Estimated Risk of HIV Acquisition and Practice for Preventing Occupational Exposure: A Study of Healthcare Workers at Tumbi and Dodoma Hospitals, Tanzania.

Health care workers (HCWs) are at risk of acquiring human immuno-deficiency virus (HIV) and other infections via exposure to infectious patients' blood and body fluids. The main objective of this study was to estimate the risk of HIV transmission and examine the practices for preventing occupational exposures among HCWs at Tumbi and Dodoma Hospitals in Tanzania. This study was carried out in two hospitals, namely, Tumbi in Coast Region and Dodoma in Dodoma Region. In each facility, hospital records of occupational exposure to HIV infection and its management were reviewed. In addition, practices to prevent occupational exposure to HIV infection among HCWs were observed. The estimated risk of HIV transmission due to needle stick injuries was calculated to be 7 cases per 1,000,000 HCWs-years. Over half of the observed hospital departments did not have guidelines for prevention and management of occupational exposure to HIV infections and lacked well displayed health and safety instructions. Approximately, one-fifth of the hospital departments visited failed to adhere to the instructions pertaining to correlation between waste materials and the corresponding colour coded bag/container/safety box. Seventy four percent of the hospital departments observed did not display instructions for handling infectious materials. Inappropriate use of gloves, lack of health and safety instructions, and lack of use of eye protective glasses were more frequently observed at Dodoma Hospital than at Tumbi Hospital. The poor quality of the hospital records at the two hospitals hampered our effort to characterise the risk of HIV infection acquisition by HCWs. Greater data completeness in hospital records is needed to allow the determination of the actual risk of HIV transmission for HCWs. To further reduce the risk of HIV infection due to occupational exposure, hospitals should be equipped with sufficient personal protective equipment (PPE) and HCWs should be reminded of the importance of adhering to universal precautions

Fishing for MSY: using “pretty good yield” ranges without impairing recruitment

Pretty good yield (PGY) is a sustainable fish yield corresponding to obtaining no less than a specified large percentage of the maximum sustainable yield (MSY). We investigated 19 European fish stocks to test the hypothesis that the 95% PGY yield range is inherently precautionary with respect to impairing recruitment. An FMSY range was calculated for each stock as the range of fishing mortalities (F) that lead to an average catch of at least 95% of MSY in long-term simulations. Further, a precautionary reference point for each stock (FP.05) was defined as the F resulting in a 5% probability of the spawning-stock biomass falling below an agreed biomass limit below which recruitment is impaired (Blim) in long-term simulations. For the majority of the stocks analysed, the upper bound of the FMSY range exceeded the estimated FP.05. However, larger fish species had higher precautionary limits to fishing mortality, and species with larger asymptotic length were less likely to have FMSY ranges impairing recruitment. Our study shows that fishing at FMSY generally is precautionary with respect to impairing recruitment for highly exploited teleost species in northern European waters, whereas the upper part of the range providing 95% of MSY is not necessarily precautionary for small- and medium-sized teleosts.</jats:p

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Advice about diet and smoking for people with or at risk of age-related macular degeneration: a cross-sectional survey of eye care professionals in the UK.

BACKGROUND: In the absence of a cure, there has been considerable interest in attempts to prevent or reduce the progression of age-related macular degeneration (AMD) by targeting particular modifiable risk factors. The aim of this study was to conduct a cross-sectional survey of the current practice of UK eye care professionals in relation to advice given on diet and other lifestyle modifications for patients with or at risk of AMD. METHODS: Optometrists and ophthalmologists on the membership databases of professional organisations for the two professions were invited to participate in an online survey. The survey was open for 12 weeks between July and September 2012. RESULTS: A total of 1,468 responses were received (96.3% from optometrists and 3.7% from ophthalmologists). The response rate of those receiving the invitation was 16.2% (1,414/8735) for optometrists and 6% (54/1460) for ophthalmologists. A majority of respondents reported that they frequently provide dietary advice to patients with established AMD (67.9%) and those at risk of AMD (53.6%). Typical advice consisted of a recommendation to eat plenty of leafy green vegetables and eat more oily fish. The decision to recommend nutritional supplements was based on the risk of progression to advanced AMD, with approximately 93% of respondents recommending supplementation in a patient with advanced AMD in one eye. However for the majority, the type of supplement recommended did not comply with current best research evidence, based on the findings of the Age-related Eye Disease Study (AREDS). Only one in three optometrists regularly assessed smoking status and advised on smoking cessation. CONCLUSIONS: Within a large sample of eye care professionals, consisting predominantly of optometrists, who responded to a cross-sectional survey, there was active engagement in providing nutritional advice to patients with or at risk of AMD. However, the results demonstrate a need to raise awareness of the evidence underpinning the use of nutritional supplements together with an increased involvement in targeted smoking cessation

Systematic bias in estimates of reproductive potential of cod stocks: implications for stock/recruit theory and management

Stock/recruit relationships, describing the relationship between the parental population and the number of offspring produced, are a central tool in population ecology. For fish populations the stock/recruit relationship uses spawning stock biomass (SSB) to represent reproductive potential of the parental population. This assumes that the proportion of SSB comprised of females and the relative fecundity (number of eggs produced per unit mass) are both constant over time. To test these two constancy assumptions female-only spawner biomass (FSB) and total egg production (TEP) were estimated for the Northeast Arctic cod stock over a 56-year time period (1946-2001). During that time period the proportion of females (FSB/SSB) varied between 24 and 68% and the variation was systematic with length such that SSB became more female-biased as the mean length of spawners increased and more male-biased as mean length decreased. Over the same time period, relative fecundity of the stock (TEP/SSB) varied between 115 and 355 eggs g-1 and, like FSB/SSB, was significantly, positively correlated mean length of spawners. Because both FSB/SSB and TEP/SSB covaried with length composition, SSB is systematically biased estimate of reproductive potential. FSB and TEP were evaluated as possible replacements for SSB in stock/recruit relationship. Both indices gave a different interpretation of the recruitment response to reductions in stock size (over-compensatory) compared to that obtained using SSB (either compensatory or depensatory). The threshold level of stock size below which recruitment becomes impaired was estimated for each of the different stock/recruit relationships using piecewise linear regression. There was no difference between SSB and FSB in the assessment of stock status, however, in recent years (1980-2001) TEP fell below the threshold level more frequently than SSB fell below. This suggests that using SSB as a measure of stock reproductive potential may lead to overly optimistic assessments of stock status

LOWER LEG MORPHOLOGY AND STRETCH-SHORTENING CYCLE PERFORMANCE IN YOUNG AND ELDERLY MALES

The purpose of this investigation was to examine bone and muscle characteristics of the lower leg and stretch-shortening cycle capabilities of the ankle in young (22.3 ± 1.3 yrs) and elderly (67.5 ± 3.3 yrs) males. Peripheral quantitiative computed tomography (pQCT) was utilized to assess bone stress-strain index, bone ultimate fracture load, muscle density, muscle cross-sectional area (CSA), fat CSA and muscle+bone CSA. Maximal voluntary isometric plantarflexion (MVIP) force and force-velocity measurments during a countermovement hop (CMH) and drop hops from 20, 30 and 40 cm (DH20, DH30, DH40) were also measured. Bone stress-strain index was significantly higher in young males as well as muscle density, muscle CSA and muscle+bone CSA in comparison to elderly males. MVIP peak force and rate of force development was significantly higher in young males in comparsion to elderly males as well. An analysis of the force-velocity curves indicated that young males had significanlty higher levels of force and velocity in both the eccentric and concentric phase during the CMH, DH20, DH30 and DH40 in comparsion to elderly males. The data from this investigation indicate that aging potentially negatively influences lower leg bone and muscle strength and this may be reflected in lower stretch-shortening cycle capabilities of the ankle

FORCE-VELOCITY PROFILES OF DANCERS AND ENDURANCE RUNNERS DURING ANKLE-SPECIFIC STRETCH-SHORTENING CYCLE TASKS

While dance and endurance running drastically differ from one another in an anecdotal context, both modalities of movement necessitate proficient stretch-shortening cycle (SSC) function about the ankle-joint. The purpose of the present study was to compare force-velocity profiles in dancers (n=6) and endurance runners (n=6) during a countermovement hop (CMH) and 30 cm drop hop (DH30) to elucidate differences between groups that would potentially stimulate effective training regimens. Average relative force-time, velocity-time and force-velocity curves were generated for each group’s CMH and DH30. Dancers hopped significantly higher (p ≤ 0.05) than endurance runners in both hopping tasks. Data from this investigation indicate that dancers and runners have distinctive temporal patterns and force production characteristics during ankle-joint SSC tasks with respect to the eccentric and concentric phase. This may be due to the unique SSC characteristics of each group’s corresponding training protocols

An open access approach to mapping climate risk and vulnerability for decision-making:A case study of Birmingham, United Kingdom

The global climate is changing, and local authorities must respond to changing climate risk to protect citizens and the urban environment in which they live. This paper presents an open access approach to map climate risk and vulnerability using Birmingham, the UK’s second city as a case study. A Climate Risk and Vulnerability Assessment (CRVA) was co-created with Birmingham City Council to ensure the approach supports the organisation’s needs, now and in the future. Using Geographic Information System (GIS) software, eleven geospatial datasets expressing physical, environmental, and social variables were combined to characterise holistic climate risk and vulnerability relative to the city boundary, where the higher the score, the higher the combined climate risk and vulnerability of an area. The resulting map (i) transparently evidences climate impacts across the city and the underpinning drivers, (ii) supports the prioritisation of interventions for those areas most at risk or vulnerable to climate change, (iii) supports the implementation of more climate-resilient development, and (iv) can be managed by stakeholders going forward for monitoring and evaluation purposes. While there are inevitable limitations in what can be achieved with an open access approach, the current CRVA can be considered a ‘minimum viable product’ that can be developed and improved iteratively in climate adaptation planning cycles. Its results can feed into broader policy agendas, such as national adaptation plans, adaptation reporting, just transition, and biodiversity net gain

Unsupervised morphological segmentation in a language with reduplication

We present an extension of the Morfessor Base line model of unsupervised morphological seg mentation (Creutz and Lagus, 2007) that in corporates abstract templates for reduplication, a typologically common but computationally underaddressed process. Through a detailed in vestigation that applies the model to Maori, the ¯ Indigenous language of Aotearoa New Zealand, we show that incorporating templates improves Morfessor’s ability to identify instances of redu plication, and does so most when there are multiple minimally-overlapping templates. We present an error analysis that reveals important factors to consider when applying the extended model and suggests useful future directions