Knowledge of Pharmacogenetics among Healthcare Professionals and Faculty Members of Health Training Institutions in Ghana

Background: Pharmacogenetics has a potential for optimizing drug response and identifying risk of toxicity for patients. Pharmacogenetics knowledge of healthcare professionals and the unmet need for pharmacogenetics education in health training institutions are some of the challenges of integrating pharmacogenetics into routine medical practice.Aim: To assess pharmacogenetics knowledge among healthcare professionals and faculty members of health training institutions in Ghana.Method: Semi-structured questionnaires were used to interview healthcare professionals from selected public and private hospitals. Faculty members from health training institutions were also interviewed.Results: The respondents were Medical doctors 42 (46.7%), Pharmacists 29 (32.2%) and Nurses 19 (21.1%). Healthcare professionals rated their knowledge of Pharmacogenetics as Excellent 5 (5.6%), Very Good 10 (11.2%), Good 53 (60%) and Poor 19 (21.4%). Thirty-two faculty members from health training institutions were also interviewed. Faculty members rated their knowledge of pharmacogenetics as Excellent 2 (6.3%), Very Good 3 (9.4%), Good 9 (28.1%), Fair 12 (37.5%) and Poor 6 (18.8%). Thirty seven percent (12) of these faculty members said pharmacogenetics was not part of their institutions’ curriculum, 7 (22%) did not know if pharmacogenetics was part of their curriculum and only 13 (40.6%) said it was part of their curriculum.Conclusion: Few healthcare professionals and faculty members of training institutions are aware of the discipline of pharmacogenetics. There is the need for continuous professional education on pharmacogenetics and development of competency standards for all healthcare professionals in Ghana.Keywords: Pharmacogenetics; Faculty, Curriculum, Education, Ghanaia

Altitude Effects on Thermal Ice Protection System Performance; a Study of an Alternative Approach

Research has been conducted to better understand the phenomena involved during operation of an aircraft's thermal ice protection system under running wet icing conditions. In such situations, supercooled water striking a thermally ice-protected surface does not fully evaporate but runs aft to a location where it freezes. The effects of altitude, in terms of air pressure and density, on the processes involved were of particular interest. Initial study results showed that the altitude effects on heat energy transfer were accurately modeled using existing methods, but water mass transport was not. Based upon those results, a new method to account for altitude effects on thermal ice protection system operation was proposed. The method employs a two-step process where heat energy and mass transport are sequentially matched, linked by matched surface temperatures. While not providing exact matching of heat and mass transport to reference conditions, the method produces a better simulation than other methods. Moreover, it does not rely on the application of empirical correction factors, but instead relies on the straightforward application of the primary physics involved. This report describes the method, shows results of testing the method, and discusses its limitations

Denitrifying Bioreactors for Nitrate Removal: A Meta-Analysis

Meta-analysis approaches were used in this first quantitative synthesis of denitrifying woodchip bioreactors. Nitrate removal across environmental and design conditions was assessed from 26 published studies, representing 57 separate bioreactor units (i.e., walls, beds, and laboratory columns). Effect size calculations weighted the data based on variance and number of measurements for each bioreactor unit. Nitrate removal rates in bed and column studies were not significantly different, but both were significantly higher than wall studies. In denitrifying beds, wood source did not significantly affect nitrate removal rates. Nitrate removal (mass per volume) was significantly lower in beds with \u3c6-h hydraulic retention times, which argues for ensuring that bed designs incorporate sufficient time for nitrate removal. Rates significantly declined after the first year of bed operation but then stabilized. Nitrogen limitation significantly affected bed nitrate removal. Categorical and linear assessments found significant nitrate removal effects with bed temperature; a Q10 of 2.15 was quite similar to other studies. Lessons from this meta-analysis can be incorporated into bed designs, especially extending hydraulic retention times to increase nitrate removal under low temperature and high flow conditions. Additional column studies are warranted for comparative assessments, as are field-based studies for assessing in situ conditions, especially in aging beds, with careful collection and reporting of design and environmental data. Future assessment of these systems might take a holistic view, reviewing nitrate removal in conjunction with other processes, including greenhouse gas and other unfavorable by-product production

Aerodynamic Simulation of Ice Accretion on Airfoils

This report describes recent improvements in aerodynamic scaling and simulation of ice accretion on airfoils. Ice accretions were classified into four types on the basis of aerodynamic effects: roughness, horn, streamwise, and spanwise ridge. The NASA Icing Research Tunnel (IRT) was used to generate ice accretions within these four types using both subscale and full-scale models. Large-scale, pressurized windtunnel testing was performed using a 72-in.- (1.83-m-) chord, NACA 23012 airfoil model with high-fidelity, three-dimensional castings of the IRT ice accretions. Performance data were recorded over Reynolds numbers from 4.5 x 10(exp 6) to 15.9 x 10(exp 6) and Mach numbers from 0.10 to 0.28. Lower fidelity ice-accretion simulation methods were developed and tested on an 18-in.- (0.46-m-) chord NACA 23012 airfoil model in a small-scale wind tunnel at a lower Reynolds number. The aerodynamic accuracy of the lower fidelity, subscale ice simulations was validated against the full-scale results for a factor of 4 reduction in model scale and a factor of 8 reduction in Reynolds number. This research has defined the level of geometric fidelity required for artificial ice shapes to yield aerodynamic performance results to within a known level of uncertainty and has culminated in a proposed methodology for subscale iced-airfoil aerodynamic simulation

Effect of High-Fidelity Ice Accretion Simulations on the Performance of a Full-Scale Airfoil Model

The simulation of ice accretion on a wing or other surface is often required for aerodynamic evaluation, particularly at small scale or low-Reynolds number. While there are commonly accepted practices for ice simulation, there are no established and validated guidelines. The purpose of this article is to report the results of an experimental study establishing a high-fidelity, full-scale, iced-airfoil aerodynamic performance database. This research was conducted as a part of a larger program with the goal of developing subscale aerodynamic simulation methods for iced airfoils. Airfoil performance testing was carried out at the ONERA F1 pressurized wind tunnel using a 72-in. (1828.8-mm) chord NACA 23012 airfoil over a Reynolds number range of 4.5x10(exp 6) to 16.0 10(exp 6) and a Mach number range of 0.10 to 0.28. The high-fidelity, ice-casting simulations had a significant impact on the aerodynamic performance. A spanwise-ridge ice shape resulted in a maximum lift coefficient of 0.56 compared to the clean value of 1.85 at Re = 15.9x10(exp 6) and M = 0.20. Two roughness and streamwise shapes yielded maximum lift values in the range of 1.09 to 1.28, which was a relatively small variation compared to the differences in the ice geometry. The stalling characteristics of the two roughness and one streamwise ice simulation maintained the abrupt leading-edge stall type of the clean NACA 23012 airfoil, despite the significant decrease in maximum lift. Changes in Reynolds and Mach number over the large range tested had little effect on the iced-airfoil performance

On the gamma-ray emission from the core of the Sagittarius dwarf galaxy

We use data from the Large Area Telescope onboard the Fermi gamma-ray space telescope (Fermi-LAT) to analyze the faint gamma-ray source located at the center of the Sagittarius (Sgr) dwarf spheroidal galaxy. In the 4FGL-DR3 catalog, this source is associated with the globular cluster, M54, which is coincident with the dynamical center of this dwarf galaxy. We investigate the spectral energy distribution and spatial extension of this source, with the goal of testing two hypotheses: (1) the emission is due to millisecond pulsars within M54, or (2) the emission is due to annihilating dark matter from the Sgr halo. For the pulsar interpretation, we consider a two-component model which describes both the lower-energy magnetospheric emission and possible high-energy emission arising from inverse Compton scattering. We find that this source has a point-like morphology at low energies, consistent with magnetospheric emission, and find no evidence for a higher-energy component. For the dark matter interpretation, we find that this signal favors a dark matter mass of $m_{\chi} = 29.6 \pm 5.8$ GeV and an annihilation cross section of $\sigma v = (2.1 \pm 0.59) \times 10^{-26} \,\text{cm}^3/$s for the $b \bar{b}$ channel (or $m_{\chi} = 8.3 \pm 3.8$ GeV and $\sigma v = (0.90 \pm 0.25) \times 10^{-26} \, \text{cm}^3/$s for the $\tau^+ \tau^-$ channel), when adopting a J-factor of $J=10^{19.6} \, \text{GeV}^2 \, \text{cm}^{-5}$. This parameter space is consistent with gamma-ray constraints from other dwarf galaxies and with dark matter interpretations of the Galactic Center Gamma-Ray Excess.Comment: 12 pages, 9 figures. To be submitted to MNRAS -- comments welcom

Recent Advances in the LEWICE Icing Model

This paper will describe two recent modifications to the Glenn ICE software. First, a capability for modeling ice crystals and mixed phase icing has been modified based on recent experimental data. Modifications have been made to the ice particle bouncing and erosion model. This capability has been added as part of a larger effort to model ice crystal ingestion in aircraft engines. Comparisons have been made to ice crystal ice accretions performed in the NRC Research Altitude Test Facility (RATFac). Second, modifications were made to the run back model based on data and observations from thermal scaling tests performed in the NRC Altitude Icing Tunnel