Modelling Formal and Informal Domestic Water Consumption in Accra

Urban utilities in developing countries are often unwilling to extend coverage or improve services for fear that not enough water is available. This study used modelling to project the city-level water demand implications of slum water improvements in Accra (Ghana). The research collated existing data around water use patterns and also used purpose-designed surveys to explore usage and demand in slum communities in more depth

In vitro activity of the novel indoloquinone EO-9 and the influence of pH on cytotoxicity.

The novel indoloquinone compound EO-9 is shortly to undergo phase I clinical evaluation as a potential bioreductive drug. Preclinical studies have shown that EO-9 has greater activity against cells derived from human solid tumours than leukaemias in vitro. The results of this study extend the preclinical data available on EO-9 by demonstrating that EO-9 induces a broad spectrum of activity (IC50 values range from 8 to 590 ng ml-1) against a panel of human and murine tumour cell lines. Some evidence exists of selectivity towards leukaemia and human colon cell lines as opposed to murine colon cells. The response of cells to Mitomycin C were not comparable to EO-9 suggesting that the mechanism of action of these compounds is different. The cytotoxic properties of EO-9 under aerobic conditions are significantly influenced by extracellular pH. Reduction of pH from 7.4 to 5.8 increases cell kill from 40% to 95% in DLD-1 cells. In addition, EO-9 is unstable at acidic pH (T1/2 = 37 min at pH 5.5) compared to neutral pH T1/2 = 6.3 h). The major breakdown product in vitro was identified as EO-5A which proved relatively inactive compared to EO-9 (IC50 = 50 and 0.6 ug ml-1 respectively). These studies suggest that if EO-9 can be delivered to regions of low pH within solid tumours, a therapeutic advantage may be obtained

Numerical modeling of converging compound channel flow

This paper presents numerical analysis for prediction of depth-averaged velocity distribution of compound channels with converging flood plains. Firstly, a 3D Computational Fluid Dynamics model is used to establish the basic database under various working conditions. Numerical simulation in two phases is performed using the ANSYS-Fluent software. k-ω turbulence model is executed to solve the basic governing equations. The results have been compared with high-quality flume measurements obtained from different converging compound channels in order to investigate the numerical accuracy. Then Artificial Neural Network are trained based on the Back Propagation Neural Network technique for depth-averaged velocity prediction in different converging sections and these test results are compared with each other and with actual data. The study has focused on the ability of the software to correctly predict the complex flow phenomena that occur in channel flows

Modelling Mechanically Induced non-Newtonian Flows to Improve the Energy Efficiency of Anaerobic Digesters

In this paper, a finite volume based computational fluid dynamics (CFD) model has been developed for investigating the mixing of non-Newtonian flows and operating conditions of an anaerobic digester. A CFD model using the multiple reference frame has been implemented in order to model the mixing in an anaerobic digester. Two different agitator designs have been implemented: a design currently used in a full-scale anaerobic mixing device, SCABA, and an alternative helical ribbon design. Lab-scale experiments have been conducted with these two mixing device designs using a water-glycerol mixture to replicate a slurry with total solids concentration of 7.5%, which have been used to validate the CFD model. The CFD model has then been scaled up in order to replicate a full-scale anaerobic digester under real operating parameters that is mechanically stirred with the SCABA design. The influence of the non-Newtonian behaviour has been investigated and found to be important for the power demand calculation. Furthermore, the other helical mixing device has been implemented at full scale and a case study comparing the two agitators has been performed; assessing the mixing capabilities and power consumption of the two designs. It was found that, for a total solids concentrations of 7.5%, the helical design could produce similar mixing capabilities as the SCABA design at a lower power consumption. Finally, the potential power savings of the more energy efficient helical design has been estimated if implemented across the whole of the United Kingdom (UK)/Austria

All Hands on Deck: Transdisciplinary Approaches to Emerging Infectious Disease

The increasing burden of emerging infectious diseases worldwide confronts us with numerous challenges, including the imperative to design research and responses that are commensurate to understanding the complex social and ecological contexts in which infectious diseases occur. A diverse group of scientists met in Hawaii in March 2005 to discuss the linked social and ecological contexts in which infectious diseases emerge. A subset of the meeting was a group that focused on ‘‘transdisciplinary approaches’’ to integrating knowledge across and beyond academic disciplines in order to improve prevention and control of emerging infections. This article is based on the discussions of that group. Here, we outline the epidemiological legacy that has dominated infectious disease research and control up until now, and introduce the role of new, transdisciplinary and systems-based approaches to emerging infectious diseases.Wedescribe four cases of transboundary health issues and use them to discuss the potential benefits, as well as the inherent difficulties, in understanding the social–ecological contexts in which infectious diseases occur and of using transdisciplinary approaches to deal with them

A simple self-organized swimmer driven by molecular motors

We investigate a self-organized swimmer at low Reynolds numbers. The microscopic swimmer is composed of three spheres that are connected by two identical active linker arms. Each linker arm contains molecular motors and elastic elements and can oscillate spontaneously. We find that such a system immersed in a viscous fluid can self-organize into a state of directed swimming. The swimmer provides a simple system to study important aspects of the swimming of micro-organisms.Comment: 6 pages, 4 figure

Methods used for successful follow-up in a large scale national cohort study in Thailand

Background: Ensuring successful follow-up is essential when conducting a prospective cohort study. Most existing literature reviewing methods to ensure a high response rate is based on experience in developed nations. Findings: We report our 4-year follow-up success for a national cohort study examining the health transition underway in Thailand. We began the cohort study in 2005 with a baseline postal questionnaire sent to all 200,000 Thais enrolled as distance learning students at Sukhothai Thammathirat Open University and residing all over Thailand; 87,134 or 44% of the students responded. Subsequently we used University and national media to inform cohort members of study progress. Also, we prepared a health book with study results and health advice which was distributed to all cohort members. After 4 years we repeated the survey and achieved a 71% response rate. In this paper we report the methods used to achieve this response The initial follow-up mail-out generated a response rate of about 48% reflecting the extensive preparatory work between baseline and follow-up. After 4 rounds of telephone contact (more than 100,000 phone calls) and 4 related mail-out rounds progressively over 16 months an overall response rate was achieved of just over 71% (n = 60,774). The total cost was US$4.06/respondent - 19% for printing, 21% for postage, 14% for tape measures (included in mail-out), 18% for data processing 22% for prizes and 6% for telephone. Conclusions: Many of the methods reported as effective for mail questionnaire and cohort response rates held true for Thailand. These included being associated with a university, incentivating cooperation, follow-up contact, providing a second copy of questionnaire where necessary, and assurance of confidentiality. Telephone contact with the cohort and the small prizes given to responders were particularly important in the Thai context as was Thai leadership of the research team

Urban correction of global DEMs using building density for Nairobi, Kenya

Urban flood models that use Digital Elevation Models (DEMs) to simulate extent and depth of flood inundation rely on the accuracy of DEMs for predicting flood events. Despite recent advances in developing vegetation corrected DEMs, the effect of building height and density errors in global DEMs in urban areas are still poorly understood, and their correction remains a challenge. In this research we developed a methodology for building error correction that can be applied to any other case study, where building density data and a local reference DEM data are available. This methodology was applied to Nairobi, Kenya using six global DEMs (SRTM, MERIT, ALOS, NASADEM, TanDEM-X 12 m, and TanDEM-X 90 m DEM). Our results show building error at highest building density varying between 1.25 m and 5.07 m for the DEMs used, with the MERIT DEM showing the smallest vertical height error from the reference DEM. The six DEMs were corrected by deriving a linear relationship between building density and DEM error. Our findings show that the removal of building density error resulted in the improvement of the vertical height accuracy of the global DEMs of up to 45% for MERIT and 40% for ALOS. This methodology was also applied to the Central Business District (CBD) area of Nairobi, characterized by taller buildings and high building density. The error parameters in the CBD area resulted to be between 15 to 45% higher than those of the Nairobi city wide area for the six global DEMs, thus providing further insights into the contribution of building heights to errors in global DEMs. Building height data is still unavailable on a global scale and our results show that global DEMs can be usefully corrected for building density errors in urban areas, even where specific building height data are not available

Psychosocial aspects of feeding children with neurodisability

The psychosocial support needs of parents considering a gastrostomy feeding tube for their disabled child are often overlooked, yet there is a growing body of evidence that attests to the decisional conflicts parents, often mothers, experience. This may be in addition to the stress associated with feeding a disabled child. The support needs of families and caregivers should be assessed, including the values parents attach to oral and tube feeding. Structured support should be embedded within the care pathway and both professionals, and service users, with appropriate training should be identified to ensure parental information needs, and any emotional, practical and financial issues are addressed

Aerial dissemination of Clostridium difficile spores

Background: Clostridium difficile-associated diarrhoea (CDAD) is a frequently occurring healthcare-associated infection, which is responsible for significant morbidity and mortality amongst elderly patients in healthcare facilities. Environmental contamination is known to play an important contributory role in the spread of CDAD and it is suspected that contamination might be occurring as a result of aerial dissemination of C. difficile spores. However previous studies have failed to isolate C. difficile from air in hospitals. In an attempt to clarify this issue we undertook a short controlled pilot study in an elderly care ward with the aim of culturing C. difficile from the air. Methods: In a survey undertaken during February (two days) 2006 and March (two days) 2007, air samples were collected using a portable cyclone sampler and surface samples collected using contact plates in a UK hospital. Sampling took place in a six bedded elderly care bay (Study) during February 2006 and in March 2007 both the study bay and a four bedded orthopaedic bay (Control). Particulate material from the air was collected in Ringer's solution, alcohol shocked and plated out in triplicate onto Brazier's CCEY agar without egg yolk, but supplemented with 5 mg/L of lysozyme. After incubation, the identity of isolates was confirmed by standard techniques. Ribotyping and REP-PCR fingerprinting were used to further characterise isolates. Results: On both days in February 2006, C. difficile was cultured from the air with 23 samples yielding the bacterium (mean counts 53 – 426 cfu/m3 of air). One representative isolate from each of these was characterized further. Of the 23 isolates, 22 were ribotype 001 and were indistinguishable on REP-PCR typing. C. difficile was not cultured from the air or surfaces of either hospital bay during the two days in March 2007. Conclusion: This pilot study produced clear evidence of sporadic aerial dissemination of spores of a clone of C. difficile, a finding which may help to explain why CDAD is so persistent within hospitals and difficult to eradicate. Although preliminary, the findings reinforce concerns that current C. difficile control measures may be inadequate and suggest that improved ward ventilation may help to reduce the spread of CDAD in healthcare facilities