Science.gov

Sample records for studies utilising dehydroabietic

  1. 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, VĂąnia 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

  2. 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.

  3. 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

  4. 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

  5. Factors affecting Japanese retirees' healthcare service utilisation in Malaysia: a qualitative study

    PubMed Central

    Kohno, Ayako; Nik Farid, Nik Daliana; Musa, Ghazali; Abdul Aziz, Norlaili; Nakayama, Takeo; Dahlui, Maznah

    2016-01-01

    Objective While living overseas in another culture, retirees need to adapt to a new environment but often this causes difficulties, particularly among those elderly who require healthcare services. This study examines factors affecting healthcare service utilisation among Japanese retirees in Malaysia. Design We conducted 6 focus group discussions with Japanese retirees and interviewed 8 relevant medical services providers in-depth. Guided by the Andersen Healthcare Utilisation Model, we managed and analysed the data, using QSR NVivo 10 software and the directed content analysis method. Setting We interviewed participants at Japan Clubs and their offices. Participants 30 Japanese retirees who live in Kuala Lumpur and Ipoh, and 8 medical services providers. Results We identified health beliefs, medical symptoms and health insurance as the 3 most important themes, respectively, representing the 3 dimensions within the Andersen Healthcare Utilisation Model. Additionally, language barriers, voluntary health repatriation to Japan and psychological support were unique themes that influence healthcare service utilisation among Japanese retirees. Conclusions The healthcare service utilisation among Japanese retirees in Malaysia could be partially explained by the Andersen Healthcare Utilisation Model, together with some factors that were unique findings to this study. Healthcare service utilisation among Japanese retirees in Malaysia could be improved by alleviating negative health beliefs through awareness programmes for Japanese retirees about the healthcare systems and cultural aspects of medical care in Malaysia. PMID:27006344

  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 Joăo

    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. EIMS Fragmentation Pathways and MRM Quantification of 7α/ÎČ-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 Îżf 7α/ÎČ-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 7α/ÎČ-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.

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

    PubMed

    Costa, Maria Sofia; Rego, Adriana; Ramos, Vitor; Afonso, Tiago B; Freitas, Sara; Preto, Marco; Lopes, Viviana; Vasconcelos, Vitor; MagalhĂŁes, Catarina; LeĂŁo, 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

  9. 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; MagalhĂŁes, Catarina; LeĂŁo, 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

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

    PubMed

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

    2015-09-01

    EI mass fragmentation pathways of TMS derivatives Îżf 7α/ÎČ-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/ÎČ-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

    NASA Astrophysics Data System (ADS)

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

    2016-03-01

    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.

  12. Utilisation of postnatal care in Bangladesh: evidence from a longitudinal study.

    PubMed

    Chakraborty, Nitai; Islam, M Ataharul; Chowdhury, Rafiqul Islam; Bari, Wasimul

    2002-11-01

    Utilisation of health services is a complex behavioural phenomenon. Empirical studies of preventive and curative services in Bangladesh have often showed that the use of health services is related to the availability, quality and cost of services, as well as to social structure, health beliefs and personal characteristics of the users. The present paper attempts to examine factors associated with the utilisation of healthcare services during the postnatal period in Bangladesh by using prospective data from a survey on maternal morbidity in Bangladesh, conducted by the Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERT). Both bivariate and multivariate analyses of the data confirmed that the mother's age at marriage had a significant and positive impact on the utilisation of quality healthcare services. The husband's occupation also showed a strong impact on healthcare utilisation, indicating higher use of quality care for postpartum morbidity by wives of business and service workers. The bivariate analysis showed that the number of pregnancies prior to the index pregnancy and desired pregnancies are significantly associated with the utilisation of postpartum healthcare. However, the results of this study were inconclusive on the influence of other predisposing and enabling factors, such as maternal education, the number of previous pregnancies, the occupation of the husband, antenatal care visits during pregnancy and access to health facilities. Multivariate logistic regression estimates did not show any significant impact of these factors on the use of maternal healthcare. PMID:12485137

  13. Terpenoid biotransformation in mammals. IV Biotransformation of (+)-longifolene, (-)-caryophyllene, (-)-caryophyllene oxide, (-)-cyclocolorenone, (+)-nootkatone, (-)-elemol, (-)-abietic acid and (+)-dehydroabietic acid in rabbits.

    PubMed

    Asakawa, Y; Ishida, T; Toyota, M; Takemoto, T

    1986-08-01

    The metabolism of (+)-longifolene, (-)-caryophyllene, (-)-caryophyllene oxide, (-)-cyclocolorenone, (+)-nootkatone, (-)-elemol, (-)-abietic acid and (+)-dehydroabietic acid was studied in rabbits. Each of these sesquiterpenoids was converted to primary, secondary or tertiary alcohols, among which the primary alcohol was predominant. A vinylic methyl group and an exomethylene group were easily hydroxylated and converted to a glycol via an epoxide in many cases. Eight new metabolites were determined by chemical and spectroscopic methods. PMID:3765656

  14. Local cerebral glucose utilisation in chronic alcoholics: a positron tomographic study.

    PubMed Central

    Samson, Y; Baron, J C; Feline, A; Bories, J; Crouzel, C

    1986-01-01

    Using positron tomography, a study of regional cerebral glucose utilisation was performed prospectively in a highly selected group of six neurologically unaffected primary chronic alcoholics. In this group, neuropsychological, behavioural and CT scan anomalies were comparable with those previously reported in more extensive studies. With respect to age-matched control values, cerebral metabolic rate was not significantly modified in the selected cortical, subcortical and cerebellar regions of interest. However, the metabolic regional distribution index, which reflects the distribution pattern of glucose utilisation, was selectively and significantly decreased in the medio-frontal area, pointing to a limbic metabolic dysfunction apparently linked to chronic alcoholism. Images PMID:3491181

  15. 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

  16. Impact of continuous Medical Aid utilisation on healthcare utilisation: unique insight using the 2008–2012 Korean Welfare Panel Study (KOWEPS)

    PubMed Central

    Kim, Jae-Hyun; Kim, Na Rae; Park, Eun-Cheol; Han, Kyu-Tae; Choi, Young; Lee, Sang Gyu

    2016-01-01

    Objectives Although there has been considerable discussion about the social safety net, few studies related to effect of duration of continuous receipt of Medical Aid on healthcare utilisation have been conducted. Therefore, we investigate whether the duration of receiving Medical Aid affected medical care utilisation. Setting Data were collected from the Korean Welfare Panel Study conducted from 2008 to 2012. Participants We included 11 783 samples. Interventions Estimating changes in their healthcare utilisation during specific time intervals (1, 2 and ≄3 years) after they switched from National Health Insurance to Medical Aid. Primary and secondary outcome measures Number of outpatient visits. Results The number of outpatient visits per year was 0.0.051-fold higher (p value: 0.434) among those who were Medical Aid beneficiaries for a continuous period of 1 year, 0.0.267-fold higher (p value: 0.000) among those who were beneficiaries for a continuous period of 2 years, and 0.0.562-fold higher (p value:<0.0001) among those who were beneficiaries for a continuous period of 3 years than it was among those who were beneficiaries of National Health Insurance. Conclusions Our results reflect an association between the number of consecutive years of receiving Medical Aid and number of outpatient visits. Since duration of dependence is correlated with reduced exit rates, limits on length of benefits should be considered to strengthen the incentive to return to work. PMID:27053265

  17. 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 ”M. PMID:24566318

  18. Antibacterial activity of Pinus elliottii and its major compound, dehydroabietic acid, against multidrug-resistant strains.

    PubMed

    Leandro, LuĂ­s Fernando; Cardoso, Miguel Jorge Oliveira; Silva, Sandro Donizeti Caetano; Souza, Maria Gorete Mendes; Veneziani, Rodrigo Cassio Sola; Ambrosio, Sergio Ricardo; Martins, Carlos Henrique Gomes

    2014-12-01

    Antibiotic-resistant bacteria have emerged from the widespread use of antibiotics worldwide and have prompted the search for new sources of antimicrobial substances. Pinus spp. contain several bioactive compounds consisting mainly of terpenes, terpenoids and some other aromatic and aliphatic constituents. These compounds exert important biological effects, and pine oils have found wide application in the industry. In the present study, we have evaluated the potential activity of the resin-oil of Pinus elliottii and its major compound dehydroabietic acid (DA) against multiresistant bacteria by MIC, minimum bactericidal concentration and time-kill assays. The MIC of the resin-oil of P. elliottii varied between 25 and 100 ”g ml(-1). As for DA, the MIC and minimum bactericidal concentration varied between 6.25 and 50 and between 6.25 and 100 ”g ml(-1), respectively. The time-kill assay conducted with DA at 6.25 ”g ml(-1) evidenced bactericidal activity against Staphylococcus epidermidis (American Type Culture Collection 14990) within 24 h. On the basis of these results, the resin-oil of P. elliottii and its major compound DA play an important part in the search for novel sources of agents that can act against multiresistant bacteria. PMID:25261060

  19. Disparities in Healthcare Utilisation Rates for Aboriginal and Non-Aboriginal Albertan Residents, 1997–2006: A Population Database Study

    PubMed Central

    Chung, Helen; Ye, Ming; Hanson, Chris; Oladokun, Oluwaseun; Campbell, Michael J.; Kramer, Gordon; Lehmann, Ordan J.

    2012-01-01

    Background It is widely recognised that significant discrepancies exist between the health of indigenous and non-indigenous populations. Whilst the reasons are incompletely defined, one potential cause is that indigenous communities do not access healthcare to the same extent. We investigated healthcare utilisation rates in the Canadian Aboriginal population to elucidate the contribution of this fundamental social determinant for health to such disparities. Methods Healthcare utilisation data over a nine-year period were analysed for a cohort of nearly two million individuals to determine the rates at which Aboriginal and non-Aboriginal populations utilised two specialties (Cardiology and Ophthalmology) in Alberta, Canada. Unadjusted and adjusted healthcare utilisation rates obtained by mixed linear and Poisson regressions, respectively, were compared amongst three population groups - federally registered Aboriginals, individuals receiving welfare, and other Albertans. Results Healthcare utilisation rates for Aboriginals were substantially lower than those of non-Aboriginals and welfare recipients at each time point and subspecialty studied [e.g. During 2005/06, unadjusted Cardiology utilisation rates were 0.28% (Aboriginal, n = 97,080), 0.93% (non-Aboriginal, n = 1,720,041) and 1.37% (Welfare, n = 52,514), p = <0.001]. The age distribution of the Aboriginal population was markedly different [2.7%≄65 years of age, non-Aboriginal 10.7%], and comparable utilisation rates were obtained after adjustment for fiscal year and estimated life expectancy [Cardiology: Incidence Rate Ratio 0.66, Ophthalmology: IRR 0.85]. Discussion The analysis revealed that Aboriginal people utilised subspecialty healthcare at a consistently lower rate than either comparatively economically disadvantaged groups or the general population. Notably, the differences were relatively invariant between the major provincial centres and over a nine year period. Addressing the causes of these discrepancies is essential for reducing marked health disparities, and so improving the health of Aboriginal people. PMID:23152770

  20. 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.

  1. 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 ÎČ2-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

  2. 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

  3. 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 ΌM) 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 ΌM). 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

  4. 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

  5. Dehydroabietic Acid Derivative QC2 Induces Oncosis in Hepatocellular Carcinoma Cells

    PubMed Central

    Zhang, Guang; Jiang, Chunping; Wang, Zhongxia; Chen, Weibo; Gu, Wen; Ding, Yitao

    2014-01-01

    Aim. Rosin, the traditional Chinese medicine, is reported to be able to inhibit skin cancer cell lines. In this report, we investigate the inhibitory effect against HCC cells of QC2, the derivative of rosin's main components dehydroabietic acid. Methods. MTT assay was used to determine the cytotoxicity of QC2. Morphological changes were observed by time-lapse microscopy and transmission electron microscopy and the cytoskeleton changes were observed by laser-scanning confocal microscopy. Cytomembrane integrity and organelles damage were confirmed by detection of the reactive oxygen (ROS), lactate dehydrogenase (LDH), and mitochondrial membrane potential (Δψm). The underlying mechanism was manifested by Western blotting. The oncotic cell death was further confirmed by detection of oncosis related protein calpain. Results. Swelling cell type and destroyed cytoskeleton were observed in QC2-treated HCC cells. Organelle damage was visualized by transmission electron microscopy. The detection of ROS accumulation, increased LDH release, and decreased ATP and Δψm confirmed the cell death. The oncotic related protein calpain was found to increase time-dependently in QC2-treated HCC cells, while its inhibitor PD150606 attenuated the cytotoxicity. Conclusions. Dehydroabietic acid derivative QC2 activated oncosis related protein calpain to induce the damage of cytomembrane and organelles which finally lead to oncosis in HCC cells. PMID:25110686

  6. 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.

  7. Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea

    PubMed Central

    Kim, Jae-Hyun; Lee, Sang Gyu; Lee, Kwang-Soo; Jang, Sung-In; Cho, Kyung-Hee; Park, Eun-Cheol

    2016-01-01

    Objectives The study examined medical care utilisation by health insurance status changes. Setting The Korean Welfare Panel Study (KoWePs) was used. Participants This study analysed 14 267 participants at baseline (2006). Interventions The individuals were categorised into four health insurance status groups: continuous health insurance, change from health insurance to Medical Aid, change from Medical Aid to health insurance, or continuous Medical Aid. Primary and secondary outcome measures Three dependent variables were also analysed: days spent in hospital; number of outpatient visits; and hospitalisations per year. Longitudinal data analysis was used to determine whether changes in health insurance status were associated with healthcare utilisation. Results The number of outpatient visits per year was 0.1.363 times higher (p<0.0001) in the continuous Medical Aid than in the continuous health insurance group. The number of hospitalisations per year was 1.560 times higher (p<0.001) in new Medical Aid and −0.636 times lower (p<0.001) in new health insurance than in continuous health insurance group. The number of days spent in hospital per year was −0.567 times lower (p=0.021) in the new health insurance than in the continuous health insurance group. Conclusions Health insurance beneficiaries with a coverage level lower than Medical Aid showed lower healthcare utilisation, as measured by the number of hospitalisations and days spent in hospital per year. PMID:27036140

  8. Low utilisation of diabetes medicines in Iran, despite their affordability (2000–2012): a time-series and benchmarking study

    PubMed Central

    Sarayani, Amir; Rashidian, Arash; Gholami, Kheirollah

    2014-01-01

    Objectives Diabetes is a major public health concern worldwide, particularly in low-income and middle-income countries (LMICs). Limited data exist on the status of access to diabetes medicines in LMICs. We assessed the utilisation and affordability of diabetes medicines in Iran as a middle-income country. Design We used a retrospective time-series design (2000–2012) and assessed national diabetes medicines’ utilisation using pharmaceuticals wholesale data. Methods We calculated defined daily dose consumptions per population days (DDDs/1000 inhabitants/day; DIDs) indicator. Findings were benchmarked with data from Organization for Economic Co-operation and Development (OECD) countries. We also employed Drug Utilization-90% (DU-90) method to compare DU-90s with the Essential Medicines List published by the WHO. We measured affordability using number of minimum daily wage required to purchase a treatment course for 1 month. Results Diabetes medicines’ consumption increased from 4.47 to 33.54 DIDs. The benchmarking showed that medicines’ utilisation in Iran in 2011 was only 54% of the median DIDs of 22 OECD countries. Oral hypoglycaemic agents consisted over 80% of use throughout the study period. Regular and isophane insulin (NPH), glibenclamide, metformin and gliclazide were the DU-90 drugs in 2012. Metformin, glibenclamide and regular/NPH insulin combination therapy were affordable throughout the study period (∌0.4, ∌0.1, ∌0.3 of minimum daily wage, respectively). While the affordability of novel insulin preparations improved over time, they were still unaffordable in 2012. Conclusions The utilisation of diabetes medicines was relatively low, perhaps due to underdiagnosis and inadequate management of patients with diabetes. This had occurred despite affordability of essential diabetes medicines in Iran. Appropriate policies are required to address the underutilisation of diabetes medicines in Iran. PMID:25324322

  9. 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

  10. Investigating public perceptions of carbon dioxide utilisation (CDU) technology: a mixed methods study.

    PubMed

    Jones, C R; Kaklamanou, D; Stuttard, W M; Radford, R L; Burley, J

    2015-01-01

    Carbon dioxide utilisation (CDU) technologies hold promise for helping to limit atmospheric releases of CO2 while generating saleable products. However, while there is growing investment in the research and development required to bring CDU to the market, to date there has been very little systematic research into public perceptions of the technology. The current research reports upon the findings of a series of six qualitative focus groups (and an associated questionnaire) held with members of the UK public in order to discuss the perceived benefits and risks of CDU technology. The findings reveal that public awareness of CDU is currently very low and that there is a desire to learn more about the technology. While our participants did, on average, appear to develop an overall positive attitude towards CDU, this attitude was tentative and was associated with a number of caveats. The implications for the findings in terms of the development of communication and broader strategies of public engagements are outlined. PMID:26400247

  11. 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

  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. Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive study

    PubMed Central

    2010-01-01

    Background An estimated 10,000 Burmese migrants are currently living in London. No studies have been conducted on their access to health services. Furthermore, most studies on migrants in the United Kingdom (UK) have been conducted at the point of service provision, carrying the risk of selection bias. Our cross-sectional study explored access to and utilisation of General Practice (GP) services by Burmese migrants residing in London. Methods We used a mixed-method approach: a quantitative survey using self-administered questionnaires was complemented by qualitative in-depth interviews for developing the questionnaire and triangulating the findings of the survey. Overall, 137 questionnaires were received (a response rate of 57%) and 11 in-depth interviews conducted. The main outcome variables of the study included GP registration, barriers towards registration, GP consultations, barriers towards consultations, and knowledge on entitlements to health care. Quantitative data were analysed using descriptive statistics, association tests, and a multivariate analysis using logistic regression. The qualitative information was analysed using content analysis. Results The respondents were young, of roughly equal gender (51.5% female), well educated, and had a fair level of knowledge on health services in the UK. Although the GP registration rate was relatively high (80%, 109 out of 136), GP service utilisation during the last episode of illness, at 56.8% (54 out of 95), was low. The statistical analysis showed that age being younger than 35 years, lacking prior overseas experience, having an unstable immigration status, having a shorter duration of stay, and resorting to self-medication were the main barriers hindering Burmese migrants from accessing primary health care services. These findings were corroborated by the in-depth interviews. Conclusions Our study found that having formal access to primary health care was not sufficient to ensure GP registration and health care utilisation. Some respondents faced difficulties in registering with GP practices. Many of those who have registered prefer to forego GP services in favour of self-medication, partly due to long waiting times and language barriers. To ensure that migrants enjoy the health services they need and to which they are entitled, more proactive steps are required, including those that make health services culturally responsive. PMID:20939904

  14. Dehydroabietic Acid Derivative QC4 Induces Gastric Cancer Cell Death via Oncosis and Apoptosis

    PubMed Central

    Luo, Dongjun; Ni, Qing; Ji, Anlai; Gu, Wen; Wu, Junhua

    2016-01-01

    Aim. QC4 is the derivative of rosin's main components dehydroabietic acid (DHA). We investigated the cytotoxic effect of QC4 on gastric cancer cells and revealed the mechanisms beneath the induction of cell death. Methods. The cytotoxic effect of QC4 on gastric cancer cells was evaluated by CCK-8 assay and flow cytometry. The underlying mechanisms were tested by administration of cell death related inhibitors and detection of apoptotic and oncosis related proteins. Cytomembrane integrity and organelles damage were confirmed by lactate dehydrogenase (LDH) leakage assay, mitochondrial function test, and cytosolic free Ca2+ concentration detection. Results. QC4 inhibited cell proliferation dose- and time-dependently and destroyed cell membrane integrity, activated calpain-1 autolysis, and induced apoptotic protein cleavage in gastric cancer cells. The detection of decreased ATP and mitochondrial membrane potential, ROS accumulation, and cytosolic free Ca2+ elevation confirmed organelles damage in QC4-treated gastric cancer cells. Conclusions. DHA derivative QC4 induced the damage of cytomembrane and organelles which finally lead to oncosis and apoptosis in gastric cancer cells. Therefore, as a derivative of plant derived small molecule DHA, QC4 might become a promising agent in gastric cancer therapy. PMID:27057539

  15. Dehydroabietic Acid Derivative QC4 Induces Gastric Cancer Cell Death via Oncosis and Apoptosis.

    PubMed

    Luo, Dongjun; Ni, Qing; Ji, Anlai; Gu, Wen; Wu, Junhua; Jiang, Chunping

    2016-01-01

    Aim. QC4 is the derivative of rosin's main components dehydroabietic acid (DHA). We investigated the cytotoxic effect of QC4 on gastric cancer cells and revealed the mechanisms beneath the induction of cell death. Methods. The cytotoxic effect of QC4 on gastric cancer cells was evaluated by CCK-8 assay and flow cytometry. The underlying mechanisms were tested by administration of cell death related inhibitors and detection of apoptotic and oncosis related proteins. Cytomembrane integrity and organelles damage were confirmed by lactate dehydrogenase (LDH) leakage assay, mitochondrial function test, and cytosolic free Ca(2+) concentration detection. Results. QC4 inhibited cell proliferation dose- and time-dependently and destroyed cell membrane integrity, activated calpain-1 autolysis, and induced apoptotic protein cleavage in gastric cancer cells. The detection of decreased ATP and mitochondrial membrane potential, ROS accumulation, and cytosolic free Ca(2+) elevation confirmed organelles damage in QC4-treated gastric cancer cells. Conclusions. DHA derivative QC4 induced the damage of cytomembrane and organelles which finally lead to oncosis and apoptosis in gastric cancer cells. Therefore, as a derivative of plant derived small molecule DHA, QC4 might become a promising agent in gastric cancer therapy. PMID:27057539

  16. 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

  17. 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…

  18. 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…

  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. 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

  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. 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


  3. Dehydroabietic acid isolated from Commiphora opobalsamum causes endothelium-dependent relaxation of pulmonary artery via PI3K/Akt-eNOS signaling pathway.

    PubMed

    Gao, Wenyan; Dong, Xiaoyan; Xie, Nan; Zhou, Chunlan; Fan, Yuhua; Chen, Guoyou; Wang, Yanming; Wei, Taiming; Zhu, Daling

    2014-01-01

    Commiphora opobalsamum is a Traditional Chinese Medicine used to treat traumatic injury, mainly by relaxing blood vessels. In this study, two diterpenes, dehydroabietic acid (DA) and sandaracopimaric acid (SA) were obtained from it by a bioassay-guided approach using isolated rat pulmonary artery rings. The structures of the two compounds were elucidated by spectroscopic methods (IR, 1H- and 13C-NMR, HR-ESI-MS). Both DA and SA reduced the contraction of phenylephrine-induced pulmonary arteries in a concentration-dependent manner, and endothelium contributed greatly to the vasodilatory effect of DA. This effect of DA was attenuated by NG-Nitro-L-arginine methyl ester (L-NAME, an eNOS inhibitor). Meanwhile, DA increased nitric oxide (NO) production, along with the increase of phosphorylation level of eNOS and Akt in endothelial cells. LY294002 (a PI3K inhibitor) could reverse this effect, which suggested the endothelial PI3K/Akt pathway involved in the mechanism underlying DA-induced relaxation of pulmonary artery. This work provided evidence of vasorelaxant substances in Commiphora opobalsamum and validated that PI3K/Akt-eNOS pathway was associated with DA-induced pulmonary artery vasodilation. PMID:24959678

  4. 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.

  5. 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

  6. 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

  7. Social inequalities in health care services utilisation after eight years of health care reforms: a cross-sectional study of Estonia, 1999.

    PubMed

    Habicht, Jarno; Kunst, Anton E

    2005-02-01

    Fundamental health care reforms in Estonia started in 1991 with the introduction of a social health insurance system. While increasing the efficiency of the health care system was one of the targets of the health care reforms, equity issues have received relatively less attention. The objective of this study is to provide an overview of social inequalities in health care utilisation in Estonia in 1999, after 8 years of large-scale reforms. Data were obtained from a nationally representative household interview survey including 3990 respondents aged 25-74 years. Health care utilisation was measured by the telephone consultations, visits to the general practitioner, visits to the specialist, visits to the dentist, and hospitalisation. These utilisation measures were related to variables on ethnicity, place of residence, education, income and employment, by means of direct standardisation and logistic regression models. Three different regression models were applied in order to (a) describe social differences in health care utilisation, (b) to assess whether these differences can be explained by differences in health needs, and (c) to assess the independent effect of each social variable net of all other social variables. Substantial inequalities were observed for all types of health care services and according to most social dimensions. Residents of rural areas were more likely to visit a general practitioner or to use telephone consultation, but less often used outpatient specialist care or dentist care. Ethnic differences were generally smaller, with no consistently higher use by either Russians or ethnic Estonians. Large differences were observed in relation to socio-economic status (education, income, or employment), with a more favourable socio-economic status being associated with higher probability to use health care services, especially after controlling for health needs. In case of hospitalisation, however, no notable social inequalities were found. These findings suggest that important geographic, financial and information barriers to health care utilisation exist after almost one decade of health care reforms in Estonia. Further health care reforms should aim to lessen or even remove these barriers. PMID:15571895

  8. Imitation and utilisation behaviour.

    PubMed Central

    De Renzi, E; Cavalleri, F; Facchini, S

    1996-01-01

    OBJECTIVE: To investigate the incidence, anatomical correlates, and clinical features of imitation and utilisation behaviour, which are thought by Lhermitte and coworkers to represent a reliable and frequent index of frontal lobe disease. METHODS: 78 patients with hemispheric local lesions were tested in two separate sessions, in which their reactions to a series of gestures performed by the examiner and to the presentation of a set of objects were recorded. The patients were stratified into a frontal (n = 52) and a non-frontal group (n = 26) on the basis of their CT data. RESULTS AND CONCLUSIONS: Imitation behaviour was present in 39% of the frontal patients and was mainly associated with medial and lateral lesions, at odds with the claim of Lhermitte et al that it is a constant accompaniment of lower, mediobasal lesions. In the non-frontal group it was found in three patients, all with damage to the deep nuclei region. Utilisation behaviour was a much rarer phenomenon, present in only two patients, both of whom had frontal damage. Neither imitation behaviour nor utilisation behaviour were found in patients with retrorolandic cortical lesions. PMID:8890779

  9. 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

  10. Prostate specific antigen testing is associated with men’s psychological and physical health and their healthcare utilisation in a nationally representative sample: a cross-sectional study

    PubMed Central

    2014-01-01

    Background Prostate cancer incidence has risen considerably in recent years, primarily due to Prostate Specific Antigen (PSA) testing in primary care. The objective of this study was to investigate associations between PSA testing and the psychological and physical health, and healthcare utilisation of men in a population where PSA testing is widespread. Methods A cross-sectional study was carried out in a population-representative sample of men ≄50 years enrolled in The Irish Longitudinal Study on Ageing (TILDA). TILDA participants underwent structured interviews, health assessments and completed standardised questionnaires. Men were classified as ever/never having received a PSA test. Multivariate logistic regression (Odds Ratios (OR) and 95% Confidence Intervals (CI) was used to determine associations between PSA testing, and men’s psychological and physical health and healthcare utilisation. Results This analysis included 3,628 men, 68.2% of whom ever had a PSA test. In adjusted analysis, men with sub-threshold depression were significantly less likely to have had a PSA test, (OR = 0.79, 95% CI 0.64-0.97). Likelihood of having a PSA test was inversely associated with anxiety, but this was not significant (OR = 0.79, 95% CI 0.57-1.09). Frailty (OR = 0.61, 95% CI 0.31-1.05) and eligibility for free primary care (OR = 0.63, 95% CI 0.52-0.77) were also inversely associated with PSA testing. Positive associations were observed between PSA testing and more chronic illnesses (OR = 1.11, 95% CI 1.05-1.19), more primary care visits (OR = 1.03, 95% CI 1.01-1.05) and preventative health practices, including cholesterol testing and influenza vaccination (OR = 1.35, 95% CI 1.13-1.60). Conclusions Men’s psychological and physical health and their healthcare utilisation are associated with PSA testing in primary care. The association between poorer psychological health, in particular sub-threshold depression, and reduced likelihood of PSA testing in primary care requires further investigation. These findings may have wider implications for other cancer screening. PMID:24938184

  11. 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

  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. Facilitating professional liaison in collaborative care for depression in UK primary care; a qualitative study utilising normalisation process theory

    PubMed Central

    2014-01-01

    Background Collaborative care (CC) is an organisational framework which facilitates the delivery of a mental health intervention to patients by case managers in collaboration with more senior health professionals (supervisors and GPs), and is effective for the management of depression in primary care. However, there remains limited evidence on how to successfully implement this collaborative approach in UK primary care. This study aimed to explore to what extent CC impacts on professional working relationships, and if CC for depression could be implemented as routine in the primary care setting. Methods This qualitative study explored perspectives of the 6 case managers (CMs), 5 supervisors (trial research team members) and 15 general practitioners (GPs) from practices participating in a randomised controlled trial of CC for depression. Interviews were transcribed verbatim and data was analysed using a two-step approach using an initial thematic analysis, and a secondary analysis using the Normalisation Process Theory concepts of coherence, cognitive participation, collective action and reflexive monitoring with respect to the implementation of CC in primary care. Results Supervisors and CMs demonstrated coherence in their understanding of CC, and consequently reported good levels of cognitive participation and collective action regarding delivering and supervising the intervention. GPs interviewed showed limited understanding of the CC framework, and reported limited collaboration with CMs: barriers to collaboration were identified. All participants identified the potential or experienced benefits of a collaborative approach to depression management and were able to discuss ways in which collaboration can be facilitated. Conclusion Primary care professionals in this study valued the potential for collaboration, but GPs’ understanding of CC and organisational barriers hindered opportunities for communication. Further work is needed to address these organisational barriers in order to facilitate collaboration around individual patients with depression, including shared IT systems, facilitating opportunities for informal discussion and building in formal collaboration into the CC framework. Trial registration ISRCTN32829227 30/9/2008. PMID:24885746

  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. Influence of CT utilisation on patient flow in the emergency department: a retrospective 1-year cohort study

    PubMed Central

    Li, Chao-Jui; Syue, Yuan-Jhen; Lin, Yan-Ren; Cheng, Hsien-Hung; Cheng, Fu-Jen; Tsai, Tsung-Cheng; Chen, Kuan-Fu; Lee, Chien-Hung

    2016-01-01

    Objective CT, an important diagnostic tool in the emergency department (ED), might increase the ED length of stay (LOS). Considering the issue of ED overcrowding, it is important to evaluate whether CT use delays or facilitates patient disposition in the ED. Design A retrospective 1-year cohort study. Setting 5 EDs within the same healthcare system dispersed nationwide in Taiwan. Participants All adult non-trauma patients who visited the 5 EDs from 1 July 2011 to 30 June 2012. Interventions Patients were grouped by whether or not they underwent a CT scan (CT and non-CT groups, respectively). Primary and secondary outcome measures The ED LOS and hospital LOS between patients who had and had not undergone CT scans were compared by stratifying different dispositions and diagnoses. Results CT use prolonged patient ED LOS among those who were directly discharged from the ED. Among patients admitted to the observation unit and then discharged, patients diagnosed with nervous system disease had shorter ED LOS if they underwent a CT scan. CT use facilitated patient admission to the general ward. CT use also accelerated patients' admission to the intensive care unit (ICU) for patients with nervous system disease, neoplasm and digestive disease. Finally, patients admitted to the general wards had shorter hospital LOS if they underwent CT scans in the ED. Conclusions CT use did not seem to have delayed patient disposition in ED. While CT use facilitated patient disposition if they were finally hospitalised, it mildly prolonged ED LOS in cases of patients discharged from the ED. PMID:27147387

  18. 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; MacĂ­as, 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

  19. 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

  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. 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


  2. 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

  3. 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

  4. Hospital Utilisation in Indigenous and Non-Indigenous Infants under 12 Months of Age in Western Australia, Prospective Population Based Data Linkage Study

    PubMed Central

    McAullay, Daniel; Strobel, Natalie A.; Marriott, Rhonda; Atkinson, David N.; Marley, Julia V.; Stanley, Fiona J.

    2016-01-01

    Background Indigenous infants (infants aged under 12 months) have the highest hospital admission and emergency department presentation risks in Australia. However, there have been no recent reports comparing hospital utilisation between Indigenous and non-Indigenous infants. Methods Our primary objective was to use a large prospective population-based linked dataset to assess the risk of all-cause hospital admission and emergency department presentation in Indigenous compared to non-Indigenous infants in Western Australia (WA). Secondary objectives were to assess the effect of socio-economic status (Index of Relative Socio-Economic Disadvantage [IRSD]) on hospital utilisation and to understand the causes of hospital utilisation. Findings There were 3,382 (5.4%) Indigenous and 59,583 (94.6%) non-Indigenous live births in WA from 1 January 2010 to 31 December 2011. Indigenous infants had a greater risk of hospital admission (adjusted odds ratio [aOR] 1.90, 95% confidence interval [95% CI] 1.77–2.04, p = <0.001) and emergency department presentation (aOR 2.15, 95% CI 1.98–2.33, p = <0.001) compared to non-Indigenous infants. Fifty nine percent (59.0%) of admissions in Indigenous children were classified as preventable compared to 31.2% of admissions in non-Indigenous infants (aOR 2.12, 95% CI 1.88–2.39). The risk of hospital admission in the most disadvantaged (IRSD 1) infants in the total cohort (35.7%) was similar to the risk in the least disadvantaged (IRSD 5) infants (30.6%) (aOR 1.04, 95% CI 0.96–1.13, p = 0.356). Interpretation WA Indigenous infants have much higher hospital utilisation than non Indigenous infants. WA health services should prioritise Indigenous infants regardless of their socio economic status or where they live. PMID:27120331

  5. The impact of sociodemographic factors on the utilisation of support services for family caregivers of elderly dependents – results from the German sample of the EUROFAMCARE study

    PubMed Central

    LĂŒdecke, Daniel; Mnich, Eva; Kofahl, Christopher

    2012-01-01

    Objectives: As in nearly all European countries, demographic developments in Germany have led to both a relative and an absolute increase in the country’s elderly population. The care and support needed by these people is primarily provided by relatives or friends and close acquaintances within the home environment. The major challenges for society are to sustain, promote and support these informal resources. In order to achieve this, it is crucial that family caregivers are provided with situation-specific services that support them and relieve their burden of care. The major challenges for society are therefore to sustain, promote and support informal resources and to provide the opportunity for the use of services aimed at assisting and relieving the burden of family caregivers. Methods: In the context of the EUROFAMCARE study, 1,003 family caregivers from Germany were interviewed at home about their experiences using a standardized questionnaire. Included in the study were primary caregivers providing at least four hours of personal care or support per week to a relative aged 65 years or older. Subjects solely providing financial support were excluded. In this paper, a linear regression analysis has been conducted to analyse impact of sociodemographic factors on the utilisation of support services. Results: The family caregivers were 54 years on average (SD=13.4), 76% of them were female. The dependent elderly were 80 years on average (SD=8.3), and 69% of them were women. 60% of them were receiving long-term care insurance benefits. Use of support services aimed directly at family caregivers is very low. After including certain services aimed primarily at those in need of care but also often serving as a source of relief for family caregivers, the percentage of caregivers using support services increased slightly. Among sociodemographic characteristics, caregivers’ gender and education level have the greatest influence on services use. Other influential factors are caregivers’ perception of their caregiving burden and their assessment of the dependent family member’s need for assistance and support. PMID:23133500

  6. Utilisation of thorium in reactors

    NASA Astrophysics Data System (ADS)

    Anantharaman, K.; Shivakumar, V.; Saha, D.

    2008-12-01

    India's nuclear programme envisages a large-scale utilisation of thorium, as it has limited deposits of uranium but vast deposits of thorium. The large-scale utilisation of thorium requires the adoption of closed fuel cycle. The stable nature of thoria and the radiological issues associated with thoria poses challenges in the adoption of a closed fuel cycle. A thorium fuel based Advanced Heavy Water Reactor (AHWR) is being planned to provide impetus to development of technologies for the closed thorium fuel cycle. Thoria fuel has been loaded in Indian reactors and test irradiations have been carried out with (Th-Pu) MOX fuel. Irradiated thorium assemblies have been reprocessed and the separated 233U fuel has been used for test reactor KAMINI. The paper highlights the Indian experience with the use of thorium and brings out various issues associated with the thorium cycle.

  7. An ARXPS and ERXPS study of quaternary ammonium and phosphonium ionic liquids: utilising a high energy Ag Lα' 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 Lα' X-ray source. The capability of the Ag Lα' 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 Lα' 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

  8. 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

  9. Utilising inorganic nanocarriers for gene delivery.

    PubMed

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

    2016-01-01

    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

  10. Health care resource utilisation in primary care prior to and after a diagnosis of Alzheimer’s disease: a retrospective, matched case–control study in the United Kingdom

    PubMed Central

    2014-01-01

    Background This study examined medical resource utilisation patterns in the United Kingdom (UK) prior to and following Alzheimer’s disease (AD) diagnosis. Methods A patient cohort aged 65 years and older with newly diagnosed AD between January 2008 and December 2010 was identified through the UK’s Clinical Practice Research Datalink (CPRD). Patients with a continuous record in the CPRD (formerly the General Practice Research Database [GPRD]) for both the 3 years prior to, and the 1 year following, AD diagnosis were eligible for inclusion. A control cohort was identified by matching general older adult (GOA) patients to patients with AD based on year of birth, gender, region, and Charlson Comorbidity Index at a ratio of 2:1. Medical resource utilisation was calculated in 6-month intervals over the 4-year study period. Comparisons between AD and GOA control cohorts were conducted using conditional logistic regression for patient characteristics and a generalised linear model for resource utilisation. Results Data for the AD cohort (N = 3,896) and matched GOA control cohort (N = 7,792) were extracted from the CPRD. The groups were 65% female and the AD cohort had a mean age of 79.9 years (standard deviation 6.5 years) at the date of diagnosis. Over the entire study period, the AD cohort had a significantly higher mean primary care consultation rate than the GOA cohort (p < .0001). While the GOA cohort primary care consultation rate gradually increased over the 4-year period (ranging from 5 to 7 consultations per 6-month period), increases were more pronounced in the AD cohort (ranging from 6 to 11 consultations per 6-month period, peaking during the 6-month periods immediately prior to and post diagnosis). The AD cohort also had a higher overall specialty referral rate than the GOA cohort over the 4-year period (37% vs. 25%, respectively; p < .0001); the largest difference was during the 6 months immediately prior to AD diagnosis (17% vs. 5%, respectively; p < .0001). Conclusions In the UK, AD diagnosis is associated with significant increases in primary and secondary care resource utilisation, continuing beyond diagnosis. This evidence may be important to health care commissioners to facilitate effective mobilisation of appropriate AD-related health care resources. PMID:24934556

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

    PubMed

    Symeou, V; Leinonen, I; Kyriazakis, I

    2016-02-14

    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

  12. A cross-sectional study describing factors associated with utilisation of GP services by a cohort of people who inject drugs

    PubMed Central

    2014-01-01

    Background People who inject drugs (PWID) use healthcare services, including primary care, at a disproportionately high rate. We investigated key correlates of general practitioner (GP) related service utilisation within a cohort of PWID. Methods Using baseline data from a cohort of 645 community-recruited PWID based in Melbourne, Victoria, we conducted a secondary analysis of associations between past month use of GP services unrelated to opioid substitution therapy (OST) and socio-demographic and drug use characteristics and self-reported health using multivariate logistic regression. Results Just under one-third (29%) of PWID had accessed GP services in the month prior to being surveyed. Participants who reported living with children (adjusted odds ratio, AOR 1.97, 95% CI 1.04 - 3.73) or having had contact with a social worker in the past month (AOR 1.92, 95% CI 1.24 - 2.98) were more likely to have seen a GP in the past month. Participants who were injecting daily or more frequently (AOR 0.50, 95% CI 0.30 - 0.83) or had a weekly income of less than $400 (AOR 0.59, 95% CI 0.38 - 0.91) were less likely to report having seen a GP in the past month. Conclusions Our sample frequently attended GP services for health needs unrelated to OST. Findings highlight both the characteristics of PWID accessing GP services and also those potentially missing out on primary care and preventive services. PMID:25030526

  13. Modular operation of membrane bioreactors for higher hydraulic capacity utilisation.

    PubMed

    Veltmann, K; Palmowski, L M; Pinnekamp, J

    2011-01-01

    Using data from 6 full-scale municipal membrane bioreactors (MBR) in Germany the hydraulic capacity utilisation and specific energy consumption were studied and their connexion shown. The average hydraulic capacity utilisation lies between 14% and 45%. These low values are justified by the necessity to deal with intense rain events and cater for future flow increases. However, this low hydraulic capacity utilisation leads to high specific energy consumption. The optimisation of MBR operation requires a better utilisation of MBR hydraulic capacity, particularly under consideration of the energy-intensive membrane aeration. A first approach to respond to large influent flow fluctuations consists in adjusting the number of operating modules. This is practised by most MBR operators but so far mostly with variable flux and constant membrane aeration. A second approach is the real-time adjustment of membrane aeration in line with flux variations. This adjustment is not permitted under current manufacturers' warranty conditions. A further opportunity is a discontinuous operation, in which filtration takes place over short periods at high flux and energy for membrane aeration is saved during filtration pauses. The integration of a buffer volume is thereby indispensable. Overall a modular design with small units, which can be activated/ inactivated according to the influent flow and always operate under optimum conditions, enables a better utilisation of MBR hydraulic capacity and forms a solid base to reduce MBR energy demand. PMID:21436563

  14. Environmental assessment of incinerator residue utilisation.

    PubMed

    Toller, S; KĂ€rrman, 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

  15. 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

  16. 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

  17. 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 ΌM) 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

  18. 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

  19. Time trends in statin utilisation and coronary mortality in Western European countries

    PubMed Central

    Vancheri, Federico; Backlund, Lars; Strender, Lars-Erik; Godman, Brian; Wettermark, Björn

    2016-01-01

    Objectives To determine whether there is a relation between statin utilisation and coronary heart disease (CHD) mortality in populations with different levels of coronary risk, and whether the relation changes over time. Design Ecological study using national databases of dispensed medicines and mortality rates. Setting Western European countries with similar public health systems. Main outcome measures Population CHD mortality rates (rate/100 000) as a proxy for population coronary risk level, and statin utilisation expressed as Defined Daily Dose per one Thousand Inhabitants per Day (DDD/TID), in each country, for each year between 2000 and 2012. Spearman's correlation coefficients between CHD mortality and statin utilisation were calculated. Linear regression analysis was used to assess the relation between changes in CHD mortality and statin utilisation over the years. Results 12 countries were included in the study. There was a wide range of CHD mortality reduction between the years 2000 and 2012 (from 25.9% in Italy to 57.9% in Denmark) and statin utilisation increase (from 121% in Belgium to 1263% in Denmark). No statistically significant relations were found between CHD mortality rates and statin utilisation, nor between changes in CHD and changes in statin utilisation in the countries over the years 2000 and 2012. Conclusions Among the Western European countries studied, the large increase in statin utilisation between 2000 and 2012 was not associated with CHD mortality, nor with its rate of change over the years. Factors different from the individual coronary risk, such as population ageing, health authority programmes, guidelines, media attention and pharmaceutical industry marketing, may have influenced the large increase in statin utilisation. These need to be re-examined with a greater emphasis on prevention strategies. PMID:27029774

  20. 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

  1. 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)

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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.

  7. 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.

  8. Landscape Utilisation, Animal Behaviour and Hendra Virus Risk.

    PubMed

    Field, H E; Smith, C S; de Jong, C E; Melville, D; Broos, A; Kung, N; Thompson, J; Dechmann, D K N

    2016-03-01

    Hendra virus causes sporadic fatal disease in horses and humans in eastern Australia. Pteropid bats (flying-foxes) are the natural host of the virus. The mode of flying-fox to horse transmission remains unclear, but oro-nasal contact with flying-fox urine, faeces or saliva is the most plausible. We used GPS data logger technology to explore the landscape utilisation of black flying-foxes and horses to gain new insight into equine exposure risk. Flying-fox foraging was repetitious, with individuals returning night after night to the same location. There was a preference for fragmented arboreal landscape and non-native plant species, resulting in increased flying-fox activity around rural infrastructure. Our preliminary equine data logger study identified significant variation between diurnal and nocturnal grazing behaviour that, combined with the observed flying-fox foraging behaviour, could contribute to Hendra virus exposure risk. While we found no significant risk-exposing difference in individual horse movement behaviour in this study, the prospect warrants further investigation, as does the broader role of animal behaviour and landscape utilisation on the transmission dynamics of Hendra virus. PMID:26403793

  9. Perspectives and visions on CO2 capture and utilisation.

    PubMed

    North, M; Styring, P

    2015-01-01

    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

  10. 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

  11. 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..

  12. 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.

  13. 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.

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

    PubMed Central

    Ndabarora, Eléazar; Mchunu, Gugu

    2014-01-01

    Abstract 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

  15. 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

  16. Utilisation trends of rosiglitazone and pioglitazone in Australia before and after safety warnings

    PubMed Central

    2014-01-01

    Background A see on cardiovascular diseases and bladder cancer. The changes to the patterns of rosiglitazone and pioglitazone utilisation in Australia following the timing of these various health authority warnings such as the Australian Therapeutic Good Administration (TGA), European Medicines Agency (EMA) press releases or U.S. Food and Drug Administration (FDA) is unknown. This study investigated the utilisation patterns of rosiglitazone and pioglitazone in Australia before and after warnings of major drug authorities. Methods We evaluated rosiglitazone and pioglitazone dispensing using the Pharmaceutical Benefit Scheme (PBS) subsidised drug dispensing data for the Australian population from February 2004 to July 2012. The World Health Organisation Anatomic Therapeutic Chemical (ATC)/Defined Daily Dose (DDD) system was used to compare the drug utilisation patterns following the announcements of EMA, FDA, and TGA safety warnings, which first occurred in May 2007. The DDD/1000population/day were examined in a series of time-series regression analysis with the drug safety warnings specified as interventions. Results Rosiglitazone utilisation increased steadily from 2004 until reaching a peak at 1.96/1000population/day in January 2007. Then rosiglitazone use decreased significantly after the initial EMA press release and FDA warning on cardiovascular risk in May 2007 (with a 15.04% average monthly decline, p-value <0.001), however use did not significantly decrease after the TGA warning or subsequent EMA and FDA warnings. Pioglitazone utilisation proceeded rosiglitazone in September 2008 and remained above 1.5/1000/day during 2009–2010. However, pioglitazone utilisation has slightly declined after the FDA, EMA, and TGA warnings related to bladder cancer. Conclusions Drug safety warnings were associated with a decrease in rosiglitazone and pioglitazone utilisation in Australia. Rosiglitazone began to decline prior to TGA warnings in December 2007, which suggests that Australian prescribers may have acted in response to scientific evidence or international safety warnings (EMA, FDA), prior to the response of the TGA. Minor effects were observed after bladder cancer warnings on pioglitazone utilisation. PMID:24708579

  17. 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


  18. 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.

  19. 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

  20. 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

  1. 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 ”m 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 ”m 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.

  2. Changes in substrate utilisation and protein catabolism during multiday cycling in well-trained cyclists.

    PubMed

    Oosthuyse, Tanja; Avidon, Ingrid

    2015-01-01

    There is a paucity of studies that have evaluated substrate utilisation and protein catabolism during multiday strenuous exercise in athletes. Eleven well-trained male cyclists completed 3 h of race-simulated cycling on 4 consecutive days. Cyclist exercised 2 h postprandially and with carbohydrate supplementation (~50 g · h(-1)) during exercise. Whole body substrate utilisation was measured by indirect calorimetry, protein catabolism from sweat and urine urea excretion, and blood metabolite concentration was evaluated. Protein catabolism during exercise was significantly greater on days 2-4 (29.9 ± 8.8; 34.0 ± 11.2; 32.0 ± 7.3 g for days 2, 3, and 4, respectively) compared to day 1 (23.3 ± 7.6 g), P < 0.05. Fat oxidation was greater at 21 km (~45 min) on days 2-4 (1.06 ± 0.23; 1.08 ± 0.25; 1.12 ± 0.29 g · min(-1)) compared to day 1 (0.74 ± 0.23 g · min(-1), P < 0.05), but the rate of carbohydrate and fat oxidation was similar between days at 50 and 80 km. Whole body substrate utilisation is altered on subsequent days of multiday prolonged strenuous cycling that includes a quicker transition to greater fat utilisation from exercise onset and a 28-46% greater reliance on endogenous protein catabolism on all successive days. PMID:25299240

  3. 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

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

    PubMed

    FernĂĄndez, Y BajĂłn; 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 VS(fed) 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

  5. Eye care services utilisation among pregnant women in Nigeria.

    PubMed

    Ibraheem, Waheed A; Ibraheem, Anifat B; Owonikoko, Musliudeen; Tijani, Aramide; Olamoyegun, Michael Adeyemi; AbdSalam, Soliu

    2016-07-01

    One hundred and sixty-five pregnant Nigerian women attending the antenatal clinic of LAUTECH teaching hospital, Ogbomoso, Nigeria between January and April 2014 were interviewed using a structured questionnaire. Socio-demographic characteristics of the respondents were obtained. Respondents were also asked: if they had had their eye examined by an eye specialist during the index pregnancy, frequencies of visit to eye care centers and indications for their visitation. A history of previous eye examination by eye care specialist/visit to eye clinic was considered as eye care utilisation. Selection of eligible subjects who consented to participate in the study was done using simple random technique. Logistic regression model was used to control sociodemographic and obstetric factors in order to determine independent covariate factor influencing the use of eye care services. Among the population studied, only 46 (32%) had eye examination during the index pregnancy. Level of education and occupational status of the respondents were found to be statistically significant factors (p = 0.001 and 0.008, respectively). There is a need for a policy that will encourage regular eye care services usage during pregnancy. PMID:27012975

  6. 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.

  7. 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

  8. 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

  9. Endoscopic retrograde cholangiopancreatography: utilisation and outcomes in a 10-year population-based cohort

    PubMed Central

    Coelho-Prabhu, Nayantara; Shah, Nilay D; Van Houten, Holly; Kamath, Patrick S; Baron, Todd H

    2013-01-01

    Objective To determine utilisation of endoscopic retrograde cholangiopancreatography (ERCP); incidence of inpatient admissions for complications occurring within 30 days of ERCP and risk factors for procedural-related complications, in a population-based study. Design Retrospective cohort study. Setting Olmsted County, Minnesota. Participants All adult residents of Olmsted County, Minnesota, who underwent ERCP from 1997 to 2006. Interventions Diagnostic and therapeutic ERCPs were assessed. Primary and secondary outcome measures Patient and procedural characteristics and complications within 30 days; and rates of ERCP utilisation and unplanned admissions and risk factors for admissions. Results In 10 years, 1072 ERCPs were performed on 827 individual patients. Average utilisation of ERCP was 83.1 ERCPs/100 000 persons/year, with an increase from 58 to 104.8 ERCPs/100 000 persons/year over time, driven by increases in therapeutic procedures. Within 30 days after 236 procedures, 62 admissions were definitely related to the index ERCP. The complication rate was 5.3%, including pancreatitis (26, 2.4%), infection/cholangitis (16, 1.5%), bleeding (15, 1.4%) and perforation (4, 0.37%). 30-day mortality was 2.4%, none of which was directly related to the ERCP or complications thereof. Risk factors identified through multivariate analysis to be associated with adverse events included: age <45 years (p=0.0498); body mass index ≄35 (p=0.0024); pancreatic duct cannulation (p=0.0026); outpatient procedure (p<0.0001); intraprocedure sphincterotomy bleeding (p<0.0001); difficulty grade (p=0.115) and patient's first ERCP (p=0.0394). Limitations Retrospective study. Conclusions Population utilisation of ERCP rose during the study period, specifically in therapeutic procedures. Admissions within 30 days of ERCP are common but often unrelated. Complications of ERCP remain infrequent and deaths quite unusual. PMID:23793659

  10. HIV counselling and testing utilisation and attitudes of male inmates in a South African prison.

    PubMed

    Motshabi, Lelaka C; Pengpid, Supa; Peltzer, Karl

    2011-01-01

    The Department of Correctional Services Policy on the management of HIV and AIDS for offenders include voluntary counselling and testing (VCT) for HIV as one of the priorities in the rehabilitation of inmates. The aim of this study was to determine factors associated with the utilisation of VCT services in the correctional centres in terms of level of satisfaction, their experiences and expectations, and motivating factors and barriers for VCT utilisation at Losperfontein Correctional Centre, South Africa. This was a case control study (cases being those who underwent testing and controls those who did not) examining predictors of HIV VCT utilisation among 200 male adult sentenced inmates serving medium and maximum sentences. Results indicate that a poor health system (OR=0.34, 95%CI: 0.23 - 0.50) was inversely associated with HIV testing acceptance in prison, while age, educational level, population group, marital status, length of incarceration and access to HIV testing in prison were not associated with HIV testing acceptance in prison. Half of the participants (50%) agreed that VCT services are accessible and are promoted at their correctional centre. Most were satisfied with different components of VCT services, ranging from 79% (fair to very good) for 'the way he/she received you' to 62% 'clarified all your concerns'. This study demonstrated some challenges and benefits to the field of health promotion and HIV prevention in the correctional centres especially with regard to VCT services. PMID:23237725

  11. 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

  12. Utilisation of joint movement range in arboreal primates compared with human subjects: an evolutionary frame for primary osteoarthritis.

    PubMed Central

    Alexander, C J

    1994-01-01

    OBJECTIVE--To determine whether an arboreal lifestyle required full use of movement ranges underutilised in nine joint groups in humans, because under-utilisation of available movement range may be associated with susceptibility to primary osteoarthritis. METHODS--Utilisation of the nine joint groups was studied in two species of primate exercising in a simulated arboreal environment, using 'focal animal' observation techniques supplemented by telephoto photography and by review of archival material from other sources. Fifteen apes were observed over a total observation period of 20.2 man-hours and 152 films were analysed for utilisation of movement range. RESULTS--With one exception, all the movement ranges reported to be under-utilised in humans were fully utilised by the apes in climbing activities. The exception, metacarpophalangeal extension, was an essential component of the chimpanzee ground progression mode of knuckle walking. CONCLUSIONS--The underused movement range in several human joints is explicable as residual capacity from a semiarboreal lifestyle. If the correlation with primary osteoarthritis is confirmed, it suggests that the disease may reflect a disparity between inherited capacity and current need. The significance of the result lies in its implication that primary osteoarthritis may be preventable. Images PMID:7826133

  13. 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

  14. 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

  15. 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…

  16. 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


  17. 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


  18. A rapid appraisal of access to and utilisation of psychotropic medicines in Bihar, India

    PubMed Central

    2014-01-01

    Background A major aspect of providing mental healthcare is access to and use of psychotropic medications. Bihar is a state in northeast India with limited mental healthcare provision; consequently access to and utilisation of psychotropic medications are likely to be limited. However, to date there has been no research assessing the situation. This study therefore aims to analyse the psychotropic medications management cycle (selection, procurement, distribution and use), and identify the barriers to access and utilisation, and their underlying causes. Method A rapid appraisal method was used in which primary and secondary data sources were collected and analysed. Semi-structured interviews were conducted with twenty-two stakeholders and twenty-one service users from the government, non-governmental organisation (NGO) and private sectors. The qualitative data collected was analysed using a comparative thematic approach. The research was supported by the NGOs BasicNeeds and Nav Bharat Jagriti Kendra. Results Availability, distance and cost were the main barriers to access and utilisation. At the medical college hospital level a lack of supply appears to be due to a discrepancy between orders made by the hospital and medications supplied by the manufacturers. At the primary health centre and district hospital level the main barrier is a cycle between lack of demand for treatments for mental illness by doctors and patients. Conclusion Further investigation and monitoring is necessary to ensure the availability of psychotropic medications at the medical college hospital level. In addition, implementation of the District Mental Health Programme is likely to address the access and utilisation barriers due to its potential to break the current cycle of lack of demand. PMID:25053976

  19. 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

  20. 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

  1. 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

  2. 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

  3. 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

  4. Microbial utilisation of natural organic wastes.

    PubMed

    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: (i) gradual quantitative increasing of Lactobacillus sp. (from 10(3) to 10(5) colony forming units (CFU) per ml), (ii) activation of Clostridia sp. (from 10(2) to 10(4)CFU/ml), (iii) 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. PMID:14692419

  5. 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.

  6. 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

  7. Synthesis, characterisation and microbial utilisation of amorphous polysugars from lactose.

    PubMed

    Daines, Alison M; Smart, Zlatka; Sims, Ian M; Tannock, Gerald W; Hinkley, Simon F R

    2015-03-01

    The melt polymerisations of glucose, galactose, xylose and fucose with citric acid, and mixtures of sugars therein are reported. Characterisation of the citric-acid catalysed reaction products indicated similar degrees of branched polymerisation but differences in the overall molecular weight of the polymers produced. The dairy by-product lactose could not be polymerised in a similar fashion but was shown to be readily hydrolysed using microwave radiation and a polymer generated from the melt condensation of the resultant glucose and galactose monosaccharides. A preliminary assessment of the bifido-bacterial utilisation of the lactose-derived polymerised products demonstrated a significantly different growth profile compared to commercially utilised galactooligosaccharides (GOS). PMID:25498629

  8. 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


  9. 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…

  10. 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 (ÎŽ30Siopal) and nitrogen (ÎŽ15Nsed)), as well as in ocean circulation and material transport (authigenic and detrital radiogenic neodymium (ɛNd) 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%, ÎŽ15Nsed values of ~ +5‰ and intermediate ÎŽ30Siopal 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, ÎŽ30Siopal 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 ÎŽ15Nsed of up to ~ +7‰, and by the highest degree of silicate utilisation with ÎŽ30Siopal reaching values of +1.1‰. At the same time detrital ɛNd 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 ÎŽ30Siopal and ÎŽ15Nsed signatures suggests that during the past 650 years the ÎŽ15Nsed 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.

  11. 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 (ÎŽ30Siopal) and nitrogen (ÎŽ15Nsed)), 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%, ÎŽ15Nsed values of ~5‰ and intermediate ÎŽ30Siopal 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, ÎŽ 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 ÎŽ15Nsed of up to ~7‰, and by the highest degree of silicate utilisation with ÎŽ30Siopal 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 ÎŽ30Siopal and ÎŽ15Nsed signatures suggests that during the past 650 years the ÎŽ15Nsed 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).

  12. 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

  13. 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

  14. Influence of palm olein on protein utilisation in the growing rat.

    PubMed

    Henry, C J; Ghusain-Choueiri, A; Gurr, M I

    1999-03-01

    In view of our preliminary findings that refined palm oil (RPOL) enhanced protein utilisation, and because of the growing importance of palm oil in human diets, two separate studies were conducted. The first study aimed to investigate the effect of the palm oil source and fraction on protein utilisation, as determined by net protein utilization (NPU) in growing rats. The second study aimed to investigate the influence of the dietary concentration of one particular palm oil fraction, refined palm olein (RPO) on net protein utilisation. The fat source of each of the semi-purified diets was as follows: crude palm oil (CPO), refined palm kernel oil (RKO), refined palm olein (RPO), refined palm stearin (RPS), and refined palm oil (RPOL). A sixth control group was offered an identical diet but with olive oil (OO, control) as the fat source. Both the oil source (P < 0.01) and the oil level (P < 0.05) influenced NPU in rats. NPU values were generally higher for rats given the RPO-containing diets, particularly at the 20% dietary level (P < 0.01) compared to the diets containing ground nut oil (GNO). The results of these two experiments indicate that RPO influences protein metabolism specifically at a concentration of at least 20% in the diet. This may suggest that RPO is superior to GNO as a source of fat for the rehabilitation of malnourished children. Human trials notably during the rehabilitation of malnourished children may therefore be the next step in this line of research. PMID:10616647

  15. Manchester Triage System version II and resource utilisation in the emergency department.

    PubMed

    Santos, André Peralta; Freitas, Paulo; Martins, Henrique Manuel Gil

    2014-02-01

    Emergency department (ED) triage systems aim to direct the best clinical assistance to those who are in the greatest urgency and guarantee that resources are efficiently applied. The study's purpose was to determine whether the Manchester Triage System (MTS) second version is a useful instrument for determining the risk of hospital admission, intrahospital death and resource utilisation in ED and to compare it with the MTS first version. This was a prospective study of patients that attended the ED at a large hospital. It comprised a total of 25,218 cases that were triaged between 11 July and 13 October 2011. The MTS codes were grouped into two clusters: red and orange into a 'high acuity/priority' (HP) cluster, and yellow, green and blue into a 'low acuity/priority' cluster. The risk of hospital admission in the HP cluster was 4.86 times that of the LP cluster for both admission route and ages. The percentage of patient hospital admission between medical and surgical specialties, in high and low priority clusters, was similar. We found the risk of death in the HP cluster to be 5.58 times that of the risk of the low acuity/priority cluster. The MTS had an inconsistent association relative to the utilisation of x-ray, while it seemed to portray a consistent association between ECG and laboratory utilisation and MTS cluster. There were no differences between medical and surgical specialities risk of admission. This suggests that improvements were made in the second version of MTS, particularly in the discriminators of patients triaged to surgical specialties, because this was not true for the first version of MTS. PMID:23345313

  16. 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

  17. 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

  18. Utilisation of steviol glycosides from Stevia rebaudiana (Bertoni) by lactobacilli and bifidobacteria in in vitro conditions.

    PubMed

    Kunová, Gabriela; Rada, Vojtěch; Vidaillac, Adrien; Lisova, Ivana

    2014-05-01

    In the current study, eight strains of bifidobacteria and seven strains of lactobacilli were tested for their ability to grow in the presence of rebaudioside A and steviol glycosides from the sweetener Natusweet M001 originating from herb Stevia rebaudiana (Bertoni). Stevia is gaining popularity as a natural, non-caloric sugar substitute, and recently, it was allowed as a food additive by European Union too. Utilisation of steviol glycosides by intestinal microbiota suggests that they might have potential prebiotic effect. Based on the evaluation of bacterial density and pH values in our in vitro study, it was found that lactobacilli and bifidobacteria tested were able to utilise steviol glycosides as a carbon source only to a very limited extent. All strains tested showed significantly lower change in the absorbance A540 (P < 0.05) and pH decrease of the growth media as compared with the positive controls (medium containing glucose as a carbon source and de Man Rogosa Sharpe broth). We concluded that a suggested prebiotic effect was not confirmed either in the case of rebaudioside A or in the case of the sweetener Natusweet M001 containing a mixture of steviol glycosides. PMID:24249153

  19. 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

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

    PubMed

    WislĂžff, 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

  1. 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

  2. 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.

  3. 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

  4. Phytase effects on the efficiency of utilisation and blood concentrations of phosphorus and calcium in Pekin ducks.

    PubMed

    Rodehutscord, M; Hempel, R; Wendt, P

    2006-06-01

    1. The objective was to study the effects of a supplementation of a 6-phytase derived from the Peniophora lycii gene in the White Pekin duck. 2. In two balance studies, low-phosphorus (P) diets consisting mainly of maize, solvent extracted soybean meal and solvent extracted sunflower meal were supplemented with phytase up to concentrations of 1500 U/kg (Study 1) or 2000 U/kg (Study 2). Each diet (phytase level) was fed to 8 to 10 individually penned ducks. The intake and excretion of each animal was measured for 5 consecutive days when ducks were in their third week of life. Responses were described by nonlinear regression. 3. Although the basal diets from the two studies were similar in ingredient composition, efficiencies of P utilisation (P accretion/P intake x 100) for the unsupplemented basal diets were 39% in Study 1 and 30% in Study 2. Phytase supplementation significantly improved P utilisation up to levels of about 55% in both studies. A plateau in P utilisation with an increase in phytase supplementation was achieved in Study 2, but not in Study 1. The enzyme was more efficient in Study 2 than in Study 1 at low rates of supplementation. Utilisation of calcium (Ca) was significantly improved by phytase supplementation. Accretions of P and Ca increased at a constant ratio. 4. In a 5-week growth study, diets with an intentionally marginal P level were used. Diets were fed either unsupplemented or supplemented with 1000 or 10,000 U/kg of phytase. Eight pens of 10 sex-separated ducks each (4 pens per sex) were allocated to each dietary treatment. 5. Phytase significantly improved the growth of ducks of both sexes between d 1 and 21, but not between d 22 and 35. Feed conversion rate was not affected by treatment. Blood serum phosphate concentrations, but not calcium, were significantly increased by phytase supplementation. Blood concentrations of creatinine, aspartate aminotransferase and lactate dehydrogenase remained unaffected while alanine aminotransferase was significantly reduced by phytase supplementation. 6. It was concluded that the efficacy of a microbial phytase varies even under similar experimental conditions. Differences in intrinsic phytase activity of maize/soybean meal-based diets may be responsible for this. The 6-phytase used has the potential to improve the utilisation of plant P in duck feeding. A plateau in response was reached above 1500 U/kg. PMID:16787855

  5. Local cerebral glucose utilisation in treated and untreated patients with Parkinson's disease.

    PubMed Central

    Rougemont, D; Baron, J C; Collard, P; Bustany, P; Comar, D; Agid, Y

    1984-01-01

    Using the 18f-fluoro-2-deoxy-d-glucose technique and positron emission tomography (PET), the local cerebral glucose utilisation (1CMRGlc) was measured in four non-demented patients with early-onset, bilateral Parkinson's disease characterised by the predominance of akinesia. The study was done twice, first in the untreated condition, and then after levodopa had been resumed. Despite a marked clinical improvement, we found no alteration in 1CMRGlc between the first and second studies in any of the brain structure analysed. Compared to control values, 1CMRGlc in the basal ganglia was moderately increased in both studies. These essentially negative findings agree with most previous human or animal studies, and indicate that the functional alterations in the central dopaminergic systems of patients with Parkinson's disease have metabolic correlates that are too small to be demonstrated by current PET devices. Images PMID:6332176

  6. 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

  7. Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan

    PubMed Central

    Chang, Yu-Che; Ng, Chip-Jin; Wu, Chang-Teng; Chen, Li-Chin; Chen, Jih-Chang; Hsu, Kuang-Hung

    2013-01-01

    Objectives To examine the effectiveness of a five-level Paediatric Triage and Acuity System (Ped-TTAS) by comparing the reliability of patient prioritisation and resource utilisation with the four-level Paediatric Taiwan Triage System (Ped-TTS) among non-trauma paediatric patients in the emergency department (ED). Methods The study design used was a retrospective longitudinal analysis based on medical chart review and a computer database. Except for a shorter list of complaints and some abnormal vital sign criteria modifications, the structure and triage process for applying Ped-TTAS was similar to that of the Paediatric Canadian Emergency Triage and Acuity Scale. Non-trauma paediatric patients presenting to the ED were triaged by well-trained triage nurses using the four-level Ped-TTS in 2008 and five-level Ped-TTAS in 2010. Hospitalisation rates and medical resource utilisation were analysed by acuity levels between the contrasting study groups. Results There was a significant difference in patient prioritisation between the four-level Ped-TTS and five-level Ped-TTAS. Improved differentiation was observed with the five-level Ped-TTAS in predicting hospitalisation rates and medical costs. Conclusions The five-level Ped-TTAS is better able to discriminate paediatric patients by triage acuity in the ED and is also more precise in predicting resource utilisation. The introduction of a more accurate acuity and triage system for use in paediatric emergency care should provide greater patient safety and more timely utilisation of appropriate ED resources. PMID:22983978

  8. A community-based intervention programme on hormonal contraceptives: The utilisation of social networks.

    PubMed

    Hidiroglu, S; Topuzoglu, A; Onsuz, M F

    2016-01-01

    The aim of the study was to determine the effects of an intervention programme based on the utilisation of the social learning concept which is practised through social networks among adult women in a suburban population in Turkey. The study was performed in two disadvantaged neighbourhoods of Umraniye, Istanbul. One of the neighbourhoods served as the intervention while the other as the control group. In order to document the efficacy of the intervention, baseline and evaluation surveys were carried out in both neighbourhoods. The most widely known hormonal contraceptive method was oral contraceptives, while emergency contraceptives were determined as the least known methods. The improvement was higher for the least known methods. Education with peer groups is shown to be effective in improving the knowledge of women about contraception. Information transfer through peer groups should be used more frequently particularly for emergency contraception. PMID:26472349

  9. Utilisation and costs of nursing agencies in the South African public health sector, 2005–2010

    PubMed Central

    Rispel, Laetitia C.; Angelides, George

    2014-01-01

    Background Globally, insufficient information exists on the costs of nursing agencies, which are temporary employment service providers that supply nurses to health establishments and/or private individuals. Objective The aim of the study was to determine the utilisation and direct costs of nursing agencies in the South African public health sector. Design A survey of all nine provincial health departments was conducted to determine utilisation and management of nursing agencies. The costs of nursing agencies were assumed to be equivalent to expenditure. Provincial health expenditure was obtained for five financial years (2005/6–2009/10) from the national Basic Accounting System database, and analysed using Microsoft Excel. Each of the 166,466 expenditure line items was coded. The total personnel and nursing agency expenditure was calculated for each financial year and for each province. Nursing agency expenditure as a percentage of the total personnel expenditure was then calculated. The nursing agency expenditure for South Africa is the total of all provincial expenditure. The 2009/10 annual government salary scales for different categories of nurses were used to calculate the number of permanent nurses who could have been employed in lieu of agency expenditure. All expenditure is expressed in South African rands (R; US$1 ∌ R7, 2010 prices). Results Only five provinces reported utilisation of nursing agencies, but all provinces showed agency expenditure. In the 2009/10 financial year, R1.49 billion (US$212.64 million) was spent on nursing agencies in the public health sector. In the same year, agency expenditure ranged from a low of R36.45 million (US$5.20 million) in Mpumalanga Province (mixed urban-rural) to a high of R356.43 million (US$50.92 million) in the Eastern Cape Province (mixed urban-rural). Agency expenditure as a percentage of personnel expenditure ranged from 0.96% in KwaZulu-Natal Province (mixed urban-rural) to 11.96% in the Northern Cape Province (rural). In that financial year, a total of 5369 registered nurses could have been employed in lieu of nursing agency expenditure. Conclusions The study findings should inform workforce planning in South Africa. There is a need for uniform policies and improved management of commercial nursing agencies in the public health sector. PMID:25537936

  10. Utilisation of Carbon Sources by Pythium, Phytophthora and Fusarium Species as Determined by BiologÂź Microplate Assay

    PubMed Central

    Khalil, Sammar; Alsanius, Beatrix W

    2009-01-01

    This study examined the metabolic activity of pure cultures of five root pathogens commonly found in closed hydroponic cultivation systems (Phytophthora cryptogea (PC), Phytophthora capsici (PCP), Pythium aphanidermatum (PA), Fusarium oxysporum f.sp. radicis-lycopersici (FORL) and Fusarium solani (FS)) using sole carbon source utilisation in order to develop effective biocontrol strategies against these pathogens. Aliquots of 150 ”L of the mycelial suspension were inoculated in each well of GN2 microtitre plates. On the basis of average well colour development and number of positive wells, the pathogens were divided into two groups, (i) PA and FORL and (ii) PC, PCP and FS. Group (i) was characterised by a short lag-phase, a rapid exponential phase involving almost all carbon sources offered and a long stationary phase, while group (ii) had a more extended lag-phase and a slower utilisation rate of the carbon sources offered. The three isolates in group (ii) differed significantly during their exponential phase. The lowest utilisation rate of carbon sources and number of sources utilised was found for PCP. Of the major group of carbon sources, six carbohydrates, three carboxylic acids and four amino acids were rapidly used by all isolates tested at an early stage. The carbon sources gentibiose, α-D-glucose, maltose, sucrose, D-trehalose, L-aspartic acid, L-glutamic acid, L-proline persisted to the end of the exponential phase.Moreover, similarities between the metabolic profiles of the tested pathogen and the those of the resident microflora could also be found. These findings are of great importance as regards the role of the resident microflora in the biocontrol. PMID:19294012

  11. 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

  12. 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


  13. 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

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

    PubMed

    Tomaszewska, Barbara; SzczepaƄski, 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

  15. 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

  16. 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

  17. New perspectives on nutritional interventions to augment lipid utilisation during exercise.

    PubMed

    Gonzalez, Javier T; Stevenson, Emma J

    2012-02-01

    The enhancement of fat oxidation during exercise is an aim for both recreational exercising individuals and endurance athletes. Nutritional status may explain a large part of the variation in maximal rates of fat oxidation during exercise. This review reveals novel insights into nutritional manipulation of substrate selection during exercise, explaining putative mechanisms of action and evaluating the current evidence. Lowering the glycaemic index of the pre-exercise meal can enhance lipid utilisation by up to 100 % through reduced insulin concentrations, although its application may be restricted to specific training sessions rather than competition. Chronic effects of dietary glycaemic index are less clear and warrant future study before firm recommendations can be made. A flurry of recent advances has overthrown the conventional view of l-carnitine supplementation, with skeletal muscle uptake possible under certain dietary conditions and providing a strategy to influence energy metabolism in an exercise intensity-dependent manner. Use of non-carbohydrate nutrients to stimulate muscle l-carnitine uptake may prove more beneficial for optimising lipid utilisation, but this requires more research. Studies investigating fish oil supplementation on fat oxidation during exercise are conflicting. In spite of some strong putative mechanisms, the only crossover trial showed no significant effect on lipid use during exercise. Ca may increase NEFA availability although it is not clear whether these effects occur. Ca and caffeine can increase NEFA availability under certain circumstances which could theoretically enhance fat oxidation, yet strong experimental evidence for this effect during exercise is lacking. Co-administration of nutrients to maximise their effectiveness needs further investigation. PMID:22136984

  18. 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 SystemÂź). 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

  19. 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

  20. 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

  1. 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, Ɓ., Nagy, S., Papiernik, B., Orlic, B., Kempka, T. Numerical simulations of enhanced gas recovery at the ZaƂęcze 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.

  2. Gender and the utilisation of health services in the Ashanti Region, Ghana.

    PubMed

    Buor, Daniel

    2004-09-01

    The survey seeks to structure a model for gender-based health services utilisation for the Ashanti Region of Ghana, and in addition, recommend intervention measures to ensure gender equity in the utilisation of health services. A sample size of 650 covered over 3108 houses, and the main research instruments were the questionnaire and formal interview. A multiple regression model is used for the analysis of the relationship between the complex independent variables and utilisation by gender. Results show that although females have a greater need for health services than males, they do not utilise health services as much. Secondly, whereas quality of service, health status, service cost and education have greater effect on male utilisation than females, distance and income have higher impact on female utilisation. It is recommended that, to ensure equity in health care utilisation, females be empowered through increased access to formal education and sustainable income opportunities. The introduction of a national health insurance scheme is also recommended to ensure adequate access by both sexes. PMID:15276316

  3. A compilation of research working groups on drug utilisation across Europe

    PubMed Central

    2014-01-01

    Background The assessment of the benefit-risk of medicines needs careful consideration concerning their patterns of utilization. Systems for the monitoring of medicines consumption have been established in many European countries, and several international groups have identified and described them. No other compilation of European working groups has been published. As part of the PROTECT project, as a first step in searching for European data sources on the consumption of five selected groups of medicines, we aimed to identify and describe the main characteristics of the existing collaborative European working groups. Findings Google and bibliographic searches (PubMed) of articles containing information on databases and other sources of drug consumption data were conducted. For each working group the main characteristics were recorded. Nineteen selected groups were identified, focusing on: a) general drug utilisation (DU) research (EuroDURG, CNC, ISPE’S SIG-DUR, EURO-MED-STAT, PIPERSKA Group, NorPEN, ENCePP, DURQUIM), b) specific DU research: b.1) antimicrobial drugs (ARPAC, ESAC, ARPEC, ESGAP, HAPPY AUDIT), b.2) cardiovascular disease (ARITMO, EUROASPIRE), b.3) paediatrics (TEDDY), and b.4) mental health/central nervous system effects (ESEMeD, DRUID, TUPP/EUPoMMe). Information on their aims, methods and activities is presented. Conclusions We assembled and updated information on European working groups in DU research and in the utilisation of five selected groups of drugs for the PROTECT project. This information should be useful for academic researchers, regulatory and health authorities, and pharmaceutical companies conducting and interpreting post-authorisation and safety studies. European health authorities should encourage national research and collaborations in this important field for public health. PMID:24625054

  4. 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

  5. The Utilisation of the Internet by Palestinian English Language Teachers Focusing on Uses, Practices and Barriers and Overall Contribution to Professional Development

    ERIC Educational Resources Information Center

    Kabilan, Muhammad Kamarul; Rajab, Belal Mousa

    2010-01-01

    The paper describes a study designed to investigate the utilisation of the Internet by English Language teachers in Gaza focusing on uses, practices and barriers. A questionnaire was developed based on literature (Kabilan 2003; Kabilan & Mohamed Amin 2002) and was administered to 274 English language teachers in Gaza schools. Data reveal that


  6. 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


  7. 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 ÎČ1B was the only such agent available. Interferon ÎČ1A 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

  8. Estimation of an optimal chemotherapy utilisation rate for upper gastrointestinal cancers: setting an evidence-based benchmark for the best-quality cancer care.

    PubMed

    Ng, Weng; Jacob, Susannah; Delaney, Geoff; Do, Viet; Barton, Michael

    2015-01-01

    Aims. The proportion of patients with upper gastrointestinal cancers that received chemotherapy varies widely in Australia and internationally, indicating a need for a benchmark rate of chemotherapy utilisation. We developed evidence-based models for upper gastrointestinal cancers to estimate the optimal chemotherapy utilisation rates that can serve as useful benchmarks for measuring and improving the quality of care. Materials and Methods. Optimal chemotherapy utilisation models for cancers of the oesophagus, stomach, pancreas, gallbladder, and primary liver were constructed using indications for chemotherapy identified from evidence-based guidelines. Results. Based on the best available evidence, the optimal proportion of upper gastrointestinal cancers that should receive chemotherapy at least once during the course of the patients' illness was estimated to be 79% for oesophageal cancer, 83% for gastric cancer, 35% for pancreatic cancer, 80% for gallbladder cancer, and 27% for primary liver cancer. Conclusions. The reported chemotherapy utilisation rates for upper gastrointestinal cancers (with the exception of primary liver cancer) appear to be substantially lower than the estimated optimal rates suggesting that chemotherapy may be underutilised. Further studies to elucidate the reasons for the potential underutilisation of chemotherapy in upper gastrointestinal tumours are required to bridge the gap between the ideal and actual practice identified. PMID:25883645

  9. Need factors for utilisation of institutional delivery services in Nepal: an analysis from Nepal Demographic and Health Survey, 2011

    PubMed Central

    Karkee, Rajendra; Lee, Andy H; Khanal, Vishnu

    2014-01-01

    Objective This study aims to assess the role of need factors with respect to the utilisation of institutional delivery services in Nepal. Design An analytic study was conducted using a subset of 4079 ever married women from the 2011 Nepal Demographic and Health Survey, which utilised two-stage cluster sampling. Logistic regression with complex sample analysis was performed to evaluate the effects of antenatal care visits and birth preparedness activities on facility delivery. Outcome measures Facility delivery. Results Overall facility delivery rate was low at 36.9% (95% CI 33.5% to 40.2%, SE 1.69). Only half (50.1%) of the women made four or more antenatal care visits while 62.9% (95% CI 59.9% to 65.8%, SE 1.51) did not indicate any of the four birth preparation activities. After adjusting for external, predisposing and enabling factors, women who made more than four antenatal care visits were five times more likely to deliver at a health facility when compared to those who paid no visit (adjusted OR 4.94, 95% CI 3.14 to 7.76). Similarly, the likelihood for facility delivery increased by 3.4-fold among women who prepared for at least two of the four activities compared to their counterparts who made no preparation (adjusted OR 3.41, 95% CI 2.01 to 5.58). Conclusions The perceived need, as expressed by the frequency of antenatal care visits and birth preparedness activities, plays an important role in institutional delivery service utilisation for Nepali women. These findings have implications for behavioural interventions to change their intention to deliver at a health facility. PMID:24650803

  10. 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

  11. Out-of-pocket payments, health care access and utilisation in south-eastern Nigeria: a gender perspective.

    PubMed

    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

  12. A systematic review of the literature exploring illness perceptions in mental health utilising the self-regulation model.

    PubMed

    Baines, Tineke; Wittkowski, Anja

    2013-09-01

    Psychologists have utilised a range of social cognition models to understand variation in physical health and illness-related behaviours. The most widely studied model of illness perceptions has been the Self-Regulation Model (SRM, Leventhal, Nerenz, & Steele, 1984). The illness perceptions questionnaire (IPQ) and its revised version (IPQ-R) have been utilised to explore illness beliefs in physical health. This review examined 13 quantitative studies, which used the IPQ and IPQ-R in mental health in their exploration of illness perceptions in psychosis, bipolar disorder, eating disorders, depression and adolescents experiencing mood disorders. Across these studies the SRM illness dimensions were largely supported. Mental illnesses were commonly viewed as cyclical and chronic, with serious negative consequences. Perceptions regarding chronicity, controllability and negative consequences were associated with coping and help seeking, while engagement with services and help seeking were also related to illness coherence beliefs. Treatment adherence was linked to beliefs that treatment could control one's illness. Whilst a major limitation of the reviewed studies was the use of cross-sectional designs, overall the applicability of the SRM to mental health was supported. The IPQ and IPQ-R were shown to be valuable measures of illness perceptions in mental health, offering implications for clinical practice. PMID:23108509

  13. 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

  14. 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

  15. Analysis of the diversity of substrate utilisation of soil bacteria exposed to Cd and earthworm activity using generalised additive models.

    PubMed

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

    2014-01-01

    Biolog EcoPlatesℱ 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

  16. Needs-oriented discharge planning and monitoring for high utilisers of psychiatric services (NODPAM): Design and methods

    PubMed Central

    Puschner, Bernd; Steffen, Sabine; Gaebel, Wolfgang; Freyberger, Harald; Klein, Helmfried E; Steinert, Tilman; Muche, Rainer; Becker, Thomas

    2008-01-01

    Background Attempts to reduce high utilisation of psychiatric inpatient care by targeting the critical time of hospital discharge have been rare. Methods This paper presents design and methods of the study "Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services" (NODPAM), a multicentre RCT conducted in five psychiatric hospitals in Germany. Inclusion criteria are receipt of inpatient psychiatric care, adult age, diagnosis of schizophrenia or affective disorder, defined high utilisation of psychiatric care during two years prior to the current admission, and given informed consent. Consecutive recruitment started in April 2006. Since then, during a period of 18 months, comprehensive outcome data of 490 participants is being collected at baseline and during three follow-up measurement points. The manualised intervention applies principles of needs-led care and focuses on the inpatient-outpatient transition. A trained intervention worker provides two intervention sessions: (a) Discharge planning: Just before discharge with the patient and responsible clinician at the inpatient service; (b) Monitoring: Three months after discharge with the patient and outpatient clinician. A written treatment plan is signed by all participants after each session. Primary endpoints are whether participants in the intervention group will show fewer hospital days and readmissions to hospital. Secondary endpoints are better compliance with aftercare, better clinical outcome and quality of life, as well as cost-effectiveness and cost-utility. Discussion If a needs-oriented discharge planning and monitoring proves to be successful in this RCT, a tool will be at hand to improve patient outcome and reduce costs via harmonising fragmented mental health service provision. Trial Registration ISRCTN59603527 PMID:18644110

  17. Utilisation of biomass gasification by-products for onsite energy production.

    PubMed

    Vakalis, S; Sotiropoulos, A; Moustakas, K; Malamis, D; Baratieri, M

    2016-06-01

    Small scale biomass gasification is a sector with growth and increasing applications owing to the environmental goals of the European Union and the incentivised policies of most European countries. This study addresses two aspects, which are at the centre of attention concerning the operation and development of small scale gasifiers; reuse of waste and increase of energy efficiency. Several authors have denoted that the low electrical efficiency of these systems is the main barrier for further commercial development. In addition, gasification has several by-products that have no further use and are discarded as waste. In the framework of this manuscript, a secondary reactor is introduced and modelled. The main operating principle is the utilisation of char and flue gases for further energy production. These by-products are reformed into secondary producer gas by means of a secondary reactor. In addition, a set of heat exchangers capture the waste heat and optimise the process. This case study is modelled in a MATLAB-Cantera environment. The model is non-stoichiometric and applies the Gibbs minimisation principle. The simulations show that some of the thermal energy is depleted during the process owing to the preheating of flue gases. Nonetheless, the addition of a secondary reactor results in an increase of the electrical power production efficiency and the combined heat and power (CHP) efficiency. PMID:27118736

  18. 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

  19. Effects of thermal treatments on the characterisation and utilisation of red mud with sawdust additive.

    PubMed

    Liu, Yanju; Naidu, Ravi; Ming, Hui; Dharmarajan, Rajarathnam; Du, Jianhua

    2016-06-01

    Extremely large amounts of red mud (bauxite residue) are generated globally every year from alumina refining industries, which are being disposed of on engineered landfills. The objective of this study is to investigate the effects of thermal treatments on red mud for development of utilisation strategies. Thermal treatments of red mud samples and their characterisations were investigated under inert (N2) and oxidative (air) conditions with and without sawdust addition at 200-600°C. After calcination, the resulting samples were analysed using thermogravimetric-infrared spectroscopy (TG-IR) for functional group transformations, thermogravimetric analysis (TGA) for thermal loss profiles and X-ray diffraction (XRD) for mineral transformations. The characterisation results showed that in N2 environment, boehmite in red mud was transferred to transition alumina at around 400°C while losing water from structural components. The addition of sawdust for incubation and calcination of red mud in air increased the surface area, whereas that in nitrogen atmosphere lead to reduction of hematite to magnetite at around 500°C. The incorporated carbon materials played a major role in increasing the surface area especially for pore size less than 2.5 nm. This treated red mud with altered mineral composition and improved properties for binding contaminants can be used for environmental remediation and in the process of metal recovery such as iron. PMID:26951343

  20. 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.

  1. 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

  2. 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

  3. 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

  4. Measurement of labile copper in wine by medium exchange stripping potentiometry utilising screen printed carbon electrodes.

    PubMed

    Clark, Andrew C; Kontoudakis, Nikolaos; Barril, Celia; Schmidtke, Leigh M; Scollary, Geoffrey R

    2016-07-01

    The presence of copper in wine is known to impact the reductive, oxidative and colloidal stability of wine, and techniques enabling measurement of different forms of copper in wine are of particular interest in understanding these spoilage processes. Electrochemical stripping techniques developed to date require significant pretreatment of wine, potentially disturbing the copper binding equilibria. A thin mercury film on a screen printed carbon electrode was utilised in a flow system for the direct analysis of labile copper in red and white wine by constant current stripping potentiometry with medium exchange. Under the optimised conditions, including an enrichment time of 500s and constant current of 1.0ÎŒA, the response range was linear from 0.015 to 0.200mg/L. The analysis of 52 red and white wines showed that this technique generally provided lower labile copper concentrations than reported for batch measurement by related techniques. Studies in a model system and in finished wines showed that the copper sulfide was not measured as labile copper, and that loss of hydrogen sulfide via volatilisation induced an increase in labile copper within the model wine system. PMID:27154696

  5. Computerised 3-D anatomical modelling using plastinates: an example utilising the human heart.

    PubMed

    Tunali, S; Kawamoto, K; Farrell, M L; Labrash, S; Tamura, K; Lozanoff, S

    2011-08-01

    Computerised modelling methods have become highly useful for generating electronic representations of anatomical structures. These methods rely on crosssectional tissue slices in databases such as the Visible Human Male and Female, the Visible Korean Human, and the Visible Chinese Human. However, these databases are time consuming to generate and require labour-intensive manual digitisation while the number of specimens is very limited. Plastinated anatomical material could provide a possible alternative to data collection, requiring less time to prepare and enabling the use of virtually any anatomical or pathological structure routinely obtained in a gross anatomy laboratory. The purpose of this study was to establish an approach utilising plastinated anatomical material, specifically human hearts, for the purpose computerised 3-D modelling. Human hearts were collected following gross anatomical dissection and subjected to routine plastination procedures including dehydration (-25(o)C), defatting, forced impregnation, and curing at room temperature. A graphics pipeline was established comprising data collection with a hand-held scanner, 3-D modelling, model polishing, file conversion, and final rendering. Representative models were viewed and qualitatively assessed for accuracy and detail. The results showed that the heart model provided detailed surface information necessary for gross anatomical instructional purposes. Rendering tools facilitated optional model manipulation for further structural clarification if selected by the user. The use of plastinated material for generating 3-D computerised models has distinct advantages compared to cross-sectional tissue images. PMID:21866531

  6. 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

  7. Challenges in generating costs and utilisation rates associated with castration-resistant prostate cancer

    PubMed Central

    Bourke, Siobhan; Burns, Richéal Maria; Gaynor, Caroline

    2014-01-01

    Background Prostate cancer (PCa), the most commonly diagnosed cancer among men in the United States and Europe, is an escalating resource allocation issue across healthcare systems in the Western world. The impact of skeletal-related events, associated with castration-resistant prostate cancer (CRPC), is considerable with many new therapies being sought to treat these events in a cost-effective manner. Aims The aim of this paper is to provide insight into the level of constraints associated with devising cost frameworks for economic analysis of CRPC in the Irish healthcare setting. Methods An informal questionnaire was devised to obtain estimates of utilisation to populate a decision tree model; existing parameters from the literature were also employed. Cost parameters included Irish reference costs, and a costs literature review was undertaken; a healthcare payer perspective was adopted. Pharmacy dosages used for modelling costs were calculated for an average 75 kg male. Results The estimated average cost of care associated with adverse events in CRPC was €23,264. Approximately 40% of the costs of CRPC are attributed to skeletal-related events; therefore, reducing the number of skeletal-related events could significantly reduce the cost of care. In attempting to generate accurate and reliable cost parameters, this study highlights the challenges of conducting economic analysis in the Irish healthcare setting. Conclusion This study presents leading treatments and associated costs for CRPC patients in the Republic of Ireland (RoI), which are expected to steadily increase with demographic shifts. Further research is warranted in this area due to the limitations encountered in the study.

  8. 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.

  9. Utilising Benchmarking to Inform Decision-Making at the Institutional Level: A Research-Informed Process

    ERIC Educational Resources Information Center

    Booth, Sara

    2013-01-01

    Benchmarking has traditionally been viewed as a way to compare data only; however, its utilisation as a more investigative, research-informed process to add rigor to decision-making processes at the institutional level is gaining momentum in the higher education sector. Indeed, with recent changes in the Australian quality environment from the


  10. Utilisation of Local Inputs in the Funding and Administration of Education in Nigeria

    ERIC Educational Resources Information Center

    Akiri, Agharuwhe A.

    2014-01-01

    The article discussed how, why and who is in charge of administering and funding schools in Nigeria. The author utilised the relevant statistical approach which examined and discussed various political and historical trends affecting education. Besides this, relevant documented statistical data were used to both buttress and substantiate related


  11. 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

  12. Predictors of traditional medicines utilisation in the Ghanaian health care practice: interrogating the Ashanti situation.

    PubMed

    Gyasi, Razak Mohammed; Mensah, Charlotte Monica; Siaw, Lawrencia Pokuah

    2015-04-01

    Traditional medicine (TRM) use remains universal among individuals, families and communities the world over but the predictive variables of TRM use is still confounding. This population-based study analysed the predictors of TRM use in Ashanti Region, Ghana. A retrospective cross-sectional quantitative survey involving systematic random sampled participants (N = 324) was conducted. Structured interviewer-administered questionnaires were used as research instruments. Data were analysed with logit regression, Pearson's Chi square and Fisher's exact tests from the PASW for Windows application (V. 17.0). Overall, 86.1 % (n = 279) reported use of TRM with biologically-based and distant/prayer therapies as the major forms of TRM utilised in the previous 12 months. Among the general population, TRM use was predicted by having low-income levels [odds ratio (OR) 2.883, confidence interval (CI) 1.142-7.277], being a trader (OR 2.321, CI 1.037-5.194), perceiving TRM as effective (OR 4.430, CI 1.645-11.934) and safe (OR 2.730, CI 0.986-4.321), good affective behaviour of traditional medical practitioner (TMP) (OR 2.943, CI 0.875-9.896) and having chronic ill-health (OR 3.821, CI 1.213-11.311). The prevalence of TRM use is high. The study provides evidence that people's experience, personal attributes, health beliefs, attitude to TRM, attitude of TMP to clients and medical history are largely accountable for the upsurge use of TRM rather than socio-demographic factors. Understanding the health-seeking behaviour of individuals is exigent to ascribe appropriate medical care by health care providers. PMID:25173694

  13. Variabilities in the mortality-related resource utilisation for congenital heart disease

    PubMed Central

    Danford, David A; Karels, Quentin; Kutty, Shelby

    2016-01-01

    Objective Our objective was to characterise the divergence of effort from outcome in congenital heart disease (CHD) care by measuring mortality-related resource utilisation fraction (MRRUF) for various CHD lesions across institutions of differing volumes. Methods Study design was observational analysis of an administrative database, the Pediatric Health Information System (PHIS). The setting was inpatient; 2004–2013. Patients were ≀21 years old with atrial septal defect (ASD), ventricular septal defect (VSD), tetralogy of Fallot (TOF), hypoplastic left heart syndrome (HLHS) or other single ventricle (SV). There were no interventions but diagnosis, institution (and volume), age, length of hospitalisation, billed charges and deaths were recorded. The main outcome measure was MRRUF, the ratio of investments during hospitalisations ending in fatality to investments during all hospitalisations. Results There were 50 939 admissions, 1711 deaths, 703 383 inpatient days, and $10 182 000 000 billed charges. MRRUF varied widely by diagnosis: highest in HLHS (21%), but present in ASD (2%) and VSD (4%). Highest among the very young, MRRUF also increased in HLHS and SV during adolescence. MRRUF increased with hospitalisation duration. MRRUF had no relation to institutional volume, and was static over the decade studied. Conclusions Even in the modern era we invest heavily in inpatient CHD care that does not produce the desired outcome. Although its magnitude varies by lesion and age, MRRUF is not limited to complex disease in the very young. MRRUF is not decreasing, and is not isolated to high or low volume institutions. PMID:27175289

  14. 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.

  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. 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

    2015-01-01

    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 (ΔrGξm) 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

  17. 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

  18. 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

  19. 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

  20. 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

  1. Nutrient utilisation and methane emissions in Sahiwal calves differing in residual feed intake.

    PubMed

    Sharma, Vimlesh C; Mahesh, Munnurpal S; Mohini, Madhu; Datt, Chander; Nampoothiri, Vinu M

    2014-01-01

    The presented study aimed at investigating the residual feed intake (RFI) of Sahiwal calves, nutrient utilisation as affected by RFI and its relationship with methane (CH4) emissions and some blood metabolites. Eighteen male Sahiwal calves (10-18 months of age; mean body weight 133 kg) were fed ad libitum with a total mixed ration. After calculating RFI for individual calves (-0.40 to +0.34 kg DM/d), they were divided into three groups with low, medium and high RFI, respectively. Dry matter intake (DMI) was higher (p < 0.05) in Group High RFI, whereas digestibility of all nutrients except crude protein and ether extract was significantly higher in Group Low RFI. Nitrogen balance was also significantly higher in Group Low RFI (20.2 g/d) than in Group High RFI (17.0 g/d). Average daily gain and feed conversion ratio were similar among the groups. With exception of glucose, concentrations of all measured blood metabolites were higher in Group High RFI (p < 0.05). Compared with Group High RFI, the CH4 emission of Group Low RFI was significantly lower (on the basis g/d and g/kg DMI by 11% and 19%, respectively). Furthermore, the CH4 emission [g/d] was significantly correlated with RFI (r = 0.77). Because higher feed efficiency and less CH4 production were observed in Group Low RFI, it was concluded that RFI can be used as a measure of feed efficiency, which has a potential to select Sahiwal calves for lowered CH4 emissions. PMID:25156936

  2. 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.

  3. 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 (ή30SibSiO2) and of large handpicked mono-generic (i.e. genus = Coscinodiscus) diatom samples (ή30SiCoscino) 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 ή30SiCoscino 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 ή30SibSiO2 of small mixed diatom species increase southward along the shelf as well as towards the shore. We attribute highest ή30SibSiO2 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 ή30SibSiO2 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 ή30Si signatures. As such, we propose that the intensity of the upwelling can be deduced from the offset between ή30SibSiO2 and ή30SiCoscino (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 ή30SibSiO2 record.

  4. 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; KovĂĄcs, KristĂłf; 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

  5. 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; KovĂĄcs, KristĂłf; 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

  6. 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

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

    NASA Astrophysics Data System (ADS)

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

    2015-07-01

    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.

  8. Utilisation of preharvest dropped apple peels as a flour substitute for a lower glycaemic index and higher fibre cake.

    PubMed

    Jun, Yujin; Bae, In Young; Lee, Suyong; Lee, Hyeon Gyu

    2014-02-01

    Fibre-enriched materials (FEMs) obtained from preharvest dropped apple peels were utilised as a source of dietary fibre in baked cakes and their effects on the textural/nutritional qualities and starch digestibility (glucose release behaviour, starch digestion fraction, predicted glycaemic index) of the cakes were evaluated. When FEMs were incorporated into the cake formulation (3 g and 6 g of dietary fibre per serving (100 g)), the volume of the cakes seemed to be reduced and their texture become harder. However, 3 g of FEMs did not degrade the cake qualities. The use of FEMs in cakes significantly reduced the levels of rapidly digestible starch and slowly digestible starch, while the levels of resistant starch increased. Additionally, the cake samples prepared with FEMs exhibited a lower predicted glycaemic index. This study may give rise to multi-functional bakery products with acceptable quality and low glycaemic index. PMID:23992534

  9. 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 γ-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

  10. Possibilities of municipal solid waste incinerator fly ash utilisation.

    PubMed

    Hartmann, Silvie; Koval, LukĂĄĆĄ; Ć krobĂĄnkovĂĄ, Hana; MatĂœsek, Dalibor; Winter, Franz; Purgar, Amon

    2015-08-01

    Properties of the waste treatment residual fly ash generated from municipal solid waste incinerator fly ash were investigated in this study. Six different mortar blends with the addition of the municipal solid waste incinerator fly ash were evaluated. The Portland cement replacement levels of the municipal solid waste incinerator fly ash used were 25%, 30% and 50%. Both, raw and washed municipal solid waste incinerator fly ash samples were examined. According to the mineralogical composition measurements, a 22.6% increase in the pozzolanic/hydraulic properties was observed for the washed municipal solid waste incinerator fly ash sample. The maximum replacement level of 25% for the washed municipal solid waste incinerator fly ash in mortar blends was established in order to preserve the compressive strength properties. Moreover, the leaching characteristics of the crushed mortar blend was analysed in order to examine the immobilisation of its hazardous contents. PMID:26060198

  11. 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

  12. 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 (PMIC₅₀=78 ÎŒg/mL), followed by curcumin (CUR) (PMIC₅₀=100 ÎŒg/mL) and pyrocatechol (PMIC₅₀=625 ÎŒg/mL). Both PYG and CUR displayed activity against C. albicans biofilms (SMIC₅₀=40 ÎŒg/mL and 50 ÎŒg/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

  13. 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.

  14. 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

  15. 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

  16. 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

  17. 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

  18. Systeme Optique de Transformations de Coordonnees et Son Utilisation EN Reconnaissance de Formes

    NASA Astrophysics Data System (ADS)

    Asselin, Daniel

    La foramtion optique des transformations de coordonnees (TC) polaire et log-polaire a un grand potentiel en reconnaissance invariante sous rotation et changement d'echelle en temps reel. Cependant, jusqu'ici, la faible qualite des transformations obtenues et le probleme d'enroulement ont empeche toute utilisation pratique. A l'aide d'hologrammes a facettes generes par ordinateur, nous etudierons donc la generation optique de TC de qualite en utilisant des facettes de tailles variables tandis que, en juxtaposant deux TC, nous reduirons de facon appreciable l'effet d'enroulement. Suite a ces ameliorations, nos experiences demontreront la possibilite d'une reconnaissance invariante en rotation et en echelle d'objets simples, seule l'etape de la classification etant supportee numeriquement. Nous etudierons egalement les effets, sur l'onde reconstruite, de la resolution limitee du modulateur supportant l'hologramme, les principales conclusions ayant ete experimentalement confirmees.

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

    NASA Astrophysics Data System (ADS)

    Goh, GĂ©rardine 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.

  20. 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

  1. Analysis of operating theatre utilisation to drive efficiency and productivity improvements.

    PubMed

    Thorburn, Hamish; Khanna, Sankalp; Boyle, Justin; Good, Norm; Steyn, Michael

    2014-01-01

    There is an urgent need in the acute health system to use resources as efficiently as possible. One such group of resources are operating theatres, which have an important impact on patient flow through a hospital. Data-driven insights into the use of operating theatres can suggest improvements to minimise wastage and improve theatre availability. In this paper, a short extract of surgical data from participating Queensland public hospitals was statistically analysed to examine the effects of session type, session specialty, scheduling the longest case first and day of the week on theatre utilisation. It was found that day-long sessions (as opposed to separate morning or afternoon sessions), mid-week sessions, certain specialties (eg. neurosurgery sessions) and not doing the longest case first were most beneficial to theatre utilisation. Awareness of these findings is important in any redesign activity aimed at improving flow performance. PMID:25087544

  2. Nitrogen supply in cattle coupled with appropriate supply of utilisable crude protein at the duodenum, a precursor to metabolisable protein.

    PubMed

    Pfeffer, Ernst; Schuba, Jan; SĂŒdekum, Karl-Heinz

    2016-08-01

    The overall objective of this study was to calculate the amount of nitrogen (N) that cattle feed must contain in order to utilise the potential supply of utilisable crude protein at the duodenum provided by their energy intake without incurring a negative N balance, that is, without having to break down body protein. For this purpose, the literature was screened for measurements of net degradation and renal excretion of urea as well as N balances (N intake, faecal N and urinary N) in ruminants (cattle, sheep and goats) fed diets with varying N concentrations. Irreversible loss of N from the body urea pool increased with increasing N intake, but net degradation of urea as a proportion of irreversible loss decreased concurrently. Faecal N appeared not to be influenced by N intake and exceeded 11 g/kg dry matter intake (DMI) only in 7% of the data sets available. Urinary non-urea-N rarely exceeded 4 g/kg DMI and appeared independent of N intake. Urinary urea-N showed a clear dependence of N intake, and it is concluded that 1 g N/kg DMI is sufficient for compensating inevitable N losses in the form of urinary urea. In conclusion, ruminant rations should contain the following N concentrations (per kg DM) to account for obligatory losses: 11 g for compensating losses as faecal N, 4 g for compensating losses as urinary non-urea-N and 1 g for compensating inevitable losses as urinary urea-N. The derived recommendations should be helpful for limiting N excretion where this is desirable for ecological reasons. PMID:27216556

  3. Course of post-traumatic stress disorder and health care utilisation among resettled refugees in the Netherlands

    PubMed Central

    2014-01-01

    Background Post-traumatic stress disorder (PTSD) is a major health problem among refugees worldwide. After resettlement, the prevalence of PTSD remains high despite the fact that various PTSD treatments are known to be effective. Methods We examined the course of PTSD and the role of mental health care utilisation at a 7-year interval (2003–2010) among a cohort of refugees from Iran, Afghanistan, and Somalia after resettlement in the Netherlands. Results The unchanged high prevalence of PTSD (16.3% in 2003 and 15.2% in 2010) was attributable in part to late onset of PTSD symptoms (half of the respondents with PTSD at T2 were new cases for whom PTSD developed after 2003). The second reason concerned the low use of mental health care services at T1. Whereas the multivariate analyses showed the effectiveness of mental health care, only 21% of respondents with PTSD at T1 had had contact with a mental health care provider at that time. Use of mental health care during the first wave increased the odds of improvement in PTSD symptoms between both measurements (OR 7.58, 95% CI 1.01; 56.85). Conclusions The findings of this study suggest there are two possible explanations for the persistently high prevalence of PTSD among refugees. One is the late onset of PTSD and the other is the low utilisation of mental health care. Health care professionals should be aware of these issues, especially given the effectiveness of mental health care for this condition. PMID:24670251

  4. 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.

  5. 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 ÂŁ65.13 for infants born to overweight mothers and ÂŁ1138.11 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 ÂŁ2310 per person in reducing obesity early pregnancy could be cost-effective. PMID:26610756

  6. 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

  7. 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

  8. L’utilisation d’objets comme outils: un dĂ©veloppement continu

    PubMed Central

    Kahrs, Björn Alexander; Lockman, Jeffrey J.

    2014-01-01

    Le dĂ©bat autour des origines dĂ©veloppementales de la capacitĂ© humaine Ă  utiliser des outils de maniĂšre souple reste ouvert. Alors que l’approche dominante se focalise sur un changement qualitatif cognitif vers la fin de la premiĂšre annĂ©e, la thĂ©orie perception-action fournit des indices importants sur la maniĂšre dont les comportements exploratoires plus prĂ©coces des nourrissons jettent les bases pour l’émergence de cette capacitĂ©. En particulier, nous nous intĂ©ressons Ă  la maniĂšre 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 recrutĂ©es plus tard pour l’utilisation d’outils. Dans ce contexte, nous discutons des Ă©tudes comportementales et cinĂ©matiques portant sur la manipulation d’objets, qui montrent que les nourrissons font interagir les objets et les surfaces avec discernement et que leur contrĂŽle de la frappe (banging) augmente au cours de leur premiĂšre annĂ©e. En conclusion, une perspective perception-action suggĂšre que l’utilisation d’outils Ă©merge de maniĂšre plus continue au cours du dĂ©veloppement que ce qui a Ă©tĂ© traditionnellement envisagĂ©. PMID:24511151

  9. 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.

  10. 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

  11. Anthelmintic utilisation practices and prevalence of gastrointestinal helminth infections in sheep kept in the urban and peri-urban areas of Bishoftu Town.

    PubMed

    Datiko, Jallale; Terefe, Getachew; Bekele, Jemere

    2013-02-01

    Assessment of the anthelmintic (AH) utilisation practices and estimation of the prevalence of gastrointestinal helminth infections in sheep were carried out from November 2010 to April 2011 in urban and peri-urban areas of Bishoftu Town, central Ethiopia. A structured questionnaire was employed to assess the AH utilisation practices in sheep of 310 owners/households, while floatation and sedimentation techniques were used to study the prevalence of helminth infections. Faecal examinations revealed that 53.9 % of sheep harboured gastrointestinal helminth infections with a high frequency due to strongyles (77.3 %). The questionnaire survey revealed that sources of AH for sheep were government and private veterinary clinics for 98.5 % of urban and 65.4 % peri-urban respondents. In peri-urban areas, AH were also purchased from open markets and illegal dealers. Albendazole was the most common (75.5 %) drug used in sheep followed by ivermectin (18.7 %) and tetramisole (5.8 %). The criteria for selecting AH were: prescription by veterinarians (51.6 %), efficacy (31.9 %), price (12.3 %) and arbitrary reasons (4.2 %). Treatment frequency was minimal with 51.3, 32.3 and 15.8 % of the owners treating their sheep once, twice and less than once per year, respectively. Treatments mainly depended on manifestations of general (45.8 %) and digestive (23.3 %) symptoms. Irrespective of the body weight of the sheep, albendazole was the only drug reported to be given at half bolus/sheep (14.1 %). Owing to this practice, albendazole faces the risk of reduced efficacy or AH resistance due to its wide spread utilisation, handling by untrained personnel and suspected underdosage, which altogether support the perception of sheep owners on its lower effect on the performance of treated sheep. PMID:23015354

  12. Influence of palm oil and palm oil fractions on protein utilisation.

    PubMed

    Henry, C J; Ghusain-Choueiri, A; Gurr, M I

    1997-03-01

    The influence of dietary palm-oil fractions on protein utilisation has been investigated in the growing rat. At 30 days of age, 4-6 groups of four animals were offered one of six semi-purified diets that differed only in the palm-oil fraction. Diets contained 200g casein, 550 g carbohydrate, and 200g fat/kg. The different palm-oil fractions were: crude palm oil (CPO), refined palm-kernel oil (PKO), refined palm olein (RPO), refined palm stearin (RPS), refined palm oil (RPOL). The control groups were given Olive oil (OO) as the dietary fat source. The conversion efficiency of dietary protein was assessed as Net Protein Utilisation (NPU), using a 10-day comparative carcass technique. Weight gain and food intake were not altered by the various palm-oil fractions. However, the NPU of rats given RPO was significantly higher (p<0.05) than that of rats given all other palm-oil fractions or the OO control. It is concluded that the RPO has the potential to significantly improve NPU in the rat, compared to four other palm-oil fractions as well as olive oil. PMID:24394656

  13. Sites of metabolic substitution: investigating metabolite structures utilising ion mobility and molecular modelling.

    PubMed

    Dear, Gordon J; Munoz-Muriedas, Jordi; Beaumont, Claire; Roberts, Andrew; Kirk, Jayne; Williams, Jonathan P; Campuzano, Iain

    2010-11-15

    Drug metabolism is an integral part of the drug development and drug discovery process. It is required to validate the toxicity of metabolites in support of safety testing and in particular provide information on the potential to form pharmacologically active or toxic metabolites. The current methodologies of choice for metabolite structural elucidation are liquid chromatography/tandem mass spectrometry (LC/MS/MS) and nuclear magnetic resonance (NMR) spectroscopy. There are, in certain cases, examples of metabolites whose sites of metabolism cannot be unequivocally identified by MS/MS alone. Utilising commercially available molecular dynamics packages and known quantum chemistry basis sets, an ensemble of lowest energy structures were generated for a group of aromatic hydroxylated metabolites of the model compound ondansetron. Theoretical collision cross-sections were calculated for each structure. Travelling-wave ion mobility (IMS) measurements were also performed on the compounds, thus enabling experimentally derived collision cross-sections to be calculated. A comparison of the theoretical and experimentally derived collision cross-sections were utilised for the accurate assignment of isomeric drug metabolites. The UPLC/IMS-MS method, described herein, demonstrates the ability to measure reproducibly by ion mobility, metabolite structural isomers, which differ in collision cross-section, both theoretical and experimentally derived, by less than 1 Å(2). This application has the potential to supplement and/or complement current methods of metabolite structural characterisation. PMID:20941763

  14. 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

  15. 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.

  16. Cumulative metal leaching from utilisation of secondary building materials in river engineering.

    PubMed

    Leuven, R S E W; Willems, F H G

    2004-01-01

    The present paper estimates the utilisation of bulky wastes (minestone, steel slag, phosphorus slag and demolition waste) in hydraulic engineering structures in Dutch parts of the rivers Rhine, Meuse and Scheldt over the period 1980-2025. Although they offer several economic, technical and environmental benefits, these secondary building materials contain various metals that may leach into river water. A leaching model was used to predict annual emissions of arsenic, cadmium, copper, chromium, lead, mercury, nickel and zinc. Under the current utilisation and model assumptions, the contribution of secondary building materials to metal pollution in Dutch surface waters is expected to be relatively low compared to other sources (less than 0.1% and 0.2% in the years 2000 and 2025, respectively). However, continued and widespread large-scale applications of secondary building materials will increase pollutant leaching and may require further cuts to be made in emissions from other sources to meet emission reduction targets and water quality standards. It is recommended to validate available leaching models under various field conditions. Complete registration of secondary building materials will be required to improve input data for leaching models. PMID:15053116

  17. 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

  18. Resource utilisation and costs of depressive patients in Germany: results from the primary care monitoring for depressive patients trial.

    PubMed

    Krauth, Christian; Stahmeyer, Jona T; Petersen, Juliana J; Freytag, Antje; Gerlach, Ferdinand M; Gensichen, Jochen

    2014-01-01

    Background. Depression is the most common type of mental disorder in Germany. It is associated with a high level of suffering for individuals and imposes a significant burden on society. The aim of this study was to estimate the depression related costs in Germany taking a societal perspective. Materials and Methods. Data were collected from the primary care monitoring for depressive patients trial (PRoMPT) of patients with major depressive disorder who were treated in a primary care setting. Resource utilisation and days of sick leave were observed and analysed over a 1-year period. Results. Average depression related costs of €3813 were calculated. Significant differences in total costs due to sex were demonstrated. Male patients had considerable higher total costs than female patients, whereas single cost categories did not differ significantly. Further, differences in costs according to severity of disease and age were observed. The economic burden to society was estimated at €15.6 billion per year. Conclusion. The study results show that depression poses a significant economic burden to society. There is a high potential for prevention, treatment, and patient management innovations to identify and treat patients at an early stage. PMID:25295184

  19. 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

  20. 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

  1. 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

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

    PubMed

    Lakatos, Gabriella; GĂĄcsi, MĂĄrta; TopĂĄl, JĂłzsef; MiklĂłsi, AdĂĄm

    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

  3. 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

  4. 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

  5. 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

  6. 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.

  7. 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 (ÎŽ30SiDSi) profiles of Lake Baikal's water column, where a comparison between both pre- and post-diatom growing season ÎŽ30SiDSi 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 ÎŽ30SiDSi 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. ÎŽ30SiDSi 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 ÎŽ30Sidiatom 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.

  8. Intranet-Based Learning: A One-Year Study of Student Utilisation.

    ERIC Educational Resources Information Center

    Herson, Katie; Sosabowski, M. H.; Lloyd, A. W.

    1999-01-01

    Reports on the undergraduate utilization and evaluation of an Intranet learning resource developed at the School of Pharmacy of the University of Brighton (United Kingdom). Topics include advantages of Intranets over the Internet, including software licensing and confidentiality; barriers to implementation; and future proposals. (LRW)

  9. 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


  10. Interprofessional orientation for health professionals utilising simulated learning: Findings from a pilot study.

    PubMed

    Will, Kristen Kaye; Stepanek, Jan; Brewer, Kathryn K; Colquist, Julie A; Cruz, Jade Ethel S; Donald, Carrlene B; Hartsell, Zachary C; Hust, Steven J; Lowell, Amelia A; Markiewicz, Katherine A; Panchmatia, Bella; Shelton, A Travis; Novais, Barbara S; Wilson, Rebecca

    2016-03-01

    We describe a novel, interprofessional educational intervention pilot used to orient new health profession employees through the simulation laboratory. Health profession employees were recruited to engage in a simulation training session that focused on communication, collaboration, and healthcare roles and responsibilities. Learners (N = 11) were divided into two groups with representation from various health disciplines. Each group participated in a simulated patient scenario while the other group actively observed in another classroom. At the end of both sessions, the group reconvened for a debriefing session. Participants were given a survey before and after the training session, to evaluate the content, experience, and value to their practice. The pre- and post-evaluation survey analysis showed improvement in all objectives with a mean (SD) pre-evaluation score of 4.10 (0.40-1.01) and mean (SD) post-evaluation score of 4.73 (0.30-0.81). Results were favourable, and plans to expand this project are under way. PMID:26930557

  11. Barriers and Gateways: A Study of Nursing Students' Utilisation of Learning Support Resources.

    ERIC Educational Resources Information Center

    Stewart, Lyn; Mort, Pam; McVeigh, Carol

    2001-01-01

    A survey of 150 first-year nursing students indicated that 65% had been referred to the learning development center. Older students admitted through nontraditional access points were more likely to self-refer; younger students were more reluctant to access learning support resources, although they lacked effective learning strategies. (SK)

  12. A novel estimate of ocean oxygen utilisation points to a reduced rate of respiration in the ocean interior

    NASA Astrophysics Data System (ADS)

    Duteil, O.; Koeve, W.; Oschlies, A.; Bianchi, D.; Galbraith, E.; Kriest, I.; Matear, R.

    2013-11-01

    The Apparent Oxygen Utilisation (AOU) is a classical measure of the amount of oxygen respired in the ocean's interior. We show that AOU systematically overestimates True Oxygen Utilisation (TOU) in 6 coupled circulation-biogeochemical ocean models. This is due to atmosphere-ocean oxygen disequilibria in the subduction regions, consistent with previous work. We develop a simple, new, observationally-based approach which we call Evaluated Oxygen Utilisation (EOU). In this approach, we take into account the impact of the upper ocean oxygen disequilibria into the interior, considering that transport takes place predominantly along isopycnal surfaces. The EOU approximates the TOU with less than half of the bias of AOU in all 6 models despite large differences in the physical and biological components of the models. Applying the EOU approach to a global observational dataset yields an oxygen consumption rate 25% lower than that derived from AOU-based estimates, for a given ventilation rate.

  13. 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

  14. 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

  15. 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

  16. 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.

  17. 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

  18. 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

  19. Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: a qualitative inquiry.

    PubMed

    Kroll, Thilo; Jones, Gwyn C; Kehn, Matthew; Neri, Melinda T

    2006-07-01

    Individuals with physical disabilities are less likely to utilise primary preventive healthcare services than the general population. At the same time they are at greater risk for secondary conditions and as likely as the general population to engage in health risk behaviours. This qualitative exploratory study had two principal objectives: (1) to investigate access barriers to obtaining preventive healthcare services for adults with physical disabilities and (2) to identify strategies to increase access to these services. We conducted five focus group interviews with adults (median age: 46) with various physically disabling conditions. Most participants were male Caucasians residing in Virginia, USA. Study participants reported a variety of barriers that prevented them from receiving the primary preventive services commonly recommended by the US Preventive Services Task Force. We used a health services framework to distinguish structural-environmental (to include inaccessible facilities and examination equipment) or process barriers (to include a lack of disability-related provider knowledge, respect, and skilled assistance during office visits). Participants suggested a range of strategies to address these barriers including disability-specific continuing education for providers, the development of accessible prevention-focused information portals for people with physical disabilities, and consumer self-education, and assertiveness in requesting recommended services. Study findings point to the need for a more responsive healthcare system to effectively meet the primary prevention needs of people with physical disabilities. The authors propose the development of a consumer- and provider-focused resource and information kit that reflects the strategies that were suggested by study participants. PMID:16787479

  20. Age-and gender-related differences in drug utilisation and adverse drug reaction patterns among patients in a coronary care unit

    PubMed Central

    Kunnoor, Nitin Subhashchandra; Devi, Padmini; Kamath, Deepak Yogesh; Anthony, Naveen; George, Jesso

    2014-01-01

    INTRODUCTION This study aimed to examine age-and gender-related differences in the comorbidities, drug utilisation and adverse drug reaction (ADR) patterns of patients admitted to a coronary care unit (CCU). METHODS The present study was a retrospective cohort study. Two trained physicians independently reviewed the case records of CCU patients over a period of one year (Jan–Dec 2008). The demographic, clinical, and drug prescription data of the patients were analysed according to age group (18–59 years vs ≄ 60 years) and gender. RESULTS A total of 574 patients were admitted to the CCU during the study period. Of these 574 patients, 65.2% were male, and 48.4% were ≄ 60 years old. No significant gender-based differences were found for the prescription of cardiovascular and non-cardiovascular drugs, and ADR patterns (p > 0.05). Male patients aged ≄ 60 years were found to have a higher rate of polypharmacy than those aged 18–59 years (p = 0.001). The duration of hospital stay was longer in male than female patients (p = 0.008), and the duration of CCU stay was longer for male patients aged ≄ 60 years than males aged 18–59 years (p = 0.013). Compared to patients aged 18–59 years, a greater number of patients aged ≄ 60 years were prescribed cardiovascular (p = 0.006) and non-cardiovascular drugs (p = 0.015). Patients aged ≄ 60 years also had a higher rate of polypharmacy (p = 0.001) and ADRs (p = 0.013), and a longer duration of CCU stay (p = 0.013). Renal (p = 0.047) and cutaneous (p = 0.003) ADRs were found to be more common in patients aged ≄ 60 years. CONCLUSION No major gender-related differences were observed in the prescription, drug utilisation and ADR patterns of our study cohort. Higher drug utilisation, ADR rates, and longer duration of CCU stay were noted in patients aged ≄ 60 years. PMID:24763839

  1. Teaching arms and screens for microscope and fibreoptic nasendoscope: are they effective teaching devices and are we utilising them?

    PubMed

    Ho, Eu Chin; Baker, Lucy Jane; Savage, Hugh; Simmons, Mark

    2010-04-01

    With training time for junior doctors now reduced, it is crucial to optimise training opportunities during elective clinical activities. Teaching ENT examination skills presents unique challenges as often, only the examiner can observe what's going on. We set out to explore the utilisation of microscope and nasendoscope teaching devices for ENT junior doctors. Telephonic survey of 102 English ENT units. ENT junior doctors spent an average of 7 h per week in elective ENT outpatient clinics. 92% of them felt that spending time in outpatient clinics helped improve their confidence in patients' management. 81% of ENT junior doctors stated that being able to observe others or being observed themselves would help to improve their clinical abilities. The availability and utilisation of nasendoscopy and microscopy teaching tools are currently suboptimal. Doctors working in departments that utilised the teaching tools stated that their educational needs were more likely to be met. Most ENT junior doctors found it beneficial to attend elective outpatient clinics although their learning needs were more likely to be met should ENT teaching devices be available. The availability and utilisation of ENT teaching devices are currently suboptimal and needs addressing. PMID:19690879

  2. Atherogenic, fibrotic and glucose utilising actions of glucokinase activators on vascular endothelium and smooth muscle

    PubMed Central

    2014-01-01

    Background Pharmaceutical interventions for diabetes aim to control glycaemia and to prevent the development of complications, such as cardiovascular diseases. Some anti-hyperglycaemic drugs have been found to have adverse cardiovascular effects in their own right, limiting their therapeutic role. Glucokinase activity in the pancreas is critical in enhancing insulin release in response to hyperglycaemia. Glucokinase activators (GKAs) are novel agents for diabetes which act by enhancing the formation of glucose-6-phosphate leading to increased insulin production and subsequent suppression of blood glucose. Little, however, is known about the direct effects of GKAs on cardiovascular cells. Methods The effect of the GKAs RO28-1675 and Compound A on glucose utilisation in bovine aortic endothelial cells (BAEC) and rat MIN6 was observed by culturing the cells at high and low glucose concentration in the presence and absence of the GKAs and measuring glucose consumption. The effect of RO28-1675 at various concentrations on glucose-dependent signalling in BAEC was observed by measuring Smad2 phosphorylation by Western blotting. The effect of RO28-1675 on TGF-ÎČ stimulated proteoglycan synthesis was measured by 35S-SO4 incorporation and assessment of proteoglycan size by SDS-PAGE. The effects of RO28-1675 on TGF-ÎČ mediated Smad2C phosphorylation in BAEC was observed by measurement of pSmad2C levels. The direct actions of RO28-1675 on vascular reactivity were observed by measuring arteriole tone and lumen diameter. Results GKAs were demonstrated to increase glucose utilisation in pancreatic but not endothelial cells. Glucose-activated Smad2 phosphorylation was decreased in a dose-dependent fashion in the presence of RO28-1675. No effect of RO28-1675 was observed on TGF-ÎČ stimulated proteoglycan production. RO28-1675 caused a modest dilation in arteriole but not contractile sensitivity. Conclusions GKA RO28-1675 did not increase glucose consumption in endothelial cells indicating the absence of glucokinase in those cells. No direct deleterious actions, in terms of atherogenic changes or excessive vasoactive effects were seen on cells or vessels of the cardiovascular system in response to GKAs. If reflected in vivo, these drugs are unlikely to have their use compromised by direct cardiovascular toxicity. PMID:24731772

  3. 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

  4. UTILISATION ANALYSIS OF ANTIHYPERTENSIVE DRUGS IN BOSNIA AND HERZEGOVINA FOR THE TIME-PERIOD 2013–2015

    PubMed Central

    Selmanovic, Kenan; Zec, Svjetlana Loga; Vanis, Nenad; Zecevic, Lamija; Setkic, Manja; Rasic, Azra; Zerem, Enver

    2016-01-01

    Objective: Expenditures for drugs are increasingly burdening already insufficient funds for health protection. This is especially evident in less developed European countries such as Bosnia and Herzegovina. The question is whether such analyses can help save funds for financing treatment for diseases, with an emphasis on a more rational choice of drug for appropriate indication, whereby clinical complications of hypertension would be prevented and patients would have quality of their lives improved. Aim: Focus of research has been set on analysis of use of antihypertensive drugs in Bosnia and Herzegovina in the time-period January 2013–March 2015. Use of all drugs for treatment of hypertension in that time-period in the country has been shown in an unbiased manner. Methods: The study is designed as retrospective-prospective comparative research of use of antihypertensive drugs in BiH in a certain time-period. Data are collected from relevant drug utilisation database which has been established in Bosnia and Herzegovina since 2013. Results: We have calculated financial expenditure for prescribed antihypertensives in the time- period of 2013, 2014 and Q1 2015. Use of antihypertensives at the country level for this time-period is BAM 200,242,218. At the country level, physicians are most often opting for combination therapy: ACE inhibitors + diuretics (20.2%) and ACE inhibitors + Ca channel antagonists (18.0%). Conclusion: In this research, it has been shown that modern drugs are used for treatment of hypertension in Bosnia and Herzegovina. These drugs are used in the same order as they are prescribed in developed countries. PMID:27147917

  5. Effect of N fertilisation rate, energy supplementation and supplementation strategy on efficiency of N utilisation in the sheep rumen.

    PubMed

    Fievez, V; Vandeweghe, A; Vlaeminck, B; Mbanzamihigo, L; Carlier, L; Demeyer, D

    2001-01-01

    The effect of nitrogen (N) fertilisation (200 vs. 400 kg N ha-1 year-1) of pasture cut in the beginning (end of May) and the end (end of August) of the grazing season and of simultaneous or separated feeding of maize and grass (400 kg N ha-1 year-1) on efficiency of N utilisation in the rumen has been studied using four rumen cannulated wethers. Doubling N fertiliser rate increased grass CP production by about 60%, but induced extensive excess of rumen degradable N, reflected in high urinary urea excretion (rpearson = 0.747). The latter was lower (74% at the maximum) when feeding less fertilised or older grass or when supplementing with maize silage. Although simultaneous feeding of maize silage with grass changed patterns of rumen ammonia concentrations, no change in urinary excretion of purine derivatives was observed. Hence, faecal or urinary N excretion was unaffected by the supplementation strategy. Microbial growth efficiency was estimated from urinary excretion of purine derivatives and fermented OM. The latter was calculated from total rumen CH4 production, based on rumen fermentation stoichiometry and taking into account proportional concentrations of individual volatile fatty acids. Higher levels of intake tended to improve rumen microbial growth efficiency slightly (rpearson = 0.406), which, however, could not compensate for the reduced effective rumen DM degradability (rpearson = -0.442). The latter was apparently associated with a partial shift of the fermentation from the rumen to the hindgut, as suggested from the negative correlation (rpearson = -0.745) between faecal RNA concentrations and rumen effective degradability. PMID:12098834

  6. 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

  7. L’utilisation des probiotiques au sein de la population pĂ©diatrique

    PubMed Central

    Marchand, Valérie

    2012-01-01

    RÉSUMÉ Plus on en sait sur l’importance du microbiome intestinal pour la santĂ© humaine, plus on s’intĂ©resse aux bienfaits potentiels des probiotiques. Les probiotiques sont des microorganismes vivants qui, lorsqu’on les consomme en quantitĂ© suffisante, ont un effet sur la santĂ© de l’hĂŽte en en altĂ©rant la microflore. Les probiotiques sont administrĂ©s en prophylaxie ou pour le traitement de divers problĂšmes de santĂ©. Le prĂ©sent document de principes dĂ©finit l’évolution et le rĂŽle de la microflore intestinale et s’attarde sur les donnĂ©es probantes Ă©tayant l’utilisation de divers probiotiques pour traiter des troubles courants en pĂ©diatrie, tels que la diarrhĂ©e, l’atopie, les troubles intestinaux fonctionnels et l’entĂ©rocolite nĂ©crosante.

  8. Red-Shift of Carbon Nanotube Surface Plasmon EEL Features Utilising a Dielectric Filling

    NASA Astrophysics Data System (ADS)

    Seepujak, A.; Bangert, U.; Harvey, A. J.

    2006-02-01

    Simulations of the dynamical polarisability of a MWCNT (multi-wall carbon nanotube) by primary STEM electrons were performed. The simulations demonstrated eigenenergy modification (red-shifting), ascribed to the presence of a MWCNT dielectric filling, of coupled π-surface plasmon EEL (electron energy-loss) features. Experimental EEL spectra of MWCNTs were acquired utilising a Gatan Enfina system attached to a dedicated STEM. These spectra confirmed the eigenenergy modification predicted by the model. In a filled MWCNT, an eigenenergy modification of a coupled π-surface plasmon feature, redshifted from ~5.7 eV to ~4.4 eV, was experimentally validated. Red-shifting of this feature down to the visible frequency regime was not possible, owing to eigenenergy modification not occurring at the coupled limit. The eigenenergy modification phenomenon is remarkable since it is only one factor, namely whether or not a MWCNT is filled with a dielectric, that allows the plasmon energy to be red-shifted.

  9. Analysis of glyphosate and glufosinate by capillary electrophoresis-mass spectrometry utilising a sheathless microelectrospray interface.

    PubMed

    Goodwin, Lee; Startin, James R; Keely, Brendan J; Goodall, David M

    2003-07-01

    The potential of capillary electrophoresis combined with mass spectrometry for the simultaneous determination of two herbicides (glyphosate and glufosinate) and their metabolites (aminomethylphosphonic acid and methylphosphinicopropionic acid) as the native species is demonstrated utilising a simple microelectrospray interface. The interface uses the voltage applied to the CE capillary to drive separation and generate the electrospray, avoiding sample dilution associated with the use of a sheath liquid interface. The chemistry of the internal walls of the capillary has a marked influence on peak shape, and appropriate choice is essential to successful operation of the interface. A linear polyacrylamide coated capillary, which has no electroosmotic flow, gave best reproducibility, with precision of migration time and peak area in the range 1-2 and 7-12% RSD, respectively, for the four analytes. Limits of detection, low-pg on-column, are substantially better than for previous methods and calibration curves over the range 1-100 microM have R2 values greater than 0.97. The observed concentration limit of detection for glyphosate in water is 1 microM and for a water-acetone extract of wheat is 2.5 microM, allowing the underivatised herbicide to be detected at 10% of the maximum residue limit in wheat. PMID:12929967

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

    NASA Astrophysics Data System (ADS)

    Rinne, E.; SimilÀ, 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.

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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)

    Strąpoć, 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.

  16. '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

  17. The impact of mass media interventions on tuberculosis awareness, health-seeking behaviour and health service utilisation: a systematic review protocol

    PubMed Central

    Nglazi, Mweete D; Bekker, Linda-Gail; Wood, Robin; Shey, Muki S; Uthman, Olalekan A; Wiysonge, Charles S

    2014-01-01

    Introduction Tuberculosis (TB) is a serious public health problem in many parts of the world. Strategies to curb the spread of TB must match the multifaceted nature of the epidemic. The use of mass media is one of the important strategies in communicating behavioural change in relation to TB prevention and the treatment. However, the benefits of this intervention are unclear. We, therefore, plan to conduct a systematic review on the effects of mass media interventions on TB awareness, health-seeking behaviour and health service utilisation. Methods and analysis We will preferably include randomised controlled trials (RCTs) in this systematic review. However, non-randomised studies will be included if there is an inadequate number of RCTs. We will perform electronic searches in PubMed, Scopus and other databases, along with manual searches. Articles written (or translated) in English and French and published between 1 January 1980 and 31 October 2013 will be eligible for inclusion in this review. The primary outcomes will be TB knowledge, attitudes and awareness, healthcare-seeking behaviour and service utilisation. The secondary outcomes will include stigma and discrimination against people with TB and the costs of the interventions. We will investigate clinical and statistical heterogeneity and pool studies judged to be clinically and statistically homogeneous. Relative risks will be calculated for dichotomous outcomes and mean differences for continuous outcomes, both with their corresponding 95% CIs. Ethics and dissemination The systematic review will use data that is not linked to individuals. The review findings may have implications for clinical practice and future research, and will be disseminated electronically and in print through peer-reviewed publications. Protocol registration number PROSPERO CRD42013005867 PMID:24430882

  18. 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.

  19. Investigation of MatlabÂź 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 MatlabÂź software development platform are utilised. The use of MatlabÂź 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

  20. 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

  1. Utilisation of MSWI bottom ash as sub-base in road construction: first results from a large-scale test site.

    PubMed

    Hjelmar, Ole; Holm, Jesper; Crillesen, Kim

    2007-01-31

    The preferred management option for municipal solid waste incinerator (MSWI) bottom ash in Denmark is utilisation rather than landfilling, but the current environmental quality criteria for bottom ash to be utilised in bulk quantities are rather strict. To evaluate the impact and risk assessments, upon which those criteria are based, a large-scale test site has been established. Three different MSWI bottom ashes have been used as sub-base in six test units ranging from 100 to 200 m2 with top covers of asphalt, flagstones and pebbles, respectively. All units, except one, are equipped with bottom liners and leachate collection equipment. The test site provides information on the leachate quality and quantity as a function of time under different conditions and on the flow pattern in asphalt and flagstone covered roads and squares with MSWI bottom ash sub-base. In addition, the leaching behaviour of the bottom ashes has been studied in the laboratory. The test site was established in October 2002 and the project is still ongoing. Water balance results indicate that the water flow distribution is strongly influenced by lateral flow on or in the upper part of the bottom ash layer and possibly by preferential flow. Comparisons between eluates from laboratory leaching tests on the bottom ashes and observations of the leachate from the site as a function of L/S show fairly good agreement for salts but less agreement for some trace elements. Most likely, this is partly due to the fact that the pH observed in the leachate from the field sites is lower than that observed in the eluates from the laboratory leaching tests. PMID:16621249

  2. 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 ÎŽ30Si (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 (ÎŽ30SiDSi) 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 ÎŽ30SiDSi 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.

  3. 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 Όatm and 1077 Όatm pCO2), and three light treatments (35, 100, 380 Όmol 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

  4. Recent results utilising Satellite Laser Ranging to estimate Parameterised Post-Newtonian parameters Gamma and Beta

    NASA Astrophysics Data System (ADS)

    Combrinck, Ludwig

    Satellite Laser Ranging provides very accurate ranges to satellites, which allow precise orbit determination. As part of the orbit analysis process, one can estimate geophysical, orbital, gravitational and other parameters. In particular, the LAGEOS satellites are suitable to esti-mate the Parameterised Post-Newtonian (PPN) parameters Gamma and Beta, which in PPN formalism describe the metric theories of gravitation. In this application, using the PPN for-malism, Beta describes the nonlineartity of gravitation and Gamma represents the curvature of space produced by Earth. These two parameters should equal unity in PPN formalism when applied to General Relativity (GR); evaluation of these parameters is therefore a test of GR. The strategy involved in this work utilises the relativistic acceleration of the satellites, instead of the normal approaches found in the literature which are based on either the perigee or nodal rates, or a combination of these two rates. Schwarzchild, geodesic (de Sitter) and Lense-Thirring precession are taken into account. As the accelerations due to GR are very small, other orbital perturbations can easily mask the relativistic accelerations, so careful modelling is required, which includes making provision for atmospheric drag at the heights of the exosphere. Very accurate new gravitational models are used, although provision must be made for estimating dynamic coefficients of these models. Although current results (standard deviations in the re-gion ± 0.0005) are not as good as some of the best published results using other techniques, this approach is very promising and it is expected that future refinements in modelling will improve results.

  5. Reference-based pricing schemes: effect on pharmaceutical expenditure, resource utilisation and health outcomes.

    PubMed

    Ioannides-Demos, Lisa L; Ibrahim, Joseph E; McNeil, John J

    2002-01-01

    Pharmaceutical expenditure is rising more rapidly than the general inflation rate in most advanced countries. One strategy that has been introduced to control pharmaceutical costs is reference-based pricing (RBP). Its potential is restricted to those specific segments of the drug market where several drugs (and/or their generic forms) exist without substantial evidence that any particular agent is superior. Three broad approaches have been adopted. These involve the aggregation of drugs into generic groups, related drug groups (e.g. ACE inhibitors) or drugs grouped by therapeutic indication (e.g. antihypertensives). For each drug group, a single reimbursement level or reference price is set. Drugs above the reference price require part or total payment by the patient. The experience with RBP ranges from over 10 years in Germany (involving all levels of RBP) to the more recent implementation of RBP for related drug groups in Australia. This review summarises the current state of knowledge on RBP from the published experiences in the countries where RBP has been adopted. The published systematic reviews of RBP from the countries that have implemented it suggest that RBP has been successful at temporarily capping drug prices for the RBP drug groups and achieving short term cost savings. However, other factors influencing total pharmaceutical expenditure have often occurred simultaneously and make it difficult to isolate specific effects of RBP. Further investigation is required before any valid conclusions can be drawn about the net effect of RBP on healthcare costs. RBP has withstood the initial legal challenges of pharmaceutical companies and the criticisms of some clinicians. Where the reference price is based on the lowest priced drug(s) in the group, RBP appears to be one of the few strategies likely to be effective at encouraging doctors to use the least expensive agents as first-line therapy and utilise more expensive agents in those who experience side effects or poor efficacy. PMID:12141886

  6. 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

  7. 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

  8. 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 ÎŒatm and 1077 ÎŒatm pCO2), and three light treatments (35, 100, 380 ÎŒmol 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

  9. Estimation of utilisable crude protein at the duodenum of dried distillers' grains with solubles using a modified gas test.

    PubMed

    Westreicher-Kristen, Edwin; Steingass, Herbert; Rodehutscord, Markus

    2015-01-01

    The objective of this study was to characterise the variation of utilisable crude protein at the duodenum (uCP) of dried distillers' grains with solubles (DDGS) for ruminants using a modified gas test and to predict the uCP in DDGS based on chemical composition. Thirteen samples originating from wheat, maize, barley or blends of different substrates were studied. The in vitro uCP was estimated using the modified Hohenheim gas test (moHGT). Samples were incubated in rumen fluid for 8 h, 24 h and 48 h followed by ammonia distillation. The obtained values were compared to reference values of uCP (based on the contents of crude protein (CP), in situ undegraded CP and metabolisable energy). The reference and in vitro values of uCP were calculated according to passage rates of 2, 5 and 8%/h (i.e., uCP2, uCP5 and uCP8, respectively). The in vitro uCP8 ranged from 214 to 320 g/kg DM and reference values from 158 to 302 g/kg DM. The in vitro uCP2 was on average lower (by 7 g/kg DM) and in vitro uCP8 was higher (by 56 g/kg DM) than their respective reference values. The in vitro uCP5 and uCP8 were correlated with reference values and the correlations were improved with increasing passage rates. When the differences of uCP content between in vitro and reference values were related to CP fractions, they increased with increasing content of CP fraction A and decreasing content of CP fraction B3 for uCP8. The prediction of uCP values from chemical composition was not reliable. It was concluded that uCP can be predicted on the basis of the moHGT method and CP fractions. The accuracy of prediction improved upon the inclusion of CP fractions and neutral-detergent insoluble nitrogen. The present study revealed a significant variation in the uCP content of DDGS, which should be considered when formulating rations for dairy cows. PMID:26305384

  10. 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 MĂŒnster (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

  11. 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

  12. 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.

  13. Mise Ă  jour sur l’utilisation clinique de la buprĂ©norphine

    PubMed Central

    Ducharme, Simon; Fraser, Ronald; Gill, Kathryn

    2012-01-01

    RĂ©sumĂ© Objectif Examiner les donnĂ©es scientifiques actuelles sur la buprĂ©norphine-naloxone pour le traitement des troubles liĂ©s aux opioĂŻdes, en insistant sur le contexte des soins primaires. QualitĂ© des donnĂ©es On a fait une recension dans MEDLINE et la base de donnĂ©es Cochrane des synthĂšses critiques. Les donnĂ©es probantes sont surtout de niveau I. Message principal La buprĂ©norphine est un agoniste partiel des rĂ©cepteurs ÎŒ des opioĂŻdes et un antagoniste des rĂ©cepteurs Îș des opioĂŻdes ayant une longue demi-vie et un potentiel moins grand que la mĂ©thadone d’entraĂźner un usage abusif. Pour une dĂ©sintoxication, la buprĂ©norphine est au moins Ă©quivalente Ă  la mĂ©thadone et supĂ©rieure Ă  la clonidine. Comme thĂ©rapie de substitution, la buprĂ©norphine est clairement supĂ©rieure au placebo. La mĂ©thadone comporte de lĂ©gers avantages en ce qui a trait Ă  la rĂ©tention en thĂ©rapie, mais une approche par Ă©tape en utilisant initialement la buprĂ©norphine-naloxone est aussi efficace. Il est possible, sĂ©curitaire et efficace de recourir Ă  la buprĂ©norphine en milieu de soins primaires. On peut obtenir l’autorisation de prescrire de la buprĂ©norphine aprĂšs avoir suivi une formation en ligne. Conclusion La buprĂ©norphine est un agent sĂ©curitaire et efficace pour la dĂ©sintoxication en cas de dĂ©pendance aux opioĂŻdes. Elle peut servir d’agent de premiĂšre intention dans les programmes de thĂ©rapie de substitution, en raison de son potentiel plus faible d’usage abusif en comparaison d’autres opioĂŻdes. Son efficacitĂ© en milieux de soins primaires en fait un outil thĂ©rapeutique utile pour les mĂ©decins de famille.

  14. Utilising power devices below 100 K to achieve ultra-low power losses

    NASA Astrophysics Data System (ADS)

    Leong, Kennith Kin

    One of the main trends in the development of high power electric machines (motors, generators) is to replace the magnetic components with superconducting wires, this inevitably leads to a critical requirement from the industry (Converteam) to operate power devices at cryogenic temperatures. However, the current understanding of the behaviour power devices at cryogenic temperatures is limited, especially below the liquid nitrogen temperature of 77 K. This is a problem since most of the superconducting wires operate at temperatures below 77 K. Furthermore, it is uncertain which device type is better, if at all suited to cryogenic operation. In order to answer this, a thorough analysis of the known cryogenic behaviour of all the generic power devices was performed, including the physical behaviour of silicon at cryogenic temperatures. It is concluded that the power MOSFET is the best likely candidate for cryogenic operation. To understand the cryogenic behaviour of silicon power MOSFETs especially between the temperatures of 20 K and 100 K, a cryogenic measurement system was built to characterise different types of power MOSFETs. All the measured power MOSFETs exhibited large improvement in on-state resistance down to 50 K and non-linear degradation of breakdown voltages with lower temperatures. Various behaviour was observed below 50 K including carrier freeze-out, electric field dependent ionisation of free charge carriers and large variations in on-state resistance between identical devices. Several power Schottky diodes were also characterised and all exhibited merged PiN Schottky diode behaviour at cryogenic temperatures. Non-silicon devices such as silicon carbide power MOSFETs and gallium nitride HEMTs were also measured. Silicon carbide exhibited no improvements at cryogenic temperatures, whereas gallium nitride HEMTs may prove to be the best power device to be utilised in future cryogenic applications. Since unusual behaviour was observed in power MOSFETs below 50 K, an attempt was made to explain these phenomena using theoretical equations of semiconductor physics and analytical models of power MOSFETs. The author suggested that careful control of the dopant concentration at the accumulation region below the oxide gate is required to improve the power MOSFET operations below 50 K. Moreover, the super-junction power MOSFETs could be optimised for better cryogenic operation. It is the intention of this work to demonstrate the benefits of power MOSFET cryogenic operation in a realistic industrial application. A demonstration model was designed and simulated, this circuit uses a back-to-back power MOSFETs configuration to control the freewheeling current flowing through a high temperature superconducting coil. The electrical and thermal design of the model has been described, simulated and presented in this work.

  15. 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 (HÀmeenkylÀ). 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.

  16. GPU-based Space Situational Awareness Simulation utilising Parallelism for Enhanced Multi-sensor Management

    NASA Astrophysics Data System (ADS)

    Hobson, T.; Clarkson, V.

    2012-09-01

    As a result of continual space activity since the 1950s, there are now a large number of man-made Resident Space Objects (RSOs) orbiting the Earth. Because of the large number of items and their relative speeds, the possibility of destructive collisions involving important space assets is now of significant concern to users and operators of space-borne technologies. As a result, a growing number of international agencies are researching methods for improving techniques to maintain Space Situational Awareness (SSA). Computer simulation is a method commonly used by many countries to validate competing methodologies prior to full scale adoption. The use of supercomputing and/or reduced scale testing is often necessary to effectively simulate such a complex problem on todays computers. Recently the authors presented a simulation aimed at reducing the computational burden by selecting the minimum level of fidelity necessary for contrasting methodologies and by utilising multi-core CPU parallelism for increased computational efficiency. The resulting simulation runs on a single PC while maintaining the ability to effectively evaluate competing methodologies. Nonetheless, the ability to control the scale and expand upon the computational demands of the sensor management system is limited. In this paper, we examine the advantages of increasing the parallelism of the simulation by means of General Purpose computing on Graphics Processing Units (GPGPU). As many sub-processes pertaining to SSA management are independent, we demonstrate how parallelisation via GPGPU has the potential to significantly enhance not only research into techniques for maintaining SSA, but also to enhance the level of sophistication of existing space surveillance sensors and sensor management systems. Nonetheless, the use of GPGPU imposes certain limitations and adds to the implementation complexity, both of which require consideration to achieve an effective system. We discuss these challenges and how they can be overcome. We further describe an application of the parallelised system where visibility prediction is used to enhance sensor management. This facilitates significant improvement in maximum catalogue error when RSOs become temporarily unobservable. The objective is to demonstrate the enhanced scalability and increased computational capability of the system.

  17. Factors associated with awareness and utilisation of a community mobilisation intervention for female sex workers in Andhra Pradesh, India

    PubMed Central

    Burroway, Rebekah; Reed, Elizabeth

    2010-01-01

    Objectives Examine factors associated with awareness and active utilisation of a community mobilisation intervention (CMI) to address HIV risk in female sex workers (FSWs) in a context characterised by multiple forms of sex work. Design Data came from two rounds, conducted in Spring 2006 and Spring 2007, of a serial cross-sectional survey of FSWs (n=812 in round 1, n=673 in round 2) recruited through respondent-driven sampling in Rajahmundry, Andhra Pradesh, India. Methods Descriptive statistics compared characteristics of programme aware and unaware FSWs and from among the aware, to characterise active program users. Multinomial logistic regression was used to assess factors associated with programme exposure. Results Between Rounds 1 and 2, programme awareness increased from 41.8% to 69.6% of respondents, and active utilisation (among those who were aware) increased from 49.2% to 61.0%. Street-based FSWs were under-represented and brothel-based FSWs overrepresented in both groups and rounds. Geographic proximity and literacy were associated with programme awareness but not utilisation. The most important factor associated with both forms of intervention exposure across rounds was willingness to be identified in public as a FSWs (OR 2.2–4.8). Conclusion Public visibility is a critical component of CMIs. Such interventions should develop strategies for involving FSWs that allow them to remain invisible, while also working to reduce the threat associated with public visibility. In contexts where sex work occurs in multiple venues, it is important to develop CMIs that include and address the needs of FSWs working in them all. PMID:20167735

  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. The Eighteenth African Health Sciences Congress: dissemination of research results for utilisation.

    PubMed

    Koech, D K

    1997-01-01

    The African Health Sciences Congress for 1997 will be held in Cape Town, South Africa, from 14 to 18 April. This congress has been an annual event where scientists from across the world meet to present research results and to discuss meaningful approaches to solving some of the world's pressing health problems. The congress which is under the aegis of the African Forum for Health Sciences (AFHES), focusses special attention on ways of finding solutions for problems that afflict the African. The AFHES aims to accentuate, through these meetings, practical approaches that can be used by African governments to tackle health-related matters in order to improve the socio-economic status of the people on the African continent. The common health-related matters that one would be expected to be covered at such a congress are the six major tropical diseases identified by the World Health Organisation (WHO), namely malaria, filariasis, schistosomiasis, leishmaniasis, trypanosomiasis and leprosy. But now, there are other health-related problems on the continent that must be dealt with in order to ensure quality of life. Among them are the new and re-emerging diseases like the haemorrhagic fevers (Ebola and Marbug) and yellowfever, the sexually-transmitted diseases including HIV/AIDS, acute respiratory infections and reproductive health. Then there are the less often mentioned health-related problems currently afflicting the African continent that are not given so much attention as the others. These include sanitation, famine and drought, and malnutrition which arise from political upheavals leading to refugees. The consequences of these socio-economic difficulties further exacerbate the prevalence of the existing tropical and other diseases. Scientists working in Africa should play leading roles in tackling the many health problems that afflict the peoples of Africa. They are well placed to collect direct information on these health issues and to provide practical and meaningful strategies for their solution. The WHO Africa Region has taken a meaningful step towards finding mechanisms of eliminating female mutilation in Africa, and this is highlighted in the Newsdesk pages of this issue of the Journal. This, it is hoped, will be achieved through the use of the African traditional foundation and wisdom. Similarly, the African traditional culture of health should provide the basis for utilising the wisdom of the traditional healers and traditional midwives for dealing with primary health care matters on the African continent. The Journal congratulates all the scientists working in Africa, be they Africans or non-Africans, and those outside Africa, who work tirelessly to solve problems that will pave the way for an acceptable quality of life for the world's peoples. It is earnestly hoped that the scientists in Cape Town during the 18th African Health Sciences Congress will deliberate, discuss and dedicate themselves to solving Africa's pressing health problems. The Journal also acknowledges with gratitude, the organisers of this congress, namely the South African Medical Research Council, the Kenya Medical Research Institute and the Epidemiological Society of Southern Africa (ESSA), which, under the auspices of the African Forum for Health Sciences, have made it possible to hold the Congress in cape Town this year. PMID:17583970

  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. Lysine maintenance requirement and efficiency of its utilisation in young pigs as estimated by comparative slaughter technique.

    PubMed

    Heger, Jaroslav; PatrĂĄs, Peter; NitrayovĂĄ, Sona; Karcol, Juraj; DolesovĂĄ, Patricia

    2008-06-01

    An experiment was carried out on weaner pigs (initial BW 10.8 kg) to estimate the maintenance requirement for lysine (Lys) and its marginal efficiency of utilisation using a comparative slaughter technique. Three groups of six pigs each were fed purified diets for 21 days supplying Lys at 19.5, 78 or 195 mg/kg W0.75, which corresponded to 50, 200 or 500% of the assumed maintenance requirement. All other essential amino acids were given at 50% excess. At the end of the experiment, pigs were killed for whole-body nitrogen (N) and amino acid analysis. A representative group of six pigs was analysed at the beginning of the experiment. Based on regression equations, relating Lys or N retention to Lys intake, Lys requirement for zero Lys retention was estimated to be 121 mg/kg W0.75, while Lys requirement corresponding to zero N retention was 41.7 mg/kg W0.75. At N equilibrium, the pigs lost 65 mg of Lys per kg W0.75 daily while at zero Lys retention, the daily N retention was 156 mg/kg W0.75 . The marginal efficiency of lysine utilisation was 0.91. It is concluded that zero lysine retention is a better criterion of lysine maintenance requirement than zero N retention. PMID:18610534

  2. 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 parallÚle de plusieurs images grùce 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 rÚgle 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.

  3. 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

  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. Accuracy verification of magnetic resonance imaging (MRI) technology for lower-limb prosthetic research: utilising animal soft tissue specimen and common socket casting materials.

    PubMed

    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

  8. 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

  9. 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, FĂĄtima A.; ZĂșñiga, MarĂ­a 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

  10. 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

  11. '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

  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. Does pharmacogenomics provide an ethical challenge to the utilisation of cost-effectiveness analysis by public health systems?

    PubMed

    La Caze, Adam

    2005-01-01

    Pharmacogenomics promotes an understanding of the genetic basis for differences in efficacy or toxicity of drugs in different individuals. Implementation of the outcomes of pharmacogenomic research into clinical practice presents a number of difficulties for healthcare. This paper aims to highlight one of the unique ethical challenges which pharmacogenomics presents for the utilisation of cost-effectiveness analysis by public health systems. This paper contends that pharmacogenomics provides a challenge to fundamental principles which underlie most systems for deciding which drugs should be publicly subsidised. Pharmacogenomics brings into focus the conflict between equality and utility in the context of using cost-effectiveness analysis to aid distribution of a limited national drug budget. PMID:15896096

  14. 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.

  15. 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

  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. Cost-effectiveness of enhancing adherence with oral bisphosphonates treatment in osteoporotic women: an empirical approach based on healthcare utilisation databases

    PubMed Central

    Scotti, Lorenza; ArfĂš, Andrea; Zambon, Antonella; Merlino, Luca; Corrao, Giovanni

    2014-01-01

    Objective Adherence with bisphosphonates therapy is generally low. Enhancing adherence with bisphosphonates would be effective in achieving the full benefits of therapy albeit a growth in the expenditure for supporting incremented drug use is expected. The cost-effectiveness of enhancing adherence with oral bisphosphonates in a large population of osteoporotic women has been assessed in the current study. Design Retrospective cohort study. Setting Healthcare utilisation databases of Lombardy Region, Italy. Participants A cohort of 28 558 women aged 45 years or more, resident in the Italian Region of Lombardy, who were newly treated with oral bisphosphonates during 2003–2004, was followed for 6 years after index prescription. Outcome measures Fracture-free survival time, healthcare cost and incremental cost-effectiveness ratio (ICER) of enhancing adherence, that is, the additional cost that would be spent every year for gaining one fracture-free year as a consequence of enhancing adherence at a certain level. Results Enhanced adherence from 33% (baseline) to 80%, increased both fracture-free survivals from 970 to 973 years and healthcare costs from €118 000 to €265 000 every 1000 woman-years, with ICER value of €53 000 (95% CI €49 000 to €58 000). ICER values were lower for older women (€50 000; 95% CI €42 000 to €58 000) and for those suffering from at least a chronic comorbidity (€25000; 95% CI 95% CI €7000 to €47 000). Conclusions Enhancing adherence with oral bisphosphonates offers important benefits in reducing the risk of fracture, although at a substantial cost. PMID:24662445

  19. 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

  20. 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

  1. L’utilisation du prĂ©mĂ©lange de monensin chez les vaches laitiĂšres : un suivi simple et essentiel pour s’assurer d’une utilisation adĂ©quate

    PubMed Central

    Dubuc, Jocelyn; Baril, Jean; DesCĂŽteaux, Luc

    2009-01-01

    Le prĂ©mĂ©lange de monensin est utilisĂ© frĂ©quemment sur les fermes laitiĂšres canadiennes. L’ingrĂ©dient actif de ce produit est le monensin sodique. Bien que son utilisation chez les vaches laitiĂšres soit sĂ©curitaire, des cas de surdose ont Ă©tĂ© rapportĂ©s Ă  la suite de consommation de niveaux de monensin plus Ă©levĂ©s que ceux recommandĂ©s. Un suivi hebdomadaire du pourcentage de matiĂšres grasses du rĂ©servoir de lait de la ferme devrait ĂȘtre fait de routine suite Ă  la livraison d’aliment mĂ©dicamenteux contenant du monensin pour dĂ©tecter rapidement les situations de surdose. L’observation d’une baisse soudaine de la consommation volontaire de matiĂšre sĂšche et l’apparition de diarrhĂ©e dans un troupeau sont d’autres signes cliniques de surdose de monensin. Une dĂ©tection rapide de ces cas permettra de corriger la situation. PMID:19721781

  2. From Attitudes to Practice: Utilising Inclusive Teaching Strategies in Kenyan Primary Schools

    ERIC Educational Resources Information Center

    Elder, Brent C.; Damiani, Michelle L.; Oswago, Benson O.

    2016-01-01

    The purpose of this paper is to provide evidence of Kenyan primary school teachers using inclusive teaching strategies in a rural setting with many known barriers to the development of a sustainable inclusive education system. This qualitative study examines teachers' uses of inclusive teaching strategies in primary schools following a series of


  3. 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


  4. 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


  5. 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


  6. Reassessing the HAROLD model: is the hemispheric asymmetry reduction in older adults a special case of compensatory-related utilisation of neural circuits?

    PubMed

    Berlingeri, Manuela; Danelli, Laura; Bottini, Gabriella; Sberna, Maurizio; Paulesu, Eraldo

    2013-02-01

    The HAROLD (hemispheric asymmetry reduction in older adults) model, proposed by Cabeza in 2002, suggests that age-related neurofunctional changes are characterised by a significant reduction in the functional hemispheric lateralisation in the prefrontal cortex (PFC). The supporting evidence, however, has been derived from qualitative explorations of the data rather than from explicit statistical assessments of functional lateralisation. In contrast, the CRUNCH (compensation-related utilisation of neural circuits hypothesis) model posits that elderly subjects recruit additional brain regions that do not necessarily belong to the contralateral hemisphere as much as they rely on additional strategies to solve cognitive problems. To better assess the validity and generalisability of the HAROLD model, we analysed the fMRI patterns of twenty-four young subjects (age range: 18-30 years) and twenty-four healthy elderly subjects (age range: 50-80 years) collected during the performance of two linguistic/semantic tasks (a picture-naming task and a sentence judgment task) and two episodic long-term memory (eLTM) recognition tasks for the same materials. The functional hemispheric lateralisation in each group and the ensuing between-group differences were quantitatively assessed using statistical lateralisation maps (SLMs). The number of clusters showing a genuine HAROLD effect was proportional to the level of task demand. In addition, when quantitatively significant, these effects were not restricted to the PFC. We conclude that, in its original version, the HAROLD model captures only some of the age-related brain patterns observed in graceful ageing. The results observed in our study are compatible with the more general CRUNCH model, suggesting that the former patterns can be considered a special manifestation of age-related compensatory processes. PMID:23178904

  7. 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

  8. Resource utilisation and direct costs in patients with recently diagnosed fibromyalgia who are offered one of three different interventions in a randomised pragmatic trial.

    PubMed

    van Eijk-Hustings, Yvonne; Kroese, Mariëlle; Creemers, An; Landewé, Robert; Boonen, Annelies

    2016-05-01

    The purpose of this study is to understand the course of costs over a 2-year period in a cohort of recently diagnosed fibromyalgia (FM) patients receiving different treatment strategies. Following the diagnosis, patients were randomly assigned to a multidisciplinary programme (MD), aerobic exercise (AE) or usual care (UC) without being aware of alternative interventions. Time between diagnosis and start of treatment varied between patients. Resource utilisation, health care costs and costs for patients and families were collected through cost diaries. Mixed linear model analyses (MLM) examined the course of costs over time. Linear regression was used to explore predictors of health care costs in the post-intervention period. Two hundred three participants, 90 % women, mean (SD) age 41.7 (9.8) years, were included in the cohort. Intervention costs per patient varied from €864 to 1392 for MD and were €121 for AE. Health care costs (excluding intervention costs) decreased after diagnosis, but before the intervention in each group, and increased again afterwards to the level close to the diagnostic phase. In contrast, patient and family costs slightly increased over time in all groups without initial decrease immediately after diagnosis. Annualised health care costs post-intervention varied between €1872 and 2310 per patient and were predicted by worse functioning and high health care costs at diagnosis. In patients with FM, health care costs decreased following the diagnosis by a rheumatologist. Offering patients a specific intervention after diagnosis incurred substantial costs while having only marginal effects on costs. PMID:26409883

  9. Next generation planar waveguide detection of microcystins in freshwater and cyanobacterial extracts, utilising a novel lysis method for portable sample preparation and analysis.

    PubMed

    Devlin, Shauna; Meneely, Julie P; Greer, Brett; Greef, Charles; Lochhead, Michael J; Elliott, Christopher T

    2013-03-26

    The study details the development of a fully validated, rapid and portable sensor based method for the on-site analysis of microcystins in freshwater samples. The process employs a novel lysis method for the mechanical lysis of cyanobacterial cells, with glass beads and a handheld frother in only 10 min. The assay utilises an innovative planar waveguide device that, via an evanescent wave excites fluorescent probes, for amplification of signal in a competitive immunoassay, using an anti-microcystin monoclonal with cross-reactivity against the most common, and toxic variants. Validation of the assay showed the limit of detection (LOD) to be 0.78 ng mL(-1) and the CCÎČ to be 1 ng mL(-1). Robustness of the assay was demonstrated by intra- and inter-assay testing. Intra-assay analysis had % C.V.s between 8 and 26% and recoveries between 73 and 101%, with inter-assay analysis demonstrating % C.V.s between 5 and 14% and recoveries between 78 and 91%. Comparison with LC-MS/MS showed a high correlation (R(2)=0.9954) between the calculated concentrations of 5 different Microcystis aeruginosa cultures for total microcystin content. Total microcystin content was ascertained by the individual measurement of free and cell-bound microcystins. Free microcystins can be measured to 1 ng mL(-1), and with a 10-fold concentration step in the intracellular microcystin protocol (which brings the sample within the range of the calibration curve), intracellular pools may be determined to 0.1 ng mL(-1). This allows the determination of microcystins at and below the World Health Organisation (WHO) guideline value of 1 ÎŒg L(-1). This sensor represents a major advancement in portable analysis capabilities and has the potential for numerous other applications. PMID:23498128

  10. 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.

  11. Utilising a construct of teacher capacity to examine national curriculum reform in mathematics

    NASA Astrophysics Data System (ADS)

    Zhang, Qinqiong; Stephens, Max

    2013-12-01

    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 documents, understanding of students' thinking, and design of teaching. While these key elements connect to what other researchers refer to as mathematical knowledge for teaching, several differences are made clear. Qualitative and quantitative analyses show that our construct was robust and effective in distinguishing between different levels of teacher capacity.

  12. 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

  13. 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 Māori, 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

  14. Home Range Utilisation and Territorial Behaviour of Lions (Panthera leo) on Karongwe Game Reserve, South Africa

    PubMed Central

    Lehmann, Monika B.; Funston, Paul J.; Owen, Cailey R.; Slotow, Rob

    2008-01-01

    Interventionist conservation management of territorial large carnivores has increased in recent years, especially in South Africa. Understanding of spatial ecology is an important component of predator conservation and management. Spatial patterns are influenced by many, often interacting, factors making elucidation of key drivers difficult. We had the opportunity to study a simplified system, a single pride of lions (Panthera leo) after reintroduction onto the 85 km2 Karongwe Game Reserve, from 1999–2005, using radio-telemetry. In 2002 one male was removed from the paired coalition which had been present for the first three years. A second pride and male were in a fenced reserve adjacent of them to the east. This made it possible to separate social and resource factors in both a coalition and single male scenario, and the driving factors these seem to have on spatial ecology. Male ranging behaviour was not affected by coalition size, being driven more by resource rather than social factors. The females responded to the lions on the adjacent reserve by avoiding the area closest to them, therefore females may be more driven by social factors. Home range size and the resource response to water are important factors to consider when reintroducing lions to a small reserve, and it is hoped that these findings lead to other similar studies which will contribute to sound decisions regarding the management of lions on small reserves. PMID:19098987

  15. 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.

  16. 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

  17. 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.

  18. 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

  19. 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 (α-MoO3 ) thin film photoelectrodes were synthesised by anodisation. Upon band gap-excitation by light illumination, α-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 α-MoO3 for utilisation under dark conditions, and α-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 α-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 α-MoO3 at a higher pH favours charge storage, whereas smaller octahedral distortion at a lower pH leads to anodic photocurrent enhancement. PMID:24811956

  20. 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

  1. Wealth and antenatal care use: implications for maternal health care utilisation in Ghana

    PubMed Central

    2012-01-01

    The study investigates the effect of wealth on maternal health care utilization in Ghana via its effect on Antenatal care use. Antenatal care serves as the initial point of contact of expectant mothers to maternal health care providers before delivery. The study is pivoted on the introduction of the free maternal health care policy in April 2005 in Ghana with the aim of reducing the financial barrier to the use of maternal health care services, to help reduce the high rate of maternal deaths. Prior to the introduction of the policy, studies found wealth to have a positive and significant influence on the use of Antenatal care. It is thus expected that with the policy, wealth should not influence the use of maternal health care significantly. Using secondary data from the 2008 Ghana Demographic and Health survey, the results have revealed that wealth still has a significant influence on adequate use of Antenatal care. Education, age, number of living children, transportation and health insurance are other factors that were found to influence the use of Antenatal care in Ghana. There also exist considerable variations in the use of Antenatal care in the geographical regions and between the rural and urban dwellers. It is recommended that to improve the use of Antenatal care and hence maternal health care utilization, some means of support is provided especially to women within the lowest wealth quintiles, like the provision and availability of recommended medication at the health center; secondly, women should be encouraged to pursue education to at least the secondary level since this improves their use of maternal health services. Policy should also target mothers who have had the experience of child birth on the need to use adequate Antenatal care for each pregnancy, since these mothers tend to use less antenatal care for subsequent pregnancies. The regional disparities found may be due to inaccessibility and unavailability of health facilities and services in the rural areas and in some of the regions. The government and other service providers (NGOs, religious institutions and private providers) may endeavor to improve on the distribution of health facilities, human resources, good roads and necessary infrastructure among other things in order to facilitate easy access to health care providers especially for the rural dwellers. PMID:22866869

  2. Utilisation of referral services by high risk pregnant population in rural Varanasi.

    PubMed

    Swain, S; Prakash, A

    1992-01-01

    Poor utilization of maternal-child health care is an important cause of high perinatal and maternal mortality and morbidity in rural areas of India. The study was conducted in the Cholapur Primary Health Center area, about 35 km from the Banaras Hindu University Hospital and about 30 km from the District Hospital, Varanasi, which institutions are the main centers of referral in this locality. Cholapur block is connected to the hospitals by road. 9 subcenters were selected at random for the study, each subcenter serving a population of about 5000. The antenatal registers maintained at the subcenters were analyzed and high-risk pregnant referrals were personally interviewed. The study period lasted for 1 year from July 1988. The records pertained to 1047 pregnant women, of these, 466 (44.50%) who registered for antenatal care at the subcenters were high-risk cases. Out of these 466 high-risk cases, 167 cases were referred: 82 (49%) to the primary health care (PHC), 56 (33.5%) to the district hospital, and 29 (17.3%) to the medical college hospital. Grand multigravida status in 57 cases (34.13%) and bad obstetric history in 41 cases (24.56%) were the main risk factors for referral. Only 15 (9%) cases out of the 167 cases took advantage of the referral services: 5 (33.3%) were seen by the doctors at PHC, 7 (46.6%) at the district hospital, and 3 (20%) at the medical college hospital. Those women who did not benefit from the referral services stated financial exigency to be the major factor for nonuse of the referral services (34.2%). In rural areas, screening can be done by health workers after considering age, parity, previous obstetric history, nutritional parameters (such as height, weight, and hemoglobin status), abdominal examination findings (fundal height, suspicion of big or small baby, twins, and malpresentations). The health worker should refer these high-risk cases to the nearest physician or the primary health center. PMID:12288814

  3. Utilisation of Clinical Networks to Facilitate Elective Surgical Workload; A Preliminary Analysis.

    PubMed

    Burke, T; Waters, P; Waldron, R M; Joyce, K; Khan, I; Khan, W; Kerin, M; Barry, K

    2015-01-01

    Clinical networks have potential to increase elective surgical workload for benign conditions in non-cancer centres. The aims of this study were to determine outcomes for elective laparoscopic cholecystectomy in our unit and to evaluate early experience in managing benign surgical workload referred from the tertiary centre within our clinical network. An analysis of cholecystectomies performed at Mayo General Hospital was conducted (2003-2013). A review of elective procedures more recently referred from Galway University Hospital (GUH) waiting lists was also conducted. 1937 consecutive cholecystectomies were performed with an overall laparoscopic conversion rate of 1.7% (33/1875). The total major complication rate was 0.93% (18/1937). 151 selected procedures originating from GUH have been performed since December 2013 without adverse events. Laparoscopic cholecystectomy can be performed in significant volume in the general hospital environment. This and other appropriate benign surgical procedures may be performed outside of tertiary units according to network agreements. PMID:26817285

  4. 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

  5. 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

  6. Phase-space properties of magneto-optical traps utilising micro-fabricated gratings.

    PubMed

    McGilligan, J P; Griffin, P F; Riis, E; Arnold, A S

    2015-04-01

    We have used diffraction gratings to simplify the fabrication, and dramatically increase the atomic collection efficiency, of magneto-optical traps using micro-fabricated optics. The atom number enhancement was mainly due to the increased beam capture volume, afforded by the large area (4cm(2)) shallow etch (~ 200nm) binary grating chips. Here we provide a detailed theoretical and experimental investigation of the on-chip magneto-optical trap temperature and density in four different chip geometries using (87)Rb, whilst studying effects due to MOT radiation pressure imbalance. With optimal initial MOTs on two of the chips we obtain both large atom number (2×10(7)) and sub-Doppler temperatures (50 ÎŒK) after optical molasses. PMID:25968732

  7. 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

  8. 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.

  9. Quality of core collections for effective utilisation of genetic resources review, discussion and interpretation.

    PubMed

    Odong, T L; Jansen, J; van Eeuwijk, F A; van Hintum, T J L

    2013-02-01

    Definition of clear criteria for evaluation of the quality of core collections is a prerequisite for selecting high-quality cores. However, a critical examination of the different methods used in literature, for evaluating the quality of core collections, shows that there are no clear guidelines on the choices of quality evaluation criteria and as a result, inappropriate analyses are sometimes made leading to false conclusions being drawn regarding the quality of core collections and the methods to select such core collections. The choice of criteria for evaluating core collections appears to be based mainly on the fact that those criteria have been used in earlier publications rather than on the actual objectives of the core collection. In this study, we provide insight into different criteria used for evaluating core collections. We also discussed different types of core collections and related each type of core collection to their respective evaluation criteria. Two new criteria based on genetic distance are introduced. The consequences of the different evaluation criteria are illustrated using simulated and experimental data. We strongly recommend the use of the distance-based criteria since they not only allow the simultaneous evaluation of all variables describing the accessions, but they also provide intuitive and interpretable criteria, as compared with the univariate criteria generally used for the evaluation of core collections. Our findings will provide genebank curators and researchers with possibilities to make informed choices when creating, comparing and using core collections. PMID:22983567

  10. Enhanced Mechanical Performance of Bio-Inspired Hybrid Structures Utilising Topological Interlocking Geometry.

    PubMed

    Djumas, Lee; Molotnikov, Andrey; Simon, George P; Estrin, Yuri

    2016-01-01

    Structural composites inspired by nacre have emerged as prime exemplars for guiding materials design of fracture-resistant, rigid hybrid materials. The intricate microstructure of nacre, which combines a hard majority phase with a small fraction of a soft phase, achieves superior mechanical properties compared to its constituents and has generated much interest. However, replicating the hierarchical microstructure of nacre is very challenging, not to mention improving it. In this article, we propose to alter the geometry of the hard building blocks by introducing the concept of topological interlocking. This design principle has previously been shown to provide an inherently brittle material with a remarkable flexural compliance. We now demonstrate that by combining the basic architecture of nacre with topological interlocking of discrete hard building blocks, hybrid materials of a new type can be produced. By adding a soft phase at the interfaces between topologically interlocked blocks in a single-build additive manufacturing process, further improvement of mechanical properties is achieved. The design of these fabricated hybrid structures has been guided by computational work elucidating the effect of various geometries. To our knowledge, this is the first reported study that combines the advantages of nacre-inspired structures with the benefits of topological interlocking. PMID:27216277

  11. Nanoscale carbon materials from hydrocarbons pyrolysis: Structure, chemical behavior, utilisation for non-aqueous supercapacitors

    SciTech Connect

    Savilov, Serguei V.; Strokova, Natalia E.; Ivanov, Anton S.; Arkhipova, Ekaterina A.; Desyatov, Andrey V.; Hui, Xia; Aldoshin, Serguei M.; Lunin, Valery V.

    2015-09-15

    Highlights: ‱ N-doped and regular carbon nanomaterials were obtained by pyrolitic technique. ‱ Dynamic vapor sorption of different solvents reveals smaller S{sub BET} values. ‱ Steric hindrance and specific chemical interactions are the reasons for this. ‱ Nitrogen doping leads to raise of capacitance and coulombic efficiency with non-aqueous N-containing electrolyte. - Abstract: This work systematically studies adsorption properties of carbon nanomaterials that are synthesized through hydrocarbons that is a powerful technique to fabricate different kinds of carbon materials, e.g., nanotubes, nanoshells, onions, including nitrogen substituted. The adsorption properties of the as-synthesized carbons are achieved by low temperature nitrogen adsorption and organic vapors sorption. Heptane, acetonitrile, water, ethanol, benzene and 1-methylimidazole, which are of great importance for development of supercapacitors, are used as substrates. It is discovered that while nitrogen adsorption reveals a high specific surface area, this parameter for most of organic compounds is rather small depending not only on the size of its molecule but also on chemical interactions for a pair adsorbent–adsorbate. The experimental values of heat of adsorption for carbon and N-substituted structures, when Coulomb cross-coupling of nitrogen atoms in adsorbent and adsorbate takes place, confirms this supposition.

  12. 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

  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. 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)

  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. Identification, utilisation and mapping of novel transcriptome-based markers from blackcurrant (Ribes nigrum)

    PubMed Central

    2011-01-01

    Background Deep-level second generation sequencing (2GS) technologies are now being applied to non-model species as a viable and favourable alternative to Sanger sequencing. Large-scale SNP discovery was undertaken in blackcurrant (Ribes nigrum L.) using transcriptome-based 2GS 454 sequencing on the parental genotypes of a reference mapping population, to generate large numbers of novel markers for the construction of a high-density linkage map. Results Over 700,000 reads were produced, from which a total of 7,000 SNPs were found. A subset of polymorphic SNPs was selected to develop a 384-SNP OPA assay using the Illumina BeadXpress platform. Additionally, the data enabled identification of 3,000 novel EST-SSRs. The selected SNPs and SSRs were validated across diverse Ribes germplasm, including mapping populations and other selected Ribes species. SNP-based maps were developed from two blackcurrant mapping populations, incorporating 48% and 27% of assayed SNPs respectively. A relatively high proportion of visually monomorphic SNPs were investigated further by quantitative trait mapping of theta score outputs from BeadStudio analysis, and this enabled additional SNPs to be placed on the two maps. Conclusions The use of 2GS technology for the development of markers is superior to previously described methods, in both numbers of markers and biological informativeness of those markers. Whilst the numbers of reads and assembled contigs were comparable to similar sized studies of other non-model species, here a high proportion of novel genes were discovered across a wide range of putative function and localisation. The potential utility of markers developed using the 2GS approach in downstream breeding applications is discussed. PMID:22035129

  17. Utilising pseudo-CT data for dose calculation and plan optimization in adaptive radiotherapy.

    PubMed

    Whelan, Brendan; Kumar, Shivani; Dowling, Jason; Begg, Jarrad; Lambert, Jonathan; Lim, Karen; Vinod, Shalini K; Greer, Peter B; Holloway, Lois

    2015-12-01

    To quantify the dose calculation error and resulting optimization uncertainty caused by performing inverse treatment planning on inaccurate electron density data (pseudo-CT) as needed for adaptive radiotherapy and Magnetic Resonance Imaging (MRI) based treatment planning. Planning Computer Tomography (CT) data from 10 cervix cancer patients was used to generate 4 pseudo-CT data sets. Each pseudo-CT was created based on an available method of assigning electron density to an anatomic image. An inversely modulated radiotherapy (IMRT) plan was developed on each planning CT. The dose calculation error caused by each pseudo-CT data set was quantified by comparing the dose calculated each pseudo-CT data set with that calculated on the original planning CT for the same IMRT plan. The optimization uncertainty introduced by the dose calculation error was quantified by re-optimizing the same optimization parameters on each pseudo-CT data set and comparing against the original planning CT. Dose differences were quantified by assessing the Equivalent Uniform Dose (EUD) for targets and relevant organs at risk. Across all pseudo-CT data sets and all organs, the absolute mean dose calculation error was 0.2 Gy, and was within 2 % of the prescription dose in 98.5 % of cases. Then absolute mean optimisation error was 0.3 Gy EUD, indicating that that inverse optimisation is impacted by the dose calculation error. However, the additional uncertainty introduced to plan optimisation is small compared the sources of variation which already exist. Use of inaccurate electron density data for inverse treatment planning results in a dose calculation error, which in turn introduces additional uncertainty into the plan optimization process. In this study, we showed that both of these effects are clinically acceptable for cervix cancer patients using four different pseudo-CT data sets. Dose calculation and inverse optimization on pseudo-CT is feasible for this patient cohort. PMID:26337163

  18. Utilisation of chemically stabilized arsenic-contaminated soil in a landfill cover.

    PubMed

    Kumpiene, Jurate; Desogus, Paolo; Schulenburg, Sven; Arenella, Mariarita; Renella, Giancarlo; BrÀnnvall, Evelina; Lagerkvist, Anders; Andreas, Lale; Sjöblom, Rolf

    2013-12-01

    The aim of the study was to determine if an As-contaminated soil, stabilized using zerovalent iron (Fe(0)) and its combination with gypsum waste, coal fly ash, peat, or sewage sludge, could be used as a construction material at the top layer of the landfill cover. A reproduction of 2 m thick protection/vegetation layer of a landfill cover using a column setup was used to determine the ability of the amendments to reduce As solubility and stimulate soil functionality along the soil profile. Soil amendment with Fe(0) was highly efficient in reducing As in soil porewater reaching 99 % reduction, but only at the soil surface. In the deeper soil layers (below 0.5 m), the Fe treatment had a reverse effect, As solubility increased dramatically exceeding that of the untreated soil or any other treatment by one to two orders of magnitude. A slight bioluminescence inhibition of Vibrio fischeri was detected in the Fe(0) treatment. Soil amendment with iron and peat showed no toxicity to bacteria and was the most efficient in reducing dissolved As in soil porewater throughout the 2 m soil profile followed by iron and gypsum treatment, most likely resulting from a low soil density and a good air diffusion to the soil. The least suitable combination of soil amendments for As immobilization was a mixture of iron with coal fly ash. An increase in all measured enzyme activities was observed in all treatments, particularly those receiving organic matter. For As to be stable in soil, a combination of amendments that can keep the soil porous and ensure the air diffusion through the entire soil layer of the landfill cover is required. PMID:23709267

  19. Production of Phytophthora infestans-resistant potato (Solanum tuberosum) utilising Ensifer adhaerens OV14.

    PubMed

    Wendt, Toni; Doohan, Fiona; Mullins, Ewen

    2012-06-01

    Based on the use of Agrobacterium tumefaciens-mediated transformation commodity crop improvement through genetic engineering is the fastest adopted crop technology in the world (James 2010). However, the complexity of the Agrobacterium patent landscape remains a challenge for non-patent holders who wish to generate novel varieties for a commercial purpose. The potential of non-Agrobacterium strains (Transbacter(ℱ)) to modify a plant genome has previously been described. However, they are unlikely to be widely used without significant adjustments in transformation protocols in order to improve their gene transfer efficiencies. In this study we set out to identify alternative bacteria species that could (a) utilize vir genes for genetic transformation and (b) substitute for A. tumefaciens in existing transformation protocols, without a prerequisite for protocol modifications. To this end we isolated a collection (n=751) of plant-associated bacteria from the rhizosphere of commercially grown crops. Based on various screens, including plant transformation with the open-source vector pCAMBIA5105, we identified a strain of the bacterium Ensifer adhaerens with the capacity to transform both Arabidopsis thaliana (0.12%) and potato (mean transformation frequency 35.1%). Thereafter, Ensifer adhaerens was used to generate blight- (causative organism Phytophthora infestans) resistant potato using the Solanum bulbocastanum 'resistance to blight' (RB) gene. Resistant genotypes were confirmed by associated molecular analysis and resistant phenotypes demonstrated by the development of hypersensitive lesions on inoculated leaf tissue post-pathogen inoculation. These data confirm the potential of Ensifer-mediated transformation (EMT) as a novel platform for the high frequency generation of transgenic potato. PMID:21912851

  20. Hospital admissions for severe mental illness in England: changes in equity of utilisation at the small area level between 2006 and 2010.

    PubMed

    White, Jonathan; Gutacker, Nils; Jacobs, Rowena; Mason, Anne

    2014-11-01

    Severe Mental Illness (SMI) encompasses a range of chronic conditions including schizophrenia, bipolar disorder and psychoses. Patients with SMI often require inpatient psychiatric care. Despite equity being a key objective in the English National Health Service (NHS) and in many other health care systems worldwide, little is known about the socio-economic equity of hospital care utilisation for patients with SMI and how it has changed over time. This analysis seeks to address that gap in the evidence base. We exploit a five-year (2006-2010) panel dataset of admission rates at small area level (n=162,410). The choice of control variables was informed by a systematic literature search. To assess changes in socio-economic equity of utilisation, OLS-based standardisation was first used to conduct analysis of discrete deprivation groups. Geographical inequity was then illustrated by plotting standardised and crude admission rates at local purchaser level. Lastly, formal statistical tests for changes in socio-economic equity of utilisation were applied to a continuous measure of deprivation using pooled negative binomial regression analysis, adjusting for a range of risk factors. Our results suggest that one additional percentage point of area income deprivation is associated with a 1.5% (p<0.001) increase in admissions for SMI after controlling for population size, age, sex, prevalence of SMI in the local population, as well as other need and supply factors. This finding is robust to sensitivity analyses, suggesting that a pro-poor inequality in utilisation exists for SMI-related inpatient services. One possible explanation is that the supply or quality of primary, community or social care for people with mental health problems is suboptimal in deprived areas. Although there is some evidence that inequity has reduced over time, the changes are small and not always robust to sensitivity analyses. PMID:25262312

  1. 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

  2. A framework for the analysis of the security of supply of utilising carbon dioxide as a chemical feedstock.

    PubMed

    Fraga, Eric S; Ng, Melvin

    2015-01-01

    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

  3. 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

  4. Utilisation de la mélatonine pour le sommeil chez les enfants en bonne santé

    PubMed Central

    Janjua, Irvin; Goldman, Ran D.

    2016-01-01

    RĂ©sumĂ© Question Une maman a amenĂ© son garçon de 12 ans me consulter Ă  mon bureau. Elle s’inquiĂšte, car il a de la difficultĂ© Ă  s’endormir presque tous les soirs. Elle travaille par quarts et elle prend elle-mĂȘme de la mĂ©latonine pour l’aider Ă  s’endormir. Elle m’a demandĂ© si son garçon pouvait aussi prendre de la mĂ©latonine. Quels sont les recommandations et les Ă©lĂ©ments Ă  considĂ©rer avant d’utiliser la mĂ©latonine chez les enfants et les adolescents en bonne santĂ©? RĂ©ponse L’insomnie est rapportĂ©e chez jusqu’à un quart des enfants en bonne santĂ© et chez les trois quarts des enfants atteints d’une affection psychiatrique ou neurodĂ©veloppementale, ce qui entraĂźne des consĂ©quences nĂ©gatives. Pour les enfants atteints du syndrome de retard de phase du sommeil, la mĂ©latonine pourrait s’avĂ©rer utile lorsque jumelĂ©e Ă  une Ă©valuation de l’insomnie et Ă  un suivi rĂ©gulier. La mĂ©latonine pourrait ĂȘtre envisagĂ©e pour des enfants sans diagnostic d’insomnie qui ont une bonne hygiĂšne du sommeil. Bien qu’elle semble sans danger, il n’existe pas de donnĂ©es probantes en faveur de l’emploi systĂ©matique de la mĂ©latonine chez les enfants en bonne santĂ©.

  5. 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

  6. 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.

  7. 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

  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. Utilisation D'un Modulateur de Phase Optique pour Realiser L'asservissement de la Frequence D'un Laser a Semi-Conducteurs

    NASA Astrophysics Data System (ADS)

    Levesque, Marc

    Cet ouvrage porte sur l'utilisation d'un modulateur de phase optique dans une boucle permettant d'asservir la frequence d'un laser a semi-conducteurs a une reference de frequence optique, en l'occurrence une vapeur atomique de rubidium 87. Nous y etudions principalement les mecanismes de generation du signal d'erreur. Un montage experimental est d'abord presente et la caracterisation complete du modulateur de phase est effectuee. Nous analysons ensuite les proprietes statiques du signal d'erreur dans le cas ou le signal applique au modulateur est periodique. Nous discutons de l'influence de parametres tels que la frequence et l'indice de modulation et la presence d'un effet Fabry -Perot accompagnant la modulation de phase. Enfin, nous montrons aussi qu'il est possible d'obtenir un signal d'erreur lorsque le signal de modulation est une sequence binaire aleatoire plutot qu'un signal periodique. Cela permet entre autres d'utiliser le meme modulateur de phase pour les fins de transmission et d'asservissement.

  11. 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.

  12. 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.

  13. 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

  14. 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


  15. 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…

  16. 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, SiĂąn 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

  17. 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


  18. 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


  19. 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…

  20. 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


  1. 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,


  2. 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…

  3. 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

  4. 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.

  5. 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

  6. Social work practice in the donation of human tissue for transplantation: utilising social work values and competencies to achieve effective outcomes for transplant patients and donor families.

    PubMed

    Forbe-Smith, Lyndall; Haire, Mary; Doneley, Mary

    2002-01-01

    In Queensland, Australia, senior social workers have pioneered the coordination of tissue donation at coronial autopsies, seeking consent for the donation of heart valve, bone and eye tissue after sudden deaths which have been reported to the coroner. The urgent need for tissue for transplantation is balanced with the counselling, information and practical needs of potential donor families in their shock and grief. Social work assessment, advocacy, liaison, counselling, crisis intervention and particularly communication skills have been utilised, both as an integral component of obtaining informed consent and in working with families' experience of grief and loss in sudden, traumatic bereavement. This tissue donation program, over a period of eight years, has maximised the availability of tissue with its high donation rates, while upholding the rights and needs of potential donor families through provision of an effective social work service. The paper will reflect upon key social work knowledge and processes which have respected the subjective experience of client and worker while working within a medical model. PMID:12365750

  7. LASERIX : une station de travail ouverte pour l'Ă©tude et l'utilisation de lasers de 10 Ă  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 Ă  rayons X sont les sources les plus brillantes actuellement disponibles dans une gamme de longueurs d'onde comprises entre 10 et 40 nm. Leurs propriĂ©tĂ©s permettent de rĂ©aliser des expĂ©riences inconcevables auparavant. Le dĂ©veloppement des applications des lasers X implique la rĂ©alisation de stations de travail spĂ©cifiquement destinĂ©es Ă  la production et Ă  l'utilisation de lasers X. “LASERIX” est un projet de l'UniversitĂ© Paris-Sud qui sera construit dans les locaux de l'ENSTA Ă  Palaiseau. Cette installation servira au dĂ©veloppement des applications des lasers X, Ă  l'amĂ©lioration de propriĂ©tĂ©s optiques des lasers X existants et Ă  la rĂ©alisation de nouveaux lasers X. Elle sera ouverte aux Ă©quipes utilisatrices sĂ©lectionnĂ©es par un comitĂ© de programme.

  8. 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 dépÎts 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.

  9. 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 bactĂ©riophages, prĂ©dateurs naturels des bactĂ©ries, est une technique pionniĂšre efficace de lutte contre les infections bactĂ©riennes. TombĂ©e dans l’oubli depuis un demi-siĂšcle du cotĂ© occidental de l’ex-rideau de fer, elle fait toujours partie de l’arsenal thĂ©rapeutique des pays de l’ex-Europe de l’Est, au point de constituer une arme de choix dans la politique de santĂ© publique de ces pays. l’émergence de bactĂ©ries multirĂ©sistantes et le risque de revenir Ă  l’ùre prĂ©-antibiotique ont fait ressortir la phagothĂ©rapie de l’oubli injuste auquel elle avait Ă©tĂ© confinĂ©e. la biologie et la place du bactĂ©riophage dans la nature sont dĂ©crites ici. les tenants et les aboutissants de la phagothĂ©rapie et les conditions de son retour sur le devant de la scĂšne sont explicitĂ©es. PMID:26668557

  10. A new biological test utilising the yeast Saccharomyces cerevisiae for the rapid detection of toxic substances in water.

    PubMed

    Rumlova, Lubomira; Dolezalova, Jaroslava

    2012-05-01

    This study evaluates the toxic effects of five substances (atropine, fenitrothion, potassium cyanide, mercuric chloride and lead nitrate) on the yeast Saccharomyces cerevisiae. It describes a new biological toxicity test based on inhibition of S. cerevisiae viability and compares it with two standard toxicity tests based on Daphnia magna mobility inhibition (EN ISO 6341) and Vibrio fischeri bioluminiscence inhibition (EN ISO 11348-2). The new biological test -S. cerevisiae lethal test - is cheaper and 24 times faster than the D. magna test. The test speed is comparable with the V. fischeri test but the new test is more sensitive for some substances. The test indicates reliably the presence of all used toxicants in water in concentrations which are significantly lower than the concentration in toxic or lethal doses for man. Therefore, this new toxicity test could be proposed for rapid detection of toxic substances in water. PMID:22407169

  11. 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

  12. 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 ”g g(-1) As (dry weight). Similarly, the results of 17 rice samples were in the range of 0.054-0.823 ”g g(-1). This study demonstrates the importance of selecting an appropriate extraction technique for the quantitative measurement of arsenic species in food. PMID:26760914

  13. 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 ÎŽ13C and ÎŽ15N 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.

  14. 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

  15. Utilisation de la teledetection pour l'estimation de la reserve hydrique au bassin du Mackenzie au nord ouest Canadien

    NASA Astrophysics Data System (ADS)

    Temimi, Marouane

    This work elaborates a method to estimate soil moisture and open water extent using remote sensing data. Specifically, Microwave data are used in this work in combination with other sources of information. This study is applied to Mackenzie River Basin as it was conducted in the framework of the MAGS project (Mackenzie GEWEX Study). The methodology developed in this work is based on the concept of the wetness index which is a surrogate of the measured soil moisture. Firstly, it was proposed to used wetness index derived from a linear combination of brightness temperatures measured by the SSM/I sensor. Beside the correlation of this index with the observed discharge at some observing points of the Mackenzie River basin, it was noticed that the empirical parameter of the index were affected by the variation in space and time of the surface conditions. The sensitivity of the wetness index was improved by considering this effect. Secondly, the potential of combination of passive microwave data and discharge observation for flood forecasting was investigated. The methodology was based on the concept of the rating curve model. The Kaman filter was used to update the parameters of the rating model at the reception of each new satellite image. The estimated water surface fractions using the discharge observations showed a reasonable concordance with those derived from visible images (NOAA-AVHRR). The publication of the AMSR-E data has enabled us to improve the spatial resolution of the passive microwave data. Thus, a new formulation of a wetness index was proposed in the third part of this work. The proposed Basin Wetness Index is based on the difference of the sensitivity of passive microwave and visible images to soil moisture. Microwave data are sensitive to the soil water content and open water extent. However, visible images can mirror only the water extent. Information about soil moisture can be derived from the difference of these sensitivities. This index was able to qualitatively describe the temporal evolution of the wetness over the Mackenzie River Basin. It is worth mentioning that vegetation distribution was considered in the formulation of the proposed index by the segregation between bare and vegetated soil soils by the mosaic approach. The BWI was finally downscaled using Digital Elevation Model data. The sensitivity of the topography attributes to the spatial distribution of soil moisture was assessed. A classical formulation of topographical index was modified in this study to take into account the difference of sensitivity of topographical attributes over bare and covered soils. The combination of the modified topographical index and the proposed BWI enabled us to downscale the soil water content estimation and provide an estimate of soil moisture at the scale of the Digital elevation Model. Overall, the downscaling approach provided satisfactory resultants when compared to precipitation and temperature variation. Further works are needed to assess the reliability of the proposed approaches using results of distributed hydrological model outputs.

  16. 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.

  17. 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

  18. Physicians, Primary Caregivers and Topical Repellent: All Under-Utilised Resources in Stopping Dengue Virus Transmission in Affected Households

    PubMed Central

    Nguyen, Nguyet Minh; Whitehorn, James S.; Luong Thi Hue, Tai; Nguyen Thanh, Truong; Mai Xuan, Thong; Vo Xuan, Huy; Nguyen Thi Cam, Huong; Nguyen Thi Hong, Lan; Nguyen, Hoa L.; Dong Thi Hoai, Tam; Nguyen Van Vinh, Chau; Wolbers, Marcel; Wills, Bridget; Simmons, Cameron P.; Carrington, Lauren B.

    2016-01-01

    Background Primary health care facilities frequently manage dengue cases on an ambulatory basis for the duration of the patient’s illness. There is a great opportunity for specific messaging, aimed to reduce dengue virus (DENV) transmission in and around the home, to be directly targeted toward this high-risk ambulatory patient group, as part of an integrated approach to dengue management. The extent however, to which physicians understand, and can themselves effectively communicate strategies to stop focal DENV transmission around an ambulatory dengue case is unknown; the matter of patient comprehension and recollection then ensues. In addition, the effectiveness of N,N-diethyl-3-methylbenzamide (DEET)-based insect repellent in protecting dengue patients from Aedes aegypti mosquitoes’ bites has not been investigated. Methodology A knowledge, attitude and practice (KAP) survey, focusing on the mechanisms of DENV transmission and prevention, was performed using semi-structured questionnaires. This survey was targeted towards the patients and family members providing supportive care, and physicians routinely involved in dengue patient management in Southern Vietnam. An additional clinical observational study was conducted to measure the efficacy of a widely-used 13% DEET-based insect repellent to repel Ae. aegypti mosquitoes from the forearms of dengue cases and matched healthy controls. Principal Findings Among both the physician (n = 50) and patient (n = 49) groups there were several respondents lacking a coherent understanding of DENV transmission, leading to some inappropriate attitudes and inadequate acute preventive practices in the household. The application of insect repellent to protect patients and their relatives from mosquito bites was frequently recommended by majority of physicians (78%) participating in the survey. Nevertheless, our tested topical application of 13% DEET conferred only ~1hr median protection time from Ae. aegypti landing. This is notably shorter than that advertised on the manufacturer’s label. No differences in landing time between febrile dengue cases or matched healthy controls (n = 19 experiments) were observed. Conclusion/Significance Our study identifies missed opportunities for primary care physicians to improve public health through communication of strategies that could prevent focal dengue transmission in and around a case household. We advocate better access to more efficient communication methods for physicians and auxilliary health workers, supporting to educate those at high risk of DENV transmission. Our empirical testing of a widely-available 13% DEET-based repellent was limited in its protective efficacy against Ae. aegypti mosquito bites, and therefore DENV transmission, suggesting more frequent application is necessary to be beneficial. PMID:27164168

  19. Elucidation of the outer membrane proteome of Salmonella enterica serovar Typhimurium utilising a lipid-based protein immobilization technique

    PubMed Central

    2010-01-01

    Background Salmonella enterica serovar Typhimurium (S. Typhimurium) is a major cause of human gastroenteritis worldwide. The outer membrane proteins expressed by S. Typhimurium mediate the process of adhesion and internalisation within the intestinal epithelium of the host thus influencing the progression of disease. Since the outer membrane proteins are surface-exposed, they provide attractive targets for the development of improved antimicrobial agents and vaccines. Various techniques have been developed for their characterisation, but issues such as carryover of cytosolic proteins still remain a problem. In this study we attempted to characterise the surface proteome of S. Typhimurium using Lipid-based Protein Immobilisation technology in the form of LPIℱ FlowCells. No detergents are required and no sample clean up is needed prior to downstream analysis. The immobilised proteins can be digested with proteases in multiple steps to increase sequence coverage, and the peptides eluted can be characterised directly by liquid chromatography - tandem mass spectrometry (LC-MS/MS) and identified from mass spectral database searches. Results In this study, 54 outer membrane proteins, were identified with two or more peptide hits using a multi-step digest approach. Out of these 28 were lipoproteins, nine were involved in transport and three with enzyme activity These included the transporters BtuB which is responsible for the uptake of vitamin B12, LamB which is involved in the uptake of maltose and maltodextrins and LolB which is involved in the incorporation of lipoproteins in the outer membrane. Other proteins identified included the enzymes MltC which may play a role in cell elongation and division and NlpD which is involved in catabolic processes in cell wall formation as well as proteins involved in virulence such as Lpp1, Lpp2 and OmpX. Conclusion Using a multi-step digest approach the LPIℱ technique enables the incorporation of a multi-step protease work flow ensuring enough sequence coverage of membrane proteins subsequently leading to the identification of more membrane proteins with higher confidence. Compared to current sub-cellular fractionation procedures and previous published work, the LPIℱ technique currently provides the widest coverage of outer membrane proteins identified as demonstrated here for Salmonella Typhimurium. PMID:20149234

  20. 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

  1. Evaluation on lung cancer patients' adaptive planning of TomoTherapy utilising radiobiological measures and Planned Adaptive module.

    PubMed

    Su, Fan-Chi; Shi, Chengyu; Mavroidis, Panayiotis; Rassiah-Szegedi, Prema; Papanikolaou, Niko

    2009-01-01

    Adaptive radiation therapy is a promising concept that allows individualised, dynamic treatment planning based on feedback of measurements. The TomoTherapy Planned Adaptive application, integrated to the helical TomoTherapy planning system, enables calculation of actual dose delivered to the patient for each treatment fraction according to the pretreatment megavoltage computed tomography (MVCT) scan and image registration. As a result, new fractionation treatment plans are available if correction is necessary. In order to evaluate therealclinicaleffect,biologicaldoseis preferred to physical dose. A biological parameter, biologically effective uniform dose ([Formula: see text]), has the advantages of not only reporting delivered dose but also facilitating the analysis of dose-response relations, which link radiation dose to the clinical effect. Therefore, in this study, four lung patients' adaptive plans were evaluated using the [Formula: see text] in addition to physical doses estimated from the TomoTherapy Planned Adaptive module. Higher complication-free tumour control probability (P(+))(of about 8%) was observed in patients treated with larger dose-per-fraction by using the [Formula: see text] in addition to the physical dose. Moreover, a significant increase of 13.2% in the P(+) for the adaptive TomoTherapy plan in one of the lung cancer patients was also observed, which indicates the clinical benefit of adaptive TomoTherapy. PMID:20376282

  2. 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

  3. 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.

  4. 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

  5. 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

  6. Moonlighting of Helicobacter pylori catalase protects against complement-mediated killing by utilising the host molecule vitronectin.

    PubMed

    Richter, Corinna; Mukherjee, Oindrilla; Ermert, David; Singh, Birendra; Su, Yu-Ching; Agarwal, Vaibhav; Blom, Anna M; Riesbeck, Kristian

    2016-01-01

    Helicobacter pylori is an important human pathogen and a common cause of peptic ulcers and gastric cancer. Despite H. pylori provoking strong innate and adaptive immune responses, the bacterium is able to successfully establish long-term infections. Vitronectin (Vn), a component of both the extracellular matrix and plasma, is involved in many physiological processes, including regulation of the complement system. The aim of this study was to define a receptor in H. pylori that binds Vn and determine the significance of the interaction for virulence. Surprisingly, by using proteomics, we found that the hydrogen peroxide-neutralizing enzyme catalase KatA is a major Vn-binding protein. Deletion of the katA gene in three different strains resulted in impaired binding of Vn. Recombinant KatA was generated and shown to bind with high affinity to a region between heparin-binding domain 2 and 3 of Vn that differs from previously characterised bacterial binding sites on the molecule. In terms of function, KatA protected H. pylori from complement-mediated killing in a Vn-dependent manner. Taken together, the virulence factor KatA is a Vn-binding protein that moonlights on the surface of H. pylori to promote bacterial evasion of host innate immunity. PMID:27087644

  7. Moonlighting of Helicobacter pylori catalase protects against complement-mediated killing by utilising the host molecule vitronectin

    PubMed Central

    Richter, Corinna; Mukherjee, Oindrilla; Ermert, David; Singh, Birendra; Su, Yu-Ching; Agarwal, Vaibhav; Blom, Anna M.; Riesbeck, Kristian

    2016-01-01

    Helicobacter pylori is an important human pathogen and a common cause of peptic ulcers and gastric cancer. Despite H. pylori provoking strong innate and adaptive immune responses, the bacterium is able to successfully establish long-term infections. Vitronectin (Vn), a component of both the extracellular matrix and plasma, is involved in many physiological processes, including regulation of the complement system. The aim of this study was to define a receptor in H. pylori that binds Vn and determine the significance of the interaction for virulence. Surprisingly, by using proteomics, we found that the hydrogen peroxide-neutralizing enzyme catalase KatA is a major Vn-binding protein. Deletion of the katA gene in three different strains resulted in impaired binding of Vn. Recombinant KatA was generated and shown to bind with high affinity to a region between heparin-binding domain 2 and 3 of Vn that differs from previously characterised bacterial binding sites on the molecule. In terms of function, KatA protected H. pylori from complement-mediated killing in a Vn-dependent manner. Taken together, the virulence factor KatA is a Vn-binding protein that moonlights on the surface of H. pylori to promote bacterial evasion of host innate immunity. PMID:27087644

  8. 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

  9. Cleaner co-combustion of lignite-biomass-waste blends by utilising inhibiting compounds of toxic emissions.

    PubMed

    Skodras, G; Palladas, A; Kaldis, S P; Sakellaropoulos, G P

    2007-04-01

    In this paper, the co-combustion behaviour of coal with wastes and biomass and the related toxic gaseous emissions were investigated. The objective of this work is to add on towards a cleaner co-combustion of lignite-waste-biomass blends by utilizing compounds that could inhibit the formation of toxic pollutants. A series of co-combustion tests was performed in a pilot scale incinerator, and the emissions of polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) were measured. The co-combustion behaviour of lignite with olive kernels, MDF and sawdust was studied and the ability of additives such as urea, almond shells and municipal sewage sludge to reduce the PCDD/F emissions was examined. All blends were proven good fuels and reproducible combustion conditions were achieved. The addition of inhibitors prior to combustion showed in some cases, relatively high PCDD/F emissions reduction. Among the inhibitors tested, urea seems to achieve a reduction of PCDD/F emissions for all fuel blends, while an unstable behaviour was observed for the others. PMID:17204304

  10. 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

  11. Forces and shapes as determinants of micro-swimming: effect on synchronisation and the utilisation of drag.

    PubMed

    Pande, Jayant; Smith, Ana-Sunčana

    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. 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.

  13. 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 ChromolithÂź 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⁻Âč. 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⁻Âč with the regression coefficient of >0.997. The lower limits of detection and quantification for MG were 0.55 and 1.44 ng ml⁻Âč, 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

  14. 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

  15. 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

  16. 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

  17. 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.

  18. 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.

  19. Home Range Utilisation and Long-Range Movement of Estuarine Crocodiles during the Breeding and Nesting Season

    PubMed Central

    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

  20. 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

  1. 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

  2. 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.

  3. 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.

  4. 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; KÀtterer, 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 ÎŽ13C in PLFAs show that the plots fertilised with only calcium nitrate had the highest ÎŽ13C-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 ÎŽ13C-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.

  5. 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, RenĂ©; MĂŒller, Caroline

    2015-11-01

    Iridoid glycosides are plant defence compounds with potentially detrimental effects on non-adapted herbivores. Some plant species possess ÎČ-glucosidases that hydrolyse iridoid glycosides and thereby release protein-denaturing aglycones. To test the hypothesis that iridoid glycosides and plant ÎČ-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 ÎČ-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 ÎČ-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 ÎČ-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

  6. Maintenance and growth requirements for nitrogen, lysine and methionine and their utilisation efficiencies in juvenile black tiger shrimp, Penaeus monodon, using a factorial approach.

    PubMed

    Richard, LenaĂŻg; Blanc, Pierre-Philippe; Rigolet, Vincent; Kaushik, Sadasivam J; Geurden, Inge

    2010-04-01

    We used a factorial approach to distinguish maintenance from growth requirements for protein, lysine and methionine in the black tiger shrimp, Penaeus monodon. Juvenile P. monodon (initial weight 2.4 g) were fed during 6 weeks one of ten semi-purified diets based on casein and purified amino acids (AA) as N source. The diets contained four levels of crude protein (CP, from 5 to 54 % DM diet) with two levels (% CP) of lysine or methionine (normal or 30 % deficient). Requirements were determined using linear and non-linear regression models. We could thus obtain the first ever data on maintenance (N equilibrium) requirements for CP and AA in P. monodon. CP requirements for maintenance (4.5 g/kg body weight (BW) per d) represented approximately 19 % of the CP requirement for maximal N gain (23.9 g/kg BW per d). The marginal efficiency of utilisation reached a maximum of 38 % for N, 0.77 for lysine and 1.62 for methionine using N gain as response. Lysine requirements were 0.20 g/kg BW per d for N maintenance and 1.40 g/kg BW per d for maximal N gain. Methionine requirements were 0.11 g/kg BW per d for N maintenance and 0.70 g/kg BW per d for maximal N gain. The lysine (5.8 %) and methionine (2.9 %) requirements for maximal N gain, expressed as percentage of protein requirement, agree with literature data using a dose-response technique with smaller P. monodon. The observed interaction between dietary CP and methionine for N gain demonstrates that requirements for indispensable AA (expressed as % CP) cannot be evaluated separately from CP requirements. PMID:19944000

  7. 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

  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. 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)

  10. 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 Ś 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

  11. PremiÚre expérience de l'utilisation du Misoprostol comme soin aprÚs avortement (SAA) à Libreville, Gabon

    PubMed Central

    Mayi-Tsonga, SosthĂšne; Minkobame, Ulysse; Mbila, Arielle; Assoumou, Pamphile; Diop, Ayisha; Winikoff, Beverly

    2014-01-01

    Introduction Une Ă©tude a Ă©tĂ© menĂ©e afin de dĂ©terminer le taux d'acceptabilitĂ© de 400”g de misoprostol par voie sublinguale comme traitement de premiĂšre intention de l'avortement incomplet et de prĂ©ciser le taux d'avortement complet ou vacuitĂ© utĂ©rine. MĂ©thodes Les femmes Ă©ligibles avaient un diagnostic clinique d'avortement incomplet avec une taille utĂ©rine infĂ©rieure Ă  celle d'un utĂ©rus de 12 semaines d'amĂ©norrhĂ©es (SA). Chacune a reçu 400”g de misoprostol par voie sublinguale. Les femmes ont Ă©tĂ© revues aprĂšs une semaine. A J7, celles qui n'avaient pas complĂštement expulsĂ© ont eu le choix entre une nouvelle consultation de suivi Ă  J14 et la pratique d'une Ă©vacuation chirurgicale immĂ©diate. RĂ©sultats 145 patientes ont Ă©tĂ© Ă©ligibles et ont toutes acceptĂ© la mĂ©thode (100%). L’ñge moyen Ă©tait de 25,9 ± 6 ans. A J7, 120 patientes Ă©taient guĂ©ries (85,7%). A J14, le taux de rĂ©ussitea Ă©tĂ© de 95,7% soit 134 patientes guĂ©ries. Les patientes guĂ©ries ont dĂ©clarĂ© ĂȘtre trĂšs satisfaites (57,5%), satisfaites (41,8%) et insatisfaite (0,7%). Au total,128 femmes (95,5%) ont dit ĂȘtre prĂȘtes Ă  utiliser de nouveau le misoprostol comme mĂ©thode d’évacuation utĂ©rine en cas d'avortement incomplet. Conclusion L’étude dĂ©montre que le 400”g misoprostol par voie sublinguale nous permet de prendre en charge d'une maniĂšre adĂ©quate l'avortement incomplet surtout dans les pays Ă  faible ressource et notamment dans les structures sanitaires de premiĂšre ligne ou Ă©loignĂ©es. PMID:25469194

  12. Morbidity and healthcare resource utilisation in HIV-infected children following antiretroviral therapy (ART) initiation in Cîte 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, Cîte 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

  13. 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; PĂ©ron, 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

  14. 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


  15. Lignes directrices canadiennes sur l’utilisation sĂ©curitaire et efficace des opioĂŻdes pour la douleur chronique non cancĂ©reuse

    PubMed Central

    Kahan, Meldon; Wilson, Lynn; Mailis-Gagnon, Angela; Srivastava, Anita

    2011-01-01

    RĂ©sumĂ© Objectif PrĂ©senter aux mĂ©decins de famille un rĂ©sumĂ© clinique pratique sur la prescription d’opioĂŻdes Ă  des populations particuliĂšres en se fondant sur les recommandations faites dans les lignes directrices canadiennes sur l’utilisation sĂ©curitaire et efficace des opioĂŻdes pour la douleur chronique non cancĂ©reuse. QualitĂ© des donnĂ©es Pour produire les lignes directrices, les chercheurs ont effectuĂ© une synthĂšse critique de la littĂ©rature mĂ©dicale en insistant plus prĂ©cisĂ©ment sur les Ă©tudes de l’efficacitĂ© et de la sĂ©curitĂ© des opioĂŻdes dans des populations particuliĂšres. Message principal Les mĂ©decins de famille peuvent attĂ©nuer les risques de surdose, de sĂ©dation, d’usage abusif et de dĂ©pendance grĂące Ă  des stratĂ©gies adaptĂ©es Ă  l’ñge et Ă  l’état de santĂ© des patients. Dans le cas de patients Ă  risque de dĂ©pendance, on devrait rĂ©server les opioĂŻdes aux douleurs nociceptives ou neuropathiques bien dĂ©finies qui n’ont pas rĂ©pondu aux traitements de premiĂšre intention. Il faut procĂ©der lentement au titrage des opioĂŻdes, avec des dispensations frĂ©quentes et une Ă©troite surveillance pour dĂ©pister tout signe d’usage abusif. Une dĂ©pendance aux opioĂŻdes suspectĂ©e est prise en charge au moyen d’une thĂ©rapie structurĂ©e aux opioĂŻdes, d’un traitement Ă  la mĂ©thadone ou Ă  la buprĂ©norphine ou encore d’un traitement fondĂ© sur l’abstinence. Les patients souffrant de troubles de l’humeur ou d’anxiĂ©tĂ© ont tendance Ă  avoir une rĂ©ponse analgĂ©sique attĂ©nuĂ©e aux opioĂŻdes, sont Ă  risque plus Ă©levĂ© d’usage abusif et prennent souvent des sĂ©datifs qui interagissent dĂ©favorablement avec les opioĂŻdes. Il faut prendre des prĂ©cautions semblables Ă  celles utilisĂ©es avec d’autres patients Ă  risque Ă©levĂ©. Il faut faire un sevrage progressif si la douleur du patient demeure sĂ©vĂšre mĂȘme avec un essai adĂ©quat de thĂ©rapie aux opioĂŻdes. Chez les personnes ĂągĂ©es, la sĂ©dation, les chutes et la surdose peuvent ĂȘtre minimisĂ©es en utilisant des doses initiales faibles, un titrage plus lent, un sevrage des benzodiazĂ©pines et une bonne Ă©ducation des patients. Dans le cas des femmes enceintes qui prennent des opioĂŻdes chaque jour, il faut faire un sevrage progressif et cesser complĂštement. Si ce n’est pas possible, il faut administrer la dose efficace la plus faible. Les femmes enceintes qui ont une dĂ©pendance aux opioĂŻdes devraient recevoir un traitement Ă  la mĂ©thadone. Les adolescents sont Ă  risque Ă©levĂ© de surdose d’opioĂŻdes, d’usage abusif et de dĂ©pendance. Les patients qui ont des adolescents qui vivent Ă  la maison devraient entreposer leurs opioĂŻdes dans un lieu sĂ»r. Les adolescents ont rarement besoin d’une thĂ©rapie Ă  long terme aux opioĂŻdes. Conclusion Les mĂ©decins de famille doivent tenir compte de l’ñge, de la condition psychiatrique, du degrĂ© de risque de dĂ©pendance du patient et d’autres facteurs quand ils prescrivent des opioĂŻdes pour la douleur chronique.

  16. [Results of the marketing research study "Acceptance of physician's office computer systems"].

    PubMed

    Steinhausen, D; Brinkmann, F; Engelhard, A

    1998-01-01

    We report on a market research study on the acceptance of computer systems in surgeries. 11,000 returned questionnaires of surgeons--user and nonuser--were analysed. We found out that most of the surgeons used their computers in a limited way, i.e. as a device for accounting. Concerning the level of utilisation there are differentials of Men-Women, West-East and Young-Old. In this study we also analysed the computer using behaviour of gynaecologic surgeons. As a result two third of all nonusers are not intending to utilise a computer in the future. PMID:9556905

  17. Lignes directrices canadiennes sur l’utilisation sĂ©curitaire et efficace des opioĂŻdes pour la douleur chronique non cancĂ©reuse

    PubMed Central

    Kahan, Meldon; Mailis-Gagnon, Angela; Wilson, Lynn; Srivastava, Anita

    2011-01-01

    RĂ©sumĂ© Objectif PrĂ©senter aux mĂ©decins de famille un rĂ©sumĂ© clinique pratique des lignes directrices canadiennes sur l’utilisation sĂ©curitaire et efficace des opioĂŻdes pour la douleur chronique non cancĂ©reuse, produites par le National Opioid Use Guideline Group. QualitĂ© des donnĂ©es Pour produire les lignes directrices, les chercheurs ont effectuĂ© une synthĂšse critique de la littĂ©rature mĂ©dicale sur l’efficacitĂ© et l’innocuitĂ© des opioĂŻdes pour la douleur chronique non cancĂ©reuse et ont rĂ©digĂ© une sĂ©rie de recommandations. Un panel de 49 cliniciens experts de toutes les rĂ©gions du Canada ont passĂ© en revue l’ébauche et ont atteint un consensus sur 24 recommandations. Message principal Il est recommandĂ© de faire un dĂ©pistage du risque de dĂ©pendance avant de prescrire des opioĂŻdes. On recommande des opioĂŻdes faibles (codĂ©ine et tramadol) pour une douleur de lĂ©gĂšre Ă  modĂ©rĂ©e qui n’a pas rĂ©pondu aux traitements de premiĂšre intention. On peut essayer l’oxycodone, l’hydromorphone et la morphine chez les patients qui n’ont pas eu de soulagement avec des opioĂŻdes plus faibles. Une faible dose initiale et une lente hausse du titrage sont recommandĂ©es, ainsi qu’une Ă©troite surveillance du patient qu’on a d’abord renseignĂ©. Les mĂ©decins doivent surveiller l’apparition de complications comme l’apnĂ©e du sommeil. La dose optimale est celle qui amĂ©liore le fonctionnement ou attĂ©nue les cotes d’évaluation de la douleur d’au moins 30 %. Pour la grande majoritĂ© 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 rĂ©pondu Ă  un essai d’opioĂŻdes adĂ©quat. Conclusion Les opioĂŻdes jouent un rĂŽle important dans la prise en charge de la douleur chronique non cancĂ©reuse, mais il faut en prescrire avec prudence pour limiter les dommages potentiels. Les nouvelles lignes directrices canadiennes offrent des conseils dont les mĂ©decins avaient grand besoin pour les aider Ă  en arriver Ă  un juste Ă©quilibre entre le contrĂŽle optimal de la douleur et la sĂ©curitĂ©.

  18. 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;


  19. 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


  20. 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;…

  1. The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status

    PubMed Central

    Moorin, Rachael E; Holman, C D'Arcy J

    2006-01-01

    Background This study aimed to investigate groups of patients with a relatively homogenous health status to evaluate the degree to which use of the Australian hospital system is affected by socio-economic status, locational accessibility to services and patient payment classification. Method Records of all deaths occurring in Western Australia from 1997 to 2000 inclusive were extracted from the WA mortality register and linked to records from the hospital morbidity data system (HMDS) via the WA Data Linkage System. Adjusted incidence rate ratios of hospitalisation in the last, second and third years prior to death were modelled separately for five underlying causes of death. Results The independent effects of socioeconomic status on hospital utilisation differed markedly across cause of death. Locational accessibility was generally not an independent predictor of utilisation except in those dying from ischaemic heart disease and lung cancer. Private patient status did not globally affect utilisation across all causes of death, but was associated with significantly decreased utilisation three years prior to death for those who died of colorectal, lung or breast cancer, and increased utilisation in the last year of life in those who died of colorectal cancer or cerebrovascular disease. Conclusion It appears that the Australian hospital system may not be equitable since equal need did not equate to equal utilisation. Further it would appear that horizontal equity, as measured by equal utilisation for equal need, varies by disease. This implies that a 'one-size-fits-all' approach to further improvements in equity may be over simplistic. Thus initiatives beyond Medicare should be devised and evaluated in relation to specific areas of service provision. PMID:16774689

  2. Utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisĂ©s dĂ©centralisĂ©s en Ă©tablissement de santĂ©

    PubMed Central

    Brisseau, Lionel; BussiÚres, Jean-François; Lebel, Denis; Atkinson, Suzanne; Robinette, Louise; Fortin, Sylvie; Lemay, Michel

    2011-01-01

    RÉSUMÉ Contexte : Il existe peu de donnĂ©es sur les consĂ©quences de l’utilisation des cabinets automatisĂ©s dĂ©centralisĂ©s (CAD) en Ă©tablissements de santĂ©. MĂ©thode : Il s’agit d’une Ă©tude descriptive de la conformitĂ© des pratiques par rapport Ă  des lignes directrices publiĂ©es dans le cadre de l’implantation de CAD. L’objectif principal de l’étude est d’évaluer la conformitĂ© globale et celle de chaque processus du circuit du mĂ©dicament. L’étude se dĂ©roule au sein du Centre hospitalier universitaire (CHU) Sainte-Justine, un Ă©tablissement mĂšre–enfant de 500 lits. À partir des lignes directrices portant sur l’utilisation sĂ©curitaire des CAD de l’Institute for Safe Medication Practice (aux États-Unis) (2008) et de son outil d’autoĂ©valuation (2009), nous avons Ă©valuĂ© la conformitĂ© de la pratique Ă  30 jours et Ă  120 jours aprĂšs l’implantation. RĂ©sultats : Nous avons procĂ©dĂ© de novembre 2009 Ă  avril 2010 Ă  l’implantation de sept stations de CAD au sein du CHU Sainte-Justine. Le profil de conformitĂ© est passĂ© de 66 % Ă  74 % de janvier Ă  avril 2010. Pour chaque processus relatif Ă  l’utilisation sĂ©curitaire des CAD, nous prĂ©sentons une brĂšve description des critĂšres ainsi que les Ă©lĂ©ments de non-conformitĂ© liĂ©s Ă  la technologie ou aux aspects organisationnels. Pour chaque Ă©lĂ©ment de non-conformitĂ©, nous avons dĂ©terminĂ© les actions requises auprĂšs du fabricant afin de modifier l’équipement (c. Ă  .d. aspects technologiques) et auprĂšs de l’établissement afin de modifier les modalitĂ©s d’utilisation (aspects organisationnels) en prĂ©cisant le ou les processus impliquĂ©s. Conclusion : Cette Ă©tude dĂ©crit la conformitĂ© des pratiques au CHU Sainte-Justine par rapport Ă  des lignes directrices publiĂ©es par l’Institute for Safe Medication Practices. L’utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisĂ©s dĂ©centralisĂ©s en Ă©tablissement peut aider Ă  guider les actions tant sur le plan technologique qu’organisationnel. PMID:22479039

  3. 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 Ă©tudiĂ© l'endommagement du verre silico-sodo-calcique (trois diffĂ©rentes Ă©paisseurs : 2mm, 4mm, et 8mm) par choc thermique descendant. Nous avons utilisĂ© l'approche thermomĂ©canique en terme de facteur d'intensitĂ© de contrainte en se basant sur un calcul numĂ©rique. Le choc thermique descendant, est la mise en contact brutal d'un Ă©chantillon, prĂ©alablement chauffĂ© Ă  une tempĂ©rature Ti, avec un milieu dont la tempĂ©rature Tf est infĂ©rieure Ă  Ti. Le gradient thermique engendrĂ© induit des contraintes de tension dans les couches superficielles du corps. Ces contraintes peuvent conduire Ă  la rupture du matĂ©riau. Les hypothĂšses prises en compte lors de la simulation sont comme suit : Le refroidissement des Ă©chantillons en verre chauffĂ©s Ă  diffĂ©rentes tempĂ©ratures, infĂ©rieures Ă  sa tempĂ©rature de transition, est fait par jet d'air Ă  20° C pendant 6 secondes. Ce temps est suffisant pour que la tempĂ©rature des Ă©chantillons atteigne l'ambiante. Le coefficient de transfert de chaleur est de 600 W/°C.m2. Les tempĂ©ratures chaudes ont Ă©tĂ© variĂ©es entre 100° C et 450° C. Lors des calculs, nous avons intĂ©grĂ©, l'Ă©volutions en fonction de la tempĂ©rature des propriĂ©tĂ©s thermoĂ©lastiques du verre. Dans un premier temps, nous avons dĂ©terminĂ© les tempĂ©ratures et les contraintes transitoires dans l'Ă©chantillon Ă  tout instant du choc thermique. Ensuite, nous avons dĂ©terminĂ© l'Ă©volution du facteur d'intensitĂ© de contrainte (FIC) durant le refroidissement. Enfin, les FIC calculĂ©s sont comparĂ©s Ă  la tĂ©nacitĂ© (K1c) du matĂ©riau. Cette derniĂšre a Ă©tĂ© mesurĂ©e en utilisant la mĂ©canique linĂ©aire de la rupture. Nous avons vĂ©rifiĂ© que quand le facteur FIC atteint la valeur de la tĂ©nacitĂ© dans la zone des dĂ©fauts critiques, ces derniers se propagent d'une maniĂšre brutale causant ainsi la dĂ©gradation de l'Ă©chantillon. Par cette technique, nous avons directement accĂšs Ă  l'Ă©cart de tempĂ©rature critique au delĂ  duquel le verre rompt. Nous avant trouvĂ© qu' un choc thermique effectuĂ© Ă  partir d'une tempĂ©rature chaude de 250° C conduit Ă  des Ă©carts de tempĂ©rature cƓur surface plus importants Ă  mesure que l'Ă©chantillon est plus Ă©pais. 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 Ă©paisseurs 2 mm, 4 mm et 8 mm. L'Ă©volution des facteurs d'intensitĂ© de contrainte FIC montre que les dĂ©fauts prĂ©existants atteignent la longueur la plus grande aprĂšs choc thermique pour l'Ă©chantillon le plus Ă©pais. Le choc thermique descendant est plus nĂ©faste pour la plus grande l'Ă©paisseur.

  4. 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


  5. 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


  6. 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…

  7. 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


  8. 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…

  9. 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…

  10. 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…

  11. 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


  12. Promotion of Autonomy for Participation in Physical Activity: A Study Based on the Trans-Contextual Model of Motivation

    ERIC Educational Resources Information Center

    Gonzålez-Cutre, David; Ferriz, Roberto; Beltrån-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


  13. 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, AngÚle Musau; Mpoyi, Dorcas Ilunga; Mumba, Sylvie Katanga; Kabamba, Julie Ndayi; Cowgill, Karen; Kaj, Françoise Malonga

    2015-01-01

    Introduction Augmenter la prĂ©valence contraceptive s'incarne dans les objectifs des tous les acteurs des programmes qui visent de rĂ©duire la mortalitĂ© maternelle et infantile, d'amĂ©liorer la santĂ© reproductive des adolescents, de lutter contre le VIH/SIDA et les infections sexuellement transmissible (IST), de promouvoir le bien-ĂȘtre familial et de ralentir la croissance dĂ©mographique. L'objectif de cette Ă©tude Ă©tait de dĂ©terminer la prĂ©valence contraceptive moderne et identifier les facteurs qui sont liĂ©s Ă  l'utilisation des mĂ©thodes contraceptives dans la zone de santĂ© de Mumbunda. MĂ©thodes Une Ă©tude transversale Ă  visĂ© analytique a Ă©tĂ© effectuĂ©e auprĂšs des femmes ĂągĂ©es de 15 Ă  49 ans en union maritale, de Mai Ă  Juin 2014. GrĂące Ă  un questionnaire prĂ© testĂ© et validĂ©, nous avons rĂ©coltĂ© les donnĂ©es par interview sur les caractĂ©ristiques sociodĂ©mographiques, obstĂ©tricales ainsi que sur la pratique contraceptive. Le logiciel SPSS version 21 nous a permis d'analyser les donnĂ©es. RĂ©sultats Au total 500 femmes ont Ă©tĂ© incluses dans cette Ă©tude dont l’ñge moyen Ă©tait de 27,9±6,1 ans. La prĂ©valence contraceptive moderne Ă©tait de 27,6%. L'attitude (ORa= 4,79; IC95%: 1,59-14,43; p<0,001), le niveau de connaissance des mĂ©thodes 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) Ă©taient significativement associĂ©s Ă  l'utilisation des mĂ©thodes contraceptives modernes. Conclusion Tout effort d'augmentation de la prĂ©valence contraceptive devrait cibler l'attitude, le niveau de connaissance de mĂ©thodes et le soutien du conjoint afin d'optimiser l'utilisation de la contraception moderne dans la zone de santĂ© (ZS) Mumbunda. PMID:26977237

  14. Utilisation des données préliminaires Tycho pour le traitement des observations réalisées avec les instruments méridiens à CCD de Bordeaux et São Paulo.

    NASA Astrophysics Data System (ADS)

    RĂ©quiĂšme, Y.; Le Campion, J. F.; Montignac, G.; Bosq, F.; Chauvet, F.; Desbats, J. M.; Daigne, G.; Mazurier, J. M.; Rapaport, M.; Viateau, B.; Benevides-Soares, P.; Teixeira, R.; Hoeg, E.; Makarov, V. V.

    Une camĂ©ra CCD fonctionnant en mode transfert-intĂ©gration de charge synchrone avec le mouvement diurne a Ă©tĂ© testĂ©e successivement sur les instruments mĂ©ridiens de Bordeaux et SĂŁo Paulo. En utilisant, comme rĂ©fĂ©rence, les positions prĂ©liminaires des Ă©toiles Tycho, la prĂ©cision des positions mesurĂ©es avec la camĂ©ra CCD est environ 0.06″jusqu'Ă  la magnitude 15. Une nouvelle camĂ©ra avec un champ plus grand (28') sera prochainement installĂ©e sur l'instrument de Bordeaux.

  15. 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

  16. 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…

  17. 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


  18. 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


  19. 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


  20. 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 s