100 research outputs found
Brownian motion near a partial-slip boundary: A local probe of the no-slip condition
Motivated by experimental evidence of violations of the no-slip boundary
condition for liquid flow in micron-scale geometries, we propose a simple,
complementary experimental technique that has certain advantages over previous
studies. Instead of relying on externally-induced flow or probe motion, we
suggest that colloidal diffusivity near solid surfaces contains signatures of
the degree of fluid slip exhibited on those surfaces. To investigate, we
calculate the image system for point forces (Stokeslets) oriented perpendicular
and parallel to a surface with a finite slip length, analogous to Blake's
solution for a Stokeslet near a no-slip wall. Notably, the image system for the
point source and perpendicular Stokeslet contain the same singularities as
Blake's solution; however, each is distributed along a line with a magnitude
that decays exponentially over the slip length. The image system for the
parallel Stokeslet involves a larger set of fundamental singularities, whose
magnitude does not decay exponentially from the surface. Using these image
systems, we determine the wall-induced correction to the diffusivity of a small
spherical particle located `far' from the wall. We also calculate the coupled
diffusivities between multiple particles near a partially-slipping wall.
Because, in general, the diffusivity depends on `local' wall conditions,
patterned surfaces would allow differential measurements to be obtained within
a single experimental cell, eliminating potential cell-to-cell variability
encountered in previous experiments. In addition to motivating the proposed
experiments, our solutions for point forces and sources near a partial-slip
wall will be useful for boundary integral calculations in slip systems.Comment: 34 pages, 5 figure
Developing and testing accelerated partner therapy for partner notification for people with genital Chlamydia trachomatis diagnosed in primary care: a pilot randomised controlled trial
Background
Accelerated partner therapy (APT) is a promising partner notification (PN) intervention in specialist sexual health clinic attenders. To address its applicability in primary care, we undertook a pilot randomised controlled trial (RCT) of two APT models in community settings.
Methods
Three-arm pilot RCT of two adjunct APT interventions: APTHotline (telephone assessment of partner(s) plus standard PN) and APTPharmacy (community pharmacist assessment of partner(s) plus routine PN), versus standard PN alone (patient referral). Index patients were women diagnosed with genital chlamydia in 12 general practices and three community contraception and sexual health (CASH) services in London and south coast of England, randomised between 1 September 2011 and 31 July 2013.
Results
199 women described 339 male partners, of whom 313 were reported by the index as contactable. The proportions of contactable partners considered treated within 6 weeks of index diagnosis were APTHotline 39/111 (35%), APTPharmacy 46/100 (46%), standard patient referral 46/102 (45%). Among treated partners, 8/39 (21%) in APTHotline arm were treated via hotline and 14/46 (30%) in APTPharmacy arm were treated via pharmacy.
Conclusions
The two novel primary care APT models were acceptable, feasible, compliant with regulations and capable of achieving acceptable outcomes within a pilot RCT but intervention uptake was low. Although addition of these interventions to standard PN did not result in a difference between arms, overall PN uptake was higher than previously reported in similar settings, probably as a result of introducing a formal evaluation. Recruitment to an individually randomised trial proved challenging and full evaluation will likely require service-level randomisation
The 'Antiretrovirals, Sexual Transmission Risk and Attitudes' (ASTRA) study. Design, methods and participant characteristics.
Life expectancy for people diagnosed with HIV has improved dramatically however the number of new infections in the UK remains high. Understanding patterns of sexual behaviour among people living with diagnosed HIV, and the factors associated with having condom-less sex, is important for informing HIV prevention strategies and clinical care. In addition, in view of the current interest in a policy of early antiretroviral treatment (ART) for all people diagnosed with HIV in the UK, it is of particular importance to assess whether ART use is associated with increased levels of condom-less sex. In this context the ASTRA study was designed to investigate current sexual activity, and attitudes to HIV transmission risk, in a large unselected sample of HIV-infected patients under care in the UK. The study also gathered background information on demographic, socio-economic, lifestyle and disease-related characteristics, and physical and psychological symptoms, in order to identify other key factors impacting on HIV patients and the behaviours which underpin transmission. In this paper we describe the study rationale, design, methods, response rate and the demographic characteristics of the participants. People diagnosed with HIV infection attending 8 UK HIV out-patient clinics in 2011-2012 were invited to participate in the study. Those who agreed to participate completed a confidential, self-administered pen-and-paper questionnaire, and their latest CD4 count and viral load test results were recorded. During the study period, 5112 eligible patients were invited to take part in the study and 3258 completed questionnaires were obtained, representing a response rate of 64% of eligible patients. The study includes 2248 men who have sex with men (MSM), 373 heterosexual men and 637 women. Future results from ASTRA will be a key resource for understanding HIV transmission within the UK, targeting prevention efforts, and informing clinical care of individuals living with HIV
Awareness and Usage of Environmental Waste Management Practices (EWMP) of Contractors on construction sites.
Construction wastes pose challenges to contractors and clients of construction projects globally, with significant negative consequences on the environment. This study investigates the environmental waste management practices (EWMPs) of contractors on construction sites. The objectives are to determine the level of awareness and adoption of EWMPs. The population of the study was construction professionals on sites in Lagos State, Nigeria. Random sampling technique was used to select 63 companies out of the 126 construction companies in categories C, D and E of firms registered with Lagos State Public Procurement Agency. The targeted respondents were construction professionals in the selected companies. Questionnaires were used to collect data from respondents. Descriptive statistics tools, including mean, percentage and frequency were used for analysis. The study's findings reveal that contractors are aware of about 28 out of the 47 EWMPs identified from literature. These include good site materials storage, ordering exact amount of materials and checking deliveries properly. It also reveals the strategies that are not used as belonging to material exchange/recyclers' association, polluter pays principle, usage of self-contained mini or mobile concrete crusher. It is concluded that although contractors are aware of 28 EWMPs, 26 EWMPs are used on construction sites which are 60% and 55%, respectively. It implies that awareness determines the usage of the EWMPs. The implication is that if the awareness of EWMPs is increased, the implementation among construction contractors will be improved. It is therefore recommended that professionals should increase their awareness and usage of neglected EWMPs. This can be achieved through construction firms, governments and institutions sponsoring training of professionals on EWMPs. Additionally, polluter pays principle and recyclers’ association should be enforced in project implementations. This can be achieved through government legislation and government regulatory policies for project procurements.Keywords: Awareness; Best practices; Construction sites; Nigeria; Waste management.
 
Neurocognitive function in HIV infected patients on antiretroviral therapy
OBJECTIVE
To describe factors associated with neurocognitive (NC) function in HIV-positive patients on stable combination antiretroviral therapy.
DESIGN
We undertook a cross-sectional analysis assessing NC data obtained at baseline in patients entering the Protease-Inhibitor-Monotherapy-Versus-Ongoing-Triple therapy (PIVOT) trial.
MAIN OUTCOME MEASURE
NC testing comprised of 5 domains. Raw results were z-transformed using standard and demographically adjusted normative datasets (ND). Global z-scores (NPZ-5) were derived from averaging the 5 domains and percentage of subjects with test scores >1 standard deviation (SD) below population means in at least two domains (abnormal Frascati score) calculated. Patient characteristics associated with NC results were assessed using multivariable linear regression.
RESULTS
Of the 587 patients in PIVOT, 557 had full NC results and were included. 77% were male, 68% Caucasian and 28% of Black ethnicity. Mean (SD) baseline and nadir CD4+ lymphocyte counts were 553(217) and 177(117) cells/µL, respectively, and HIV RNA was <50 copies/mL in all. Median (IQR) NPZ-5 score was -0.5 (-1.2/-0) overall, and -0.3 (-0.7/0.1) and -1.4 (-2/-0.8) in subjects of Caucasian and Black ethnicity, respectively. Abnormal Frascati scores using the standard-ND were observed in 51%, 38%, and 81%, respectively, of subjects overall, Caucasian and Black ethnicity (p<0.001), but in 62% and 69% of Caucasian and Black subjects using demographically adjusted-ND (p = 0.20). In the multivariate analysis, only Black ethnicity was associated with poorer NPZ-5 scores (P<0.001).
CONCLUSIONS
In this large group of HIV-infected subjects with viral load suppression, ethnicity but not HIV-disease factors is closely associated with NC results. The prevalence of abnormal results is highly dependent on control datasets utilised.
TRIAL REGISTRY
ClinicalTrials.gov, NCT01230580
Smoking and Second Hand Smoking in Adolescents with Chronic Kidney Disease: A Report from the Chronic Kidney Disease in Children (CKiD) Cohort Study
The goal of this study was to determine the prevalence of smoking and second hand smoking [SHS] in adolescents with CKD and their relationship to baseline parameters at enrollment in the CKiD, observational cohort study of 600 children (aged 1-16 yrs) with Schwartz estimated GFR of 30-90 ml/min/1.73m2. 239 adolescents had self-report survey data on smoking and SHS exposure: 21 [9%] subjects had “ever” smoked a cigarette. Among them, 4 were current and 17 were former smokers. Hypertension was more prevalent in those that had “ever” smoked a cigarette (42%) compared to non-smokers (9%),
Isolation and characterisation of novel antioxidant constituents of Croton zambesicus leaf extract
A 1,1-diphenyl-2-picrylhydrazyl (DPPH)-activity-directed fractionation was used to target antioxidant constituents of the ethyl acetate fraction obtained from a 20% aqueous methanol crude extract of Croton zambesicus leaf. Repeated column chromatography of the fraction on silica gel and Sephadex LH-20 led to the isolation of a new natural product, identified as quercetin-3-O-β-6″(p-coumaroyl) glucopyranoside-3'-methyl ether, helichrysoside-3'-methyl ether (1), along with kaempferol-3-O-β-6″(p-coumaroyl) glucopyranoside, tiliroside (2) and apigenin-6-C-glucoside, isovitexin (3) as the antioxidant constituents. The structures of the isolated compounds were elucidated using spectroscopic techniques, namely NMR (1D and 2D) and mass spectrometry. Compounds 1 and 2 are reported from this species for the first time. In the qualitative antioxidant assay, the three isolated compounds instantly bleached the DPPH (0.2% MeOH) purple colour indicating antioxidant activity. In the quantitative antioxidant assay, all the isolated compounds demonstrated weak antioxidant activity compared to quercetin and rutin used as positive control antioxidant agents. The compounds displayed little to no cytotoxicity against Vero cells in an in vitro assay. The presence of these antioxidant compounds in the leaf extract of C. zambesicus could provide a rationale for the ethnomedicinal use of the plant in the management of oxidative-stress-related diseases in folk medicine.Aderogba is grateful to the Organisation for the Prohibition of Chemical Weapons (OPCW) for a Research Fellowship to the University of Botswana. McGaw acknowledges the University of Pretoria for a Research Fellowship.http://www.tandfonline.com/loi/gnpl20hb2016Paraclinical Science
Coupling finite volume and nonstandard finite difference schemes for a singularly perturbed Schrödinger equation
The Schrödinger equation is a model for many physical processes in quantum physics. It is
a singularly perturbed differential equation where the presence of the small reduced Planck’s
constant makes the classical numerical methods very costly and inefficient. We design two
new schemes. The first scheme is the nonstandard finite volume method, whereby the perturbation
term is approximated by nonstandard technique, the potential is approximated by its
mean value on the cell and the complex dependent boundary conditions are handled by exact
schemes. In the second scheme, the deficiency of classical schemes is corrected by the inner
expansion in the boundary layer region. Numerical simulations supporting the performance of
the schemes are presented.South African NRF and DST/NRF SARChI Chair on Mathematical Models and Methods in Bioengineering and Biosciences (M3B2).http://www.tandfonline.com/loi/gcom202016-08-30hb201
Attitudes to disclosure of HIV-serostatus to new sexual partners and sexual behaviours among HIV-diagnosed gay, bisexual and other men who have sex with men in the UK
We assessed attitudes to disclosure to new sexual partners and association with sexual behaviours among HIV-diagnosed gay, bisexual, and other men who have sex with men (GBMSM) in the UK Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) study in 2011-12. Among 1373 GBMSM diagnosed with HIV for ≥3 months and reporting sex in the past three months (84% on antiretroviral therapy (ART), 75% viral load (VL) ≤50c/mL), 56.3% reported higher sexual disclosure (“agree” or “tend to agree” with “I’d expect to tell a new partner I’m HIV-positive before we have sex”). GBMSM on ART with self-reported undetectable VL had lower disclosure than those on ART without self-reported undetectable VL and those not on ART. Higher sexual disclosure was associated with higher prevalence of CLS in the past three months; this was due to its association with CLS with other HIV-positive partners. Higher sexual disclosure was more common among GBMSM who had CLS with other HIV-positive partners only (72.1%) compared to those who had higher-risk CLS with HIV-serodifferent partners (55.6%), other CLS with HIV-serodifferent partners (45.9%), or condom-protected sex only (47.6%). Findings suggest mutual HIV-disclosure and HIV-serosorting were occurring in this population. Knowledge of VL status may have impacted on disclosure to sexual partners
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