Support for UNRWA's survival

The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) provides life-saving humanitarian aid for 5·4 million Palestine refugees now entering their eighth decade of statelessness and conflict. About a third of Palestine refugees still live in 58 recognised camps. UNRWA operates 702 schools and 144 health centres, some of which are affected by the ongoing humanitarian disasters in Syria and the Gaza Strip. It has dramatically reduced the prevalence of infectious diseases, mortality, and illiteracy. Its social services include rebuilding infrastructure and homes that have been destroyed by conflict and providing cash assistance and micro-finance loans for Palestinians whose rights are curtailed and who are denied the right of return to their homeland

Microstructure and thermal stability of Fe, Ti and Ag implanted Yttria-stabilized zirconia

Yttria-stabilized zirconia (YSZ) was implanted with 15 keV Fe or Ti ions up to a dose of 8×1016 at cm−2. The resulting “dopant” concentrations exceeded the concentrations corresponding to the equilibrium solid solubility of Fe2O3 or TiO2 in YSZ. During oxidation in air at 400° C, the Fe and Ti concentration in the outermost surface layer increased even further until a surface layer was formed of mainly Fe2O3 and TiO2, as shown by XPS and ISS measurements. From the time dependence of the Fe and Ti depth profiles during anneal treatments, diffusion coefficients were calculated. From those values it was estimated that the maximum temperature at which the Fe- and Ti-implanted layers can be operated without changes in the dopant concentration profiles was 700 and 800° C, respectively. The high-dose implanted layer was completely amorphous even after annealing up to 1100° C, as shown by scanning transmission electron microscopy. Preliminary measurements on 50 keV Ag implanted YSZ indicate that in this case the amorphous layer recrystallizes into fine grained cubic YSZ at a temperature of about 1000° C. The average grain diameter was estimated at 20 nm, whereas the original grain size of YSZ before implantation was 400 nm. This result implies that the grain size in the surface of a ceramic material can be decreased by ion beam amorphisation and subsequent recrystallisation at elevated temperatures

Under- treatment and under diagnosis of hypertension: a serious problem in the United Arab Emirates

BACKGROUND: Hypertension, notably untreated or uncontrolled, is a major risk factor for cardiovascular diseases (CVD) morbidity and mortality. In countries in transition, little is known about the epidemiology of hypertension, and its biochemical correlates. This study was carried out in Al Ain, United Arab Emirates, to characterize self-reported (SR) normotensives and hypertensives in terms of actual hypertension status, demographic variables, CVD risk factors, treatment, and sequalae. METHODS: A sample, stratified by SR hypertensive status, of 349 SR hypertensives (Mean age ± SD; 50.8 ± 9.2 yrs; Male: 226) and 640 SR normotensives (42.9 ± 9.3 yrs, Male: 444) among nationals and expatriates was used. Hypertensives and normotensive subjects were recruited from various outpatient clinics and government organizations in Al-Ain city, United Arab Emirates (UAE) respectively. Anthropometric and demographic variables were measured by conventional methods. RESULTS: Both under-diagnosis of hypertension (33%) and under-treatment (76%) were common. Characteristics of undiagnosed hypertensives were intermediate between normotensives and SR hypertensives. Under-diagnosis of hypertension was more common among foreigners than among nationals. Risk factors for CVD were more prevalent among SR hypertensives. Obesity, lack of exercise and smoking were found as major risk factors for CVD among hypertensives in this population. CONCLUSION: Hypertension, even severe, is commonly under-diagnosed and under-treated in the UAE. Preventive strategies, better diagnosis and proper treatment compliance should be emphasized to reduce incidence of CVD in this population

Sentence Recognition in the Presence of Competing Speech Messages Presented in Audiometric Booths with Reverberation Times of 0.4 and 0.6 Seconds

This study examined whether differences in reverberation time (RT) between typical sound field test rooms used in audiology clinics have an effect on speech recognition in multi-talker environments. Separate groups of participants listened to target speech sentences presented simultaneously with 0-to-3 competing sentences through four spatially-separated loudspeakers in two sound field test rooms having RT = 0:6 sec (Site 1: N = 16) and RT = 0:4 sec (Site 2: N = 12). Speech recognition scores (SRSs) for the Synchronized Sentence Set (S3) test and subjective estimates of perceived task difficulty were recorded. Obtained results indicate that the change in room RT from 0.4 to 0.6 sec did not significantly influence SRSs in quiet or in the presence of one competing sentence. However, this small change in RT affected SRSs when 2 and 3 competing sentences were present, resulting in mean SRSs that were about 8–10% better in the room with RT = 0:4 sec. Perceived task difficulty ratings increased as the complexity of the task increased, with average ratings similar across test sites for each level of sentence competition. These results suggest that site-specific normative data must be collected for sound field rooms if clinicians would like to use two or more directional speech maskers during routine sound field testing

Clinical Application of the Synchronized Sentence Set (S3)

Nearly 15 years ago, the US Army (ARL-HRED) developed the Synchronized Sentence Set (S3) to assess the benefits of spatialized speech presentation for military personnel working in multi-talker environments. The S3 consists of 2034 sentences (10 syllables each) constructed from 104 token phrases and recorded by four male talkers. When presented together, sentences are temporally synchronized in a manner allowing key words in individual sentences to begin and end at the same time. The S3 companion software enables the user to simultaneously present one target (T) message and up to three competing (C) messages during a test condition. The user can independently route the T- and C-messages through one or more transducers (e.g., earphones or loudspeakers) to create a variety of divided and selective attention tasks. The purpose of this study was to determine whether the S 3 and companion software could be used to assess speech perception in multi-talker noise in a clinical setting. Sentences from the S3 were presented via (1) standard supra-aural earphones (diotically or dichotically), (2) four loudspeakers, and (3) a 3-D audio earphone system that simulated the positions of the four loudspeakers. Participants (N=26) listened to T-messages in the presence of 0, 1, 2 and 3 C-messages. The listeners\u27 task was to record key words from the T-messages on a custom response sheet (640 trials/participant). Results indicated significant decreases in performance as the number of T-messages increased, for all listening modes. In conditions involving two or three C-messages, however, participants performed significantly better when T-messages were routed through loudspeakers or the 3-D audio system. Findings suggest that the S3 and companion software may offer clinicians and researchers with a reliable and flexible tool for assessing listener performance in multi-talker noise

Sentence Recognition in the Presence of Competing Speech Messages Presented in Audiometric Booths with Reverberation Times of 0.4 and 0.6 Seconds

This study examined whether differences in reverberation time (RT) between typical sound field test rooms used in audiology clinics have an effect on speech recognition in multi-talker environments. Separate groups of participants listened to target speech sentences presented simultaneously with 0-to-3 competing sentences through four spatially-separated loudspeakers in two sound field test rooms having RT = 0.6 sec (Site 1:N= 16) and RT = 0.4 sec (Site 2: N = 12). Speech recognition scores (SRSs) for the Synchronized Sentence Set (S3) test and subjective estimates of perceived task difficulty were recorded. Obtained results indicate that the change in room RT from 0.4 to 0.6 sec did not significantly influence SRSs in quiet or in the presence of one competing sentence. However, this small change in RT affected SRSs when 2 and 3 competing sentences were present, resulting in mean SRSs that were about 8-10% better in the room with RT = 0.4 sec. Perceived task difficulty ratings increased as the complexity of the task increased, with average ratings similar across test sites for each level of sentence competition. These results suggest that site-specific normative data must be collected for sound field rooms if clinicians would like to use two or more directional speech maskers during routine sound field testing