Utility of WHOQOL-BREF in measuring quality of life in Sickle Cell Disease

BACKGROUND: Sickle cell disease is the commonest genetic disorder in Jamaica and most likely exerts numerous effects on quality of life (QOL) of those afflicted with it. The WHOQOL-Bref, which is a commonly utilized generic measure of quality of life, has never previously been utilized in this population. We have sought to study its utility in this disease population. METHODS: 491 patients with sickle cell disease were administered the questionnaire including demographics, WHOQOL-Bref, Short Form-36 (SF-36), Flanagan's quality of life scale (QOLS) and measures of disease severity at their routine health maintenance visits to the sickle cell unit. Internal consistency reliabilities, construct validity and "known groups" validity of the WHOQOL-Bref, and its domains, were examined; and then compared to those of the other instruments. RESULTS: All three instruments had good internal consistency, ranging from 0.70 to 0.93 for the WHOQOL-Bref (except the 'social relationships' domain), 0.86-0.93 for the SF-36 and 0.88 for the QOLS. None of the instruments showed any marked floor or ceiling effects except the SF-36 'physical health' and 'role limitations' domains. The WHOQOL-Bref scale also had moderate concurrent validity and showed strong "known groups" validity. CONCLUSION: This study has shown good psychometric properties of the WHOQOL-Bref instrument in determining QOL of those with sickle cell disease. Its utility in this regard is comparable to that of the SF-36 and QOLS.Originally published at http://www.biomedcentral.com/content/pdf/1477-7525-7-75.pd

Review article: Use of ultrasound in the developing world

As portability and durability improve, bedside, clinician-performed ultrasound is seeing increasing use in rural, underdeveloped parts of the world. Physicians, nurses and medical officers have demonstrated the ability to perform and interpret a large variety of ultrasound exams, and a growing body of literature supports the use of point-of-care ultrasound in developing nations. We review, by region, the existing literature in support of ultrasound use in the developing world and training guidelines currently in use, and highlight indications for emergency ultrasound in the developing world. We suggest future directions for bedside ultrasound use and research to improve diagnostic capacity and patient care in the most remote areas of the globe

Fuzzy Contour Trees: Alignment and Joint Layout of Multiple Contour Trees

We describe a novel technique for the simultaneous visualization of multiple scalar fields, e.g. representing the members of an ensemble, based on their contour trees. Using tree alignments, a graph-theoretic concept similar to edit distance mappings, we identify commonalities across multiple contour trees and leverage these to obtain a layout that can represent all trees simultaneously in an easy-to-interpret, minimally-cluttered manner. We describe a heuristic algorithm to compute tree alignments for a given similarity metric, and give an algorithm to compute a joint layout of the resulting aligned contour trees. We apply our approach to the visualization of scalar field ensembles, discuss basic visualization and interaction possibilities, and demonstrate results on several analytic and real-world examples

Fuzzy Contour Trees: Alignment and Joint Layout of Multiple Contour Trees

We describe a novel technique for the simultaneous visualization of multiple scalar fields, e.g. representing the members of an ensemble, based on their contour trees. Using tree alignments, a graph-theoretic concept similar to edit distance mappings, we identify commonalities across multiple contour trees and leverage these to obtain a layout that can represent all trees simultaneously in an easy-to-interpret, minimally-cluttered manner. We describe a heuristic algorithm to compute tree alignments for a given similarity metric, and give an algorithm to compute a joint layout of the resulting aligned contour trees. We apply our approach to the visualization of scalar field ensembles, discuss basic visualization and interaction possibilities, and demonstrate results on several analytic and real-world examples

Industrial Markets for UK-grown Starch

Starch is an important ingredient in a wide range of foods. It is used as a thickener, to adjust texture, to improve appearance or to act as a filler. The starch industry also supplies a diverse range of non-food industries with starch and starch derivatives. These markets account for almost half of the total production of the European starch Industry, but only 25% of the total UK starch supply. Of the 216 221 † of starch used for Industrial markets in the UK, 30% is imported potato starch, 57% is maize starch processed in the UK from imported maize, and only 13% is wheat starch, which may be both grown and processed in the UK. This article surveys some of the industrial markets for starch, highlighting recent changes which have occurred and pinpointing areas of potential development which may increase non-food use of UK-grown starch in the future. This article is based on the findings of a LINK project which was funded under the Crops for Industrial Use Programme by the BBSRC, EPSRC, SOAFD, HGCA and PMB. </jats:p