data regarding the impact of neovascular age?related macular degeneration (NV?AMD) on individuals and society is a prerequisite for rational decision?making processes when evaluating alternative treatments for the disease. Methods 75 bilateral NV?AMD (patients) and 91 elderly non?AMD (controls) subjects forming the UK cohort of an international cross?sectional, observational study were independently analysed. Subjects completed a telephone survey including the National Eye Institute Visual Function Questionnaire (NEI?VFQ?25), the EuroQol (EQ?5D), the Hospital Anxiety and Depression Scale (HADS), history of falls and health resource utilisation. Results Patients with NV?AMD reported substantially worse vision?related functioning and overall well?being, including higher depression scores, than controls after adjusting for age, gender and co?morbidities (adjusted mean scores: NEI?VFQ?25 overall 52.7 vs 90.7, p<0.0001; EQ?5D 0.67 vs 0.77, p?=?0.0273; HADS depression 6.8 vs 4.0, p?=?0.0026). Significantly more patients reported a need for assistance with daily activities compared with controls (25.3% vs 6.6%, p?=?0.003). Total annual healthcare utilisation costs were more than sevenfold higher for patients with AMD compared with controls (£3,823.89 vs £517.05, respectively; p<0.0001) Conclusions Patients with NV?AMD show a significant decline in quality of life and increased need for daily living assistance compared to a control population without AMD. With the availability of effective new therapies there is a need for improved early access to treatment. PMID:17504847

  12. Synthesis and pharmacological evaluation of dehydroabietic acid thiourea derivatives containing bisphosphonate moiety as an inducer of apoptosis.

    PubMed

    Huang, Xiaochao; Huang, Rizheng; Liao, Zhixin; Pan, Yingming; Gou, Shaohua; Wang, Hengshan

    2016-01-27

    A series of DHAA thiourea derivatives containing bisphosphonate moiety were designed and synthesized as potent antitumor agents. Structures of target molecules were confirmed using HR-MS, (1)H NMR and (13)C NMR and they exhibited potent anti-tumor activities against the SK-OV-3, BEL-7404, A549, HCT-116 and NCI-H460 tumor cell lines in vitro. Especially, compound 6e (IC50 = 1.79 ± 0.43 ?M) exhibited the best anticancer activity against SK-OV-3 cell line. Its role as an inducer of apoptosis was investigated in this cell line by Annexin-V/PI binding assay and by following its capability for ROS generation, depolarization of mitochondrial transmembrane potential, activation of caspases and expression of pro- and anti-apoptotic proteins. Elevated level of ROS generation, activation of caspase-3, caspase-8, caspase-9, and Fas, higher expression of Bax, lower expression of Bcl-2, and increased level of Bax/Bcl-2 ratio identified 6e as a promising inducer of apoptosis that follows both of the mitochondria dependent pathway and the death receptor-mediated pathway. In addition, the cell cycle analysis indicated that compound 6e caused cell cycle arrest at G1 phase, induced apoptosis and led to cell death by increasing the proportion of sub-G1 cells. Furthermore, molecular docking studies showed that 6e could bind to the ATP pocket sites. PMID:26706349

  13. Evaluating the impact of depression, anxiety & autonomic function on health related quality of life, vocational functioning and health care utilisation in acute coronary syndrome patients: the ADVENT study protocol

    PubMed Central

    2013-01-01

    Background Depression and anxiety are highly prevalent and co-morbid in acute coronary syndrome patients. Somatic and cognitive subtypes of depression and anxiety in acute coronary syndrome have been shown to be associated with mortality although their association with patient outcomes is unknown, as are the mechanisms that underpin these associations. We are conducting a prospective cohort study which aims to examine in acute coronary syndrome patients: (1) the role of somatic subtypes of depression and anxiety as predictors of health related quality of life outcomes; (2) how somatic subtypes of depression and anxiety relate to long term vocational functioning and healthcare utilisation; and (3) the role of the autonomic nervous system assessed by heart rate variability as a moderator of these associations. Methods Patients are being screened after index admission for acute coronary syndrome at a single, high volume centre, MonashHeart, Monash Health, Victoria, Australia. The inclusion criterion is all patients aged?>?21 years old and fluent in English admitted to MonashHeart, Monash Health with a diagnosis of acute coronary syndrome. The primary outcome is mean health related quality of life (Short Form-36) Physical and Mental Health Summary scores at 12 and 24 months in subtypes with somatic symptoms of depression and anxiety. Depressive domains are assessed by the Beck Depression Inventory II and the Cardiac Depression Scale. Anxiety is measured using the Speilberger State-Trait Anxiety Inventory and the Crown Crisp Phobic Anxiety questionnaire. Secondary outcomes include clinical variables, healthcare service utilisation and vocational functioning. Discussion This manuscript presents the protocol for a prospective cohort study which will investigate the role of somatic subtypes of depression and anxiety as predictors of health related quality of life, long-term vocational functioning and health service use, and the role of the autonomic nervous system in moderating these associations. Findings from the study have the potential to inform more effective pharmacological, psychological and behavioural interventions and better guide health policy on the use of health care resources. PMID:24237848

  14. Impact of universal health coverage on urban–rural inequity in psychiatric service utilisation for patients with first admission for psychosis: a 10-year nationwide population-based study in Taiwan

    PubMed Central

    Chiang, Chih-Lin; Chen, Pei-Chun; Huang, Ling-Ya; Kuo, Po-Hsiu; Tung, Yu-Chi; Liu, Chen-Chung; Chen, Wei J

    2016-01-01

    Objective To examine the disparities in psychiatric service utilisation over a 10-year period for patients with first admission for psychosis in relation to urban–rural residence following the implementation of universal health coverage in Taiwan. Design Population-based retrospective cohort study. Setting Taiwan's National Health Insurance Research Database, which has a population coverage rate of over 99% and contains all medical claim records of a nationwide cohort of patients with at least one psychiatric admission between 1996 and 2007. Participants 69 690 patients aged 15–59 years with first admission between 1998 and 2007 for any psychotic disorder. Main exposure measure Patients’ urban–rural residence at first admissions. Main outcome measures Absolute and relative inequality indexes of the following quality indicators after discharge from the first admission: all-cause psychiatric readmission at 2 and 4 years, dropout of psychiatric outpatient service at 30 days, and emergency department (ED) treat-and-release encounter at 30 days. Results Between 1998 and 2007, the 4-year readmission rate decreased from 65% to 58%, the 30-day dropout rate decreased from 18% to 15%, and the 30-day ED encounter rate increased from 8% to 10%. Risk of readmission has significantly decreased in rural and urban patients, but at a slower speed for the rural patients (p=0.026). The adjusted HR of readmission in rural versus urban patients has increased from 1.00 (95% CI 0.96 to 1.04) in 1998–2000 to 1.08 (95% CI 1.03 to 1.12) in 2005–2007, indicating a mild widening of the urban–rural gap. Urban–rural differences in 30-day dropout and ED encounter rates have been stationary over time. Conclusions The universal health coverage in Taiwan did not narrow urban–rural inequity of psychiatric service utilisation in patients with psychosis. Therefore, other policy interventions on resource allocation, service delivery and quality of care are needed to improve the outcome of rural-dwelling patients with psychosis. PMID:26940114

  15. Comparative assessment of compost and zeolite utilisation for the simultaneous removal of BTEX, Cd and Zn from the aqueous phase: Batch and continuous flow study.

    PubMed

    Simantiraki, Fotini; Gidarakos, Evangelos

    2015-08-15

    The present study focuses on the comparison of two materials, compost from municipal solid waste and natural zeolite for the simultaneous removal of petroleum hydrocarbons (benzene, toluene, ethylbenzene, xylenes - BTEX) and toxic metals from groundwater. First, batch experiments were conducted to identify the optimal removal conditions. All of the kinetic experiments were fitted to the pseudo-second-order kinetic model; equilibrium was reached within approximately 8 h for the zeolite and 12 h for the compost. An increase in the adsorbent dose and the pH value as well as a decrease in the initial concentration enhanced the pollutants' removal. The removal selectivity of both materials with slight differences follows the order Cd > Zn & toluene > ethylbenzene > m- & p-xylene > o-xylene > benzene. According, to the results derived from the continuous flow experiments the maximum adsorption capacity of the compost (90%) referred to Cd (0.88 mmol/g) whereas the minimum refers to benzene (65%) with a capacity up to 0.065 mmol/g. Zeolite had lower efficiencies for the studied pollutants with a higher performance corresponding to Cd (0.26 mmol/g), whereas the minimum zeolite capacity (63%) corresponds to toluene (0.045 mmol/g). Thus, this paper provides evidence that compost, a low cost material produced from waste, is capable for the simultaneous removal of both organic and inorganic pollutants from wastewater, and its performance is superior to zeolite. PMID:26024993

  16. Recycling and utilisation of industrial solid waste: an explorative study on gold deposit tailings of ductile shear zone type in China.

    PubMed

    Liu, Rui; Huang, Fei; Du, Runxiang; Zhao, Chunming; Li, Yongli; Yu, Haoran

    2015-06-01

    Tailings are solid waste arising from mineral processing. This type of waste can cause severe damage to the environment during stockpiling as a result of the leaching of something harmful into the ecosystem. Gold deposit of ductile shear zone type is an important type of gold deposit, and the recycling of its tailings has been challenging researchers for a long time. In this article, the characteristics of this type of tailings were systematically studied by using modern technical means. Considering the characteristics of the tailings, clay was selected to make up for the shortcomings of the tailings and improve their performance. Water and raw materials were mixed to produce green bodies, which are subsequently sintered into ceramic bodies at 980 °C~1020 °C (sintering temperature). The results showed that some new kinds of mineral phases, such as mullite, anorthite and orthoclase, appear in ceramic bodies. Furthermore, the ceramic bodies have a surface hardness of 5 to 6 (Mohs scale), and their water absorption and modulus of rupture can meet some technical requirements of ceramic materials described in ISO 13006-2012 and GB 5001-1985. These gold mine tailings can be made into ceramic tiles, domestic ceramic bodies, and other kinds of ceramic bodies for commercial and industrial purposes after further improvements. PMID:26060235

  17. Plutonium utilisation in future UK PWRs

    SciTech Connect

    Thomas, G. M.; Worrall, A.

    2006-07-01

    Plutonium recycling in the form of Mixed Oxide (MOX) fuels is already a reality in over 30 reactors in Europe (in Belgium, Switzerland, Germany and France). Japan also plans to use MOX in approximately 30% of its reactors in the near future[1]. This paper describes potential near to mid-term disposition strategies for the United Kingdom's stockpile of plutonium. In order to be confident that MOX fuel can be utilised effectively in Pressurised Water Reactors (PWRs) in the UK, details are given of studies carried out recently at Nexia Solutions on PWR cores loaded with MOX containing typical UK plutonium isotopic compositions. Three dimensional steady state neutronic models of a standard Westinghouse four loop PWR design are constructed using state of the art tools (Studsvik of America's Core Management System[2, 3, 4]). Initially, a standard 18-month equilibrium UO{sub 2} fuel cycle is generated, followed by safety analyses and fuel performance calculations to demonstrate its feasibility. This equilibrium UO{sub 2} core is then gradually transitioned through loading patterns containing increasing MOX core loading fractions. Finally, an equilibrium MOX core loading pattern is determined. Technical safety analyses are also carried out on the transition cores and the final equilibrium scenario to ensure that all of the MOX cores are robust from a technical and safety viewpoint. Once these studies are completed the annual fuel throughputs for each scenario can be determined and used to produce options for managing the UK's plutonium stockpile. This work is part of a wider exercise currently being carried out by Nexia Solutions to explore the options for the safe disposition of the UK civil stockpile of separated PUO{sub 2}. (authors)

  18. The utilisation of health research in policy-making: concepts, examples and methods of assessment

    PubMed Central

    Hanney, Stephen R; Gonzalez-Block, Miguel A; Buxton, Martin J; Kogan, Maurice

    2003-01-01

    The importance of health research utilisation in policy-making, and of understanding the mechanisms involved, is increasingly recognised. Recent reports calling for more resources to improve health in developing countries, and global pressures for accountability, draw greater attention to research-informed policy-making. Key utilisation issues have been described for at least twenty years, but the growing focus on health research systems creates additional dimensions. The utilisation of health research in policy-making should contribute to policies that may eventually lead to desired outcomes, including health gains. In this article, exploration of these issues is combined with a review of various forms of policy-making. When this is linked to analysis of different types of health research, it assists in building a comprehensive account of the diverse meanings of research utilisation. Previous studies report methods and conceptual frameworks that have been applied, if with varying degrees of success, to record utilisation in policy-making. These studies reveal various examples of research impact within a general picture of underutilisation. Factors potentially enhancing utilisation can be identified by exploration of: priority setting; activities of the health research system at the interface between research and policy-making; and the role of the recipients, or 'receptors', of health research. An interfaces and receptors model provides a framework for analysis. Recommendations about possible methods for assessing health research utilisation follow identification of the purposes of such assessments. Our conclusion is that research utilisation can be better understood, and enhanced, by developing assessment methods informed by conceptual analysis and review of previous studies. PMID:12646071

  19. The experiences of culturally and linguistically diverse family caregivers in utilising dementia services in Australia

    PubMed Central

    2013-01-01

    Background Older people from culturally and linguistically diverse groups are underrepresented in residential aged care but overrepresented in community aged care in Australia. However, little is known about culturally and linguistically diverse family caregivers in utilising dementia services in Australia because previous studies mainly focused on the majority cultural group. Experiences of caregivers from culturally and linguistically diverse groups who are eligible to utilise dementia services in Australia are needed in order to optimize the utilisation of dementia services for these caregivers. Methods The aim of the study was to explore the experiences of family caregivers from Chinese, Greek, Italian and Vietnamese groups in utilising dementia services. Gadamer's philosophical hermeneutics was used to interpret the experiences of the participants. Focus group discussions and in-depth individual interviews were used to collect data. Data collection was conducted over a six month period in 2011. In total, 46 family caregivers who were caring for 39 persons with dementia participated. Results Four themes were revealed: (1) negotiating services for the person with dementia; (2) the impact of acculturation on service utilisation; (3) the characteristics of satisfactory services; and (4) negative experiences in utilising services. The present study revealed that the participation of caregivers from culturally and linguistically diverse groups in planning and managing dementia services ranged markedly from limited participation to full participation. Conclusions The findings of this study suggest that caregivers from culturally and linguistically diverse groups need to be fully prepared so they can participate in the utilisation of dementia services available to them in Australia. PMID:24148155

  20. Utilisation of magnets to enhance gastrointestinal endoscopy.

    PubMed

    Rahman, Imdadur; Patel, Praful; Boger, Philip; Thomson, Mike; Afzal, Nadeem Ahmad

    2015-12-25

    Methods to assess, access and treat pathology within the gastrointestinal tract continue to evolve with video endoscopy replacing radiology as the gold standard. Whilst endoscope technology develops further with the advent of newer higher resolution chips, an array of adjuncts has been developed to enhance endoscopy in other ways; most notable is the use of magnets. Magnets are utilised in many areas, ranging from endoscopic training, lesion resection, aiding manoeuvrability of capsule endoscopes, to assisting in easy placement of tubes for nutritional feeding. Some of these are still at an experimental stage, whilst others are being increasingly incorporated in our everyday practice. PMID:26722611

  1. Utilisation of magnets to enhance gastrointestinal endoscopy

    PubMed Central

    Rahman, Imdadur; Patel, Praful; Boger, Philip; Thomson, Mike; Afzal, Nadeem Ahmad

    2015-01-01

    Methods to assess, access and treat pathology within the gastrointestinal tract continue to evolve with video endoscopy replacing radiology as the gold standard. Whilst endoscope technology develops further with the advent of newer higher resolution chips, an array of adjuncts has been developed to enhance endoscopy in other ways; most notable is the use of magnets. Magnets are utilised in many areas, ranging from endoscopic training, lesion resection, aiding manoeuvrability of capsule endoscopes, to assisting in easy placement of tubes for nutritional feeding. Some of these are still at an experimental stage, whilst others are being increasingly incorporated in our everyday practice. PMID:26722611

  2. Determinants of postnatal service utilisation among mothers in rural settings of Malawi.

    PubMed

    Phiri, Precious William C; Rattanapan, Cheerawit; Mongkolchati, Aroonsri

    2015-09-01

    The aim of this study was to determine significant predictors for the utilisation of postnatal service among mothers. A total of 295 postnatal mothers were enrolled in a cross-sectional study design undertaken in six health facilities of Lilongwe District using two-stage cluster sampling with a response rate of 100%. The data were collected by interview from December 2012 to January 2013 using a structured questionnaire. The result showed that over half of the mothers (56.6%) utilised postnatal service within 6 weeks after delivery. A stepwise multiple logistic regression was used to determine significant determinants of utilisation of postnatal service among mothers. After adjusting for confounding factors, utilisation of an alternative local source of care in home after delivery [adjusted odds ratio (aOR): 7.77, 95% CI: 4.14-14.58], women's perception on performance of health workforce during delivery and postnatal service (aOR: 6.56, 95% CI: 3.09-13.94), health education before hospital discharge of postnatal mothers (aOR: 4.08, 95% CI: 2.11-7.92), place of delivery (aOR: 4.32, 95% CI: 1.32-14.12), family income (aOR: 1.89, 95% CI: 1.03-3.46) and the occurrence of no complications during delivery (aOR: 1.90, 95% CI: 1.03-3.50) were significantly associated with the utilisation of postnatal service. Hence, this study suggests that improved health workforce performance coupled with effective health education may increase the utilisation of postnatal service. Furthermore, the utilisation of postnatal service may also be increased through reducing home deliveries, delivery complications and the use of alternative local care at home after delivery. Integration of postnatal service in outreach clinics might also assist through reducing the cost of accessing postnatal service among mothers. PMID:25319930

  3. Utilising UDT to push the bandwidth envelope

    NASA Astrophysics Data System (ADS)

    Garrett, B.; Davies, B.

    eScience applications, in particular High Energy Physics, often involve large amounts of data and/or computing and often require secure resource sharing across organizational boundaries, and are thus not easily handled by today's networking infrastructures. By utilising the switched lightpath connections provided by the UKLight network it has been possible to research the use of alternate protocols for data transport. While the HEP projects make use of a number of middleware solutions for data storage and transport, they all rely on GridFTP for WAN transport. The GridFTP protocol runs over TCP as the layer 3 protocol by default, however with the latest released of the Globus toolkit it is possible to utilise alternate protocols at the layer 3 level. One of the alternatives is a reliable version of UDP called UDT. This report presents the results of the tests measuring the performance of single-threaded file transfers using GridFTP running over both TCP and the UDT protocol.

  4. Yolk utilisation in the newly hatched poult.

    TOXLINE Toxicology Bibliographic Information

    Noy Y; Sklan D

    1998-07-01

    1. Routes of yolk utilisation and some aspects of intestinal digestion and absorption were determined in the hatching poult and compared to the chick. 2. Transfer from yolk to blood was observed pre-hatch and up to 72 h post-hatch. From hatch the transport pattern was similar to the chick. 3. Transport from the yolk sac into the intestine via the yolk stalk was observed up to 120 h after hatch. Secretion was initially to the proximal ileum and reflux occurred, transporting contents to the proximal small intestine and gizzard. Antiperistaltic movements increased after hatch and secretion continued for longer post-hatch than in the chick. 4. In situ uptake of glucose per unit of duodenum did not change with age, whereas uptake of methionine and oleic acid decreased with age. In contrast, in the chick glucose and methionine uptake capacity increased slightly between hatch and 7 d. 5. The lipid class distribution of intestinal contents resembled that of yolk close to hatch, however, some lipolysis was observed in the duodenum. With age the proportion of free fatty acids increased rapidly, first in the duodenum then in the ileum and finally in the caecum. Yolk in the distal small intestine close to hatch did not appear to be utilised.

  5. Utilisation of specialist medical manpower in Malaysia.

    PubMed

    Wong, S L; Mohan, A J; Suleiman, A B

    1998-09-01

    One hundred and twenty specialists from the Ministry of Health, the Universities and the private sector provided information on 4,802 patients seen over a total of two hundred and forty working days. This information was used to classify the patients into four categories based on a disease complexity classification. Each specialist's perception on the appropriateness of utilisation of his expertise was obtained. Complex cases requiring specialist expertise in management made up 69.8%, 73.5% and 19.1% of the cases of the Ministry of Health, University and private sector specialists respectively. Underutilisation was most marked with paediatricians and obstetricians in the private sector. The Specialist Register, the Programme for Accreditation of Hospitals and a National Health Financing Plan can be used to influence positively the case-mix of specialists. PMID:10968161

  6. Adolescents' utilisation of psychiatric care, neighbourhoods and neighbourhood socioeconomic deprivation: a multilevel analysis.

    PubMed

    Ivert, Anna-Karin; Torstensson Levander, Marie; Merlo, Juan

    2013-01-01

    Mental health problems among adolescents have become a major public health issue, and it is therefore important to increase knowledge on the contextual determinants of adolescent mental health. One such determinant is the socioeconomic structure of the neighbourhood. The present study has two central objectives, (i) to examine if neighbourhood socioeconomic deprivation is associated to individual variations in utilisation of psychiatric care in a Swedish context, and (ii) to investigate if neighbourhood boundaries are a valid construct for identifying contexts that influence individual variations in psychiatric care utilization. Data were obtained from the Longitudinal Multilevel Analysis in Scania (LOMAS) database. The study population consists of all boys and girls aged 13-18 years (N=18,417), who were living in the city of Malmö, Sweden, in 2005. Multilevel logistic regression analysis was applied to estimate the probability of psychiatric care utilisation. The results from the study indicate that the neighbourhood of residence had little influence on psychiatric care utilisation. Although we initially found a variation between neighbourhoods, this general contextual effect was very small (i.e. 1.6%). The initial conclusive association between the neighbourhood level of disadvantage and psychiatric care utilisation (specific contextual effect) disappeared following adjustment for individual and family level variables. Our results suggest the neighbourhoods in Malmö (at least measured in terms of SAMS-areas), do not provide accurate information for discriminating adolescents utilisation of psychiatric care. The SAMS-areas appears to be an inappropriate construct of the social environment that influences adolescent utilisation of psychiatric care. Therefore, public health interventions should be directed to the whole city rather than to specific neighbourhoods. However, since geographical, social or cultural contexts may be important for our understanding of adolescent mental health further research is needed to identify such contexts. PMID:24260548

  7. Perspectives and visions on CO2 capture and utilisation.

    PubMed

    North, M; Styring, P

    2015-12-01

    This article summarises and contextualises the debates which occurred during the Carbon Dioxide Utilisation Faraday Discussion meeting. The utilisation of carbon dioxide is discussed in terms of both conversion to fuel, with a potential impact on atmospheric carbon dioxide levels, and conversion to chemicals with a potential impact on sustainability. PMID:26527125

  8. Utilisation of chip thickness models in grinding

    NASA Astrophysics Data System (ADS)

    Singleton, Roger

    Grinding is now a well established process utilised for both stock removal and finish applications. Although significant research is performed in this field, grinding still experiences problems with burn and high forces which can lead to poor quality components and damage to equipment. This generally occurs in grinding when the process deviates from its safe working conditions. In milling, chip thickness parameters are utilised to predict and maintain process outputs leading to improved control of the process. This thesis looks to further the knowledge of the relationship between chip thickness and the grinding process outputs to provide an increased predictive and maintenance modelling capability. Machining trials were undertaken using different chip thickness parameters to understand how these affect the process outputs. The chip thickness parameters were maintained at different grinding wheel diameters for a constant productivity process to determine the impact of chip thickness at a constant material removal rate.. Additional testing using a modified pin on disc test rig was performed to provide further information on process variables. The different chip thickness parameters provide control of different process outputs in the grinding process. These relationships can be described using contact layer theory and heat flux partitioning. The contact layer is defined as the immediate layer beneath the contact arc at the wheel workpiece interface. The size of the layer governs the force experienced during the process. The rate of contact layer removal directly impacts the net power required from the system. It was also found that the specific grinding energy of a process is more dependent on the productivity of a grinding process rather than the value of chip thickness. Changes in chip thickness at constant material removal rate result in microscale changes in the rate of contact layer removal when compared to changes in process productivity. This is a significant piece of information in relation to specific grinding energy where conventional theory states it is primarily dependent on chip thickness..

  9. Utilising shade to optimize UV exposure for vitamin D

    NASA Astrophysics Data System (ADS)

    Turnbull, D. J.; Parisi, A. V.

    2008-01-01

    Numerous studies have stated that humans need to utilise full sun radiation, at certain times of the day, to assist the body in synthesising the required levels of vitamin D3. The time needed to be spent in the full sun depends on a number of factors, for example, age, skin type, latitude, solar zenith angle. Current Australian guidelines suggest exposure to approximately 1/6 to 1/3 of a minimum erythemal dose (MED), depending on age, would be appropriate to provide adequate vitamin D3 levels. The aim of the study was to determine the exposure times to diffuse solar UV to receive exposures of 1/6 and 1/3 MED for a changing solar zenith angle in order to assess the possible role that diffuse UV (scattered radiation) may play in vitamin D3 effective UV exposures (UVD3). Diffuse and global erythemal UV measurements were conducted at five minute intervals over a twelve month period for a solar zenith angle range of 4° to 80° at a latitude of 27.6° S. For diffuse UV exposures of 1/6 and 1/3 MED, solar zenith angles smaller than 60° and 50° respectively can be utilised for exposure times of less than 10 min. Spectral measurements showed that, for a solar zenith angle of 40°, the UVA (315-400 nm) in the diffuse component of the solar UV is reduced by approximately 62% compared to the UVA in the global UV, whereas UVD3 wavelengths are only reduced by approximately 43%. At certain latitudes, diffuse UV under shade may play an important role in providing the human body with adequate levels of UVD3 (290-330 nm) radiation without experiencing the high levels of damaging UVA observed in full sun.

  10. Utilising shade to optimize UV exposure for vitamin D

    NASA Astrophysics Data System (ADS)

    Turnbull, D. J.; Parisi, A. V.

    2008-06-01

    Numerous studies have stated that humans need to utilise full sun radiation, at certain times of the day, to assist the body in synthesising the required levels of vitamin D3. The time needed to be spent in the full sun depends on a number of factors, for example, age, skin type, latitude, solar zenith angle. Current Australian guidelines suggest exposure to approximately 1/6 to 1/3 of a minimum erythemal dose (MED), depending on age, would be appropriate to provide adequate vitamin D3 levels. The aim of the study was to determine the exposure times to diffuse solar UV to receive exposures of 1/6 and 1/3 MED for a changing solar zenith angle in order to assess the possible role that diffuse UV (scattered radiation) may play in vitamin D3 effective UV exposures (UVD3). Diffuse and global erythemal UV measurements were conducted at five minute intervals over a twelve month period for a solar zenith angle range of 4° to 80° at a latitude of 27.6° S. For a diffuse UV exposure of 1/3 MED, solar zenith angles smaller than approximately 50° can be utilised for exposure times of less than 10 min. Spectral measurements showed that, for a solar zenith angle of 40°, the UVA (315-400 nm) in the diffuse component of the solar UV is reduced by approximately 62% compared to the UVA in the global UV, whereas UVD3 wavelengths are only reduced by approximately 43%. At certain latitudes, diffuse UV under shade may play an important role in providing the human body with adequate levels of UVD3 (290-315 nm) radiation without experiencing the high levels of UVA observed in full sun.

  11. Factors that influence utilisation of HIV/AIDS prevention methods among university students residing at a selected university campus.

    PubMed

    Ndabarora, Eléazar; Mchunu, Gugu

    2014-01-01

    Various studies have reported that university students, who are mostly young people, rarely use existing HIV/AIDS preventive methods. Although studies have shown that young university students have a high degree of knowledge about HIV/AIDS and HIV modes of transmission, they are still not utilising the existing HIV prevention methods and still engage in risky sexual practices favourable to HIV. Some variables, such as awareness of existing HIV/AIDS prevention methods, have been associated with utilisation of such methods. The study aimed to explore factors that influence use of existing HIV/AIDS prevention methods among university students residing in a selected campus, using the Health Belief Model (HBM) as a theoretical framework. A quantitative research approach and an exploratory-descriptive design were used to describe perceived factors that influence utilisation by university students of HIV/AIDS prevention methods. A total of 335 students completed online and manual questionnaires. Study findings showed that the factors which influenced utilisation of HIV/AIDS prevention methods were mainly determined by awareness of the existing university-based HIV/AIDS prevention strategies. Most utilised prevention methods were voluntary counselling and testing services and free condoms. Perceived susceptibility and perceived threat of HIV/AIDS score was also found to correlate with HIV risk index score. Perceived susceptibility and perceived threat of HIV/AIDS showed correlation with self-efficacy on condoms and their utilisation. Most HBM variables were not predictors of utilisation of HIV/AIDS prevention methods among students. Intervention aiming to improve the utilisation of HIV/AIDS prevention methods among students at the selected university should focus on removing identified barriers, promoting HIV/AIDS prevention services and providing appropriate resources to implement such programmes. PMID:25444096

  12. The Utilisation of Psychological Support Services in Primary Schools in Gauteng

    ERIC Educational Resources Information Center

    Pillay, Jace; Wasielewski, Tanya

    2007-01-01

    This qualitative study was conducted in four Gauteng public primary schools to assess the utilisation of psychological support services. Individual and focus group interviews were conducted with various stakeholders. The results indicated an underutilisation of Psychological Support Services attributed to lack of staff within the support…

  13. Utilisation of public eye care services by the rural community residents in the Capricorn district, Limpopo Province, South Africa

    PubMed Central

    Oduntan, Olalekan A.; Mpolokeng, Benjamin L.

    2012-01-01

    Abstract Background Visual impairment and blindness are major health problems worldwide, especially in the rural and remote areas of developing countries. Utilisation of eye care services is essential to reduce the burden of visual impairment and blindness, and it is therefore important that it is monitored. Objectives The objectives of this study were to determine the level of utilisation of public eye care services and factors that might have influenced their usage in rural communities, Capricorn district, Limpopo Province, South Africa. Method A population-based cross-sectional study design was used. Participants were residents in selected rural villages located within approximately 5 km of six Government hospitals. Following ethical approval and receipt of informed consent, a questionnaire with closed and open-ended questions was used to collect information on the utilisation of eye care services and factors that might influence utilisation. Descriptive statistics and Pearson's Chi-square test were used to analyse and compare the data. Results Many (62.7%) of the respondents had used the government eye care services in the past. Over fifty-nine per cent (59.3%) of them were satisfied with the services. Factors reported to influence utilisation (such as monthly income, knowledge of available services and the need for regular eye tests) were positively associated with utilisation of eye care services in this study (p < 0.05). Conclusion Utilisation of eye care services was relatively good, but varied significantly between sites. An awareness campaign by government and non-governmental organisations about eye care services may increase utilisation amongst rural communities.

  14. Natural gas development and utilisation pattern in India

    SciTech Connect

    Mulchandani, H.K.; Balakrishnan, M.

    1984-02-01

    In this era of energy consciousness, Natural Gas is destined to play an important role in the economic life of India. The luxury of flaring into atmosphere is over. Rather stocks are being assessed and capital investments are planned for the optimum development and utilisation of gas. In this paper, authors have attempted to tie up various data on different aspects of gas business such as supply, source, production, utilisation pattern and its share in energy and economy. The optimal utilisation plan as discussed here could be of some value to the planners.

  15. To fractionate municipal solid waste incineration bottom ash: Key for utilisation?

    PubMed

    Sormunen, Laura Annika; Rantsi, Riina

    2015-11-01

    For the past decade, the Finnish waste sector has increasingly moved from the landfilling of municipal solid waste towards waste incineration. New challenges are faced with the growing amounts of municipal solid waste incineration bottom ash, which are mainly landfilled at the moment. Since this is not a sustainable or a profitable solution, finding different utilisation applications for the municipal solid waste incineration bottom ash is crucial. This study reports a comprehensive analysis of bottom ash properties from one waste incineration plant in Finland, which was first treated with a Dutch bottom ash recovery technique called advanced dry recovery. This novel process separates non-ferrous and ferrous metals from bottom ash, generating mineral fractions of different grain sizes (0-2 mm, 2-5 mm, 5-12 mm and 12-50 mm). The main aim of the study was to assess, whether the advanced bottom ash treatment technique, producing mineral fractions of different grain sizes and therefore properties, facilitates the utilisation of municipal solid waste incineration bottom ash in Finland. The results were encouraging; the bottom ash mineral fractions have favourable behaviour against the frost action, which is especially useful in the Finnish conditions. In addition, the leaching of most hazardous substances did not restrict the utilisation of bottom ash, especially for the larger fractions (>5 mm). Overall, this study has shown that the advanced bottom ash recovering technique can be one solution to increase the utilisation of bottom ash and furthermore decrease its landfilling in Finland. PMID:26330401

  16. Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

    PubMed Central

    Asuzu, Michael C.

    2015-01-01

    Background Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities. Aim To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria Settings A low-income community in Ibadan North West Local Government Area of Oyo State. Methods A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community. A semi-structured interviewer-administered questionnaire was used to collect information on respondents' sociodemographic characteristics, knowledge and utilisation of the CBHF. Data analysis included descriptive statistics and association testing using the Chi-square test at p = 0.05. Results The mean age of the respondents was 46.5 ± 16.0 years; 46.0% were men and 81.0% married; 26% had no formal education and 38.0% had secondary-level education and above; traders constituted 52.0% of the sample; and 85.2% were of low socioeconomic standing; 90% had patronised the CBHF. The main reasons for non-utilisation were preference for general hospitals (13.8%) and self-medication (12.1%). Respondents who had secondary education and above, were in a higher socioeconomic class, who had good knowledge of the facility and were satisfied with care, utilised the CBHF three months significantly more than their counterparts prior to the study (p < 0.05). However, only satisfaction with care was found to be a significant predictor of utilisation of the CBHF. Conclusion The utilisation of the CBHF amongst adults in the study setting is high, driven mostly by satisfaction with the care received previously. Self-medication, promoted by uncontrolled access to drugs through pharmacies and patent medicine stores, threatens this high utilisation. PMID:26245600

  17. Utilisation of Riverine Dom By Coastal Bacteria

    NASA Astrophysics Data System (ADS)

    Rochelle-Newall, E.; Pizay, M.-D.; Gattuso, J.-P.

    Coastal bacteria were incubated over a period of 8 days in size fractionated, river- ine dissolved organic matter (DOM) collected from the Danish Randersfjord during spring (April) and summer (August) of 2001. Three molecular weight size fractions were used: 0.2 µm filtered (0.2-DOM), >1 kDa (high molecular weight, HMW-DOM) and < 1kDa (low molecular weight, LMW-DOM). Throughout the incubations bacte- rial abundance (BA), bacterial production (BP), DOC and oxygen (bacterial respira- tion, BR) were measured. The results were compared with parallel control incubations of riverine bacteria in size fractionated riverine DOM and coastal bacteria in size frac- tionated coastal DOM. In all incubations, regardless of initial DOC concentration, size or source, bacterial abundance started low and increased towards the end of the incu- bation. Similarly, bacterial production was initially low, increased during the first few days and then decreased towards the end of the incubation. There were few differences within each incubation type in spring, with the measured parameters failing to exhibit any significant differences between the 0.2-DOM, HMW-DOM or the LMW-DOM incubations. In summer, as in spring, abundance and production were initially low and then increased. BR was higher in summer (ave. 2.2 versus 1.2 µm O2 d-1), potentially due to the higher temperatures (18C versus 6C in spring). The average % DOC removal was also higher in summer (8.9% versus 4.6%) despite relatively similar ini- tial DOC concentrations. Moreover, differences in BA and BP were evident between the sources of DOM in summer. While the coastal bacteria transplanted into riverine HMW-DOM performed similarly to coastal bacteria in coastal HMW-DOM, riverine bacteria in riverine HMW-DOM exhibited higher BA, BP and BR, indicating perhaps a difference in the capabilities of the coastal bacterial assemblage as compared to that of the natural riverine assemblage. Bacterial growth efficiency varied between 26% and 69% and was generally highest in the LMW-DOM incubations. These results fur- ther demonstrate the flexibility of bacteria in their ability to utilise different sources of DOM.

  18. Jarosite characteristics and its utilisation potentials.

    PubMed

    Pappu, Asokan; Saxena, Mohini; Asolekar, Shyam R

    2006-04-15

    During metallic zinc extraction from zinc sulphide or sulphide ore, huge quantity of jarosite is being released universally as solid residues. The jarosite mainly contains iron, sulphur, zinc, calcium, lead, cadmium and aluminium. Jarosite released from such industrial process is complex and its quality and quantity make the task more complex for safe disposal. Apart from water contamination, jarosite already accumulated and its increasing annual production is a major source of pollution for surrounding environment including soil, vegetation and aquatic life and hence its disposal leads to major concern because of the stringent environmental protection regulations. An attempt was made to evaluate the characteristics of Indian jarosite with an objectives to understand its potentials for recycling and utilising as raw materials for developing value added products. Sand and Coal Combustion Residues (CCRs) was used as an admixture to attain good workability and detoxify the toxic substance in the jarosite. Result revealed that jarosite is silty clay loam in texture having 63.48% silt sized and 32.35% clay sized particles. The particle size of jarosite (D90=16.21+/-0.20 microm) is finer than the CCRs (D90=19.72+/-0.18 microm). The jarosite is nonuniform in structure and shape as compared to the CCRs having spherical, hollow shaped and some of them are cenosphere in nature. The major mineral phase of jarosite is Potassium Iron Sulphate Hydroxide {KFe3(SO4)2(OH)6}and Iron Sulphate Hydrate {2 Fe2O3SO3 x 5 H2O}. In CCRs the dominant phases are quartz {SiO2}, mullite {3 Al2O3 x 2 SiO2} and hematite {Fe2O3}. The high electrical conductivity of jarosite (13.26+/-0.437 dS/m) indicates that the presence of cations and anions are predominant over CCRs (0.498+/-0.007 dS/m). The major portion of jarosite consists of iron (23.66+/-0.18%), sulphur (12.23+/-0.2%) and zinc (8.243+/-0.075%). But CCRs main constituents are silicon (27.41+/-0.74%), aluminium (15.167+/-0.376%) and iron (4.447+/-0.69%). The other constituents such as calcium, aluminium, silicon, lead, and manganese are also present in the range of 0.5 to 5%. Heavy metals such as copper, chromium, and cadmium are found higher in jarosite as compared to the CCRs. The statistically designed experimental trials revealed that the density, water absorption capacity and compressive strength of fired jarosite bricks are 1.51 gm/cm3, 17.46% and 43.4 kg/cm2 respectively with jarosite sand mixture in the ratio of 3:1 indicating the potentials in developing building materials. PMID:15978656

  19. Antenatal Care Utilisation and Content between Low-Risk and High-Risk Pregnant Women

    PubMed Central

    Yeoh, Ping Ling; Hornetz, Klaus; Dahlui, Maznah

    2016-01-01

    Background The purpose of antenatal care is to monitor and improve the wellbeing of the mother and foetus. The World Health Organization recommends risk-oriented strategy that includes: (i) routine care to all women, (ii) additional care for women with moderately severe diseases and complications, (iii) specialised obstetrical and neonatal care for women with severe diseases and complications. Antenatal care is concerned with adequate care in order to be effective. Measurement for adequacy of antenatal care often applies indexes that assess initiation of care and number of visits. In addition, adequacy of care content should also be assessed. Results of studies in developed settings demonstrate that women without risk factors use antenatal services more frequently than recommended. Such over-utilisation is problematic for low-resourced settings. Moreover, studies show that a substantial proportion of high-risk women had utilisation or content of care below the recommended standard. Yet studies in developing countries have seldom included a comparison between low-risk and high-risk women. The purpose of the study was therefore to assess adequacy of care and pregnancy outcomes for the different risk groups. Methods A retrospective study using a multistage sampling technique, at public-funded primary health care clinics was conducted. Antenatal utilisation level was assessed using a modified Adequacy of Prenatal Care Utilisation index that measures the timing for initiation of care and observed-to-expected visits ratio. Adequacy of antenatal care content assessed compliance to routine care based on the local guidelines. Results Intensive or “adequate-plus” antenatal care utilisation as defined by the modified index was noted in over half of the low-risk women. On the other hand, there were 26% of the high-risk women without the expected intensive utilisation. Primary- or non-educated high-risk women were less likely to have a higher antenatal care utilisation level compared with tertiary educated ones (OR = 0.20, P = 0.003). Half of all women had <80% of the recommended antenatal care content. A higher proportion of high-risk than low-risk women scored <80% of the routine care content (p<0.015). The majority of the additional laboratory tests were performed on high-risk women. Provision of antenatal education showed comparatively poor compliance to guidelines, more than half of the antenatal advice topics assessed were rarely provided to the women. High-risk women were associated with a higher prevalence of adverse pregnancy outcome. Conclusions Disproportionate utilisation of antenatal care according to risk level of pregnancy indicates the need for better scheduling of care. The risk-oriented approach often results in a tendency to focus on the risk conditions of the women. Training interventions are recommended to improve communication and to help healthcare professionals understand the priorities of the women. Further studies are required to assess the reason for disproportionate utilisation of antenatal care according to risk level and how delivery of antenatal advice can be improved, reviewing both user and provider perspectives. PMID:27010482

  20. Biological carbon dioxide utilisation in food waste anaerobic digesters.

    PubMed

    Bajón Fernández, Y; Green, K; Schuler, K; Soares, A; Vale, P; Alibardi, L; Cartmell, E

    2015-12-15

    Carbon dioxide (CO2) enrichment of anaerobic digesters (AD) was previously identified as a potential on-site carbon revalorisation strategy. This study addresses the lack of studies investigating this concept in up-scaled units and the need to understand the mechanisms of exogenous CO2 utilisation. Two pilot-scale ADs treating food waste were monitored for 225 days, with the test unit being periodically injected with CO2 using a bubble column. The test AD maintained a CH4 production rate of 0.56 ± 0.13 m(3) CH4·(kg VSfed d)(-1) and a CH4 concentration in biogas of 68% even when dissolved CO2 levels were increased by a 3 fold over the control unit. An additional uptake of 0.55 kg of exogenous CO2 was achieved in the test AD during the trial period. A 2.5 fold increase in hydrogen (H2) concentration was observed and attributed to CO2 dissolution and to an alteration of the acidogenesis and acetogenesis pathways. A hypothesis for conversion of exogenous CO2 has been proposed, which requires validation by microbial community analysis. PMID:26143589

  1. Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain

    PubMed Central

    Buron, Andrea; Cots, Francesc; Garcia, Oscar; Vall, Oriol; Castells, Xavier

    2008-01-01

    Background The recent increase in the number of immigrants of Barcelona represents a challenge for the public healthcare system, the emergency department being the most used healthcare service by this group. However, utilisation rates in our environment have not yet been studied. We aimed to compare emergency department utilisation rates between Spanish-born and foreign-born residents in a public hospital of Barcelona. Methods The study population included all adults residing in the area of study and visiting the emergency department of Hospital del Mar in 2004. The emergency care episodes were selected from the Emergency Department register, and the population figures from the Statistics Department of Barcelona. Emergency care episodes were classified into five large clinical categories. Adjusted rate ratios (RR) of utilisation among foreign-born vs. Spanish-born residents were assessed through negative binomial regression. Results The overall utilisation rate was 382 emergency contacts per 1,000 persons-years. The RR for foreign-born versus Spanish-born residents was 0.62 (95% CI: 0.52; 0.74%). The RR was also significantly below one in surgery (0.51, 95% CI: 0.42; 0.63), traumatology (0.47, 95% CI: 0.38; 0.59), medicine (0.48, 95% CI: 0.38; 0.59) and psychiatry (0.42, 95% CI: 0.18; 0.97). No differences were found in utilisation of gynaecology and minor emergency services. Conclusion The overall lower utilisation rates obtained for foreign-born residents is consistent with previous studies and is probably due to the "healthy immigrant effect". Thus, the population increase due to immigration does not translate directly into a corresponding increase in the number of emergency contacts. The lack of differences in minor and gynaecological emergency care supports the hypothesis that immigrants overcome certain barriers by using the emergency department to access to health services. The issue of healthcare barriers should therefore be addressed, especially among immigrants. PMID:18315871

  2. Potential of palm oil utilisation in aquaculture feeds.

    PubMed

    Ng, Wing-Keong

    2002-01-01

    One key ingredient used in the formulation of aquafeed is fish oil, which is produced from small marine pelagic fish and represents a finite fishery resource. At the present time, global fish oil production has reached a plateau and is not expected to increase beyond current levels. Recent estimates suggest that fish oils may be unable to meet demands from the rapidly growing aquaculture industry by as early as 2005. Therefore, there is currently great interest within the aquafeed industry in evaluating alternatives to fish oils. The ever-expanding oil palm cultivation in Malaysia and other tropical countries offers the possibility of an increased and constant availability of palm oil products for aquafeed formulation. Research into the use of palm oil in aquafeed begun around the mid-1990s and this review examines some of the findings from these studies. The use of palm oil in fish diets has generally shown encouraging results. Improved growth, feed efficiency, protein utilisation, reproductive performance and higher concentrations of alpha-tocopherol in fish fillets have been reported. Recent evidence for the ability of palm oil to substitute for fish oil in catfish diets is reviewed. The potential of palm oil use in aquafeed and future experimental directions are suggested. The aquaculture feed industry offers a great avenue to increase and diversify the use of palm oil-based products. PMID:12492637

  3. Regulation of methanol utilisation pathway genes in yeasts

    PubMed Central

    Hartner, Franz S; Glieder, Anton

    2006-01-01

    Methylotrophic yeasts such as Candida boidinii, Hansenula polymorpha, Pichia methanolica and Pichia pastoris are an emerging group of eukaryotic hosts for recombinant protein production with an ever increasing number of applications during the last 30 years. Their applications are linked to the use of strong methanol-inducible promoters derived from genes of the methanol utilisation pathway. These promoters are tightly regulated, highly repressed in presence of non-limiting concentrations of glucose in the medium and strongly induced if methanol is used as carbon source. Several factors involved in this tight control and their regulatory effects have been described so far. This review summarises available data about the regulation of promoters from methanol utilisation pathway genes. Furthermore, the role of cis and trans acting factors (e.g. transcription factors, glucose processing enzymes) in the expression of methanol utilisation pathway genes is reviewed both in the context of the native cell environment as well as in heterologous hosts. PMID:17169150

  4. European utilisation plan for the International Space Station

    NASA Astrophysics Data System (ADS)

    Wilson, Andrew; Clancy, Paul

    2003-02-01

    This document was finalised only days before the Space Shuttle Columbia accident of 1 February 2003. It is a comprehensive overview of the projected utilisation by Europe of the ISS, covering the science planned, the facilities under development and planned, and a full database of all the selected proposals in life and physical sciences, space science and technology. It also covers utilisation planning in the commercialisation and education areas. The information given here is an accurate reflection of the European plan as it stood at the end of January 2003. Assuming a successful recovery of the Space Shuttle programme and the re-establishment of regular Shuttle flights to complete, maintain and utilise the ISS, along with continuing support from our Russian partner, the Executive expects this plan to be re-joined in due course, albeit with some time delays occasioned by the loss of Columbia.

  5. Disparities in bone density measurement history and osteoporosis medication utilisation in Swiss women: results from the Swiss Health Survey 2007

    PubMed Central

    2013-01-01

    Background Although factors associated with the utilisation of bone density measurement (BDM) and osteoporosis treatment have been regularly assessed in the US and Canada, they have not been effectively analysed in European countries. This study assessed factors associated with the utilisation of BDM and osteoporosis medication (OM) in Switzerland. Methods The Swiss Health Survey 2007 data included self-reported information on BDM and OM for women aged 40 years and older who were living in private households. Multivariable logistic regression analysis was used to identify sociodemographic, socioeconomic, healthcare-related and osteoporosis risk factors associated with BDM and OM utilisation. Results The lifetime prevalence of BDM was 25.6% (95% CI: 24.3-26.9%) for women aged 40 years and older. BDM utilisation was associated with most sociodemographic factors, all the socioeconomic and healthcare-related factors, and with major osteoporosis risk factors analysed. The prevalence of current OM was 7.8% (95% CI: 7.0-8.6%) and it was associated with some sociodemographic and most healthcare-related factors but only with one socioeconomic factor. Conclusions In Swiss women, ever having had a BDM and current OM were low and utilisation disparities exist according to sociodemographic, socioeconomic and healthcare-related factors. This might foster further health inequalities. The reasons for these findings should be addressed in further studies of the elderly women, including those living in institutions. PMID:23289751

  6. Acceptance and Utilisation of Sulphadoxine-Pyrimethamine and Insecticide-Treated Nets among Pregnant Women in Oyo State, Nigeria

    PubMed Central

    Adeola, Aderonke A.; Okwilagwe, Eugenia A.

    2015-01-01

    The study is an investigation of the acceptance and utilisation of Sulphadoxine-Pyrimethamine (Fansidar), the drug of choice for Intermittent Preventive Treatment in pregnancy, and Insecticide-Treated Nets among pregnant women who access different health facilities in Oyo State, Nigeria. Pregnant women (582) attending government primary healthcare antenatal clinics and 50 attending faith clinics purposively selected responded to structured instruments that were analysed using percentages, t-test correlation, and multiple regression. Acceptance and utilisation of RBM tools were higher in government clinics than faith clinics and in rural areas. Pregnant women in government clinics, 60.8% and 66.8%, and faith clinics, 18% and 38.0%, utilised Roll Back Malaria tools, significant at t(630) = 5.81, p ≤ 0.05, and t(630) = 3.99, p ≤ 0.05, respectively. Pregnant women in rural locations who accessed government clinics utilised Roll Back Malaria tools more than those in urban areas, t(580) = −641, p ≤ 0.05. Number of pregnancies, educational qualification of the pregnant women, and marital status significantly and consistently influenced acceptance and utilisation of these tools. To ensure that set targets are met, the utilization of RBM tools among the two categories of pregnant women can be improved by increasing the supply of the tools and ensuring that treatment is free. PMID:26839732

  7. The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda.

    PubMed

    Dhillon, Ranu S; Bonds, Matthew H; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

    2012-01-01

    This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five 'imidugudu' or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights. PMID:21732708

  8. Life cycle assessment of biohydrogen and biomethane production and utilisation as a vehicle fuel.

    PubMed

    Patterson, Tim; Esteves, Sandra; Dinsdale, Richard; Guwy, Alan; Maddy, Jon

    2013-03-01

    Environmental burdens for the production and utilisation of biomethane vehicle fuel or a biohydrogen/biomethane blend produced from food waste or wheat feed, based on data from two different laboratory experiments, have been compared. For food waste treated by batch processes the two stage system gave high hydrogen yields (84.2l H2kg(-1) VS added) but a lower overall energy output than the single stage system. Reduction in environmental burdens compared with diesel was achieved, supported by the diversion of waste from landfill. For wheat feed, the semi continuously fed two stage process gave low hydrogen yields (7.5l H2kg(-1) VS added) but higher overall energy output. The process delivers reduction in fossil fuel burdens, and improvements in process efficiencies will lead to reduction in CO2 burdens compared with diesel. The study highlights the importance of understanding and optimising biofuel production parameters according to the feedstock utilised. PMID:23353037

  9. Improving the Utilisation of Management Information Systems in Secondary Schools

    ERIC Educational Resources Information Center

    Bosker, R. J.; Branderhorst, E. M.; Visscher, A. J.

    2007-01-01

    Although most secondary schools do use management information systems (MISs), these systems tend not to be used to support higher order managerial activities but are currently primarily used for clerical purposes. This situation is unsatisfactory as MISs fully utilised could offer invaluable support to schools, which are increasingly being granted…

  10. Redirecting Under-Utilised Computer Laboratories into Cluster Computing Facilities

    ERIC Educational Resources Information Center

    Atkinson, John S.; Spenneman, Dirk H. R.; Cornforth, David

    2005-01-01

    Purpose: To provide administrators at an Australian university with data on the feasibility of redirecting under-utilised computer laboratories facilities into a distributed high performance computing facility. Design/methodology/approach: The individual log-in records for each computer located in the computer laboratories at the university were…

  11. Improving the Utilisation of Management Information Systems in Secondary Schools

    ERIC Educational Resources Information Center

    Bosker, R. J.; Branderhorst, E. M.; Visscher, A. J.

    2007-01-01

    Although most secondary schools do use management information systems (MISs), these systems tend not to be used to support higher order managerial activities but are currently primarily used for clerical purposes. This situation is unsatisfactory as MISs fully utilised could offer invaluable support to schools, which are increasingly being granted…

  12. The use of secure anonymised data linkage to determine changes in healthcare utilisation following severe open tibial fractures.

    PubMed

    Page, Piers R J; Trickett, Ryan W; Rahman, Shakeel M; Walters, Angharad; Pinder, Leila M; Brooks, Caroline J; Hutchings, Hayley; Pallister, Ian

    2015-07-01

    Severe open fractures of the lower limbs are complex injuries requiring expert multidisciplinary management in appropriate orthoplastic centres. This study aimed to assess the impact of open fractures on healthcare utilisation and test the null hypotheses that there is no difference in healthcare utilisation between the year before and year after injury, and that there is no difference in healthcare utilisation in the year post-injury between patients admitted directly to an orthoplastic centre in keeping with the joint BOA/BAPRAS standards and those having initial surgery elsewhere. This retrospective cohort study utilising secure anonymised information linkage (SAIL), a novel databank of anonymised nationally pooled health records, recruited patients over 18 years of age sustaining severe open lower limb fractures managed primarily or secondarily at our centre and who had data available in the SAIL databank. 101 patients met inclusion criteria and 90 of these had records in the SAIL databank. The number of days in hospital, number of primary care attendances, number of outpatient attendances and number of emergency department attendances in the years prior and subsequent to injury were recorded. Patients sustaining open fractures had significantly different healthcare utilisation in the year after injury when compared with the year before, in terms of days spent in hospital (23.42 vs. 1.70, p=0.000), outpatient attendances (11.98 vs. 1.05, p=0.000), primary care attendances (29.48 vs. 11.99, p=0.000) and emergency department presentations (0.2 vs. 0.01, p=0.025). Patients admitted directly to orthoplastic centres had significantly fewer operations (1.78 vs. 3.31) and GP attendances (23.6 vs. 33.52) than those transferred in subsequent to initial management in other units. There is a significant increase in healthcare utilisation after open tibial fracture. Adherence to national standards minimises the impact of this on both patients and health services. PMID:25916805

  13. Utilisation of podiatry services in Australia under the Medicare Enhanced Primary Care program, 2004-2008

    PubMed Central

    Menz, Hylton B

    2009-01-01

    Background In 2004, as an extension of the Enhanced Primary Care (EPC) program, the Australian Government introduced a policy of providing Medicare rebates for allied health services provided to patients with chronic or complex health conditions. The objective of this study was to evaluate the utilisation of podiatry services provided under this scheme between 2004 and 2008. Methods Data pertaining to the Medicare item 10962 for the calendar years 2004-2008 were extracted from the Australian Medicare Benefits Schedule (MBS) database and cross-tabulated by sex and age. Descriptive analyses were undertaken to assess sex and age differences in the number of consultations provided and to assess for temporal trends over the five-year assessment period. The total cost to Medicare over this period was also determined. Results During the 2004-2008 period, a total of 1,338,044 EPC consultations were provided by podiatrists in Australia. Females exhibited higher utilisation than males (63 versus 37%), and those aged over 65 years accounted for 75% of consultations. There was a marked increase in the number of consultations provided from 2004 to 2008, and the total cost of providing EPC podiatry services during this period was $62.9 M. Conclusion Podiatry services have been extensively utilised under the EPC program by primary care patients, particularly older women, and the number of services provided has increased dramatically between 2004 and 2008. Further research is required to determine whether the EPC program enhances clinical outcomes compared to standard practice. PMID:19878562

  14. Health care utilisation and problems in accessing health care of female undocumented immigrants in the Netherlands

    PubMed Central

    Loeffen, Maartje J.; van den Muijsenbergh, Maria E.; Lagro-Janssen, Antoine L. M.

    2010-01-01

    Objective To obtain information about the actual use of health care facilities by undocumented women and to identify obstacles they experience in accessing health care facilities. Methods A mixed methods study, with structured questionnaires and semi-structured interviews, was chosen to obtain a complete understanding. One-hundred undocumented women were recruited. Diversity was sought according to age, origin and reason for being undocumented. Results Undocumented female immigrants have unmet health care needs (56%) and low health care utilisation. Sixty-nine per cent of the women reported obstacles in accessing health care facilities. These included many personal obstacles such as shame, fear and/or lack of information. Poor language proficiency (OR 0.28;. CI 0.09–0.90) reduces utilisation of primary health care services. Conclusion Health care utilisation of undocumented women is low. Undocumented women refrain from seeking health care because of personal obstacles. These women need to be identified and informed about their rights, the health care system and the duty of professional confidentiality of doctors. Finally, institutional obstacles to access care should be removed since they strengthen reluctance to seek help. PMID:20502936

  15. Utilisation of Intensive Foraging Zones by Female Australian Fur Seals

    PubMed Central

    Hoskins, Andrew J.; Costa, Daniel P.; Arnould, John P. Y.

    2015-01-01

    Within a heterogeneous environment, animals must efficiently locate and utilise foraging patches. One way animals can achieve this is by increasing residency times in areas where foraging success is highest (area-restricted search). For air-breathing diving predators, increased patch residency times can be achieved by altering both surface movements and diving patterns. The current study aimed to spatially identify the areas where female Australian fur seals allocated the most foraging effort, while simultaneously determining the behavioural changes that occur when they increase their foraging intensity. To achieve this, foraging behaviour was successfully recorded with a FastLoc GPS logger and dive behaviour recorder from 29 individual females provisioning pups. Females travelled an average of 118 ± 50 km from their colony during foraging trips that lasted 7.3 ± 3.4 days. Comparison of two methods for calculating foraging intensity (first-passage time and first-passage time modified to include diving behaviour) determined that, due to extended surface intervals where individuals did not travel, inclusion of diving behaviour into foraging analyses was important for this species. Foraging intensity ‘hot spots’ were found to exist in a mosaic of patches within the Bass Basin, primarily to the south-west of the colony. However, the composition of benthic habitat being targeted remains unclear. When increasing their foraging intensity, individuals tended to perform dives around 148 s or greater, with descent/ascent rates of approximately 1.9 m•s-1 or greater and reduced postdive durations. This suggests individuals were maximising their time within the benthic foraging zone. Furthermore, individuals increased tortuosity and decreased travel speeds while at the surface to maximise their time within a foraging location. These results suggest Australian fur seals will modify both surface movements and diving behaviour to maximise their time within a foraging patch. PMID:25692978

  16. Utilisation of intensive foraging zones by female Australian fur seals.

    PubMed

    Hoskins, Andrew J; Costa, Daniel P; Arnould, John P Y

    2015-01-01

    Within a heterogeneous environment, animals must efficiently locate and utilise foraging patches. One way animals can achieve this is by increasing residency times in areas where foraging success is highest (area-restricted search). For air-breathing diving predators, increased patch residency times can be achieved by altering both surface movements and diving patterns. The current study aimed to spatially identify the areas where female Australian fur seals allocated the most foraging effort, while simultaneously determining the behavioural changes that occur when they increase their foraging intensity. To achieve this, foraging behaviour was successfully recorded with a FastLoc GPS logger and dive behaviour recorder from 29 individual females provisioning pups. Females travelled an average of 118 ± 50 km from their colony during foraging trips that lasted 7.3 ± 3.4 days. Comparison of two methods for calculating foraging intensity (first-passage time and first-passage time modified to include diving behaviour) determined that, due to extended surface intervals where individuals did not travel, inclusion of diving behaviour into foraging analyses was important for this species. Foraging intensity 'hot spots' were found to exist in a mosaic of patches within the Bass Basin, primarily to the south-west of the colony. However, the composition of benthic habitat being targeted remains unclear. When increasing their foraging intensity, individuals tended to perform dives around 148 s or greater, with descent/ascent rates of approximately 1.9 m•s-1 or greater and reduced postdive durations. This suggests individuals were maximising their time within the benthic foraging zone. Furthermore, individuals increased tortuosity and decreased travel speeds while at the surface to maximise their time within a foraging location. These results suggest Australian fur seals will modify both surface movements and diving behaviour to maximise their time within a foraging patch. PMID:25692978

  17. Utilisation of Wearable Computing for Space Programmes Test Activities Optimasation

    NASA Astrophysics Data System (ADS)

    Basso, V.; Lazzari, D.; Alemanni, M.

    2004-08-01

    New technologies are assuming a relevant importance in the Space business domain also in the Assembly Integration and Test (AIT) activities allowing process optimization and capability that were unthinkable only few years ago. This paper has the aim to describe Alenia Spazio (ALS) gained experience on the remote interaction techniques as a results of collaborations established both on European Communities (EC) initiatives, with Alenia Aeronautica (ALA) and Politecnico of Torino (POLITO). The H/W and S/W components performances increase and costs reduction due to the home computing massive utilization (especially demanded by the games business) together with the network technology possibility (offered by the web as well as the hi-speed links and the wireless communications) allow today to re-think the traditional AIT process activities in the light of the multimedia data exchange: graphical, voice video and by sure more in the future. Aerospace business confirm its innovation vocation which in the year '80 represents the cradle of the CAD systems and today is oriented to the 3D data visualization/ interaction technologies and remote visualisation/ interaction in collaborative way on a much more user friendly bases (i.e. not for specialists). Fig. 1 collects AIT extended scenario studied and adopted by ALS in these years. ALS experimented two possibilities of remote visualization/interaction: Portable [e.g. Fig.2 Personal Digital Assistant (PDA), Wearable] and walls (e.g.VR-Lab) screens as both 2D/3D visualisation and interaction devices which could support many types of traditional (mainly based on EGSE and PDM/CAD utilisation/reports) company internal AIT applications: 1. design review support 2. facility management 3. storage management 4. personnel training 5. integration sequences definition 6. assembly and test operations follow up 7. documentation review and external access to AIT activities for remote operations (e.g. tele-testing) EGSE Portable Clean room Walls PDM/CAD Tele-operations Product Control room External World

  18. Cervical cancer screening service utilisation in UK.

    PubMed

    Labeit, Alexander; Peinemann, Frank; Kedir, Abbi

    2013-01-01

    This study investigates empirically how past screening behaviour, individual and household characteristics affect the current uptake of cervical cancer screening in UK. For the conceptual framework, we use a modified Grossman model which is extended for non-economic factors. A dynamic version of a random effects panel probit model with initial conditions is estimated on the balanced sub-sample of the data. The analysis sample is restricted to women of age 16 and older and grouped into different age categories with respect to the NHS Cervical Screening Programme (NHSCSP). As dataset a balanced panel data of 857 women with 11,998 observations from the British Household Panel Study (BHPS) for the period from 1992 to 2008 is used for the analysis. Results suggest show that previous screening uptake, age, partner status, employment status and a previous GP visit have a significant influence on the likelihood of the uptake of cervical cancer screening. PMID:23917486

  19. Microbial utilisation of natural organic wastes

    NASA Astrophysics Data System (ADS)

    Ilyin, V. K.; Smirnov, I. A.; Soldatov, P. E.; Korniushenkova, I. N.; Grinin, A. S.; Lykov, I. N.; Safronova, S. A.

    2004-03-01

    The waste management strategy for the future should meet the benefits of humanity safety, respect principals of planet ecology, and compatibility with other habitability systems. For these purpose the waste management technologies, relevant to application of the biodegradation properties of bacteria are of great value. The biological treatment method is based upon the biodegradation of organic substances by various microorganisms. The advantage of the biodegradation waste management in general: it allows to diminish the volume of organic wastes, the biological hazard of the wastes is controlled and this system may be compatible with the other systems. The objectives of our study were: to evaluate effectiveness of microbial biodegradation of non-pretreated substrate, to construct phneumoautomatic digester for organic wastes biodegradation and to study microbial characteristics of active sludge samples used as inoculi in biodegradation experiment. The technology of vegetable wastes treatment was elaborated in IBMP and BMSTU. For this purpose the special unit was created where the degradation process is activated by enforced reinvention of portions of elaborated biogas into digester. This technology allows to save energy normally used for electromechanical agitation and to create optimal environment for anaerobic bacteria growth. The investigations were performed on waste simulator, which imitates physical and chemical content of food wastes calculated basing on the data on food wastes of moderate Russian city. The volume of created experimental sample of digester is 40 l. The basic system elements of device are digesters, gas receiver, remover of drops and valve monitoring and thermal control system. In our testing we used natural food wastes to measure basic parameters and time of biodegradation process. The diminution rate of organic gained 76% from initial mass taking part within 9 days of fermentation. The biogas production achieved 46 l per 1 kg of substrate. The microbial studies of biodegradation process revealed following peculiarities: gradual quantitative increasing of Lactobacillus sp. (from 10 3 to 10 5 colony forming units (CFU) per ml), activation of Clostridia sp. (from 10 2 to 10 4 CFU/ml) and elimination of aerobic conventional pathogens ( Enterobacteriaceae sp., Protea sp., staphylococci). The obtained results allow to evaluate effectiveness of proposed technology and to determine the leading role of lactobacilli and clostridia in process of natural wastes biodegradation. Our further investigations shall further be concentrated on creation of artificial inoculi for launching of food wastes biodegradation. These inoculi will include active and adapted strains of clostridia and lactobacilli.

  20. Improved sugar co-utilisation by encapsulation of a recombinant Saccharomyces cerevisiae strain in alginate-chitosan capsules

    PubMed Central

    2014-01-01

    Background Two major hurdles for successful production of second-generation bioethanol are the presence of inhibitory compounds in lignocellulosic media, and the fact that Saccharomyces cerevisiae cannot naturally utilise pentoses. There are recombinant yeast strains that address both of these issues, but co-utilisation of glucose and xylose is still an issue that needs to be resolved. A non-recombinant way to increase yeast tolerance to hydrolysates is by encapsulation of the yeast. This can be explained by concentration gradients occuring in the cell pellet inside the capsule. In the current study, we hypothesised that encapsulation might also lead to improved simultaneous utilisation of hexoses and pentoses because of such sugar concentration gradients. Results In silico simulations of encapsulated yeast showed that the presence of concentration gradients of inhibitors can explain the improved inhibitor tolerance of encapsulated yeast. Simulations also showed pronounced concentration gradients of sugars, which resulted in simultaneous xylose and glucose consumption and a steady state xylose consumption rate up to 220-fold higher than that found in suspension culture. To validate the results experimentally, a xylose-utilising S. cerevisiae strain, CEN.PK XXX, was constructed and encapsulated in semi-permeable alginate-chitosan liquid core gel capsules. In defined media, encapsulation not only increased the tolerance of the yeast to inhibitors, but also promoted simultaneous utilisation of glucose and xylose. Encapsulation of the yeast resulted in consumption of at least 50% more xylose compared with suspended cells over 96-hour fermentations in medium containing both sugars. The higher consumption of xylose led to final ethanol titres that were approximately 15% higher. In an inhibitory dilute acid spruce hydrolysate, freely suspended yeast cells consumed the sugars in a sequential manner after a long lag phase, whereas no lag phase was observed for the encapsulated yeast, and glucose, mannose, galactose and xylose were utilised in parallel from the beginning of the cultivation. Conclusions Encapsulation of xylose-fermenting S. cerevisiae leads to improved simultaneous and efficient utilisation of several sugars, which are utilised sequentially by suspended cells. The greatest improvement is obtained in inhibitory media. These findings show that encapsulation is a promising option for production of second-generation bioethanol. PMID:25050138

  1. Motivational Strategies and Utilisation of Internet Resources as Determinants of Research Productivity of Lecturers in Universities of Agriculture in Nigeria

    ERIC Educational Resources Information Center

    Ajegbomogun, Fredrick Olatunji; Popoola, Sunday Olarenwaju

    2013-01-01

    This study examined motivational strategies and utilisation of Internet resources as determinants of research productivity of lecturers in universities of agriculture in Nigeria. One thousand, one hundred and thirty two (1,132) copies of the questionnaire were administered on the lecturers in universities of agriculture in Nigeria. Eight hundred…

  2. Utilisation and Impact of the Essential Electronic Agricultural Database (TEEAL) on Library Services in a Nigerian University of Agriculture

    ERIC Educational Resources Information Center

    Oduwole, A. A.; Sowole, A. O.

    2006-01-01

    Purpose: This study examined the utilisation of the Essential Electronic Agricultural Library database (TEEAL) at the University of Agriculture Library, Abeokuta, Nigeria. Design/methodology/approach: Data collection was by questionnaire following a purposive sampling technique. A total of 104 out 150 (69.3 per cent) responses were received and…

  3. Motivational Strategies and Utilisation of Internet Resources as Determinants of Research Productivity of Lecturers in Universities of Agriculture in Nigeria

    ERIC Educational Resources Information Center

    Ajegbomogun, Fredrick Olatunji; Popoola, Sunday Olarenwaju

    2013-01-01

    This study examined motivational strategies and utilisation of Internet resources as determinants of research productivity of lecturers in universities of agriculture in Nigeria. One thousand, one hundred and thirty two (1,132) copies of the questionnaire were administered on the lecturers in universities of agriculture in Nigeria. Eight hundred…

  4. Impediments to Effective Utilisation of Information and Communication Technology Tools in Selected Universities in the North-Eastern Nigeria

    ERIC Educational Resources Information Center

    Momoh, Mustapha

    2010-01-01

    This study examined the impediments to effective use of Information and Communication Technology (ICT) tools in Nigerian universities. Series of research conducted on the factors militating against computerisation indicated that, there were impediments to effective utilisation of ICT tools in most developing countries. In the light of this, the…

  5. Nutrient utilisation and weathering inputs in the Peruvian upwelling region since the Little Ice Age

    NASA Astrophysics Data System (ADS)

    Ehlert, C.; Grasse, P.; Gutiérrez, D.; Salvatteci, R.; Frank, M.

    2015-02-01

    For this study two sediment cores from the Peruvian shelf covering the time period between the Little Ice Age (LIA) and present were examined for changes in productivity (biogenic opal concentrations (bSi)), nutrient utilisation (stable isotope compositions of silicon (?30Siopal) and nitrogen (?15Nsed)), as well as in ocean circulation and material transport (authigenic and detrital radiogenic neodymium (ϵNd) and strontium (87Sr/86Sr) isotopes). For the LIA the proxies recorded weak primary productivity and nutrient utilisation reflected by low average bSi concentrations of ~10%, ?15Nsed values of ~5‰ and intermediate ?30Siopal values of ~0.9‰. At the same time, the radiogenic isotope composition of the detrital sediment fraction indicates dominant local riverine input of lithogenic material due to higher rainfall in the Andean hinterland. These patterns were most likely caused by permanent El Niño-like conditions characterised by a deeper nutricline, weak upwelling and low nutrient supply. At the end of the LIA, ? 30Siopal dropped to low values of +0.6‰ and opal productivity reached its minimum of the past 650 years. During the following transitional period of time the intensity of upwelling, nutrient supply and productivity increased abruptly as marked by the highest bSi contents of up to 38%, by ?15Nsed of up to ~7‰, and by the highest degree of silicate utilisation with ?30Siopal reaching values of +1.1‰. At the same time, detrital ϵNd and 87Sr/86Sr signatures documented increased wind strength and supply of dust to the shelf due to drier conditions. Since about 1870, productivity has been high but nutrient utilisation has remained at levels similar to the LIA, indicating significantly increased nutrient availability. Comparison between the ?30Siopal and ?15Nsed signatures suggests that during the past 650 years the ?15Nsed signature in the Peruvian upwelling area has to a large extent been controlled by surface water utilisation and not, as previously assumed, by subsurface nitrogen loss processes in the water column, which only had a significant influence during modern times (i.e. since ~AD 1870).

  6. Nutrient utilisation and weathering inputs in the Peruvian upwelling region since the Little Ice Age

    NASA Astrophysics Data System (ADS)

    Ehlert, C.; Grasse, P.; Gutiérrez, D.; Salvatteci, R.; Frank, M.

    2014-08-01

    For this study two sediment cores from the Peruvian shelf covering the time period between the Little Ice Age (LIA) and present were examined for changes in productivity (biogenic opal concentrations (bSi)), nutrient utilisation (stable isotope compositions of silicon (?30Siopal) and nitrogen (?15Nsed)), as well as in ocean circulation and material transport (authigenic and detrital radiogenic neodymium (?Nd) and strontium (87Sr/86Sr) isotopes). For the LIA the proxies recorded weak primary productivity and nutrient utilisation reflected by low average bSi concentrations of ~10%, ?15Nsed values of ~ +5‰ and intermediate ?30Siopal values of ~+0.97‰. At the same time the radiogenic isotope composition of the detrital sediment fraction indicates dominant local riverine input of lithogenic material due to higher rainfall in the Andean hinterland. These patterns were caused by permanent El Niño-like conditions characterized by a deeper nutricline, weak upwelling and low nutrient supply. At the end of the LIA, ?30Siopal dropped to low values of +0.6‰ and opal productivity reached its minimum of the past 650 years. During the following transitional period of time the intensity of upwelling, nutrient supply and productivity increased abruptly as marked by the highest bSi contents of up to 38%, by ?15Nsed of up to ~ +7‰, and by the highest degree of silicate utilisation with ?30Siopal reaching values of +1.1‰. At the same time detrital ?Nd and 87Sr/86Sr signatures documented increased wind strength and supply of dust to the shelf due to drier conditions. Since about 1870, productivity has been high but nutrient utilisation has remained at levels similar to the LIA indicating significantly increased nutrient availability. Comparison between the ?30Siopal and ?15Nsed signatures suggests that during the past 650 years the ?15Nsed signature in the Peruvian Upwelling area has most likely primarily been controlled by surface water utilisation and not, as previously assumed, by subsurface nitrogen loss processes in the water column.

  7. The European Space Agency standard for space packet utilisation

    NASA Technical Reports Server (NTRS)

    Kaufeler, J.-F.; Parkes, A.; Pidgeon, A.

    1993-01-01

    This paper presents the ESA concept for the use of CCSDS defined Telemetry and Telecommand Packets at the application level. These Packets are used to monitor and control remotely a space born application. This concept is defined in a Packet Utilisation Standard (PUS) which should become applicable for all ESA missions using Packets. The production of this standard is under the responsibility of an ESA standardization group called 'COES'.

  8. Health insurance determines antenatal, delivery and postnatal care utilisation: evidence from the Ghana Demographic and Health Surveillance data

    PubMed Central

    Browne, Joyce L; Kayode, Gbenga A; Arhinful, Daniel; Fidder, Samuel A J; Grobbee, Diederick E; Klipstein-Grobusch, Kerstin

    2016-01-01

    Objective This study aims to evaluate the effect of maternal health insurance status on the utilisation of antenatal, skilled delivery and postnatal care. Design A population-based cross-sectional study. Setting and participants We utilised the 2008 Demographic and Health Survey data of Ghana, which included 2987 women who provided information on maternal health insurance status. Primary outcomes Utilisation of antenatal, skilled delivery and postnatal care. Statistical analyses Multivariable logistic regression was applied to determine the independent association between maternal health insurance and utilisation of antenatal, skilled delivery and postnatal care. Results After adjusting for socioeconomic, demographic and obstetric factors, we observed that among insured women the likelihood of having antenatal care increased by 96% (OR 1.96; 95% CI 1.52 to 2.52; p value<0.001) and of skilled delivery by 129% (OR 2.29; 95% CI 1.92 to 2.74; p value<0.001), while postnatal care among insured women increased by 61% (OR 1.61; 95% CI 1.17 to 2.21; p value<0.01). Conclusions This study demonstrated that maternal health insurance status plays a significant role in the uptake of the maternal, neonatal and child health continuum of care service. PMID:26993621

  9. The utilisation of the MUST nutritional screening tool on vascular surgical wards

    PubMed Central

    Tewari, Nilanjana; Rodrigues, Jeremy; Bothamley, Lydia; Altaf, Nishath; Awad, Sherif

    2013-01-01

    Whilst malnutrition is prevalent in approximately 40% of general surgical patients, the prevalence of malnutrition and nutritional screening practices amongst vascular patients remain unknown. The Malnutrition Universal Screening Tool (MUST) is recommended for risk screening and provides 3 scores for risk classification: 0=low risk, 1=intermediate risk, 2=high risk. The aim of this preliminary study was to evaluate the use of MUST on vascular wards. This prospective study was undertaken in a tertiary referral vascular unit in the UK. Patient demographics, utilisation of MUST by nursing staff (N-MUST) and referral to nutritional support teams (NST) were studied. When MUST was not completed by nursing staff, the study team (S-MUST) performed it. Fifty-three patients, median (interquartile range, IQR) age 67 (59-75) years were initially studied. For N-MUST: Overall MUST score was recorded in 18/25 (72%) patients, of whom 1 (4%) scored 2, whilst the remainder scored 0. For S-MUST: Overall MUST scores were recorded in 28 patients, MUST=0 in 75% and ?2 in 21%. An educational session on use of MUST was delivered to nursing staff, as well as a Trust-wide educational initiative to improve assessment of nutritional status and, after a 2-month period, the study was repeated. The second cohort comprised forty-two patients, median (IQR) age 72 (64–79) years. For N-MUST: Overall MUST score was recorded in 37/40 (93%) patients, of whom 3 (8%) scored ?2. For S-MUST: Overall MUST scores were recorded in 2 patients, MUST = 0 in 67% and ?2 in 33%. Despite the ease of use of MUST, it was under-utilised on vascular wards. However, following provision of a dedicated educational programme to ward nursing staff, utilisation of MUST for risk scoring patients on admission increased to over 90%.

  10. Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area

    PubMed Central

    2012-01-01

    Introduction This study sought to identify factors associated with health service utilisation by individuals with mental disorders in a Canadian catchment area. Methods To be included in the study, participants had to be aged between 15 and 65 and reside in the study location. Data was collected randomly from June to December 2009 by specially trained interviewers. A comprehensive set of variables (including geospatial factors) was studied using the Andersen's behavioural health service model. Univariate, bivariate, and multivariate analyses were carried out. Results Among 406 individuals diagnosed with mental disorders, 212 reported using a mental health service at least once in the 12 months preceding the interviews. Emotional problems and a history of violence victimisation were most strongly associated with such utilisation. Participants who were middle-aged or deemed their mental health to be poor were also more likely to seek mental healthcare. Individuals living in neighbourhoods where rental accommodations were the norm used significantly fewer health services than individuals residing in neighbourhoods where homeownership was preponderant; males were also less likely to use services than females. Conclusions Our study broke new ground by uncovering the impact of longstanding violence victimisation, and the proportion of homeownership on mental health service utilisation among this population. It also confirmed the prominence of some variables (gender, age, emotional problems and self-perceived mental health) as key enabling variables of health-seeking. There should be better promotion of strategies designed to change the attitudes of males and youths and to deal with violence victimisation. There is also a need for initiatives that are targeted to neighbourhoods where there is more rental housing. PMID:22469459

  11. Paediatric inpatient utilisation in a district general hospital.

    PubMed Central

    Thakker, Y; Sheldon, T A; Long, R; MacFaul, R

    1994-01-01

    Paediatric inpatient utilisation in a district general hospital was studied for 20 general practices covering a population of 26,433 children. The factors influencing the rate and route of admission (general practitioner (GP) or accident and emergency department) were analysed for 894 emergency non-traumatic admissions over a 12 month period. The overall rate of acute, nontraumatic admission was 33.8/1000; 35% of these admissions were via the accident and emergency department. Asthma was the most common reason for admission (16.1%); 56.9% of the admissions resulted from respiratory tract illness and 44% were for an infective illness. There was a significant variation in the route and rate of admission across practices. Admission rates ranged from 10 to 70/1000 children under 15 and the proportion via the accident and emergency department from 19% to 85%. The proportion of admissions via the accident and emergency department for each practice was highly negatively correlated with the number of GPs in the practice, the number of children under 15 registered, and positively correlated with the unemployment rate attributed to the list. Using multiple logistic regression analysis, the risk of being admitted via the accident and emergency department relative to GP admission was shown to be higher for older children (odds ratio for each year of age 1.05) and less for children registered with large practices with more GPs (odds ratio for each extra GP 0.36) or practices with more children under 15 (odds ratio per extra child 0.9991). Access to hospital as measured by isochrone bars and social characteristics of the ward of residence of each child admitted were not associated with the route of admission. The admission rate for each practice was positively, but not statistically significantly, associated with the unemployment rate attributed to the list, the unemployment rate of the ward where the practice was located, and the percentage of admissions via accident and emergency, and negatively associated with the percentage of the list under 15 years. PMID:8048817

  12. Diatom silicon isotopes as a proxy for silicic acid utilisation: A Southern Ocean core top calibration

    NASA Astrophysics Data System (ADS)

    Egan, Katherine E.; Rickaby, Rosalind E. M.; Leng, Melanie J.; Hendry, Katharine R.; Hermoso, Michaël; Sloane, Hilary J.; Bostock, Helen; Halliday, Alex N.

    2012-11-01

    Despite a growing body of work that uses diatom ?30Si to reconstruct past changes in silicic acid utilisation, few studies have focused on calibrating core top data with modern oceanographic conditions. In this study, a microfiltration technique is used to divide Southern Ocean core top silica into narrow size ranges, separating components such as radiolaria, sponge spicules and clay minerals from diatoms. Silicon isotope analysis of these components demonstrates that inclusion of small amounts of non-diatom material can significantly offset the measured from the true diatom ?30Si. Once the correct size fraction is selected (generally 2-20 ?m), diatom ?30Si shows a strong negative correlation with surface water silicic acid concentration (R2 = 0.92), highly supportive of the qualitative use of diatom ?30Si as a proxy for silicic acid utilisation. The core top diatom ?30Si matches well with mixed layer filtered diatom ?30Si from published in situ studies, suggesting little to no effect of either dissolution on export through the water column, or early diagenesis, on diatom ?30Si in sediments from the Southern Ocean. However, the core top diatom ?30Si shows a poor fit to simple Rayleigh or steady state models of the Southern Ocean when a single source term is used. The data can instead be described by these models only when variations in the initial conditions of upwelled silicic acid concentration and ?30Si are taken into account, a caveat which may introduce some error into quantitative reconstructions of past silicic acid utilisation from diatom ?30Si.

  13. Fish Utilisation of Wetland Nurseries with Complex Hydrological Connectivity

    PubMed Central

    Davis, Ben; Johnston, Ross; Baker, Ronald; Sheaves, Marcus

    2012-01-01

    The physical and faunal characteristics of coastal wetlands are driven by dynamics of hydrological connectivity to adjacent habitats. Wetlands on estuary floodplains are particularly dynamic, driven by a complex interplay of tidal marine connections and seasonal freshwater flooding, often with unknown consequences for fish using these habitats. To understand the patterns and subsequent processes driving fish assemblage structure in such wetlands, we examined the nature and diversity of temporal utilisation patterns at a species or genus level over three annual cycles in a tropical Australian estuarine wetland system. Four general patterns of utilisation were apparent based on CPUE and size-structure dynamics: (i) classic nursery utlisation (use by recently settled recruits for their first year) (ii) interrupted peristence (iii) delayed recruitment (iv) facultative wetland residence. Despite the small self-recruiting ‘facultative wetland resident’ group, wetland occupancy seems largely driven by connectivity to the subtidal estuary channel. Variable connection regimes (i.e. frequency and timing of connections) within and between different wetland units (e.g. individual pools, lagoons, swamps) will therefore interact with the diversity of species recruitment schedules to generate variable wetland assemblages in time and space. In addition, the assemblage structure is heavily modified by freshwater flow, through simultaneously curtailing persistence of the ’interrupted persistence’ group, establishing connectivity for freshwater spawned members of both the ‘facultative wetland resident’ and ‘delayed recruitment group’, and apparently mediating use of intermediate nursery habitats for marine-spawned members of the ‘delayed recruitment’ group. The diversity of utilisation pattern and the complexity of associated drivers means assemblage compositions, and therefore ecosystem functioning, is likely to vary among years depending on variations in hydrological connectivity. Consequently, there is a need to incorporate this diversity into understandings of habitat function, conservation and management. PMID:23152857

  14. Self-Assembled Hydrogels Utilising Polymer-Nanoparticle Interactions

    PubMed Central

    Appel, Eric A.; Tibbitt, Mark W.; Webber, Matthew J.; Mattix, Bradley A.; Veiseh, Omid

    2015-01-01

    Mouldable hydrogels that flow upon applied stress and rapidly self-heal are increasingly utilised as they afford minimally invasive delivery and conformal application. Here we report a new paradigm for the fabrication of self-assembled hydrogels with shear-thinning and self-healing properties employing rationally engineered polymer-nanoparticle interactions. Biopolymer derivatives are linked together by selective adsorption to nanoparticles. The transient and reversible interactions between biopolymers and nanoparticles enable flow under applied shear stress, followed by rapid self-healing when the stress is relaxed. We develop a physical description of polymer-nanoparticle gel formation that is utilised to design biocompatible gels for minimally-invasive drug delivery. Owing to the hierarchical structure of the gel, both hydrophilic and hydrophobic drugs can be entrapped and delivered with differential release profiles, both in vitro and in vivo. The work introduces a facile and generalizable class of mouldable hydrogels amenable to a range of biomedical and industrial applications. PMID:25695516

  15. Quality of life, resource utilisation and health economics assessment in advanced neuroendocrine tumours: a systematic review

    PubMed Central

    Chau, I; Casciano, R; Willet, J; Wang, X; Yao, JC

    2013-01-01

    Neuroendocrine tumours (NET) are often diagnosed at an advanced stage when the prognosis is poor for patients, who often experience diminished quality of life (QoL). As new treatments for NET become available, it is important to characterise the associated outcomes, costs and QoL. A comprehensive search was performed to systematically review available data in advanced NET regarding cost of illness/resource utilisation, economic studies/health technology assessment and QoL. Four rounds of sequential review narrowed the search results to 22 relevant studies. Most focused on surgical procedures and diagnostic tools and contained limited information on the costs and consequences of medical therapies. Multiple tools are used to assess health-related QoL in NET, but few analyses have been conducted to assess the comparative impact of available treatment alternatives on QoL. Limitations include English language and the focus on advanced NET; ongoing terminology and classification changes prevented pooled statistical analyses. This systematic review suggests a lack of comparative economic and outcomes data associated with NET treatments. Further research on disease costs, resource utilisation and QoL for patients with advanced NET is warranted. PMID:23895457

  16. Dental anxiety, utilisation of dental services, and DMFS status in Norwegian military recruits.

    PubMed

    Wisløff, T F; Vassend, O; Asmyhr, O

    1995-06-01

    The aim of the study was to assess the association between dental anxiety, oral health (evaluated by clinical and radiographic examinations), and utilisation of dental services. Results from correlation and regression analyses confirmed the generally held expectation that high dental anxiety would be associated with poorer oral health measured as numbers of decayed or filled surfaces. Significant, but weak, relationships were found between dental anxiety and utilisation measures, i.e. number of dental visits during the last year and time since last dental visit. Taken together, the data indicated that dental anxiety was a facet of more general negative oral health/preventive oral health related behaviour. Thus, high scores on this dimension were characterised by high dental anxiety, more oral health problems, inadequate dental attendance, slightly less frequent toothbrushing and larger intake of sweet soft drinks. However, the study also demonstrated that non-selected dentally anxious individuals as a group did not exhibit the almost complete avoidance pattern typical of patients seeking special treatment for dental fear. Even in the subgroup with particularly high dental anxiety, several individuals reported having been to the dentist during the last one or two years. PMID:7648408

  17. Carbon substrate utilisation profile of a high concentration effluent degrading microbial consortium.

    PubMed

    Jena, S; Jeanmeure, L F C; Wichukorn, S D; Wright, P C

    2006-08-01

    This paper presents the carbon substrate utilisation profile of a group of microorganisms responsible for the biodegradation of a highly concentrated industrial effluent. A 1 litre bioreactor was used to study this consortium's biodegradation potential, with the chemical oxygen demand (COD) of the waste being reduced by 90% from 24000 mg l(-1) within 456 hours. This study also demonstrates that the consortium is capable of degrading organic solvents, such as isopropanol, at concentrations of 260 mg l(-1). The population distribution and biochemical behaviour were also characterised using denaturing gradient gel electrophoresis (DGGE) and Biolog Eco Plates at various stages of bioreactor operation. The DGGE results indicated that the dominant bands of the microbial population profile were stable at various operational stages, and that only a few bands varied with time. Moreover, four Biolog Eco plates were inoculated with samples drawn from the bioreactor at 0, 24, 72 and 120 hours after inoculation. Based on this Biolog Eco Plate profiling, a carbon source utilisation analysis was conducted to group the substrates according to their colour development patterns. Patterns were quantified via measurement of well optical density. Subsequently, cross-correlation statistical techniques were used to establish the existence of recurrent behavioural responses from each carbon source to the various wastewater samples. From the cross correlation, an attempt was made to classify the metabolic potential for future biodegradation processes. Carbohydrates, amino acids and carboxylic acids were the most predominant groups of sole carbon substrates showing similar growth behaviour in the consortium. PMID:16972382

  18. Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review

    PubMed Central

    2014-01-01

    Background Although disabled women are significantly more likely to experience domestic abuse during pregnancy than non-disabled women, very little is known about how maternity care access and utilisation is affected by the co-existence of disability and domestic abuse. This systematic review of the literature explored how domestic abuse impacts upon disabled women’s access to maternity services. Methods Eleven articles were identified through a search of six electronic databases and data were analysed to identify: the factors that facilitate or compromise access to care; the consequences of inadequate care for pregnant women’s health and wellbeing; and the effectiveness of existing strategies for improvement. Results Findings indicate that a mental health diagnosis, poor relationships with health professionals and environmental barriers can compromise women’s utilisation of maternity services. Domestic abuse can both compromise, and catalyse, access to services and social support is a positive factor when accessing care. Delayed and inadequate care has adverse effects on women’s physical and psychological health, however further research is required to fully explore the nature and extent of these consequences. Only one study identified strategies currently being used to improve access to services for disabled women experiencing abuse. Conclusions Based upon the barriers and facilitators identified within the review, we suggest that future strategies for improvement should focus on: understanding women’s reasons for accessing care; fostering positive relationships; being women-centred; promoting environmental accessibility; and improving the strength of the evidence base. PMID:25029907

  19. Ecological analysis of health care utilisation for China's rural population: association with a rural county's socioeconomic characteristics

    PubMed Central

    2010-01-01

    Background The problem of accessibility and affordability of health care is reported to be a major social concern in modern China. It is pronounced in rural households which represent 60% of China's population. There are a few large scale studies which have been conducted into socioeconomic inequalities in health care utilisation for rural populations. Those studies that exist are mainly bivariate analyses. The aim of this study is to examine the relationship between socioeconomic characteristics and health service utilisation among rural counties, using aggregated data from a nationally representative dataset, within a multivariate regression analysis framework. Methods Secondary data analysis was conducted on China's National Health Services Survey (NHSS) 2003. Aggregated data on health care utilisation, socioeconomic position, demographic characteristics and health status were used. The samples included 67 rural counties. Multivariate linear regression analyses were performed. Results The results of the ecological multivariate analyses showed a positive relationship between private insurance coverage and the use of outpatient care (p-value < 0.05, standardised coefficient = 0.22). Annual income was positively correlated with annual medical expenditure (p-value < 0.01, standardised coefficient = 0.56). A rural county's area socioeconomic stratum, a composite measure frequently used in bivariate studies including the NHSS analysis report, could not explain any association with the use of health care. Conclusions This study highlights that richer rural households with a greater ability to pay are more able to use health services in China. The findings suggest that the scope of medical insurance might be restrictive, or the protection provided might be limited, and the health care costs might still be too high. Additional efforts are required to ensure that poorer Chinese rural households are able to utilise health care according to their needs, regardless of their income levels or private insurance coverage. This would require targeted strategies to assist low income families and a broad spectrum of interventions to address the social determinants of health. PMID:21044343

  20. Clean coal technology. Coal utilisation by-products

    SciTech Connect

    2006-08-15

    The need to remove the bulk of ash contained in flue gas from coal-fired power plants coupled with increasingly strict environmental regulations in the USA result in increased generation of solid materials referred to as coal utilisation by-products, or CUBs. More than 40% of CUBs were sold or reused in the USA in 2004 compared to less than 25% in 1996. A goal of 50% utilization has been established for 2010. The American Coal Ash Association (ACCA) together with the US Department of Energy's Power Plant Improvement Initiative (PPPI) and Clean Coal Power Initiative (CCPI) sponsor a number of projects that promote CUB utilization. Several are mentioned in this report. Report sections are: Executive summary; Introduction; Where do CUBs come from?; Market analysis; DOE-sponsored CUB demonstrations; Examples of best-practice utilization of CUB materials; Factors limiting the use of CUBs; and Conclusions. 14 refs., 1 fig., 5 tabs., 14 photos.

  1. Technologies for the utilisation of biogenic waste in the bioeconomy.

    PubMed

    O'Callaghan, Kenneth

    2016-05-01

    A brief review has been done of technologies involved in the exploitation of biogenic wastes, in order to provide an introduction to the subject from the technological perspective. Biogenic waste materials and biomass have historically been utilised for thousands of years, but a new conversation is emerging on the role of these materials in modern bioeconomies. Due to the nature of the products and commodities now required, a modern bioeconomy is not simply a rerun of former ones. This new dialogue needs to help us understand how technologies for managing and processing biogenic wastes - both established and novel - should be deployed and integrated (or not) to meet the requirements of the sustainability, closed-loop and resource-security agendas that evidently sit behind the bioeconomy aspirations now being voiced in many countries and regions of the world. PMID:26769498

  2. The Effect of Urban Basic Medical Insurance on Health Service Utilisation in Shaanxi Province, China: A Comparison of Two Schemes

    PubMed Central

    Gao, Jianmin; Yang, Xiaowei; Yan, Ju'e; Xue, Qinxiang; Chen, Gang

    2014-01-01

    Background Urban population in China is mainly covered by two medical insurance schemes: the Urban Employee Basic Medical Insurance (UEBMI) for urban employees in formal sector and the Urban Resident Basic Medical Insurance (URBMI) for the left urban residents, mainly the unemployed, the elderly and children. This paper studies the effects of UEBMI and URBMI on health services utilisation in Shaanxi Province, Western China. Methods Cross-sectional data from the 4th National Health Services Survey - Shaanxi Province was studied. The propensity score matching and the coarsened exact matching methods have been used to estimate the average medical insurance effect on the insured. Results Compared to the uninsured, robust results suggest that UEBMI had significantly increased the outpatient health services utilisation in the last two weeks (p<0.10), whilst the significant effect on hospitalisation was evident in the CEM method (p<0.10). The effect of URBMI was limited in that although being insured was associated with higher health services utilisation, compared with the uninsured, none of the improvement was statistically significant (p>0.10). It was also found that compared with the uninsured, basic medical insurance enrollees were more likely to purchase inpatient treatments in lower levels of hospitals, consistent with the incentive of the benefit package design. Conclusion Basic Medical insurance schemes have shown a positive but limited effect on increasing health services utilisation in Shaanxi Province. The benefit package design of higher reimbursement rates for lower level hospitals has induced the insured to use medical services in lower level hospitals for inpatient services. PMID:24740282

  3. Utilisation of the National Antiretroviral Therapy Guidelines among health care professionals working in Abuja treatment centres, Nigeria

    PubMed Central

    Abu, Ugbede O.; Ogunbanjo, Gboyega A.; Setswe, Geoffrey K.

    2009-01-01

    ABSTRACT Background Access to and utilisations of the National Antiretroviral Treatment Guidelines (NATG) are valuable factors for effective programme implementation. The objective of this study was to investigate the accessibility of the NATG and their utilisation by health care professionals from five treatment centres in Abuja, Nigeria. Method A quantitative cross-sectional descriptive survey was conducted in 2007 using purposively sampled health care professionals. Questionnaires were self-administered to participants who consented in writing to participate in the survey. Results 97 health care professionals participated in this study with about equal numbers of men and women: 48 (49.5%) women and 49 (50.5%) men. Of these, 21.6% were unaware of the existence of the NATG in their treatment centres. More than half (51.5%) reported that they did not have access to the NATG as opposed to those (48.5%) who had access to the guidelines. Furthermore, 16.5% of the participants confirmed that they had access to an institutional copy of the NATG while 14.4% indicated that they had individual copies and only 3.1% stated that they had individual copies and access to the hospital copy as well. Regarding utilisation of the NATG, 41.2% rarely used them, 32.9% never used them and only 25.7% often used them. The most frequent use of the NATG was among pharmacists (38.1%) compared to the least frequent use among nurses (20.0%). Conclusion Poor accessibility of the NATG may have a negative impact on guidelines utilisation among health care professionals in Nigeria.

  4. Effects of cadmium on growth and glucose utilisation of ectomycorrhizal fungi in vitro.

    PubMed

    Kim, C-G; Power, S A; Bell, J N B

    2003-08-01

    Effects of Cd on growth and glucose utilisation of Paxillus involutus, Rhizopogon subcaerulescens and Suillus bovinus were investigated in vitro in liquid culture. S. bovinus was the species most sensitive to Cd in terms of dry matter production and P. involutus was less sensitive than R. subcaerulescens. Greater production of hyphae of P. involutus than the other fungi appeared to confer some degree of Cd resistance, possibly by binding Cd onto cell walls. Growth of the three fungi was increased by glucose addition. While Cd significantly reduced dry matter production of the fungi, there were no significant differences in glucose consumption caused by Cd treatment. This suggests that the use of glucose might have been diverted to detoxification and/or repair mechanisms. Further studies on respiration rates and energy metabolites of these fungi under Cd exposure are needed in order to clarify the results of the present study. PMID:12687448

  5. The Effect of Children's Rights Training on Primary School Students' Utilisation and Knowledge Level about Children's Rights

    ERIC Educational Resources Information Center

    Ozmen, Suna Kaymak; Ocal, Tugba; Ozmen, Ahmet

    2014-01-01

    Recently, children's rights issue has taken attention. In this study, main purpose was to investigate the utilisation and knowledge level of 4th and 5th grade primary school students after children's rights training. The participants of this survey study were selected randomly from 10 schools. Results indicated that students had the…

  6. Effects of drug price reduction and prescribing restrictions on expenditures and utilisation of antihypertensive drugs in Korea

    PubMed Central

    Yoo, Ki-Bong; Lee, Sang Gyu; Park, Sohee; Kim, Tae Hyun; Ahn, Jeonghoon; Cho, Mee-Hyun; Park, Eun-Cheol

    2015-01-01

    Objectives To evaluate the quantitative effects of the drug price reduction on pharmaceutical expenditures and the new guidelines to restrict prescribing on drug utilisation for antihypertensive drugs. Design We used an interrupted time series design with the National patient sample data of Health Insurance Review and Assessment Service in South Korea. Methods 54 295 participants who were with primary hypertension from the National patient sample data of Health Insurance Review and Assessment Service were included. The study period was from March 2011 to December 2013. The dependent variables were antihypertensive drug costs, antihypertensive drug cost per prescribing day, daily drug utilisation, average number of drugs per month, percentage of original drugs per prescription, drug overutilisation and prohibited combinations. Segmented regression analysis was used. Results The drug price reduction reduced expenditure (US$−1.51, −10.2%), and the new guidelines reduced expenditures even more (US$−2.13; −16.2%). These policies saved US$4.22 (28%) of antihypertensive drug costs per patient in December 2013 compared to March 2012. Drug price reduction policy was introduced in April 2012. We established the policy effect by comparing it before (March 2012) with after(21 months later-December 2012). The effects of the guidelines decreased expenditures, daily drug utilisation and the average number of drugs per month more than did the drug price reduction. Conclusions Both policies saved money. The guidelines were more effective over time and had fewer side effects such as increasing daily drug utilisation and number of drugs than the effects of drug price reduction. PMID:26179644

  7. Effect of health insurance on the utilisation of allied health services by people with chronic disease: a systematic review and meta-analysis.

    PubMed

    Skinner, Elizabeth H; Foster, Michele; Mitchell, Geoffrey; Haynes, Michele; O'Flaherty, Martin; Haines, Terry P

    2014-01-01

    Allied health services benefit the management of many chronic diseases. The effects of health insurance on the utilisation of allied health services has not yet been established despite health insurance frequently being identified as a factor promoting utilisation of medical and hospital services among people with chronic disease. The objective of this systematic review and meta-analysis was to establish the effects of health insurance on the utilisation of allied health services by people with chronic disease. Medline (Ovid Medline 1948 to Present with Daily Update), EMBASE (1980 to 1 April 2011), CINAHL, PsychINFO and the Cochrane Central Register of Controlled Trials were searched to 12 April 2011 inclusive. Studies were eligible for inclusion if they were published in English, randomised controlled trials, quasi-experimental trials, quantitative observational studies and included people with one or more chronic diseases using allied health services and health insurance. A full-text review was performed independently by two reviewers. Meta-analyses were conducted. One hundred and fifty-eight citations were retrieved and seven articles were included in the meta-analyses. The pooled odds ratio (95% CI) of having insurance (versus no insurance) on the utilisation of allied health services among people with chronic disease was 1.33 (1.16-1.52; P<0.001). There was a significant effect of insurance on the utilisation of non-physiotherapy services, pooled odds ratio (95% CI) 4.80 (1.46-15.79; P=0.01) but having insurance compared with insurance of a lesser coverage was not significantly associated with an increase in physiotherapy utilisation, pooled odds ratio (95% CI) 1.53 (0.81-2.91; P=0.19). The presence of co-morbidity or functional limitation and higher levels of education increased utilisation whereas gender, race, marital status and income had a limited and variable effect, according to the study population. The review was limited by the considerable heterogeneity in the research questions being asked, sample sizes, study methodology (including allied health service), insurance type and dependent variables analysed. The presence of health insurance was generally associated with increased utilisation of allied health services; however, this varied depending on the population, provider type and insurance product. PMID:24079301

  8. How can qualitative research be utilised in the NHS when re-designing and commissioning services?

    PubMed Central

    2015-01-01

    Patient experience is acknowledged as a key quality metric of healthcare quality and can be used to identify problems with healthcare delivery, to drive quality improvements and to inform commissioning of services that promote patient choice. In this article, the contribution of qualitative research studies to inform the redesign and patient-focussed commissioning of services is considered, illustrated with particular reference to elective orthopaedic surgical services. To fully embrace the concept of patient and public involvement (PPI) and to embed it in service delivery, health service design and informing commissioners to purchase healthcare that truly meets patient need and expectations, qualitative research has an increasingly important role to play. Through well-conducted qualitative research exploring patients’ experiences, their knowledge and experiences of conditions can be utilised for the benefit of others and the impact of the patient voice truly heard when designing and commissioning healthcare services. PMID:26516559

  9. Influence of spices on protein utilisation of winged bean (Psophocarpus tetragonolobus) and horsegram (Dolichos biflorus).

    PubMed

    Pradeep, K U; Geervani, P

    1994-10-01

    The influence of a mixture of eleven spices commonly consumed in India on the utilisation of protein from boiled winged bean (Psophocarpus tetragonolobus) and horsegram (Dolichos biflorus) was studied at 10 and 20 percent level of protein intake in experimental rats. Spices used in the mixture include red chillies (Capsicum annum), black pepper (Piper nigrum), coriander (Coriandrum sativum), cumin (Cuminum cyminum), garlic (Allium sativum), ajowan (Carum copticum), turmeric (Curcuma longa), caraway seeds (Carum carui) and fennel seeds (Foeniculum vulgare). Addition of this spice mixture at 1.5% level of the diet decreased the TD of both legumes, significantly only in the case of horsegram. A significant increase was observed in the BV of both the legumes at both levels of protein tested. PMID:7855088

  10. Possibilities for the efficient utilisation of spent geothermal waters.

    PubMed

    Tomaszewska, Barbara; Szczepański, Andrzej

    2014-10-01

    Waters located at greater depths usually exhibit high mineral content, which necessitates the use of closed systems, i.e. re-injecting them into the formation after recovering the heat. This significantly reduces investment efficiency owing to the need to drill absorption wells and to perform anti-corrosion and anti-clogging procedures. In this paper, possibilities for the efficient utilisation of cooled geothermal waters are considered, particularly with respect to open or mixed geothermal water installations. Where cooled water desalination technologies are used, this allows the water to be demineralised and used to meet local needs (as drinking water and for leisure purposes). The retentate left as a by-product of the process contains valuable ingredients that can be used for balneological and/or leisure purposes. Thus, the technology for desalinating spent geothermal waters with high mineral content allows improved water management on a local scale and makes it possible to minimise the environmental threat resulting from the need to dump these waters into waterways or surface water bodies and/or inject them into the formation. The paper is concerned with Polish geothermal system and provides information about the parameters of Polish geothermal waters. PMID:24903247

  11. Utilising multimedia for training merchant mariners as paramedics.

    PubMed

    Anogianakis, G; Maglavera, S

    2000-01-01

    MERMAID is a telemedicine project with global reach and a 24-hour, multilingual capability. It aspires to provide a model for the provision of health care services based on the electronic transmission of medical information, via ISDN based videoconferencing. This model is not limited to medical diagnostics but it encompasses all cases where the actual delivery of health care services involves a patient who is not located where the provider is. Its implementation requires the commissioning of an expensive telecommunications infrastructure and the exploration of a number of solutions. In fact, all categories of telemedical applications are considered while the full range of network choices is explored in terms of the cost/performance tradeoffs inherent to them and the developmental stage each of these options occupies in its life cycle. MERMAID utilises advanced land based line transmission technologies to aid the remote patient by making available the specialty care best suited to each particular case. Finally, the development of programme modules for training and education of the seafarers in the use of the MERMAID medical communications system is given top priority as such modules constitute the firmest basis for the promotion of proper practice of telemedicine at sea. PMID:11010337

  12. Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System

    PubMed Central

    2011-01-01

    Background There is evidence suggesting that the use of health services is lower among immigrants after adjusting for age and sex. This study takes a step forward to compare primary care (PC) utilisation patterns between immigrants and the native population with regard to their morbidity burden. Methods This retrospective, observational study looked at 69,067 individuals representing the entire population assigned to three urban PC centres in the city of Zaragoza (Aragon, Spain). Poisson models were applied to determine the number of annual PC consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix (ACG System®). Results The age and sex adjusted mean number of total annual consultations was lower among the immigrant population (children: IRR = 0.79, p < 0.05; adults: IRR = 0.73, p < 0.05). After adjusting for morbidity burden, this difference decreased among children (IRR = 0.94, p < 0.05) and disappeared among adults (IRR = 1.00). Further analysis considering the PC health service and type of visit revealed higher usage of routine diagnostic tests among immigrant children (IRR = 1.77, p < 0.05) and a higher usage of emergency services among the immigrant adult population (IRR = 1.2, p < 0.05) after adjusting for age, sex and case mix. Conclusions Although immigrants make lower use of PC services than the native population after adjusting the consultation rate for age and sex, these differences decrease significantly when considering their morbidity burden. These results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain. PMID:21645335

  13. Effect of L-carnitine supplementation on utilisation of energy and protein in broiler chicken fed different dietary fat levels.

    PubMed

    Rodehutscord, M; Timmler, R; Dieckmann, Anke

    2002-12-01

    Effects of a supplementation of 80 mg L-carnitine per kg diet were studied in broiler chicken at two dietary levels of fat (4 and 8%) and different feeding levels (ad libitum in a growth trial, 95 and 85% of ad libitum in a balance trial). A low-carnitine basal diet adequate in amino acid concentration was used. In the growth trial, each diet was fed to 9 groups of 10 birds each for 16 days from day 5 of live onwards. Growth and feed intake were determined. At the end of the trial, birds were killed and homogenised for subsequent empty body analysis. Accretion of protein and energy was determined using a representative blank group killed at the beginning of the trial. In the balance trial, 8 individual birds were used per treatment. Birds were offered the feed at approximately 85 and 95% of ad libitum intake, which was determined with separate birds for both fat levels. Excreta were quantitatively collected three times daily for 8 consecutive days beginning on day 17 individually for each bird. Supplemented L-carnitine did not significantly affect any response criterion. However, growth and feed conversion tended to be improved by about 5% in the carnitine supplemented diets when fed ad libitum. An interaction between carnitine and fat level occurred with regard to feed conversion, indicating that carnitine had a positive effect at the high fat level, but not at the low fat level. L-carnitine did not positively affect the metabolisability of energy (ME/GE) and the efficiency of energy utilisation (RE/GE or RE/ME). Similarly, no significant carnitine effect was determined with regard to N accretion and the efficiency of utilisation of dietary protein in both trials. It is concluded that endogenous carnitine synthesis is not the limiting factor for energy utilisation in broiler chicken, even at high dietary fat concentration. Occasionally reported positive effects of supplemental carnitine were likewise caused by reasons other than improved energy or protein utilisation. Further studies on amino acid utilisation and catabolism should consider marginal amino acid supply. PMID:12553693

  14. Impact of caprock permeability on vertical ground surface displacements in geological underground utilisation

    NASA Astrophysics Data System (ADS)

    Kempka, Thomas; Tillner, Elena

    2015-04-01

    Geological underground utilisation inducing pore pressure changes in underground reservoirs is generally accompanied by hydro-mechanical processes. Thereby, pore pressure increase due to fluid injection may trigger ground surface uplift, while a decrease in pore pressure due to reservoir fluid production is known to induce ground subsidence. Different coupled hydro-mechanical simulation studies (e.g. Klimkowski et al., 2015, Kempka et al., 2014, Tillner et al., 2014) indicate that ground surface displacements can achieve a magnitude of several decimetres, if storage or production operations are being carried out at an industrial scale. Consequently, detailed knowledge on the parameters impacting ground surface uplift or subsidence is of major interest for the success of any geological underground utilisation in order to avoid surface infrastructure damage by spatially varying deformations. Furthermore, ground subsidence may result increased groundwater levels as experienced in different underground coal mining districts. In the present study, we carried out coupled hydro-mechanical simulations to account for the impact of caprock permeability on ground surface displacements resulting from geological underground utilisation. Thereto, different simulation scenarios were investigated using a synthetic 3D coupled numerical simulation model with varying caprock permeability and vertical location of the open well section in the target reservoir. Material property ranges were derived from available literature, while a normal faulting stress state was applied in all simulation scenarios. Our simulation results demonstrate that caprock permeability has a significant impact on the pressure development, and thus on vertical displacements at the ground surface as well as at the reservoir top. An increase in caprock permeability from 1 x 10-20 m2 by two orders of magnitude doubles vertical displacements at the ground surface, whereas vertical displacements at the reservoir top are decreased by almost 10 %. Furthermore, if the vertical location of the open well section is directly located below the caprock, vertical displacements at the ground surface are significantly higher compared to a lower open hole position. Consequently, a focus in site characterisation in the scope of geological underground utilisation should be on detailed assessment of caprock permeability. These data may be derived by well logs and hydraulic tests as well as laboratory tests on core samples. Kempka, T., Nielsen, C.M., Frykman, P., Shi, J.-Q., Bacci, G., Dalhoff, F. Coupled Hydro-Mechanical Simulations of CO2 Storage Supported by Pressure Management Demonstrate Synergy Benefits from Simultaneous Formation Fluid Extraction (2014) Oil Gas Sci Technol, doi:10.2516/ogst/2014029. Klimkowski, Ł., Nagy, S., Papiernik, B., Orlic, B., Kempka, T. Numerical simulations of enhanced gas recovery at the Załęcze gas field in Poland confirm high storage capacities and mechanical integrity (2015) Oil Gas Sci Technol (accepted). Tillner, E., Shi, J-.Q., Bacci, G., Nielsen, C.M., Frykman, P., Dalhoff, F., Kempka, T. Coupled Dynamic Flow and Geomechanical Simulations for an Integrated Assessment of CO2 Storage Impacts in a Saline Aquifer (2014) Energy Procedia, 63:2879-2893, doi:10.1016/j.egypro.2014.11.311.

  15. Utilisation of Pangolin (Manis sps) in traditional Yorubic medicine in Ijebu province, Ogun State, Nigeria

    PubMed Central

    2009-01-01

    Background Concern about the use of endangered and threatened species in traditional medicine escalated as populations of many species plummeted because of poaching for the medicinal trade. Nigeria is known for a long and valued tradition of using wild animals and plants for medicinal purposes. Despite this, studies on medicinal animals are still scarce when compared to those focusing on medicinal plants. Utilisation of wild animals in traditional Yorubic medical practices was indiscriminate as it involved threatened species. By touting the medicinal properties of these species, traditional medicine fuel continuing demand, thereby subjecting such species to further threats. This paper examined the use and commercialisation of pangolins for traditional medicinal purposes amongst the Ijebus, South-western Nigeria, and the implications of this utilisation for the conservation of this species. Methods Traditional Yorubic medical practitioners (tymps) (16) and dealers in traditional medicinal ingredients (56) in public markets in Ijebu province, Nigeria, were interviewed using open-ended questionnaires. The dynamic stock movement of pangolins in the stalls of dealers was also monitored to determine quantity of pangolins sold into the traditional Yorubic medicinal practices. Specific conditions treated and the parts required were also documented. Results A total of 178 whole pangolin carcasses were sold into traditional medical practices. Above 55% of respondents had just primary education, over 90% of respondents were not aware of either the conservation status of this species or the existence of any legal machinery regulating its trade and utilisation, while 14% admitted to giving contracts to hunters for deliberate search for this animal when needed. More than 98% of respondents have no other means of livelihood. The trade was female dominated while the healing practice had more males. Pangolins were used in various preparations to treat a total of 42 conditions. These include infertility, gastro-intestinal disorders, safe parturition, stomach ulcers, rheumatism and fibroid. Traditional Yorubic medicine also accommodated some situations that are out of the range of conventional medicine like boosting sales, conferring invisibility, removing bad luck, appeasing/wading off witches cum evil forces and money rituals. Some of these situations specifically require juvenile, or even pregnant female animals. Conclusion Traditional Yorubic medical practices eats deep into the reproductive base of the species, presently listed in Appendix II of CITES and Schedule I of the Nigerian Decree 11 (1985), both of which recommended strict control in sales and utilisation of this species. Its numerous medicinal values, folk culture and financial benefits of these activities are the main factors promoting the commercialisation and use of this species. Pharmacological studies on the various preparations are required to identify the bioactive compounds in them. There is a need for improved and urgent measures to conserve populations of this species in-situ. Massive education and enlightenment is urgently needed for the populace to have the necessary awareness and orientation about the conservation of this species. PMID:19961597

  16. Articulating Injustice: An Exploration of Young People's Experiences of Participation in a Conflict Transformation Programme That Utilises the Arts as a Form of Dialogue

    ERIC Educational Resources Information Center

    Knight, Heather

    2014-01-01

    This paper reflects on a study that explores young people's engagement with the Art: a Resource for Reconciliation Over the World (ARROW) programme. The programme utilises the arts to promote critical dialogue amongst young people growing up in divided communities around the world. Dialogue has been criticised for its inability to tackle…

  17. Discrepancy in glucose and fructose utilisation during fermentation by Saccharomyces cerevisiae wine yeast strains.

    PubMed

    Berthels, N J; Cordero Otero, R R; Bauer, F F; Thevelein, J M; Pretorius, I S

    2004-05-01

    While unfermented grape must contains approximately equal amounts of the two hexoses glucose and fructose, wine producers worldwide often have to contend with high residual fructose levels (>2 gl(-1)) that may account for undesirable sweetness in finished dry wine. Here, we investigate the fermentation kinetics of glucose and fructose and the influence of certain environmental parameters on hexose utilisation by wine yeast. Seventeen Saccharomyces cerevisiae strains, including commercial wine yeast strains, were evaluated in laboratory-scale wine fermentations using natural Colombard grape must that contained similar amounts of glucose and fructose (approximately 110 gl(-1) each). All strains showed preference for glucose, but to varying degrees. The discrepancy between glucose and fructose utilisation increased during the course of fermentation in a strain-dependent manner. We ranked the S. cerevisiae strains according to their rate of increase in GF discrepancy and we showed that this rate of increase is not correlated with the fermentation capacity of the strains. We also investigated the effect of ethanol and nitrogen addition on hexose utilisation during wine fermentation in both natural and synthetic grape must. Addition of ethanol had a stronger inhibitory effect on fructose than on glucose utilisation. Supplementation of must with assimilable nitrogen stimulated fructose utilisation more than glucose utilisation. These results show that the discrepancy between glucose and fructose utilisation during fermentation is not a fixed parameter but is dependent on the inherent properties of the yeast strain and on the external conditions. PMID:15093771

  18. Persisting stigma reduces the utilisation of HIV-related care and support services in Viet Nam

    PubMed Central

    2012-01-01

    Background Seeking and utilisation of HIV prevention, treatment, care, and support services for people living with HIV is often hampered by HIV-related stigma. The study aimed to explore the perceptions and experiences regarding treatment, care, and support amongst people living with HIV in Viet Nam, where the HIV epidemic is concentrated among injecting drug users, sex workers, and men who have sex with men. Methods In-depth interviews and focus group discussions were conducted during September 2007 in 6 districts in Hai Phong with a very high HIV prevalence among injecting drug users. The information obtained was analysed and merged within topic areas. Illustrative quotes were selected. Results Stigma and discrimination against people living with HIV in the community and healthcare settings was commonly reported, and substantially hampered the seeking and the utilisation of HIV-related services. The informants related the high level of stigma to the way the national HIV preventive campaigns played on fear, by employing a “scare tactic” mainly focusing on drug users and sex workers, who were defined as “social evils” in the anti-drug and anti-prostitution policy. There was a strong exclusion effect caused by the stigma, with serious implications, such as loss of job opportunities and isolation. The support and care provided by family members was experienced as vital for the spirit and hope for the future among people living with HIV. Conclusions A comprehensive care and support programme is needed. The very high levels of stigma experienced seem largely to have been created by an HIV preventive scare tactic closely linked to the “social evil“ approach in the national policy on drug and prostitution. In order to reduce the stigma and create more effective interventions, this tactic will have to be replaced with approaches that create better legal and policy environments for drug users and sex workers. PMID:23176584

  19. Heterotrophic utilisation of biochemical compounds in Antarctic waters

    NASA Astrophysics Data System (ADS)

    Bölter, M.; Dawson, R.

    The heterotrophic utilisation of amino acids and carbohydrates (mono- and disaccharides) was investigated November-December 1980 on water samples taken from the Falkland Islands to the ice-edge of the Weddell Sea and Bransfield Strait. The uptake of 14C-labelled compounds and their respiration was measured with consideration of the natural concentration of the substrates which were measured directly by high performance liquid chromatography with fluoresencent detection. All incubations were carried out at in situ temperatures with trace amounts of labelled compounds without kinetic approach. The results show wide variations in microbial activity and actual substrate concentration which may be related to the physiological state and biomass of phytoplankton standing stock, dominated by Phaeocystis sp. and Thalassiosira sp. Microbial activities and biomass production were found to be comparable with others areas, e.g. the Baltic Sea. The composition of the dissolved and particulate matter in terms of amino acids, proteins, sugars and polysaccharides show many differences to other ecosystems. High levels of bound amino acids (dissolved proteins) often exceeding mg levels were found, particularly in waters with high chlorophyll contents (up to 30 ?g·1 -1) where the plankton populations' physiological state was poor. Analysis of filtered particulate matter after water extraction and exhaustive hydrolysis showed that healthy plankton cells produced large quantities of high energy nitrogen compounds centred around glutamine and its degradation products. These products could be found in the free-pool of amino acids, only traces following the breakdown of planktonic organisms. A storage of proteinaceous matter seems to be characteristics feature of the Antarctic ecosystem.

  20. Multiple sclerosis disease modifying medicine utilisation in Australia.

    PubMed

    Hollingworth, Samantha; Walker, Kimitra; Page, Andrew; Eadie, Mervyn

    2014-12-01

    With the introduction of new disease modifying medicines (DMM) for relapsing remitting multiple sclerosis (RRMS) in Australia, we aimed to examine trends in utilisation from 1996 to 2013. We analysed trends in use by administrative area (state/territory). Prescription data from Medicare Australia were converted to defined daily doses (DDD)/1000 population/day using population data. Overall RRMS DMM use increased progressively from 0.024 to 0.68 DDD/1000 population/day between 1996 and 2013. From 1996 to 1999 interferon ?1B was the only such agent available. Interferon ?1A became the most widely used RRMS DMM in 2001. Glatiramer acetate became available in 2004 and its use thereafter increased slowly. Natalizumab was introduced in 2008 with slow growth and fingolimod use grew substantially once it was subsidised in 2011. Both these medicines have accounted for the growth in total use of RRMS DMM in 2012 and 2013. Overall RRMS DMM use was higher in more southern states than in northern states. Patterns of preferred agent varied between different Australian states and territories. RRMS DMM use in Australia has grown progressively since 1996, probably related to growing medical and patient confidence in the benefits obtained from using such drugs, longer survival in MS patients (partly related to use of drug treatments), and easier recognition of MS with the wider availability of magnetic resonance imaging (MRI). The availability of fingolimod, the first DMM that can be taken by mouth, may have led RRMS patients who rejected parenteral therapy to commence treatment of their disease. PMID:25194821

  1. Impact of technology on the utilisation of positron emission tomography in lymphoma: current and future perspectives.

    PubMed

    Visvikis, D; Ell, P J

    2003-06-01

    Positron emission tomography (PET) has now gained a place in the management of patients with cancer, including those with Hodgkin's disease and non-Hodgkin's lymphoma. Restaging studies and those addressing the monitoring of response to treatment are especially in focus. Most of the knowledge gained has been achieved with dedicated BGO-based PET technology, but there are a number of developments that will impact on the use of this metabolic imaging technique in the investigation of patients with lymphoma. The challenges ahead are determined by the need for high-quality whole-body imaging associated with increased patient throughput and the need to investigate the role of new labelled ligands. The latter are likely to yield new insights into tumour cell characterisation, tumour behaviour and tumour outcome assessment. The study of new radiolabelled ligands will impose further demands for rapid dynamic data acquisition and accurate tracer quantification. Current and future developments in PET technology range from the use of new detector materials to different detector geometries and data acquisition modes. The search for alternatives to BGO scintillation materials for PET has led to the development of PET instruments utilising new crystals such as LSO and GSO. The use of these new detectors and the increased sensitivity achieved with 3D data acquisitions represent the most significant current developments in the field. With the increasing demands imposed on the clinical utilisation of PET, issues such as study cost and patient throughput will emerge as significant future factors. As a consequence, low-cost units are being offered by the manufacturers through the utilisation of gamma camera-based SPET systems for PET coincidence imaging. Unfortunately, clinical studies in lymphoma and other cancers have already demonstrated the limitations of this technology, with 20% of lesions <15 mm in size escaping detection. On the other hand, the recent development of combined PET/CT devices attempts to address the lack of anatomical information inherent with PET images, taking advantage of further improvement in patient throughput and hence cost-effectiveness. Preliminary studies using this multimodality imaging approach have already demonstrated the potential of the technique. Although the potential exists, certain technical issues with PET/CT require refinement of the methodology. Such issues include organ movement (such as respiratory motion), which strongly influences the image fusion of a rapidly acquired CT scan with the slower acquisition of a PET dataset, and the derivation of CT-based attenuation coefficients in the presence of contrast agents or metallic implants. The application of the technology for radiotherapy planning also poses a number of associated challenges. Finally, the development of dedicated PET systems based on planar detector arrangements with new detector components has the potential to improve clinical throughput by over 100%, but clinical trials using such systems have still to be carried out in order to establish the associated whole-body image quality. PMID:12748830

  2. Out-of-Pocket Payments, Health Care Access and Utilisation in South-Eastern Nigeria: A Gender Perspective

    PubMed Central

    Onah, Michael N.; Govender, Veloshnee

    2014-01-01

    Out-of-pocket (OOP) payments have severe consequences for health care access and utilisation and are especially catastrophic for the poor. Although women comprise the majority of the poor in Nigeria and globally, the implications of OOP payments for health care access from a gender perspective have received little attention. This study seeks to fill this gap by using a combination of quantitative and qualitative analysis to investigate the gendered impact of OOPs on healthcare utilisation in south-eastern Nigeria. 411 households were surveyed and six single-sex Focus Group Discussions conducted. This study confirmed the socioeconomic and demographic vulnerability of female-headed households (FHHs), which contributed to gender-based inter-household differences in healthcare access, cost burden, choices of healthcare providers, methods of funding healthcare and coping strategies. FHHs had higher cost burdens from seeking care and untreated morbidity than male-headed households (MHHs) with affordability as a reason for not seeking care. There is also a high utilisation of patent medicine vendors (PMVs) by both households (PMVs are drug vendors that are unregulated, likely to offer very low-quality treatment and do not have trained personnel). OOP payment was predominantly the means of healthcare payment for both households, and households spoke of the difficulties associated with repaying health-related debt with implications for the medical poverty trap. It is recommended that the removal of user fees, introduction of prepayment schemes, and regulating PMVs be considered to improve access and provide protection against debt for FHHs and MHHs. The vulnerability of widows is of special concern and efforts to improve their healthcare access and broader efforts to empower should be encouraged for them and other poor households. PMID:24728103

  3. Catalytic dehydrogenation of propane by carbon dioxide: a medium-temperature thermochemical process for carbon dioxide utilisation.

    PubMed

    Du, X; Yao, B; Gonzalez-Cortes, S; Kuznetsov, V L; AlMegren, Hamid; Xiao, T; Edwards, P P

    2015-12-01

    The dehydrogenation of C3H8 in the presence of CO2 is an attractive catalytic route for C3H6 production. In studying the various possibilities to utilise CO2 to convert hydrocarbons using the sustainable energy source of solar thermal energy, thermodynamic calculations were carried out for the dehydrogenation of C3H8 using CO2for the process operating in the temperature range of 300-500 °C. Importantly, the results highlight the enhanced potential of C3H8 as compared to its lighter and heavier homologues (C2H6 and C4H10, respectively). To be utilised in this CO2 utilisation reaction the Gibbs free energy (?rG) of each reaction in the modelled, complete reacting system of the dehydrogenation of C3H8 in the presence of CO2 also indicate that further cracking of C3H6 will affect the ultimate yield and selectivity of the final products. In a parallel experimental study, catalytic tests of the dehydrogenation of C3H8 in the presence of CO2 over 5 wt%-Cr2O3/ZrO2 catalysts operating at 500 °C, atmospheric pressure, and for various C3H8 partial pressures and various overall GHSV (Gas Hourly Space Velocity) values. The results showed that an increase in the C3H8 partial pressure produced an inhibition of C3H8 conversion but, importantly, a promising enhancement of C3H6 selectivity. This phenomenon can be attributed to competitive adsorption on the catalyst between the generated C3H6 and inactivated C3H8, which inhibits any further cracking effect on C3H6 to produce by-products. As a comparison, the increase of the overall GHSV can also decrease the C3H8 conversion to a similar extent, but the further cracking of C3H6 cannot be limited. PMID:26392020

  4. Utilisation of helicopter emergency medical services in the early medical response to major incidents: a systematic literature review

    PubMed Central

    Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen J M; Rehn, Marius

    2016-01-01

    Objective This systematic review identifies, describes and appraises the literature describing the utilisation of helicopter emergency medical services (HEMS) in the early medical response to major incidents. Setting Early prehospital phase of a major incident. Design Systematic literature review performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Web of Science, PsycINFO, Scopus, Cinahl, Bibsys Ask, Norart, Svemed and UpToDate were searched using phrases that combined HEMS and ‘major incidents’ to identify when and how HEMS was utilised. The identified studies were subjected to data extraction and appraisal. Results The database search identified 4948 articles. Based on the title and abstract, the full text of 96 articles was obtained; of these, 37 articles were included in the review, and an additional five were identified by searching the reference lists of the 37 articles. HEMS was used to transport medical and rescue personnel to the incident and to transport patients to the hospital, especially when the infrastructure was damaged. Insufficient air traffic control, weather conditions, inadequate landing sites and failing communication were described as challenging in some incidents. Conclusions HEMS was used mainly for patient treatment and to transport patients, personnel and equipment in the early medical management of major incidents, but the optimal utilisation of this specialised resource remains unclear. This review identified operational areas with improvement potential. A lack of systematic indexing, heterogeneous data reporting and weak methodological design, complicated the identification and comparison of incidents, and more systematic reporting is needed. Trial registration number CRD42013004473. PMID:26861938

  5. Analysis of the Diversity of Substrate Utilisation of Soil Bacteria Exposed to Cd and Earthworm Activity Using Generalised Additive Models

    PubMed Central

    Muñiz, Selene; Lacarta, Juan; Pata, María P.; Jiménez, Juan José; Navarro, Enrique

    2014-01-01

    Biolog EcoPlates™ can be used to measure the carbon substrate utilisation patterns of microbial communities. This method results in a community-level physiological profile (CLPP), which yields a very large amount of data that may be difficult to interpret. In this work, we explore a combination of statistical techniques (particularly the use of generalised additive models [GAMs]) to improve the exploitation of CLPP data. The strength of GAMs lies in their ability to address highly non-linear relationships between the response and the set of explanatory variables. We studied the impact of earthworms (Aporrectodea caliginosa Savigny 1826) and cadmium (Cd) on the CLPP of soil bacteria. The results indicated that both Cd and earthworms modified the CLPP. GAMs were used to assess time-course changes in the diversity of substrate utilisation (DSU) using the Shannon-Wiener index. GAMs revealed significant differences for all treatments (compared to control -S-). The Cd exposed microbial community presented very high metabolic capacities on a few substrata, resulting in an initial acute decrease of DSU (i.e. intense utilization of a few carbon substrata). After 54 h, and over the next 43 h the increase of the DSU suggest that other taxa, less dominant, reached high numbers in the wells containing sources that are less suitable for the Cd-tolerant taxa. Earthworms were a much more determining factor in explaining time course changes in DSU than Cd. Accordingly, Ew and EwCd soils presented similar trends, regardless the presence of Cd. Moreover, both treatments presented similar number of bacteria and higher than Cd-treated soils. This experimental approach, based on the use of DSU and GAMs allowed for a global and statistically relevant interpretation of the changes in carbon source utilisation, highlighting the key role of earthworms on the protection of microbial communities against the Cd. PMID:24416339

  6. Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System

    PubMed Central

    Zulman, Donna M; Pal Chee, Christine; Wagner, Todd H; Yoon, Jean; Cohen, Danielle M; Holmes, Tyson H; Ritchie, Christine; Asch, Steven M

    2015-01-01

    Objectives To investigate the relationship between multimorbidity and healthcare utilisation patterns among the highest cost patients in a large, integrated healthcare system. Design In this retrospective cross-sectional study of all patients in the U.S. Veterans Affairs (VA) Health Care System, we aggregated costs of individuals’ outpatient and inpatient care, pharmacy services and VA-sponsored contract care received in 2010. We assessed chronic condition prevalence, multimorbidity as measured by comorbidity count, and multisystem multimorbidity (number of body systems affected by chronic conditions) among the 5% highest cost patients. Using multivariate regression, we examined the association between multimorbidity and healthcare utilisation and costs, adjusting for age, sex, race/ethnicity, marital status, homelessness and health insurance status. Setting USA VA Health Care System. Participants 5.2 million VA patients. Measures Annual total costs; absolute and share of costs generated through outpatient, inpatient, pharmacy and VA-sponsored contract care; number of visits to primary, specialty and mental healthcare; number of emergency department visits and hospitalisations. Results The 5% highest cost patients (n=261 699) accounted for 47% of total VA costs. Approximately two-thirds of these patients had chronic conditions affecting ≥3 body systems. Patients with cancer and schizophrenia were less likely to have documented comorbid conditions than other high-cost patients. Multimorbidity was generally associated with greater outpatient and inpatient utilisation. However, increased multisystem multimorbidity was associated with a higher outpatient share of total costs (1.6 percentage points per affected body system, p<0.01) but a lower inpatient share of total costs (−0.6 percentage points per affected body system, p<0.01). Conclusions Multisystem multimorbidity is common among high-cost VA patients. While some patients might benefit from disease-specific programmes, for most patients with multimorbidity there is a need for interventions that coordinate and maximise efficiency of outpatient services across multiple conditions. PMID:25882486

  7. Space resource utilisation: a novel indicator to quantify species competitive ability for light

    PubMed Central

    Zhang, Pengfei; Zhou, Xiaolong; Li, Junyong; Guo, Zhi; Du, Guozhen

    2015-01-01

    Species richness and productivity are two fundamental aspects of ecosystems. As a result, the relationship between species richness and productivity has been widely studied. A series of fertilisation experiments in an alpine meadow on the Tibetan Plateau were performed to study the relationship between species richness and productivity. In this paper, we present a novel indicator, i.e., space resource utilisation (SRU), which is calculated by a volume formula (Vi ?=? hi · Si; hi?=?plant height of species i, Si?=?quadrat area?×?percent cover of species i). SRU more fully reflected species competitive ability for light in both horizontal and vertical dimensions compared with plant height and cover. We used this novel indicator to investigate the effects of SRU on the changes in species richness and productivity following fertilisation. We found that the SRU of the community was correlated with increasing productivity and decreasing species richness following fertilisation and was a better predictor of species richness than productivity. The changes in SRU following fertilisation vary among species. These results demonstrate that SRU can be a more useful tool in explaining plant biodiversity loss and predicting the fate of different species than each of height, cover and productivity. PMID:26593068

  8. Factors influencing the utilisation of e-learning in post-registration nursing students.

    PubMed

    McVeigh, Helen

    2009-01-01

    The learning environment extends beyond the classroom and establishing an e-learning culture is seen as essential to the future of nurse education and the facilitation of life long learning. This paper reports on a study that sought to identify the factors that may influence the utilisation of e-learning by nursing, midwifery and health visiting students undertaking post-registration studies. The findings presented draw on quantitative and qualitative data drawn from analysis of a questionnaire exploring experience and perceptions of e-learning. This research finds the perception of e-learning is positively influenced by its flexibility in time management, pace of learning, self direction and widening access to information. Potential barriers relate to the functional capability of students, perceived levels of computer literacy, perceptions of e-learning as time consuming, competing home life elements and the lack of work based support. Student expectations in relation to reasons for choosing this mode of learning and the probability that they may be inadequately supported to make the best use e-learning were inherent in the findings. This raised questions of the potential for inequity in educational delivery with increasing use of e-learning. The implications from this research highlight the challenge for nurse educators in understanding, developing awareness of and identifying strategies to manage these factors. PMID:18774625

  9. Space resource utilisation: a novel indicator to quantify species competitive ability for light.

    PubMed

    Zhang, Pengfei; Zhou, Xiaolong; Li, Junyong; Guo, Zhi; Du, Guozhen

    2015-01-01

    Species richness and productivity are two fundamental aspects of ecosystems. As a result, the relationship between species richness and productivity has been widely studied. A series of fertilisation experiments in an alpine meadow on the Tibetan Plateau were performed to study the relationship between species richness and productivity. In this paper, we present a novel indicator, i.e., space resource utilisation (SRU), which is calculated by a volume formula (Vi ?=? hi · Si; hi?=?plant height of species i, Si?=?quadrat area?×?percent cover of species i). SRU more fully reflected species competitive ability for light in both horizontal and vertical dimensions compared with plant height and cover. We used this novel indicator to investigate the effects of SRU on the changes in species richness and productivity following fertilisation. We found that the SRU of the community was correlated with increasing productivity and decreasing species richness following fertilisation and was a better predictor of species richness than productivity. The changes in SRU following fertilisation vary among species. These results demonstrate that SRU can be a more useful tool in explaining plant biodiversity loss and predicting the fate of different species than each of height, cover and productivity. PMID:26593068

  10. Generation and utilisation of quality indicators for satellite-derived atmospheric motion vectors

    NASA Astrophysics Data System (ADS)

    Holmlund, Kenneth

    The extraction of Atmospheric Motion Vectors (AMVs) from cloud and moisture features from successive geostationary satellite images is an established and important part of the global observing system. One of the main problems in the utilisation of this data is the variable quality of the derived displacement vectors. Furthermore the AMVs are still currently used as single point measurements, even though they are generally based on targets that represent large areas and the height that is assigned to the vectors often represents a layer mean. In the early AMV derivation schemes the derived vector fields were quality controlled by experienced meteorologists and poor vectors were removed. Furthermore any suspect vector showing any kind of deviations in time and space was rejected and hence only about 17% of all possible vectors were disseminated. Today the high production frequency and the increased resolution make manual quality control unfeasible. Furthermore the new assimilation schemes utilised in Numerical Weather Prediction (NWP) require qualitative information on the errors of the individual AMVs. This Thesis describes an Automatic Quality Control (AQC) scheme that is based on the statistical properties of the derived AMVs. The properties of the AMVs, i.e. their consistency in time and space, are interpreted with a number of tests. The outcome of each test is normalised such that they can be combined to a Quality Indicator (QI) that gives an estimation of the expected quality of every individual vector as is shown by statistics against radiosondes and verified by the positive impact in data assimilation schemes. The QIs are currently derived and disseminated together with the derived AMVs by several operational AMV derivation centres. Only a small number of vectors are now removed before dissemination. The QIs are used operationally for data selection at various NWT centres and have alleviated some of the problems related to the assimilation of this data in NWT. QIs can also be used in other application in order to provide a better determination of the atmospheric flow facilitating a more efficient use of the AMVs e.g. for climate studies and nowcasting applications.

  11. Energy utilisation of carbohydrate, fat and protein sources in newly hatched broiler chicks.

    PubMed

    Sulistiyanto, B; Akiba, Y; Sato, K

    1999-12-01

    1. TME, TMEn and metabolisability (TME/gross energy) of energy-yielding foodstuffs were determined in 1, 3 and 10 d old broiler chicks, using the assay method developed by Murakami et al. (1994), in order to characterise energy utilisation during the 10 d after hatching. 2. TME, TMEn and metabolisability of dextrin and starch were low in chicks aged 1 d, and increased with age up to 10 d. Energy values of glucose and maltose at days 1 and 3 could not be determined because of the sudden death of birds soon after the feeding. TMEn and metabolisability of cereal sources were lower in d-old chicks than in those aged 3 and 10 d. At all ages, maize was better utilised than wheat and sorghum. 3. In the fat sources (coconut oil, beef tallow and safflower oil) no age dependency was observed in TME, TMEn and metabolisability. 4. Bioavailability of soyabean meal and fish meal was lower at 1 d than at 3 d and 10 d. Energy utilisation from casein was the highest among the protein sources tested and it was not age dependent. 5. It is concluded that energy utilisation of carbohydrate and protein sources during 10 d post-hatch tended to increase with age. Among the energy yielding foodstuffs fat sources seem to be better utilised, with no age dependency. PMID:10670678

  12. An alternative n-3 fatty acid elongation pathway utilising 18:3n-3 in barramundi (Lates calcarifer).

    PubMed

    Tu, Wei-Chun; Mühlhäusler, Beverly S; James, Michael J; Stone, David A J; Gibson, Robert A

    2012-06-22

    Desaturase and elongase are two key enzyme categories in the long-chain polyunsaturated fatty acid (LCPUFA) pathway that convert dietary ?-linolenic acid (18:3n-3) to docosahexaenoic acid (22:6n-3). The ?6 desaturase is considered as rate limiting in the conversion. In a previous study in barramundi we demonstrated that the desaturase had a low ?6 activity but noted that the enzyme also possessed ?8 ability that utilised 20-carbon fatty acids. This observation suggests that an alternative pathway may exist in the barramundi via elongases to form 20-carbon metabolites from 18:3n-3 to 20:3n-3 and then ?6/8 desaturase to 20:4n-3. Cloning of the barramundi elongation of very long-chain fatty acid gene (ELOVL) and heterologous expression of the corresponding elongase were performed to examine activity with regard to time course, substrate concentration and substrate preference. Results revealed that the barramundi elongase showed a broad range of substrate specificity including 18-carbon PUFA (including 18:3n-3 and 18:2n-6), 20- and 22-carbon LCPUFA, with greater activity towards omega-3 (n-3) than n-6 fatty acids. The findings from this study provide molecular evidence for an alternative n-3 fatty acid elongation pathway utilising 18:3n-3 in barramundi. PMID:22640739

  13. Influence of phenolic substrates utilised by yeast Trichosporon cutaneum on the degradation kinetics

    PubMed Central

    Gerginova, Maria; Zlateva, Plamena; Peneva, Nadejda; Alexieva, Zlatka

    2014-01-01

    The degradation kinetics of different phenolic substrates utilised by Trichosporon cutaneum R57 was studied. The following compounds were used as substrates: phenol, resorcinol, hydroquinone, 3-nitrophenol, 2,6-dinitrophenol, 3-chloro phenol and p-cresol. The specific degradation rates (Qs) were described by a Haldane kinetic model. The unknown model parameters were estimated using the mathematical optimisation procedure for direct search. The results obtained demonstrated that Qs varied greatly in the experiments carried out. The level of biodegradability depended on the different structure and toxicity of compounds used as carbon substrates. The highest Qs values were observed for less toxic hydroxylated phenols (0.77–0.85 h?1), while the most toxic chlorinated phenols were characterised with the lowest Qs values (0.224 h?1). The results obtained with different concentrations of resorcinol (from 0.2 to 0.8 g L?1) and 2,6-dinitrophenol (from 0.2 to 0.7 g L?1) demonstrated a growing inhibitory effect directly correlating with the extended time necessary for complete degradation of both compounds. PMID:26692781

  14. Carbon dioxide utilisation of Dunaliella tertiolecta for carbon bio-mitigation in a semicontinuous photobioreactor.

    PubMed

    Farrelly, Damien J; Brennan, Liam; Everard, Colm D; McDonnell, Kevin P

    2014-04-01

    Bio-fixation of carbon dioxide (CO2) by microalgae has been recognised as an attractive approach to offset anthropogenic emissions. Biological carbon mitigation is the process whereby autotrophic organisms, such as microalgae, convert CO2 into organic carbon and O2 through photosynthesis; this process through respiration produces biomass. In this study Dunaliella tertiolecta was cultivated in a semicontinuous culture to investigate the carbon mitigation rate of the system. The algae were produced in 1.2-L Roux bottles with a working volume of 1 L while semicontinuous production commenced on day 4 of cultivation when the carbon mitigation rate was found to be at a maximum for D. tertiolecta. The reduction in CO2 between input and output gases was monitored to predict carbon fixation rates while biomass production and microalgal carbon content are used to calculate the actual carbon mitigation potential of D. tertiolecta. A renewal rate of 45 % of flask volume was utilised to maintain the culture in exponential growth with an average daily productivity of 0.07 g L(-1) day(-1). The results showed that 0.74 g L(-1) of biomass could be achieved after 7 days of semicontinuous production while a total carbon mitigation of 0.37 g L(-1) was achieved. This represented an increase of 0.18 g L(-1) in carbon mitigation rate compared to batch production of D. tertiolecta over the same cultivation period. PMID:24162085

  15. Utilisation of single added fatty acids by consortia of digester sludge in batch culture

    SciTech Connect

    Wagner, Andreas Otto; Gstrauntaler, Gudrun; Illmer, Paul

    2010-10-15

    Inocula derived from an anaerobic digester were used to study (i) their potential for methane production and (ii) the utilisation rates of different short chain fatty acids (SCFAs) by the microbial community in defined media with mono-carbon sources (formic-, acetetic-, propionic-, butyric acid) in batch culture. It could be demonstrated that the microbial reactor population could be transferred successfully to the lab, and its ability to build up methane was present even with deteriorating biogas plant performance. Therefore, this reduction in performance of the biogas plant was not due to a decrease in abundance, but due to an inactivity of the microbial community. Generally, the physico-chemical properties of the biogas plant seemed to favour hydrogenotrophic methanogens, as seen by the high metabolisation rates of formate compared with all other carbon sources. In contrast, acetoclastic methanogenesis could be shown to play a minor role in the methane production of the investigated biogas plant, although the origin of up to 66% of methane is generally suggested to be generated through acetoclastic pathway.

  16. Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

    PubMed Central

    Gyasi, Razak Mohammed

    2015-01-01

    This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ≥18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753–10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869–13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309–1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana. PMID:26347791

  17. Service utilisation in a public post-acute rehabilitation unit following traumatic brain injury.

    PubMed

    Ta'eed, Gillian; Skilbeck, Clive; Slatyer, Mark

    2015-01-01

    Traumatic brain injury (TBI) causes disability in a proportion of survivors across the spectrum of injury severity. Previous research suggests physical changes are the primary focus of rehabilitation, although cognitive, emotional and behavioural difficulties cause greater concern in the long-term. There is little information about services accessed by those with mild injuries, who often have no physical disabilities. This study investigated factors determining service utilisation in a population-based sample which included 52% mild injuries (PTA ? 24 hours). Chi-squares and t-tests were used to examine the impact of demographic, clinical, psychological and physical variables on referral of 175 TBI patients to clinical disciplines in a public, community-based rehabilitation facility in Hobart, Tasmania. Increased service intensity (total disciplines referred to), was associated with greater injury severity (p = .006) and previous TBI (p = .041). Less traditional rehabilitation services (nursing, psychology) received more referrals than traditional disciplines (physiotherapy, occupational therapy, social work). Referral to physiotherapy and occupational therapy was associated with greater injury severity, functional dependence, hospitalisation and older age. Referral to nursing, psychology and social work was associated with more post-concussion symptoms, younger age, anxiety, depression and assault-related injury. The large number of referrals to psychology strengthens the case for including it as a core rehabilitation discipline. PMID:25494845

  18. Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana.

    PubMed

    Gyasi, Razak Mohammed

    2015-01-01

    This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ?18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753-10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869-13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309-1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana. PMID:26347791

  19. Determinants of healthcare utilisation and predictors of outcome in colorectal cancer patients from Northern Iran.

    PubMed

    Semnani, S; Noorafkan, Z; Aryaie, M; Sedaghat, S-M; Moghaddami, A; Kazemnejhad, V; Khorasaninejhad, R; Ghasemi-Kebria, F; Roshandel, G

    2016-03-01

    We aimed to assess healthcare utilisation (HU), its determinants, as well as its relationship with survival in colorectal cancer (CRC) patients. This study was conducted on incident CRC cases from Northern Iran. Information on HU was collected using a valid questionnaire, considering eight diagnostic and four therapeutic services. The results were categorised as good and poor HU. Multivariate logistic regression analysis was used to assess the relationship between HU and other variables. Cox regression analysis was performed to determine major predictors of survival. In total, 227 new cases of CRC were enrolled. HU could be assessed in 218 subjects (96%). Living in rural areas was the strongest variable related to poor HU (adjusted OR, odds ratio = 2.65; CI, confidence interval: 1.30-5.40). The median survival time was 40.5 months. The 1-, 3- and 5-year survival rates were 71%, 52% and 44% respectively. Cox regression analysis showed a significant lower survival rate in patients with poor HU (HR = 2.3; CI: 1.46-3.64). HU was an independent predictor of survival in our CRC patients. Patients' place of residence was a significant determinant of HU. Regarding its effects on patients' outcome, HU and its determinants should be considered in designing CRC controlling programmes in our region and similar high-risk populations. PMID:25801407

  20. Variation in nitrogen source utilisation by nine Amanita muscaria genotypes from Australian Pinus radiata plantations.

    PubMed

    Sawyer, Nicole A; Chambers, Susan M; Cairney, John W G

    2003-08-01

    The abilities of nine genotypes of Amanita muscaria (L.:Fr) Pers. to utilise a range of inorganic and organic nitrogen sources for growth was examined in axenic liquid cultures. Considerable intraspecific variation was observed in biomass yields on all substrates; however biomass yield was highest on glutamine and/or NH4+ for all genotypes. Yields on aspartic acid, glutamic acid and histidine were generally low relative to NH4+, while utilisation of arginine and glycine showed marked variation between genotypes. Eight genotypes produced significantly less biomass on bovine serum albumin than on NH4+, raising questions regarding classification of A. muscaria as a 'protein fungus'. PMID:12690536

  1. Perception of quality of maternal healthcare services among women utilising antenatal services in selected primary health facilities in Anambra State, Southeast Nigeria

    PubMed Central

    Emelumadu, Obiageli F.; Onyeonoro, Ugochukwu Uchenna; Ukegbu, Andrew Ugwunna; Ezeama, Nkiru N.; Ifeadike, Chigozie Ozoemena; Okezie, Obasi Kanu

    2014-01-01

    Background: This is a cross-sectional descriptive study aimed at assessing antenatal care service attendees’ perception of quality of maternal healthcare (MHC) services in Anambra State, southeast Nigeria. Materials and Methods: A total of 310 pregnant women utilising antenatal care (ANC) services in three purposively selected primary health centres (PHCs) in rural communities in Anambra State were studied. Reponses were elicited from the participants selected consecutively over a 4-month period, using a pre-tested, semi-structured interviewer-administered questionnaire on socio-demographic characteristics, utilisation and perception of MHC services. Data collected were analysed using SPSS version 17. Results: Findings showed that utilisation of facility for both antenatal (97.0%; 95% CI, 94.4–98.4%) and natal services (92.7%; 95% CI 89.2–95.2%) were quite high. Generally, most of the women were satisfied with MHC services (89.7%). Most of them were satisfied with the staff attitude (85.1%), waiting time (84.1%) and cost of services (79.5%). Being ?30 years (X2 = 4.61, P = 0.032), married (X2 = 9.70, P = 0.008) and multiparous (X2 = 9.14, P = 0.028), as well as utilisation of formal health facility for antenatal (X2 = 26.94, P = 0.000) and natal (X2 = 33.42, P = 0.000) services were associated with satisfaction with maternal health services. Conclusions: The study showed high level of satisfaction with quality of maternal health services among antenatal attendees and highlights the need to strengthen interventions that increase uptake of formal MHC services. PMID:24791050

  2. Utilisation of Used Palm Oil as an Alternative Fuel in Thailand

    NASA Astrophysics Data System (ADS)

    Permchart, W.; Tanatvanit, S.

    2007-10-01

    This paper summarises the overview of the current situation of alternative energies in Thailand. The utilisation of bio-diesel as an alternative energy in two economic sectors (i.e. transport and industrial sectors), which have the largest energy consumption in the country, is mainly presented because it has seemed to be the most promising project among various energy conservation projects of the Thai government. Actually, there is another bio-fuel project, namely, the ethanol project for blending with gasoline to produce gasohol (E10) used in gasoline engines, which has been developed and already become to an important policy for energy conservation of the country. Due to much more large number of diesel has been utilised, the bio-diesel project has been the first priority one to solve the petroleum crisis problems. However, it is remarked that the utilisation of bio-diesel as an alternative fuel seems to be unsatisfactory because of various reasons. Some issues in terms of both government policies and technical problems have not been clearly addressed. Therefore, this paper not only presents the utilisation of bio-diesel in these two sectors but also discusses the production processes, characterisations and some experimental testing results of bio-diesel.

  3. Utilising Year Three NAPLAN Results to Improve Queensland Teachers' Mathematical Pedagogical Content Knowledge

    ERIC Educational Resources Information Center

    van Klinken, Eduarda

    2010-01-01

    Poor results in Queensland Year Three NAPLAN Numeracy tests have provided a focus to critically review the classroom practices of lower primary mathematics teachers. This paper outlines how pedagogical content knowledge can be strengthened by emphasising conceptual understanding, by utilising dynamic classroom discourse, by an awareness of…

  4. Long-term care and hospital utilisation by older people: an analysis of substitution rates.

    PubMed

    Forder, Julien

    2009-11-01

    Older people are intensive users of hospital and long-term care services. This paper explores the extent to which these services are substitutes. A small area analysis was used with both care home and (tariff cost-weighted) hospital utilisation for older people aggregated to electoral wards in England.Health and social-care structural equations were specified using a theoretical model. The estimation accounted for the skewed and censored nature of the data. For health utilisation, both a fixed effects instrumental variables GMM model and a generalised estimating equations (GEE) model were fitted, the later on a log dependent variable with predicted values of social care utilisation used to account for endogeneity (bootstrapping was used to derive standard errors). In addition to a GMM model, the social-care estimation used both two-part and tobit models (also with predicted health utilisation and bootstrapping).The results indicate that for each additional pound1 spent on care homes, hospital expenditure falls by pound0.35. Also, pound1 additional hospital spend corresponds to just over pound0.35 reduction on care home spend. With these cost substitution effects offsetting, a transfer of resources to care homes is efficient if the resultant outcome gain is greater than the outcome loss from reduced hospital use. PMID:19206085

  5. How can model error characteristics be utilised to improve climate projections?

    NASA Astrophysics Data System (ADS)

    Gobiet, Andreas; Suklitsch, Martin; Heinrich, Georg

    2013-04-01

    The discussion on how to improve climate projections of a multi-model ensemble by exploiting information on model errors has a long tradition. Most studies follow the strategy to weight simulations according to their error characteristics or in a Bayesian framework. However, the potential to find optimal weights is currently very limited and none of the weighting approaches gained widespread acceptance so far. In this study, an alternative strategy is pursued: The systematic effect of a particular type of model error ("intensity-dependent error") on the expected climate change signal of a multi-model ensemble and its spread is utilised. A theory of the influence of intensity-dependent model errors on the climate change signal is developed and it is investigated, whether expected climate change is biased and uncertainty is inflated due to such errors. In addition, empirical correction methods are analysed in order to mitigate potential biases in expected climate change and to constrain uncertainty. The theory is applied to the ENSEMBLES regional multi-model ensemble. The results indicate that expected temperature change at the end of the 21st century from the ENSEMBLES ensemble is regionally biased with an over-estimation of up to +0.5 K in Eastern Europe and France in summer and an underestimation of about -0.4 K in Scandinavia. In addition, it is shown that intensity-dependent errors tend to increase the spread of a multi-model ensemble, which indicates the potential to reduce uncertainty in climate projections by a suitable correction.

  6. Sociodemographic and health behavioural factors associated with access to and utilisation of eye care in Korea: Korea Health and Nutrition Examination Survey 2008–2012

    PubMed Central

    Rim, Tyler Hyungtaek; Choi, Moonjung; Yoon, Jin Sook; Kim, Sung Soo

    2015-01-01

    Objective To determine the sociodemographic and health behavioural factors associated with access to and utilisation of eye care in Korea. Design Nationwide cross-sectional study Methods 25 752 Koreans over the age of 30 were assessed from a national representative survey. We analysed independent variables of self-reporting eye clinic visits through multivariable analyses of sociodemographic factors. The time since the last visit to an eye clinic was used to assess access to and utilisation of eye care. Results Of the 25 752 respondents, 8237 (32.0%) visited an eye clinic in the past year, 11 028 (42.8%) were seen more than 1 year ago, while 6487 (25.2%) had never seen an ophthalmologist. Eye clinic utilisation was statistically associated with older age, female sex, higher household income, higher education levels, living in an urban area, and having comorbidities including diabetes and hypertension. Middle-aged men between 30 and 49 years were found to be less likely to receive eye care compared to the rest of the population, and the proportion that did plummeted after the financial crisis of 2007. Conclusions There is a substantial sociodemographic disparity in eye care utilisation in Korea, and men with low financial income and education level are especially at risk. Use of eye care among middle-aged men has decreased since the global financial crisis that began in 2007, and therefore healthcare policies and public interventions should be targeted at vulnerable groups to promote access to medical care. PMID:26185177

  7. Accuracy analysis of direct georeferenced UAV images utilising low-cost navigation sensors

    NASA Astrophysics Data System (ADS)

    Briese, Christian; Wieser, Martin; Verhoeven, Geert; Glira, Philipp; Doneus, Michael; Pfeifer, Norbert

    2014-05-01

    Unmanned aerial vehicles (UAVs), also known as unmanned airborne systems (UAS) or remotely piloted airborne systems (RPAS), are an established platform for close range airborne photogrammetry. Compared to manned platforms, the acquisition of local remote sensing data by UAVs is a convenient and very flexible option. For the application in photogrammetry UAVs are typically equipped with an autopilot and a lightweight digital camera. The autopilot includes several navigation sensors, which might allow an automated waypoint flight and offer a systematic data acquisition of the object resp. scene of interest. Assuming a sufficient overlap between the captured images, the position (3 coordinates: x, y, z) and the orientation (3 angles: roll, pitch, yaw) of the images can be estimated within a bundle block adjustment. Subsequently, coordinates of observed points that appear in at least two images, can be determined by measuring their image coordinates or a dense surface model can be generated from all acquired images by automated image matching. For the bundle block adjustment approximate values of the position and the orientation of the images are needed. To gather this information, several methods exist. We introduce in this contribution one of them: the direct georeferencing of images by using the navigation sensors (mainly GNSS and INS) of a low-cost on-board autopilot. Beside automated flights, the autopilot offers the possibility to record the position and the orientation of the platform during the flight. These values don't correspond directly to those of the images. To compute the position and the orientation of the images two requirements must be fulfilled. First the misalignment angles and the positional differences between the camera and the autopilot must be determined (mounting calibration). Second the synchronization between the camera and the autopilot has to be established. Due to the limited accuracy of the navigation sensors, a small number of ground control points should be used to improve the estimated values, especially to decrease the amount of systematic errors. For the bundle block adjustment the calibration of the camera and their temporal stability must be determined additionally. This contribution presents next to the theory a practical study on the accuracy analysis of direct georeferenced UAV imagery by low-cost navigation sensors. The analysis was carried out within the research project ARAP (automated (ortho)rectification of archaeological aerial photographs). The utilized UAS consists of the airplane "MAJA", manufactured by "Bormatec" (length: 1.2 m, wingspan: 2.2 m) equipped with the autopilot "ArduPilot Mega 2.5". For image acquisition the camera "Ricoh GR Digital IV" is utilised. The autopilot includes a GNSS receiver capable of DGPS (EGNOS), an inertial measurement system (INS), a barometer, and a magnetometer. In the study the achieved accuracies for the estimated position and orientation of the images are presented. The paper concludes with a summary of the remaining error sources and their possible corrections by applying further improvements on the utilised equipment and the direct georeferencing process.

  8. Agricultural waste utilisation strategies and demand for urban waste compost: Evidence from smallholder farmers in Ethiopia.

    PubMed

    Nigussie, Abebe; Kuyper, Thomas W; de Neergaard, Andreas

    2015-10-01

    The use of agricultural waste for soil amendment is limited in developing countries. Competition between fuel and feed is the major cause for the insufficient application of agricultural waste on cropland. The aims of this study were therefore (i) to investigate variation in agricultural waste allocation between groups of farmers with different livelihood strategies and link this allocation with the nutrient balances of their production systems, (ii) to identify farm characteristics that influence utilisation of agricultural waste for soil amendment, and (iii) to assess demand for urban waste compost. A total of 220 farmers were selected randomly and interviewed using standardised semi-structured questionnaires. Four groups of farmers, namely (i) field crop farmers, (ii) vegetable producers, (iii) ornamental-plant growers, and (iv) farmers practising mixed farming, were identified using categorical principal component and two-step cluster analyses. Field crop farmers produced the largest quantity of agricultural waste, but they allocated 80% of manure to fuel and 85% of crop residues to feed. Only <10% of manure and crop residues were applied on soils. Farmers also sold manure and crop residues, and this generated 5-10% of their annual income. Vegetable and ornamental-plant growers allocated over 40% of manure and crop residues to soil amendment. Hence, nutrient balances were less negative in vegetable production systems. Education, farm size, land tenure and access to extension services were the variables that impeded allocation of agricultural waste to soil amendment. Replacement of fuel and feed through sustainable means is a viable option for soil fertility management. Urban waste compost should also be used as alternative option for soil amendment. Our results showed variation in compost demand between farmers. Education, landownership, experience with compost and access to extension services explained variation in compost demand. We also demonstrated that labour availability should be used to estimate compost demand beside cash. PMID:26239937

  9. Energy utilisation and growth performance of chicken fed diets containing graded levels of supplementary bacterial phytase.

    PubMed

    Pirgozliev, V; Bedford, M R

    2013-01-28

    A total of 364 female Ross 308 chicks (1 d old) were used in the present study conducted in floor pens to investigate the effects of graded levels of supplementary bacterial phytase on dietary energy utilisation and growth performance. For this purpose, four maize-soyabean-based diets were offered to the birds from 0 to 21 d of age. These included a suboptimal P negative control (NC, 3.0 g/kg non-phytate P), NC+250 phytase units (FTU)/kg feed, NC+500 FTU and NC+2500 FTU. The effect of phytase activity on bird growth performance was best described as a linear relationship between increasing dose and increased feed intake (P< 0.001), but was quadratic for body-weight gain (P= 0.002) and feed efficiency (P= 0.023). There was no significant response (P>0.05) of dietary apparent metabolisable energy (AME) to supplementary phytase. The birds fed phytase increased their retention of total carcass energy in a linear fashion (P= 0.009) with increased phytase dose. The efficiency of dietary AME used for overall carcass energy retention also improved (P= 0.007) in a linear manner with increased dietary phytase activity. Dietary net energy for production (NEp) increased (P= 0.047) with an increase in phytase dose following a linear pattern, as an increase of 100 FTU increased dietary net energy by 15.4 J (estimated within the range of doses used in the present experiment). Dietary NEp was more highly correlated with performance criteria than dietary AME, and it seems to be a more sensitive way to evaluate broiler response to phytase supplementation. PMID:22716908

  10. The POPPY Research Programme protocol: investigating opioid utilisation, costs and patterns of extramedical use in Australia

    PubMed Central

    Degenhardt, Louisa; Blanch, Bianca; Gisev, Natasa; Larance, Briony; Pearson, Sallie

    2015-01-01

    Introduction Opioid prescribing is increasing in many countries. In Australia, there is limited research on patterns of prescribing and access, or the outcomes associated with this use. The aim of this research programme is to use national dispensing data to estimate opioid use and costs, including problematic or extramedical use in the Australian population. Methods and analysis In a cohort of persons dispensed at least one opioid in 2013, we will estimate monthly utilisation and costs of prescribed opioids, overall and according to individual opioid formulations and strengths. In a cohort of new opioid users, commencing therapy between 1 July 2009 and 31 December 2013, we will examine patterns of opioid use including initiation of therapy, duration of treatment and concomitant use of opioids and other prescribed medicines. We will also examine patterns of extramedical opioid use based on indicators including excess dosing, use of more than one opioid concomitantly, doctor/pharmacy shopping and accelerated time to prescription refill. Ethics and dissemination This protocol was approved by the NSW Population and Health Services Ethics Committee (March 2014) and data access approved by the Department of Human Services External Review Evaluation Committee (June 2014). This will be one of the first comprehensive Australian studies with the capability to investigate individual patterns of use and track extramedical use. In the first instance our analysis will be based on 5 years of dispensing data but will be expanded with ongoing annual data updates. This research has the capability to contribute significantly to pharmaceutical policy within Australia and globally. In particular, the trajectory of extramedical prescription-opioid use has been the subject of limited research to date. The results of this research will be published widely in general medical, pharmacoepidemiology, addiction and psychiatry journals. PMID:25631315

  11. Waste generation and utilisation in micro-sized furniture-manufacturing enterprises in Turkey.

    PubMed

    Top, Y

    2015-01-01

    The number of small-scale businesses within most national economies is generally high, especially in developing countries. Often these businesses have a weak economic status and limited environmental awareness. The type and amount of waste produced, and the recycling methods adopted by these businesses during their operation can have negative effects on the environment. This study investigated the types of waste generated and the recycling methods adopted in micro-sized enterprises engaged in the manufacture of furniture. An assessment was also made of whether the characteristics of the enterprise had any effect on the waste recycling methods that were practised. A survey was conducted of 31 enterprises in the furniture industry in Gumushane province, Turkey, which is considered a developing economy. Surveys were undertaken via face-to-face interviews. It was found that medium-density fibreboard (MDF), and to a lesser extent, chipboard, were used in the manufacture of furniture, and two major types of waste in the form of fine dust and small fragments of board are generated during the cutting of these boards. Of the resulting composite board waste, 96.9% was used for heating homes and workplaces, where it was burnt under conditions of incomplete combustion. Enterprises were found to have adopted other methods to utilise their wastes in addition to using them as fuel. Such enterprises include those operating from a basement or first floor of a building in the cities, those continuing production throughout the year, those in need for capital and those enterprises not operating a dust-collection system. PMID:25453314

  12. Analysis of regulation of pentose utilisation in Aspergillus niger reveals evolutionary adaptations in Eurotiales

    PubMed Central

    Battaglia, E.; Visser, L.; Nijssen, A.; van Veluw, G.J.; Wösten, H.A.B.; de Vries, R.P.

    2011-01-01

    Aspergilli are commonly found in soil and on decaying plant material. D-xylose and L-arabinose are highly abundant components of plant biomass. They are released from polysaccharides by fungi using a set of extracellular enzymes and subsequently converted intracellularly through the pentose catabolic pathway (PCP). In this study, the L-arabinose responsive transcriptional activator (AraR) is identified in Aspergillus niger and was shown to control the L-arabinose catabolic pathway as well as expression of genes encoding extracellular L-arabinose releasing enzymes. AraR interacts with the D-xylose-responsive transcriptional activator XlnR in the regulation of the pentose catabolic pathway, but not with respect to release of L-arabinose and D-xylose. AraR was only identified in the Eurotiales, more specifically in the family Trichocomaceae and appears to have originated from a gene duplication event (from XlnR) after this order or family split from the other filamentous ascomycetes. XlnR is present in all filamentous ascomycetes with the exception of members of the Onygenales. Since the Onygenales and Eurotiales are both part of the subclass Eurotiomycetidae, this indicates that strong adaptation of the regulation of pentose utilisation has occurred at this evolutionary node. In Eurotiales a unique two-component regulatory system for pentose release and metabolism has evolved, while the regulatory system was lost in the Onygenales. The observed evolutionary changes (in Eurotiomycetidae) mainly affect the regulatory system as in contrast, homologues for most genes of the L-arabinose/D-xylose catabolic pathway are present in all the filamentous fungi, irrespective of the presence of XlnR and/or AraR. PMID:21892241

  13. Effects of glyceryl polyethylene glycol ricinoleate on nutrient utilisation and performance of broiler chickens.

    PubMed

    Kaczmarek, Sebastian Andrzej; Bochenek, Maciej; Samuelsson, Anne-Cathrine; Rutkowski, Andrzej

    2015-01-01

    A completely randomised design study with a 2 × 2 factorial arrangement was conducted to observe effects of an emulsifier (glyceryl polyethylene glycol ricinoleate (GPR)) on nutrient utilisation and performance of broiler chickens. A total of 384 male broiler chickens were used to determine the influence of GPR (without addition or added at 0.04% of diet) and two levels of apparent metabolisable energy (AMEN) (according to standard requirements (Diets SE) or energy reduced by 0.4 MJ/kg diet (Diets LE)) on birds' performance and apparent total tract digestibility (ATTD). ATTD of ether extract (EE) and AMEN were measured on d 14 and 35, and ATTD of neutral detergent fibre (NDF) was measured on d 35. All diets were based on wheat-maize-soybean meal with rapeseed oil and lard (blend of 50:50) as fat sources. During the grower period and the whole trial, birds fed Diets supplemented with GPR were characterised by higher body weight gain (BWG) and lower feed conversion ratio (FCR) compared to chicken receiving diets without GPR (p < 0.05). At the end of experiment, birds fed Diet LE without GPR were characterised by lower BWG and higher FCR (p < 0.05). Supplementation with GPR caused a higher ATTD of EE for diets SE and LE at d 14 and 35 (p < 0.05). Moreover, the GPR addition to Diet LE improved ATTD of NDF at d 35 (p < 0.05). In conclusion, the findings suggest that GPR effects the digestion of a blend of animal fat/rapeseed oil positively, even in a practical maize-wheat-based broiler diet with decreased AMEN level. PMID:26147512

  14. Utilising PEARL to Teach Indigenous Art History: A Canadian Example

    ERIC Educational Resources Information Center

    Robertson, Carmen

    2012-01-01

    This article explores the concepts advanced from the Australian Learning and Teaching Council (ALTC)-funded project, "Exploring Problem-Based Learning pedagogy as transformative education in Indigenous Australian Studies". As an Indigenous art historian teaching at a mainstream university in Canada, I am constantly reflecting on how to better…

  15. Utilising PEARL to Teach Indigenous Art History: A Canadian Example

    ERIC Educational Resources Information Center

    Robertson, Carmen

    2012-01-01

    This article explores the concepts advanced from the Australian Learning and Teaching Council (ALTC)-funded project, "Exploring Problem-Based Learning pedagogy as transformative education in Indigenous Australian Studies". As an Indigenous art historian teaching at a mainstream university in Canada, I am constantly reflecting on how to better…

  16. Sex Differences in Utilisation and Response to Implantable Device Therapy

    PubMed Central

    Narasimha, Deepika; Curtis, Anne B

    2015-01-01

    Multiple studies have demonstrated that implantable cardioverter-defibrillators (ICDs) and cardiac resynchronisation therapy (CRT) provide significant mortality and morbidity benefits to eligible patients irrespective of gender. However, female patients are less likely to receive this life-saving therapy and are significantly under-represented in cardiac device trials. Various performance improvement programmes have proved that this gender disparity can be reduced and these therapies should be offered to all eligible patients regardless of sex. Efforts should be made to enrol more women in clinical trials and sex-specific analysis in medical device clinical studies should be encouraged. In this article we review the data on sex differences in clinical outcomes with ICDs and CRT and explore the reasons for this sex-based disparity.

  17. Utilisation of Malaysian Coal: Merit Pila in the Gasification System

    NASA Astrophysics Data System (ADS)

    Othman, Nor Fadzilah; Bosrooh, Mohd Hariffin; Majid, Kamsani Abdul

    2011-06-01

    Gasification is the most efficient Clean Coal Technology. Gasification of Merit Pila coal had been studied in a laboratory-scale, atmospheric fluidized bed gasifier using air and air-steam as fluidizing agent. Merit Pila coal was chosen for the gasification study because of its high reactivity in nitrogen. Determination of the producer gas compositions were conducted using Gas Chromatography. Gasification experiments were conducted at bed temperature of 650-800 °C, different equivalence ratios, ER and different bed heights. Low heating value, LHVpg of the producer gas were in the range of 2.0-5.5 MJ/Nm3. Introduction of steam as the gasifying agents had shown significant increased of CO, CH4 and H2 contents in producer gas. LHV also increased about 35% with the presence of steam.

  18. Understanding and utilising mammalian venom via a platypus venom transcriptome.

    PubMed

    Whittington, Camilla M; Koh, Jennifer M S; Warren, Wesley C; Papenfuss, Anthony T; Torres, Allan M; Kuchel, Philip W; Belov, Katherine

    2009-03-01

    Only five mammalian species are known to be venomous, and while a large amount of research has been carried out on reptile venom, mammalian venom has been poorly studied to date. Here we describe the status of current research into the venom of the platypus, a semi-aquatic egg-laying Australian mammal, and discuss our approach to platypus venom transcriptomics. We propose that such construction and analysis of mammalian venom transcriptomes from small samples of venom gland, in tandem with proteomics studies, will allow the identification of the full range of mammalian venom components. Functional studies and pharmacological evaluation of the identified toxins will then lay the foundations for the future development of novel biomedical substances. A large range of useful molecules have already been identified in snake venom, and many of these are currently in use in human medicine. It is therefore hoped that this basic research to identify the constituents of platypus venom will eventually yield novel drugs and new targets for painkillers. PMID:19152842

  19. Differences between mono-generic and mixed diatom silicon isotope compositions trace present and past nutrient utilisation off Peru

    NASA Astrophysics Data System (ADS)

    Doering, Kristin; Ehlert, Claudia; Grasse, Patricia; Crosta, Xavier; Fleury, Sophie; Frank, Martin; Schneider, Ralph

    2016-03-01

    In this study we combine for the first time silicon (Si) isotope compositions of small mixed diatom species (δ30SibSiO2) and of large handpicked mono-generic (i.e. genus = Coscinodiscus) diatom samples (δ30SiCoscino) with diatom assemblages extracted from marine sediments in the Peruvian upwelling region in order to constrain present and past silicate utilisation. The extension of a previous core-top data set from the Peruvian shelf demonstrates that δ30SiCoscino values record near-complete Si utilisation, as these are similar to the isotopic composition of the subsurface source waters feeding the upwelling. In contrast, the δ30SibSiO2 of small mixed diatom species increase southward along the shelf as well as towards the shore. We attribute highest δ30SibSiO2 values partly to transient iron limitation but primarily to the gradual increase of Si isotope fractionation within the seasonal diatom succession, which are mainly recorded by small diatom species during intense bloom events. In contrast, lower δ30SibSiO2 values are related to initial Si isotope utilisation during periods of weak upwelling, when low Si(OH)4 concentrations do not permit intense blooms and small diatom species record substantially lower δ30Si signatures. As such, we propose that the intensity of the upwelling can be deduced from the offset between δ30SibSiO2 and δ30SiCoscino (Δ30Sicoscino-bSiO2), which is low for strong upwelling conditions and high for prevailing weak upwelling. We apply the information extracted from surface sediments to generate a record of the present-day main upwelling region covering the past 17,700 years and find that this location has also been characterized by a persistent offset (Δ30Sicoscino-bSiO2). By comparison with the diatom assemblages we show that the coastal upwelling system changed markedly between weak and strong upwelling conditions. In addition, our model calculations to quantify species-specific Si isotope fractionation effects based on the diatom assemblages indicate an overall minor influence that cannot explain the high amplitude in the measured δ30SibSiO2 record.

  20. Charcoal from a prehistoric copper mine in the Austrian Alps: dendrochronological and dendrological data, demand for wood and forest utilisation.

    PubMed

    Pichler, Thomas; Nicolussi, Kurt; Goldenberg, Gert; Hanke, Klaus; Kovács, Kristóf; Thurner, Andrea

    2013-02-01

    During prehistory fire-setting was the most appropriate technique for exploiting ore deposits. Charcoal fragments found in the course of archaeological excavations in a small mine called Mauk E in the area of Schwaz/Brixlegg (Tyrol, Austria) are argued to be evidence for the use of this technology. Dendrochronological analyses of the charcoal samples yielded calendar dates for the mining activities showing that the exploitation of the Mauk E mine lasted approximately one decade in the late 8th century BC. Dendrological studies show that the miners utilised stem wood of spruce and fir from forests with high stand density for fire-setting and that the exploitation of the Mauk E mine had only a limited impact on the local forests. PMID:23565025

  1. Charcoal from a prehistoric copper mine in the Austrian Alps: dendrochronological and dendrological data, demand for wood and forest utilisation

    PubMed Central

    Pichler, Thomas; Nicolussi, Kurt; Goldenberg, Gert; Hanke, Klaus; Kovács, Kristóf; Thurner, Andrea

    2013-01-01

    During prehistory fire-setting was the most appropriate technique for exploiting ore deposits. Charcoal fragments found in the course of archaeological excavations in a small mine called Mauk E in the area of Schwaz/Brixlegg (Tyrol, Austria) are argued to be evidence for the use of this technology. Dendrochronological analyses of the charcoal samples yielded calendar dates for the mining activities showing that the exploitation of the Mauk E mine lasted approximately one decade in the late 8th century BC. Dendrological studies show that the miners utilised stem wood of spruce and fir from forests with high stand density for fire-setting and that the exploitation of the Mauk E mine had only a limited impact on the local forests. PMID:23565025

  2. Computational Prediction of One-Step Synthesis of Seven-membered Fused Rings by (5+2) Cycloaddition Utilising Cycloalkenes

    PubMed Central

    Zhou, Chen-Chen; Ke, Xiao-Na; Xu, Xiu-Fang

    2015-01-01

    The (5+2) cycloaddition reaction utilising cycloalkenes is rare, although it is one of the most efficient methods of constructing seven-membered fused rings because of its high atom- and step-economy. In this study, we used quantum mechanical calculations to predict the plausibility of using the Rh-catalysed intermolecular (5+2) cycloaddition of 3-acyloxy-1,4-enynes and cycloalkenes to produce fused seven-membered carbocycles. The calculation results suggest a convenient, highly efficient and energetically practical approach. Strained cycloalkenes, such as cyclopropene, have been predicted to be active, and the desired bicyclic product should be favoured, accompanied by the formation of byproducts from rearrangement reactions. The energy barriers of the alkene insertion step were analysed by the distortion/interaction model to disclose the origins of the different reactivities of cycloalkenes with different ring sizes. PMID:26198317

  3. Utilising proteomic approaches to understand oncogenic human herpesviruses (Review)

    PubMed Central

    OWEN, CHRISTOPHER B.; HUGHES, DAVID J.; BAQUERO-PEREZ, BELINDA; BERNDT, ANJA; SCHUMANN, SOPHIE; JACKSON, BRIAN R.; WHITEHOUSE, ADRIAN

    2014-01-01

    The ?-herpesviruses Epstein-Barr virus and Kaposi’s sarcoma-associated herpesvirus are successful pathogens, each infecting a large proportion of the human population. These viruses persist for the life of the host and may each contribute to a number of malignancies, for which there are currently no cures. Large-scale proteomic-based approaches provide an excellent means of increasing the collective understanding of the proteomes of these complex viruses and elucidating their numerous interactions within the infected host cell. These large-scale studies are important for the identification of the intricacies of viral infection and the development of novel therapeutics against these two important pathogens. PMID:25279171

  4. Utilisation of Australian health care services by ethnic Chinese.

    PubMed

    Chan, Y F; Quine, S

    1997-01-01

    Australia is a multicultural society in which migrants from non-English-speaking backgrounds may be more vulnerable to illness after their new settlement, and language difficulties and cultural differences may affect their use of health services. The present qualitative study used focus group interviews to explore the health services used by Chinese migrants from Hong Kong and China. The general findings included strong preference for Chinese-speaking general practitioners, insufficient interpreter services, low use of preventive services, and lack of knowledge about the existence and role of ethnic health workers. The paper reports specific differences between migrants from China and Hong Kong, and by age group. It discusses reasons for these findings and notes the implications. PMID:10165945

  5. Performance of biofuel processes utilising separate lignin and carbohydrate processing.

    PubMed

    Melin, Kristian; Kohl, Thomas; Koskinen, Jukka; Hurme, Markku

    2015-09-01

    Novel biofuel pathways with increased product yields are evaluated against conventional lignocellulosic biofuel production processes: methanol or methane production via gasification and ethanol production via steam-explosion pre-treatment. The novel processes studied are ethanol production combined with methanol production by gasification, hydrocarbon fuel production with additional hydrogen produced from lignin residue gasification, methanol or methane synthesis using synthesis gas from lignin residue gasification and additional hydrogen obtained by aqueous phase reforming in synthesis gas production. The material and energy balances of the processes were calculated by Aspen flow sheet models and add on excel calculations applicable at the conceptual design stage to evaluate the pre-feasibility of the alternatives. The processes were compared using the following criteria: energy efficiency from biomass to products, primary energy efficiency, GHG reduction potential and economy (expressed as net present value: NPV). Several novel biorefinery concepts gave higher energy yields, GHG reduction potential and NPV. PMID:26056782

  6. Utilising polyphenols for the clinical management of Candida albicans biofilms.

    PubMed

    Shahzad, Muhammad; Sherry, Leighann; Rajendran, Ranjith; Edwards, Christine A; Combet, Emilie; Ramage, Gordon

    2014-09-01

    Polyphenols (PPs) are secondary metabolites abundant in plant-derived foods. They are reported to exhibit antimicrobial activity that may offer an alternative to existing antimicrobials. The aim of this study was to evaluate the antifungal potential of PPs against Candida albicans biofilms that are commonly recalcitrant to antifungal therapy. The antifungal activity of 14 PPs was assessed in terms of planktonic and sessile minimum inhibitory concentrations (PMICs and SMICs, respectively) against various C. albicans clinical isolates. The most active PPs were further tested for their effect on C. albicans adhesion and biofilm growth using standard biomass assays, microscopy and quantitative gene expression. Of the 14 PPs tested, 7 were effective inhibitors of planktonic growth, of which pyrogallol (PYG) was the most effective (PMIC??=78 ?g/mL), followed by curcumin (CUR) (PMIC??=100 ?g/mL) and pyrocatechol (PMIC??=625 ?g/mL). Both PYG and CUR displayed activity against C. albicans biofilms (SMIC??=40 ?g/mL and 50 ?g/mL, respectively), although they did not disrupt the biofilm or directly affect the cellular structure. Overall, CUR displayed superior biofilm activity, significantly inhibiting initial cell adhesion following pre-coating (P<0.01), biofilm growth (P<0.05) and gene expression (P<0.05). This inhibitory effect diminished with prolonged CUR exposure, although it still inhibited by 50% after 4h adhesion. Overall, CUR exhibited positive antibiofilm properties that could be used at the basis for development of similar molecules, although further cellular and in vivo studies are required to explore its precise mechanism of action. PMID:25104135

  7. Factors associated with non-utilisation of health service for childbirth in Timor-Leste: evidence from the 2009-2010 Demographic and Health Survey

    PubMed Central

    2014-01-01

    Background Timor-Leste is a young developing country in Asia. Most of its infrastructure was destroyed after a long armed conflict for independence. Despite recent expansion of health facilities and investment in healthcare, maternal mortality remains high with most mothers still giving birth at home. This study investigated factors affecting the non-utilisation of health service for childbirth in the aftermath of the independence conflict. Methods The Timor-Leste Demographic and Health Survey 2009-2010 was the latest two-stage national survey, which used validated questionnaires to obtain information from 26 clusters derived from 13 districts of the country. Factors influencing non-utilisation of health facility for childbirth were investigated using univariate and multivariable logistic regression analyses, accounting for the cluster sampling and sample weight of the survey. Results Of the total 5986 participants included in the study, 4472 (74.8%) did not deliver their last child at a health facility. Lack of education for the mother (adjusted odds ratio (OR): 2.04; 95% confidence interval (CI) 1.56 to 2.66) and her partner (OR: 1.45; 95% CI 1.14 to 1.84), low household wealth status (OR: 5.20; 95% CI 3.93 to 6.90), and rural residence (OR: 2.83; 95% CI 2.22 to 3.66), were associated with increased likelihood of non-utilisation of health facility for childbirth. Working mothers (OR: 1.55; 95% CI 1.32 to 1.81), who had high parity (OR: 1.78; 95% CI 1.36 to 2.32) and did not attend antenatal care service (OR: 4.68; 95% CI 2.65 to 8.28) were also vulnerable for not delivering at a health facility. Conversely, the prevalence of non-utilisation of health facility for childbirth reduced with increasing number of service components received during antenatal care visits (OR: 0.72; 95% CI 0.64 to 0.80). Conclusions Only a quarter of Timorese women delivered at a health facility. In order to reduce maternal mortality, future interventions should target disadvantaged mothers from poor families, those residing in rural areas, have higher parity but no education, and who seldom attend antenatal care service, by improving their utilisation of health facility for childbirth. PMID:24885424

  8. Rapid discrimination of maggots utilising ATR-FTIR spectroscopy.

    PubMed

    Pickering, Claire L; Hands, James R; Fullwood, Leanne M; Smith, Judith A; Baker, Matthew J

    2015-04-01

    Entomological evidence is used in forensic investigations to indicate time since death. The species and age of maggots or flies that are present at the scene can be used when estimating how much time has passed since death. Current methods that are used to identify species and developmental stage of larvae and fly samples are highly subjective, costly and often time consuming processes and require the expertise of an entomologist or species identification via DNA analysis. The use of vibrational spectroscopy, as an alternative identification method, would allow for a quicker, cheaper and less subjective technique and would allow entomological evidence to be used more commonly in the forensic process. This proof of principle study shows the potential for using attenuated total reflection-Fourier transform infrared spectroscopy (ATR-FTIR) as a rapid tool for differentiating between various species of larvae, such as those commonly found at crime scenes. The proposed regime would provide a rapid and valuable tool resulting in reduced time for both species identification and life cycle determination, particularly in forensic situations. PMID:25703014

  9. An early deployment strategy for carbon capture, utilisation, and storage

    SciTech Connect

    Carter, L.D.

    2012-11-01

    This report describes the current use of CO2 for EOR, and discusses potential expansion of EOR using CO2 from power plants. Analysis of potential EOR development in the USA, where most current CO2-based EOR production takes place, indicates that relatively low cost, traditional sources of CO2 for EOR (CO2 domes and CO2 from natural gas processing plants) are insufficient to exploit the full potential of EOR. To achieve that full potential will require use of CO2 from combustion and gasification systems, such as fossil fuel power plants, where capture of CO2 is more costly. The cost of current CCUS systems, even with the revenue stream for sale of the CO2 for EOR, is too high to result in broad deployment of the technology in the near term. In the longer term, research and development may be sufficient to reduce CO2 capture costs to a point where CCUS would be broadly deployed. This report describes a case study of conditions in the USA to explore a financial incentive to promote early deployment of CCUS, providing a range of immediate benefits to society, greater likelihood of reducing the long-term cost of CCUS, and greater likelihood of broad deployment of CCUS and CCS in the long term. Additionally, it may be possible to craft such an incentive in a manner that its cost is more than offset by taxes flowing from increased domestic oil production. An example of such an incentive is included in this report.

  10. Utilisation of biochar and superabsorbent polymers for soil amendment.

    PubMed

    Ekebafe, M O; Ekebafe, L O; Maliki, M

    2013-01-01

    The application of superabsorbent polymers (SAPs) and/or biochars to stressed lands offer solutions to several critical ecological, energy and economic challenges posed by degraded lands due to human activities. These substances are like, 'artificial humus' as they are hydrophilic and contain carboxylic groups (SAPs) which enable them to bind cations and water and sequester carbon from air to reverse global warming (biochars). Several research studies using these substances point to their ability to increase the plant-available water in the soil which enables the plants to survive longer with water shortage, increase soil fertility and agricultural yields, improve soil structure, aeration and water penetration, reduce use of synthetic fertilisers and pesticides, reduce nitrous oxide and methane emission from soil, reduce nitrate and farm chemicals leaching into watersheds, convert green and brown wastes into valuable resources, and reduce the evapotranspiration rate of the plants. SAPs and biochars induce a significantly higher growth rate in plants; they bind heavy metals and mitigate their action on plants as well as mitigate the effects of salinity. This paper reviews what is known about these claims and considers the wider environmental implications of the adoption of these processess. The intention is not just to summarise the current knowledge but also to identify gaps that require further research. PMID:23738439

  11. Rural people utilising city hospitals: issues for service provision.

    PubMed

    Keleher, H; Ellis, J

    1996-08-01

    The geographic distribution of health services in Australia means that rural people may need to travel long distances from their homes to obtain specialist services. Because sophisticated and expensive medical technologies are centralised, it is not uncommon for rural people to need to access metropolitan health services for many forms of treatment. This study sought to investigate the experiences of central Victorian people for whom illness or injury necessitated their admission to metropolitan hospitals. Because of distance from both metropolitan hospitals and social support structures, these people were likely to have differing experiences from city people admitted to hospital. However, it was found that not only were variables of rurality and social support significant, but socio-economic status and family structure were also found to be important. Even though respondents identified distress and other problems associated with the metropolitan admission, they rationalised the whole experience in terms of the specialised treatment they received; treatment that was not available in country hospitals. PMID:9437137

  12. Solar energy utilisation and evacuated tubular solar collectors

    NASA Astrophysics Data System (ADS)

    Parand, Foroutan

    Four types of evacuated tubular solar collectors have been constructed and their performance evaluated. The characteristics of the collectors are then compared and their design strengths assessed. One of the designs, a flat absorber with a single glass cover using glass to metal seals was found to have the best performance among the four designs which included a dewar vessel type collector, a heat pipe collector and a black liquid collector with an optical efficiency of 87.7 pct. and an overall heat loss coefficient of 12.3 Wm(exp -2)/C. The performance of the dewar vessel type and black liquid collectors was found to be comparable to the glass to metal seal collector. A detailed analysis of the optical and thermal processes in evacuated tubular collectors was made. On the basis of this analysis a computer simulation model using a finite difference technique has been developed to predict the performance of evacuated tubular collectors. The computer simulation results are then compared with the test results. For the majority of the tests the discrepancy between the simulation and the test results was within the error band of the test results (maximum 12 pct.). For the published test results the maximum discrepancy for operating temperature below 100 C was found to be 6 pct. The computer simulation model was compared with other published models and its advantages and disadvantages discussed. In some analytical and semi-analytical simulation models the energy absorbed by the glass cover and the heat loss from joints and supports has to be ignored. The present model has none of these deficiencies and more complex designs can be simulated. The developed computer simulation program might be used as an aid in the design of evacuated tubular collectors. Using the computer simulation, a parametric study of the three commmercially available collectors was made. The results are discussed and the areas of improvement are identified.

  13. Pella vilya: Near earth objects—Planetary defence through the regulation of resource utilisation

    NASA Astrophysics Data System (ADS)

    Goh, Gérardine Meishan

    2010-07-01

    Reactions to near earth objects (NEOs) in the past decade have run the gamut from expectations of Armageddon-type scenarios to Eureka moments of revolutionary scientific ideas. Concerns over the potentially devastating effects of an unmitigated collision jostle with forecasts of untold economic returns from the utilisation of NEO resources. Drawing from recent analogies and examples from the field of international environmental law, this paper proposes the development of a legal framework for the regulation of NEO resource utilisation. The proposed legal framework also includes a mechanism to ensure the political will and economic investment necessary for technological advances in planetary defence. By twinning the threats and opportunities presented by NEOs, this paper also analyses the position of theme-specific space law development in the overall legal framework of space exploration and traffic management.

  14. Utilising copper screen-printed electrodes (CuSPE) for the electroanalytical sensing of sulfide.

    PubMed

    Thakur, Bhawana; Bernalte, Elena; Smith, Jamie P; Foster, Christopher W; Linton, Patricia E; Sawant, Shilpa N; Banks, Craig E

    2016-02-01

    A mediatorless sulfide electrochemical sensing platform utilising a novel nanocopper-oxide screen-printed electrodes (CuSPE) is reported for the first time. The state-of-the-art screen-printed electrochemical sensors demonstrate their capability to quantify sulfide within both the presence and absence of an array of interferents with good levels of sensitivity and repeatability. The direct sensing (using linear sweep voltammetry) of sulfide utilising the CuSPEs provides a mediatorless approach for the detection of sulfide, yielding useful analytical signatures that can be successfully quantified. The proposed novel protocol using the CuSPEs is successfully applied to the sensing of sulfide within drinking water exhibiting a high level of recovery. PMID:26815001

  15. Utilisation of ART in single women and lesbian couples since the 2010 change in Victorian legislation.

    PubMed

    Fiske, Emily; Weston, Gareth

    2014-10-01

    Enactment of the Assisted Reproductive Treatment Act (Vic) 2008 in January 2010 allowed single persons and same sex couples in Victoria to access reproductive treatments. A retrospective cohort analysis of Monash IVF patients was conducted to identify trends in Assisted Reproductive Technology (ART) use amongst single women and lesbian couples after January 2010. A 102.8% increase in the utilisation of ART was observed amongst the single women group and a 248.8% increase in the lesbian couple population. PMID:25287570

  16. Dimensionnement par FDTD d'éléments optiques diffractifs utilisant le principe du milieu effectif

    NASA Astrophysics Data System (ADS)

    Aubry, S.; Gérard, P.; Flury, M.; Rockstuhl, C.; Herzig, H. P.; Fontaine, J.

    2004-11-01

    Une méthodologie utilisant l'outil rigoureux FDTD (Finite Difference Time Domain) est proposée et validée à l'aide d'une méthode modale rigoureuse, la FMM (Fourier Modal Method). C'est une première étape pour le calcul de réseaux de diffraction sub-longueur d'onde devant permettre la réalisation d'EOD à 4 niveaux de phase et fonctionnant en réflexion.

  17. The measurement of passive neutron multiplicity counter gate utilisation factors and comparisons with theory

    NASA Astrophysics Data System (ADS)

    Croft, S.; Bourva, L. C.-A.

    2000-10-01

    In a recent paper, a new method of calculating the doublets and triplets gate utilisation factors f2 and f3 for passive neutron multiplicity counters has been developed resulting in the MCF computer code. In this paper we arrange the basic multiplicity equations and generate nuclear data parameter combinations to enable f2, f3, f2/ f3 and f22/ f3 to be derived from measurements taken using a calibrated 252Cf source and multiplicity shift-register electronics. The two approaches have been compared with reference to Harwell Instruments Ltd. N95 neutron coincidence counting measurement chamber operated both with and without an internal cadmium liner. The Monte Carlo code MCNP™ was used to calculate neutron capture time distributions and these were fed into the MCF code to produce theoretical gate utilisation factors to compare with the experimental data. Pre-delays of 2 and 4 ?s and coincidence gate widths between 16 and 240 ?s were investigated. The predicted values agreed with those measured within 1.5% and 5% for the f2 and f3 results, respectively. These results confirm the power of the new theoretical treatment in accurately predicting gate utilisation factors in an absolute sense and with confidence at the design stage. Relative predictions can be made with greater accuracy.

  18. utilisation d’objets comme outils: un développement continu

    PubMed Central

    Kahrs, Björn Alexander; Lockman, Jeffrey J.

    2014-01-01

    Le débat autour des origines développementales de la capacité humaine à utiliser des outils de manière souple reste ouvert. Alors que l’approche dominante se focalise sur un changement qualitatif cognitif vers la fin de la première année, la théorie perception-action fournit des indices importants sur la manière dont les comportements exploratoires plus précoces des nourrissons jettent les bases pour l’émergence de cette capacité. En particulier, nous nous intéressons à la manière dont les tentatives des nourrissons de mettre en rapport les objets et les surfaces leur permettent d’apprendre comment les objets peuvent servir d’extension de la main et fournissent l’occasion d’exercer des actions qui seront recrutées plus tard pour l’utilisation d’outils. Dans ce contexte, nous discutons des études comportementales et cinématiques portant sur la manipulation d’objets, qui montrent que les nourrissons font interagir les objets et les surfaces avec discernement et que leur contrôle de la frappe (banging) augmente au cours de leur première année. En conclusion, une perspective perception-action suggère que l’utilisation d’outils émerge de manière plus continue au cours du développement que ce qui a été traditionnellement envisagé. PMID:24511151

  19. Obesity in pregnancy: infant health service utilisation and costs on the NHS

    PubMed Central

    Morgan, Kelly L; Rahman, Muhammad A; Hill, Rebecca A; Khanom, Ashrafunnesa; Lyons, Ronan A; Brophy, Sinead T

    2015-01-01

    Objective To estimate the direct healthcare cost of infants born to overweight or obese mothers to the National Health Service in the UK. Design Retrospective prevalence-based study. Setting Combined linked anonymised electronic data sets on a cohort of mother–child pairs enrolled on the Growing Up in Wales: Environments for Healthy Living (EHL) study. Infants were categorised according to maternal early-pregnancy body mass index (BMI): healthy weight mother (18.5≤BMI<25 kg/m2; n=342), overweight mother (25≤BMI≤29.9 kg/m2; n=157) and obese mother (BMI≥30; n=110). Participants 609 singleton pregnancies with available health service records and an antenatal maternal BMI. Primary outcome measure Total health service utilisation and direct healthcare costs for providing these services in the year 2012–2013. Costs are calculated as cost of the infant (no maternal costs considered) and are related to health service usage from birth to age 1 year. Results A strong association existed between healthcare usage cost and BMI (p<0.001). Mean total costs were 72% higher among children born to obese mothers (rate ratio (RR) 1.72, 95% CI 1.71 to 1.73) compared with infants born to healthy weight mothers. Higher costings were attributed to a significantly greater number (RR 1.39, 95% CI 1.04 to 1.84) and duration (RR 1.55, 95% CI 1.37 to 1.74) of inpatient visits and a higher number of general practitioner visits (RR 1.10, 95% CI 1.03 to 1.16). Total mean additional resource cost was estimated at £65.13 for infants born to overweight mothers and £1138.11 for infants born to obese mothers, when compared with infants of healthy weight mothers. Conclusions Increasingly infants born to mothers with high BMIs consume additional health service resources in the first year of life; this was apparent across inpatient and general practitioner services. Considering both maternal and infant health service use, interventions that cost less than £2310 per person in reducing obesity early pregnancy could be cost-effective. PMID:26610756

  20. Monte Carlo calculations of the neutron coincidence gate utilisation factor for passive neutron coincidence counting

    NASA Astrophysics Data System (ADS)

    Bourva, L. C.-A.; Croft, S.

    1999-07-01

    The general purpose neutron-photon-electron Monte Carlo N-Particle code, MCNP TM, has been used to simulate the neutronic characteristics of the on-site laboratory passive neutron coincidence counter to be installed, under Euratom Safeguards Directorate supervision, at the Sellafield reprocessing plant in Cumbria, UK. This detector is part of a series of nondestructive assay instruments to be installed for the accurate determination of the plutonium content of nuclear materials. The present work focuses on one aspect of this task, namely, the accurate calculation of the coincidence gate utilisation factor. This parameter is an important term in the interpretative model used to analyse the passive neutron coincidence count data acquired using pulse train deconvolution electronics based on the shift register technique. It accounts for the limited proportion of neutrons detected within the time interval for which the electronics gate is open. The Monte Carlo code MCF, presented in this work, represents a new evaluation technique for the estimation of gate utilisation factors. It uses the die-away profile of a neutron coincidence chamber generated either by MCNP TM, or by other means, to simulate the neutron detection arrival time pattern originating from independent spontaneous fission events. A shift register simulation algorithm, embedded in the MCF code, then calculates the coincidence counts scored within the electronics gate. The gate utilisation factor is then deduced by dividing the coincidence counts obtained with that obtained in the same Monte Carlo run, but for an ideal detection system with a coincidence gate utilisation factor equal to unity. The MCF code has been benchmarked against analytical results calculated for both single and double exponential die-away profiles. These results are presented along with the development of the closed form algebraic expressions for the two cases. Results of this validity check showed very good agreement. On this basis, previously published analytical results for the double exponential case are thought to be in error. As derived analytically, the numerical calculations have been found to be both independent of the detector's efficiency and of the spontaneous fission neutron multiplicity distribution used in the Monte Carlo calculations. Extension of the MCF calculations to multiplicity counting, and in particular to triple coincidence counting, confirmed that, for a single exponential die-away profile, the triple gate utilisation factor is equal to the square of the real gate utilisation factor. For other profiles this relation no longer holds. An analytical expression is given for the case of a double exponential profile. Comparison of the MCF results with earlier calculated estimates of the gate utilisation factor for the on-site laboratory neutron coincidence chamber showed a significant difference. Use of the MCF results led to much better agreement between the observed and calculated specific reals coincidence rate of the on-site laboratory counter for the assay of plutonium samples. Moreover, the present work constitutes a further step towards the improvement of the accuracy of absolute Monte Carlo calculations for active or passive neutron measurements of nuclear materials.

  1. Fuel utilisation during prolonged low-to-moderate intensity exercise when ingesting water or carbohydrate.

    PubMed

    Rauch, L H; Bosch, A N; Noakes, T D; Dennis, S C; Hawley, J A

    1995-10-01

    Previously, we examined the effects of carbohydrate (CHO) ingestion on glucose kinetics during exercise at 70% of maximum O2 uptake (VO2, max). Here we repeat those studies in heavier cyclists (n = 6 per group) cycling for 3 h at a similar absolute O2 uptake but at a lower (55% of VO2, max) relative exercise intensity. During exercise, the cyclists were infused with a 2-3H-glucose tracer and ingested U-14C glucose-labelled solutions of either flavoured water (H2O) or 10 g/100 ml glucose polymer, at a rate of 600 ml/h. Two subjects in the H2O trial fatigued after 2.5 h of exercise. Their rates of glucose appearance (Ra) declined from 2.9 +/- 0.6 to 2.0 +/- 0.1 mmol/min (mean +/- SEM) and, as their plasma glucose concentration [Glu] declined from 4.7 +/- 0.2 to below 3.5 +/- 0.2 mM, their rates of glucose oxidation (Rox) and fat oxidation plateaued at 2.7 +/- 0.4 and 1.7 +/- 0.1 mmol/min respectively. In contrast, all subjects completed the CHO trial. Although CHO ingestion during exercise reduced the final endogenous Ra from 3.4 +/- 0.6 to 0.9 +/- 0.3 mmol/min at the end of exercise, it increased total Ra to 5.5 +/- 0.5 mmol/min (P < 0.05). A higher total Ra with CHO ingestion raised [Glu] from 4.3 +/- 0.3 to 5.3 +/- 0.1 mM and accelerated Rox from 3.5 +/- 0.2 to 5.9 +/- 0.2 mmol/min after 180 min of exercise (P < 0.05). The increased contribution to total energy production from glucose oxidation (34 +/- 1 vs. 20 +/- 1%) decreased energy production from fat oxidation from 51 +/- 2 to 40 +/- 5% (P = 0.08) and produced patterns of glucose, muscle glycogen (plus lactate) and fat utilisation similar to those during exercise at 70% of (V˙O2, max). Thus, CHO ingestion is necessary to sustain even prolonged, low to moderate intensity exercise and when ingested, it suppresses the higher relative rates of fat oxidation usually observed at exercise intensities less than 60% of VO2, max. PMID:8594550

  2. The ingestion of protein with a maltodextrin and fructose beverage on substrate utilisation and exercise performance.

    PubMed

    Tarpey, Michael D; Roberts, Justin D; Kass, Lindsy S; Tarpey, Richard J; Roberts, Michael G

    2013-12-01

    The study investigated the ingestion of maltodextrin, fructose, and protein on exogenous carbohydrate oxidation (CHOEXO) and exercise performance. Seven trained cyclists and (or) triathletes (maximal oxygen consumption, 59.20 ± 9.00 mL · kg(-1) · min(-1)) performed 3 exercise trials that consisted of 150 min of cycling at 50% maximal power output (160 ± 11 W), followed by a 60-km time trial. One of 3 beverages were randomly assigned during each trial and consumed at 15-min intervals: (i) 0.84 g · min(-1) maltodextrin + 0.52 g · min(-1) fructose + 0.34 g · min(-1) protein (MD+F+P); (ii) 1.10 g · min(-1) maltodextrin + 0.60 g · min(-1) fructose (MD+F); or (iii) 1.70 g · min(-1) maltodextrin (MD). CHO(EXO) and fuel utilisation were assessed via measurement of expired air (13)C content and indirect calorimetry, respectively. Mean total CHO oxidation (CHOTOT) rates were 2.35 ± 0.18, 2.76 ± 0.08, and 2.61 ± 0.17 g · min(-1) with MD, MD+F, and MD+F+P, respectively, although not significantly different. Peak CHO(EXO) rates with MD+F were significantly greater by 41.4% (p = 0.001) and 45.4% (p = 0.0001) compared with MD+F+P and MD, respectively (1.57 ± 0.22 g · min(-1), 1.11 ± 0.08 g · min(-1), and 1.08 ± 0.11 g · min(-1), respectively). Performance times were 2.2% and 5.0% faster with MD+F compared with MD+F+P and MD, respectively; however, they were not statistically significant. Ingestion of an MD-fructose-protein commercial sports beverage significantly reduced peak and mean CHO(EXO) rates compared with MD+F, but did not significantly influence CHOTOT. The addition of protein to an MD+F beverage did not enhance performance times. PMID:24195625

  3. Effects of demand-side financing on utilisation, experiences and outcomes of maternity care in low- and middle-income countries: a systematic review

    PubMed Central

    2014-01-01

    Background Demand-side financing, where funds for specific services are channelled through, or to, prospective users, is now employed in health and education sectors in many low- and middle-income countries. This systematic review aimed to critically examine the evidence on application of this approach to promote maternal health in these settings. Five modes were considered: unconditional cash transfers, conditional cash transfers, short-term payments to offset costs of accessing maternity services, vouchers for maternity services, and vouchers for merit goods. We sought to assess the effects of these interventions on utilisation of maternity services and on maternal health outcomes and infant health, the situation of underprivileged women and the healthcare system. Methods The protocol aimed for collection and synthesis of a broad range of evidence from quantitative, qualitative and economic studies. Nineteen health and social policy databases, seven unpublished research databases and 27 websites were searched; with additional searches of Indian journals and websites. Studies were included if they examined demand-side financing interventions to increase consumption of services or goods intended to impact on maternal health, and met relevant quality criteria. Quality assessment, data extraction and analysis used Joanna Briggs Institute standardised tools and software. Outcomes of interest included maternal and infant mortality and morbidity, service utilisation, factors required for successful implementation, recipient and provider experiences, ethical issues, and cost-effectiveness. Findings on Effectiveness, Feasibility, Appropriateness and Meaningfulness were presented by narrative synthesis. Results Thirty-three quantitative studies, 46 qualitative studies, and four economic studies from 17 countries met the inclusion criteria. Evidence on unconditional cash transfers was scanty. Other demand-side financing modes were found to increase utilisation of maternal healthcare in the index pregnancy or uptake of related merit goods. Evidence of effects on maternal and infant mortality and morbidity outcomes was insufficient. Important implementation aspects include targeting and eligibility criteria, monitoring, respectful treatment of beneficiaries, suitable incentives for providers, quality of care and affordable referral systems. Conclusions Demand-side financing schemes can increase utilisation of maternity services, but attention must be paid to supply-side conditions, the fine-grain of implementation and sustainability. Comparative studies and research on health impact and cost-effectiveness are required. PMID:24438560

  4. Integrating payload design, planning, and control in the Dutch Utilisation Centre

    NASA Technical Reports Server (NTRS)

    Grant, T. J.

    1993-01-01

    Spacecraft payload design, experiment planning and scheduling, and payload control are traditionally separate areas of activity. This paper describes the development of a prototype software tool--the Activity Scheduling System (ASS)--which integrates these activity areas. ASS is part of a larger project to build a Dutch Utilisation Centre (DUC), intended eventually to support all space utilization activities in The Netherlands. ASS has been tested on the High Performance Capillary Electrophoresis payload. The paper outlines the integrated preparation and operations concept embodied in ASS. It describes the ASS prototype, including a typical session. The results of testing are summarized. Possible enhancement of ASS, including integration into DUC, is sketched.

  5. Effects of Pre-Natal Vitamin D Supplementation with Partial Correction of Vitamin D Deficiency on Early Life Healthcare Utilisation: A Randomised Controlled Trial

    PubMed Central

    Griffiths, Chris; Shaheen, Seif O.; Martineau, Adrian; Cross, Louise; Robinson, Stephen; Warner, John O.; Devine, Angela

    2015-01-01

    Background Some observational studies have suggested that higher prenatal Vitamin D intake may be associated with improved health outcomes in childhood. However there have been mixed results in this area with some negative studies, especially for effects on atopic and respiratory outcomes. We examined the effect of prenatal Vitamin D on healthcare utilisation in the first three years of life. Methods In an ethnically stratified randomised controlled trial conducted at St Mary’s Hospital London, 180 women at 27 weeks gestation were allocated to no Vitamin D, 800 IU ergocalciferol daily until delivery, or a single oral bolus of 200,000 IU cholecalciferol. Participants were randomised in blocks of 15 using computer-generated numbers and investigators were blinded to group assignment. Supplementation increased maternal and cord blood 25(OH) vitamin D concentrations, but levels remained lower than current recommendations. Primary health economic outcome was overall cost of unscheduled healthcare utilisation in the first three years of life as documented in the child’s electronic health record. Secondary outcomes included cost attributable to: primary and secondary healthcare visits, respiratory and atopic complaints, cost in years 1, 2 and 3 of life and cost and frequency of prescribed medication. All costs were calculated as pounds sterling. Differences between groups were analysed using unpaired t-test or Mann-Whitney U test, and analysis of variance for adjusted analyses. Results We assessed 99/180 (55%) complete electronic health records, control (n = 31), daily (n = 36) and bolus (n = 32). We found no difference in total healthcare utilisation costs between the control and daily (mean difference in costs in pounds sterling 1.02, 95%CI -1.60, 1.65; adjusted 1.07, 95%CI -1.62, 1.86) or control and bolus groups (mean difference -1.58, 95%CI -2.63, 1.06; adjusted –1.40, 95%CI -2.45, 1.24). There were no adverse effects of supplementation reported during the trial. Conclusions We found no evidence that prenatal vitamin D supplementation from 27 weeks gestation to delivery, at doses which failed to completely correct maternal vitamin D deficiency, influence overall healthcare utilisation in children in the first 3 years. Trial Registration Controlled-Trials.com ISRCTN68645785 PMID:26698303

  6. Environmental-benign utilisation of fly ash as low-cost adsorbents.

    PubMed

    Wang, Shaobin; Wu, Hongwei

    2006-08-25

    Fly ash is a waste substance from thermal power plants, steel mills, etc. that is found in abundance in the world. In recent years, utilisation of fly ash has gained much attention in public and industry, which will help reduce the environmental burden and enhance economic benefit. In this paper, the technical feasibility of utilisation of fly ash as a low-cost adsorbent for various adsorption processes for removal of pollutants in air and water systems has been reviewed. Instead of using commercial activated carbon or zeolites, a lot of researches have been conducted using fly ash for adsorption of NO(x), SO(x), organic compounds, and mercury in air, and cations, anions, dyes and other organic matters in waters. It is recognised that fly ash is a promising adsorbent for removal of various pollutants. Chemical treatment of fly ash will make conversion of fly ash into a more efficient adsorbent for gas and water cleaning. Investigations also revealed that unburned carbon component in fly ash plays an important role in adsorption capacity. Directions for future research are also discussed. PMID:16530952

  7. Utilisation of Mucin Glycans by the Human Gut Symbiont Ruminococcus gnavus Is Strain-Dependent

    PubMed Central

    Crost, Emmanuelle H.; Tailford, Louise E.; Le Gall, Gwenaelle; Fons, Michel; Henrissat, Bernard; Juge, Nathalie

    2013-01-01

    Commensal bacteria often have an especially rich source of glycan-degrading enzymes which allow them to utilize undigested carbohydrates from the food or the host. The species Ruminococcus gnavus is present in the digestive tract of ≥90% of humans and has been implicated in gut-related diseases such as inflammatory bowel diseases (IBD). Here we analysed the ability of two R. gnavus human strains, E1 and ATCC 29149, to utilize host glycans. We showed that although both strains could assimilate mucin monosaccharides, only R. gnavus ATCC 29149 was able to grow on mucin as a sole carbon source. Comparative genomic analysis of the two R. gnavus strains highlighted potential clusters and glycoside hydrolases (GHs) responsible for the breakdown and utilization of mucin-derived glycans. Transcriptomic and functional activity assays confirmed the importance of specific GH33 sialidase, and GH29 and GH95 fucosidases in the mucin utilisation pathway. Notably, we uncovered a novel pathway by which R. gnavus ATCC 29149 utilises sialic acid from sialylated substrates. Our results also demonstrated the ability of R. gnavus ATCC 29149 to produce propanol and propionate as the end products of metabolism when grown on mucin and fucosylated glycans. These new findings provide molecular insights into the strain-specificity of R. gnavus adaptation to the gut environment advancing our understanding of the role of gut commensals in health and disease. PMID:24204617

  8. Utilisation of short rotation forestry for on-site boiler fuel

    SciTech Connect

    Sims, R.E.H.; Lowe, H.T.

    1995-11-01

    A New Zealand meat processing company has planted 100 ha of land adjacent to its plant in short rotation coppice eucalyptus trees for land treatment of the effluent stream (5000+ m{sup 3}/day). To be effective this necessitates removal of the accumulate biomass from the site at regular intervals (every 3-4 years). Using the biomass for fuelwood on site could offset the cost of effluent treatment if it could substitute for the existing energy supplies bought into the plant. A wide range of harvesting, drying, processing, storage and conversion options were identified with the objective of using the biomass produced on site to partly displace the coal currently fuelling a 4.2 MW boiler to provide process steam. A computer model was developed to identify the optimum biomass utilisation system from the variety of combinations of options possible including use of contractors. The objective was to match the work capacity of the various equipment components and to minimise the investment payback period for the company. Boiler options to convert or replace the current boiler or to purchase an additional wood-fired boiler were also included. The model was based around the specific requirements of this particular meat plant but it could be adapted to suit other similar short rotation forestry, biomass utilisation schemes.

  9. The utilisation of two detectors for the determination of water in honey using headspace gas chromatography.

    PubMed

    Frink, Lillian A; Armstrong, Daniel W

    2016-08-15

    A headspace gas chromatography (HSGC) method was developed for the determination of water content in honey. This method was shown to work with five different honey varieties which had a range of water from 14-16%. It also utilised two different detectors, the thermal conductivity detector (TCD) and the barrier discharge ionisation detector (BID). This method needs no heating pretreatment step as in the current leading method, (i.e. the measurement of refractive index). The solvent-free procedure negates the possibility of solvent-compound interactions as well as solubility limitations, as is common with Karl Fischer titrations. It was also apparent that the classic loss on drying method consistently and substantially produced results that were lower than the correct values. This approach is shown to be rapid, with an analysis time of 4min when using the TCD detector and under 3min when utilising the BID detector. HSGC is feasible for the determination of water due to the new PEG-linked geminal dicationic ionic-liquid-coated GC capillary column. In addition it provides accurate and precise determinations of the water content in honey. When using the sensitive BID detector, other trace volatile compounds are observed as well. PMID:27006209

  10. Does spatial location matter? Traditional therapy utilisation among the general population in a Ghanaian rural and urban setting.

    PubMed

    Gyasi, Razak Mohammed; Asante, Felix; Segbefia, Alexander Yao; Abass, Kabila; Mensah, Charlotte Monica; Siaw, Lawrencia Pokuah; Eshun, Gabriel; Adjei, Prince Osei-Wusu

    2015-06-01

    Despite the recognition for rising consumption rate of traditional medicine (TRM) in health and spatio-medical literature in the global scale, the impact of location in traditional therapy use has been explored least in Ghana. This paper analysed the role of spatial variation in TRM use in Kumasi Metropolis and Sekyere South District of Ashanti Region, Ghana. A retrospective cross-sectional and place-based survey was conducted in a representative sample (N=324) selected through systematic random sampling technique. Structured interviewer-administered questionnaires were espoused as the main research instruments. Data were analysed with Pearson's Chi-square and Fisher's exact tests from the Predictive Analytics Software (PASW) version 17.0. The study found that over 86% reported TRM use. Whilst majority (59.1%) of the respondents had used TRM two or more times within the last 12 months, biologically-based therapies and energy healing were common forms of TRM accessed. Although, the use of TRM did not vary (p>0.05), knowledge about TRM, modalities of TRM and the sources of TRM differed significantly across geographically demarcated rural and urban splits (p<0.005). The study advances our understanding of the spatial dimensions as regards TRM utilisation. PMID:26051580

  11. Are racist attitudes related to experiences of racial discrimination? Within sample testing utilising nationally representative survey data.

    PubMed

    Habtegiorgis, Amanuel E; Paradies, Yin C; Dunn, Kevin M

    2014-09-01

    Although the relationship between an individual's racist attitudes and discriminatory behaviours has been widely studied, the association between racist attitudes among perpetrators and experiences of racism among targets has been under-examined. Based on data from the 2001-8 Australian Challenging Racism Project survey, this paper details a novel method to investigate the link between racist attitudes and experiences of discrimination utilising two separate models linked by nomination of cultural or ethnic groups who do not fit into Australian society (i.e., out-groups). Those identified as out-groups were more likely to report experiences of discrimination than those who were not nominated as out-groups. Overall, out-group nomination by those with racist attitudes strongly predict experiences of discrimination among these same target out-groups, OR=2.2, F(6, 12,348)=78.61, p<.001. Racist attitudes are related to racist behaviours among perpetrators that are, in turn, related to experiences of racial discrimination among targets. This study demonstrates that attitudes not only affect majority group behaviour but also drive the resulting experiences of discrimination for minority group members. PMID:24913953

  12. Enterovirus71 (EV71) Utilise Host microRNAs to Mediate Host Immune System Enhancing Survival during Infection

    PubMed Central

    Lui, Yan Long Edmund; Tan, Tuan Lin; Woo, Wee Hong; Timms, Peter; Hafner, Louise Marie; Tan, Kian Hwa; Tan, Eng Lee

    2014-01-01

    Hand, Foot and Mouth Disease (HFMD) is a self-limiting viral disease that mainly affects infants and children. In contrast with other HFMD causing enteroviruses, Enterovirus71 (EV71) has commonly been associated with severe clinical manifestation leading to death. Currently, due to a lack in understanding of EV71 pathogenesis, there is no antiviral therapeutics for the treatment of HFMD patients. Therefore the need to better understand the mechanism of EV71 pathogenesis is warranted. We have previously reported a human colorectal adenocarcinoma cell line (HT29) based model to study the pathogenesis of EV71. Using this system, we showed that knockdown of DGCR8, an essential cofactor for microRNAs biogenesis resulted in a reduction of EV71 replication. We also demonstrated that there are miRNAs changes during EV71 pathogenesis and EV71 utilise host miRNAs to attenuate antiviral pathways during infection. Together, data from this study provide critical information on the role of miRNAs during EV71 infection. PMID:25047717

  13. Comprehension and utilisation of pointing gestures and gazing in dog-human communication in relatively complex situations.

    PubMed

    Lakatos, Gabriella; Gácsi, Márta; Topál, József; Miklósi, Adám

    2012-03-01

    The aim of the present investigation was to study the visual communication between humans and dogs in relatively complex situations. In the present research, we have modelled more lifelike situations in contrast to previous studies which often relied on using only two potential hiding locations and direct association between the communicative signal and the signalled object. In Study 1, we have provided the dogs with four potential hiding locations, two on each side of the experimenter to see whether dogs are able to choose the correct location based on the pointing gesture. In Study 2, dogs had to rely on a sequence of pointing gestures displayed by two different experimenters. We have investigated whether dogs are able to recognise an 'indirect signal', that is, a pointing toward a pointer. In Study 3, we have examined whether dogs can understand indirect information about a hidden object and direct the owner to the particular location. Study 1 has revealed that dogs are unlikely to rely on extrapolating precise linear vectors along the pointing arm when relying on human pointing gestures. Instead, they rely on a simple rule of following the side of the human gesturing. If there were more targets on the same side of the human, they showed a preference for the targets closer to the human. Study 2 has shown that dogs are able to rely on indirect pointing gestures but the individual performances suggest that this skill may be restricted to a certain level of complexity. In Study 3, we have found that dogs are able to localise the hidden object by utilising indirect human signals, and they are able to convey this information to their owner. PMID:21927851

  14. Detection of Sialic Acid-Utilising Bacteria in a Caecal Community Batch Culture Using RNA-Based Stable Isotope Probing

    PubMed Central

    Young, Wayne; Egert, Markus; Bassett, Shalome A.; Bibiloni, Rodrigo

    2015-01-01

    Sialic acids are monosaccharides typically found on cell surfaces and attached to soluble proteins, or as essential components of ganglioside structures that play a critical role in brain development and neural transmission. Human milk also contains sialic acid conjugated to oligosaccharides, glycolipids, and glycoproteins. These nutrients can reach the large bowel where they may be metabolised by the microbiota. However, little is known about the members of the microbiota involved in this function. To identify intestinal bacteria that utilise sialic acid within a complex intestinal community, we cultured the caecal microbiota from piglets in the presence of 13C-labelled sialic acid. Using RNA-based stable isotope probing, we identified bacteria that consumed 13C-sialic acid by fractionating total RNA in isopycnic buoyant density gradients followed by 16S rRNA gene analysis. Addition of sialic acid caused significant microbial community changes. A relative rise in Prevotella and Lactobacillus species was accompanied by a corresponding reduction in the genera Escherichia/Shigella, Ruminococcus and Eubacterium. Inspection of isotopically labelled RNA sequences suggests that the labelled sialic acid was consumed by a wide range of bacteria. However, species affiliated with the genus Prevotella were clearly identified as the most prolific users, as solely their RNA showed significantly higher relative shares among the most labelled RNA species. Given the relevance of sialic acid in nutrition, this study contributes to a better understanding of their microbial transformation in the intestinal tract with potential implications for human health. PMID:25816158

  15. Is stored malate the quantitatively most important substrate utilised by respiration and ethanolic fermentation in grape berry pericarp during ripening?

    PubMed

    Famiani, Franco; Farinelli, Daniela; Palliotti, Alberto; Moscatello, Stefano; Battistelli, Alberto; Walker, Robert P

    2014-03-01

    A widely held view is that in grape pericarp glycolysis is inhibited during ripening, and that stored malate rather than sugars become the major substrate for respiration. In this study we determined what contribution stored malate could make to the substrate requirements of respiration and ethanolic fermentation in the pericarp of Cabernet Sauvignon berries during ripening. At a number of time points through development the amount of malate in the pericarp was measured. The change in malate content between each time point was then calculated, having first allowed for dilution arising from expansion of the fruit. The amount of CO2 that was released by the berry in the interval between each pair of time points was measured. It was found that the contribution that stored malate could make to the substrate requirements of respiration and ethanolic fermentation of grape pericarp was dependent on the stage of ripening. At the beginning of ripening stored malate could provide a greater proportion of substrate than later in ripening, and during the latter its contribution was relatively low. Therefore, stored malate was not the quantitatively most important substrate utilised by respiration and ethanolic fermentation in the pericarp of grape berries during most of ripening. It is likely that sugars provide the bulk of the deficit in substrate. Further, the increase in the respiratory quotient during most of ripening does not arise from the use of malate as main respiratory substrate. PMID:24463535

  16. Detection of sialic acid-utilising bacteria in a caecal community batch culture using RNA-based stable isotope probing.

    PubMed

    Young, Wayne; Egert, Markus; Bassett, Shalome A; Bibiloni, Rodrigo

    2015-04-01

    Sialic acids are monosaccharides typically found on cell surfaces and attached to soluble proteins, or as essential components of ganglioside structures that play a critical role in brain development and neural transmission. Human milk also contains sialic acid conjugated to oligosaccharides, glycolipids, and glycoproteins. These nutrients can reach the large bowel where they may be metabolised by the microbiota. However, little is known about the members of the microbiota involved in this function. To identify intestinal bacteria that utilise sialic acid within a complex intestinal community, we cultured the caecal microbiota from piglets in the presence of 13C-labelled sialic acid. Using RNA-based stable isotope probing, we identified bacteria that consumed 13C-sialic acid by fractionating total RNA in isopycnic buoyant density gradients followed by 16S rRNA gene analysis. Addition of sialic acid caused significant microbial community changes. A relative rise in Prevotella and Lactobacillus species was accompanied by a corresponding reduction in the genera Escherichia/Shigella, Ruminococcus and Eubacterium. Inspection of isotopically labelled RNA sequences suggests that the labelled sialic acid was consumed by a wide range of bacteria. However, species affiliated with the genus Prevotella were clearly identified as the most prolific users, as solely their RNA showed significantly higher relative shares among the most labelled RNA species. Given the relevance of sialic acid in nutrition, this study contributes to a better understanding of their microbial transformation in the intestinal tract with potential implications for human health. PMID:25816158

  17. The significance of the host inflammatory response on the therapeutic efficacy of cell therapies utilising human adult stem cells

    SciTech Connect

    Navarro, Melba; Biomaterials for Regenerative Therapies Group, Institute for Bioengineering of Catalonia , Barcelona, 08028 ; Pu, Fanrong; Hunt, John A.

    2012-02-15

    Controlling the fate of implanted hMSCs is one of the major drawbacks to be overcome to realize tissue engineering strategies. In particular, the effect of the inflammatory environment on hMSCs behaviour is poorly understood. Studying and mimicking the inflammatory process in vitro is a very complex and challenging task that involves multiple variables. This research addressed the questions using in vitro co-cultures of primary derived hMSCs together with human peripheral blood mononucleated cells (PBMCs); the latter are key agents in the inflammatory process. This work explored the in vitro phenotypic changes of hMSCs in co-culture direct contact with monocytes and lymphocytes isolated from blood using both basal and osteogenic medium. Our findings indicated that hMSCs maintained their undifferentiated phenotype and pluripotency despite the contact with PBMCs. Moreover, hMSCs demonstrated increased proliferation and were able to differentiate specifically down the osteogenic lineage pathway. Providing significant crucial evidence to support the hypothesis that inflammation and host defence mechanisms could be utilised rather than avoided and combated to provide for the successful therapeutic application of stem cell therapies.

  18. Good phonetic errors in poor spellers are associated with right-handedness and possible weak utilisation of visuospatial abilities.

    PubMed

    Eglinton, Elizabeth; Annett, Marian

    2008-06-01

    Poor spellers in normal schools, who were not poor readers, were studied for handedness, visuospatial and other cognitive abilities in order to explore contrasts between poor spellers with and without good phonology. It was predicted by the right shift (RS) theory of handedness and cerebral dominance that those with good phonology would have strong bias to dextrality and relative weakness of the right hemisphere, while those without good phonology would have reduced bias to dextrality and relative weakness of the left hemisphere. Poor spellers with good phonetic equivalent spelling errors (GFEs) included fewer left-handers (2.4%) than poor spellers without GFEs (24.4%). Differences for hand skill were as predicted. Tests of visuospatial processing found no differences between the groups in levels of ability, but there was a marked difference in pattern of correlations between visuospatial test scores and homophonic word discrimination. Whereas good spellers (GS) and poor spellers without GFEs showed positive correlations between word discrimination and visuospatial ability, there were no significant correlations for poor spellers with GFEs. The differences for handedness and possibly for the utilisation of visuospatial skills suggest that surface dyslexics differ from phonological dyslexics in cerebral specialisation and perhaps in the quality of inter-hemispheric relations. PMID:18472043

  19. Tracing diatom utilisation, and its fate, in Lake Baikal, Siberia: the application of silicon isotope geochemistry

    NASA Astrophysics Data System (ADS)

    Panizzo, V. N.; Swann, G. E. A.; Mackay, A. W.; Roberts, S.; Vologina, E.; Sturm, M.; Horstwood, M. S.

    2014-12-01

    The global biogeochemical cycling of silicon (Si) is intrinsically linked to the fate of CO2 in the earth's atmosphere. To date, most research has focused on the oceanic cycling of Si over glacial/interglacial timescales although, the importance of continental Si cycling (via abiotic and biotic processes) is now being addressed. Especially as the significant potential for Si sequestration in continental lake systems has been recently highlighted [1]. We present the first large-scale silicon isotope (δ30SiDSi) profiles of Lake Baikal's water column, where a comparison between both pre- and post-diatom growing season δ30SiDSi signatures are made. Samples were collected along a water profile (surface to 180 m) at numerous sites across Lake Baikal, with deep-water endmembers at 400 m and c. 1,500 m. All isotopic analyses were conducted on a Neptune + Multi-Collector ICP-MS at NIGL, UK, using wet plasma mode with Mg doping of samples and standard-sample-standard bracketing. Analytical reproducibility is 0.12‰ (2σ) and blanks are <1% of signal intensity. DSi concentrations of March water surface samples (South Basin only) range between c. 0.74 and 1.23 ppm while those collected in August are all <0.70 ppm, following seasonal biological utilisation. In turn Chlorophyll a values from South Basin profiles in August are greater (between c. 1.46 to 3.18 mg l-1) than March surface values (<0.70 mg l-1). Indeed, March δ30SiDSi surface values range between c. +2.16 and +2.45‰ while summer surface values range between c. +2.20 and +2.84‰, reflecting residual pool depletion after summer biological utilisation. δ30SiDSi values are >1‰ more enriched than dominant lake water inflows again reflecting diatom Si uptake. Annual open sediment traps deployed down Lake Baikal's water column yield δ30Sidiatom signatures of +1.25‰, which suggests that down-column diatom dissolution is minimal. Applying the diatom fractionation factor of -1.1‰[2] and adopting a closed system model approach, these data are applied to mass balance diatom utilisation in Lake Baikal. [1]Frings at al, 2014. Biogeochemistry, 117, 255-277; [2]De La Rocha, et al. 1997. GCA, 61, 5051-5056.

  20. Endothelin-1 directly modulates its own secretion: studies utilising the cell immunoblot technique.

    PubMed

    Evans, John J; Youssef, Alber H; Yandle, Timothy G; Lewis, Lynley K; Nicholls, M Gary

    2003-05-15

    Endothelin-1 is an important factor in vasoregulation and circulating levels of the peptide are increased in a number of cardiovascular disorders. However, control of endothelin-1 secretion is only sketchily understood. The possibility that endothelin-1 influences its own release was investigated. A cell immunoblot method, which can detect local secretion of peptide from individual human vascular endothelial cells, was employed. Cells were dispersed onto a protein-binding membrane. Endothelin-1 in cells or secreted and adhering to the protein-binding membrane outside the cells was detected using immunohistochemical techniques. The numbers of cells that contained endothelin-1 and secreted endothelin-1 were counted after the cells had been incubated in control conditions, or with added endothelin-1, angiotensin-II, or endothelin receptor antagonists, bosentan and BQ788. Endothelin-1 and angiotensin-II increased the numbers of cells that secreted endothelin-1. On the other hand, bosentan and BQ788 caused a reduction in the numbers of endothelin-1-secreting cells. These results indicate that human endothelial cells contain a pathway by which endothelin-1 induces its own release. The receptor antagonists, bosentan and BQ788, inhibited basal secretion of endothelin-1. PMID:12686474

  1. Utilising Six Sigma for Improving Pass Percentage of Students: A Technical Institute Case Study

    ERIC Educational Resources Information Center

    Kaushik, Prabhakar; Khanduja, Dinesh

    2010-01-01

    Service sector accounts for a substantial share in Indian economy and among the service industries, education sector is emerging as a major commercial activity in the nation. Globalization, growing competition among institutions, emergence of new technologies, changing socio-economic profiles of nations and knowledge driven economies have created…

  2. Access and utilisation of healthcare services in rural Tanzania: A comparison of public and non-public facilities using quality, equity, and trust dimensions.

    PubMed

    Shayo, Elizabeth H; Senkoro, Kesheni P; Momburi, Romanus; Olsen, Øystein E; Byskov, Jens; Makundi, Emmanuel A; Kamuzora, Peter; Mboera, Leonard E G

    2016-04-01

    This study compared the access and utilisation of health services in public and non-public health facilities in terms of quality, equity and trust in the Mbarali district, Tanzania. Interviews, focus group discussions, and informal discussions were used to generate data. Of the 1836 respondents, 1157 and 679 respondents sought healthcare services on their last visit at public or non-public health facilities, respectively. While 45.5% rated the quality of services to be good in both types of facilities, reported medicine shortages were more pronounced among those who visited public rather than non-public health facilities (OR = 1.7, 95% CI 1.4, 2.1). Respondents who visited public facilities were 4.9 times less likely than those who visited non-public facilities to emphasise the influence of cost in accessing and utilising health care (OR = 4.9, CI 3.9-6.1). A significant difference was also found in the provider-client relationship satisfaction level between non-public (89.1%) and public facilities (74.7%) (OR = 2.8, CI: 1.5-5.0), indicating a level of lower trust in the later. Revised strategies are needed to ensure availability of medicines in public facilities, which are used by the majority of the population, while strengthening private-public partnerships to harmonise healthcare costs. PMID:26883021

  3. The Effect of Acute Rhodiola rosea Ingestion on Exercise Heart Rate, Substrate Utilisation, Mood State, and Perceptions of Exertion, Arousal, and Pleasure/Displeasure in Active Men.

    PubMed

    Duncan, Michael J; Clarke, Neil D

    2014-01-01

    The aim of this study was to examine the effect of acute Rhodiola rosea (R. rosea) ingestion on substrate utilisation, mood state, RPE, and exercise affect. Ten males (mean age ± S.D. = 26 ± 6 years) completed two 30-minute cycling trials at an intensity of 70% of [Formula: see text] following ingestion of either 3?mg·kg(-1) body mass of R. rosea or placebo using a double-blind, crossover design. During exercise, heart rate and RPE were recorded. Participants completed measures of mood state and exercise affect before and after exercise. Expired air samples were taken during exercise to determine substrate utilisation. Repeated measures analysis of variance indicated that RPE was significantly lower at 30 minutes into exercise versus placebo (P = 0.003). Perceptions of arousal (P = 0.05) and pleasure were significantly higher after exercise with R. rosea compared to placebo (P = 0.003). Mood state scores for vigor were also higher in R. rosea condition compared to placebo (P = 0.008). There were no significant differences in energy expenditure, carbohydrate, or fat oxidation between conditions (P > 0.05). Ingestion of R. rosea favourably influenced RPE and exercise affect without changes in energy expenditure or substrate utilization during 30-minute submaximal cycling performance. PMID:26464892

  4. The Effect of Acute Rhodiola rosea Ingestion on Exercise Heart Rate, Substrate Utilisation, Mood State, and Perceptions of Exertion, Arousal, and Pleasure/Displeasure in Active Men

    PubMed Central

    Duncan, Michael J.; Clarke, Neil D.

    2014-01-01

    The aim of this study was to examine the effect of acute Rhodiola rosea (R. rosea) ingestion on substrate utilisation, mood state, RPE, and exercise affect. Ten males (mean age ± S.D. = 26 ± 6 years) completed two 30-minute cycling trials at an intensity of 70% of V˙O2max⁡ following ingestion of either 3 mg·kg−1 body mass of R. rosea or placebo using a double-blind, crossover design. During exercise, heart rate and RPE were recorded. Participants completed measures of mood state and exercise affect before and after exercise. Expired air samples were taken during exercise to determine substrate utilisation. Repeated measures analysis of variance indicated that RPE was significantly lower at 30 minutes into exercise versus placebo (P = 0.003). Perceptions of arousal (P = 0.05) and pleasure were significantly higher after exercise with R. rosea compared to placebo (P = 0.003). Mood state scores for vigor were also higher in R. rosea condition compared to placebo (P = 0.008). There were no significant differences in energy expenditure, carbohydrate, or fat oxidation between conditions (P > 0.05). Ingestion of R. rosea favourably influenced RPE and exercise affect without changes in energy expenditure or substrate utilization during 30-minute submaximal cycling performance. PMID:26464892

  5. A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK

    PubMed Central

    Twomey, Conal D; Baldwin, David S; Hopfe, Maren; Cieza, Alarcos

    2015-01-01

    Objectives To identify variables that predict health service utilisation (HSU) by adults with mental disorders in the UK, and to determine the evidence level for these predictors. Design A narrative synthesis of peer-reviewed studies published after the year 2000. The search was conducted using four databases (ie, PsycINFO, CINAHL Plus with full text, MEDLINE and EMBASE) and completed on 25 March 2014. Setting The majority of included studies were set in health services across primary, secondary, specialist and inpatient care. Some studies used data from household and postal surveys. Participants Included were UK-based studies that predicted HSU by adults with mental disorders. Participants had a range of mental disorders including psychotic disorders, personality disorders, depression, anxiety disorders, eating disorders and dementia. Primary outcome A wide range of HSU outcomes were examined, including general practitioner (GP) contacts, medication usage, psychiatrist contacts, psychotherapy attendances, inpatient days, accident and emergency admissions and ‘total HSU’. Results Taking into account study quality, 28 studies identified a range of variables with good preliminary evidence supporting their ability to predict HSU. Of these variables, comorbidity, personality disorder, age (heterogeneous age ranges), neurotic symptoms, female gender, a marital status of divorced, separated or widowed, non-white ethnicity, high previous HSU and activities of daily living, were associated with increased HSU. Moreover, good preliminary evidence was found for associations of accessing a primary care psychological treatment service and medication use with decreased HSU. Conclusions The findings can inform decisions about which variables might be used to derive mental health clusters in ‘payment by results’ systems in the UK. The findings also support the need to investigate whether combining broad diagnoses with care pathways is an effective method for mental health clustering, and the need for research to further examine the association between mental health clusters and HSU. PMID:26150142

  6. The possibilities of utilisation of heat from Tattapani Geothermal field, India

    SciTech Connect

    Sarolkar, P.B.; Pitale, U.L.

    1996-12-31

    The Tattapani Geothermal field produces + 1800 1pm thermal water of 100{degrees}C from five production wells. The hot water production can sustain electricity production of 300 kWe by using a binary cycle power plant. The heat energy of effluent water from power plant can be utilized for direct heat utilization on horticulture, aquaculture, cold storage, silviculture etc; to augment the economics of the power plant be spot can be developed as a centre for tourist attraction by constructing botanical park, greenhouse, geyser show and crocodile farm. The direct heat utilization shemes can be planned in cascading order to achieve maximum utility of thermal water. Additional deep drilling is essential for optimum commercial utilization of the Geothermal energy. The direct heat utilisation shemes along with binary cycle power plant may help in development of the geothermal energy and boosting the economy of this region.

  7. Détermination du courant d'arc par utilisation de fibres optiques fluorescentes

    NASA Astrophysics Data System (ADS)

    Melouki, B.; Lieutier, M.; Lefort, A.

    1997-02-01

    In this paper, we develop a method of determination of the arc current in a circuit breaker during the interruption. This method is based on the use of an optoelectronic system using a fluorescent optical fibre coupled with a photodetector. The current wave is obtained from the light wave detected by the detection system. Dans cet article, nous développons une méthode permettant de déterminer le courant traversant un disjoncteur lors d'une coupure. Cette méthode utilise un système optoélectronique constitué d'une fibre optique fluorescente couplée à un photodétecteur. L'onde du courant d'arc est obtenue à partir de l'onde lumineuse reçue par le système de détection.

  8. Wildlife resource utilisation at Moremi Game Reserve and Khwai community area in the Okavango Delta, Botswana.

    PubMed

    Mbaiwa, Joseph E

    2005-10-01

    This paper uses the concept of sustainable development to examine the utilisation of wildlife resources at Moremi Game Reserve (MGR) and Khwai community area (NG 18/19) in the Okavango Delta, Botswana. Using both secondary and primary data sources, results show that the establishment of MGR in 1963 led to the displacement of Khwai residents from their land; affected Basarwa's hunting and gathering economy; marked the beginning of resource conflicts between Khwai residents and wildlife managers; and, led to the development of negative attitudes of Khwai residents towards wildlife conservation. Since the late 1980s, a predominantly foreign owned tourism industry developed in and around MGR, however, Khwai residents derive insignificant benefits from it and hence resource conflicts increased. In an attempt to address problems of resource conflicts and promote sustainable wildlife utilisation, the Botswana Government adopted the Community-Based Natural Resource Management (CBNRM) programme, which started operating at Khwai village in 2000. The CBNRM programme promotes local participation in natural resource management and rural development through tourism. It is beginning to have benefits to Khwai residents such as income generation, employment opportunities and local participation in wildlife management. These benefits from CBNRM are thus having an impact in the development of positive attitudes of Khwai residents towards wildlife conservation and tourism development. This paper argues that if extended to MGR, CBNRM has the potential of minimising wildlife conflicts between Khwai residents and the wildlife-tourism sectors. This approach may in the process promote the sustainable wildlife use in and around MGR. PMID:16115724

  9. Utilisation of chemical signals by inquiline wasps in entering their host figs.

    PubMed

    Gu, Ding; Yang, Da-Rong

    2013-10-01

    The fig tree, Ficus curtipes, hosts an obligate pollinating wasp, an undescribed Eupristina sp., but can also be pollinated by two inquiline (living in the burrow, nest, gall, or other habitation of another animal) wasps, Diaziella yangi and an undescribed Lipothymus sp. The two inquilines are unable to independently induce galls and depend on the galls induced by the obligate pollinator for reproduction and, therefore, normally enter receptive F. curtipes figs colonised by the obligate pollinators. However, sometimes the inquilines also enter figs that are not colonised by the pollinators, despite consequent reproductive failure. It is still unknown which signal(s) the inquilines use in entering the colonised and non-colonised figs. We conducted behavioural experiments to investigate several possible signals utilised by the inquilines in entering their host receptive figs. Our investigation showed that both inquiline species enter the receptive F. curtipes figs in response to the body odours of the obligate wasps and one of the main compounds emitted by the figs, 6-methyl-5-hepten-2-one. The compound was not found in the pollinator body odours, suggesting that the two inquiline wasps can utilise two signals to enter their host figs, which is significant for the evolution of the fig-fig wasp system. These inquilines could evolve to become mutualists of the figs if they evolve the ability to independently gall fig flowers; there is, however, another possibility that a monoecious Ficus species hosting such inquilines may evolve into a dioecious one if these inquilines cannot evolve the above-mentioned ability. Additionally, this finding provides evidence for the evolution of chemical communication between plants and insects. PMID:23973817

  10. Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa

    PubMed Central

    2009-01-01

    ABSTRACT Background The study was undertaken among the rural and black communities of the Uthungulu health district of the KwaZulu-Natal province, South Africa. Method A cross-sectional community-based descriptive study was conducted. A multi-stage sampling strategy was adopted to obtain a representative sample of the communities. Results The mean age of the population was 27 years and majority was female (54%). Among the adult population only 30% were educated, 19% were engaged in some form of economic activities while 9% were in the formal employment sector. The average monthly income per household was R1 301 (95% CI, R1 283; R1 308). The illnesses were reported by 27% of the total population over a period of one month. Notably higher rates of female individuals (29%) were sick compared to males (24%, p < 0.001). The rates of illnesses among adult females (39%) were also significantly higher than among males (31%, p < 0.009). Most of them (69%) attended primary health care (PHC) clinics for medical services, while 67% reported chronic conditions. Age (OR = 1.4), gender (OR = 0.711), education (OR = 0.64) and economic activities (OR = 1.9) were found to be associated with being ill or not. Conclusion The rural black communities are underdeveloped and deprived, which results in higher prevalence of illnesses; however, the utilisation of PHC facilities is comparatively higher than in the rest of the province and other parts of the country. Interventions to improve community health care services among the deprived population should be focused through public health strategies such as all-encompassing PHC that includes health promotion, education and basic essential amenities.

  11. Impact of Noncommunicable Disease Multimorbidity on Healthcare Utilisation and Out-Of-Pocket Expenditures in Middle-Income Countries: Cross Sectional Analysis

    PubMed Central

    Lee, John Tayu; Hamid, Fozia; Pati, Sanghamitra; Atun, Rifat; Millett, Christopher

    2015-01-01

    Background The burden of non-communicable disease (NCDs) has grown rapidly in low- and middle-income countries (LMICs), where populations are ageing, with rising prevalence of multimorbidity (more than two co-existing chronic conditions) that will significantly increase pressure on already stretched health systems. We assess the impact of NCD multimorbidity on healthcare utilisation and out-of-pocket expenditures in six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. Methods Secondary analyses of cross-sectional data from adult participants (>18 years) in the WHO Study on Global Ageing and Adult Health (SAGE) 2007–2010. We used multiple logistic regression to determine socio-demographic correlates of multimorbidity. Association between the number of NCDs and healthcare utilisation as well as out-of-pocket spending was assessed using logistic, negative binominal and log-linear models. Results The prevalence of multimorbidity in the adult population varied from 3∙9% in Ghana to 33∙6% in Russia. Number of visits to doctors in primary and secondary care rose substantially for persons with increasing numbers of co-existing NCDs. Multimorbidity was associated with more outpatient visits in China (coefficient for number of NCD = 0∙56, 95% CI = 0∙46, 0∙66), a higher likelihood of being hospitalised in India (AOR = 1∙59, 95% CI = 1∙45, 1∙75), higher out-of-pocket expenditures for outpatient visits in India and China, and higher expenditures for hospital visits in Russia. Medicines constituted the largest proportion of out-of-pocket expenditures in persons with multimorbidity (88∙3% for outpatient, 55∙9% for inpatient visit in China) in most countries. Conclusion Multimorbidity is associated with higher levels of healthcare utilisation and greater financial burden for individuals in middle-income countries. Our study supports the WHO call for universal health insurance and health service coverage in LMICs, particularly for vulnerable groups such as the elderly with multimorbidity. PMID:26154083

  12. How equitable is bed net ownership and utilisation in Tanzania? A practical application of the principles of horizontal and vertical equity

    PubMed Central

    Matovu, Fred; Goodman, Catherine; Wiseman, Virginia; Mwengee, William

    2009-01-01

    Background Studies show that the burden of malaria remains huge particularly in low-income settings. Although effective malaria control measures such as insecticide-treated nets (ITNs) have been promoted, relatively little is known about their equity dimension. Understanding variations in their use in low-income settings is important for scaling up malaria control programmes particularly ITNs. The objective of this paper is to measure the extent and causes of inequalities in the ownership and utilisation of bed nets across socioeconomic groups (SEGs) and age groups in Tanga District, north-eastern Tanzania. Methods A questionnaire was administered to heads of 1,603 households from rural and urban areas. Households were categorized into SEGs using both an asset-based wealth index and education level of the household head. Concentration indices and regression-based measures of inequality were computed to analyse both vertical and horizontal inequalities in ownership and utilisation of bed nets. Focus Group Discussions (FGDs) were used to explore community perspectives on the causes of inequalities. Results Use of ITNs remained appallingly low compared to the RBM target of 80% coverage. Inequalities in ownership of ITNs and all nets combined were significantly pro-rich and were much more pronounced in rural areas. FGDs revealed that lack of money was the key factor for not using ITNs followed by negative perceptions about the effect of insecticides on the health of users. Household SES, living within the urban areas and being under-five were positively associated with bed net ownership and/or utilisation. Conclusion The results highlight the need for mass distribution of ITN; a community-wide programme to treat all untreated nets and to promote the use of Long-Lasting Insecticidal nets (LLINs) or longer-lasting treatment of nets. The rural population and under-fives should be targeted through highly subsidised schemes and mass distribution of free nets. Public campaigns are also needed to encourage people to use treated nets and mitigate negative perceptions about insecticides. PMID:19460153

  13. How Specific Microbial Communities Benefit the Oil Industry: Significant Contribution of Methyl/Methanol-Utilising Methanogenic Pathway in a Subsurface Biogas Environment

    NASA Astrophysics Data System (ADS)

    Str?po?, Dariusz; Ashby, Matt; Wood, Ladonna; Levinson, Rick; Huizinga, Bradley

    Methanogenesis is considered the main terminal process of subsurface anaerobic organic-matter degradation. Previous geochemical studies have reported CO2-reducing and acetoclastic methanogenesis as the predominant subsurface methanogenic pathways for primary and secondary biogenic gas generation (i.e. in oil biodegradation or coalbed methane settings). In lab-scale experiments and microbiology literature, however, methanogens have been shown to be able to utilise a wider variety of substrates, typically containing methyl groups, i.e. dimethyl sulphide (DMS), methyl amines (e.g. TMA), formate, and methanol. Additional methanogenic substrates include CO and other primary alcohols and secondary alcohols (Whitman et al., 2006; Fig. 25.1). Here, we describe a volumetrically important natural biogenic gas field in which these methylotrophic pathways have contributed significantly to biomethane formation.

  14. Towards zero industrial waste: Utilisation of brick dust waste in sustainable construction.

    PubMed

    Kinuthia, J M; Nidzam, R M

    2011-08-01

    Laboratory investigations were carried out to establish the potential utilisation of brick dust (BD) in construction. The dust is a waste material from the cutting of fired clay bricks. Currently, the disposal of the dust is a problem to the brick fabrication company, and hence an environmental pollution concern. The dust was stabilised either used on its own or in combination with Pulverised Fuel Ash (PFA), a by-product material from coal combustion. The traditional stabilisers of lime and/or Portland Cement (PC) were used as controls. The main aim was to use a sustainable stabiliser material, where these stabilisers were partially replaced with Ground Granulated Blastfurnace Slag (GGBS), a by-product material from steel manufacture. Compacted cylinder test specimens were made at typical stabiliser contents and moist cured for up to 56 days prior to testing for compressive and California Bearing Ratio (CBR) strength tests, and to linear expansion during moist curing and subsequent soaking in water. The results obtained showed that partial substitution of the dust with PFA resulted in stronger material compared to using it on its own. The blended stabilisers achieved better performance. These results suggest technological, economic as well as environmental advantages of using the brick dust and similar industrial by-products to achieve sustainable infrastructure development with near zero industrial waste. PMID:21550223

  15. A mathematical model of microbial folate biosynthesis and utilisation: implications for antifolate development.

    PubMed

    Enrique Salcedo-Sora, J; Mc Auley, Mark T

    2016-03-23

    The metabolic biochemistry of folate biosynthesis and utilisation has evolved into a complex network of reactions. Although this complexity represents challenges to the field of folate research it has also provided a renewed source for antimetabolite targets. A range of improved folate chemotherapy continues to be developed and applied particularly to cancer and chronic inflammatory diseases. However, new or better antifolates against infectious diseases remain much more elusive. In this paper we describe the assembly of a generic deterministic mathematical model of microbial folate metabolism. Our aim is to explore how a mathematical model could be used to explore the dynamics of this inherently complex set of biochemical reactions. Using the model it was found that: (1) a particular small set of folate intermediates are overrepresented, (2) inhibitory profiles can be quantified by the level of key folate products, (3) using the model to scan for the most effective combinatorial inhibitions of folate enzymes we identified specific targets which could complement current antifolates, and (4) the model substantiates the case for a substrate cycle in the folinic acid biosynthesis reaction. Our model is coded in the systems biology markup language and has been deposited in the BioModels Database (MODEL1511020000), this makes it accessible to the community as a whole. PMID:26794619

  16. Deposition of nano-hydroxyapatite particles utilising direct and transitional electrohydrodynamic processes.

    PubMed

    Ahmad, Z; Thian, E S; Huang, J; Edirisinghe, M J; Best, S M; Jayasinghe, S N; Bonfield, W; Brooks, R A; Rushton, N

    2008-09-01

    Electrohydrodynamic spraying is a well established process used to deposit, coat, analyse and synthesise materials within the biomedical remit. Recently, electrohydrodynamic printing has been developed to afford structures for potential applications in the biomedical and medical engineering fields. Both of these processes rely on the formation of an electrically-induced jet, however the resulting products can be made strikingly different and offer potential in broader applications. Here we show how spraying and printing are linked by elucidating the ease of transition between the processes. Changes in the deposition distance can result in either spray (>10 mm) or print formation (<3 mm), with an overlap of the two in between this range. For the optimal printing distance of 0.5 mm, gradual changes in the applied voltage (0-4.5 kV) encounters transitional printing modes (dripping, micro-dripping, rapid micro-dripping, unstable and stable jetting) which can be utilised for patterning. The results indicate the robustness of the electrohydrodynamic route in the nano-materials processing arena, with emphasis on biomedical materials. PMID:18392668

  17. Establishing long-term vegetational cover on acidic mining waste tips by utilising consolidated sewage sludges

    NASA Astrophysics Data System (ADS)

    Metcalfe, B.

    1990-03-01

    Many mining wastes in West Yorkshire contain a readily oxidisable form of iron pyrite. Pyritic oxidation generates sulphuric acid, which can rapidly destroy the vegetation established upon such restored sites, leading to problems of erosion. A joint project between Yorkshire Water and the Ecological Advisory Service commenced in 1981 to determine whether consolidated sewage sludge could provide an answer to these problems. Pot trials, growing various amenity and agricultural grass mixtures in substrates consisting of acidic mine wastes and sewage sludges, were undertaken, Substrate pH was found to be stabilised and the mixture proved to be highly fertile, sustaining good grass production over a period of nine years. The grasses were monitored for the uptake of the potentially toxic elements (PTE) Cr, Ni, Cu, Zn, Cd and Pb, which were found to be present in quantities significantly lower than both phyto- and zootoxic levels. These trials progressed, with the co-operation of Local Government Authorities to field scale reclamation. Sites reclaimed by the method developed, have been continualy monitored for substrate ph and PTE uptake into the sward at monthly intervals for five years in some cases, and the technique has been shown to be successful, providing a seed bed resistant to acid regression whilst sustaining high sward productivity and low PTE uptake. Approximately forty hectares of previously derelict colliery waste tips have now been reclaimed by this method which utilises 700 tDSha-1 of consolidated sewage sludge.

  18. Utilisation of CryoSat-2 SAR altimeter in operational ice charting

    NASA Astrophysics Data System (ADS)

    Rinne, E.; Similä, M.

    2016-01-01

    We present methods to utilise CryoSat-2 (CS-2) synthetic aperture radar (SAR) mode data in operational ice charting. We compare CS-2 data qualitatively to SAR mosaics over the Barents and Kara seas. Furthermore, we compare the CS-2 to archived operational ice charts. We present distributions of four CS-2 waveform parameters for different ice types as presented in the ice charts. We go on to present an automatic classification method for CS-2 data which, after training with operational ice charts, is capable of determining open ocean from ice with a hit rate of > 90 %. The training data are dynamically updated every 5 days using the most recent 15 days of CS-2 data and operative ice charts. This helps the adaption of the classifier to the evolving ice/snow conditions throughout winter. The classifier is also capable of detecting three different ice classes (thin and thick first-year ice as well as old ice) with success rates good enough for the output to be usable to support operational ice charting. Finally, we present a near-real-time CS-2 product just plotting the waveform characteristics and conclude that even such a simple product is usable for some of the needs of ice charting.

  19. Hierarchical zeolites: enhanced utilisation of microporous crystals in catalysis by advances in materials design.

    PubMed

    Pérez-Ramírez, Javier; Christensen, Claus H; Egeblad, Kresten; Christensen, Christina H; Groen, Johan C

    2008-11-01

    The introduction of synthetic zeolites has led to a paradigm shift in catalysis, separations, and adsorption processes, due to their unique properties such as crystallinity, high-surface area, acidity, ion-exchange capacity, and shape-selective character. However, the sole presence of micropores in these materials often imposes intracrystalline diffusion limitations, rendering low utilisation of the zeolite active volume in catalysed reactions. This critical review examines recent advances in the rapidly evolving area of zeolites with improved accessibility and molecular transport. Strategies to enhance catalyst effectiveness essentially comprise the synthesis of zeolites with wide pores and/or with short diffusion length. Available approaches are reviewed according to the principle, versatility, effectiveness, and degree of reality for practical implementation, establishing a firm link between the properties of the resulting materials and the catalytic function. We particularly dwell on the exciting field of hierarchical zeolites, which couple in a single material the catalytic power of micropores and the facilitated access and improved transport consequence of a complementary mesopore network. The carbon templating and desilication routes as examples of bottom-up and top-down methods, respectively, are reviewed in more detail to illustrate the benefits of hierarchical zeolites. Despite encircling the zeolite field, this review stimulates intuition into the design of related porous solids (116 references). PMID:18949124

  20. Differential utilisation of health facilities and services for childbirth in Peninsula Malaysia--the ethnic factor.

    PubMed

    Arhsat, H; Tan Boon Ann; Tey Nai Peng

    1985-12-01

    The ethnic factor in the differential utilization of the health facilities in Peninsular Malaysia is examined. Data from the Malaysian Population and Family Survey 1984/85 show that about 45% of the births were delivered in the government hospitals, 15% in the private hospitals/clinics and the remaining 40% were delivered at home. Utilisation of these facilities varies greatly by ethnicity. The Malays have the greatest tendency to choose home delivery (60%), as opposed to institutional delivery (40%). Although urbanization and better socioeconomic conditions have led to an increase in institutional delivery, social customs continue to exert an influence on their behavior in favor of home delivery. Almost all Chinese babies are delivered in hospitals or clinics, with those from the higher social class showing a tendency to resort to the use of private hospitals/clinics for delivery. Indians were the most frequent users of government hospital across nearly all the social strata. While institutional deliveries were all attended by trained personnel, about 71% of the home deliveries were attended by government midwives and 24% by village midwives or other untrained persons, and only 5% were delivered by a doctor or a nurse. PMID:12314737

  1. Post-translational processing of selenoprotein P: implications of glycosylation for its utilisation by target cells.

    PubMed

    Steinbrenner, Holger; Alili, Lirija; Stuhlmann, Dominik; Sies, Helmut; Brenneisen, Peter

    2007-10-01

    Selenoprotein P (SeP) is a highly glycosylated plasma protein containing up to 10 selenocysteine residues. It is secreted by hepatocytes and also by the human hepatoma cell line HepG2. Pharmacological inhibitors interfering with N-glycosylation, intracellular trafficking and calcium homeostasis were applied to examine post-translational processing and secretion of SeP by HepG2 cells. In parallel, the prototypic secretory glycoprotein alpha1-antitrypsin was used as technical control. Secretion of SeP was stimulated by increasing the extracellular calcium concentration and by inhibiting the release of sequestered calcium through dantrolene or U-73122. In contrast, brefeldin A and thapsigargin suppressed SeP secretion. Tunicamycin and monensin induced the synthesis of truncated non-glycosylated and partially glycosylated forms of SeP, which were secreted in spite of their impaired glycosylation. Both non-glycosylated and partially glycosylated SeP is utilised as selenium donor by target cells: impaired glycosylation affected neither the ability of SeP to induce the synthesis of the selenoenzyme cytosolic glutathione peroxidase nor its capacity to protect endothelial cells from oxidative stress. PMID:17937618

  2. 'Sometimes they fail to keep their faith in us': community health worker perceptions of structural barriers to quality of care and community utilisation of services in Bangladesh.

    PubMed

    Puett, Chloe; Alderman, Harold; Sadler, Kate; Coates, Jennifer

    2015-10-01

    Community health workers (CHWs) have strong potential to extend health and nutrition services to underserved populations. However, CHWs face complex challenges when working within weak health systems and among communities with limited abilities to access and utilise CHW services. It is crucial to understand these challenges to improve programme support mechanisms. This study describes the results of qualitative investigations into CHW perceptions of barriers to quality of care among two groups of workers implementing community case management of acute respiratory infection, diarrhoea and severe acute malnutrition in southern Bangladesh. We explored systemic barriers to service delivery, pertaining to communities and health systems, which limited the usefulness and effectiveness of CHW services. Focus group discussions (n = 10) were conducted in March 2010. Discussions were analysed for themes related to CHWs' work challenges. Findings highlight several perceived barriers to effective service provision, including community poverty constraining uptake of recommended practices, irregular supplies of medicine from the health facility and poor quality of care for CHW referrals sent there. This study further documents interactions between demand-side and supply-side constraints including the influence of health system resource constraints on community trust in CHW services, and the influence of community resource constraints on the utilisation and effectiveness of CHW services. By documenting service delivery challenges from the perspective of the frontline workers themselves, this article contributes evidence to help identify appropriate support mechanisms for these workers, in order to develop scalable and sustainable CHW programmes in countries with under-resourced public health care infrastructure. PMID:23941290

  3. Preliminary observations on accessibility and utilisation of water in selected villages in Dodoma Rural and Bagamoyo Districts, Tanzania

    NASA Astrophysics Data System (ADS)

    Kusiluka, L. J. M.; Mlozi, M. R. S.; Munishi, P. K. T.; Karimuribo, E. D.; Luoga, E. J.; Mdegela, R. H.; Kambarage, D. M.

    A study was carried out to establish the availability and utilisation of water in eight villages in Dodoma Rural and Bagamoyo districts, Tanzania. A total of 128 respondents were interviewed, involving 64 people in each district. The study revealed that the main sources of water for domestic and animal uses in Dodoma district were wells and dams, while in Bagamoyo district; the main sources were dams and ponds. Nine percent of the respondents reported water to be ‘readily available’, whereas 50% and 41% reported water to be ‘not easily available’ and ‘problematic’, respectively. Distances travelled to the nearest water source were in the range of 0.5-2.0, 0.25-15.00 and 0.5-14.40 km for the respondents who reported water as “readily available”, “not easily available” and “problematic”, respectively and, the corresponding time taken to the nearest water source was 0.17-2.00; 0.10-6.00 and 0.17-5.00 hours for the three categories of respondents respectively. More than two-thirds of the respondents reported that water sources were shared between households and also 71.9% reported sharing of water sources with animals, particularly cattle, sheep and goats. The proportions of respondents that reported occurrence of enteric or diarrhoeic cases amongst household members within the past three months before the study were 35.9% and 37.5% in Dodoma and Bagamoyo districts, respectively. All respondents in Dodoma district had latrines whereas 84% in Bagamoyo district had these facilities. All except one of the respondents who had no latrines in Bagamoyo district were based in Chamakweza, a village dominated by a Maasai pastoral community. Interestingly, a significantly higher proportion of diarrhoeic cases were reported in this village compared to the other three villages in Bagamoyo district ( p = 0.029). These findings show that availability of safe water is a serious problem in the study areas and that this may have serious consequences on public health. Studies to establish the association between water quality and magnitude of zoonotic enteric pathogens are underway.

  4. Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital Universiti Sains Malaysia

    PubMed Central

    2010-01-01

    Background The aims of this study were to determine factors associated with dental visit and to describe barriers to utilisation of oral health care services among antenatal mothers attending the Obstetric and Gynaecology Specialist clinic in Hospital Universiti Sains Malaysia. Methods A structured, self-administered questionnaire was used obtain information on the variables of interest pertaining to the current pregnancy from 124 antenatal mothers. Results The majority of the mothers claimed that their oral health status was good (67.0%) or very good (2.4%). On the contrary, most of them admitted of having had at least one oral health problem (59.7%) including cavitated (43.5%) and painful teeth (15.3%), bleeding gum (21.0%), and bad breath (10.5%). However, only 29% of the mothers visited dentist during the current pregnancy. Factors associated with the mothers' dental visit were exposure to oral health education before the pregnancy and awareness of relationship between poor maternal oral health and adverse pregnancy outcomes with odds ratio of 4.06 (95% CI: 1.67-9.78) and 3.57 (95% CI: 1.30-9.77) respectively. Common excuses given by most mothers include perceptions of not having any oral health problems (65.9%), long waiting time at the clinic (71.6%), and no immediate treatment given by the dentist (64.8%). Conclusions Utilisation of oral health care services among antenatal mothers was low. Mothers who reported dental visit were more likely to be those who had received oral health education before the current pregnancy and knew of the association between poor maternal oral health and adverse pregnancy outcomes. Dissatisfaction with the services rendered and perceptions of not having any oral health problems were the main barriers. PMID:20163741

  5. Investigation of Matlab® as platform in navigation and control of an Automatic Guided Vehicle utilising an omnivision sensor.

    PubMed

    Kotze, Ben; Jordaan, Gerrit

    2014-01-01

    Automatic Guided Vehicles (AGVs) are navigated utilising multiple types of sensors for detecting the environment. In this investigation such sensors are replaced and/or minimized by the use of a single omnidirectional camera picture stream. An area of interest is extracted, and by using image processing the vehicle is navigated on a set path. Reconfigurability is added to the route layout by signs incorporated in the navigation process. The result is the possible manipulation of a number of AGVs, each on its own designated colour-signed path. This route is reconfigurable by the operator with no programming alteration or intervention. A low resolution camera and a Matlab® software development platform are utilised. The use of Matlab® lends itself to speedy evaluation and implementation of image processing options on the AGV, but its functioning in such an environment needs to be assessed. PMID:25157548

  6. Investigation of Matlab® as Platform in Navigation and Control of an Automatic Guided Vehicle Utilising an Omnivision Sensor

    PubMed Central

    Kotze, Ben; Jordaan, Gerrit

    2014-01-01

    Automatic Guided Vehicles (AGVs) are navigated utilising multiple types of sensors for detecting the environment. In this investigation such sensors are replaced and/or minimized by the use of a single omnidirectional camera picture stream. An area of interest is extracted, and by using image processing the vehicle is navigated on a set path. Reconfigurability is added to the route layout by signs incorporated in the navigation process. The result is the possible manipulation of a number of AGVs, each on its own designated colour-signed path. This route is reconfigurable by the operator with no programming alteration or intervention. A low resolution camera and a Matlab® software development platform are utilised. The use of Matlab® lends itself to speedy evaluation and implementation of image processing options on the AGV, but its functioning in such an environment needs to be assessed. PMID:25157548

  7. A simple solution to the problem of effective utilisation of the target material for pulsed laser deposition of thin films

    NASA Astrophysics Data System (ADS)

    Kuzanyan, A. S.; Kuzanyan, A. A.; Petrosyan, V. A.; Pilosyan, S. Kh; Grasiuk, A. Z.

    2013-12-01

    The factors determining the efficiency of the target material utilisation for pulsed laser deposition of films are considered. The target volume is calculated, which is evaporated in the ablation process by the focused laser radiation having a rectangular form. The new device is suggested and developed for obtaining thin films by the method of laser deposition, which is specific in the employment of a simple optical system mounted outside a deposition chamber that comprises two lenses and the diaphragm and focuses the laser beam onto a target in the form of a sector-like spot. Thin films of CuO and YBaCuO were deposited with this device. Several deposition cycles revealed that the target material is consumed uniformly from the entire surface of the target. A maximal spread of the target thickness was not greater than +/-2% both prior to deposition and after it. The device designed provides a high coefficient of the target material utilisation efficiency.

  8. Increased utilisation of PEPFAR-supported laboratory services by non-HIV patents in Tanzania

    PubMed Central

    McNairy, Margaret L.; Gwynn, Charon; Rabkin, Miriam; Antelman, Gretchen; Wu, Yingfeng; Alemayehu, Bereket; Lim, Travis; Imtiaz, Rubina; Mosha, Fausta; Mwasekaga, Michael; Othman, Asha A.; Justman, Jessica

    2016-01-01

    Background It is unknown to what extent the non-HIV population utilises laboratories supported by the President's Emergency Plan for AIDS Relief (PEPFAR). Objectives We aimed to describe the number and proportion of laboratory tests performed in 2009 and 2011 for patients referred from HIV and non-HIV services (NHSs) in a convenience sample collected from 127 laboratories supported by PEPFAR in Tanzania. We then compared changes in the proportions of tests performed for patients referred from NHSs in 2009 vs 2011. Methods Haematology, chemistry, tuberculosis and syphilis test data were collected from available laboratory registers. Referral sources, including HIV services, NHSs, or lack of a documented referral source, were recorded. A generalised linear mixed model reported the odds that a test was from a NHS. Results A total of 94 132 tests from 94 laboratories in 2009 and 157 343 tests from 101 laboratories in 2011 were recorded. Half of all tests lacked a documented referral source. Tests from NHSs constituted 42% (66 084) of all tests in 2011, compared with 31% (29 181) in 2009. A test in 2011 was twice as likely to have been referred from a NHS as in 2009 (adjusted odds ratio: 2.0 [95% confidence interval: 2.0–2.1]). Conclusion Between 2009 and 2011, the number and proportion of tests from NHSs increased across all types of test. This finding may reflect increased documentation of NHS referrals or that the laboratory scale-up originally intended to service the HIV-positive population in Tanzania may be associated with a ‘spillover effect’ amongst the general population. PMID:26962475

  9. Health status in Swedish burn patients. Assessment utilising three variants of the Burn Specific Health Scale.

    PubMed

    Kildal, Morten; Andersson, Gerhard; Gerdin, Bengt

    2002-11-01

    Perceived health in a consecutive group of major burn patients treated at the Uppsala University Hospital Burn Unit from 1980 to 1995 is reported. The three published variants of the Burn Specific Health Scale (BSHS), i.e. BSHS-Abbreviated (BSHS-A); BSHS-Revised (BSHS-R); BSHS-Brief (BSHS-B) were used in concert for this purpose in order to allow for a comparison of the instruments. Two hundred and forty-eight of 350 former patients (response rate 70.9%; mean total body surface area (TBSA) 23.1% (S.D.=16.2%)) responded to 94 items from previous versions of the BSHS at a mean of 9.3 (S.D.=4.8) years after injury. All three versions of the BSHS gave similar results with respect to global outcome on a group level. Correlations among the three different instruments were high, but were strongest between BSHS-B and BSHS-R (r=0.99). The largest impact on health was seen for Role Activities in BSHS-A, and Heat Sensitivity and Work in both BSHS-R and BSHS-B. There were significant relationships between sociodemographic variables (e.g. work, partnership and living) and self-reported outcome. Men reported better overall outcome than women did. The presence of a full thickness burn was associated with worse outcome with respect to several domains. The apparent variability in outcome pattern between different domains underscores the importance of utilising a broad instrument with adequate content validity. PMID:12417157

  10. Light Levels Affect Carbon Utilisation in Tropical Seagrass under Ocean Acidification

    PubMed Central

    2016-01-01

    Under future ocean acidification (OA), increased availability of dissolved inorganic carbon (DIC) in seawater may enhance seagrass productivity. However, the ability to utilise additional DIC could be regulated by light availability, often reduced through land runoff. To test this, two tropical seagrass species, Cymodocea serrulata and Halodule uninervis were exposed to two DIC concentrations (447 μatm and 1077 μatm pCO2), and three light treatments (35, 100, 380 μmol m-2 s-1) for two weeks. DIC uptake mechanisms were separately examined by measuring net photosynthetic rates while subjecting C. serrulata and H. uninervis to changes in light and addition of bicarbonate (HCO3-) use inhibitors (carbonic anhydrase inhibitor, acetazolamide) and TRIS buffer (pH 8.0). We observed a strong dependence on energy driven H+-HCO3- co-transport (TRIS, which disrupts H+ extrusion) in C. serrulata under all light levels, indicating greater CO2 dependence in low light. This was confirmed when, after two weeks exposure, DIC enrichment stimulated maximum photosynthetic rates (Pmax) and efficiency (α) more in C. serrulata grown under lower light levels (36–60% increase) than for those in high light (4% increase). However, C. serrulata growth increased with both DIC enrichment and light levels. Growth, NPP and photosynthetic responses in H. uninervis increased with higher light treatments and were independent of DIC availability. Furthermore, H. uninervis was found to be more flexible in HCO3- uptake pathways. Here, light availability influenced productivity responses to DIC enrichment, via both carbon fixation and acquisition processes, highlighting the role of water quality in future responses to OA. PMID:26938454

  11. Can silicon isotopes be used to assess anthropogenic impacts and nutrient utilisation in Lake Baikal, Siberia?

    NASA Astrophysics Data System (ADS)

    Swann, G. E. A.; Panizzo, V. N.; Mackay, A. W.; Roberts, S.; Vologina, E.; Horstwood, M. S.

    2014-12-01

    Silicon isotope geochemistry (28Si, 29Si, 30Si) represents a growing field in Earth Sciences providing information to constrain and understand biogeochemical cycling on land and in oceans. Here we present records of δ30Si (30Si/28Si) from the Lake Baikal drainage basin in central Siberia to understand silicon cycling through the dominant river tributaries and into Lake Baikal itself, the world's deepest and most voluminous lake containing one fifth of all freshwater not stored in glaciers and ice caps.Waters were collected along an upstream transect for the five dominant Lake Baikal inflows as well as from the Selenga Delta which account for >50% of the annual riverine flow to the lake. Samples for dissolved silicon (DSi) concentrations and silicon isotopic signatures (δ30SiDSi) were filtered and acidified in the field with isotopic analyses conducted on a Neptune + Multi-Collector ICP-MS using wet plasma mode with Mg doping of samples and standard-sample-standard bracketing. Analytical reproducibility is 0.11‰ (2σ) and blanks are <1% of signal intensity. The DSi concentration of all river inflow samples varies from c. 2.5-6.3 ppm, which contrasts with concentrations of < 1ppm from the Angara River, the lake's only outflow. Combined with river δ30SiDSi values of c. + 0.94 to +1.52‰ and lake water and outflow values of c. +2.50‰, the results show significant (up to 60%) biological utilisation of silicon entering the lake.With the Lake Baikal having been designated a World Heritage Site since 1996, due to its high level of biological endemicity, the work in combination with sediment cores from the lake provides an insight into the transportation and fate of silicon in the basin and an assessment of how climate change and expanding anthropogenic activities in the region including urbanisation, deforestation, agriculture and mining have impacted biogeochemical cycling.

  12. Light Levels Affect Carbon Utilisation in Tropical Seagrass under Ocean Acidification.

    PubMed

    Ow, Yan X; Uthicke, Sven; Collier, Catherine J

    2016-01-01

    Under future ocean acidification (OA), increased availability of dissolved inorganic carbon (DIC) in seawater may enhance seagrass productivity. However, the ability to utilise additional DIC could be regulated by light availability, often reduced through land runoff. To test this, two tropical seagrass species, Cymodocea serrulata and Halodule uninervis were exposed to two DIC concentrations (447 μatm and 1077 μatm pCO2), and three light treatments (35, 100, 380 μmol m-2 s-1) for two weeks. DIC uptake mechanisms were separately examined by measuring net photosynthetic rates while subjecting C. serrulata and H. uninervis to changes in light and addition of bicarbonate (HCO3-) use inhibitors (carbonic anhydrase inhibitor, acetazolamide) and TRIS buffer (pH 8.0). We observed a strong dependence on energy driven H+-HCO3- co-transport (TRIS, which disrupts H+ extrusion) in C. serrulata under all light levels, indicating greater CO2 dependence in low light. This was confirmed when, after two weeks exposure, DIC enrichment stimulated maximum photosynthetic rates (Pmax) and efficiency (α) more in C. serrulata grown under lower light levels (36-60% increase) than for those in high light (4% increase). However, C. serrulata growth increased with both DIC enrichment and light levels. Growth, NPP and photosynthetic responses in H. uninervis increased with higher light treatments and were independent of DIC availability. Furthermore, H. uninervis was found to be more flexible in HCO3- uptake pathways. Here, light availability influenced productivity responses to DIC enrichment, via both carbon fixation and acquisition processes, highlighting the role of water quality in future responses to OA. PMID:26938454

  13. Feasibility of utilising an infrared-thermographic technique for early detection of subclinical mastitis in dairy camels (Camelus dromedarius).

    PubMed

    Samara, Emad M; Ayadi, Moez; Aljumaah, Riyadh S

    2014-02-01

    Despite the proven ability of infrared thermography (IRT) technology for early detection of subclinical mastitis in dairy cows/sheep/goats, studies on its diagnostic feasibility in dairy camels are lacking. Sixty-five lactating camels in mid lactation, machine milked twice-daily and managed under intensive conditions were screened to evaluate the feasibility of utilising IRT compared with other routine indicators in detecting subclinical mastitis. Immediately before the morning milking, a portable infrared camera was used to obtain thermograms in duplicate for the front and rear left quarters to determine the udder surface temperature (UST). Thereafter, milk samples from quarters were collected, and processed for California mastitis test (CMT) score and somatic cell count (SCC). In the present study, CMT score was used to define subclinical mastitis and the feasibility of IRT to detect subclinical mastitis was compared with CMT and SCC. According to CMT score, subclinical mastitic udders had an average UST of 1·42 °C greater (P<0·0001) than healthy udders. The relationship between UST and CMT was found to be highly correlated (r=0·77; P<0·001), and UST was linearly increased as the CMT increased [UST (°C)=34·86+0·66×CMT score; R 2=0·65; P<0·001]. Additionally, high correlations were obtained between UST and SCC score (r=0·75; P<0·001) and the relationship between UST and SCC was fitted best to a logarithmic equation [UST, °C=33·39+0·88×Log (SCC, ×103 cells/ml), R 2=0·61, P<0·001]. The cut-off value, sensitivity, specificity and area under the receiver operating characteristics (ROC) curve for UST were 35·15 °C, 0·90, 0·98, and 0·95, respectively, when subclinical mastitis was defined according to CMT score, and were 35·70 °C, 0·89, 0·96 and 0·94, respectively, when categorised according to the obtained SCC threshold (SCC=432 000 cells/ml). In conclusion, IRT, as an indirect non-invasive screening method, was highly feasible for distinguishing subclinical mastitic udders in dairy camels, which is crucial to treat mastitis early and efficiently. PMID:24331516

  14. Utilisation of Blood Components in Cardiac Surgery: A Single-Centre Retrospective Analysis with Regard to Diagnosis-Related Procedures

    PubMed Central

    Geissler, Raoul Georg; Rotering, Heinrich; Buddendick, Hubert; Franz, Dominik; Bunzemeier, Holger; Roeder, Norbert; Kwiecien, Robert; Sibrowski, Walter; Scheld, Hans H.; Martens, Sven; Schlenke, Peter

    2015-01-01

    Background More blood components are required in cardiac surgery than in most other medical disciplines. The overall blood demand may increase as a function of the total number of cardiothoracic and vascular surgical interventions and their level of complexity, and also when considering the demographic ageing. Awareness has grown with respect to adverse events, such as transfusion-related immunomodulation by allogeneic blood supply, which can contribute to morbidity and mortality. Therefore, programmes of patient blood management (PBM) have been implemented to avoid unnecessary blood transfusions and to standardise the indication of blood transfusions more strictly with aim to improve patients' overall outcomes. Methods A comprehensive retrospective analysis of the utilisation of blood components in the Department of Cardiac Surgery at the University Hospital of Münster (UKM) was performed over a 4-year period. Based on a medical reporting system of all medical disciplines, which was established as part of a PBM initiative, all transfused patients in cardiac surgery and their blood components were identified in a diagnosis- and medical procedure-related system, which allows the precise allocation of blood consumption to interventional procedures in cardiac surgery, such as coronary or valve surgery. Results This retrospective single centre study included all in-patients in cardiac surgery at the UKM from 2009 to 2012, corresponding to a total of 1,405-1,644 cases per year. A blood supply was provided for 55.6-61.9% of the cardiac surgery patients, whereas approximately 9% of all in-patients at the UKM required blood transfusions. Most of the blood units were applied during cardiac valve surgery and during coronary surgery. Further surgical activities with considerable use of blood components included thoracic surgery, aortic surgery, heart transplantations and the use of artificial hearts. Under the measures of PBM in 2012 a noticeable decrease in the number of transfused cases was observed compared to the period from 2009 to 2011 before implementation of the PBM initiative (red blood cells p < 0.002; fresh frozen plasma p < 0.0006; platelets p < 0.00006). Conclusion Until now, cardiac surgery comes along with a significant blood supply. By using a case-related data evaluation programme, the consumption of each blood component can be linked to clinical performance groups and, if necessary, to individual patients. Based on the results obtained from this retrospective analysis, prospective studies are underway to begin conducting target / actual performance comparisons to better understand the individual decision-making by the attending physicians with respect to transfusions. PMID:26019702

  15. Without gaps - 3D photo-reconstruction of gully headcuts by combined utilisation of UAV and close-range photogrammetry

    NASA Astrophysics Data System (ADS)

    Stöcker, Claudia; Karrasch, Pierre; Eltner, Anette

    2015-04-01

    Gully erosion is a worldwide phenomenon causing permanent degradation of fertile land. Especially in the Mediterranean, gullies contribute to high soil loss rates which necessitate multi-temporal and high resolution monitoring. Gullies naturally exhibit complex surface morphologies and hence are difficult to measure. Images acquired airborne or terrestrial are possible data sources for digital gully modelling due to availing of photogrammetric methods to achieve 3D models. In this regard unmanned airborne vehicles (UAVs) allow for low cost, flexible and frequent areal gully monitoring, but exhibit limitations as a result of the birds-eye view - i.e. at steep sidewalls and overhanging areas. Terrestrial images offer advantages at local assessments and can be obtained spontaneously as needed. However, images acquired from ground are not able to ensure areal coverage. To integrate the advantages of both data sources and to overcome the above mentioned limitations, this study introduces a methodological approach of combined utilisation of nadir UAV data and oblique terrestrial images for 3D photo reconstruction. Two gully headcuts in Andalusia (Spain) are analysed to confirm the suitability of the synergetic data usage. The results show that the UAV model of the gully, generated from images from flying heights of 15 m, implies inconsistency of data at slope gradients of 50 to 60 °. To eliminate these gaps additional terrestrial images can be integrated, which are geo-referenced solely using information of the already calculated 3D model and orthophoto from the UAV images. Referencing errors of the terrestrial point clouds are fixed by applying fine registration. The final merged digital gully model reveals a resolution of 0.5 cm and an accuracy of 1 cm. Concluding, high density point clouds based on the fusion of UAV and terrestrial image data show a significant improvement of 3D photo-reconstruction of two gully headcuts compared to detached processing of single data sources. This allows for new insights into gully morphology because comprehensive gully models can be calculated with high spatial resolution and at frequent intervals, which enables multi-temporal monitoring and 3D volume change computations.

  16. Rapakivi Granite: An architectural emblem of St Petersburg and its utilisation in other world cities

    NASA Astrophysics Data System (ADS)

    Bulakh, Andrey; Gavrilenko, Vladimir; Panova, Helen

    2015-04-01

    The wide-ranging utilisation of Rapakivi Granite in St Petersburg is typified by the the famous Alexander Column, and 114 stone columns of St Isaac's Cathedralas well as the pedestal of the Nicholas I monument, and portals and basements of buildings of the Admiralty, General Staff, Senate and Synod. The stone is also frequently seen among pavement slabs and in parapets of embankments and bridges around the city. This list of examples where Rapakivi Granite has been used could be expanded further. All Rapakivi Granites used in the buildings of St.Petersburg were quarried from the so-called Vyborg massif. At present it has been found that the massif occupies an area of about 18 000 km2. In the past granite of the Vyborg massif was worked from several quarries in the vicinity of Fredrikshamn (Hamina) in Finland for use in St Peterburg. The best known granite quarries are at Piterlaks (Piuterlahti) and Gimmekyul (Hämeenkylä). Sometimes Rapakivi Granite form Finland differs in appearance from typical varieties. Thus columns of a classical portal in the house at N 7 in Pochtamtskaya Street are hewn from this greyish variety. Other examples are the plinth of the General Staff and Trade Store buildings. After the 1960s varieties from the Leningrad district, and Korosten (Ukraine) massifs were used in St Petersburg. Today it is possible to find examples of Rapakivi Granite from Finland in cities in the USA, South Africa, United Kingdom and Germany. It is a long used stone as demonstrated by its cultural heritage. It is also used as an ornamental or decorative stone in modern architecture. References: 1) Bulakh, A.G., Abakumova, N.B., and Romanovsky, J.V. St Petersburg: a History in Stone. 2010. Print House of St Petersburg State University. 173 p. (In English). 2) Tutakova, A.Ya., Romanovskiy, A.Z., Bulakh, A.G., and Leer, V.I. Dimension Stone of the Leningrad Region. Granites of the Karelia Isthmus in Architecture of the Modern St Petersburg. 2011. St Petersburg. 78 p. (In Russian). 3) Bulakh, A. G. Stone Town Guide, St Petersburg, 1-5. URL: [PDF] stone - GTK - Projects projects.gtk.fi/export/.../Bulakh_Stone_Guide 4) Paavo, H, Selonen, O, Luodes, H. The Wiborg Granite Batholith. The Main Production Area for Granite in Finland. Engineering Geology for Society and Territory - Volume 5. Springer. 2015. P. 259-262. 5) Bulakh, A. G. Ornamental Stone in the History of St Petersburg Architecture. Geological Society, London, 2015. SP407. Global Heritage Stone: Towards International Recognition of Building and Ornamental Stones.

  17. Mise à jour sur l’utilisation clinique de la buprénorphine

    PubMed Central

    Ducharme, Simon; Fraser, Ronald; Gill, Kathryn

    2012-01-01

    Résumé Objectif Examiner les données scientifiques actuelles sur la buprénorphine-naloxone pour le traitement des troubles liés aux opioïdes, en insistant sur le contexte des soins primaires. Qualité des données On a fait une recension dans MEDLINE et la base de données Cochrane des synthèses critiques. Les données probantes sont surtout de niveau I. Message principal La buprénorphine est un agoniste partiel des récepteurs μ des opioïdes et un antagoniste des récepteurs κ des opioïdes ayant une longue demi-vie et un potentiel moins grand que la méthadone d’entraîner un usage abusif. Pour une désintoxication, la buprénorphine est au moins équivalente à la méthadone et supérieure à la clonidine. Comme thérapie de substitution, la buprénorphine est clairement supérieure au placebo. La méthadone comporte de légers avantages en ce qui a trait à la rétention en thérapie, mais une approche par étape en utilisant initialement la buprénorphine-naloxone est aussi efficace. Il est possible, sécuritaire et efficace de recourir à la buprénorphine en milieu de soins primaires. On peut obtenir l’autorisation de prescrire de la buprénorphine après avoir suivi une formation en ligne. Conclusion La buprénorphine est un agent sécuritaire et efficace pour la désintoxication en cas de dépendance aux opioïdes. Elle peut servir d’agent de première intention dans les programmes de thérapie de substitution, en raison de son potentiel plus faible d’usage abusif en comparaison d’autres opioïdes. Son efficacité en milieux de soins primaires en fait un outil thérapeutique utile pour les médecins de famille.

  18. A transpose optical interconnect utilising metamaterial Luneburg waveguide lenses for switch fabric on-a-chip applications

    NASA Astrophysics Data System (ADS)

    Nikkhah, Hamdam; Hall, Trevor

    2013-03-01

    Advances in silicon photonics motivate the consideration of on-chip switch fabrics that combine switch elements into larger port-count switches. A major challenge is the large number of inter-stage waveguide crossovers. A novel freespace architecture utilising micro-lenses, capable of near zero insertion loss and crosstalk, is described and its principles of operation explained. The architecture is mapped to a planar implementation by the substitution of propagation in a slab-waveguide for free-space propagation and Luneburg lenses for the micro-lenses. Simulations show the careful approximation of the graded index of the Luneburg lens by a metamaterial introduces minimal additional crosstalk.

  19. Génération d'un supercontinumm utilisant le doublage et le triplage de fréquence dans une fibre microstructurée

    NASA Astrophysics Data System (ADS)

    Lesvigne, C.; Tombelaine, V.; Grossard, L.; Leproux, P.; Blondy, J. M.; Auguste, J. L.; Roy, P.; Couderc, V.; Huss, G.; Pioger, P. H.

    2006-10-01

    Nous présentons une nouvelle méthode permettant de générer un supercontinuum ultra large entre 240?et 1800?nm. Ce principe utilise une source de pompage unique à 1064?nm injectée dans une fibre optique microstructurée fortement non linéaire et biréfringente à profil innovant. L'élargissement spectral est engendré par des effets d'instabilités modulationnelles en fort régime de dispersion normale. L'initiation de ce phénomène est réalisée grâce à un doublage et un triplage de la longueur d'onde de pompe directement dans la fibre.

  20. The utilisation of municipal waste compost for the reclamation of anthropogenic soils: implications on C dynamics.

    NASA Astrophysics Data System (ADS)

    Said-Pullicino, D.; Bol, R.; Gigliotti, G.

    2009-04-01

    The application of municipal waste compost (MWC) and other organic materials may serve to enhance soil fertility and increase C stocks of earthen materials and mine spoils used in land reclamation activities, particularly in the recovery of degraded areas left by exhausted quarries, mines, abandoned industrial zones, degraded natural areas and exhausted landfill sites. Such land management options may serve as a precondition for landscaping and reclamation of degraded areas, reforestation or agriculture. In fact, previous results have shown that compost application to the capping layer of a landfill covering soil significantly enhanced the fertility, evidenced by an improvement in soil structure, porosity and water holding capacity, an increase in the relative proportion of recalcitrant C pools and an increase in soil nutrient content, microbial activity and soil microbial biomass. Proper management of MWC requires a capacity to understand and predict their impacts on C dynamics in the field subsequent to application. Although numerous works deal with the effects of compost application in agricultural systems, little is known on how land rehabilitation practices effect C dynamics in such relatively young soil systems. The estimation of SOC pools and their potential turnover rates in land reclamation activities is fundamental to our understanding of terrestrial C dynamics. In the framework of a long-term field experiment, the objective of this work was to evaluate the temporal and spatial dynamics of compost-derived organic matter with respect to the major processes involved in organic matter cycling in an anthropogenic landfill covering soil originally amended with a single dose of MWC. We investigated long-term organic C dynamics in such systems by collecting samples at different depths over a 10 year chronosequence subsequent to compost application to the top layer of the landfill covering soil. Variations in the stable isotope composition (delta 13C) of the soil samples show that even after 10 years, amended topsoils were significantly enriched in compost-derived organic matter, confirming that the utilisation of such organic inputs in land reclamation activities has the potential to enhance the C stocks of degraded areas. The addition of compost to the superficial layer also resulted in a significant input of soluble organic compounds subject to leaching along the soil profile. Sorption isotherms for compost-derived water-extractable organic matter onto mineral materials used for landfill covering suggest that sorptive preservation was primarily responsible for the increase in C content and the shift in the C isotopic signature to values similar to that of the applied compost, in the deeper soil horizons over the 10 year experimental period. This was also confirmed by the accumulation of lignin-derived phenolic compounds. Nevertheless, analysis for non-cellulosic carbohydrates in soils samples and their respective water-extractable fractions suggest that a proportion of compost-derived, labile organic matter fraction is leached through the soil profile and potentially lost from the soil system, particularly in the years immediately after compost application.

  1. Learning styles of first-year undergraduate nursing and midwifery students: a cross-sectional survey utilising the Kolb Learning Style Inventory.

    PubMed

    D'Amore, Angelo; James, Santhamma; Mitchell, Eleanor K L

    2012-07-01

    It is important that educators understand their students' learning styles. In this study we investigate the learning styles of first-year undergraduate nursing and midwifery university students and whether these learning styles are influenced by student demographic characteristics. A cross-sectional survey including demographic questions and the Kolb Learning Style Inventory was utilised. There was a 78% response rate (n=345). The majority of first-year students investigated in this study were divergers (29.5%), followed by assimilators (28.8%), accommodators (23.9%) and convergers (17.9%). Female students had a higher reflective observation (RO) score than male students (p=0.0078). Those with English as first language showed a higher active experimentation score (p=0.0543) and a lower concrete experience (CE) score (p=0.0038). Australian citizens and permanent residents had a higher RO score (p=0.0560) and a lower CE score (p=0.0100) than migrants and international students. Nursing/arts students had a higher abstract conceptualisation (AC) score than nursing students (p=0.0013). Students enrolled in 4-5 subject units had a higher AC score than those enrolled in 1-2 units (p=0.0244). Nursing and midwifery students are mainly of the diverger and assimilating learning styles. Some student demographic characteristics show a significant influence on learning styles. This study has teaching and research implications. PMID:21889237

  2. Utilisation of health services and geography: deconstructing regional differences in barriers to facility-based delivery in Nepal.

    PubMed

    Hodge, Andrew; Byrne, Abbey; Morgan, Alison; Jimenez-Soto, Eliana

    2015-03-01

    While established that geographical inaccessibility is a key barrier to the utilisation of health services, it remains unknown whether disparities are driven only by limited access to these services, or are also attributable to health behaviour. Significant disparities exist in health outcomes and the coverage of many critical health services between the mountains region of Nepal and the rest of the country, yet the principal factors driving these regional disparities are not well understood. Using national representative data from the 2011 Nepal Demographic and Health Survey, we examine the extent to which observable factors explain the overall differences in the utilisation of maternal health services. We apply nonlinear Blinder-Oaxaca-type decomposition methods to quantify the effect that differences in measurable characteristics have on the regional coverage gap in facility-based delivery. The mean coverage of facility-based deliveries was 18.6 and 36.3 % in the mountains region and the rest of Nepal, respectively. Between 54.8 and 74.1 % of the regional coverage gap was explained by differences in observed characteristics. Factors influencing health behaviours (proxied by mothers' education, TV viewership and tobacco use, and household wealth) and subjective distance to the health facility were the major factors, contributing between 52.9 and 62.5 % of the disparity. Mothers' birth history was also noteworthy. Policies simultaneously addressing access and health behaviours appear necessary to achieve greater coverage and better health outcomes for women and children in isolated areas. PMID:24927787

  3. Reconnaissance optique des formes en parallele utilisant des reseaux de neurones et une mire de reduction de dimensions

    NASA Astrophysics Data System (ADS)

    Gagne, Philippe

    Cette recherche vise à la mise en OEuvre optique de la reconnaissance des images en utilisant une mire d'anneaux afin de générer des vecteurs caractéristiques qui seront ensuite classifiés par un réseau de neurones. On proposera deux architectures originales: une qui permettra la reconnaissance invariante sous rotation en utilisant un corrélateur conjoint; l'autre montage permettra une classification en parallèle de plusieurs images grâce à la capacité des mires d'anneaux de compresser l'information. Ce dernier montage est basé sur un corrélateur 4F. On présentera des résultats optiques expérimentaux pour ces deux montages. Pour arriver à des résultats concluants on analysera le comportement des vecteurs obtenus à partir d'une mire d'anneaux, on introduira une règle d'apprentissage optimisant le pic de corrélation en réduisant les pics parasites et on corrigera à l'aide d'un algorithme génétique les modulations de phases générées par le modulateur spatial à cristaux liquides.

  4. A simple solution to the problem of effective utilisation of the target material for pulsed laser deposition of thin films

    SciTech Connect

    Kuzanyan, A S; Kuzanyan, A A; Petrosyan, V A; Pilosyan, S Kh; Grasiuk, A Z

    2013-12-31

    The factors determining the efficiency of the target material utilisation for pulsed laser deposition of films are considered. The target volume is calculated, which is evaporated in the ablation process by the focused laser radiation having a rectangular form. The new device is suggested and developed for obtaining thin films by the method of laser deposition, which is specific in the employment of a simple optical system mounted outside a deposition chamber that comprises two lenses and the diaphragm and focuses the laser beam onto a target in the form of a sector-like spot. Thin films of CuO and YBaCuO were deposited with this device. Several deposition cycles revealed that the target material is consumed uniformly from the entire surface of the target. A maximal spread of the target thickness was not greater than ±2% both prior to deposition and after it. The device designed provides a high coefficient of the target material utilisation efficiency. (laser deposition of thin films)

  5. Utilising DualEELS to probe the nanoscale mechanisms of the corrosion of Zircaloy-4 in 350 °C pressurised water

    NASA Astrophysics Data System (ADS)

    Annand, Kirsty J.; MacLaren, Ian; Gass, Mhairi

    2015-10-01

    Characterisation of materials utilised for fuel cladding in nuclear reactors prior to service is integral in order to understand corrosion mechanisms which would take place in reactor. Zircaloy-4 is one such material of choice for nuclear fuel containment in Pressurised Water Reactors (PWRs). In particular, the metal-oxide interface has been a predominant focus of previous research, however, due to the complex oxidation process of zirconium cladding, there is still no clear understanding of what is present at the interface. Using Scanning Transmission Electron Microscopy (STEM) and Dual Electron Energy Loss Spectroscopy (DualEELS), we have studied the corrosion of this material under conditions similar to those that could be encountered in service. It is shown that under all conditions, whether during faster oxidation in the early stages, slow growth just prior to the transition to a new growth regime, or in the faster growth that happens after this transition, the surface of the metal below the scale is loaded with oxygen up to around 33 at%. Approaching transition, in conditions of slow growth and slow oxygen supply, an additional metastable suboxide is apparent with a thickness of tens of nm. By studying changes in both chemical composition and dielectric function of the material at the oxide scale - metal interface with nanometre resolution, quantitative mapping could be achieved, clearly showing that this is a suboxide composition of ZrO and a Zr oxidation state close to +2.

  6. Utilisation of Blood Components in Trauma Surgery: A Single-Centre, Retrospective Analysis before and after the Implementation of an Educative PBM Initiative

    PubMed Central

    Geissler, Raoul Georg; Kösters, Clemens; Franz, Dominik; Buddendick, Hubert; Borowski, Matthias; Juhra, Christian; Lange, Matthias; Bunzemeier, Holger; Roeder, Norbert; Sibrowski, Walter; Raschke, Michael J.; Schlenke, Peter

    2015-01-01

    Background The aim of our single-centre retrospective study presented here is to further analyse the utilisation of allogeneic blood components within a 5-year observation period (2009-2013) in trauma surgery (15,457 patients) under the measures of an educational patient blood management (PBM) initiative. Methods After the implementation of the PBM initiative in January 2012, the Institute of Transfusion Medicine und Transplantation Immunology educates surgeons and nurses at the Department of Trauma Surgery to avoid unnecessary blood transfusions. A standardised reporting system was used to document the utilisation of blood components carefully for the most frequent diagnoses and surgical interventions in trauma surgery. These measures served as basis for the implementation of an interdisciplinary systematic exchange of information to foster decision-making processes in favour of patient blood management. Results Since January 2012, the proportion of patients who received a transfusion as well as the number of transfused red blood cell (RBC) (7.3%/6.4%; p = 0.02), fresh frozen plasma (FFP) (1.7%/1.3%; p < 0.05) and platelet (PLT) (1.0%/0.5%; p < 0.001) units were reduced as a result of our PBM initiative. However, among the transfused patients, the number of administered RBC, FFP and PLT units did not decrease significantly. Overall, patients who did not receive transfusions were younger than transfused patients (p = 0.001). The subgroup with the highest probability of blood transfusion administered included patients with intensive care and long-term ventilation (before/after implementation of PBM: RBC 81.5%/75.9%; FFP 33.3%/20.4%; PLT 24.1%/13.0%). Only a total of 60 patients of 531 patients suffering multiple traumas were massively transfused (before/after implementation of PBM: RBC 55.6%/49.8%; FFP 28.4%/20.4%; PLT 17.6%/8.9%). Conclusion According to our educational PBM initiative, at least the proportion of trauma patients who received allogeneic blood transfusions could be reduced significantly. However, in case of blood transfusions, the total consumption of RBC, FFP and PLT units remained stable in both time periods. This phenomenon might indicate that the actual need of blood transfusions rather depends on the severity of trauma-related blood loss, the coagulopathy rates or the complexity of the surgical intervention which mainly determines the intra-operative blood loss. Taken together, educational training sessions and systematic reporting systems are suitable measures to avoid unnecessary allogeneic blood transfusions and to continuously improve their restrictive application. PMID:26019703

  7. Impact of biogas digesters on wood utilisation and self-reported back pain for women living on rural Kenyan smallholder dairy farms.

    PubMed

    Dohoo, Carolyn; VanLeeuwen, John; Read Guernsey, Judith; Critchley, Kim; Gibson, Mark

    2013-01-01

    Women living on rural Kenyan dairy farms spend significant amounts of time collecting wood for cooking. Biogas digesters, which generate biogas for cooking from the anaerobic decomposition of livestock manure, are an alternative fuel source. The objective of this study was to quantify the quality of life and health benefits of installing biogas digesters on rural Kenyan dairy farms with respect to wood utilisation. Women from 62 farms (31 biogas farms and 31 referent farms) participated in interviews to determine reliance on wood and the impact of biogas digesters on this reliance. Self-reported back pain, time spent collecting wood and money spent on wood were significantly lower (p < 0.01) for the biogas group, compared to referent farms. Multivariable linear regression showed that wood consumption increased by 2 lbs/day for each additional family member living on a farm. For an average family of three people, the addition of one cow was associated with increased wood consumption by 1.0 lb/day on biogas farms but by 4.4 lbs/day on referent farms (significant interaction variable - likely due to additional hot water for cleaning milk collection equipment). Biogas digesters represent a potentially important technology that can reduce reliance on wood fuel and improve health for Kenyan dairy farmers. PMID:23305236

  8. Healthcare provider perspectives on barriers to HIV-care access and utilisation among Latinos living with HIV in the US-Mexico border

    PubMed Central

    Servin, Argentina E.; Muñoz, Fátima A.; Zúñiga, María Luisa

    2015-01-01

    Latinos living with HIV residing in the US-Mexico border region frequently seek care on both sides of the border. Given this fact, a border health perspective to understanding barriers to care is imperative to improve patient health outcomes. This qualitative study describes and compares experiences and perceptions of Mexican and US HIV care providers regarding barriers to HIV care access for Latino patients living in the US-Mexico border region. In 2010, we conducted in-depth qualitative interviews with HIV care providers in Tijuana (n = 10) and San Diego (n = 9). We identified important similarities and differences between Mexican and US healthcare provider perspectives on HIV care access and barriers to service utilisation. Similarities included the fact that HIV-positive Latino patients struggle with access to ART medication, mental health illness, substance abuse and HIV-related stigma. Differences included Mexican provider perceptions of medication shortages and US providers feeling that insurance gaps influenced medication access. Differences and similarities have important implications for cross-border efforts to coordinate health services for patients who seek care in both countries. PMID:24592920

  9. Accuracy Verification of Magnetic Resonance Imaging (MRI) Technology for Lower-Limb Prosthetic Research: Utilising Animal Soft Tissue Specimen and Common Socket Casting Materials

    PubMed Central

    Safari, Mohammad Reza; Rowe, Philip; Buis, Arjan

    2012-01-01

    Lower limb prosthetic socket shape and volume consistency can be quantified using MRI technology. Additionally, MRI images of the residual limb could be used as an input data for CAD-CAM technology and finite element studies. However, the accuracy of MRI when socket casting materials are used has to be defined. A number of six, 46?mm thick, cross-sections of an animal leg were used. Three specimens were wrapped with Plaster of Paris (POP) and the other three with commercially available silicone interface liner. Data was obtained by utilising MRI technology and then the segmented images compared to corresponding calliper measurement, photographic imaging, and water suspension techniques. The MRI measurement results were strongly correlated with actual diameter, surface area, and volume measurements. The results show that the selected scanning parameters and the semiautomatic segmentation method are adequate enough, considering the limit of clinical meaningful shape and volume fluctuation, for residual limb volume and the cross-sectional surface area measurements. PMID:22619599

  10. 'If you feel that nobody wants you you'll withdraw into your own': Gypsies/Travellers, networks and healthcare utilisation.

    PubMed

    Smith, David; Ruston, Annmarie

    2013-11-01

    Gypsies and Travellers are the unhealthiest group in British society, suffering from higher levels of physical and mental illness, lower life expectancy and with low levels of healthcare utilisation. They also continue to experience the highest level of prejudice and discrimination in society. While studies indicate that social networks play an important role in shaping health beliefs and the response to symptoms, evidence on the influence of networks on health is unclear and contradictory. This article draws on social network theory and research into the relation between discrimination and health to critically examine how networks mediate between collective experiences of racism and health-related behavior. Qualitative interviews with 39 adult Gypsies and Travellers were conducted in the South-East of England to explore the wider structural and institutional context and the influence those contexts play in shaping health beliefs and decisions whether to access formal health services. The findings indicate that the influence networks play in shaping health behaviour is dependent on the particular social context of the group and its status in relation to wider social structures, making generalization problematic. PMID:23574153

  11. Fatty acid utilisation and metabolism in caecal enterocytes of rainbow trout (Oncorhynchus mykiss) fed dietary fish or copepod oil.

    PubMed

    Oxley, Anthony; Tocher, Douglas R; Torstensen, Bente E; Olsen, Rolf E

    2005-12-15

    A combined fatty acid metabolism assay was employed to determine fatty acid uptake and relative utilisation in enterocytes isolated from the pyloric caeca of rainbow trout. In addition, the effect of a diet high in long-chain monoenoic fatty alcohols present as wax esters in oil derived from Calanus finmarchicus, compared to a standard fish oil diet, on caecal enterocyte fatty acid metabolism was investigated. The diets were fed for 8 weeks before caecal enterocytes from each dietary group were isolated and incubated with [1-14C]fatty acids: 16:0, 18:1n-9, 18:2n-6, 18:3n-3, 20:1n-9, 20:4n-6, 20:5n-3, and 22:6n-3. Uptake was measured over 2 h with relative utilisation of different [1-14C]fatty acids calculated as a percentage of uptake. Differences in uptake were observed, with 18:1n-9 and 18:2n-6 showing the highest rates. Esterification into cellular lipids was highest with 16:0 and C18 fatty acids, accounting for over one-third of total uptake, through predominant incorporation in triacylglycerol (TAG). The overall utilisation of fatty acids in phospholipid synthesis was low, but highest with 16:0, the most prevalent fatty acid recovered in intracellular phosphatidylcholine (PC) and phosphatidylinositol (PI), although exported PC exhibited higher proportions of C20/C22 polyunsaturated fatty acids (PUFA). Other than 16:0, incorporation into PC and PI was highest with C20/C22 PUFA and 20:4n-6 respectively. Recovery of labelled 18:1n-9 in exported TAG was 3-fold greater than any other fatty acid which could be due to multiple esterification on the glycerol 'backbone' and/or increased export. Approximately 20-40% of fatty acids taken up were beta-oxidised, and was highest with 20:4n-6. Oxidation of 20:5n-3 and 22:6n-3 was also surprisingly high, although 22:6n-3 oxidation was mainly attributed to retroconversion to 20:5n-3. Metabolic modification of fatty acids by elongation-desaturation was generally low at <10% of [1-14C]fatty acid uptake. Dietary copepod oil had generally little effect on fatty acid metabolism in enterocytes, although it stimulated the elongation and desaturation of 16:0 and elongation of 18:1n-9, with radioactivity recovered in longer n-9 monoenes. The monoenoic fatty acid, 20:1n-9, abundant in copepod oil as the homologous alcohol, was poorly utilised with 80% of uptake remaining unesterified in the enterocyte. However, the fatty acid composition of pyloric caeca was not influenced by dietary copepod oil. PMID:16257262

  12. Understanding where policies and decisions can go wrong: utilising a 360 analysis model as a proactive reputation management strategy.

    PubMed

    Cwiak, Carol L

    2014-01-01

    An organisation's reputation is its most relevant asset. The perceptions of the various audiences with which an organisation interacts both directly and indirectly can enhance or destroy that reputation. Due to the critical role these audiences play in an organisation's reputation, they should be actively considered as a part of an organisation's reputation management strategy. This paper introduces the 360 analysis model, which considers the benefits, detriments and potential fallout in regard to different audiences when creating policy or making important organisational decisions. The model's goal is to foster well-considered policy and decisions that proactively protect an organisation's reputation. The model is also designed to be used as a research construct that can be utilised in the expansion of the reputation management literature in regard to heterogeneity and dynamics within and across audiences that can have an impact on an organisation's reputation. PMID:24854733

  13. Fecundity regulation in relation to habitat utilisation of two sympatric flounder (Platichtys flesus) populations in the brackish water Baltic Sea

    NASA Astrophysics Data System (ADS)

    Nissling, Anders; Thorsen, Anders; da Silva, Filipa F. G.

    2015-01-01

    Two populations of flounder (Platichtys flesus) with different life history traits inhabit the brackish water Baltic Sea. Both types share feeding areas in coastal waters during summer-autumn but utilise different habitats for spawning in spring, namely offshore spawning with pelagic eggs and coastal spawning with demersal eggs respectively. Fecundity regulation by atresia was assessed as prevalence (portion of fish with atresia) and intensity (calculated as the average intensity of atresia in these fish) during the reproductive cycle following start of gonad development in the autumn up to spawning in spring, and evaluated in relation to fish condition (Fulton's condition factor reflecting energy reserves of the fish) and feeding incidence of the respective population. Peaking in winter (December-February), fecundity regulation was significantly higher for coastal spawning flounder than for flounder spawning offshore. For coastal spawners, the prevalence was 45-90% with an intensity of 6.4-9.3% vs. 0-25% and an intensity of 2.1-3.4% for offshore spawners during winter. Further, fecundity regulation ceased prior to spawning for offshore spawners but continued for coastal spawners. For coastal spawners, the prevalence was 12-29% and an intensity of 2.5-6.1% during spawning. The change in fish condition was strongly related to feeding incidence and differed between populations. As feeding ceased, condition of offshore spawners decreased during winter up to spawning, whereas condition of coastal spawners decreased during autumn but was maintained as feeding started again prior to spawning. Thus, habitat utilisation according to spawning strategy affects the timing of fecundity down-regulation reflecting availability of resources, namely limited food resources in deep areas and higher availability in coastal areas. Offshore spawning flounder display characteristics typical for a capital spawner with ceasing of feeding and oocyte down-regulation well before spawning, whereas coastal spawning flounder can be characterised as intermediate between a capital and income spawner with feeding prior to and during spawning along with continuous fecundity-regulation.

  14. Drug utilisation and off-label use of medications in anaesthesia in surgical wards of a teaching hospital

    PubMed Central

    Patil, Amol E; Shetty, Yashashri C; Gajbhiye, Snehalata V; Salgaonkar, Sweta V

    2015-01-01

    Background and Aims: When a drug is used in a way that is different from that described in regulatory body approved drug label, it is said to be ‘off label use’. Perioperative phase is sensitive from the point of view of patient safety and off-label drug use in this setup can prove to be hazardous to patient. Hence, it was planned to assess the pattern of drug utilisation and off-label use of perioperative medication during anaesthesia. Methods: Preoperatively, demographic details and adverse events check list were filled from a total of 400 patients from general surgery, paediatric surgery and orthopaedics departments scheduled to undergo surgery. The perioperative assessment form was assessed to record all prescriptions followed by refilling of adverse events checklist in case record form. World Health Organization (WHO) prescribing indicators were used for analysis of drug utilisation data. National Formulary of India 2011 was used as reference material to decide off-label drug use in majority instances along with package insert. Results: A total of 3705 drugs were prescribed to the 400 participants and average number of drugs per patient was 9.26 ± 3.33. Prescriptions by generic name were 68.07% whereas 85.3% drugs were prescribed from hospital schedule. Off-label drugs overall formed 20.19% of the drugs prescribed. At least one off-label drug was prescribed to 82.5% of patients. Inappropriate dose was the most common form of off-label use. There was 1.6 times greater risk of occurrence of adverse events associated with the use of off-label drugs. Conclusion: Prescription indicators were WHO compliant. Off-label drug use was practiced in anaesthesia department with questionable clinical justification in some instances. PMID:26755837

  15. Flare frequency, healthcare resource utilisation and costs among patients with gout in a managed care setting: a retrospective medical claims-based analysis

    PubMed Central

    Jackson, Robert; Shiozawa, Aki; Buysman, Erin K; Altan, Aylin; Korrer, Stephanie; Choi, Hyon

    2015-01-01

    Objectives For most gout patients, excruciatingly painful gout attacks are the major clinical burden of the disease. The goal of this study was to assess the association of frequent gout flares with healthcare burden, and to quantify how much lower gout-related costs and resource use are for those with infrequent flares compared to frequent gout flares. Design Retrospective cohort study. Setting Administrative claims data from a large US health plan. Participants Patients aged 18?years or above, and with evidence of gout based on medical and pharmacy claims between January 2009 and April 2012 were eligible for inclusion. Patient characteristics were assessed during a 12-month baseline period. Outcome measures Frequency of gout flares, healthcare costs and resource utilisation were assessed in the 12?months following the first qualifying gout claim. Generalised linear models were employed to assess the impact of flare frequency on cost outcomes after adjusting for covariates. Results 102?703 patients with gout met study inclusion criteria; 89?201 had 0–1 gout flares, 9714 had 2 flares, and 3788 had 3+ flares. Average counts of gout-related inpatient stays, emergency room visits and ambulatory visits were higher among patients with 2 or 3+ flares, compared to those with 0–1 flares (all p<0.001). Adjusted annual gout-related costs were $1804, $3014 and $4363 in those with 0–1, 2 and 3+ gout flares, respectively (p<0.001 comparing 0–1 flares to 2 or 3+ flares). Conclusions Gout-related costs and resource use were lower for those with infrequent flares, suggesting significant cost benefit to a gout management plan that has a goal of reducing flare frequency. PMID:26109113

  16. Merging and scoring molecular interactions utilising existing community standards: tools, use-cases and a case study

    PubMed Central

    Villaveces, J. M.; Jiménez, R. C.; Porras, P.; del-Toro, N.; Duesbury, M.; Dumousseau, M.; Orchard, S.; Choi, H.; Ping, P.; Zong, N. C.; Askenazi, M.; Habermann, B. H.; Hermjakob, Henning

    2015-01-01

    The evidence that two molecules interact in a living cell is often inferred from multiple different experiments. Experimental data is captured in multiple repositories, but there is no simple way to assess the evidence of an interaction occurring in a cellular environment. Merging and scoring of data are commonly required operations after querying for the details of specific molecular interactions, to remove redundancy and assess the strength of accompanying experimental evidence. We have developed both a merging algorithm and a scoring system for molecular interactions based on the proteomics standard initiative–molecular interaction standards. In this manuscript, we introduce these two algorithms and provide community access to the tool suite, describe examples of how these tools are useful to selectively present molecular interaction data and demonstrate a case where the algorithms were successfully used to identify a systematic error in an existing dataset. PMID:25652942

  17. Utilising Enterprise Risk Management Strategies to Develop a Governance and Operations Framework for a New Research Complex: A Case Study

    ERIC Educational Resources Information Center

    Clyde-Smith, Jodi

    2014-01-01

    Enterprise risk management strategies were used to develop a regulatory and operational framework for a new multi-partner Research Institute that will house up to 900 staff from four different institutions in Queensland, Australia. The Institute will operate in a business environment while functioning as a research resource for the higher…

  18. Utilising Enterprise Risk Management Strategies to Develop a Governance and Operations Framework for a New Research Complex: A Case Study

    ERIC Educational Resources Information Center

    Clyde-Smith, Jodi

    2014-01-01

    Enterprise risk management strategies were used to develop a regulatory and operational framework for a new multi-partner Research Institute that will house up to 900 staff from four different institutions in Queensland, Australia. The Institute will operate in a business environment while functioning as a research resource for the higher…

  19. Merging and scoring molecular interactions utilising existing community standards: tools, use-cases and a case study.

    PubMed

    Villaveces, J M; Jiménez, R C; Porras, P; Del-Toro, N; Duesbury, M; Dumousseau, M; Orchard, S; Choi, H; Ping, P; Zong, N C; Askenazi, M; Habermann, B H; Hermjakob, Henning

    2015-01-01

    The evidence that two molecules interact in a living cell is often inferred from multiple different experiments. Experimental data is captured in multiple repositories, but there is no simple way to assess the evidence of an interaction occurring in a cellular environment. Merging and scoring of data are commonly required operations after querying for the details of specific molecular interactions, to remove redundancy and assess the strength of accompanying experimental evidence. We have developed both a merging algorithm and a scoring system for molecular interactions based on the proteomics standard initiative-molecular interaction standards. In this manuscript, we introduce these two algorithms and provide community access to the tool suite, describe examples of how these tools are useful to selectively present molecular interaction data and demonstrate a case where the algorithms were successfully used to identify a systematic error in an existing dataset. PMID:25652942

  20. Effects of long-term administration of saturated and n-3 fatty acid-rich diets on lipid utilisation and oxidative stress in rat liver and muscle tissues.

    PubMed

    Feillet-Coudray, Christine; Aoun, Manar; Fouret, Gilles; Bonafos, Béatrice; Ramos, Jeanne; Casas, François; Cristol, Jean Paul; Coudray, Charles

    2013-11-01

    The incidence of metabolic syndrome components including obesity, lipid deregulation, insulin resistance (IR) and non-alcoholic fatty liver disease is increasing rapidly in wealthy societies. The present study was designed to determine the effect of different nutritional lipid patterns (quantity and quality) on lipid utilisation and oxidative stress in the liver and muscle of rats in an integrated fashion. A total of forty-eight Wistar male rats were fed for 12 weeks with a mixed, lard or fish-oil diet, containing either 50 or 300 g lipid/kg. Rats developed liver steatosis associated with moderate liver injury when fed the 30% lipid diets, in spite of the absence of overt obesity or IR, except when fed the lard 30% lipid diet. The intake of the 30% lipid diets decreased hepatic lipogenesis and mitochondriogenesis and increased lipid peroxidation and protein oxidation. Surprisingly, muscle lipid content was not modified whatever the administered diet. The intake of the 30% lipid diets increased the muscle protein expression of fatty acid (FA) translocase/cluster of differentiation 36 (FAT/CD36), PPARg co-activator 1a (PGC-1a) and muscle carnitine palmitoyltransferase 1 (m-CPT1), reflecting increased FA transport in the muscle associated with increased oxidative metabolism. The lard 30% lipid diet led to IR without modifying the muscle lipid content. The fish-oil 30% lipid diet failed to prevent the development of hepatic steatosis and made the tissues more prone to oxidation. Overall, the present study suggests that the FA composition of muscle is more important than lipid accumulation itself in the modulation of insulin sensitivity, and indicates that precaution should be taken when advising an unphysiologically high (pharmacological) supplementation with long-chain n-3 PUFA. PMID:23656726

  1. The utilisation of Complementary and Alternative Medicine (CAM) among ethnic minorities in South Korea

    PubMed Central

    2014-01-01

    Background Race has been reported to affect the use of complementary and alternative medicine (CAM), but there is very little research on the use of CAM by ethnicity in Korea. This study explores the prevalence of CAM use among ethnic minorities in South Korea. Methods The design is a descriptive and cross-sectional study. A convenience sample of ethnic minorities was recruited from two public healthcare centres in Gyeonggi province. The survey instrument included 37 questions regarding CAM use, factors influencing use of CAM, self-health management, and the socio-demographic profile of study participants. Results Sixty-two percent of study participants reported the use of CAM. Multivitamins (53.3%), acupuncture (48.9%), and traditional Korean herbal medicine (38.9%) were popular CAM modalities in our sample. Other notable CAM modalities included herbal plants, therapeutic massage, and moxibustion therapy. The majority of CAM users (52.2%) received CAM services to treat diseases or as a secondary treatment while receiving conventional care. Having positive perceptions toward the effectiveness of CAM was a major determining factor in CAM use. Conclusions Physicians need to be aware of the fact that many ethnic minorities use CAM therapies. Many CAM users reported that they want doctors to know about their CAM use and have a basic understanding of traditional medicine in their home country. Overcoming language and cultural barriers will help reduce unwanted medical complications. High prevalence of CAM use among ethnic minorities in our study warrants further studies using larger sample population. PMID:24641983

  2. L’utilisation du prémélange de monensin chez les vaches laitières : un suivi simple et essentiel pour s’assurer d’une utilisation adéquate

    PubMed Central

    Dubuc, Jocelyn; Baril, Jean; DesCôteaux, Luc

    2009-01-01

    Le prémélange de monensin est utilisé fréquemment sur les fermes laitières canadiennes. L’ingrédient actif de ce produit est le monensin sodique. Bien que son utilisation chez les vaches laitières soit sécuritaire, des cas de surdose ont été rapportés à la suite de consommation de niveaux de monensin plus élevés que ceux recommandés. Un suivi hebdomadaire du pourcentage de matières grasses du réservoir de lait de la ferme devrait être fait de routine suite à la livraison d’aliment médicamenteux contenant du monensin pour détecter rapidement les situations de surdose. L’observation d’une baisse soudaine de la consommation volontaire de matière sèche et l’apparition de diarrhée dans un troupeau sont d’autres signes cliniques de surdose de monensin. Une détection rapide de ces cas permettra de corriger la situation. PMID:19721781

  3. Changes in silicate utilisation and upwelling intensity off Peru since the Last Glacial Maximum - insights from silicon and neodymium isotopes

    NASA Astrophysics Data System (ADS)

    Ehlert, C.; Grasse, P.; Frank, M.

    2013-07-01

    We combine the stable silicon isotope composition (?30Si) of diatoms and the radiogenic neodymium isotope compositions (?Nd) of past seawater extracted from the authigenic fraction of the sediments (Mn-Fe coatings of particles and benthic foraminifers), as well as the radiogenic isotope compositions (Nd, Sr) of the detrital material itself to reconstruct silicic acid utilisation, water mass mixing, and upwelling intensity from the same marine sediments in the Peruvian upwelling region during the past 20,000 years. Additionally, the sedimentary signals were compared to the water column isotope compositions. Along the Peruvian shelf, the dissolved ?Nd in the water column ranges from -5.7 to +0.6. The corresponding ?Nd signatures of the coatings and the benthic foraminifers of the surface sediments range from -4.5 to +1.8 and from -2.5 to +2.2, respectively. The detrital ?Nd (87Sr/86Sr) signatures range from -6.3 to 0 (0.70508-0.71049). All phases show a trend from more radiogenic ?Nd values in the north towards less radiogenic values in the south broadly reflecting local weathering inputs and hinterland geology. The ?Nd signatures of the coatings extracted from sediment core SO147-106KL located in the present day centre of coastal upwelling near 12°S have been essentially constant (-1.5) throughout the past 20,000 years, while the detrital ?Nd (87Sr/86Sr) varied between values of -0.7 (0.70620) during the Last Glacial and -4.5 (0.70849) during the late Holocene reflecting changes in the origin of the sediment and current transport from a more northerly towards a more southerly source and from overall stronger to weaker upwelling. The ?30Si signature of both total biogenic opal (?30Siopal) and of hand-picked diatoms (?30Sidiatom) ranged from +0.3‰ (Last Glacial) to +1.4‰ (late Holocene) confirming large variations in upwelling intensity driving silicic acid utilisation by diatoms. Our combined bSiO2 MAR, ?30Siopal and detrital radiogenic isotope results demonstrate that the strongest El Niño-Southern Oscillation conditions off Peru of the past 20 ka have prevailed during the past 5 ka.

  4. Dose-response effects of an antimicrobial peptide, a cecropin hybrid, on growth performance, nutrient utilisation, bacterial counts in the digesta and intestinal morphology in broilers.

    PubMed

    Wen, Liu-Fa; He, Jian-Guo

    2012-11-28

    The aim of the present study was to evaluate the feasibility of an antimicrobial peptide, cecropin A(1-11)-D(12-37)-Asn (CADN), as an alternative to antibiotic growth promoter (AGP) in poultry diets. A total of 1500 14-d-old indigenous male chickens (222 (sd 13) g) were randomly allocated to five groups with five replicate cages of sixty birds each, and fed ad libitum five grower diets and subsequently five finisher diets for 14 d each. The diets were made up by supplementing their basal diets with a CADN liquid sample (CADNL) at 0, 2, 4, 6 and 8 ml/kg, respectively. During the feeding period, a metabolic experiment was carried out to determine the apparent digestibility of diethyl ether extract, nitrogen retention and apparent metabolisable energy of the diet sample fed to each cage of chicks. At the end of the feeding experiment, one chick from each cage was killed for bacteriological, light microscopic and scanning electron microscopic examination of the intestinal villi. CADN had a negative linear, positive quadratic and negative linear effect on feed intake (F), weight gain (G) and feed:gain ratio (F:G), respectively, for the growers; it had a quadratic effect on F, G or F:G for the finishers; it increased nutrient utilisation for both growers and finishers; it decreased aerobic bacterial counts in both jejunal and caecal digesta in a dose-dependent manner; it enhanced intestinal villus heights in a dose-dependent manner and made the duodenum villi of the CADNL8 group at 42 d appear as a netted leaf-like structure. CADN is therefore a possible alternative to AGP in broiler feeds. PMID:22251659

  5. Genomic and metagenomic surveys of hydrogenase distribution indicate H2 is a widely utilised energy source for microbial growth and survival.

    PubMed

    Greening, Chris; Biswas, Ambarish; Carere, Carlo R; Jackson, Colin J; Taylor, Matthew C; Stott, Matthew B; Cook, Gregory M; Morales, Sergio E

    2016-03-01

    Recent physiological and ecological studies have challenged the long-held belief that microbial metabolism of molecular hydrogen (H2) is a niche process. To gain a broader insight into the importance of microbial H2 metabolism, we comprehensively surveyed the genomic and metagenomic distribution of hydrogenases, the reversible enzymes that catalyse the oxidation and evolution of H2. The protein sequences of 3286 non-redundant putative hydrogenases were curated from publicly available databases. These metalloenzymes were classified into multiple groups based on (1) amino acid sequence phylogeny, (2) metal-binding motifs, (3) predicted genetic organisation and (4) reported biochemical characteristics. Four groups (22 subgroups) of [NiFe]-hydrogenase, three groups (6 subtypes) of [FeFe]-hydrogenases and a small group of [Fe]-hydrogenases were identified. We predict that this hydrogenase diversity supports H2-based respiration, fermentation and carbon fixation processes in both oxic and anoxic environments, in addition to various H2-sensing, electron-bifurcation and energy-conversion mechanisms. Hydrogenase-encoding genes were identified in 51 bacterial and archaeal phyla, suggesting strong pressure for both vertical and lateral acquisition. Furthermore, hydrogenase genes could be recovered from diverse terrestrial, aquatic and host-associated metagenomes in varying proportions, indicating a broad ecological distribution and utilisation. Oxygen content (pO2) appears to be a central factor driving the phylum- and ecosystem-level distribution of these genes. In addition to compounding evidence that H2 was the first electron donor for life, our analysis suggests that the great diversification of hydrogenases has enabled H2 metabolism to sustain the growth or survival of microorganisms in a wide range of ecosystems to the present day. This work also provides a comprehensive expanded system for classifying hydrogenases and identifies new prospects for investigating H2 metabolism. PMID:26405831

  6. The Applied Music Lesson: Teaching Gifted and Talented Students Utilising Principles of Comprehensive Musicianship

    ERIC Educational Resources Information Center

    Heavner, Tracy

    2005-01-01

    Comprehensive musicianship is a term used to describe the intradisciplinary study of music. The comprehensive musicianship approach is closely related to Gestalt psychology in that music is approached as a totality, with a concern for constituent parts and how they relate to the whole (Willoughby, 1971). The concept of integration is central to…

  7. Factors Influencing the Utilisation of a School Self-Evaluation Instrument

    ERIC Educational Resources Information Center

    Schildkamp, Kim; Visscher, Adrie

    2009-01-01

    School quality care has become important in many Western countries and a number of high quality school self-evaluation instruments has been developed and implemented to support this activity. However, little is known on the critical success factors for the use of school self-evaluation instruments. From this longitudinal study into the use of a…

  8. Utilising a Construct of Teacher Capacity to Examine National Curriculum Reform in Mathematics

    ERIC Educational Resources Information Center

    Zhang, Qinqiong; Stephens, Max

    2013-01-01

    This study involving 120 Australian and Chinese teachers introduces a construct of teacher capacity to analyse how teachers help students connect arithmetic learning and emerging algebraic thinking. Four criteria formed the basis of our construct of teacher capacity: knowledge of mathematics, interpretation of the intentions of official curriculum…

  9. Utilising "Low Tech" Analytical Frameworks to Analyse Dyslexic Caribbean Students' Classroom Narratives

    ERIC Educational Resources Information Center

    Blackman, Stacey

    2007-01-01

    The cognitions of Caribbean students with dyslexia are explored as part of an embedded multiple case study approach to teaching and learning at two secondary schools on the island of Barbados. This exploration employed "low tech" approaches to analyse what pupils had said in interviews using a Miles and Huberman (1994) framework. Findings from…

  10. Paediatric CT optimisation utilising Catphan® 600 and age-specific anthropomorphic phantoms.

    PubMed

    Santos, Joana; Batista, Maria do Carmo; Foley, Shane; Paulo, Graciano; McEntee, Mark F; Rainford, Louise

    2014-12-01

    The purpose of the study is to perform phantom-based optimisation of paediatric computed tomography (CT) protocols and quantify the impact upon radiation dose and image noise levels. The study involved three Portuguese paediatric centres. Currently employed scanning protocols for head and chest examinations and combinations of exposure parameters were applied to a Catphan(®)600 phantom to review the CT dose impact. Contrast-noise ratio (CNR) was quantified using Radia Diagnostic(®) tool. Imaging parameters, returning similar CNRs (<1) and dose savings were applied to three paediatric anthropomorphic phantoms. OsiriX software based on standard deviation pixel values facilitated image noise analysis. Currently employed protocols and age categorisation varied between centres. Manipulation of exposure parameters facilitated mean dose reductions of 33 and 28 % for paediatric head and chest CT examinations, respectively. The majority of the optimised CT examinations resulted in image noise similar to currently employed protocols. Dose reductions of up to 33 % were achieved with image quality maintained. PMID:24567497

  11. Potentiel de l'utilisation des melanges hydrocarbures/alcools pour les moteurs a allumage commande

    NASA Astrophysics Data System (ADS)

    Broustail, Guillaume

    For the past few years, the oil stock decrease encourages the different countries to increase their energy independence. Moreover, reducing the environmental impact of transportation became one of the priorities of our society. In this way, European emissions standards are stricter while several pollutants have been identified to have a negative impact on health and the environment. To answer this double problem, the use of alcohols biofuels in sparkignition engines is one the promising ways. The European Union have already taken a small step in that direction by allowing a maximum of 10% of ethanol into gasoline. As well as ethanol is already marketed, Biobutanol, a 2nd generation biofuel, appears as a serious candidate with a strong potential for a spark-ignition engines use. The objective of this dissertation is to study the potential of the iso-octane/butanol blends use in spark-ignition engines, in terms of performance and pollutants emissions. Moreover, these results are compared to iso-octane/ethanol blends. The heat release in spark-ignition engine is piloted for a part by laminar burning velocity. This characteristic was studied experimentally and numerically for different initial conditions (pressure and equivalence ratio) in a constant volume bomb. Then, the early flame kernel growth was studied in an spark-ignition single cylinder engine equipped with optical accesses. Those results were correlated with the results on the laminar burning velocity. Finally, regulated and non-regulated pollutants emissions and engine performance were investigated in a spark-ignition single cylinder engine. A decrease of most pollutant emissions was observed with both alcohols addition.

  12. Foraging Behaviour and Landscape Utilisation by the Endangered Golden-Crowned Flying Fox (Acerodon jubatus), The Philippines

    PubMed Central

    de Jong, Carol; Field, Hume; Tagtag, Anson; Hughes, Tom; Dechmann, Dina; Jayme, Sarah; Epstein, Jonathan; Smith, Craig; Santos, Imelda; Catbagan, Davinio; Lim, Mundita; Benigno, Carolyn; Daszak, Peter; Newman, Scott

    2013-01-01

    Species of Old World fruit-bats (family Pteropodidae) have been identified as the natural hosts of a number of novel and highly pathogenic viruses threatening livestock and human health. We used GPS data loggers to record the nocturnal foraging movements of Acerodon jubatus, the Golden-crowned flying fox in the Philippines to better understand the landscape utilisation of this iconic species, with the dual objectives of pre-empting disease emergence and supporting conservation management. Data loggers were deployed on eight of 54 A. jubatus (two males and six females) captured near Subic Bay on the Philippine island of Luzon between 22 November and 2 December 2010. Bodyweight ranged from 730 g to 1002 g, translating to a weight burden of 3–4% of bodyweight. Six of the eight loggers yielded useful data over 2–10 days, showing variability in the nature and range of individual bat movements. The majority of foraging locations were in closed forest and most were remote from evident human activity. Forty-six discrete foraging locations and five previously unrecorded roost locations were identified. Our findings indicate that foraging is not a random event, with the majority of bats exhibiting repetitious foraging movements night-to-night, that apparently intact forest provides the primary foraging resource, and that known roost locations substantially underestimate the true number (and location) of roosts. Our initial findings support policy and decision-making across perspectives including landscape management, species conservation, and potentially disease emergence. PMID:24278154

  13. Harvesting, storing and utilising solar energy using MoO3 : modulating structural distortion through pH adjustment.

    PubMed

    Lou, Shi Nee; Ng, Yun Hau; Ng, Charlene; Scott, Jason; Amal, Rose

    2014-07-01

    Nanostructured molybdenum oxide (?-MoO3 ) thin film photoelectrodes were synthesised by anodisation. Upon band gap-excitation by light illumination, ?-MoO3 is able to store a portion of the excited charges in its layered structure with the simultaneous intercalation of alkali cations. The stored electrons can be discharged from ?-MoO3 for utilisation under dark conditions, and ?-MoO3 is able to recharge itself with successive illuminations to behave as a 'self-photo-rechargeable' alkali-ion battery. The alteration of the anodisation pH allowed the crystal structure and oxygen vacancy concentrations of ?-MoO3 to be modulated to achieve (i) a distorted MoO6 octahedra for enhanced charge separation and storage, (ii) a layered structure with a greater exposed (010) crystal face for rich and reversible ion intercalation and (iii) a highly crystalline thin film that suppresses electron-hole pair recombination. Overall, the larger MoO6 octahedral distortion in ?-MoO3 at a higher pH favours charge storage, whereas smaller octahedral distortion at a lower pH leads to anodic photocurrent enhancement. PMID:24811956

  14. Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries.

    PubMed

    Bolin, Kristian; Lindgren, Anna; Lindgren, Björn; Lundborg, Petter

    2009-03-01

    We analysed the relative importance of individual versus institutional factors in explaining variations in the utilisation of physician services among the 50+ in ten European countries. The importance of the latter was investigated, distinguishing between organisational (explicit) and cultural (implicit) institutional factors, by analysing the influence of supply side factors, such as physician density and physician reimbursement, and demand side factors, such as co-payment and gate-keeping, while controlling for a number of individual characteristics, using cross-national individual-level data from SHARE. Individual differences in health status accounted for about 50% of the between-country variation in physician visits, while the organisational and cultural factors considered each accounted for about 15% of the variation. The organisational variables showed the expected signs, with higher physician density being associated with more visits and higher co-payment, gate-keeping, and salary reimbursement being associated with less visits. When analysing specialist visits separately, however, organisational and cultural factors played a greater role, each accounting for about 30% of the between-country variation, whereas individual health differences only accounted for 11% of the variation. PMID:19009344

  15. Foraging behaviour and landscape utilisation by the endangered golden-crowned flying fox (Acerodon jubatus), the Philippines.

    PubMed

    de Jong, Carol; Field, Hume; Tagtag, Anson; Hughes, Tom; Dechmann, Dina; Jayme, Sarah; Epstein, Jonathan H; Epstein, Jonathan; Smith, Craig; Santos, Imelda; Catbagan, Davinio; Lim, Mundita; Benigno, Carolyn; Daszak, Peter; Newman, Scott

    2013-01-01

    Species of Old World fruit-bats (family Pteropodidae) have been identified as the natural hosts of a number of novel and highly pathogenic viruses threatening livestock and human health. We used GPS data loggers to record the nocturnal foraging movements of Acerodon jubatus, the Golden-crowned flying fox in the Philippines to better understand the landscape utilisation of this iconic species, with the dual objectives of pre-empting disease emergence and supporting conservation management. Data loggers were deployed on eight of 54 A. jubatus (two males and six females) captured near Subic Bay on the Philippine island of Luzon between 22 November and 2 December 2010. Bodyweight ranged from 730 g to 1002 g, translating to a weight burden of 3-4% of bodyweight. Six of the eight loggers yielded useful data over 2-10 days, showing variability in the nature and range of individual bat movements. The majority of foraging locations were in closed forest and most were remote from evident human activity. Forty-six discrete foraging locations and five previously unrecorded roost locations were identified. Our findings indicate that foraging is not a random event, with the majority of bats exhibiting repetitious foraging movements night-to-night, that apparently intact forest provides the primary foraging resource, and that known roost locations substantially underestimate the true number (and location) of roosts. Our initial findings support policy and decision-making across perspectives including landscape management, species conservation, and potentially disease emergence. PMID:24278154

  16. A new coordination pattern classification to assess gait kinematics when utilising a modified vector coding technique.

    PubMed

    Needham, Robert A; Naemi, Roozbeh; Chockalingam, Nachiappan

    2015-09-18

    A modified vector coding (VC) technique was used to quantify lumbar-pelvic coordination during gait. The outcome measure from the modified VC technique is known as the coupling angle (CA) which can be classified into one of four coordination patterns. This study introduces a new classification for this coordination pattern that expands on a current data analysis technique by introducing the terms in-phase with proximal dominancy, in-phase with distal dominancy, anti-phase with proximal dominancy and anti-phase with distal dominancy. This proposed coordination pattern classification can offer an interpretation of the CA that provides either in-phase or anti-phase coordination information, along with an understanding of the direction of segmental rotations and the segment that is the dominant mover at each point in time. Classifying the CA against the new defined coordination patterns and presenting this information in a traditional time-series format in this study has offered an insight into segmental range of motion. A new illustration is also presented which details the distribution of the CA within each of the coordination patterns and allows for the quantification of segmental dominancy. The proposed illustration technique can have important implications in demonstrating gait coordination data in an easily comprehensible fashion by clinicians and scientists alike. PMID:26303167

  17. Optimising dosing strategies of antibacterials utilising pharmacodynamic principles: impact on the development of resistance.

    PubMed

    DeRyke, C Andrew; Lee, Su Young; Kuti, Joseph L; Nicolau, David P

    2006-01-01

    Evolving antimicrobial resistance is of global concern. The impact of decreased susceptibility to current antibacterials coupled with the decline in the marketing of new agents with novel mechanisms of action places a tremendous burden on clinicians to appropriately use available agents. Optimising antibacterial dose administration through the use of pharmacodynamic principles can aid clinicians in accomplishing this task more effectively. Methods to achieve this include: continuous or prolonged infusion, or the use of smaller doses administered more frequently for the time-dependent beta-lactam agents; or higher, less frequent dose administration of the concentration-dependent aminoglycosides and fluoroquinolones. Pharmacodynamic breakpoints, which are predictive of clinical and/or microbiological success in the treatment of infection, have been determined for many classes of antibacterials, including the fluoroquinolones, aminoglycosides and beta-lactams. Although surpassing these values may predict efficacy, it may not prevent the development of resistance. Recent studies seek to determine the pharmacodynamic breakpoints that prevent the development of resistance. Numerous studies to this point have determined these values in fluoroquinolones in both Gram-positive and Gram-negative bacteria. However, among the other antibacterial classes, there is a lack of sufficient data. Additionally, a new term, the mutant prevention concentration, has been based on the concentrations above which resistance is unlikely to occur. Future work is needed to fully characterise these target concentrations that prevent resistance. PMID:16398565

  18. Cerebral glucose utilisation in hepatitis C virus infection-associated encephalopathy

    PubMed Central

    Heeren, Meike; Weissenborn, Karin; Arvanitis, Dimitrios; Bokemeyer, Martin; Goldbecker, Annemarie; Tountopoulou, Argyro; Peschel, Thomas; Grosskreutz, Julian; Hecker, Hartmut; Buchert, Ralph; Berding, Georg

    2011-01-01

    Patients with hepatitis C virus (HCV) infection frequently show neuropsychiatric symptoms. This study aims to help clarify the neurochemical mechanisms behind these symptoms and to add further proof to the hypothesis that HCV may affect brain function. Therefore, 15 patients who reported increasing chronic fatigue, mood alterations, and/or cognitive decline since their HCV infection underwent neurologic and neuropsychological examination, magnetic resonance imaging, 18F-fluoro-deoxy-glucose positron emission tomography of the brain, and single photon emission tomography of striatal dopamine and midbrain serotonin transporter (SERT) availability. None of the patients had liver cirrhosis. Patients' data were compared with data of age-matched controls. In addition, regression analysis was performed between cognitive deficits, and mood and fatigue scores as dependent variables, and cerebral glucose metabolism, dopamine, or SERT availability as predictors. Patients showed significant cognitive deficits, significantly decreased striatal dopamine and midbrain SERT availability, and significantly reduced glucose metabolism in the limbic association cortex, and in the frontal, parietal, and superior temporal cortices, all of which correlated with dopamine transporter availability and psychometric results. Thus, the study provides further evidence of central nervous system affection in HCV-afflicted patients with neuropsychiatric symptoms. Data indicate alteration of dopaminergic neurotransmission as a possible mechanism of cognitive decline. PMID:21629258

  19. Utilising the Hand Model to promote a culturally safe environment for international nursing students.

    PubMed

    Mackay, Bev; Harding, Thomas; Jurlina, Lou; Scobie, Norma; Khan, Ruelle

    2012-03-01

    The rising number of international students studying outside their own country poses challenges for nursing education. Numbers are predicted to grow and economic factors are placing increasing pressure on tertiary institutions to accept these students. In adapting to a foreign learning environment international students must not only adapt to the academic culture but also to the social cultural context. The most significant acculturation issues for students are English as a second language, differences in education pedagogy and social integration and connectedness. Students studying in New Zealand need to work with M?ori, the indigenous people, and assimilate and practice the unique aspects of cultural safety, which has evolved in nursing as part of the response to the principles underpinning the Treaty of Waitangi. The Hand Model offers the potential to support international nursing students in a culturally safe manner across all aspects of acculturation including those aspects of cultural safety unique to New Zealand. The model was originally developed by Lou Jurlina, a nursing teacher, to assist her to teach cultural safety and support her students in practising cultural safety in nursing. The thumb, represents 'awareness', with the other four digits signifying 'connection', 'communication', 'negotiation' and 'advocacy' respectively. Each digit is connected to the palm where the ultimate evaluation of The Hand Model in promoting cultural safety culminates in the clasping and shaking of hands: the moment of shared meaning. It promotes a sense of self worth and identity in students and a safe environment in which they can learn. PMID:22225732

  20. Utilising the Hand Model to promote a culturally safe environment for international nursing students.

    PubMed

    Mackay, Bev; Harding, Thomas; Jurlina, Lou; Scobie, Norma; Khan, Ruelle

    2011-04-01

    The rising number of international students studying outside their own country poses challenges for nursing education. Numbers are predicted to grow and economic factors are placing increasing pressure on tertiary institutions to accept these students. In adapting to a foreign learning environment international students must not only adapt to the academic culture but also to the socio-cultural context. The most significant acculturation issues for students are English as a second language, differences in education pedagogy and social integration and connectedness. Students studying in New Zealand need to work with Maori, the indigenous people, and assimilate and practice the unique aspects of cultural safety, which has evolved in nursing as part of the response to the principles underpinning the Treaty of Waitangi. The Hand Model offers the potential to support international students in a culturally safe manner across all aspects of acculturation including those aspects of cultural safety unique to New Zealand. The model was originally developed by Lou Jurlina, a nursing teacher, to assist her to teach cultural safety and support her students in practising cultural safety in nursing. The thumb, represents 'awareness', with the other four digits signifying 'connection" 'communication', 'negotiation' and 'advocacy' respectively. Each digit is connected to the palm where the ultimate evaluation of the Hand Model in promoting cultural safety culminates in the clasping and shaking of hands: the moment of shared meaning. It promotes a sense of self worth and identity in students and a safe environment in which they can learn. PMID:21710911

  1. Un dispositif experimental utilisant des ballons plafonnants pour l'etude de la couche limite atmospherique

    NASA Astrophysics Data System (ADS)

    Benech, B.; Druilhet, A.; Cordesse, R.; Dartigues-Longues, B.; Fournet-Fayard, J.; Mesnager, J. C.; Durand, P.; Malaterre, A.

    This paper presents a new system of constant volume balloons used to study the dynamical and thermodynamical properties of the tropospheric boundary layer. The system allows to simultaneously localize up to 30 balloons and to observe thermodynamical characteristics of the air during their flight inside the boundary layer. Each balloon is equipped with a radar reflector and a sounding system giving information each second on pressure, humidity and temperature by sequential emissions which are received at a ground station. The trajectories of balloons are obtained by a non-tracking S-band radar where a special hardware processing unit allows to real time cancellation of most ground clutter. A complete set of the balloons positions is obtained every two or three minutes. The system was tested in October 1984 during a field experiment in the south of France. Results of the experimental procedure and of the quality of the balloon, radar and sounding capabilities are given. The scientific use of constant volume balloons in order to study the atmospheric boundary layer is examined.

  2. Groundwater and surface-water utilisation using a bank infiltration technique in Malaysia

    NASA Astrophysics Data System (ADS)

    Shamsuddin, Mohd Khairul Nizar; Sulaiman, Wan Nor Azmin; Suratman, Saim; Zakaria, Mohamad Pauzi; Samuding, Kamarudin

    2014-05-01

    Bank infiltration (BI) is one of the solutions to providing raw water for public supply in tropical countries. This study in Malaysia explores the use of BI to supplement a polluted surface-water resource with groundwater. Three major factors were investigated: (1) contribution of surface water through BI to the resulting abstraction, (2) input of local groundwater, and (3) water-quality characteristics of the resulting water supply. A geophysical method was employed to define the subsurface geology and hydrogeology, and isotope techniques were performed to identify the source of groundwater recharge and the interaction between surface water and groundwater. The physicochemical and microbiological parameters of the local surface-water bodies and groundwater were analyzed before and during water abstraction. Extracted water revealed a 5-98 % decrease in turbidity, as well as reductions in HCO3 -, Cl-, SO4 2-, NO3 -, Ca2+, Al3+ and As concentrations compared with those of Langat River water. In addition, amounts of E. coli, total coliform and Giardia were significantly reduced (99.9 %). However, water samples from test wells during pumping showed high concentrations of Fe2+ and Mn2+. Pumping test results indicate that the two wells used in the study were able to sustain yields.

  3. Methodological issues in life cycle assessment of mixed-culture polyhydroxyalkanoate production utilising waste as feedstock.

    PubMed

    Heimersson, Sara; Morgan-Sagastume, Fernando; Peters, Gregory M; Werker, Alan; Svanström, Magdalena

    2014-06-25

    Assessing the environmental performance of emerging technologies using life cycle assessment (LCA) can be challenging due to a lack of data in relation to technologies, application areas or other life cycle considerations, or a lack of LCA methodology that address the specific concerns. Nevertheless, LCA can be a valuable tool in the environmental optimisation in the technology development phase. One emerging technology is the mixed-culture production of polyhydroxyalkanoates (PHAs). PHA production by pure microbial cultures has been developed and assessed in several LCAs during the previous decade. Recent developments within mixed-culture PHA production call for environmental assessment to guide in technology development. Mixed-culture PHA production can use the organic content in wastewater as a feedstock; the production may then be integrated with wastewater treatment (WWT) processes. This means that mixed-culture PHA is produced as a by-product from services in the WWT. This article explores different methodological challenges for LCA of mixed-culture PHA production using organic material in wastewater as feedstock. LCAs of both pure- and mixed-culture PHA production were reviewed. Challenges, similarities and differences when assessing PHA production by mixed- or pure-cultures were identified and the resulting implications for methodological choices in LCA were evaluated and illustrated, using a case study with mixed- and pure-culture PHA model production systems, based on literature data. Environmental impacts of processes producing multiple products or services need to be allocated between the different products or services. Such situations occur both in feedstock production and when the studied system is providing multiple functions. The selection of allocation method is shown to determine the LCA results. The type of data used, for electricity in the energy system, is shown to be important for the results, which indicates, a strong regional dependency of results for systems with electricity use as an environmental hot spot. The importance of assessing water use, an environmental impact not assessed by any of the reviewed studies, is highlighted. PMID:24121250

  4. Enhancement options for the utilisation of nitrogen rich animal by-products in anaerobic digestion.

    PubMed

    Resch, Christoph; Wörl, Alexander; Waltenberger, Reinhold; Braun, Rudolf; Kirchmayr, Roland

    2011-02-01

    This study focuses on the enhancement of an Austrian anaerobic digestion plant at a slaughterhouse site which exclusively uses animal by-products as substrate. High ammonia concentrations from protein degradation cause severe inhibitions of anaerobic microorganisms. For improving the current situation the COD:TKN ratio is widened by (a) ammonia stripping directly out of the process and (b) addition of a C source to the substrate. Different OLR and HRT were tested in continuous experiments to simulate new operating conditions. The results show that the addition of carbon cannot improve fermentation capacity. The reduction of ammonia boosts the degradation: After reduction of TKN from 7.5 to 4.0 g kg(-1) the initially high VFA concentration decreased and the COD degradation was improved by 55.5%. Hence, the implementation of the new N reduction process facilitates either the increase of the OLR by 61% or the reduction of the HRT by 25%. PMID:21134743

  5. L'utilisation des échelles de niveaux d'interventions médicales en centre hospitalier.

    PubMed

    Frenette, Marjolaine; Saint-Arnaud, Jocelyne

    2016-03-01

    Different care settings in Quebec use levels of medical intervention forms, also called levels of care (LOC), to determine the code status of patients and to improve end-of-life care planning. It is not currently possible to know whether the levels of care in hospitals benefit patients and staff in facilitating the decision making process of treatment options and resuscitation measures. No study, to the best of the authors' knowledge, has been published about LOC, particularly in Quebec and Canada. This literature review was undertaken on levels of care in order to clarify this topic. Relevant articles are discussed under different themes that are pertinent to LOC. The themes addressed in this article include care at the end of life, do-not-resuscitate orders, treatment withdrawal, and decision making at end of life. PMID:26880120

  6. Functional tooth restoration utilising split germs through re-regionalisation of the tooth-forming field.

    PubMed

    Yamamoto, Naomi; Oshima, Masamitsu; Tanaka, Chie; Ogawa, Miho; Nakajima, Kei; Ishida, Kentaro; Moriyama, Keiji; Tsuji, Takashi

    2015-01-01

    The tooth is an ectodermal organ that arises from a tooth germ under the regulation of reciprocal epithelial-mesenchymal interactions. Tooth morphogenesis occurs in the tooth-forming field as a result of reaction-diffusion waves of specific gene expression patterns. Here, we developed a novel mechanical ligation method for splitting tooth germs to artificially regulate the molecules that control tooth morphology. The split tooth germs successfully developed into multiple correct teeth through the re-regionalisation of the tooth-forming field, which is regulated by reaction-diffusion waves in response to mechanical force. Furthermore, split teeth erupted into the oral cavity and restored physiological tooth function, including mastication, periodontal ligament function and responsiveness to noxious stimuli. Thus, this study presents a novel tooth regenerative technology based on split tooth germs and the re-regionalisation of the tooth-forming field by artificial mechanical force. PMID:26673152

  7. Functional tooth restoration utilising split germs through re-regionalisation of the tooth-forming field

    PubMed Central

    Yamamoto, Naomi; Oshima, Masamitsu; Tanaka, Chie; Ogawa, Miho; Nakajima, Kei; Ishida, Kentaro; Moriyama, Keiji; Tsuji, Takashi

    2015-01-01

    The tooth is an ectodermal organ that arises from a tooth germ under the regulation of reciprocal epithelial-mesenchymal interactions. Tooth morphogenesis occurs in the tooth-forming field as a result of reaction-diffusion waves of specific gene expression patterns. Here, we developed a novel mechanical ligation method for splitting tooth germs to artificially regulate the molecules that control tooth morphology. The split tooth germs successfully developed into multiple correct teeth through the re-regionalisation of the tooth-forming field, which is regulated by reaction-diffusion waves in response to mechanical force. Furthermore, split teeth erupted into the oral cavity and restored physiological tooth function, including mastication, periodontal ligament function and responsiveness to noxious stimuli. Thus, this study presents a novel tooth regenerative technology based on split tooth germs and the re-regionalisation of the tooth-forming field by artificial mechanical force. PMID:26673152

  8. Financial and environmental modelling of water hardness--implications for utilising harvested rainwater in washing machines.

    PubMed

    Morales-Pinzón, Tito; Lurueña, Rodrigo; Gabarrell, Xavier; Gasol, Carles M; Rieradevall, Joan

    2014-02-01

    A study was conducted to determine the financial and environmental effects of water quality on rainwater harvesting systems. The potential for replacing tap water used in washing machines with rainwater was studied, and then analysis presented in this paper is valid for applications that include washing machines where tap water hardness may be important. A wide range of weather conditions, such as rainfall (284-1,794 mm/year); water hardness (14-315 mg/L CaCO3); tap water prices (0.85-2.65 Euros/m(3)) in different Spanish urban areas (from individual buildings to whole neighbourhoods); and other scenarios (including materials and water storage capacity) were analysed. Rainfall was essential for rainwater harvesting, but the tap water prices and the water hardness were the main factors for consideration in the financial and the environmental analyses, respectively. The local tap water hardness and prices can cause greater financial and environmental impacts than the type of material used for the water storage tank or the volume of the tank. The use of rainwater as a substitute for hard water in washing machines favours financial analysis. Although tap water hardness significantly affects the financial analysis, the greatest effect was found in the environmental analysis. When hard tap water needed to be replaced, it was found that a water price of 1 Euro/m(3) could render the use of rainwater financially feasible when using large-scale rainwater harvesting systems. When the water hardness was greater than 300 mg/L CaCO3, a financial analysis revealed that an net present value greater than 270 Euros/dwelling could be obtained at the neighbourhood scale, and there could be a reduction in the Global Warming Potential (100 years) ranging between 35 and 101 kg CO2 eq./dwelling/year. PMID:24262990

  9. Utilisation des technologies d'impression pour le remplissage industriel des trous d'interconnexion

    NASA Astrophysics Data System (ADS)

    Blonde, Paul

    This master project concerns a feasibility study about the use of inkjet drop-on-demand to fill through silicon vias in MEMS "via last" microfabrication process. The aim of our research was to develop a comprehensive process based on the use of a dispersion of a gold/tin alloy (Au80Sn 20) of nanoparticles in suspension in a carrier fluid. Our work mainly focused on the preparation of stable suspensions of nanoparticles and on the high precision filling of the vias. We first developed a method to form a stable suspension of nanoparticles in a carrier fluid using a surfactant, polyvinylpyrrolidone (PVP). Tests performed on various solvents allowed us to determine that isopropanol was the best carrier fluid to achieve high volume fractions of suspended nanoparticles. The volume fraction of the stable dispersion with the highest content reached 11 %. The conditions to generate stable individual microdroplets from a piezoelectric printing actuator were then analyzed. The generation of monodisperse microdroplets beiing a complex process, partly described by Fromm's theory and the theory of waveguides, we investigated the operating conditions permitting to precisely set the drop volume and ejection velocity. We therefore characterized an "ejectability zone" model universally usable to generate microdrops with desired output parameters based on the amplitude, width, and frequency of the electric pulse applied to the piezoelectric actuator of a print head having a 50 mum diameter aperture. We also developed a theoretical kinematical model describing the trajectories of microdrops during printing in order to understand the influence of their volume and initial velocity on the accuracy, reproducibility and homogeneity of the deposits in the presence of air fluctuations. This model was implemented in MATLAB and validated in real operating conditions. The results showed that a print head with a 50 mum diameter aperture will generate microdroplets with diameters between 30 and 60 microns with a maximum placement error on the substrate of the order of +/- 20 microns. We estimated that filling TSVs with an opening of 70 microns and higher is possible with our inkjet DOD (non defined) process. Finally, we experimentally addressed the vias filling by studying the behavior of nanoparticles in the vias during the evaporation of the carrier fluid and the annealing of the gold/tin alloy nanoparticles of eutectic composition. This last step revealed the incompatibility of non-homogenous AuSn alloy particles with the temperature window requirement used during sintering. To overcome this defect we replaced the Au80Sn20 by tin nanoparticles to complete our analysis of the impact of the use of PVP in the suspension of nanoparticles on the resistivity after annealing in the vias. Most aspects of this project being interrelated, much attention has been paid to the study of the influence of the various parameters on the quality of prints realized. The main conclusion is that we are able to validate the use of inkjet technologies as an alternative to perform the filling of TSVs by metal alloy nanoparticles. This conclusion is subject to the feasibility of the adaptation of our suspension and annealing methods to nanopowders alloys other than gold/tin and tin.

  10. Utilisation of Chlorella vulgaris cell biomass for the production of enzymatic protein hydrolysates.

    PubMed

    Morris, Humberto J; Almarales, Angel; Carrillo, Olimpia; Bermúdez, Rosa C

    2008-11-01

    Studies on enzymatic hydrolysis of cell proteins in green microalgae Chlorella vulgaris 87/1 are described. Different proteases can be used for production of hydrolysates from ethanol extracted algae. The influence of reaction parameters on hydrolysis of extracted biomass with pancreatin was considered, and the composition of hydrolysates (Cv-PH) was investigated in relation to the starting materials. Significant changes in the degree of hydrolysis were observed only during the first 2h and it remained constant throughout the process. An enzyme-substrate ratio of 30-45 units/g algae, an algae concentration of 10-15% and pH values of 7.5-8.0 could be recommended. Differences in the chromatographic patterns of Cv-PH and a hot-extract from Chlorella biomass were observed. Adequate amounts of essential amino acids (44.7%) in relation to the reference pattern of FAO for human nutrition were found, except for sulfur amino acids. Cv-PH could be considered as a potential ingredient in the food industry. PMID:18359627

  11. Plutonium and minor actinide utilisation in a pebble-bed high temperature reactor

    SciTech Connect

    Petrov, B. Y.; Kuijper, J. C.; Oppe, J.; De Haas, J. B. M.

    2012-07-01

    This paper contains results of the analysis of the pebble-bed high temperature gas-cooled PUMA reactor loaded with plutonium and minor actinide (Pu/MA) fuel. Starting from knowledge and experience gained in the Euratom FP5 projects HTR-N and HTR-N1, this study aims at demonstrating the potential of high temperature reactors to utilize or transmute Pu/MA fuel. The work has been performed within the Euratom FP6 project PUMA. A number of different fuel types and fuel configurations have been analyzed and compared with respect to incineration performance and safety-related reactor parameters. The results show the excellent plutonium and minor actinide burning capabilities of the high temperature reactor. The largest degree of incineration is attained in the case of an HTR fuelled by pure plutonium fuel as it remains critical at very deep burnup of the discharged pebbles. Addition of minor actinides to the fuel leads to decrease of the achievable discharge burnup and therefore smaller fraction of actinides incinerated during reactor operation. The inert-matrix fuel design improves the transmutation performance of the reactor, while the 'wallpaper' fuel does not have advantage over the standard fuel design in this respect. After 100 years of decay following the fuel discharge, the total amount of actinides remains almost unchanged for all of the fuel types considered. Among the plutonium isotopes, only the amount of Pu-241 is reduced significantly due to its relatively short half-life. (authors)

  12. New concepts for the avoidance or utilisation of methane in life support systems

    NASA Astrophysics Data System (ADS)

    Kenn, Franz

    2011-08-01

    Due to high resupply costs, especially for long-duration stays in space habitats beyond low earth orbit, future manned space missions will require life support systems (LSS) with a high degree of regenerativity. Possible ways to overcome the waste of resources and to save on resupply mass are therefore of major interest for the development of next generation environmental control and life support systems. The advanced closed-loop system (ACLS) for air revitalization, which is currently being developed by the European Space Agency, will be able to recover the oxygen from exhaled carbon dioxide by use of a Sabatier reactor (see Fig. 1). However, the employed process generates methane as a side product. Current plans envisage it to be vented over board, but the resulting loss would necessitate the resupply of hydrogen. In order to prevent this waste of methane, there are three options: The LSS could be altered to not produce any methane at all, the methane could be cracked into its constituents and reused, or methane itself could be put to use as a resource. Different approaches were examined, and ideas for a Bosch-Boudouard reactor (no methane production) as well as the design study of a pyrolysis thruster (methane cracking and partial use for propulsion) are presented in this paper.

  13. Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis.

    PubMed

    Yun, Steven T H; Woo, David M; Chong, Calum W K; Liu, Ying; Francis, Katherine E; Shah, Saumil A; Agar, Ashish; Francis, Ian C

    2015-01-01

    Background. This study evaluated the effectiveness of managing posterior blepharitis (PB) using a novel Posterior Blepharitis Management Protocol (PBMP). Design. Prospective, consecutive case series with 100% followup to one month. Participants. 27 patients (54 eyes) with PB from an Ophthalmology practice in Sydney, Australia. Methods. Each patient's PB was assessed by grading the nature and expressibility of the central lower lid tarsal gland secretions on Compression Of The Eyelid (COTE). Patients were then instructed in detail to undertake daily PB management sessions at home using our modified PBMP. Main Outcome Measures. On a subjective scale, patients compared their symptoms at one month with baseline. COTE scores were reevaluated to assess the objective effectiveness of each individual's PBMP. COTE scoring was described as grades 1 (clear oil), 2 (pus, liquid), 3 (toothpaste-like secretions), and 4 (complete tarsal gland obstruction). Results. Patients reported a mean 77.8% ± 13.5% subjective improvement in symptoms. There was a trend towards improvement in COTE grading at one month compared with baseline: grades 1 (0 to 7.4%), 2a (22.2 to 16.6%), 2b (7.4 to 3.7%), 3 (18.5 to 27.7%), and 4 (51.8 to 44%). Conclusions. PBMP provided a rapid, inexpensive, simple, effective, and safe method of treating PB. PMID:26347811

  14. Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis

    PubMed Central

    Yun, Steven T. H.; Woo, David M.; Chong, Calum W. K.; Liu, Ying; Francis, Katherine E.; Shah, Saumil A.; Agar, Ashish; Francis, Ian C.

    2015-01-01

    Background. This study evaluated the effectiveness of managing posterior blepharitis (PB) using a novel Posterior Blepharitis Management Protocol (PBMP). Design. Prospective, consecutive case series with 100% followup to one month. Participants. 27 patients (54 eyes) with PB from an Ophthalmology practice in Sydney, Australia. Methods. Each patient's PB was assessed by grading the nature and expressibility of the central lower lid tarsal gland secretions on Compression Of The Eyelid (COTE). Patients were then instructed in detail to undertake daily PB management sessions at home using our modified PBMP. Main Outcome Measures. On a subjective scale, patients compared their symptoms at one month with baseline. COTE scores were reevaluated to assess the objective effectiveness of each individual's PBMP. COTE scoring was described as grades 1 (clear oil), 2 (pus, liquid), 3 (toothpaste-like secretions), and 4 (complete tarsal gland obstruction). Results. Patients reported a mean 77.8% ± 13.5% subjective improvement in symptoms. There was a trend towards improvement in COTE grading at one month compared with baseline: grades 1 (0 to 7.4%), 2a (22.2 to 16.6%), 2b (7.4 to 3.7%), 3 (18.5 to 27.7%), and 4 (51.8 to 44%). Conclusions. PBMP provided a rapid, inexpensive, simple, effective, and safe method of treating PB. PMID:26347811

  15. The "5 a day" game: a nutritional intervention utilising innovative methodologies with primary school children.

    PubMed

    Rosi, Alice; Scazzina, Francesca; Ingrosso, Lisa; Morandi, Angelica; Del Rio, Daniele; Sanna, Alberto

    2015-01-01

    The aim of this study was observing and improving children's eating habits through an edutainment technological platform. A single-group education intervention was carried out in primary schools in Parma and Milano, Italy. A total of 76 children (32 females and 44 males, 8-10 years old) were involved in a 3-month nutritional program including lessons and educational videogames. Intakes of fruits, vegetables, juices and dietary total antioxidant capacity (TAC) were measured using 3-day food diaries before and after the intervention. The daily total consumption of fruit and vegetables increased from 421.8 (320.3) to 484.3 (337.2) g/day (p = 0.016). Consequently, daily dietary TAC increased by 26%, rising from 1.4 (1.3) to 1.6 (1.3) mmol of Trolox equivalents (p = 0.006). The methods and, particularly, the use of technological tools proved to be effective in conducting an educational intervention in children aged 8-10 years old. PMID:26307556

  16. The utilisation of structural descriptors to predict metabolic constants of xenobiotics in mammals.

    PubMed

    Pirovano, Alessandra; Brandmaier, Stefan; Huijbregts, Mark A J; Ragas, Ad M J; Veltman, Karin; Hendriks, A Jan

    2015-01-01

    Quantitative structure-activity relationships (QSARs) were developed to predict the Michaelis-Menten constant (Km) and the maximum reaction rate (Vmax) of xenobiotics metabolised by four enzyme classes in mammalian livers: alcohol dehydrogenase (ADH), aldehyde dehydrogenase (ALDH), flavin-containing monooxygenase (FMO), and cytochrome P450 (CYP). Metabolic constants were gathered from the literature and a genetic algorithm was employed to select at most six predictors from a pool of over 2000 potential molecular descriptors using two-thirds of the xenobiotics in each enzyme class. The resulting multiple linear models were cross-validated using the remaining one-third of the compounds. The explained variances (R(2)adj) of the QSARs were between 50% and 80% and the predictive abilities (R(2)ext) between 50% and 60%, except for the Vmax QSAR of FMO with both R(2)adj and R(2)ext less than 30%. The Vmax values of FMO were independent of substrate chemical structure because the rate-limiting step of its catalytic cycle occurs before compound oxidation. For the other enzymes, Vmax was predominantly determined by functional groups or fragments and electronic properties because of the strong and chemical-specific interactions involved in the metabolic reactions. The most relevant predictors for Km were functional groups or fragments for the enzymes metabolising specific compounds (ADH, ALDH and FMO) and size and shape properties for CYP, likely because of the broad substrate specificity of CYP enzymes. The present study can be helpful to predict the Km and Vmax of four important oxidising enzymes in mammals and better understand the underlying principles of chemical transformation by liver enzymes. PMID:25531263

  17. Fate of organic matter in Arctic intertidal sediments: Is utilisation by meiofauna important?

    NASA Astrophysics Data System (ADS)

    Urban-Malinga, Barbara; Moens, Tom

    2006-10-01

    This paper presents (1) a study of the fate of high-quality detritus in Arctic sandy beaches, in particular its use by the sandy beach meiobenthos, and (2) a comparison of organic matter mineralisation rates with those in other climatic regions. We performed a tracer experiment in which lyophilised 13C-labelled cyanobacteria were added to sediments of two intertidal beaches (Tyskehytte and Breoyane) at Kongsfjorden (Spitsbergen) with contrasting sediment properties, benthic metabolic rates and meiobenthic communities. Tyskehytte was characterised by coarse sands on an exposed beach and Breoyane by medium sands on a relatively sheltered beach. Organic matter addition stimulated benthic metabolism in the coarser sediment but not in the finer one. Correspondingly, the added carbon was metabolised faster in the coarser sediment, respiration being its major short-term fate. Faster mineralisation of organic matter in coarser sediments was probably linked to a better availability to microbes and fauna in deeper sediment strata, resulting from a higher sediment porosity and a faster penetration of (labelled) organic matter to deeper sediment layers. Overall, organic matter mineralisation rates at both beaches compared favourably with those in temperate sediments. All major meiofauna taxa incorporated the added carbon source on both beaches, but specific uptake was substantially higher in the coarser sediment than in the finer one. Oligochaetes accounted for the largest share of meiobenthic carbon uptake. Despite a very high specific uptake, meiofaunal consumption accounted for but a small portion (< 5% at both beaches) of the total 13C-mineralisation. Thus our results do not support the hypothesis that meiofauna have a comparatively larger role in Arctic sandy beaches impoverished in macrofauna. However, more research including analyses on different spatial and temporal scales is needed before generalisations can be made.

  18. Insights into the Dekkera bruxellensis Genomic Landscape: Comparative Genomics Reveals Variations in Ploidy and Nutrient Utilisation Potential amongst Wine Isolates

    PubMed Central

    Borneman, Anthony R.; Zeppel, Ryan; Chambers, Paul J.; Curtin, Chris D.

    2014-01-01

    The yeast Dekkera bruxellensis is a major contaminant of industrial fermentations, such as those used for the production of biofuel and wine, where it outlasts and, under some conditions, outcompetes the major industrial yeast Saccharomyces cerevisiae. In order to investigate the level of inter-strain variation that is present within this economically important species, the genomes of four diverse D. bruxellensis isolates were compared. While each of the four strains was shown to contain a core diploid genome, which is clearly sufficient for survival, two of the four isolates have a third haploid complement of chromosomes. The sequences of these additional haploid genomes were both highly divergent from those comprising the diploid core and divergent between the two triploid strains. Similar to examples in the Saccharomyces spp. clade, where some allotriploids have arisen on the basis of enhanced ability to survive a range of environmental conditions, it is likely these strains are products of two independent hybridisation events that may have involved multiple species or distinct sub-species of Dekkera. Interestingly these triploid strains represent the vast majority (92%) of isolates from across the Australian wine industry, suggesting that the additional set of chromosomes may confer a selective advantage in winery environments that has resulted in these hybrid strains all-but replacing their diploid counterparts in Australian winery settings. In addition to the apparent inter-specific hybridisation events, chromosomal aberrations such as strain-specific insertions and deletions and loss-of-heterozygosity by gene conversion were also commonplace. While these events are likely to have affected many phenotypes across these strains, we have been able to link a specific deletion to the inability to utilise nitrate by some strains of D. bruxellensis, a phenotype that may have direct impacts in the ability for these strains to compete with S. cerevisiae. PMID:24550744

  19. Comparison of the utilisation of palm kernel meal, brewers' dried grains and maize offal by broiler chicks.

    PubMed

    Onifade, A A; Babatunde, G M

    1998-05-01

    1. Palm kernel meal (PKM), brewers dried grains (BDG) and maize offal (MO) were included in broiler diets, each at 100, 150 or 200 g/kg; the diets were fed up to 35 d of age. 2. Overall food intake and weight gain decreased in the order BDG, PKM and MO. There were, however, significant interactions between the test ingredients and dietary concentrations in all the growth responses. Food intakes increased with the dietary concentrations of each test ingredient, but the increase was greater for BDG than PKM or MO. For weight gain, at 100 g/kg, the final body weights of the chicks fed on the diets with BDG and MO were similar, and those of chicks fed on the diet with PKM slightly lower. However, at 200 g/kg, growth rate of chicks fed on the BDG and PKM diets were similar while those of chicks fed on the MO diet was 7% lower. Efficiency of food utilisation was similar at 100 g/kg for all the ingredients and decreased as their concentrations increased; however, the decrease was considerably less for the PKM than for the MO and BDG diets. 3. Broilers fed on the BDG-based diets voided most excreta followed by those fed on the PKM and MO diets; excreta water content was highest from birds fed on the MO diets followed by the PKM and BDG diets. Apparent retention of dry matter was similar with all the test ingredients, but it decreased only significantly at 200 g/kg dietary concentration. The rate of passage was faster with the PKM diets followed by the MO and BDG diets; it was increased at 200 g/kg dietary concentration of the test ingredients. PMID:9649879

  20. A framework for the analysis of the security of supply of utilising carbon dioxide as a chemical feedstock.

    PubMed

    Fraga, Eric S; Ng, Melvin

    2015-12-01

    Recent developments in catalysts have enhanced the potential for the utilisation of carbon dioxide as a chemical feedstock. Using the appropriate energy efficient catalyst enables a range of chemical pathways leading to desirable products. In doing so, CO2 provides an economically and environmentally beneficial source of C1 feedstock, while improving the issues relating to security of supply that are associated with fossil-based feedstocks. However, the dependence on catalysts brings other supply chains into consideration, supply chains that may also have security of supply issues. The choice of chemical pathways for specific products will therefore entail an assessment not only of economic factors but also the security of supply issues for the catalysts. This is a multi-criteria decision making problem. In this paper, we present a modified 4A framework based on the framework suggested by the Asian Pacific Energy Research centre for macro-economic applications. The 4A methodology is named after the criteria used to compare alternatives: availability, acceptability, applicability and affordability. We have adapted this framework for the consideration of alternative chemical reaction processes using a micro-economic outlook. Data from a number of sources were collected and used to quantify each of the 4A criteria. A graphical representation of the assessments is used to support the decision maker in comparing alternatives. The framework not only allows for the comparison of processes but also highlights current limitations in the CCU processes. The framework presented can be used by a variety of stakeholders, including regulators, investors, and process industries, with the aim of identifying promising routes within a broader multi-criteria decision making process. PMID:26534861

  1. Effect of the pyridoindole antioxidant stobadine on ATP-utilisation by renal Na,K-ATPase in rats with streptozotocin-induced diabetes.

    PubMed

    Vrbjar, N; Strelková, S; Javorková, V; Vlkovicová, J; Mézesová, L; Stefek, M; Kysel'ová, Z; Gajdosíková, A

    2007-09-01

    The effect of the pyridoindole antioxidant stobadine on diabetes-induced changes of Na,K-ATPase, especially those concerning the utilisation of its substrate ATP, was investigated. Sixteen weeks of streptozotocin-induced diabetes (single i.v. dose of streptozotocin; 55 mg/kg) was followed by decrease in the enzyme activity. This effect was emphasised in the presence of higher concentrations of substrate and in the presence of 8 mmol x l(-1) ATP it represented 20%. It might be a consequence of altered functional properties of Na,K-ATPase as suggested by 20% decrease in the V(max) value along with decrease in the K(m) value by 20%. Administration of 0.05% (w/w) stobadine in the diet to diabetic rats improved the function of renal Na,K-ATPase with respect to utilisation of ATP as suggested by significant increase in the enzyme activity in the whole concentration range of ATP investigated as a consequence of V(max) elevation to the level comparable to absolute controls. In conclusion, stobadine may play a positive role in restoring the functional properties of renal Na,K-ATPase, especially concerning the utilisation of energy derived from hydrolysis of ATP, improving thus the maintenance of ionic homeostasis during diabetes. PMID:18063848

  2. Modelling the market uptake of new drugs following listing for subsidy in Australia. A report from the Drug Utilisation Subcommittee of the Australian Pharmaceutical Benefits Advisory Committee.

    PubMed

    Birkett, D J; McManus, P

    1995-10-01

    The market uptake of five drugs following subsidy listing in Australia during the period 1990 to 1992 has been modelled using the sigmoid Emax model for drug-receptor binding. Utilisation trends for simvastatin, omeprazole, budesonide, fluoxetine and moclobemide in defined daily dose (DDD) per 1000 population per day were smoothed by expressing as rolling annual averages. The results indicate good fits of the model to the data except for omeprazole, with good estimates of uptake rate and eventual maximum utilisation. Substantial differences between the drugs occurred in uptake rate which may be related to public education campaigns on asthma and coronary heart disease occurring during the release period. The very slow uptake of omeprazole relative to other drugs is likely to be due to restrictions on subsidised use. Modelling the market uptake rate and eventual utilisation of new drugs is useful as an aid to regulatory, quality use of medicines and financial decisions and allows comparisons between drugs to investigate factors important in market uptake. PMID:8554945

  3. The Positive Impact of the Early-Feeding of a Plant-Based Diet on Its Future Acceptance and Utilisation in Rainbow Trout

    PubMed Central

    Geurden, Inge; Borchert, Peter; Balasubramanian, Mukundh N.; Schrama, Johan W.; Dupont-Nivet, Mathilde; Quillet, Edwige; Kaushik, Sadasivam J.; Panserat, Stéphane; Médale, Françoise

    2013-01-01

    Sustainable aquaculture, which entails proportional replacement of fish-based feed sources by plant-based ingredients, is impeded by the poor growth response frequently seen in fish fed high levels of plant ingredients. This study explores the potential to improve, by means of early nutritional exposure, the growth of fish fed plant-based feed. Rainbow trout swim-up fry were fed for 3 weeks either a plant-based diet (diet V, V-fish) or a diet containing fishmeal and fish oil as protein and fat source (diet M, M-fish). After this 3-wk nutritional history period, all V- or M-fish received diet M for a 7-month intermediate growth phase. Both groups were then challenged by feeding diet V for 25 days during which voluntary feed intake, growth, and nutrient utilisation were monitored (V-challenge). Three isogenic rainbow trout lines were used for evaluating possible family effects. The results of the V-challenge showed a 42% higher growth rate (P = 0.002) and 30% higher feed intake (P = 0.005) in fish of nutritional history V compared to M (averaged over the three families). Besides the effects on feed intake, V-fish utilized diet V more efficiently than M-fish, as reflected by the on average 18% higher feed efficiency (P = 0.003). We noted a significant family effect for the above parameters (P<0.001), but the nutritional history effect was consistent for all three families (no interaction effect, P>0.05). In summary, our study shows that an early short-term exposure of rainbow trout fry to a plant-based diet improves acceptance and utilization of the same diet when given at later life stages. This positive response is encouraging as a potential strategy to improve the use of plant-based feed in fish, of interest in the field of fish farming and animal nutrition in general. Future work needs to determine the persistency of this positive early feeding effect and the underlying mechanisms. PMID:24386155

  4. Retrieving the availability of light in the ocean utilising spectral signatures of Vibrational Raman Scattering in hyper-spectral satellite measurements

    NASA Astrophysics Data System (ADS)

    Dinter, T.; Rozanov, V. V.; Burrows, J. P.; Bracher, A.

    2015-01-01

    The availability of light in the ocean is an important parameter for the determination of phytoplankton photosynthesis processes and primary production from satellite data. It is also a useful parameter for other applications, e.g. the determination of heat fluxes. In this study, a method was developed utilising the vibrational Raman scattering (VRS) effect of water molecules to determine the amount of photons available in the ocean water, which is expressed by the depth integrated scalar irradiance E0. Radiative transfer simulations with the fully coupled ocean-atmosphere Radiative Transfer Model (RTM) SCIATRAN show clearly the relationship of E0 to the strength of the VRS signal measured at the top of the atmosphere (TOA). Taking advantage of VRS structures in hyper-spectral satellite measurements a retrieval technique to derive E0 in the wavelength region from 390 to 444.5 nm was developed. This approach uses the Weighting Function Differential Optical Absorption Spectroscopy (WF-DOAS) technique, applied to TOA radiances, measured by the Scanning Imaging Absorption Spectrometer for Atmospheric Chartography (SCIAMACHY). Based on the approach of Vountas et al. (2007), where the DOAS method was used to fit modelled spectra of VRS, the method was improved by using the weighting function of VRS (VRS-WF) in the DOAS fit. This was combined with a look-up table (LUT) technique, where the E0 value was obtained for each VRS satellite fit directly. The VRS-WF and the LUT were derived from calculations with the RTM SCIATRAN (Rozanov et al., 2014). RTM simulations for different chlorophyll a concentrations and illumination conditions clearly show, that low fit factors of VRS retrieval results correspond to low amounts of light in the water column and vice versa. Exemplary, one month of SCIAMACHY data were processed and a global map of the depth integrated scalar irradiance E0 was retrieved. Spectral structures of VRS were clearly identified in the radiance measurements of SCIAMACHY. The fitting approach led to consistent results and the WF-DOAS algorithm results of VRS correlated clearly with the chlorophyll concentration in case-I water. Comparisons of the diffuse attenuation coefficient, extracted by VRS fit results, with the established GlobColour Kd (490) product show consistent results.

  5. Grassland systems of red meat production: integration between biodiversity, plant nutrient utilisation, greenhouse gas emissions and meat nutritional quality.

    PubMed

    Dawson, L E R; O'Kiely, P; Moloney, A P; Vipond, J E; Wylie, A R G; Carson, A F; Hyslop, J

    2011-08-01

    Government policies relating to red meat production take account of the carbon footprint, environmental impact, and contributions to human health and nutrition, biodiversity and food security. This paper reviews the impact of grazing on these parameters and their interactions, identifying those practices that best meet governments' strategic goals. The recent focus of research on livestock grazing and biodiversity has been on reducing grazing intensity on hill and upland areas. Although this produces rapid increases in sward height and herbage mass, changes in structural diversity and plant species are slower, with no appreciable short-term increases in biodiversity so that environmental policies that simply involve reductions in numbers of livestock may not result in increased biodiversity. Furthermore, upland areas rely heavily on nutrient inputs to pastures so that withdrawal of these inputs can threaten food security. Differences in grazing patterns among breeds increase our ability to manage biodiversity if they are matched appropriately to different conservation grazing goals. Lowland grassland systems differ from upland pastures in that additional nutrients in the form of organic and inorganic fertilisers are more frequently applied to lowland pastures. Appropriate management of these nutrient applications is required, to reduce the associated environmental impact. New slurry-spreading techniques and technologies (e.g. the trailing shoe) help reduce nutrient losses but high nitrogen losses from urine deposition remain a key issue for lowland grassland systems. Nitrification inhibitors have the greatest potential to successfully tackle this problem. Greenhouse gas (GHG) emissions are lower from indoor-based systems that use concentrates to shorten finishing periods. The challenge is to achieve the same level of performance from grass-based systems. Research has shown potential solutions through the use of forages containing condensed tannins or establishing swards with a high proportion of clover and high-sugar grasses. Relative to feeding conserved forage or concentrates, grazing fresh grass not only reduces GHG emissions but also enhances the fatty acid composition of meat in terms of consumer health. It is possible to influence biodiversity, nutrient utilisation, GHG emissions and the nutritional quality of meat in grass-based systems, but each of these parameters is intrinsically linked and should not be considered in isolation. Interactions between these parameters must be considered carefully when policies are being developed, in order to ensure that strategies designed to achieve positive gains in one category do not lead to a negative impact in another. Some win-win outcomes are identified. PMID:22440290

  6. Utilisation de la Fibre a Deux Coeurs Non-Lineaire dans les Lasers EN Fibre et Lignes de Transmission

    NASA Astrophysics Data System (ADS)

    Essiambre, Rene-Jean

    L'utilisation des proprietes non-lineaires de la fibre optique a deux coeurs identiques constitue l'objet de cette etude numerique. Les effets non-lineaires dans les fibres optiques ainsi que la theorie des modes couples sont abordes pour decrire le comportement de la fibre a deux coeurs non-lineaire. On a d'abord analyse les proprietes de transmission d'une telle fibre autour de la puissance critique lorsqu'elle est recouplee a elle-meme dans une configuration Sagnac pour differentes valeurs de dispersion. Nous avons observe des effets simultanes de compression et de filtrage non-lineaire des impulsions injectees. On a ensuite considere configuration de laser en fibre incluant une fibre a deux coeurs comme element passif de synchronisation modale adjoint a un mileu amplificateur externe ayant une largeur de gain finie. On a demontre qu'il etait possible de generer ainsi des solitons fondamentaux de puissance variable et ce, avec tres peu d'ondes dispersives. Ces solitons possedent un spectre qui est de l'ordre de grandeur de la largeur du milieu de gain du laser et ils ne sont amplifies que faiblement a chaque passage. La combinaison d'une fibre a deux coeurs et d'un milieu de gain de largeur de bande finie peut egalement etre utilisee pour controler certains effets non-lineaires d'ordre superieur comme l'auto -glissement en frequence du soliton (diffusion Raman intra -impulsion) qui deplace le spectre d'un soliton vers les basses frequences. Pour une certaine plage de parametres on obtient une stabilisation periodique du deplacement en frequence du soliton. La zone de stabilite correspondant a une longueur de fibre de l'ordre de quelques kilometres et a une duree de soliton d'environ deux a cinq picosecondes. Un tel dispositif semble bien adapte pour la transmission d'information par solitons sur de longues distances dans un nouveau regime d'operation. Enfin, tout au long de l'ouvrage, on retrouve des analyses reliees a des systemes deja existants et on situe les resultats de nos travaux dans le cadre des resultats obtenus par d'autres groupes.

  7. Digestibility, ruminal fermentation, ingesta kinetics and nitrogen utilisation in dairy cows fed diets based on silage of a brown midrib or a standard maize hybrid.

    PubMed

    Gorniak, Tobias; Hüther, Liane; Meyer, Ulrich; Lebzien, Peter; Breves, Gerhard; Südekum, Karl-Heinz; Dänicke, Sven

    2014-01-01

    The aim of the present experiment was to investigate an experimental brown midrib (Bm) maize hybrid in comparison with a control (Con) non-Bm maize hybrid on ruminal and total tract digestibility, ruminal fermentation, ruminal ingesta kinetics, nitrogen (N) utilisation and microbial efficiency. A total of six ruminally and duodenally cannulated German Holstein cows were used. Animals were fed diets of either 11.5 kg dry matter (DM) of a Con or a Bm maize silage plus 4.1 kg DM of concentrate. Ruminal and total tract digestibility of organic matter, neutral detergent fibre and acid detergent fibre did not differ between hybrids. Short-chain fatty acid concentrations and pH in the rumen were not affected, but ruminal mean retention time was lower for Diet Bm (Con: 45.4 ± 2.39 h; Bm: 40.6 ± 2.39 h; least squares means ± standard error). Cows fed Diet Bm had greater efficiency of N utilisation (Con: 30.1 ± 1.37%; Bm: 33.1 ± 1.37%) and increased flow of microbial crude protein at the duodenum (MCPF) (Con: 7.0 ± 0.37 g/MJ metabolisable energy (ME); Bm: 8.1 ± 0.37 g/MJ ME). Thus, MCPF and utilisable crude protein at the duodenum (uCP) were greater for Diet Bm (MCPF - Con: 1117 ± 52.1 g/d; Bm: 1306 ± 52.1 g/d; uCP - Con: 1594 ± 57.9 g/d; Bm: 1807 ± 57.9 g/d) and ruminal N balance was lower for Diet Bm (Con: 98.7 ± 8.92 g/d; Bm: 65.6 ± 8.92 g/d). The present results show that the Bm maize hybrid might be advantageous for dairy cow nutrition with regard to N utilisation and MCPF. However, further research is necessary to draw more precise conclusions on the potential of Bm maize hybrids in general. PMID:24646152

  8. Utilising climate research to inform the insurance industry: Can we use dynamically simulated storms for risk assessment?

    NASA Astrophysics Data System (ADS)

    Strachan, Jane; Vidale, Pier Luigi; Vitolo, Renato; Stevenson, David

    2010-05-01

    Risk assessment, in the form if catastrophe modelling, is used by the insurance industry to estimate potential loss from hazardous events, such as tropical cyclones (TCs). Probability distributions of potential loss are generated using available information about the location, severity and frequency of the hazard in question, coupled with information about the vulnerability of insured assets. Hazard information for climate-related events is typically derived from limited observational data. TC data, for example, are only available for approximately the last 50 years, beyond which the data becomes less and less consistent and reliable. Basing statistics on a limited period of historical data neglects the non-stationary nature of the climate system and its influence on TC activity, and hence does not necessarily capture the full array of possible storm scenarios. This is particularly true when considering the influence of natural climate variability operating on longer time scales, such as multi-decadal variability, which are known to have an impact on TCs. High resolution dynamical climate modelling, has the potential to provide highly relevant information to the risk assessment process. Simulating extreme events in a global climate context is increasingly possible with improved general circulation model (GCM) resolution, physics, and simulation length; this has the potential to improve understanding of the impact of natural variability on climate-related hazards. Although catastrophe models already utilise output from numerical models, closer integration between stochastic event modelling approach undertaken in industry and dynamical modelling undertaken in academia has the potential to further improve risk assessment. We propose a new approach to the creation of a TC event set, for use in the catastrophe modelling process, based on both available observational data (IBTrACS) and a database of dynamically simulated TCs, extracted from over 200 years of current climate data, simulated using a high resolution, global, ocean-atmosphere GCM. As an initial proof of concept exercise we initially concentrate on the West Pacific region, taking into account storms affecting Japan, China and South-East Asia. A bias corrected (necessary due to the impact of resolution on simulated storm intensities) version of the storm database is statistically sampled and perturbed to produce thousands of synthetic storms. This is a typical catastrophe modelling approach, however the resultant stochastic event-set will be take into account the influence of the naturally varying global climate system. This project reveals the advantage of having a cross-disciplinary approach made possible through the platform of the Willis Research Network, bringing together climate modellers, statisticians, geovisualisation experts and risk modellers. The challenge of developing a much stronger partnership between the industry and academia, with more openness and a flow of expertise and relevant information, is beneficial to both the industry and the science.

  9. Investigating Over Critical Thresholds of Forest Megafires Danger Conditions in Europe Utilising the ECMWF ERA-Interim Reanalysis

    NASA Astrophysics Data System (ADS)

    Petroliagkis, Thomas I.; Camia, Andrea; Liberta, Giorgio; Durrant, Tracy; Pappenberger, Florian; San-Miguel-Ayanz, Jesus

    2014-05-01

    The European Forest Fire Information System (EFFIS) has been established by the Joint Research Centre (JRC) and the Directorate General for Environment (DG ENV) of the European Commission (EC) to support the services in charge of the protection of forests against fires in the EU and neighbour countries, and also to provide the EC services and the European Parliament with information on forest fires in Europe. Within its applications, EFFIS provides current and forecast meteorological fire danger maps up to 6 days. Weather plays a key role in affecting wildfire occurrence and behaviour. Meteorological parameters can be used to derive meteorological fire weather indices that provide estimations of fire danger level at a given time over a specified area of interest. In this work, we investigate the suitability of critical thresholds of fire danger to provide an early warning for megafires (fires > 500 ha) over Europe. Past trends of fire danger are analysed computing daily fire danger from weather data taken from re-analysis fields for a period of 31 years (1980 to 2010). Re-analysis global data sets coming from the construction of high-quality climate records, which combine past observations collected from many different observing and measuring platforms, are capable of describing how Fire Danger Indices have evolved over time at a global scale. The latest and most updated ERA-Interim dataset of the European Centre for Medium-Range Weather Forecast (ECMWF) was used to extract meteorological variables needed to compute daily values of the Canadian Fire Weather Index (CFWI) over Europe, with a horizontal resolution of about 75x75 km. Daily time series of CFWI were constructed and analysed over a total of 1,071 European NUTS3 centroids, resulting in a set of percentiles and critical thresholds. Such percentiles could be used as thresholds to help fire services establish a measure of the significance of CFWI outputs as they relate to levels of fire potential, fuel conditions and fire danger. Median percentile values of fire days accumulated over the 31-year period were compared to median values of all days from that period. As expected, the CWFI time series exhibit different values on fire days than on all days. In addition, a percentile analysis was performed in order to determine the behaviour of index values corresponding to fire events falling into the megafire category. This analysis resulted in a set of critical thresholds based on percentiles. By utilising such thresholds, an initial framework of an early warning system has being established. By lowering the value of any of these thresholds, the number of hits could be increased until all extremes were captured (resulting in zero misses). However, in doing so, the number of false alarms tends to increase significantly. Consequently, an optimal trade-off between hits and false alarms has to be established when setting different (critical) CFWI thresholds.

  10. The bounds on tracking performance utilising a laser-based linear and angular sensing and measurement methodology for micro/nano manipulation

    NASA Astrophysics Data System (ADS)

    Clark, Leon; Shirinzadeh, Bijan; Tian, Yanling; Zhong, Yongmin

    2014-12-01

    This paper presents an analysis of the tracking performance of a planar three degrees of freedom (DOF) flexure-based mechanism for micro/nano manipulation, utilising a tracking methodology for the measurement of coupled linear and angular motions. The methodology permits trajectories over a workspace with large angular range through the reduction of geometric errors. However, when combining this methodology with feedback control systems, the accuracy of performed manipulations can only be stated within the bounds of the uncertainties in measurement. The dominant sources of error and uncertainty within each sensing subsystem are therefore identified, which leads to a formulation of the measurement uncertainty in the final system outputs, in addition to methods of reducing their magnitude. Specific attention is paid to the analysis of the vision-based subsystem utilised for the measurement of angular displacement. Furthermore, a feedback control scheme is employed to minimise tracking errors, and the coupling of certain measurement errors is shown to have a detrimental effect on the controller operation. The combination of controller tracking errors and measurement uncertainty provides the bounds on the final tracking performance.

  11. Self-reported health problems, health care utilisation and unmet health care needs of elderly men and women in an urban municipality and a rural area of Bhaktapur District of Nepal.

    PubMed

    Kshetri, Dan B B; Smith, William C S

    2011-06-01

    The study aimed to identify the felt common health problems, utilisation of health services and unmet needs of urban and rural elderly people of Bhaktapur district, Nepal. It was a cross sectional population study of people aged 60 years or more where 204 respondents were interviewed in 2009. The common felt problems were pain and swelling of joints (65.7%), indigestion (63.7%), excessive tiredness (38.2%) and hypertension (35.8%). Pain and swelling of joints (72.5%) and back pain (40.4%) were higher in rural elderly population whereas indigestion (67.6%) and hypertension (37.85%) were higher in urban population. Pain and swelling of joints (66.7%) and indigestion (69.6%) were higher in males, and hypertension (50.0%), back pain (38.2%) and chronic bronchitis/asthma (39.2%) were higher in females. The unmet needs varied between different health problems. In general women had more unmet needs than men, where 80 unmet needs were identified for the 102 men compared with 105 for the 102 women, and these unmet needs increased dramatically with age. This approach yields new insights into the health care needs of the elderly and will be helpful to health care planners. PMID:20849369

  12. HIV-related knowledge, perceptions, attitudes, and utilisation of HIV counselling and testing: a venue-based intercept commuter population survey in the inner city of Johannesburg, South Africa

    PubMed Central

    Chimoyi, Lucy; Tshuma, Ndumiso; Muloongo, Keith; Setswe, Geoffrey; Sarfo, Bismark; Nyasulu, Peter S.

    2015-01-01

    Background HIV counselling and testing (HCT) and knowledge about HIV have been key strategies utilised in the prevention and control of HIV/AIDS worldwide. HIV knowledge and uptake of HCT services in sub-Saharan Africa are still low. This study was conducted to determine factors associated with HCT and HIV/AIDS knowledge levels among a commuter population in Johannesburg, South Africa. Objective To identify the factors associated with HCT uptake among the commuter population. Design A simple random sampling method was used to select participants in a venue-based intercept survey at a taxi rank in the Johannesburg Central Business District. Data were collected using an electronic questionnaire. Logistic regression analysis assessed factors associated with HIV testing stratified by gender. Results 1,146 respondents were interviewed, the maority (n=579, 50.5%) were females and (n=780, 68.1%) were over 25 years of age. Overall HCT knowledge was high (n=951, 83%) with more females utilising HCT facilities. There was a significant difference in HIV testing for respondents living closer to and further away from health facilities. Slightly more than half of the respondents indicated stigma as one of the barriers for testing (n=594, 52%, p-value=0.001). For males, living with a partner (aOR: 1.68, 95% CI: 1.02–2.78, p-value: 0.041) and possessing a post-primary education were positively associated with testing (aOR: 2.00, 95% CI: 1.15–3.47, p-value: 0.014), whereas stigma and discrimination reduced the likelihood of testing (aOR: 0.40, 95% CI: 0.31–0.62, p-value: <0.001). For females, having one sexual partner (aOR: 2.65, 95% CI: 1.19–5.90, p-value: 0.017) and a low perceived benefit for HIV testing (aOR: 0.54, 95% CI: 0.30–0.96, p-value: 0.035) were associated with HIV testing. Conclusion The overall HIV/AIDS knowledge was generally high. Gender-specific health education and HIV intervention programmes are needed for improved access to HCT services. One favourable intervention would be the use of home-based HCT programmes. PMID:25925192

  13. Effect of offering dairy cows diets differing in phosphorus concentration over four successive lactations: 2. Health, fertility, bone phosphorus reserves and nutrient utilisation.

    PubMed

    Ferris, C P; McCoy, M A; Patterson, D C; Kilpatrick, D J

    2010-04-01

    This experiment examined the long-term effects of offering diets containing low levels of dietary phosphorus (P) on dairy cow health, fertility and bone composition, and the effect of dietary P level on nutrient utilisation. One hundred winter-calving Holstein-Friesian dairy cows were offered diets containing either 'high' or 'low' levels of dietary P over a 4-year period. Rations offered during the winter included grass silage, maize silage (70 : 30 dry matter (DM) basis, approximately) and concentrates (10.0 to 12.0 kg/cow per day). During the summer periods in years 1 and 2, half of the cows grazed both day and night, while the remaining cows grazed by day, and were housed by night and offered grass silage. During years 3 and 4, all cows grazed both day and night during the summer period. Concentrate feed levels during the summer periods were 3.0 to 4.0 kg/cow per day. Different dietary P levels were achieved by offering concentrates containing either high or low P levels during the winter period (approximately 7.0 or 4.4 g P/kg DM, respectively) and during the summer period (approximately 6.8 or 3.6 g P/kg DM, respectively). Total ration P levels averaged 4.9 and 3.6 g P/kg DM for the high and low P winter diets, respectively, and 4.2 and 3.6 g P/kg DM for the high and low P summer diets, respectively. A total of 95, 70, 50 and 22 cows completed each of lactations from 1 to 4, respectively. Neither the incidence of lameness or mastitis, or milk somatic cell count, were affected by dietary P level (P > 0.05), while none of the fertility parameters recorded in any of lactations from 1 to 4 was affected by the dietary P level (P > 0.05). Dietary P level had no effect on the specific gravity, ash or calcium content of rib cortical bone cores (n = 78 cows), while the P content of cortical bone (g/kg fresh, g/kg DM and mg/ml fresh bone) was lower with cows offered low P diets (P < 0.05). Dietary P level had no significant effect on the digestibility of either the DM, nitrogen, energy or acid detergent fibre fraction of the diet (P > 0.05), while faecal P excretions were reduced by a mean of 27 g/cow per day with cows offered the low P diets during the winter period. The results of this study indicate that dietary P levels can be reduced to proportionately 0.8 (approximately) of current UK feeding standards (Agricultural and Food Research Council, 1991), with no detrimental effect on dairy cow health or fertility, while having only minor effects on bone composition. PMID:22444043

  14. Influence of a microbial phytase on the performance and the utilisation of energy, crude protein and fatty acids of young broilers fed on phosphorus-adequate maize- and wheat-based diets.

    PubMed

    Zaefarian, F; Romero, L F; Ravindran, V

    2013-01-01

    1. The effects of microbial phytase on the performance and nutrient utilisation in broilers fed on phosphorus-adequate starter diets were examined in this study. The effect of phytase on the apparent ileal digestibility of fatty acids was of particular interest. Two grain types (maize and wheat) and two inclusion concentrations of a phytase enzyme from Escherichia coli expressed in Schizosaccaromyces pombe (0 or 500 phytase units (FTU)/kg of feed) were evaluated in a 2 × 2 factorial arrangement of treatments. 2. Supplemental phytase improved the weight gain and feed per gain, but had no effect on the feed intake of young broilers receiving phosphorus-adequate diets. 3. Phytase supplementation improved the apparent ileal digestibility of nitrogen and phosphorus in both diet types. Phytase supplementation tended to improve the apparent ileal digestible energy in wheat-based diets, but had no effect on the apparent metabolisable energy in both diet types. 4. Supplementation of phytase increased the apparent ileal digestibility of fat, with similar effects for the different fatty acids measured. Increments on ileal fat digestibility due to phytase were not dependent on the type of diet. 5. Dietary supplementation of microbial phytase enhanced not only the digestibility of phosphorus, but also that of nitrogen and fat, exhibiting increased ileal digestibility for all fatty acids in P-adequate maize- and wheat-based diets. PMID:24020647

  15. Le recours aux modeles dans l'enseignement de la biologie au secondaire : Conceptions d'enseignantes et d'enseignants et modes d'utilisation

    NASA Astrophysics Data System (ADS)

    Varlet, Madeleine

    Le recours aux modeles et a la modelisation est mentionne dans la documentation scientifique comme un moyen de favoriser la mise en oeuvre de pratiques d'enseignement-apprentissage constructivistes pour pallier les difficultes d'apprentissage en sciences. L'etude prealable du rapport des enseignantes et des enseignants aux modeles et a la modelisation est alors pertinente pour comprendre leurs pratiques d'enseignement et identifier des elements dont la prise en compte dans les formations initiale et disciplinaire peut contribuer au developpement d'un enseignement constructiviste des sciences. Plusieurs recherches ont porte sur ces conceptions sans faire de distinction selon les matieres enseignees, telles la physique, la chimie ou la biologie, alors que les modeles ne sont pas forcement utilises ou compris de la meme maniere dans ces differentes disciplines. Notre recherche s'est interessee aux conceptions d'enseignantes et d'enseignants de biologie au secondaire au sujet des modeles scientifiques, de quelques formes de representations de ces modeles ainsi que de leurs modes d'utilisation en classe. Les resultats, que nous avons obtenus au moyen d'une serie d'entrevues semi-dirigees, indiquent que globalement leurs conceptions au sujet des modeles sont compatibles avec celle scientifiquement admise, mais varient quant aux formes de representations des modeles. L'examen de ces conceptions temoigne d'une connaissance limitee des modeles et variable selon la matiere enseignee. Le niveau d'etudes, la formation prealable, l'experience en enseignement et un possible cloisonnement des matieres pourraient expliquer les differentes conceptions identifiees. En outre, des difficultes temporelles, conceptuelles et techniques peuvent freiner leurs tentatives de modelisation avec les eleves. Toutefois, nos resultats accreditent l'hypothese que les conceptions des enseignantes et des enseignants eux-memes au sujet des modeles, de leurs formes de representation et de leur approche constructiviste en enseignement representent les plus grands obstacles a la construction des modeles en classe. Mots-cles : Modeles et modelisation, biologie, conceptions, modes d'utilisation, constructivisme, enseignement, secondaire.

  16. LASERIX : une station de travail ouverte pour l'étude et l'utilisation de lasers de 10 à 40 nm de longueur d'onde

    NASA Astrophysics Data System (ADS)

    Jamelot, G.; Klisnick, A.; Ros, D.; Lagron, J.-C.; Vanbostal, L.; Zeitoun, Ph.; Dubau, J.

    2002-06-01

    Les lasers à rayons X sont les sources les plus brillantes actuellement disponibles dans une gamme de longueurs d'onde comprises entre 10 et 40 nm. Leurs propriétés permettent de réaliser des expériences inconcevables auparavant. Le développement des applications des lasers X implique la réalisation de stations de travail spécifiquement destinées à la production et à l'utilisation de lasers X. “LASERIX” est un projet de l'Université Paris-Sud qui sera construit dans les locaux de l'ENSTA à Palaiseau. Cette installation servira au développement des applications des lasers X, à l'amélioration de propriétés optiques des lasers X existants et à la réalisation de nouveaux lasers X. Elle sera ouverte aux équipes utilisatrices sélectionnées par un comité de programme.

  17. Association between daily antiretroviral pill burden and treatment adherence, hospitalisation risk, and other healthcare utilisation and costs in a US medicaid population with HIV

    PubMed Central

    Cohen, Calvin J; Meyers, Juliana L; Davis, Keith L

    2013-01-01

    Objectives Lower pill burden leads to improved antiretroviral therapy (ART) adherence among HIV patients. Simpler dosing regimens have not been widely explored in real-world populations. We retrospectively assessed ART adherence, all-cause hospitalisation risk and costs, and other healthcare utilisation and costs in Medicaid enrollees with HIV treated with ART as a once-daily single-tablet regimen (STR) or two or more pills per day (2+PPD). Design Patients with an HIV diagnosis from 2005 to 2009 receiving complete ART (ie, two nucleoside/nucleotide reverse transcriptase inhibitors plus a third agent) for ?60?days as STR or 2+PPD were selected and followed until the first of (1) discontinuation of the complete ART, (2) loss of enrolment or (3) end of database. Adherence was measured using the medication possession ratio. Monthly all-cause healthcare utilisation and costs were observed from regimen initiation until follow-up end. Results Of the 7381 patients who met inclusion criteria, 1797 were treated with STR and 5584 with 2+PPD. STR patients were significantly more likely to reach 95% adherence and had fewer hospitalisations than 2+PPD patients (both p<0.01). STR patients had mean (SD) total monthly costs of $2959 ($4962); 2+PPD patients had $3544 ($5811; p<0.001). Hospital costs accounted for 53.8% and pharmacy costs accounted for 32.5% of this difference. Multivariate analyses found that STR led to a 23% reduction in hospitalisations and a 17% reduction in overall healthcare costs. ART adherence appears to be a key mechanism mediating hospitalisation risk, as patients with ?95% adherence (regardless of regimen type) had a lower hospitalisation rate compared with <95% adherence. Conclusions While it was expected that STR patients would have lower pharmacy costs, we also found that STR patients had fewer hospitalisations and lower hospital costs than 2+PPD patients, resulting in significantly lower total healthcare costs for STR patients. PMID:23906955

  18. Impact of immune system stimulation on the ileal nutrient digestibility and utilisation of methionine plus cysteine intake for whole-body protein deposition in growing pigs.

    PubMed

    Rakhshandeh, Anoosh; Htoo, John K; Karrow, Neil; Miller, Stephen P; de Lange, Cornelis F M

    2014-01-14

    The impact of immune system stimulation (ISS) on the ileal nutrient digestibility and utilisation of dietary methionine plus cysteine (SAA) intake for whole-body protein deposition (PD) was evaluated in growing pigs. For this purpose, sixty barrows were used in two experiments: thirty-six pigs in Expt I and twenty-four pigs in Expt II. Pigs were feed restricted and assigned to five levels of dietary SAA allowance (three and two levels in Expt I and II, respectively) from SAA-limiting diets. Following adaptation, pigs at each dietary SAA level were injected with either increasing amounts of Escherichia coli lipopolysaccharide (ISS+; eight and six pigs per dietary SAA level in Expt I and II, respectively) or saline (ISS - ; four and six pigs in Expt I and II, respectively) while measuring the whole-body nitrogen (N) balance. After N-balance observations, pigs were euthanised, organs were removed and ileal digesta were collected for determining nutrient digestibility. Ileal digestibility of gross energy, crude protein and amino acids was not affected by ISS (P>0·20). ISS reduced PD at all levels of dietary SAA intake (P< 0·01). The linear relationship between daily dietary SAA intake and PD observed at the three lowest dietary SAA intake levels indicated that ISS increased extrapolated maintenance SAA requirements (P< 0·05), but had no effect on the partial efficiency of the utilisation of dietary SAA intake for PD (P>0·20). Physiological and metabolic changes associated with systemic ISS had no effect on the ileal digestibility of nutrients per se, but altered SAA requirements for PD in growing pigs. PMID:23803219

  19. Utilisation of a thoracic oncology database to capture radiological and pathological images for evaluation of response to chemotherapy in patients with malignant pleural mesothelioma

    PubMed Central

    Carey, George B; Kazantsev, Stephanie; Surati, Mosmi; Rolle, Cleo E; Kanteti, Archana; Sadiq, Ahad; Bahroos, Neil; Raumann, Brigitte; Madduri, Ravi; Dave, Paul; Starkey, Adam; Hensing, Thomas; Husain, Aliya N; Vokes, Everett E; Vigneswaran, Wickii; Armato, Samuel G; Kindler, Hedy L; Salgia, Ravi

    2012-01-01

    Objective An area of need in cancer informatics is the ability to store images in a comprehensive database as part of translational cancer research. To meet this need, we have implemented a novel tandem database infrastructure that facilitates image storage and utilisation. Background We had previously implemented the Thoracic Oncology Program Database Project (TOPDP) database for our translational cancer research needs. While useful for many research endeavours, it is unable to store images, hence our need to implement an imaging database which could communicate easily with the TOPDP database. Methods The Thoracic Oncology Research Program (TORP) imaging database was designed using the Research Electronic Data Capture (REDCap) platform, which was developed by Vanderbilt University. To demonstrate proof of principle and evaluate utility, we performed a retrospective investigation into tumour response for malignant pleural mesothelioma (MPM) patients treated at the University of Chicago Medical Center with either of two analogous chemotherapy regimens and consented to at least one of two UCMC IRB protocols, 9571 and 13473A. Results A cohort of 22 MPM patients was identified using clinical data in the TOPDP database. After measurements were acquired, two representative CT images and 0–35 histological images per patient were successfully stored in the TORP database, along with clinical and demographic data. Discussion We implemented the TORP imaging database to be used in conjunction with our comprehensive TOPDP database. While it requires an additional effort to use two databases, our database infrastructure facilitates more comprehensive translational research. Conclusions The investigation described herein demonstrates the successful implementation of this novel tandem imaging database infrastructure, as well as the potential utility of investigations enabled by it. The data model presented here can be utilised as the basis for further development of other larger, more streamlined databases in the future. PMID:23103606

  20. Study-MATE: Using Text Messaging to Support Student Transition to University Study

    ERIC Educational Resources Information Center

    Cahir, Jayde; Huber, Elaine; Handal, Boris; Dutch, Justin; Nixon, Mark

    2012-01-01

    Students are most likely to drop out of university when first attending. This article analyses the use of technology in supporting the transition process of "first time" university students enrolled in a second-year accounting course. Study-MATE, a study skills program utilising the university's learning management system (LMS)--Blackboard, Google…

  1. Study-MATE: Using Text Messaging to Support Student Transition to University Study

    ERIC Educational Resources Information Center

    Cahir, Jayde; Huber, Elaine; Handal, Boris; Dutch, Justin; Nixon, Mark

    2012-01-01

    Students are most likely to drop out of university when first attending. This article analyses the use of technology in supporting the transition process of "first time" university students enrolled in a second-year accounting course. Study-MATE, a study skills program utilising the university's learning management system (LMS)--Blackboard, Google…

  2. Antibacterial activity of rosin and resin acids in vitro.

    PubMed

    Söderberg, T A; Gref, R; Holm, S; Elmros, T; Hallmans, G

    1990-01-01

    The antibacterial effects of rosins and resin acids were studied in vitro using three methods, disc diffusion on agar, agar dilution, and broth dilution. Rosin and some resin acids had antibacterial effects that were restricted to Gram-positive bacteria. The abietic type of acids had a more pronounced antibacterial activity than the pimaric and labdane acids when the disc diffusion method was used but there was no inhibition of growth of Gram-negative bacteria. Among the individual resin acids, dehydroabietic acid was generally the most potent, when disc diffusion on agar was used, and prediffusion increased the inhibitory effect. The composition of the pure resin acids dehydroabietic, neoabietic, and isopimaric acid did not change during the experiment, but abietic and levopimaric acid were converted into dehydroabietic acid by the addition of Müller-Hinton agar. In conclusion the old tradition of treating wounds with pitch, sap, rosin, or rosin containing tapes might therefore have some antibacterial relevance. PMID:2281306

  3. Meta-analysis of phosphorus utilisation by broilers receiving corn-soyabean meal diets: influence of dietary calcium and microbial phytase.

    PubMed

    Létourneau-Montminy, M P; Narcy, A; Lescoat, P; Bernier, J F; Magnin, M; Pomar, C; Nys, Y; Sauvant, D; Jondreville, C

    2010-11-01

    Pollution relative to phosphorus excretion in poultry manure as well as the soaring prices of phosphate, a non-renewable resource, remain of major importance. Thus, a good understanding of bird response regarding dietary phosphorus (P) is a prerequisite to optimise the utilisation of this essential element in broiler diets. A database built from 15 experiments with 203 treatments was used to predict the response of 21-day-old broilers to dietary non-phytate P (NPP), taking into account the main factors of variation, calcium (Ca) and microbial phytase derived from Aspergillus niger, in terms of average daily feed intake (ADFI), average daily gain (ADG), gain to feed (G:F) and tibia ash concentration. All criteria evolve linearly (P < 0.001) and quadratically (P < 0.001) with dietary NPP concentration. Dietary Ca affected the intercept and linear component for ADG (P < 0.01), G:F (P < 0.05) and tibia ash concentration (P < 0.001), whereas for ADFI, it affected only the intercept (P < 0.01). Microbial phytase addition impacted on the intercept, the linear and the quadratic coefficient for ADFI (P < 0.01), ADG (P < 0.001) and G:F (P < 0.05), and on the intercept and the linear component (P < 0.001) for tibia ash concentration. An evaluation of these models was then performed on a database built from 28 experiments and 255 treatments that were not used to perform the models. Results showed that ADFI, ADG and Tibia ash concentration were predicted fairly well (slope and intercept did not deviate from 0 to 1, respectively), whereas this was not the case for G:F. The increase in dietary Ca concentration aggravated P deficiency for all criteria while phytase addition had a positive effect. The more P deficiency was marked, the more the bird response to ADFI, ADG, G:F and tibia ash concentration was exacerbated. It must also be considered that even if the decrease in dietary Ca may improve P utilisation, it could in turn become limiting for bone mineralisation. In conclusion, this meta-analysis provides ways to reduce dietary P in broiler diets without impairing performance, taking into account dietary Ca and microbial phytase. PMID:22445145

  4. Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach

    PubMed Central

    Lal, Sham; Ndyomugenyi, Richard; Alexander, Neal D.; Lagarde, Mylene; Paintain, Lucy; Magnussen, Pascal; Chandramohan, Daniel; Clarke, Siân E.

    2015-01-01

    Background Malaria endemic countries have scaled-up community health worker (CHW) interventions, to diagnose and treat malaria in communities with limited access to public health systems. The evaluations of these programmes have centred on CHW’s compliance to guidelines, but the broader changes at public health centres including utilisation and diagnoses made, has received limited attention. Methods This analysis was conducted during a CHW–intervention for malaria in Rukungiri District, Western Uganda. Outpatient department (OPD) visit data were collected for children under-5 attending three health centres one year before the CHW-intervention started (pre-intervention period) and for 20 months during the intervention (intervention-period). An interrupted time series analysis with segmented regression models was used to compare the trends in malaria, non-malaria and overall OPD visits during the pre-intervention and intervention-period. Results The introduction of a CHW-intervention suggested the frequency of diagnoses of diarrhoeal diseases, pneumonia and helminths increased, whilst the frequency of malaria diagnoses declined at health centres. In May 2010 when the intervention began, overall health centre utilisation decreased by 63% compared to the pre-intervention period and the health centres saw 32 fewer overall visits per month compared to the pre-intervention period (p<0.001). Malaria visits also declined shortly after the intervention began and there were 27 fewer visits per month during the intervention-period compared with the pre-intervention period (p<0.05). The declines in overall and malaria visits were sustained for the entire intervention-period. In contrast, there were no observable changes in trends of non-malarial visits between the pre-intervention and intervention-period. Conclusions This analysis suggests introducing a CHW-intervention can reduce the number of child malaria visits and change the profile of cases presenting at health centres. The reduction in workload of health workers may allow them to spend more time with patients or undertake additional curative or preventative roles. PMID:26356099

  5. The Implications of the National Minimum Wage for Training Practices and Skill Utilisation in the United Kingdom Hospitality Industry

    ERIC Educational Resources Information Center

    Norris, Gill; Williams, Steve; Adam-Smith, Derek

    2003-01-01

    Two key issues thrown up by the 1999 introduction of the National Minimum Wage (NMW) in the United Kingdom are its likely impact on employers' training practices in low paying sectors of the economy and the implications for skills. Based on a study of the hospitality industry, this article assesses the limited significance of the differential,…

  6. L'Utilisation de l'ordinateur en lexicometrie (The Use of the Computer in Lexicometry). Series B-1.

    ERIC Educational Resources Information Center

    Savard, Jean-Guy

    This report treats some of the technical difficulties encountered in lexicological studies that were undertaken in order to establish a basic vocabulary. Its purpose is to show that the computer can overcome some of these difficulties, and specifically that computer programming can serve to establish a vocabulary common to scientific and technical…

  7. Utilising a Blended Ethnographic Approach to Explore the Online and Offline Lives of Pro-Ana Community Members

    ERIC Educational Resources Information Center

    Dyke, Sarah

    2013-01-01

    The article critically interrogates contemporary discourses and practices around "anorexia nervosa" through an ethnographic study that moves between two sites: an online pro-anorexia (pro-ana) community, and a Local Authority-funded eating disorder prevention project located in schools and youth centres in the north of England. The article…

  8. Utilisation of New Materials. Synthesis Report. In-Service Education and Training of Teachers: Towards New Policies.

    ERIC Educational Resources Information Center

    Dobrich, Peter; And Others

    Both technological developments and the political context in which developments have occurred are considered, based on (1) an international conference organized by the Organisation for Economic Cooperation and Development (OECD) in October 1978; (2) results of studies in different countries in collaboration with German agencies; (3) research in…

  9. The Effect of an Education Program Utilising PRECEDE Model on the Quality of Life in Patients with Type 2 Diabetes

    ERIC Educational Resources Information Center

    Taghdisi, M. H.; Borhani, M.; Solhi, M.; Afkari, M. E.; Hosseini, F.

    2012-01-01

    Background and objective: The problems caused by diabetes have direct and indirect impacts on the quality of life of diabetic patients. An increase of these problems means a decrease in a patient's quality of life. This study was conducted to assess the effect of the educational programme based on the precede model in promoting quality of life of…

  10. Utilising a Blended Ethnographic Approach to Explore the Online and Offline Lives of Pro-Ana Community Members

    ERIC Educational Resources Information Center

    Dyke, Sarah

    2013-01-01

    The article critically interrogates contemporary discourses and practices around "anorexia nervosa" through an ethnographic study that moves between two sites: an online pro-anorexia (pro-ana) community, and a Local Authority-funded eating disorder prevention project located in schools and youth centres in the north of England. The article…

  11. The Implications of the National Minimum Wage for Training Practices and Skill Utilisation in the United Kingdom Hospitality Industry

    ERIC Educational Resources Information Center

    Norris, Gill; Williams, Steve; Adam-Smith, Derek

    2003-01-01

    Two key issues thrown up by the 1999 introduction of the National Minimum Wage (NMW) in the United Kingdom are its likely impact on employers' training practices in low paying sectors of the economy and the implications for skills. Based on a study of the hospitality industry, this article assesses the limited significance of the differential,…

  12. Utilisation of sewage sludge derived adsorbents for the removal of recalcitrant compounds from wastewater: Mechanistic aspects, isotherms, kinetics and thermodynamics.

    PubMed

    Gupta, Anirudh; Garg, Anurag

    2015-10-01

    In the present study, the performance of sewage sludge based adsorbents was examined for the removal of two recalcitrant pollutants (i.e. lignin and amoxicillin) from synthetic wastewater solutions (adsorbate concentration=50-250 mg/l). The effect of various reaction parameters such as wastewater pH, adsorbent dosage and temperature was studied. Possible mechanisms for the adsorption process have been proposed which depends upon the behaviour of adsorbent surface and adsorbate molecules under specific reaction conditions. Three-parameter Redlich-Peterson isotherm model was found the best fit to the equilibrium data. Pseudo first and second order models validated the kinetic data for lignin and amoxicillin adsorption systems, respectively and the corresponding activation energy was 3.5-4.5 and 12-22 kJ/mol. The nature of adsorption was elucidated from the thermodynamic parameters. PMID:26196422

  13. Utilisation of satellite data in identification of geomorphic landform and its role in arsenic release in groundwater

    NASA Astrophysics Data System (ADS)

    Singh, R. P.; Singh, N.; Shashtri, S.; Mukherjee, S.

    2014-11-01

    The present study was conducted to explore the influence of geomorphic features of the area on the mobilization of arsenic in groundwater. In this study, remote sensing and GIS techniques were used to prepare the geomorphic and slope map of the area. Different geomorphic features were identified on the basis of spectral signature on the LISS III and Landsat satellite image and field survey. Groundwater samples were collected from each representative geomorphic feature to inspect the arsenic contamination in the area. The study area is drained by the Brahmaputra river and its tributaries and contain mainly fluvial geomorphic units especially older flood plain, palaeochannels, oxbow lakes, channel islands; and hilly areas at some of the places. In this study it was observed that enrichment of arsenic in groundwater varies along the geomorphic units in following trends Paleochannel> Younger alluvial plain> Active flood plain> channel island > dissected hills. The above trend shows that a higher concentration of arsenic is found in the groundwater samples collected from the fluvial landforms as compared to those collected from structural landforms. Brahmaputra River and its tributaries carry the sediment load from the Himalayan foothills, which get deposited in these features during the lateral shift of the river's courses. Arsenic bearing minerals may get transported through river and deposit in the geomorphological features along with organic matter. The flat terrain of the area as seen from the slope map provides more residence time to water to infiltrate into the aquifer. The microbial degradation of organic matter generates the reducing environment and facilitates the dissolution of iron hydroxide thus releasing the adsorbed arsenic into the groundwater.

  14. Improvement in mechanical properties of jute fibres through mild alkali treatment as demonstrated by utilisation of the Weibull distribution model.

    PubMed

    Roy, Aparna; Chakraborty, Sumit; Kundu, Sarada Prasad; Basak, Ratan Kumar; Majumder, Subhasish Basu; Adhikari, Basudam

    2012-03-01

    Chemically modified jute fibres are potentially useful as natural reinforcement in composite materials. Jute fibres were treated with 0.25%-1.0% sodium hydroxide (NaOH) solution for 0.5-48 h. The hydrophilicity, surface morphology, crystallinity index, thermal and mechanical characteristics of untreated and alkali treated fibres were studied.The two-parameter Weibull distribution model was applied to deal with the variation in mechanical properties of the natural fibres. Alkali treatment enhanced the tensile strength and elongation at break by 82% and 45%, respectively but decreased the hydrophilicity by 50.5% and the diameter of the fibres by 37%. PMID:22209134

  15. Possiblités de mesure quantitative avec un appareillage de réflectométrie X utilisant le mode angulaire dispersif

    NASA Astrophysics Data System (ADS)

    Chihab, J.; Naudon, A.

    1992-12-01

    A normalization procedure for reflectivity curves obtained with a new apparatus using the angle-resolved dispersive mode (J. Appl. Cryst., 1989) is described here. Simulation of spectra with the optical theory of X-rays is then possible. It allows to determine with a good accuracy the density, thickness and interfacial rugosities of layers when their thicknesses are less than about 200 nm. In order to check the normalization procedure a bulk silicon sample and a layer of evaporated nickel are analysed. Dans cet article nous présentons une procédure pour la normalisation des courbes de réflectivité obtenues par un nouvel appareillage de réflectométrie X utilisant le mode angulaire dispersif (J. Appl. Cryst., 1989). La simulation de ces courbes, dans le cadre de la théorie optique, devient alors possible. Pour les dépôts d'épaisseur inférieure à environ 200 nm, elle permet de déterminer précisément l'épaisseur, les rugosités interfaciales et la compacité. Afin de vérifier la validité de notre procédure de normalisation, nous analysons à titre d'exemples le cas d'un échantillon massif de silicium, et celui d'une couche mince de nickel évaporée sur un support en silicium.

  16. Early emergence of PNH-like T cells after allogeneic stem cell transplants utilising CAMPATH-1H for T cell depletion.

    PubMed

    Garland, R J; Groves, S J; Diamanti, P; West, S E; Winship, K L; Virgo, P F; Robinson, S P; Oakhill, A; Cornish, J M; Pamphilon, D H; Marks, D I; Goulden, N J; Steward, C G

    2005-08-01

    CAMPATH-1H (C-1H) is widely used in vivo and / or in vitro for T cell depletion in hematopoietic SCT. This humanised monoclonal antibody is specific for CD52, a marker coexpressed on the majority of human lymphocytes with CD48 and other glycosylphosphatidyl-inositol (GPI) anchored proteins. We detected CD52 / CD48 dual expression on >99% of CD3(+) lymphocytes from normal individuals and all 15 post-SCT patients whose transplants did not utilise C-1H. By contrast, 23 / 26 patients with transplants involving C-1H (in vivo, in vitro or both) exhibited populations lacking CD52 expression that accounted for 49.7% (4.2-86.2%) of the CD3+ lymphocytes (median and range) in samples evaluated at a median of 2 months post-SCT. Most CD52- cells also lacked CD48 expression. These GPI- T cells were of either donor or mixed donor / recipient origin. They were predominant in the early months after SCT at times of profound lymphopenia and inversely correlated with the recovery of the absolute lymphocyte count (r= - 0.663, P<0.0001). The presence of CD52- cells has been correlated previously with clinical outcome after CAMPATH therapy for both malignant and nonmalignant diseases. PMID:15968291

  17. Prévalence de l'utilisation des anti-inflammatoires non stéroïdiens chez les femmes enceintes à Lubumbashi (République Démocratique du Congo)

    PubMed Central

    Kabamba, Arsène Tshikongo; Shamashanga, Laurent Kwete; Mwaba, Jean-Jacques Mulubwa; Kasongo, Christian Busambwa; Longanga, Albert Otshudi; Lukumwena, Zet Kalala

    2014-01-01

    Malgré l'importance de leurs effets secondaires sur la femme enceinte et le fœtus, les anti-inflammatoires non stéroïdiens (AINS) continuent à être largement utilisés par les femmes enceintes. Leur rapport bénéfice-risque n'est pas toujours bien évalué en pratique courante. L'objectif de ce travail est d’évaluer l'usage des AINS chez la femme enceinte, de discuter les risques potentiels encourus aussi bien par la mère que par le fœtus, et enfin d'en tirer des recommandations éventuelles à la femme enceinte. Du 22 août au 11 septembre 2012, une enquête a été menée auprès de 145 femmes enceintes suivies en consultation prénatale à l'Hôpital Sendwe. Un formulaire reprenant les informations sur les AINS consommés a été remis à chacune d'elle. Les résultats montrent que 75% des femmes interrogées reconnaissent avoir consommé des AINS surtout en automédication et principalement pendant les deux derniers trimestres de la grossesse pour soulager des douleurs d'origines diverses. Cette étude montre que des efforts restent encore à déployer à Lubumbashi afin de combattre l'utilisation des AINS surtout en automédication chez la femme enceinte. PMID:25419270

  18. Bactériophages et phagothérapie: utilisation de virus naturels pour traiter les infections bactériennes

    PubMed Central

    Ravat, F.; Jault, P.; Gabard, J.

    2015-01-01

    Summary L’utilisation des bactériophages, prédateurs naturels des bactéries, est une technique pionnière efficace de lutte contre les infections bactériennes. Tombée dans l’oubli depuis un demi-siècle du coté occidental de l’ex-rideau de fer, elle fait toujours partie de l’arsenal thérapeutique des pays de l’ex-Europe de l’Est, au point de constituer une arme de choix dans la politique de santé publique de ces pays. l’émergence de bactéries multirésistantes et le risque de revenir à l’ère pré-antibiotique ont fait ressortir la phagothérapie de l’oubli injuste auquel elle avait été confinée. la biologie et la place du bactériophage dans la nature sont décrites ici. les tenants et les aboutissants de la phagothérapie et les conditions de son retour sur le devant de la scène sont explicitées. PMID:26668557

  19. An evaluation of extraction techniques for arsenic in staple diets (fish and rice) utilising both classical and enzymatic extraction methods.

    PubMed

    Sadee, Bashdar A; Foulkes, Mike E; Hill, Steve J

    2016-03-01

    Enzymatic extraction methods were evaluated with classical extraction approaches for the determination of arsenic in food. The extraction efficiency for total arsenic was determined by analysing CRM materials DORM-3 fish protein, NIES 106 rice flour and GBW10015 spinach. These were compared with total arsenic concentration determined using microwave-assisted acid digestion and ICP-MS. The total arsenic concentrations in the CRM materials were in good agreement with the certified values. Enzymatic hydrolysis using trypsin has been successfully employed to extract arsenic species in DORM-3 and fish samples. Whilst this method of hydrolysing the proteins worked well for the fish samples, an alternative approach was required to facilitate the digestion of cellulose in plant materials. However, enzymatic extraction using cellulase was found to give unsatisfactory results for both the NIES and GBW10015 CRM materials. Dilute nitric acid (1% HNO3) was found to give a more efficient extraction for arsenic species in the same CRM materials and rice samples. The study was extended to evaluate a range of real samples. Total arsenic concentrations in 13 different types of fish tissue were determined following microwave-assisted acid digestion using nitric acid/hydrogen peroxide, followed by measurement using HPLC-ICP-MS for speciation analysis. The results obtained for fish were in the range of 3.53-98.80 µg g(-1) As (dry weight). Similarly, the results of 17 rice samples were in the range of 0.054-0.823 µg g(-1). This study demonstrates the importance of selecting an appropriate extraction technique for the quantitative measurement of arsenic species in food. PMID:26760914

  20. Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain.

    PubMed

    Keeley, Philip; Creed, Francis; Tomenson, Barbara; Todd, Chris; Borglin, Gunilla; Dickens, Chris

    2008-03-01

    Psychological and social factors have been shown, separately, to predict outcome in individuals with chronic low back pain. Few previous studies, however, have integrated both psychological and social factors, using prospective study of clinic populations of low back pain patients, to identify which are the most important targets for treatment. One hundred and eight patients with chronic low back pain, newly referred to an orthopaedic outpatient clinic, completed assessments of demographic characteristics, details of back pain, measures of anxiety and depression (Hospital Anxiety and Depression Scale, HADS), fearful beliefs about pain (Fear Avoidance Beliefs Questionnaire), social stresses (Life Events and Difficulties Schedule) and physical aspects of health-related quality of life [SF-36 Physical Component summary Score scale (PCS)]. Six months later subjects completed the SF-36 PCS and the number of healthcare contacts during follow-up was recorded. Independent predictors of SF-36 PCS at 6-month follow-up were duration of pain [(standardised regression coefficient (beta)=-0.18, p=0.04), HADS score (beta)=-0.27, p=0.003] and back pain related social difficulties (beta=-0.42, p<0.0005). Number of healthcare contacts over the 6 months ranged from 1 to 29, and was independently predicted by perceived cause of pain [Incident Rate Ratio (IRR)=1.46, p=0.03], Fear Avoidance Beliefs about work (IRR=1.02, p=0.009) and back pain related social difficulties (IRR=1.16, p=0.03). To conclude, anxiety, depression, fear avoidance beliefs relating to work and back pain related stresses predict impairment in subsequent physical health-related quality of life and number of healthcare contacts. Interventions targeting these psychosocial variables in clinic patients may lead to improved quality of life and healthcare costs. PMID:17611036

  1. Biodegradation of free cyanide and subsequent utilisation of biodegradation by-products by Bacillus consortia: optimisation using response surface methodology.

    PubMed

    Mekuto, Lukhanyo; Ntwampe, Seteno Karabo Obed; Jackson, Vanessa Angela

    2015-07-01

    A mesophilic alkali-tolerant bacterial consortium belonging to the Bacillus genus was evaluated for its ability to biodegrade high free cyanide (CN(-)) concentration (up to 500 mg CN(-)/L), subsequent to the oxidation of the formed ammonium and nitrates in a continuous bioreactor system solely supplemented with whey waste. Furthermore, an optimisation study for successful cyanide biodegradation by this consortium was evaluated in batch bioreactors (BBs) using response surface methodology (RSM). The input variables, that is, pH, temperature and whey-waste concentration, were optimised using a numerical optimisation technique where the optimum conditions were found to be as follows: pH 9.88, temperature 33.60 °C and whey-waste concentration of 14.27 g/L, under which 206.53 mg CN(-)/L in 96 h can be biodegraded by the microbial species from an initial cyanide concentration of 500 mg CN(-)/L. Furthermore, using the optimised data, cyanide biodegradation in a continuous mode was evaluated in a dual-stage packed-bed bioreactor (PBB) connected in series to a pneumatic bioreactor system (PBS) used for simultaneous nitrification, including aerobic denitrification. The whey-supported Bacillus sp. culture was not inhibited by the free cyanide concentration of up to 500 mg CN(-)/L, with an overall degradation efficiency of ≥ 99 % with subsequent nitrification and aerobic denitrification of the formed ammonium and nitrates over a period of 80 days. This is the first study to report free cyanide biodegradation at concentrations of up to 500 mg CN(-)/L in a continuous system using whey waste as a microbial feedstock. The results showed that the process has the potential for the bioremediation of cyanide-containing wastewaters. PMID:25721526

  2. Utilising caging techniques to investigate metal assimilation in Nucella lapillus, Mytilus edulis and Crassostrea gigas at three Irish coastal locations

    NASA Astrophysics Data System (ADS)

    Giltrap, Michelle; Macken, Ailbhe; Davoren, Maria; McGovern, Evin; Foley, Barry; Larsen, Martin; White, Jonathan; McHugh, Brendan

    2013-11-01

    Pollution by metals has been of increasing concern for a number of decades but at present, the mechanism of metal accumulation in sentinel species is not fully understood and further studies are required for environmental risk assessment of metals in aquatic environments. The use of caging techniques has proven to be useful for assessment of water quality in coastal and estuarine environments. This study investigates the application of caging techniques for monitoring uptake of 20 elements [Li, Na, Mg, Al, P, K, Ca, V, Cr, Mn, Fe, Ni, Co, Cu, As, Sb, Pb, Hg, Cd and Zn] in three marine species namely Nucella lapillus, Mytilus edulis and Crassostrea gigas. Stable isotopes were used to determine predatory effects and also used for modelling metal uptake in test species and to track nutrient assimilation. Metal levels were monitored at three different coastal locations, namely Dublin Bay, Dunmore East and Omey Island over 18 weeks. Significant differences in concentrations of Mn, Co and Zn between mussels and oysters were found. Correlations between cadmium levels in N. lapillus and δ13C and δ15N suggest dietary influences in Cd uptake. Levels of Zn were highest in C. gigas compared to the other two species and levels of Zn were most elevated at the Dunmore East site. Copper levels were more elevated in all test species at both Dublin Bay and Dunmore East. Mercury was raised in all species at Dunmore East compared to the other two sites. Biotic accumulation of metals in the test species demonstrates that caging techniques can provide a valid tool for biomonitoring in metal impacted areas.

  3. Simulation numerique de l'effet du reflecteur radial sur les cellules rep en utilisant les codes DRAGON et DONJON

    NASA Astrophysics Data System (ADS)

    Bejaoui, Najoua

    The pressurized water nuclear reactors (PWRs) is the largest fleet of nuclear reactors in operation around the world. Although these reactors have been studied extensively by designers and operators using efficient numerical methods, there are still some calculation weaknesses, given the geometric complexity of the core, still unresolved such as the analysis of the neutron flux's behavior at the core-reflector interface. The standard calculation scheme is a two steps process. In the first step, a detailed calculation at the assembly level with reflective boundary conditions, provides homogenized cross-sections for the assemblies, condensed to a reduced number of groups; this step is called the lattice calculation. The second step uses homogenized properties in each assemblies to calculate reactor properties at the core level. This step is called the full-core calculation or whole-core calculation. This decoupling of the two calculation steps is the origin of methodological bias particularly at the interface core reflector: the periodicity hypothesis used to calculate cross section librairies becomes less pertinent for assemblies that are adjacent to the reflector generally represented by these two models: thus the introduction of equivalent reflector or albedo matrices. The reflector helps to slowdown neutrons leaving the reactor and returning them to the core. This effect leads to two fission peaks in fuel assemblies localised at the core/reflector interface, the fission rate increasing due to the greater proportion of reentrant neutrons. This change in the neutron spectrum arises deep inside the fuel located on the outskirts of the core. To remedy this we simulated a peripheral assembly reflected with TMI-PWR reflector and developed an advanced calculation scheme that takes into account the environment of the peripheral assemblies and generate equivalent neutronic properties for the reflector. This scheme is tested on a core without control mechanisms and charged with fresh fuel. The results of this study showed that explicit representation of reflector and calculation of peripheral assembly with our advanced scheme allow corrections to the energy spectrum at the core interface and increase the peripheral power by up to 12% compared with that of the reference scheme.

  4. The assessment of immediate post-operative scoliosis correction using pedicle screw system by utilising the fulcrum bending technique.

    PubMed

    Chan, C Y W; Kwan, M K; Saravanan, S; Saw, L B; Deepak, A S

    2007-03-01

    Assessment of the curve flexibility is a crucial step in a surgeon's pre-operative planning for scoliosis surgery. Many techniques have been described. These include traction films, supine side bending films, push prone techniques, traction under general anaesthesia as well as fulcrum bending film. In this study, we studied the pre- and immediate post-operative radiographs of twenty eight adolescent idiopathic scoliosis (AIS) patients who were corrected using pedicle screw systems between January 2004 and August 2006. There were twenty two females and six male patients. The mean age of the patients were 17.5 years with a range of 12 to 38 years. Skeletal maturity of the patients was assessed by Risser's score. The majority was Risser 4 (15 cases, 53.6%). Based on King and Moe's classification, the most common curve was type 3 curve (15 cases, 53.6%). Among the twenty eight patients, twenty three patients underwent only posterior correction, while 5 patients underwent additional anterior release surgery. The mean pre-operative Cobb's angle for the posterior surgery group was 65.5 +/- 13.9 degrees and the mean post-operative Cobb's angle was 32.9 +/- 12.6 degrees. There was no difference between the mean correction estimated by fulcrum bending films (Fulcrum Flexibility) and the post- operative Correction Rate figures (44.2% vs. 49.9%). The mean Fulcrum Bending Correction Index (FBCI) in this group of patients is 112.8%. In the group of patients who underwent additional anterior release, their curves were noted to be larger and less flexible with the mean pre-operative Cobb's angle and Fulcrum Flexibility of 90.4 degrees +/- 9.3 degrees and 23.4% respectively. The Fulcrum Bending Correction Index (FBCI) for this group of patients was significantly higher than the posterior surgery group: i.e. 164.0% vs 112.8%. Thus, anterior release does help to improve the correction significantly. The fulcrum bending films give good pre-operative estimation of the amount of correction to be expected post-operatively. The fulcrum bending films can help to identify the curve types which might require anterior release in order to improve the scoliosis correction. Using the Fulcrum Bending Correction Index (FBCI) will also enable surgeons to quantify more accurately the amount of correction achieved by taking into account the inherent flexibility of the spine. PMID:17682567

  5. Health behaviour modelling for prenatal diagnosis in Australia: a geodemographic framework for health service utilisation and policy development

    PubMed Central

    Muggli, Evelyne E; McCloskey, David; Halliday, Jane L

    2006-01-01

    Background Despite the wide availability of prenatal screening and diagnosis, a number of studies have reported no decrease in the rate of babies born with Down syndrome. The objective of this study was to investigate the geodemographic characteristics of women who have prenatal diagnosis in Victoria, Australia, by applying a novel consumer behaviour modelling technique in the analysis of health data. Methods A descriptive analysis of data on all prenatal diagnostic tests, births (1998 and 2002) and births of babies with Down syndrome (1998 to 2002) was undertaken using a Geographic Information System and socioeconomic lifestyle segmentation classifications. Results Most metropolitan women in Victoria have average or above State average levels of uptake of prenatal diagnosis. Inner city women residing in high socioeconomic lifestyle segments who have high rates of prenatal diagnosis spend 20% more on specialist physician's fees when compared to those whose rates are average. Rates of prenatal diagnosis are generally low amongst women in rural Victoria, with the lowest rates observed in farming districts. Reasons for this are likely to be a combination of lack of access to services (remoteness) and individual opportunity (lack of transportation, low levels of support and income). However, there are additional reasons for low uptake rates in farming areas that could not be explained by the behaviour modelling. These may relate to women's attitudes and choices. Conclusion A lack of statewide geodemographic consistency in uptake of prenatal diagnosis implies that there is a need to target health professionals and pregnant women in specific areas to ensure there is increased equity of access to services and that all pregnant women can make informed choices that are best for them. Equally as important is appropriate health service provision for families of children with Down syndrome. Our findings show that these potential interventions are particularly relevant in rural areas. Classifying data to lifestyle segments allowed for practical comparisons of the geodemographic characteristics of women having prenatal diagnosis in Australia at a population level. This methodology may in future be a feasible and cost-effective tool for service planners and policy developers. PMID:16945156

  6. Developmental Programming of Cardiovascular Disease Following Intrauterine Growth Restriction: Findings Utilising A Rat Model of Maternal Protein Restriction

    PubMed Central

    Zohdi, Vladislava; Lim, Kyungjoon; Pearson, James T.; Black, M. Jane

    2014-01-01

    Over recent years, studies have demonstrated links between risk of cardiovascular disease in adulthood and adverse events that occurred very early in life during fetal development. The concept that there are embryonic and fetal adaptive responses to a sub-optimal intrauterine environment often brought about by poor maternal diet that result in permanent adverse consequences to life-long health is consistent with the definition of “programming”. The purpose of this review is to provide an overview of the current knowledge of the effects of intrauterine growth restriction (IUGR) on long-term cardiac structure and function, with particular emphasis on the effects of maternal protein restriction. Much of our recent knowledge has been derived from animal models. We review the current literature of one of the most commonly used models of IUGR (maternal protein restriction in rats), in relation to birth weight and postnatal growth, blood pressure and cardiac structure and function. In doing so, we highlight the complexity of developmental programming, with regards to timing, degree of severity of the insult, genotype and the subsequent postnatal phenotype. PMID:25551250

  7. Landscape Management of Fire and Grazing Regimes Alters the Fine-Scale Habitat Utilisation by Feral Cats

    PubMed Central

    McGregor, Hugh W.; Legge, Sarah; Jones, Menna E.; Johnson, Christopher N.

    2014-01-01

    Intensification of fires and grazing by large herbivores has caused population declines in small vertebrates in many ecosystems worldwide. Impacts are rarely direct, and usually appear driven via indirect pathways, such as changes to predator-prey dynamics. Fire events and grazing may improve habitat and/or hunting success for the predators of small mammals, however, such impacts have not been documented. To test for such an interaction, we investigated fine-scale habitat selection by feral cats in relation to fire, grazing and small-mammal abundance. Our study was conducted in north-western Australia, where small mammal populations are sensitive to changes in fire and grazing management. We deployed GPS collars on 32 cats in landscapes with contrasting fire and grazing treatments. Fine-scale habitat selection was determined using discrete choice modelling of cat movements. We found that cats selected areas with open grass cover, including heavily-grazed areas. They strongly selected for areas recently burnt by intense fires, but only in habitats that typically support high abundance of small mammals. Intense fires and grazing by introduced herbivores created conditions that are favoured by cats, probably because their hunting success is improved. This mechanism could explain why, in northern Australia, impacts of feral cats on small mammals might have increased. Our results suggest the impact of feral cats could be reduced in most ecosystems by maximising grass cover, minimising the incidence of intense fires, and reducing grazing by large herbivores. PMID:25329902

  8. Landscape management of fire and grazing regimes alters the fine-scale habitat utilisation by feral cats.

    PubMed

    McGregor, Hugh W; Legge, Sarah; Jones, Menna E; Johnson, Christopher N

    2014-01-01

    Intensification of fires and grazing by large herbivores has caused population declines in small vertebrates in many ecosystems worldwide. Impacts are rarely direct, and usually appear driven via indirect pathways, such as changes to predator-prey dynamics. Fire events and grazing may improve habitat and/or hunting success for the predators of small mammals, however, such impacts have not been documented. To test for such an interaction, we investigated fine-scale habitat selection by feral cats in relation to fire, grazing and small-mammal abundance. Our study was conducted in north-western Australia, where small mammal populations are sensitive to changes in fire and grazing management. We deployed GPS collars on 32 cats in landscapes with contrasting fire and grazing treatments. Fine-scale habitat selection was determined using discrete choice modelling of cat movements. We found that cats selected areas with open grass cover, including heavily-grazed areas. They strongly selected for areas recently burnt by intense fires, but only in habitats that typically support high abundance of small mammals. Intense fires and grazing by introduced herbivores created conditions that are favoured by cats, probably because their hunting success is improved. This mechanism could explain why, in northern Australia, impacts of feral cats on small mammals might have increased. Our results suggest the impact of feral cats could be reduced in most ecosystems by maximising grass cover, minimising the incidence of intense fires, and reducing grazing by large herbivores. PMID:25329902

  9. An ecological approach to seeking and utilising the views of young people with intellectual disabilities in transition planning.

    PubMed

    Small, Neil; Raghavan, Raghu; Pawson, Nicole

    2013-12-01

    Transition planning using a person-centred approach has, in the main, failed to shape service provision. We offer an alternative based on an ecological understanding of human development linked to public health approaches that prioritise whole system planning. A total of 43 young people with intellectual disabilities, in Bradford, England, who were approaching transition from school or college were recruited to a qualitative study. Their ethnic breakdown was as follows: 16 white British, 24 Pakistani, 2 Bangladeshi and 1 Black African. Each young person was interviewed twice, at recruitment and a year later, to observe any changes in their social networks during transition. Interviews were undertaken with a semi-structured interview schedule and with the pictorial approach of Talking Mats. Both the networks the young people live within, and their sense of what the future might hold for them, are described and linked to Bronfenbrenner's ecological model of human development. The importance of the family and school is emphasised, as is the absence of engagement in leisure activities and work. Transition planning needs to start with mapping the systems individuals live within, areas of strength should be supported and parts of the system, which are not fit for purpose for these young people, should be prioritised for interventions. PMID:23940112

  10. Adolescents attending an adult emergency department: their utilisation characteristics and self-reported opinions of care provided.

    PubMed

    Fry, R; Ryan, J; Salter, N; Murrin, C; Kelleher, C C

    2007-01-01

    We aimed to examine the case mix of adolescents presenting to an adult Emergency Department (ED) and to survey a representative sample regarding their perceived care. Of the 323 visits reviewed, 215 (66.6%) were males. Presentations increased at the weekend (151/323, 46.7%). Most visits were non-urgent, 34 (10.5%) were admitted. Acute injuries accounted for 156/215 (72.6%) of male presentations. 12/17 (70.5%) of those with a psychosocial presenting problem registered between 9 p.m. and 9 a.m. 33 adolescents presented during the prospective study period. 6 were excluded, 3 were lost to follow-up. 10/24 (41.7%) described the time they were waiting to be seen by a doctor as unacceptable, 9 (37.5%) wanted more privacy and 11 (45.9%) reported a delay in receiving treatment. Adolescents represent a minority in the ED, but have specific needs. We recommend the availability of age specific health promotion information and training of staff in adolescent healthcare issues. PMID:17886525

  11. Forces and shapes as determinants of micro-swimming: effect on synchronisation and the utilisation of drag.

    PubMed

    Pande, Jayant; Smith, Ana-Sun?ana

    2015-03-28

    In this analytical study we demonstrate the richness of behaviour exhibited by bead-spring micro-swimmers, both in terms of known yet not fully explained effects such as synchronisation, and hitherto undiscovered phenomena such as the existence of two transport regimes where the swimmer shape has fundamentally different effects on the velocity. For this purpose we employ a micro-swimmer model composed of three arbitrarily-shaped rigid beads connected linearly by two springs. By analysing this swimmer in terms of the forces on the different beads, we determine the optimal kinematic parameters for sinusoidal driving, and also explain the pusher/puller nature of the swimmer. Moreover, we show that the phase difference between the swimmer's arms automatically attains values which maximise the swimming speed for a large region of the parameter space. Apart from this, we determine precisely the optimal bead shapes that maximise the velocity when the beads are constrained to be ellipsoids of a constant volume or surface area. On doing so, we discover the surprising existence of the aforementioned transport regimes in micro-swimming, where the motion is dominated by either a reduction of the drag force opposing the beads, or by the hydrodynamic interaction amongst them. Under some conditions, these regimes lead to counter-intuitive effects such as the most streamlined shapes forming locally the slowest swimmers. PMID:25675985

  12. Authentication of true cinnamon (Cinnamon verum) utilising direct analysis in real time (DART)-QToF-MS.

    PubMed

    Avula, Bharathi; Smillie, Troy J; Wang, Yan-Hong; Zweigenbaum, Jerry; Khan, Ikhlas A

    2015-01-01

    The use of cinnamon as a spice and flavouring agent is widespread throughout the world. Many different species of plants are commonly referred to as 'cinnamon'. 'True cinnamon' refers to the dried inner bark of Cinnamomum verum J. S. Presl (syn. C. zeylanicum) (Lauraceae). Other 'cinnamon' species, C. cassia (Nees & T. Nees) J. Presl (syn. C. aromaticum Nees) (Chinese cassia), C. loureiroi Nees (Saigon cassia), and C. burmannii (Nees & T. Nees) Blume (Indonesian cassia), commonly known as cassia, are also marketed as cinnamon. Since there is a prevalence of these various types of 'cinnamons' on the market, there is a need to develop a rapid technique that can readily differentiate between true cinnamon (C. verum) and other commonly marketed species. In the present study, coumarin and other marker compounds indicative of 'cinnamon' were analysed using DART-QToF-MS in various samples of cinnamon. This method involved the use of [M + H](+) ions in positive mode in addition to principal component analysis (PCA) using Mass Profiler Professional software to visualise several samples for quality and to discriminate 'true cinnamon' from other Cinnamomum species using the accurate mass capabilities of QToF-MS. PMID:25421162

  13. Dynamics of a flexible tethered satellite system utilising various materials for coplanar and non-coplanar models

    NASA Astrophysics Data System (ADS)

    Hong, Aaron Aw Teik; Varatharajoo, Renuganth

    2015-08-01

    This paper discusses the development of mathematical models for a flexible tethered satellite system (TSS) in both planar and co-planar states. The flexible tethered satellite system consists of three rigid bodies with two flexible tethers, each connecting two rigid bodies with one located in the centre and serving as the mothership. The TSS motion includes tether deformations, rotational dynamics, and orbital mechanics. The three materials that are possible to be used for a space tether are tungsten wire, Spectra-2000, and diamond; it should be noted that the diamond used here is in a form of a nanotube thread. The tether will undergo a spinning motion as well in the motorised option. In addition, the air drag perturbation is also considered since the entire TSS is flown around the Low Earth Orbit (LEO), where the air-drag perturbation is dominant. A survival analysis was then performed for planar and non-coplanar models in order to establish a dynamic performance envelope with respect to the tether's tension at different altitudes under the air-drag perturbation. The proposed models were treated numerically and analysed accordingly. Then a comparison study between the coplanar and non-coplanar models were conducted and the difference in their performances was observed and discussed. Although all materials have their own safe operation boundaries, the flexible TSS using tungsten shows a better dynamic performance than the other TSS options in a non-coplanar model.

  14. A novel technique for post-mastectomy breast irradiation utilising non-coplanar intensity-modulated radiation therapy

    PubMed Central

    Koshy, M; Zhang, B; Naqvi, S; Liu, B; Mohiuddin, M M

    2010-01-01

    The aim of this study was to investigate if non-coplanar intensity-modulated radiation therapy (IMRT) in the post-mastectomy setting can reduce the dose to normal structures and improve target coverage. We compared this IMRT technique with a standard partial wide tangential (PWT) plan and a five-field (5F) photon-electron plan. 10 patients who underwent left-sided mastectomy were planned to 50.4 Gy using either (1) PWT to cover the internal mammary (IM) nodes and supraclavicular fields, (2) 5F comprising standard tangents, supraclavicular fields and an electron field for the IM nodes or (3) IMRT. The planning target volume (PTV) included the left chest wall, supraclavicular, axillary and IM lymph nodes. No beams were directed at the right lung, right breast or heart. Mean dose–volume histograms were constructed by combining the dose–volume histogram data from all 10 patients. The mean PTV to receive 95% of the dose (V95%) was improved with the IMRT plan to 94.2% from 91.4% (p = 0.04) with the PWT plan and from 87.7% (p = 0.012) with the 5F plan. The mean V110% of the PTV was improved to 3.6% for the IMRT plan from 16.8% (p = 0.038) for the PWT plan and from 51.8% (p = 0.001) for the 5F plan. The mean fraction volume receiving 30 Gy (v30Gy) of the heart was improved with the IMRT plan to 2.3% from 7.5% (p = 0.01) for the PWT plan and 4.9% (p = 0.02) for the 5F plan. In conclusion, non-coplanar IMRT results in improved coverage of the PTV and a lower heart dose when compared with a 5F or PWT plan. PMID:20223909

  15. A novel technique for post-mastectomy breast irradiation utilising non-coplanar intensity-modulated radiation therapy.

    PubMed

    Koshy, M; Zhang, B; Naqvi, S; Liu, B; Mohiuddin, M M

    2010-10-01

    The aim of this study was to investigate if non-coplanar intensity-modulated radiation therapy (IMRT) in the post-mastectomy setting can reduce the dose to normal structures and improve target coverage. We compared this IMRT technique with a standard partial wide tangential (PWT) plan and a five-field (5F) photon-electron plan. 10 patients who underwent left-sided mastectomy were planned to 50.4 Gy using either (1) PWT to cover the internal mammary (IM) nodes and supraclavicular fields, (2) 5F comprising standard tangents, supraclavicular fields and an electron field for the IM nodes or (3) IMRT. The planning target volume (PTV) included the left chest wall, supraclavicular, axillary and IM lymph nodes. No beams were directed at the right lung, right breast or heart. Mean dose-volume histograms were constructed by combining the dose-volume histogram data from all 10 patients. The mean PTV to receive 95% of the dose (V95%) was improved with the IMRT plan to 94.2% from 91.4% (p = 0.04) with the PWT plan and from 87.7% (p = 0.012) with the 5F plan. The mean V110% of the PTV was improved to 3.6% for the IMRT plan from 16.8% (p = 0.038) for the PWT plan and from 51.8% (p = 0.001) for the 5F plan. The mean fraction volume receiving 30 Gy (v30Gy) of the heart was improved with the IMRT plan to 2.3% from 7.5% (p = 0.01) for the PWT plan and 4.9% (p = 0.02) for the 5F plan. In conclusion, non-coplanar IMRT results in improved coverage of the PTV and a lower heart dose when compared with a 5F or PWT plan. PMID:20223909

  16. Utilising human embryonic stem cells as "catalysts" for biological repair and regeneration. Challenges and some possible strategies.

    PubMed

    Heng, B C; Liu, H; Cao, T

    2005-05-01

    In recent years, much interest has been generated over the potential of human embryonic stem cells in transplantation medicine. The ground-breaking study of Fraidenraich and colleagues conclusively demonstrated that rescue of lethal cardiac defects in Id knockout mutant mouse embryos was not due to transplanted embryonic stem cells giving rise to functional new tissues within the defective embryonic heart. Instead, there is indirect evidence that the observed therapeutic effect was due to various secreted factors emanating from the transplanted cells. This therefore introduces the exciting prospect of utilizing human embryonic stem cells as "catalysts" to promote biological repair and regeneration in transplantation therapy. Nevertheless, the immunological barrier against allogenic transplantation, as well as the teratogenic potential of human embryonic stem cells poses major technical challenges. A possible strategy to overcome the immunological barrier may be to impose a temporary regimen of immunosuppressive drugs followed by their gradual withdrawal, once adequate tissue regeneration has been achieved. Other more novel alternatives include the use of microencapsulation to block interaction with the transplant recipient's immune system, and co-transplantation with bone marrow-derived mesenchymal stem cells, which have been demonstrated to possess immuno-suppressive properties. The teratogenic potential of human embryonic stem cells could possibly be alleviated by directing the differentiation of these cells to specific lineages prior to transplantation, or through mitotic inactivation. Co-transplantation with autologous adult stem cells may represent a novel strategy to further enhance the "catalytic" effects of human embryonic stem cells. The various factors secreted by human embryonic stem cells could then have a concentrated localized effect on relatively large numbers of co-transplanted autologous adult stem cells, which may in turn lead to enhanced repair and regeneration of the damaged tissue or organ. This new therapeutic strategy needs to rigorously investigated, in view of its potentially important clinical applications. PMID:15928882

  17. Utilisation of combined 18F-FDG PET/CT scan for differential diagnosis between benign and malignant adrenal enlargement

    PubMed Central

    Lee, H J; Cho, S H; Won, K S

    2013-01-01

    Objective: To assess the properties of adrenal lesions with and without known primary cancer and investigate predictors for differential diagnosis between benign and malignant adrenal enlargement. Methods: This retrospective study used fluorine-18 fludeoxyglucose positron emission tomography (PET)/CT in 325 patients with adrenal lesions (229 with known primary cancer and 96 without primary cancer). Age, sex, the presence of right and left masses, nodules or hyperplasia, unenhanced attenuation, maximum standardised uptake value (SUVmax) ratio, and the presence of metastasis in other body parts and locations of the primary cancer were assessed. Univariate and multivariate analyses were used to assess variables associated with risk of adrenal metastasis. Results: Patients with adrenal metastasis vs those without had a higher frequency of primary lung cancer (52.3% vs 30.7%) but a lower frequency of gastrointestinal cancer (7.9% vs 16.6%). The frequency of other abnormalities, including adenoma and hyperplasia, was similar between patients with and without known primary cancer. A higher proportion of patients with adrenal metastasis regardless of primary cancer site were younger, had a nodule or a mass, had an unenhanced attenuation of >10?HU, had an SUVmax ratio of >2.5, and had metastasis in other body parts. Analysis found independent associations of age, unenhanced attenuation of >10 HU, SUVmax ratio of >2.5 and the presence of metastasis in other body parts with adrenal metastasis. The combination of the four variables was strongly associated with adrenal metastasis. Conclusion: PET/CT was useful in characterising adrenal lesions as benign or malignant and helpful in identifying adrenal metastasis and cancer severity. Advances in knowledge: PET/CT can help in the differential diagnosis between benign and malignant adrenal enlargement. PMID:23833032

  18. Home range utilisation and long-range movement of estuarine crocodiles during the breeding and nesting season.

    PubMed

    Campbell, Hamish A; Dwyer, Ross G; Irwin, Terri R; Franklin, Craig E

    2013-01-01

    The estuarine crocodile (Crocodylus porosus) is the apex-predator in waterways and coastlines throughout south-east Asia and Australasia. C. porosus pose a potential risk to humans, and management strategies are implemented to control their movement and distribution. Here we used GPS-based telemetry to accurately record geographical location of adult C. porosus during the breeding and nesting season. The purpose of the study was to assess how C. porosus movement and distribution may be influenced by localised social conditions. During breeding, the females (2.92 ± 0.013 metres total length (TL), mean ± S.E., n = 4) occupied an area<1 km length of river, but to nest they travelled up to 54 km away from the breeding area. All tagged male C. porosus sustained high rates of movement (6.49 ± 0.9 km d(-1); n = 8) during the breeding and nesting period. The orientation of the daily movements differed between individuals revealing two discontinuous behavioural strategies. Five tagged male C. porosus (4.17 ± 0.14 m TL) exhibited a 'site-fidelic' strategy and moved within well-defined zones around the female home range areas. In contrast, three males (3.81 ± 0.08 m TL) exhibited 'nomadic' behaviour where they travelled continually throughout hundreds of kilometres of waterway. We argue that the 'site-fidelic' males patrolled territories around the female home ranges to maximise reproductive success, whilst the 'nomadic' males were subordinate animals that were forced to range over a far greater area in search of unguarded females. We conclude that C. porosus are highly mobile animals existing within a complex social system, and mate/con-specific interactions are likely to have a profound effect upon population density and distribution, and an individual's travel potential. We recommend that impacts on socio-spatial behaviour are considered prior to the implementation of management interventions. PMID:23650510

  19. Utilising conservative tracers and spatial surveys to identify controls on pathways and DOC exports in an Arctic catchment.

    NASA Astrophysics Data System (ADS)

    Lessels, J. S.; Tetzlaff, D.; Dinsmore, K. J.; Street, L. E.; Dean, J.; Washbourne, I. J.; Billett, M. F.; Baxter, R.; Subke, J. A.; Wookey, P. A.

    2014-12-01

    Dissolved organic carbon (DOC) is typically the predominant form of carbon exported from headwater streams, it therefore represents a major carbon export from Arctic catchments. The projected deepening of thaw depth in permafrost regions, due to an increase in air temperature, may have a significant effect on the amount of DOC exported from these systems. However, quantification of the impacts of climate driven changes on DOC export are still highly uncertain. Understanding the processes controlling DOC export is therefore crucial in predicting the potential impact of projected environmental changes. The controls of DOC production and transport are heavily influenced by soil and vegetation, which are highly variable across the landscape. To completely understand these systems information regarding spatial variability of plants, soils and thaw depths must be taken into account. In this study sub-weekly sampling of DOC was undertaken throughout 2014 in a headwater (<1 km2) catchment in the Northwest Territories, Canada. Spatial surveys of soil properties, active thaw depth and normalised difference vegetation index (NDVI) were collected and used in conjunction with conservative stable water isotopes tracers and major ions to understand sources, flow pathways and timing of DOC exports from the catchment. Stable isotope tracers act as fingerprints of water allowing sources and pathways to be assessed. Observations reveal changing DOC concentrations throughout the season as the active layer deepens and the connectivity of the soils to the stream network throughout the catchment increases. Linking the DOC data with the conservative tracer response improves the identification of carbon pathways and fluxes from the soils; preliminary analysis indicates DOC is being delivered via deeper more mineral soils later in the season. The results indicate that the active layer depth has a strong influence on the amount of DOC exported from the system, independent of the amount of carbon stored in these deeper soils.

  20. Quantification of malachite green in fish feed utilising liquid chromatography-tandem mass spectrometry with a monolithic column.

    PubMed

    Abro, Kamran; Mahesar, Sarfaraz Ahmed; Iqbal, Seema; Perveen, Shahnaz

    2014-01-01

    The purpose of this study was to develop a rapid and sensitive method for the quantification of malachite green (MG) in fish feed using LC-ESI-MS/MS with a monolithic column as stationary phase. Fish feed was cleaned using ultrasonic assisted liquid-liquid extraction. The separation was achieved on a Chromolith® Performance RP-18e column (100 × 4.6 mm) using gradient mobile phase composition of methanol and 0.1% formic acid at the flow rate of 1.0 ml min⁻¹. The analyte was ionised using electrospray ionisation in positive mode. Mass spectral transitions were recorded in selected reaction monitoring (SRM) mode at m/z 329.78 → m/z 314.75 with a collision energy (CE) of 52% for MG. The system suitability responses were calculated for reproducibility tests of the retention time, number of theoretical plates and capacity factor. System validation was evaluated for precision, specificity and linearity of MG. The linearity and calibration graph was plotted in the range of 15.0-250 ng ml⁻¹ with the regression coefficient of >0.997. The lower limits of detection and quantification for MG were 0.55 and 1.44 ng ml⁻¹, respectively, allowing easy determination in fish feed with accuracy evaluated as a percentage recovery of 92.1% and precision determined as % CV of < 5. The method was also extended to the determination of MG in an actual fish feed. The sensitivity and selectivity of LC-ESI-MS/MS using monolithic column offers a valuable alternative to the methodologies currently employed for the quantification of MG in fish feeds. PMID:24524279

  1. La modelisation des evenements de givrage atmospherique : Interpolation de la narr pour l'utilisation de gem

    NASA Astrophysics Data System (ADS)

    Camion, Amelie

    The wind industry is growing in cold climates. These environments are conductive to ice accumulation causing wind turbine and meteorological instruments failures, output power reduction and humans hazards. Therefore, the understanding and the characterizations of the atmospheric icing are required to optimize the wind farm installation. The production of an icing map in North America can be supported by the numerical weather prediction model and microphysics schemes detailing the different precipitation and accumulation types. Nevertheless, it is important to create such a atlas on a historical basis, because these events vary each winter. The use of input files for these models should contain a maximum of atmospheric data covering a large geographical area to ensure to cover the significant weather phenomena. In this study, a methodology consisting to model the icing events, based on the meso-scale method, was developed. This methodology is complementary to an icing map allowing to get more information on a local site. The main objective is to develop a tool to make compatible the input data, NARR (North Regional Re-Analysis), with the weather prediction model GEM (Global Environnemental Multi-Scale). With this model, it will be possible to model the icing events in Canada at a spatial resolution of 32 km. Then, a model at a spatial resolution of 5 km will allow to get more information in icing on Québec region. The secondary objective is to install weather instruments what can provide information regarding the duration, intensity and frequency of icing events. Thereby, a measuring station has been installed including an ice meter and an heated rain gauge. Finally, the results of this research show promising results of the icing precipitation modeling for the preparation of an icing map. These models may be modeled by the reanalyse data.

  2. Utilisation of the GMES Sentinel satellites for off-shore platform oil spills and gas flaring monitoring

    NASA Astrophysics Data System (ADS)

    Di Erasmo, Daniele; Casadio, Stefano; Cardaci, Massimo; Del Frate, Fabio

    2013-04-01

    Oil spills and gas flaring are serious issues for ecosystem, economy and people working on the extraction sites. Oil spill is known. Gas Flaring is the disposal of poison waste gases generated in the oil extraction process. High volumes (every year gas flaring burns worldwide the equivalent of 25% of the overall gas burned in Europe), significantly contributing to the global carbon emission budget (0.5% of total, 2008). European and worldwide legislation pays an increasing attention to it. Our Sentinel1 and 3 SAR and SLSTR usage for this objective won the GMES Masters 2012 IDEAS Challenge. In this study, we use SAR and infrared/thermal (SLSTR) data to identify unexpected misbehaviours of oil platforms, like switch on of the flare and oil spill in the ocean. On one side, the detection and characterization of gas flaring is achieved by analysing the infrared/thermal radiances measured by the SLSTR instrument on-board SENTINEL-3. This technique has been developed and tested using the ENVISAT Along Track Scanning Radiometer (ATSR) dataset and proved to be adequate for long term monitoring of oil extraction for both off-shore and in-shore drilling stations. The spatial/temporal coverage provided by SENTINEL-3 will allow an unprecedented daily monitoring of the oil extraction platforms. On the other side, the detection of oil spills and ships can be performed using Synthetic Aperture Radar (SAR). Both for oil spills and ships, many techniques have been published in the dedicated literature and validated to make the process of detection from SAR automatic. The extension of these techniques to the future SENTINEL-1 data is feasible. The service is mainly addressed to governments (in charge of controlling respect of the rules), civil protection authorities (to promote prevention of pollution damages), oil companies (that want to prove their respect of rules and attention to the environment), and ONGs (involved in the monitoring of the environment). The methodology applied, the tests performed, and the foreseen development of the service will be presented at the conference.

  3. Health Care Utilisation and Out-of-Pocket Expenditure Associated with Back Pain: A Nationally Representative Survey of Australian Women

    PubMed Central

    Kirby, Emma R.; Broom, Alex F.; Sibbritt, David W.; Refshauge, Kathryn M.; Adams, Jon

    2013-01-01

    Background Back pain impacts on a significant proportion of the Australian population over the life course and has high prevalence rates among women, particularly in older age. Back pain care is characterised by multiple practitioner and self-prescribed treatment options, and the out-of-pocket costs associated with consultations and self-prescribed treatments have not been examined to date. Objective To analyse the extent of health care practitioner consultations and self-prescribed treatment for back pain care among Australian women, and to assess the self-reported costs associated with such usage. Methods Survey of 1,310 women (response rate 80.9%) who reported seeking help for back pain from the ‘1946-51 cohort’ of the Australian Longitudinal Study on Women’s Health. Women were asked about their use of health care practitioners and self-prescribed treatments for back pain and the costs associated with such usage. Results In the past year 76.4% consulted a complementary and alternative practitioner, 56% an allied health practitioner and 59.2% a GP/medical specialist. Overall, women consulted with, on average, 3.0 (SD?=?2.0) different health care practitioners, and had, on average, 12.2 (SD?=?9.7) discrete health care practitioner consultations for back pain. Average self-reported out-of-pocket expenditure on practitioners and self-prescribed treatments for back pain care per annum was AU$873.10. Conclusions Multiple provider usage for various but distinct purposes (i.e. pain/mobility versus anxiety/stress) points to the need for further research into patient motivations and experiences of back pain care in order to improve and enhance access to and continuity of care. Our results suggest that the cost of back pain care represents a significant burden, and may ultimately limit women’s access to multiple providers. We extrapolate that for Australian working-age women, total out-of-pocket expenditure on back pain care per annum is in excess of AU$1.4billion, thus indicating the prominence of back pain as a major economic, social and health burden. PMID:24376716

  4. Ecological Thresholds in the Savanna Landscape: Developing a Protocol for Monitoring the Change in Composition and Utilisation of Large Trees

    PubMed Central

    Druce, Dave J.; Shannon, Graeme; Page, Bruce R.; Grant, Rina; Slotow, Rob

    2008-01-01

    Background Acquiring greater understanding of the factors causing changes in vegetation structure - particularly with the potential to cause regime shifts - is important in adaptively managed conservation areas. Large trees (≥5 m in height) play an important ecosystem function, and are associated with a stable ecological state in the African savanna. There is concern that large tree densities are declining in a number of protected areas, including the Kruger National Park, South Africa. In this paper the results of a field study designed to monitor change in a savanna system are presented and discussed. Methodology/Principal Findings Developing the first phase of a monitoring protocol to measure the change in tree species composition, density and size distribution, whilst also identifying factors driving change. A central issue is the discrete spatial distribution of large trees in the landscape, making point sampling approaches relatively ineffective. Accordingly, fourteen 10 m wide transects were aligned perpendicular to large rivers (3.0–6.6 km in length) and eight transects were located at fixed-point photographic locations (1.0–1.6 km in length). Using accumulation curves, we established that the majority of tree species were sampled within 3 km. Furthermore, the key ecological drivers (e.g. fire, herbivory, drought and disease) which influence large tree use and impact were also recorded within 3 km. Conclusions/Significance The technique presented provides an effective method for monitoring changes in large tree abundance, size distribution and use by the main ecological drivers across the savanna landscape. However, the monitoring of rare tree species would require individual marking approaches due to their low densities and specific habitat requirements. Repeat sampling intervals would vary depending on the factor of concern and proposed management mitigation. Once a monitoring protocol has been identified and evaluated, the next stage is to integrate that protocol into a decision-making system, which highlights potential leading indicators of change. Frequent monitoring would be required to establish the rate and direction of change. This approach may be useful in generating monitoring protocols for other dynamic systems. PMID:19092993

  5. Ecological thresholds in the savanna landscape: developing a protocol for monitoring the change in composition and utilisation of large trees.

    TOXLINE Toxicology Bibliographic Information

    Druce DJ; Shannon G; Page BR; Grant R; Slotow R

    2008-01-01

    BACKGROUND: Acquiring greater understanding of the factors causing changes in vegetation structure -- particularly with the potential to cause regime shifts -- is important in adaptively managed conservation areas. Large trees (> or =5 m in height) play an important ecosystem function, and are associated with a stable ecological state in the African savanna. There is concern that large tree densities are declining in a number of protected areas, including the Kruger National Park, South Africa. In this paper the results of a field study designed to monitor change in a savanna system are presented and discussed.METHODOLOGY/PRINCIPAL FINDINGS: Developing the first phase of a monitoring protocol to measure the change in tree species composition, density and size distribution, whilst also identifying factors driving change. A central issue is the discrete spatial distribution of large trees in the landscape, making point sampling approaches relatively ineffective. Accordingly, fourteen 10 m wide transects were aligned perpendicular to large rivers (3.0-6.6 km in length) and eight transects were located at fixed-point photographic locations (1.0-1.6 km in length). Using accumulation curves, we established that the majority of tree species were sampled within 3 km. Furthermore, the key ecological drivers (e.g. fire, herbivory, drought and disease) which influence large tree use and impact were also recorded within 3 km.CONCLUSIONS/SIGNIFICANCE: The technique presented provides an effective method for monitoring changes in large tree abundance, size distribution and use by the main ecological drivers across the savanna landscape. However, the monitoring of rare tree species would require individual marking approaches due to their low densities and specific habitat requirements. Repeat sampling intervals would vary depending on the factor of concern and proposed management mitigation. Once a monitoring protocol has been identified and evaluated, the next stage is to integrate that protocol into a decision-making system, which highlights potential leading indicators of change. Frequent monitoring would be required to establish the rate and direction of change. This approach may be useful in generating monitoring protocols for other dynamic systems.

  6. Utilisation d'analyse de concepts formels pour la gestion de variabilite d'un logiciel configure dynamiquement

    NASA Astrophysics Data System (ADS)

    Menguy, Theotime

    Because of its critical nature, avionic industry is bound with numerous constraints such as security standards and certifications while having to fulfill the clients' desires for personalization. In this context, variability management is a very important issue for re-engineering projects of avionic softwares. In this thesis, we propose a new approach, based on formal concept analysis and semantic web, to support variability management. The first goal of this research is to identify characteristic behaviors and interactions of configuration variables in a dynamically configured system. To identify such elements, we used formal concept analysis on different levels of abstractions in the system and defined new metrics. Then, we built a classification for the configuration variables and their relations in order to enable a quick identification of a variable's behavior in the system. This classification could help finding a systematic approach to process variables during a re-engineering operation, depending on their category. To have a better understanding of the system, we also studied the shared controls of code between configuration variables. A second objective of this research is to build a knowledge platform to gather the results of all the analysis performed, and to store any additional element relevant in the variability management context, for instance new results helping define re-engineering process for each of the categories. To address this goal, we built a solution based on a semantic web, defining a new ontology, very extensive and enabling to build inferences related to the evolution processes. The approach presented here is, to the best of our knowledge, the first classification of configuration variables of a dynamically configured software and an original use of documentation and variability management techniques using semantic web in the aeronautic field. The analysis performed and the final results show that formal concept analysis is a way to identify specific properties and behaviors and that semantic web is a good solution to store and explore the results. However, the use of formal concept analysis with new boolean relations, such as the link between configuration variables and files, and the definition of new inferences may be a way to draw better conclusions. The use of the same methodology with other systems would enable to validate the approach in other contexts.

  7. Utilisation of young and old soil carbon sources by microbial groups differ during the growing season and between experimental treatments in a long-term field experiment

    NASA Astrophysics Data System (ADS)

    Börjesson, Gunnar; Menichetti, Lorenzo; Thornton, Barry; Campbell, Colin; Kätterer, Thomas

    2014-05-01

    Soil organic matter (SOM)is the largest active carbon pool in the terrestrial environment. SOM is a key factor for soil fertility, but is also important for the sequestration of atmospheric CO2. In agricultural soils, management of plant residues and the use of organic fertilisers play important roles for maintaining SOM. Switching from C3 plants to C4 plants such as maize, enables a natural labelling in situ; when coupled with compound specific 13C isotope analysis of phospholipid fatty acids (PLFAs) it allows the proportion of new C (fixed after the switch added to soil from above- and belowground litter and root exudates) and the proportion of old C (fixed prior to the switch derived from turnover of organic matter) utilised by the soil microbial community to be determined. (new paragraph) A field experiment in Sweden, amended with different mineral and organic fertilisers since 1956, was grown with C3 plants, mainly cereals until 1999. From the year 2000 silage maize was grown every year. In 2012, soil from four replicate plots of five experimental treatments, N fertilised, N fertilised amended with straw and sewage sludge, and two controls (bare fallow and cropped unfertilised) were sampled three times, at the start, middle and end of the growing season. Phospholipid fatty acids (PLFAs) were extracted from all soil samples and analysed for concentrations and 13C content. (new paragraph) Total PLFA concentrations and also the PLFA/SOM ratios increased with SOM in the different treatments. Seasonal variation in total PLFA was small except for the most SOM-rich treatment (sewage sludge) where concentrations significantly decreased during the growing season indicating the depletion of a labile SOM pool. Weighted mean values of δ13C in PLFAs show that the plots fertilised with only calcium nitrate had the highest δ13C-values in PLFAs before (-20.24 o) and after the vegetation period (-20.37 o), due to a large input of 13C-enriched plant material. However, during the vegetation period the values were much lower (-21.85 o). This coincided with a strong increase of the PLFA 18:2 (from 0.99 up to 2.37 nmol g dry wt soil-1), indicating utilisation of old organic matter by fungi, while mono-unsaturated PLFAs, indicating Gram-negative bacteria, were more frequent before and after the growing season. Microbial dynamics in the unfertilised control followed the same seasonal pattern but PLFAs were less enriched in 13C due to lower yields compared with the N-fertilised treatment. The addition of organic amendments (straw or sewage sludge) lowered δ13C-values in PLFAs below values of the control due to input of labile material with C3-origin. PLFAs in the bare fallow treatment, that had not received plant carbon inputs during twelve years, were most 13C depleted among the treatments but still enriched by about 2o compared with SOM, indicating a degree of microbial fractionation.

  8. Expanding access to high-cost medicines through the E2 access program in Thailand: effects on utilisation, health outcomes and cost using an interrupted time-series analysis

    PubMed Central

    Sruamsiri, Rosarin; Wagner, Anita K; Ross-Degnan, Dennis; Lu, Christine Y; Dhippayom, Teerapon; Ngorsuraches, Surachat; Chaiyakunapruk, Nathorn

    2016-01-01

    Objective In 2008, the Thai government introduced the ‘high-cost medicines E2 access program’ as a part of the National List of Essential Medicines to increase patient access to medicines, improve clinical outcomes and make medicines more affordable. Our objective was to examine whether the ‘high-cost medicines E2 access program’ achieved its goals. Design Interrupted time-series design study. Setting 3 tertiary hospitals in different regions of Thailand, January 2006 to December 2012. Participants Patients with target acute and chronic disease diagnoses who newly met E2 program criteria for selected study medicines. Intervention High-cost medicines E2 access program. Main outcomes measures Level and trend changes over time in the proportions of eligible patients who received the indicated E2 medicines and who improved clinically, as well as in costs of treatment. Results A total of 2024 patients were included in utilisation analyses and 1375 patients with selected acute diseases contributed to analyses of clinical outcome. After 1 year of the E2 program implementation, the percentage of eligible patients receiving the indicated E2 program medicines increased significantly (relative change 12.7% (95% CI 4.4% to 21.0%), especially among those insured by the government's universal coverage scheme (relative change 19.9% (95% CI 9.5% to 30.5%)). The increase in the proportion of clinically improved patients with acute conditions was not significant (relative change 6.2% (95% CI −1.9% to 15.1%)). Quarterly healthcare costs per patient dropped significantly (relative change −13.5% (95% CI −26.9% to −1.7%)). Conclusions In the study hospitals, the E2 access program seems to have facilitated patient access to specialty medicines, may have contributed to improved health outcomes, and decreased treatment costs. Routine monitoring is needed to assess effects of expanding the programme, including effects on quality of care and financial sustainability. PMID:26988346

  9. A perspective of stepwise utilisation of Bayer red mud: Step two-Extracting and recovering Ti from Ti-enriched tailing with acid leaching and precipitate flotation.

    PubMed

    Huang, Yanfang; Chai, Wencui; Han, Guihong; Wang, Wenjuan; Yang, Shuzhen; Liu, Jiongtian

    2016-04-15

    The extraction and recovery of Ti from Ti-enriched tailing with acid leaching and precipitate flotation, as one of the critical steps, was proposed for the stepwise utilization of red mud. The factors influencing acid leaching and precipitate flotation were examined by factorial design. The leaching thermodynamics, kinetics of Ti(4+), Al(3+) and Fe(3+), and the mechanism of selectively Fe(3+) removal using [Hbet][Tf2N] as precipitating reagent were discussed. The extracting of Ti(4+), Al(3+) and Fe(3+) in concentrated H2SO4 is controlled by diffusion reactions, depending mainly upon leaching time and temperature. The maximum extracting efficiency of Ti(4+) is approximately 92.3%, whereas Al(3+) and Fe(3+) leaching are respectively 75.8% and 84.2%. [Hbet][Tf2N], as a precipitating reagent, operates through a coordination mechanism in flotation. The pH value is the key factor influencing the flotation recovery of Ti(4+), whereas the dosage of precipitating reagent is that for Al(3+) recovery. The maximum flotation recovery of Ti(4+) is 92.7%, whereas the maximum Al(3+) recovery is 93.5%. The total recovery rate for extracting and recovering titanium is 85.5%. The liquor with Ti(4+) of 15.5g/L, Al(3+) of 30.4g/L and Fe(3+) of 0.48g/L was obtained for the following hydrolysis step in the integrated process for red mud utilisation. PMID:26799223

  10. Effect of niacin supplementation on digestibility, nitrogen utilisation and milk and blood variables in lactating dairy cows fed a diet with a negative rumen nitrogen balance.

    PubMed

    Aschemann, Martina; Lebzien, Peter; Hüther, Liane; Döll, Susanne; Südekum, Karl-Heinz; Dänicke, Sven

    2012-06-01

    The aim of the present experiment was to determine if a niacin supplementation of 6 g/d to lactating dairy cow diets can compensate negative effects of a rumen nitrogen balance (RNB) deficit. A total of nine ruminally and duodenally fistulated lactating multiparous German Holstein cows were successively assigned to one of three diets consisting of 10 kg maize silage (dry matter [DM] basis) and 7 kg DM concentrate: Diet RNB- (n = 6) with energy and utilisable crude protein at the duodenum (uCP) according to the average requirement of the animals but with a negative RNB (-0.41 g N/MJ metabolisable energy [ME]); Diet RNB0 (n = 7) with energy, uCP and a RNB (0.08 g N/MJ ME) according to the average requirement of the animals and, finally, Diet NA (n = 5), which was the same diet as RNB-, but supplemented with 6 g niacin/d. Samples of milk were taken on two consecutive days, blood samples were taken on one day pre- and post-feeding and faeces and urine were collected completely over five consecutive days. The negative RNB reduced milk and blood urea content and apparent total tract digestibility of DM, organic matter (OM) and neutral detergent fibre (NDF). Also N excretion with urine, the total N excreted with urine and faeces and the N balance were reduced when the RNB was negative. Supplementation of niacin elevated plasma glucose concentration after feeding and the N balance increased. Supplementing the diet with a negative RNB with niacin led to a more efficient use of dietary N thereby avoiding the negative effects of the negative RNB on the digestibility of DM, OM and NDF. PMID:22724166

  11. Morbidity and healthcare resource utilisation in HIV-infected children following antiretroviral therapy (ART) initiation in Côte d’Ivoire, 2004–2009

    PubMed Central

    Desmonde, S.; Essanin, J.B; Aka, E.A; Messou, E.; Amorissani-Folquet, M.; Rondeau, V.; Ciaranello, A.; Leroy, V.

    2013-01-01

    Background We describe severe morbidity and healthcare resource utilisation (HCRU) among HIV-infected children on antiretroviral therapy (ART) in Abidjan, Côte d’Ivoire. Methods All HIV-infected children enrolled in an HIV-care programme (2004–2009) were eligible from ART initiation until database closeout, death, ART interruption, or loss to follow-up. We calculated incidence density rates (IR) per 100 child-years (CY) for severe morbidity, HCRU (outpatient and inpatient care), and associated factors using frailty models with a Weibull distribution. Results Of 332 children with median age 5.7 years and median follow-up 2.5 years, 65.4% were severely immunodeficient by WHO criteria and all received cotrimoxazole prophylaxis. We recorded 464 clinical events in 228 children; the overall IR was 57.6/100 CY (95%CI: 52.1–62.5). Severe morbidity was more frequent in children on protease inhibitor-based ART compared to those on other regimens (aHR: 1.83, 95%CI: 1.35–2.47) and those moderately/severely immunodeficient compared to those not (aHR: 1.57; 95%CI: 1.13–2.18 and aHR: 2.53, 95%CI: 1.81–3.55 respectively). Of the 464 events, 371 (80%) led to outpatient care (IR: 45.6/100CY) and 164 (35%) to inpatient care (IR: 20.2/100CY). In adjusted analyses, outpatient care was significantly less frequent in children >10 years compared to children <2 years (aHR: 0.49, 95%CI: 0.31–0.78) and in those living furthest from clinic compared to those living closest (aHR: 0.65, 95%CI: 0.47–0.90). Both inpatient and outpatient HCRU were negatively associated with cotrimoxazole prophylaxis. Conclusion Despite ART, HIV-infected children still require substantial utilization of healthcare services. PMID:24525473

  12. Impact of the dual defence system of Plantago lanceolata (Plantaginaceae) on performance, nutrient utilisation and feeding choice behaviour of Amata mogadorensis larvae (Lepidoptera, Erebidae).

    PubMed

    Pankoke, Helga; Gehring, René; Müller, Caroline

    2015-11-01

    Iridoid glycosides are plant defence compounds with potentially detrimental effects on non-adapted herbivores. Some plant species possess ?-glucosidases that hydrolyse iridoid glycosides and thereby release protein-denaturing aglycones. To test the hypothesis that iridoid glycosides and plant ?-glucosidases form a dual defence system, we used Plantago lanceolata and a polyphagous caterpillar species. To analyse the impact of leaf-age dependent differences in iridoid glycoside concentrations and ?-glucosidase activities on insect performance, old or young leaves were freeze-dried and incorporated into artificial diets or were provided freshly to the larvae. We determined larval consumption rates and the amounts of assimilated nitrogen. Furthermore, we quantified ?-glucosidase activities in artificial diets and fresh leaves and the amount of iridoid glycosides that larvae feeding on fresh leaves ingested and excreted. Compared to fresh leaves, caterpillars grew faster on artificial diets, on which larval weight gain correlated positively to the absorbed amount of nitrogen. When feeding fresh young leaves, larvae even lost weight and excreted only minute proportions of the ingested iridoid glycosides intact with the faeces, indicating that the hydrolysis of these compounds might have interfered with nitrogen assimilation and impaired larval growth. To disentangle physiological effects from deterrent effects of iridoid glycosides, we performed dual choice feeding assays. Young leaves, their methanolic extracts and pure catalpol reduced larval feeding in comparison to the respective controls, while aucubin had no effect on larval consumption. We conclude that the dual defence system of P. lanceolata consisting of iridoid glycosides and ?-glucosidases interferes with the nutrient utilisation via the hydrolysis of iridoid glycosides and also mediates larval feeding behaviour in a concentration- and substance-specific manner. PMID:26306994

  13. Healthcare Resource Utilisation in untreated HIV-infected children in a paediatric programme, Abidjan, Côte d’Ivoire, 2004–2009

    PubMed Central

    Desmonde, Sophie; Coffie, Patrick A; Aka, Edmond A; Bosse, Clarisse; Messou, Eugène; Dabis, François; Ciaranello, Andrea; Leroy, Valériane

    2012-01-01

    Background We describe healthcare resource utilisation (HCRU) among HIV-1-infected children who have not yet undergone antiretroviral treatment (ART) in Abidjan, Côte d’Ivoire. Methods HIV-infected children enrolled prospectively in an HIV care programme in two health facilities in Abidjan (2004–2009) were followed up from date of inclusion until: database closeout, death, ART initiation, or loss to follow-up (no clinical contact for >6 months). Incidences of HCRU (outpatient care, inpatient daycare, hospitalisation) were described according to severe morbidity and mixed effect log linear models were computed to identify associated factors. Results Overall, 405 children were included, entering care at a median age of 4.5 years, 66.9% were receiving cotrimoxazole prophylaxis, and 27.7% met 2006 WHO criteria for immunodeficiency by age. The median follow-up time was 11.6 months (IQR: 1.4;30.7). Overall, 371 clinical events occurred in 162 children yielding to an incidence rate (IR) of 60.9/100CY (95% CI: 55.1–67.2): 57% of clinical events led to outpatient care (IR: 33/100CY), 38% to inpatient daycare (IR: 22/100CY), and 10% to hospitalisation (IR: 5.9/100CY). Further medical examinations were made allowing confirmed diagnoses in 40% of those (IR: 22.4/100CY). Outpatient care was less common among immunodeficient children than those not (RR=0.32, IC 95%: 0. 18–0.56), in those whose main caregivers are both parents compared to those who are primarily cared for by their mother only (RR= 0.34, IC 95%:0.15–0.77) Conclusion Untreated HIV-infected children require substantial inpatient and outpatient care in a context where ART is scaling-up but still not available to all. PMID:23262977

  14. Innovation in process energy utilisation

    SciTech Connect

    Not Available

    1988-01-01

    A conference was held on energy utilization. Research programs under the following topics were presented: drying and evaporation, energy control systems, thermodynamics, process heating and waste heat recovery, and energy from wastes. The funding of innovative projects in the UK and Europe was also discussed. Individual projects are processed separately for the data bases. (CBS)

  15. Utilising Discursive Positioning in Counselling

    ERIC Educational Resources Information Center

    Winslade, John M.

    2005-01-01

    Foucault's concern with the production of subjectivity has led to the development of positioning theory, as it has been called by Bronwyn Davies, Rom Harr and Luk van Langenhve. The concept of discursive positioning has particular value for counselling because it shows how people are positioned in discourse in particular moments by their own and…

  16. Researching Primary Engineering Education: UK Perspectives, an Exploratory Study

    ERIC Educational Resources Information Center

    Clark, Robin; Andrews, Jane

    2010-01-01

    This paper draws attention to the findings of an exploratory study that critically identified and analysed relevant perceptions of elementary level engineering education within the UK. Utilising an approach based upon grounded theory methodology, 30 participants including teachers, representatives of government bodies and non-profit providers of…

  17. Knowledge and Knowing in Mathematics and Pedagogy: A Case Study of Mathematics Student Teachers' Epistemological Beliefs

    ERIC Educational Resources Information Center

    Löfström, Erika; Pursiainen, Tuomas

    2015-01-01

    This study focuses on mathematics student teachers' epistemological beliefs in mathematics and education. The study aimed at gaining insight into the challenges that students experience in the consolidation of knowledge in the two disciplines. The case study with three mathematics pre-service teachers utilised mathematical and pedagogical…

  18. Influence of conditioning temperature on the performance, nutrient utilisation and digestive tract development of broilers fed on maize- and wheat-based diets.

    PubMed

    Abdollahi, M R; Ravindran, V; Wester, T J; Ravindran, G; Thomas, D V

    2010-10-01

    1. The influence of conditioning temperature on the performance, nutrient utilisation and digestive tract development of broilers fed on maize- and wheat-based diets was examined up to 21 d of age. The experimental design was a 2 × 3 factorial arrangement of treatments evaluating two grain types (maize and wheat) and three conditioning temperatures (60°C, 75°C and 90°C). Broiler starter diets, each based on one grain (maize or wheat), were formulated and pelleted at the three temperatures. 2. Increasing conditioning temperature decreased the body-weight gain and feed intake in wheat-based diets, but birds fed on maize-based diets conditioned at 60°C and 90°C had higher body-weight gain and feed intake than those fed on the diet conditioned at 75°C. Increasing conditioning temperature increased feed per body-weight gain in both grain-type diets but improved pellet durability index (PDI) only in wheat-based diets; PDI was unaffected in maize-based diets. 3. In wheat-based diets, increasing conditioning temperature decreased the ileal digestibility of nitrogen and starch. Ileal nitrogen digestibility of maize-based diets conditioned at 60°C and 90°C was higher than at 75°C. Starch digestibility was unaffected by conditioning temperature in maize-based diets. No effect of conditioning temperature was found for apparent metabolisable energy (AME). Increasing conditioning temperature decreased digestible protein and AME intakes in wheat-based diets but, in maize-based diets, birds fed on the diet conditioned at 75°C had lower digestible protein and AME intakes compared to those fed on diets conditioned at 60°C and 90°C. 4. Small intestine was longer in birds fed on diets conditioned at 75°C and 90°C compared with those fed on diets conditioned at 60°C. 5. Overall, the data suggest that while the effects of conditioning temperature on body-weight gain and feed intake of broilers to 21 d of age differed depending on the grain type, feed per body-weight gain was adversely affected by higher conditioning temperatures. PMID:21058069

  19. Influence of whole wheat inclusion and a blend of essential oils on the performance, nutrient utilisation, digestive tract development and ileal microbiota profile of broiler chickens.

    PubMed

    Amerah, A M; Péron, A; Zaefarian, F; Ravindran, V

    2011-02-01

    1. The aim of the present experiment was to examine the influence of whole wheat inclusion and a blend of essential oils (EO; cinnamaldehyde and thymol) supplementation on the performance, nutrient utilisation, digestive tract development and ileal microbiota profile of broiler chickens. 2. The experimental design was a 2 × 2 factorial arrangement of treatments evaluating two wheat forms (ground wheat [GW] and whole wheat [WW]; 100 and 200 g/kg WW replacing GW during starter [1 to 21 d] and finisher [22 to 35 d] diets respectively) and two levels of EO inclusion (0 or 100 g/tonne diet). All dietary treatments were supplemented with 2000 xylanase units/kg feed. Broiler starter and finisher diets based on wheat and soybean meal were formulated and each diet fed ad libitum to 6 pens of 8 male broilers. 3. During the trial period (1-35 d), wheat form had no significant effect on weight gain or feed intake. However, WW inclusion tended (P = 0.06) to improve feed per gain. Essential oil supplementation significantly improved weight gain in both diets, but the improvements were greater in the GW diet as indicated by a significant wheat form × EO interaction. 4. Main effects of wheat form and EO on the relative weight, length and digesta content of various segments of the digestive tract were not significant. Significant interactions, however, were found for relative gizzard and caecal weights. Essential oil supplementation significantly increased the relative gizzard weight and lowered relative caecal weight in birds fed on the GW based diet, but had no effect in those fed on the WW based diet. 5. Whole wheat inclusion and EO supplementation significantly improved apparent ileal nitrogen digestibility. Apparent ileal digestible energy was not significantly influenced by the dietary treatments. 6. Ileal microbiota profiling, using denaturing gradient gel electrophoresis, showed that the ileal microbiota composition was influenced by feed form. The mean numbers of bacterial species in the ileal contents of birds fed on the GW diet supplemented with EO tended (P = 0.07) to be higher than those of the ileal contents of birds fed on unsupplemented GW based diet. 7. The present data suggested that dietary addition of EO improves broiler weight gain and ileal nitrogen digestibility both in GW and WW based diets, but that the magnitude of the response to EO for weight gain was greater in GW based diet. Whole wheat feeding was found to be beneficial in terms of feed efficiency. PMID:21337207

  20. Première expérience de l'utilisation du Misoprostol comme soin après avortement (SAA) à Libreville, Gabon

    PubMed Central

    Mayi-Tsonga, Sosthène; Minkobame, Ulysse; Mbila, Arielle; Assoumou, Pamphile; Diop, Ayisha; Winikoff, Beverly

    2014-01-01

    Introduction Une étude a été menée afin de déterminer le taux d'acceptabilité de 400µg de misoprostol par voie sublinguale comme traitement de première intention de l'avortement incomplet et de préciser le taux d'avortement complet ou vacuité utérine. Méthodes Les femmes éligibles avaient un diagnostic clinique d'avortement incomplet avec une taille utérine inférieure à celle d'un utérus de 12 semaines d'aménorrhées (SA). Chacune a reçu 400µg de misoprostol par voie sublinguale. Les femmes ont été revues après une semaine. A J7, celles qui n'avaient pas complètement expulsé ont eu le choix entre une nouvelle consultation de suivi à J14 et la pratique d'une évacuation chirurgicale immédiate. Résultats 145 patientes ont été éligibles et ont toutes accepté la méthode (100%). L’âge moyen était de 25,9 ± 6 ans. A J7, 120 patientes étaient guéries (85,7%). A J14, le taux de réussitea été de 95,7% soit 134 patientes guéries. Les patientes guéries ont déclaré être très satisfaites (57,5%), satisfaites (41,8%) et insatisfaite (0,7%). Au total,128 femmes (95,5%) ont dit être prêtes à utiliser de nouveau le misoprostol comme méthode d’évacuation utérine en cas d'avortement incomplet. Conclusion L’étude démontre que le 400µg misoprostol par voie sublinguale nous permet de prendre en charge d'une manière adéquate l'avortement incomplet surtout dans les pays à faible ressource et notamment dans les structures sanitaires de première ligne ou éloignées. PMID:25469194

  1. Lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse

    PubMed Central

    Kahan, Meldon; Wilson, Lynn; Mailis-Gagnon, Angela; Srivastava, Anita

    2011-01-01

    Résumé Objectif Présenter aux médecins de famille un résumé clinique pratique sur la prescription d’opioïdes à des populations particulières en se fondant sur les recommandations faites dans les lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse. Qualité des données Pour produire les lignes directrices, les chercheurs ont effectué une synthèse critique de la littérature médicale en insistant plus précisément sur les études de l’efficacité et de la sécurité des opioïdes dans des populations particulières. Message principal Les médecins de famille peuvent atténuer les risques de surdose, de sédation, d’usage abusif et de dépendance grâce à des stratégies adaptées à l’âge et à l’état de santé des patients. Dans le cas de patients à risque de dépendance, on devrait réserver les opioïdes aux douleurs nociceptives ou neuropathiques bien définies qui n’ont pas répondu aux traitements de première intention. Il faut procéder lentement au titrage des opioïdes, avec des dispensations fréquentes et une étroite surveillance pour dépister tout signe d’usage abusif. Une dépendance aux opioïdes suspectée est prise en charge au moyen d’une thérapie structurée aux opioïdes, d’un traitement à la méthadone ou à la buprénorphine ou encore d’un traitement fondé sur l’abstinence. Les patients souffrant de troubles de l’humeur ou d’anxiété ont tendance à avoir une réponse analgésique atténuée aux opioïdes, sont à risque plus élevé d’usage abusif et prennent souvent des sédatifs qui interagissent défavorablement avec les opioïdes. Il faut prendre des précautions semblables à celles utilisées avec d’autres patients à risque élevé. Il faut faire un sevrage progressif si la douleur du patient demeure sévère même avec un essai adéquat de thérapie aux opioïdes. Chez les personnes âgées, la sédation, les chutes et la surdose peuvent être minimisées en utilisant des doses initiales faibles, un titrage plus lent, un sevrage des benzodiazépines et une bonne éducation des patients. Dans le cas des femmes enceintes qui prennent des opioïdes chaque jour, il faut faire un sevrage progressif et cesser complètement. Si ce n’est pas possible, il faut administrer la dose efficace la plus faible. Les femmes enceintes qui ont une dépendance aux opioïdes devraient recevoir un traitement à la méthadone. Les adolescents sont à risque élevé de surdose d’opioïdes, d’usage abusif et de dépendance. Les patients qui ont des adolescents qui vivent à la maison devraient entreposer leurs opioïdes dans un lieu sûr. Les adolescents ont rarement besoin d’une thérapie à long terme aux opioïdes. Conclusion Les médecins de famille doivent tenir compte de l’âge, de la condition psychiatrique, du degré de risque de dépendance du patient et d’autres facteurs quand ils prescrivent des opioïdes pour la douleur chronique.

  2. The Applicability of Social Network Analysis to the Study of Networked Learning

    ERIC Educational Resources Information Center

    Toikkanen, Tarmo; Lipponen, Lasse

    2011-01-01

    Studying networked learning (NL) by applying social network analysis (SNA) has gained popularity in recent years. However, it appears that in the context of NL the choice of SNA indices is very often dictated by using easily achievable SNA tools. Most studies in this field only involve a single group of students and utilise simple indices, such as…

  3. Psychological Determinants of University Students' Academic Performance: An Empirical Study

    ERIC Educational Resources Information Center

    Gebka, Bartosz

    2014-01-01

    This study utilises an integrated conceptual model of academic performance which captures a series of psychological factors: cognitive style; self-theories such as self-esteem and self-efficacy; achievement goals such as mastery, performance, performance avoidance and work avoidance; study-processing strategies such as deep and surface learning;…

  4. The Applicability of Social Network Analysis to the Study of Networked Learning

    ERIC Educational Resources Information Center

    Toikkanen, Tarmo; Lipponen, Lasse

    2011-01-01

    Studying networked learning (NL) by applying social network analysis (SNA) has gained popularity in recent years. However, it appears that in the context of NL the choice of SNA indices is very often dictated by using easily achievable SNA tools. Most studies in this field only involve a single group of students and utilise simple indices, such as…

  5. Psychological Determinants of University Students' Academic Performance: An Empirical Study

    ERIC Educational Resources Information Center

    Gebka, Bartosz

    2014-01-01

    This study utilises an integrated conceptual model of academic performance which captures a series of psychological factors: cognitive style; self-theories such as self-esteem and self-efficacy; achievement goals such as mastery, performance, performance avoidance and work avoidance; study-processing strategies such as deep and surface learning;…

  6. Influence of pellet diameter and length on the quality of pellets and performance, nutrient utilisation and digestive tract development of broilers fed on wheat-based diets.

    PubMed

    Abdollahi, M R; Ravindran, V; Wester, T J; Ravindran, G; Thomas, D V

    2013-06-01

    1. The influence of pellet diameter and length on the quality of pellets and performance, nutrient utilisation and digestive tract development of broilers given wheat-based diets was examined from 10 to 42 d of age. The experimental design was a 2 × 2 factorial arrangement of treatments evaluating two pellet diameters (3 and 4.76 mm) and two pellet lengths (3 and 6 mm). From 0 to 9 d of age, all birds were offered a common starter diet pelleted with a 3-mm diameter die and 3-mm length. Broiler grower (d 10 to 21) and finisher (d 22 to 42) diets, based on wheat, were formulated and then subjected to the 4 different treatments. 2. In grower diets, increasing pellet diameter and pellet length reduced the gelatinised starch (GS) content of the diets. In finisher diets, GS content of 3-mm diameter pellets did not change with increasing pellet length but decreased in 4.76-mm diameter pellets. 3. In grower and finisher diets, increments in intact pellet weight, pellet durability index and pellet hardness with increasing pellet length were greater in 3-mm diameter pellets than those with 4.76-mm diameter. 4. Increasing pellet length from 3 to 6 mm increased apparent metabolisable energy values. Neither the interaction nor main effects were significant for the ileal digestibility of nitrogen and starch. 5. During the grower period (d 10 to 21), birds given pellets of 6-mm length had greater body-weight gain than those given 3-mm length pellets. Feeding 6-mm length pellets decreased feed per body-weight gain compared to 3-mm length pellets. During the finisher (d 22 to 42) and whole grow-out (d 10 to 42) periods, while different pellet lengths had no effect on feed per body-weight gain values at 3-mm pellet diameter, increasing the pellet length decreased feed per body-weight gain at 4.76-mm pellet diameter. 6. Increasing pellet diameter and pellet length reduced the relative length of duodenum. Birds given 3-mm diameter pellets had heavier proventriculus compared to those given 4.76-mm diameter pellets. 7. Overall, the data suggest that increasing the pellet length from 3 to 6 mm improved the body-weight gain and feed per body-weight gain during the grower period (d 10 to 21). While the positive effect on body-weight gain disappeared as the birds grew older, improvements in feed per body-weight gain were maintained over the finisher and whole grow-out periods only in 4.76-mm diameter pellets. Small diameter die holes and longer pellet lengths may be considered as potential manipulations to manufacture high-quality pellets under low conditioning temperatures. PMID:23659375

  7. Lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse

    PubMed Central

    Kahan, Meldon; Mailis-Gagnon, Angela; Wilson, Lynn; Srivastava, Anita

    2011-01-01

    Résumé Objectif Présenter aux médecins de famille un résumé clinique pratique des lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse, produites par le National Opioid Use Guideline Group. Qualité des données Pour produire les lignes directrices, les chercheurs ont effectué une synthèse critique de la littérature médicale sur l’efficacité et l’innocuité des opioïdes pour la douleur chronique non cancéreuse et ont rédigé une série de recommandations. Un panel de 49 cliniciens experts de toutes les régions du Canada ont passé en revue l’ébauche et ont atteint un consensus sur 24 recommandations. Message principal Il est recommandé de faire un dépistage du risque de dépendance avant de prescrire des opioïdes. On recommande des opioïdes faibles (codéine et tramadol) pour une douleur de légère à modérée qui n’a pas répondu aux traitements de première intention. On peut essayer l’oxycodone, l’hydromorphone et la morphine chez les patients qui n’ont pas eu de soulagement avec des opioïdes plus faibles. Une faible dose initiale et une lente hausse du titrage sont recommandées, ainsi qu’une étroite surveillance du patient qu’on a d’abord renseigné. Les médecins doivent surveiller l’apparition de complications comme l’apnée du sommeil. La dose optimale est celle qui améliore le fonctionnement ou atténue les cotes d’évaluation de la douleur d’au moins 30 %. Pour la grande majorité des patients, la dose optimale sera bien en deçà de l’équivalent de 200 mg de morphine par jour. On recommande le sevrage progressif pour les patients qui n’ont pas répondu à un essai d’opioïdes adéquat. Conclusion Les opioïdes jouent un rôle important dans la prise en charge de la douleur chronique non cancéreuse, mais il faut en prescrire avec prudence pour limiter les dommages potentiels. Les nouvelles lignes directrices canadiennes offrent des conseils dont les médecins avaient grand besoin pour les aider à en arriver à un juste équilibre entre le contrôle optimal de la douleur et la sécurité.

  8. Utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisés décentralisés en établissement de santé

    PubMed Central

    Brisseau, Lionel; Bussières, Jean-François; Lebel, Denis; Atkinson, Suzanne; Robinette, Louise; Fortin, Sylvie; Lemay, Michel

    2011-01-01

    RÉSUMÉ Contexte : Il existe peu de données sur les conséquences de l’utilisation des cabinets automatisés décentralisés (CAD) en établissements de santé. Méthode : Il s’agit d’une étude descriptive de la conformité des pratiques par rapport à des lignes directrices publiées dans le cadre de l’implantation de CAD. L’objectif principal de l’étude est d’évaluer la conformité globale et celle de chaque processus du circuit du médicament. L’étude se déroule au sein du Centre hospitalier universitaire (CHU) Sainte-Justine, un établissement mère–enfant de 500 lits. À partir des lignes directrices portant sur l’utilisation sécuritaire des CAD de l’Institute for Safe Medication Practice (aux États-Unis) (2008) et de son outil d’autoévaluation (2009), nous avons évalué la conformité de la pratique à 30 jours et à 120 jours après l’implantation. Résultats : Nous avons procédé de novembre 2009 à avril 2010 à l’implantation de sept stations de CAD au sein du CHU Sainte-Justine. Le profil de conformité est passé de 66 % à 74 % de janvier à avril 2010. Pour chaque processus relatif à l’utilisation sécuritaire des CAD, nous présentons une brève description des critères ainsi que les éléments de non-conformité liés à la technologie ou aux aspects organisationnels. Pour chaque élément de non-conformité, nous avons déterminé les actions requises auprès du fabricant afin de modifier l’équipement (c. à .d. aspects technologiques) et auprès de l’établissement afin de modifier les modalités d’utilisation (aspects organisationnels) en précisant le ou les processus impliqués. Conclusion : Cette étude décrit la conformité des pratiques au CHU Sainte-Justine par rapport à des lignes directrices publiées par l’Institute for Safe Medication Practices. L’utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisés décentralisés en établissement peut aider à guider les actions tant sur le plan technologique qu’organisationnel. PMID:22479039

  9. Modélisation d'un choc thermique doux d'un verre S.S.C en utilisant l'approche thermomécanique

    NASA Astrophysics Data System (ADS)

    Malou, Z.; Hamidouche, M.; Madjoubi, M. A.; Bousbaa, C.; Bouaouadja, N.

    2005-05-01

    Dans ce travail, nous avons étudié l'endommagement du verre silico-sodo-calcique (trois différentes épaisseurs : 2mm, 4mm, et 8mm) par choc thermique descendant. Nous avons utilisé l'approche thermomécanique en terme de facteur d'intensité de contrainte en se basant sur un calcul numérique. Le choc thermique descendant, est la mise en contact brutal d'un échantillon, préalablement chauffé à une température Ti, avec un milieu dont la température Tf est inférieure à Ti. Le gradient thermique engendré induit des contraintes de tension dans les couches superficielles du corps. Ces contraintes peuvent conduire à la rupture du matériau. Les hypothèses prises en compte lors de la simulation sont comme suit : Le refroidissement des échantillons en verre chauffés à différentes températures, inférieures à sa température de transition, est fait par jet d'air à 20° C pendant 6 secondes. Ce temps est suffisant pour que la température des échantillons atteigne l'ambiante. Le coefficient de transfert de chaleur est de 600 W/°C.m2. Les températures chaudes ont été variées entre 100° C et 450° C. Lors des calculs, nous avons intégré, l'évolutions en fonction de la température des propriétés thermoélastiques du verre. Dans un premier temps, nous avons déterminé les températures et les contraintes transitoires dans l'échantillon à tout instant du choc thermique. Ensuite, nous avons déterminé l'évolution du facteur d'intensité de contrainte (FIC) durant le refroidissement. Enfin, les FIC calculés sont comparés à la ténacité (K1c) du matériau. Cette dernière a été mesurée en utilisant la mécanique linéaire de la rupture. Nous avons vérifié que quand le facteur FIC atteint la valeur de la ténacité dans la zone des défauts critiques, ces derniers se propagent d'une manière brutale causant ainsi la dégradation de l'échantillon. Par cette technique, nous avons directement accès à l'écart de température critique au delà duquel le verre rompt. Nous avant trouvé qu' un choc thermique effectué à partir d'une température chaude de 250° C conduit à des écarts de température cœur surface plus importants à mesure que l'échantillon est plus épais. Ces conditions engendrent des contraintes transitoires maximales (21.2 MPa, 36 MPa et 56.2 MPa) au premiers instants du refroidissement (0.075 s, 0.23 s et 0.659 s) respectivement pour les épaisseurs 2 mm, 4 mm et 8 mm. L'évolution des facteurs d'intensité de contrainte FIC montre que les défauts préexistants atteignent la longueur la plus grande après choc thermique pour l'échantillon le plus épais. Le choc thermique descendant est plus néfaste pour la plus grande l'épaisseur.

  10. Skills Training to Avoid Inadvertent Plagiarism: Results from a Randomised Control Study

    ERIC Educational Resources Information Center

    Newton, Fiona J.; Wright, Jill D.; Newton, Joshua D.

    2014-01-01

    Plagiarism continues to be a concern within academic institutions. The current study utilised a randomised control trial of 137 new entry tertiary students to assess the efficacy of a scalable short training session on paraphrasing, patch writing and plagiarism. The results indicate that the training significantly enhanced students' overall…

  11. A Third Use of Sociology of Scientific Knowledge: A Lens for Studying Teacher Practice

    ERIC Educational Resources Information Center

    Meyer, Daniel Z.; Avery, Leanne M.

    2010-01-01

    Over the last two decades, science educators and science education researchers have grown increasingly interested in utilising insights from the sociology of scientific knowledge (SSK) to inform their work and research. To date, researchers in science education have focused on two applications: results of sociological studies of science have been…

  12. Dementia Studies Online: Reflections on the Opportunities and Drawbacks of eLearning

    ERIC Educational Resources Information Center

    Innes, Anthea; Mackay, Kathryn; McCabe, Louise

    2006-01-01

    This paper explores the opportunities and drawbacks of eLearning from the viewpoints of educators and learners. A postgraduate dementia studies programme provides the basis for reflection on the use of a blended learning approach utilising web-based learning. Those who register for the programme are employed in different health and social care…

  13. Skills Training to Avoid Inadvertent Plagiarism: Results from a Randomised Control Study

    ERIC Educational Resources Information Center

    Newton, Fiona J.; Wright, Jill D.; Newton, Joshua D.

    2014-01-01

    Plagiarism continues to be a concern within academic institutions. The current study utilised a randomised control trial of 137 new entry tertiary students to assess the efficacy of a scalable short training session on paraphrasing, patch writing and plagiarism. The results indicate that the training significantly enhanced students' overall…

  14. Intercultural Language Learning through Translation and Interpreting: A Study of Advanced-Level Japanese Learners

    ERIC Educational Resources Information Center

    Takimoto, Masato; Hashimoto, Hiroko

    2011-01-01

    The paper examines the appropriateness of translation and interpreting tasks for language teaching. To this end, it analyses an advanced-level Japanese language subject taught at an Australian university, utilising the concept of intercultural language learning (ICLL) as a theoretical framework. The study also investigates the learning experience…

  15. Rethinking the Digital Divide: Findings from a Study of Marginalised Young People's ICT Use

    ERIC Educational Resources Information Center

    Blanchard, Michele; Metcalf, Atari; Degney, Jo; Herrman, Helen; Burns, Jane

    2008-01-01

    This paper presents findings from a study that investigated young people's ICT use and the capacity of service providers to utilise these technologies in their practice. The results suggest that ICT may be an important resource for mental health promotion, particularly in relation to engaging young people. It was found that young people…

  16. Promotion of Autonomy for Participation in Physical Activity: A Study Based on the Trans-Contextual Model of Motivation

    ERIC Educational Resources Information Center

    González-Cutre, David; Ferriz, Roberto; Beltrán-Carrillo, Vicente J.; Andrés-Fabra, José A.; Montero-Carretero, Carlos; Cervelló, Eduardo; Moreno-Murcia, Juan Antonio

    2014-01-01

    The aim of this study was to analyse the effects of a school-based intervention to promote physical activity, utilising the postulates of the trans-contextual model of motivation. The study examined two separate classes of elementary school students (mean age 11.28?years), one of which served as the control group (n?=?26) and the other as the…

  17. Cannabis Use and Related Harms in the Transition to Young Adulthood: A Longitudinal Study of Australian Secondary School Students

    ERIC Educational Resources Information Center

    Scholes-Balog, Kirsty E.; Hemphill, Sheryl A.; Patton, George C.; Toumbourou, John W.

    2013-01-01

    The current study documents the changing rates of cannabis use, misuse and cannabis-related social harms among Australian adolescents as they grow into young adulthood. It utilised data from a longitudinal study of young people at ages 15, 16, 17, and 19. The rates of cannabis use were found to increase as participants aged; past year use…

  18. Cannabis Use and Related Harms in the Transition to Young Adulthood: A Longitudinal Study of Australian Secondary School Students

    ERIC Educational Resources Information Center

    Scholes-Balog, Kirsty E.; Hemphill, Sheryl A.; Patton, George C.; Toumbourou, John W.

    2013-01-01

    The current study documents the changing rates of cannabis use, misuse and cannabis-related social harms among Australian adolescents as they grow into young adulthood. It utilised data from a longitudinal study of young people at ages 15, 16, 17, and 19. The rates of cannabis use were found to increase as participants aged; past year use…

  19. Déterminants de l'utilisation des méthodes contraceptives dans la zone de santé Mumbunda à Lubumbashi, République Démocratique du Congo

    PubMed Central

    Matungulu, Charles Matungulu; Kandolo, Simon Ilunga; Mukengeshayi, Abel Ntambue; Nkola, Angèle Musau; Mpoyi, Dorcas Ilunga; Mumba, Sylvie Katanga; Kabamba, Julie Ndayi; Cowgill, Karen; Kaj, Françoise Malonga

    2015-01-01

    Introduction Augmenter la prévalence contraceptive s'incarne dans les objectifs des tous les acteurs des programmes qui visent de réduire la mortalité maternelle et infantile, d'améliorer la santé reproductive des adolescents, de lutter contre le VIH/SIDA et les infections sexuellement transmissible (IST), de promouvoir le bien-être familial et de ralentir la croissance démographique. L'objectif de cette étude était de déterminer la prévalence contraceptive moderne et identifier les facteurs qui sont liés à l'utilisation des méthodes contraceptives dans la zone de santé de Mumbunda. Méthodes Une étude transversale à visé analytique a été effectuée auprès des femmes âgées de 15 à 49 ans en union maritale, de Mai à Juin 2014. Grâce à un questionnaire pré testé et validé, nous avons récolté les données par interview sur les caractéristiques sociodémographiques, obstétricales ainsi que sur la pratique contraceptive. Le logiciel SPSS version 21 nous a permis d'analyser les données. Résultats Au total 500 femmes ont été incluses dans cette étude dont l’âge moyen était de 27,9±6,1 ans. La prévalence contraceptive moderne était de 27,6%. L'attitude (ORa= 4,79; IC95%: 1,59-14,43; p<0,001), le niveau de connaissance des méthodes contraceptives (ORa=1,87; IC95%: 1,22-2,87; p<0,001), le soutien du conjoint (ORa=1,87; IC95%: 1,22-2,87; p<0,001) étaient significativement associés à l'utilisation des méthodes contraceptives modernes. Conclusion Tout effort d'augmentation de la prévalence contraceptive devrait cibler l'attitude, le niveau de connaissance de méthodes et le soutien du conjoint afin d'optimiser l'utilisation de la contraception moderne dans la zone de santé (ZS) Mumbunda. PMID:26977237

  20. A novel luminescent lifetime-based optrode for the detection of gaseous and dissolved oxygen utilising a mixed ormosil matrix containing ruthenium (4,7-diphenyl-1,10-phenanthroline)3Cl2 (Ru.dpp).

    PubMed

    Roche, P; Al-Jowder, R; Narayanaswamy, R; Young, J; Scully, P

    2006-11-01

    A novel luminescent lifetime optrode is presented for the detection of gaseous and dissolved oxygen. The optrode utilises ruthenium (4,7-diphenyl-1,10-phenanthroline)(3)Cl(2) as the sensing fluorophore immobilised in a hydrophobic ormosil matrix. The ormosil matrix is synthesised at room temperature from octyltriethoxysilane and methyltriethoxysilane precursors. Investigations of different ormosils were conducted and the most effective one was selected for optrode production. Optrodes were tested for responses to gaseous and dissolved oxygen. Their responses were modelled using traditional two-site or two-exponential methods and feed-forward artificial neural networks. Comparison of the two modelling methodologies is presented and further improvements in modelling and ormosil design are suggested. PMID:16983531

  1. Exploring the Evolution of a Teacher Professional Learning Community: A Longitudinal Case Study at a Taiwanese High School

    ERIC Educational Resources Information Center

    Chen, Peiying; Wang, Ting

    2015-01-01

    This article presents findings of a longitudinal case study conducted at a Taiwanese high school from 2006 to 2010. This school participated in the 'High Scope Programme' (HSP), which was sponsored by the Taiwanese National Science Council to promote curricular innovation in science education. Utilising interview data with 11 participating…

  2. Exploring the Evolution of a Teacher Professional Learning Community: A Longitudinal Case Study at a Taiwanese High School

    ERIC Educational Resources Information Center

    Chen, Peiying; Wang, Ting

    2015-01-01

    This article presents findings of a longitudinal case study conducted at a Taiwanese high school from 2006 to 2010. This school participated in the 'High Scope Programme' (HSP), which was sponsored by the Taiwanese National Science Council to promote curricular innovation in science education. Utilising interview data with 11 participating…

  3. Changes in BSc Business Administration and Psychology Students' Learning Styles over One, Two and Three Years of Study

    ERIC Educational Resources Information Center

    Nielsen, Tine

    2013-01-01

    Knowledge on general or discipline-specific changes in the learning styles of university students can be utilised in the design and execution of courses, but little is known of such changes. The study examined the changes in the learning styles of three year groups of BSc Business Administration and Psychology students from admittance to one, two…

  4. Multilingual Literacies in Transnational Digitally Mediated Contexts: An Exploratory Study of Immigrant Teens in the United States

    ERIC Educational Resources Information Center

    Lam, Wan Shun Eva; Rosario-Ramos, Enid

    2009-01-01

    This study explores the literacy practices that are involved in transnational social and information networking among youths of immigrant backgrounds in the United States. In particular, it investigates the ways in which young migrants of diverse national origins in the United States are utilising digital media to organise social relationships…

  5. Changes in BSc Business Administration and Psychology Students' Learning Styles over One, Two and Three Years of Study

    ERIC Educational Resources Information Center

    Nielsen, Tine

    2013-01-01

    Knowledge on general or discipline-specific changes in the learning styles of university students can be utilised in the design and execution of courses, but little is known of such changes. The study examined the changes in the learning styles of three year groups of BSc Business Administration and Psychology students from admittance to one, two…

  6. Does School-to-School Collaboration Promote School Improvement? A Study of the Impact of School Federations on Student Outcomes

    ERIC Educational Resources Information Center

    Chapman, Christopher; Muijs, Daniel

    2014-01-01

    This study adopted a quantitative methodology involving a matched sample of federated and non-federated schools and utilising multilevel modelling techniques to explore the impact of federations on student outcomes. The sample involves a total of 50 school districts and 264 schools. These are grouped into 122 federations; 264 comparator schools…

  7. A Double-Blind, Placebo-Controlled Study Investigating the Effects of Omega-3 Supplementation in Children Aged 8-10 Years from a Mainstream School Population

    ERIC Educational Resources Information Center

    Kirby, A.; Woodward, A.; Jackson, S.; Wang, Y.; Crawford, M. A.

    2010-01-01

    Despite the increased interest in the effects of omega-3 supplementation on childrens' learning and behaviour, there are a lack of controlled studies of this kind that have utilised a typically developing population. This study investigated the effects of omega-3 supplementation in 450 children aged 8-10 years old from a mainstream school…

  8. A Double-Blind, Placebo-Controlled Study Investigating the Effects of Omega-3 Supplementation in Children Aged 8-10 Years from a Mainstream School Population

    ERIC Educational Resources Information Center

    Kirby, A.; Woodward, A.; Jackson, S.; Wang, Y.; Crawford, M. A.

    2010-01-01

    Despite the increased interest in the effects of omega-3 supplementation on childrens' learning and behaviour, there are a lack of controlled studies of this kind that have utilised a typically developing population. This study investigated the effects of omega-3 supplementation in 450 children aged 8-10 years old from a mainstream school…

  9. Les recommandations thérapeutiques relatives aux effets secondaires extrapyramidaux associés à l’utilisation d’antipsychotiques de deuxième génération chez les enfants et les adolescents

    PubMed Central

    Pringsheim, Tamara; Doja, Asif; Belanger, Stacey; Patten, Scott

    2012-01-01

    HISTORIQUE ET OBJECTIF : L’utilisation d’antipsychotiques augmente chez les enfants. Le présent article visait à orienter les cliniciens quant à la prise en charge clinique des effets secondaires extrapyramidaux des antipsychotiques de deuxième génération. MÉTHODOLOGIE : Les publications, les entrevues avec des informateurs clés et des échanges avec les membres d’un groupe de discussion et les partenaires ont permis de déterminer les principaux secteurs cliniques d’orientation et les préférences quant à la structure des présentes recommandations. Les membres responsables des lignes directrices ont reçu le projet de recommandations, ont évalué l’information recueillie grâce à une analyse bibliographique systématique et ont utilisé un processus de groupe nominal pour parvenir à un consensus quant aux recommandations thérapeutiques. Les lignes directrices contiennent une description des anomalies neurologiques souvent observées avec l’utilisation d’antipsychotiques ainsi que les recommandations sur le moyen d’examiner et de quantifier ces anomalies. Une démarche séquentielle sur la prise en charge des anomalies neurologiques est présentée. RÉSULTATS : On peut observer plusieurs types de symptômes extrapyramidaux attribuables à l’utilisation d’antipsychotiques chez les enfants, y compris la dystonie aiguë, l’akathisie, le parkinsonisme et la dyskinésie tardive, toutes induites par les neuroleptiques, de même que la dystonie tardive, l’akathisie tardive et les dyskinésies de sevrage. La forte majorité des données probantes sur le traitement des troubles du mouvement induits par les antipsychotiques proviennent de patients adultes atteints de schizophrénie. Étant donné le peu de données pédiatriques, les recommandations découlent de publications portant tant sur des adultes que sur des enfants. Compte tenu des limites de généralisation des données provenant de sujets adultes pour des enfants, il faudrait évaluer ces recommandations d’après les avis d’experts plutôt que d’après les données probantes. CONCLUSION : Les cliniciens doivent savoir que les antipsychotiques de deuxième génération ont le potentiel d’induire des effets secondaires neurologiques et devraient faire preuve d’une extrême vigilance lorsqu’ils en prescrivent. PMID:24082814

  10. Utilisation de l'essai comete et du biomarqueur gamma-H2AX pour detecter les dommages induits a l'ADN cellulaire par le 5-bromodeoxyuridine post-irradiation

    NASA Astrophysics Data System (ADS)

    La Madeleine, Carole

    Ce memoire est presente a la Faculte de medecine et des sciences de la sante de l'Universite de Sherbrooke en vue de l'obtention du grade de maitre es sciences (M.Sc.) en radiobiologie (2009). Un jury a revise les informations contenues dans ce memoire. Il etait compose de professeurs de la Faculte de medecine et des sciences de la sante soit : Darel Hunting PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Leon Sanche PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Richard Wagner PhD, membre du programme (departement de medecine nucleaire et radiobiologie) et Guylain Boissonneault PhD, membre exterieur au programme (departement de biochimie). Le 5-bromodeoxyuridine (BrdU), un analogue halogene de la thymidine reconnu depuis les annees 60 comme etant un excellent radiosensibilisateur. L'hypothese la plus repandue au sujet de l'effet radio sensibilisant du BrdU est qu'il augmente le nombre de cassures simple et double brin lorsqu'il est incorpore dans l'ADN de la cellule et expose aux radiations ionisantes. Toutefois, de nouvelles recherches semblent remettre en question les observations precedentes. Ces dernieres etudes ont confirme que le BrdU est un bon radiosensibilisateur, car il augmente les dommages radio-induits dans l'ADN. Mais, c'est en etant incorpore dans une region simple brin que le BrdU radiosensibilise l'ADN. Ces recherches ont egalement revele pour la premiere fois un nouveau type de dommages produits lors de l'irradiation de l'ADN contenant du BrdU : les dimeres interbrins. Le but de ces travaux de recherche est de determiner si la presence de bromodeoxyuridine dans l'ADN augmente l'induction de bris simple et / ou double brin chez les cellules irradiees en utilisant de nouvelles techniques plus sensibles et specifiques que celles utilisees auparavant. Pour ce faire, les essais cometes et la detection des foci H2AX phosphorylee pourraient permettre d'etablir les effets engendres par le BrdU au niveau cellulaire. Notre hypothese (basee sur des resultats preliminaires effectues dans notre laboratoire) est que l'irradiation de l'ADN cellulaire en presence de BrdU augmentera le nombre de bris simple brin sans toutefois augmenter le nombre de bris double brin. Les resultats presentes dans ce memoire semblent corroborer cette hypothese. Les nouvelles methodes d'analyse, soient l'essai comete et la detection des foci gamma-H2AX remettent en question ce qui a ete dit sur le BrdU au sujet de l'induction des cassures double brin depuis plusieurs annees. L'ensemble de ces nouveaux resultats effectue a l'aide de cellules ayant incorporees du BrdU sont en correlation avec de precedents resultats obtenus dans notre laboratoire sur des oligonucleotides bromes. Ils reaffirment que l'irradiation combinee au BrdU augmente l'induction de bris simple brin mais pas de bris double brin. L'investigation approfondie des mecanismes d'action non elucides du BrdU au niveau cellulaire et son utilisation a des moments strategiques pendant le traitement de radiotherapie pourraient accroitre son efficacite a des fins d'utilisation clinique. Mots cles : 5-bromodeoxyuridine, dimeres interbrins, dommage a l'ADN, essai comete, H2AX, radiosensibilisateur, radiotherapie

  11. Potentialité d'utilisation d'argiles marocaines de Jbel Kharrou dans l'industrie céramique

    NASA Astrophysics Data System (ADS)

    El Yakoubi, Nadia; Aberkan, M'hamed; Ouadia, Mohamed

    2006-08-01

    The Ordovician clays of Jbel Kharrou (Rehamna, Morocco) have been studied for their use in ceramic industry. The realised studies were carried out on two samples B1 and B2, the most representative, taken from a clay dominated formation that outcrops 25 km east of the Skhour Rehamna city. The chemical analyses, mineralogical studies and advanced technological tests undertaken on the two samples indicate that these clays can be considered as non-refractory material, so they can be used to the manufacturing of ceramic products: soil and wall tiles, sanitary, pottery, etc. The tested briquettes, cooked at 1040 °C, remain flat, without deformation or defects; they are of cream white dye. These briquettes show a high mechanical resistance to the flexion, the loss in weight remains tolerable with cooking, lightly elevated (12% ); it can be corrected by the addition of a grease-remover. To cite this article: N. El Yakoubi et al., C. R. Geoscience 338 (2006).

  12. Etude comparative des complications liées à l'utilisation du cathéter veineux périphérique avec et sans système clos à bouchon hépariné

    PubMed Central

    Liu, Ying Chun; Seydou, Togo; Sadio, Yéna; Liang, Tu Zheng; Ge, jin

    2015-01-01

    Introduction L'utilisation correcte du système clos à bouchon hépariné sur les cathéters périphériques pendant les perfusions est une pratique courante dans les pays développés et aussi dans plusieurs pays en développement selon un consensus international établi. Nous comparons les résultats de la formation de thrombus et de l'infection liées au cathéter veineux périphérique chez les patients ayant bénéficié de perfusion avec système clos à bouchon hépariné (groupe expérimentale) et ceux qui ont été perfusé sans bouchon hépariné (groupe témoin). Méthodes Nous avons colligé 100 patients hospitalisés pendant la période de Juillet 2014 à Décembre 2014 dans le service d'hospitalisation de chirurgie thoracique de l'hôpital du Mali qui ont été repartis en 2 groupes de 50 patients chacun pour une analyse comparative. L'observation du thrombus dans la lumière du cathéter est effectuée puis enregistré et tous les cathéters ont été repris pour réalisation de culture bactérienne au laboratoire dans les 2 groupes. Résultats Dans le groupe témoin, il existe un thrombus dans la lumière du cathéter dans 36 cas (72%) et l'examen de culture bactérienne était positif dans 90%. Tandis que dans le groupe expérimental on retrouve 3 cas (6%) de thrombose du cathéter et on note une absence de germe dans l'examen bactériologique. Conclusion L'utilisation correcte du système clos à bouchon hépariné lors des perfusions peut réduire et prévenir de façon significative les complications liées au cathéter notamment l'occlusion par thrombus, leur migration et la survenue de l'infection. PMID:26600900

  13. Connaissance et utilisation des deux langues en milieu partiellement bilingue (Knowledge and Use of Two Languages in a Partially Bilingual Situation).

    ERIC Educational Resources Information Center

    Enparantza, Jose Luis Alvarez

    A study of the difference between knowledge and use of two languages by bilinguals in a partially bilingual situation looks at what is known about language knowledge and language usage, the linguistic and communication tensions affecting monolinguals in a community, some special cases, and the possibilities for diachronic analysis of language…

  14. Social Service Utilisation Patterns among Children with Mild Intellectual Disability--Differences between Children Integrated into Mainstream Classes and Children in Self-Contained Classes

    ERIC Educational Resources Information Center

    Olsson, Lena M.; Elgmark Andersson, Elisabeth; Granlund, Mats; Huus, Karina

    2015-01-01

    Background: Children with a mild intellectual disability (ID) and their families often require social services; however, because of the characteristics of the formal service system, these families may be at risk of not receiving necessary services. The aim of this study was to obtain knowledge regarding the types and number of services that…

  15. Social Service Utilisation Patterns among Children with Mild Intellectual Disability--Differences between Children Integrated into Mainstream Classes and Children in Self-Contained Classes

    ERIC Educational Resources Information Center

    Olsson, Lena M.; Elgmark Andersson, Elisabeth; Granlund, Mats; Huus, Karina

    2015-01-01

    Background: Children with a mild intellectual disability (ID) and their families often require social services; however, because of the characteristics of the formal service system, these families may be at risk of not receiving necessary services. The aim of this study was to obtain knowledge regarding the types and number of services that…

  16. A static and dynamical Mössbauer study of photochemical biological switch of valence states in the respiratory pigments of rhodospirillum rubrum bacterium

    NASA Astrophysics Data System (ADS)

    Rao, K. R. P. M.; Iyengar, P. K.

    1986-04-01

    We have carried out a dynamical Mössbauer spectroscopy study of photochemical reversible biological switching of oxidation-reduction processes in iron atoms present in the respiratory pigments of Rhodospirillum rubrum bacterium. The experimental technique utilised enabled us to determine an upper limit to the reaction time of about 25 ms.

  17. Exploring the Evolution of a Teacher Professional Learning Community: A Longitudinal Case Study at a Taiwanese High School

    ERIC Educational Resources Information Center

    Chen, Peiying; Wang, Ting

    2015-01-01

    This article presents findings of a longitudinal case study conducted at a Taiwanese high school from 2006 to 2010. This school participated in the 'High Scope Programme' (HSP), which was sponsored by the Taiwanese National Science Council to promote curricular innovation in science education. Utilising interview data with 11 participating…

  18. "There Is No Alternative?": Challenging Dominant Understandings of Youth Politics in Late Modernity through a Case Study of the 2010 UK Student Occupation Movement

    ERIC Educational Resources Information Center

    Rheingans, Rowan; Hollands, Robert

    2013-01-01

    Utilising an in-depth case study of a student occupation at Newcastle University as its focus, this article makes a critical appraisal of Beck, Giddens and Inglehart's ideas about youth and political agency in late modernity. In short, we argue that when considering the case of the 2010 UK student occupation movement, dominant theoretical thinking…

  19. "There Is No Alternative?": Challenging Dominant Understandings of Youth Politics in Late Modernity through a Case Study of the 2010 UK Student Occupation Movement

    ERIC Educational Resources Information Center

    Rheingans, Rowan; Hollands, Robert

    2013-01-01

    Utilising an in-depth case study of a student occupation at Newcastle University as its focus, this article makes a critical appraisal of Beck, Giddens and Inglehart's ideas about youth and political agency in late modernity. In short, we argue that when considering the case of the 2010 UK student occupation movement, dominant theoretical thinking…

  20. Etude ab initio des proprietes electroniques et optiques d'un systeme donneur-accepteur organique utilise dans les cellules photovoltaiques

    NASA Astrophysics Data System (ADS)

    Maillard, Arnaud

    The search for new sources of clean and renewable energy has recently been encouraged by the growing energy demand caused by the industrialization of developing countries and by population growth. In this context, the generation of electricity through the exploitation of solar energy with photovoltaic cells is particularly interesting, since this energy source is largely unused compared to its full potential. Nevertheless, large scale electricity generation with the current design of photovoltaic cells based on silicon is hindered by the large manufacturing cost of these devices. A new generation of photovoltaic cells, which includes organic photovoltaic cells that use semiconducting polymers, is under intense development in order to significantly reduce the manufacturing costs. The replacement of conventional materials with conjugated polymers in photovoltaic cells opens the possibility of using large scale manufacturing processes to produce large-area devices at low cost. However, the power conversion efficiency and the lifetime of organic photovoltaic cells are currently too low for these devices to be cost effective. A better understanding of the organic photovoltaic process is therefore necessary to improve the power conversion efficiency of these devices. The operating principle of photovoltaic cells requires the charge transfer between a polymer acting as an electron donor and a molecule acting as an electron acceptor to enable the dissociation of photogenerated excitons into free charge carriers. Furthermore, to ensure that the majority of the photogenerated excitons dissociates, the active region of an organic photovoltaic cell is typically formed by a bulk heterojunction between the donor and the acceptor. Many experimental studies have shown that the power conversion efficiency of these devices, which is proportional to the product of their short-circuit current Isc with their open circuit potential Voc, is strongly governed by the microstructure of the bulk heterojunction defined as the local order of the two phases and the organization of the donor-acceptor interfaces. Even though these studies have helped to increase the efficiency of organic photovoltaic cells, the relations linking the microstructure of the bulk heterojunction to their electronic and optical properties are still to be established. The objective of the research project is to computationally study the electronic and optical properties of organic bulk heterojunctions composed of regioregular poly(3-hexylthiophene) (rrP3HT) and C60, two materials typically used in organic photovoltaic cells. In this study, the microstructure of the donor-acceptor systems can be directly controlled, which facilitates the systematic study of the influence of this parameter on the electronic and optical properties of the organic bulk heterojunctions. The density functional theory (DFT) is used to study the ground state geometric and electronic properties of multiple bulk heterojunction systems, while the time dependent density functional theory (TDDFT) is used to study the optical properties of these systems. The SIESTA software package is used to study periodic systems representing perfectly crystalline materials. The results obtained in this research project show that the power conversion efficiency of organic photovoltaic cells is strongly modulated by the microstructure of the bulk heterojunctions. Indeed, the size of the rrP3HT crystalline domains must be optimized to maximize the efficiency of the photovoltaic devices, since Voc and Isc have opposite behaviors with respect to π-stacking of the rrP3HT chains. In addition, the efficiency of organic photovoltaic cells could be improved by imposing geometrical constraints in the bulk heterojunctions through manufacturing methods in order to increase the value of Voc without altering the value of Isc. (Abstract shortened by UMI.).

  1. Etude du risque d'inondation en aval du delta du fleuve rouge en utilisant la teledetection et les sig: Le cas du district de Bac Hung Hai

    NASA Astrophysics Data System (ADS)

    Bui, Duc Viet

    The Bac Hung Hai zone is the greatest basin in the Red River Delta in Vietnam and also one of the most densely populated regions of the planet. It is mainly a rural region and its economy is dominated by agriculture. In the context of frequent and larger floods in the Bac Hung Hai zone, causing deep socio-economical consequences, the focus of this study is to establish cartography of the high risk areas for flooding in the Bac Hung Hai region using remote sensing and GIS to assist land management. The preparation of a map describing land management in this region is more complicated because parcels for farming are very small and not homogeneous. A consistent and precise map of land use is essential for studies of flooding. The secondary objective is to improve the land use map. To this effect, a classification has been applied to the combination of the spectral bands and textures (TM and ETM+) of Landsat and a radar image (ERS). The addition of this information to the spectral bands increases the accuracy of classification by 1% to 4%, according to the dates selected. Additionally, in the study zone where there are few days without clouds, a problem related to the optical satellite image is the cloud cover. Then, the use of radar images will provide ground information for areas hidden by clouds where spectral images are not sufficient. To reach these goals, we have determined the main biophysical considerations that influence flooding. Then, these considerations have been combined in a multi-criteria analysis to evaluate the risks of flooding in the entire basin area. The results show that high to very high risks affect 47% of the area studied and that the south-east region, center, and north-east present the greatest risk. Keywords. Flood risks, remote sensing, GIS, land use, multicriteria analysis, Red river delta, Vietnam.

  2. DISTRIBUTION AND UTILISATION OF IVERMECTIN (MECTIZAN): A CHEMOTHERAPEUTIC APPROACH TO THE CONTROL OF ONCHOCERCIASIS IN OLD OHAOZARA LGA, EBONYI STATE, EASTERN NIGERIA.

    PubMed

    Okpara, Elom Michael; Mnaemeka, Alo Moses; Iyioku, Ugah Uchenna; Udoh, Usanga Victor

    2015-12-01

    Onchocerciasis (river blindness) is a devastating, debilitating Stigmatising and incapacitating parasitic disease that is endemic in tropical and subtropical regions of the world, including Nigeria. Mass distribution of ivermectin (Mectizan) to the endemic parts of the world was initiated by the Onchocerciasis Control Programmes (OCPs). Absolute compliance to the regimen for up to 15 years has been reported to be effective in the control of the disease. The study was carried out in Ohaozara LGA, Onicha LGA and Ivo LGA. The three (3) LGAs made up the defunct Old Ohaozara LGA. A structured questionnaire was used to generate information on knowledge of Onchocerciasis and on the use of ivermectin by the inhabitants of the communities of the study areas. The distribution coverage of ivermectin in the study areas dating from 2010 to 2014 was ascertained with drug distribution charts obtained from Ebonyi State Health Management Board (ESHMB), Abakaliki (the point source of distribution in the state), and from the health centres in communities of old Ohaozara LGA (the service delivery points (SDPs) to inhabitants of the communities. Data was analysed using descriptive statistics. Utilization of the regimen was ascertained by determining the actual number of tablets of mectizan that was administered to the patients at the various health cenrtes (service delivery points (SDPs) in the communities. The percentage utilization of the regimen was determined by dividing the number of mectizan tablets administered to the patients at SDPs with the number of mectizan tablets supplied from state point source of distribution and multiplying by 100. A total of 347, 299 out of 1, 919135 tablets of mectizan supplied to the study areas from 2010 to 2014 were actually utilized, forming an overall percentage utilization of 18.10%. There was adequate supply but very poor utilization of the regimen. The poor utilization resulted from factors including locating of health centres very far from homes of some of the rural villagers, non-yearly compliance with regimen administration, poor health sensitization and education and lack of incentives orpoor incentives to the village-based health workers (VBHWs). Intensification of efforts to cover the lapses in the utilization of the regimen is advocated for a more effective control of the disease. PMID:26939245

  3. Résection endoscopique des polypes colorectaux pédiculés en utilisant un lasso largable au fil catgut chromé: une alternative a la polypectomie conventionnelle? A propos d'une série de cas

    PubMed Central

    Ankouane, Firmin; Noah, Dominique Noah; Nonga, Bernadette Ngo; Tagni-Sartre, Michèle; Modjo, Gabriel; Ndam, Elie Claude Ndjitoyap

    2014-01-01

    L'intérêt de l'endoscopie dans la résection des polypes colorectaux a été rapporté dans plusieurs études. Les techniques de résection endoscopique sont multiples et maîtrisées dans les pays occidentaux. La technique de mucosectomie endoscopique et celle de la pose d'une anse largable en nylon (endoloop) ont élargi le champ des lésions résécables par endoscopie. Toutefois, malgré cette évolution, la vulgarisation de la polypectomie n'est pas effective. En Afrique subsaharienne, la prise en charge de ces polypes de grande taille nécessite souvent une intervention chirurgicale à ciel ouvert ou une évacuation sanitaire onéreuse dans un pays en Occident. Nous rapportons une nouvelle approche de polypectomie endoscopique des polypes pédiculés colorectaux, en utilisant un lasso largable au fil catgut chromé 2/0. Les polypes pédiculés étaient situés soit au niveau du sigmoïde soit au rectum. Après avoir passé le lasso autour du pédicule, le n'ud du lasso est serré autour de celui-ci pour strangulation. En moyenne 6 jours après la procédure, le polype est récupéré dans les selles. Une colonoscopie de contrôle est nécessaire pour confirmer la résection du polype. Cette technique peu coûteuse et accessible, devrait être vulgarisée dans les pays en voie de développement avec des plateaux techniques pauvres. Elle a ses limites et ses inconvénients qui doivent être connus de l'opérateur. PMID:25360198

  4. Development of symptom assessments utilising item response theory and computer-adaptive testing--a practical method based on a systematic review.

    PubMed

    Walker, Jochen; Böhnke, Jan R; Cerny, Thomas; Strasser, Florian

    2010-01-01

    Assessment of individual patients' distress is a cornerstone of clinical care for advanced cancer. Patients' ability to fill out lengthy questionnaires is compromised by many factors. Computer-adaptive tests (CAT) offer a promising approach to developing tailored instruments, that administer only items relevant to the individual patient. A systematic review of the literature about CATs in medical databases was conducted. Based on the results, a method for developing a CAT was designed that requires nine steps: (1) build an item pool; (2) administer the items to a predefined sample in a calibration study; (3) eliminate inappropriate items; (4) examine whether all items are influenced by a single dominant trait; (5) calibrate the items to the best-fitting item response theory (IRT) model; (6) evaluate items' parameter equivalence across subgroups; (7) build an item bank with the calibrated items; (8) develop the CAT; and (9) pilot test the developed CAT. CAT offers the chance to extend the usefulness of patient-reported outcome (PRO) measurements from clinical studies to daily clinical practice. PMID:19375939

  5. Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

    PubMed Central

    2010-01-01

    Background In China, the New Co-operative Medical System (NCMS), a rural health insurance system, has expanded nationwide since 2003. This study aims to describe prenatal care use, content and costs of care in one county where prenatal care is included in the NCMS and two counties where it is not. It also explores the perceptions of stakeholders of the prenatal care benefit package in order to understand the strengths and weaknesses of the approach in the context of rural China and to draw lessons from early implementation. Methods This study is based on the data from a cross-sectional survey and a qualitative investigation conducted in 2009. A survey recruited women giving birth in 2008, including 544 women in RC County (which covered prenatal care) and 619, and 1071 in other two counties (which did not). The qualitative investigation in RC included focus group discussions with women giving birth before or after 2007, individual interviews with local policy makers and health managers, NCMS managers and obstetric doctors in township hospitals. Results There were no significant differences in prenatal care use between RC County (which covered prenatal care) and other two counties (which did not): over 70% of women started prenatal visits early and over 60% had five or more visits. In the three counties: a small proportion of women received the number of haemoglobin and urine tests recommended by the national guideline; 90% of women received more ultrasound tests than recommended; and the out-of-pocket expenditure for prenatal care consumed a high proportion of women's annual income in the low income group. In RC: only 20% of NCMS members claimed the reimbursement; the qualitative study found that the reimbursement for prenatal care was not well understood by women and had little influence on women's decisions to make prenatal visits; and several women indicated that doctors suggested them taking more expensive tests. Conclusions Whether or not prenatal care was included in the NCMS, prenatal care use was high, but the contents of care were not provided following the national guideline and more expensive tests were recommended by doctors. Costs were substantial for the poor. PMID:21040560

  6. Utilisation of Indian Remote Sensing Satellite (IRS) data for assessment of soil erosion process of a watershed in Chhotanagpur plateau region, India

    NASA Astrophysics Data System (ADS)

    Pramod Krishna, Akhouri

    A watershed in Chhotanagpur plateau region was investigated utilizing space data from Indian Remote Sensing (IRS) Satellite towards spatial and temporal soil erosion process study. Geomorphologically, this plateau region is an undulating pediplain. The watershed namely Potpoto river watershed covering an area of 8160 hectares is situated in the vicinity of Ranchi, capital city of newly created Jharkahnd state. As per the national watershed atlas, Potpoto river is a tributary of Subarnarekha river system within the Upper Subarnarekha river basin under watershed no. 4H3C8. This rural to semi-urban watershed is important towards various services to Ranchi city as well as experiencing direct or indirect pressures of development. Drivers of land use changes at ground level are responsible for change in soil erosion rates in any watershed in coupled human-environment systems. This may adversely affect the soil cover of such watersheds depicted through changed rates of erosion. In a rural to semi-urban watershed like this, there are general tendencies of land use and thereby land cover changes from forests to agricultural lands, within agricultural land in terms of cropping pattern changes to cash-crops, orchards, commercial plantations and conversions to other land use categories as well towards infrastructure expansions. Universal Soil Loss Equation (USLE) was used as a basis to observe the intensity of erosion using remote sensing, rainfall data, soil data and land use/land cover map. IRS1C LISSIII and IRSP6 LISSIII data were used to identify land use status for the years 1996 and 2004 respectively. LISSIII sensor provides data in the visible to near infrared (Bands 2, 3, 4) as well as short wave infrared (Band 5) range of electromagnetic spectrum. In this study, bands 2 (0.52-0.59 microns), 3 (0.62-0.68 microns) and 4 (0.77-0.86 microns) were used with spatial resolution of 23.5 meters at nadir. Digital image processing was carried out using ERDAS Imagine software. Based on maximum likelihood classifier, the study area was classified into suitable land use/land cover classes. Digital elevation model (DEM) was created through contour heights from topographic maps. Watershed based erosion estimation was carried out including assessment of soil erosion due to land use land cover changes. This provides predictive assessment capability in soil erosion studies particularly with methods such as USLE. Soil erosion problem varies largely depending upon climate, topography, soil and land use etc. Multi-factor computations on rainfall erosivity, soil erodibility, topographic, cover and management, and conservation practice were carried out. Quantified details on soil erosion rates were generated in terms of land use land cover classes of the watershed for the years 1996 and 2004. Annual average soil loss for the watershed was calculated and erosion intensity maps were generated. Thus, space data utilized from the satellites IRS1C LISSIII and IRSP6 LISSIII greatly helped in important research assessment of an important land surface process like soil erosion spatially as well as temporally for a watershed under pressures of development, land use changes and land cover fragmentations.

  7. Utilisation d'une ribre optique unimodale standard en capteur polarimétrique. Application à la détection de vibrations mécaniques

    NASA Astrophysics Data System (ADS)

    Pigeon, F.; Mure-Ravaud, A.; Veillas, C.; Gagnaire, H.

    1991-07-01

    A theoretical and experimental study of the polarization properties change induced by a mechanical deformation of a standard single mode fiber is presented. These results have been used to design a vibration sensor by coiling a standard single mode fiber. Conditions for linear response and good sensitivity are discussed. Nous présentons une étude thÃ