36,759 research outputs found

    Direct to consumer advertising via the Internet, a study of hip resurfacing

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    With increased use of the internet for health information and direct to consumer advertising from medical companies, there is a concern about the quality of the information available for patients. The aim of this study was to examine the quality of health information on the internet for hip resurfacing. An assessment tool was designed to measure quality of information. Websites were measured on credibility of source; usability; currentness of the information; content relevance; content accuracy/completeness and disclosure/bias. Each website assessed was given a total score, based on number of scores achieved from the above categories websites were further analysed on author, geographical origin and possession of an independent credibility check. There was positive correlation between the overall score for the website and the score of each website in each assessment category. Websites by implant companies, doctors and hospitals scored poorly. Websites with an independent credibility check such as Health on the Net (HoN) scored twice the total scores of websites without. Like other internet health websites, the quality of information on hip resurfacing websites is variable. This study highlights methods by which to assess the quality of health information on the internet and advocates that patients should look for a statement of an "independent credibility check" when searching for information on hip resurfacing

    Attitudes of advanced Australian medical oncology trainees to rural practice

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    Aim: To identify the views of medical oncology trainees regarding rural training posts and rural practice overall, and to identify factors that may improve recruitment. Methods: A questionnaire was posted to all advanced oncology trainees in Australia in June 2006. The trainees were questioned on the perceived advantages and disadvantages of rural practice, their experience during previous rural rotations and potential incentives and barriers in recruiting trainees and specialist oncologists to regional and rural centers. Results: There was a 60% response rate. Of all participants 58% had considered rural practice. Those with a rural family background were more likely to have considered rural practice. Attitudes based on responses to listed disadvantages and advantages of rural practice were heterogenous. Lifestyle factors seemed to be of particular importance. Although there were perceived deficiencies in opportunities for professional education in rural oncology rotations, 94% felt their rotation had been a positive experience overall and 62% were more likely to consider a rural career following their rural rotation. Improving locum cover for leave was seen as a potential incentive by 97% trainees. Conclusion: Despite positive attitudes towards rural practice, many barriers exist preventing recruitment of medical oncology trainees to rural areas, in particular lifestyle factors that are difficult to modify. Factors that can be improved include improving access to clinical trials, enabling access to locum cover. Educational opportunities for current rural trainees need to be improved. Further study into potential incentives to enhance rural recruitment is required

    A Lagrangian model of the evolution of the particulate size distribution of vehicular emissions

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    The emission inventory for London indicates that nearly 80% of the particulate emissions derive from vehicular sources. Most of this mass is in the form of ultrafine submicrometer particles which are of concern because of their influence on lung function. The prediction of their dispersion in the atmosphere coupled to the physical and chemical transformations which affect their size distribution and concentration are of great importance. This paper reports the first results from a new meso-scale Lagrangian model which follows the particulate emissions and the evolution of their size distribution across the city. The vehicular emissions are based on the published inventory, corrected to time of day, while other emissions are assumed steady. The initial size distributions of background and emitted particles are represented by the sum of three lognormal distributions. Meteorological data are derived from Meteorological Office reports and are preprocessed to obtain the hourly values of boundary layer depth, Monin–Obukov (MO) length, friction velocity, etc., needed for the computation of the vertical dispersion process via eddy diffusivities and the aerodynamic component of the dry deposition process. In the vertical direction, three layers are assumed—surface layer (typically 50 m), canopy layer and one further layer up to the prevailing boundary layer depth. Currently, the model includes wet and dry deposition and coagulation but not chemical reaction, nucleation or deliquescence. Trajectories are evolved for several hours across the city and the number size distributions and mass concentrations (PM10, PM2.5, PM1 and PM0.1) output at each step. This enables the vehicular contributions over and above the background concentration in each size range to be studied in detail. Data from the model have been compared with experimental data for one of the London background sites where particle number size distribution up to 450 nm (SMPS), plus PM10 and PM2.5 (TEOM) data are available

    Evidence of traffic-related pollutant control in soil-based Sustainable Urban Drainage Systems (SUDS)

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    SUDS are being increasingly employed to control highway runoff and have the potential to protect groundwater and surface water quality by minimising the risks of both point and diffuse sources of pollution. While these systems are effective at retaining polluted solids by filtration and sedimentation processes, less is known of the detail of pollutant behaviour within SUDS structures. This paper reports on investigations carried out as part of a co-ordinated programme of controlled studies and field measurements at soft-engineered SUDS undertaken in the UK, observing the accumulation and behaviour of traffic-related heavy metals, oil and PAHs. The field data presented were collected from two extended detention basins serving the M74 motorway in the south-west of Scotland. Additional data were supplied from an experimental lysimeter soil core leaching study. Results show that basin design influences pollutant accumulation and behaviour in the basins. Management and/or control strategies are discussed for reducing the impact of traffic-related pollutants on the aqueous environment

    Copper cable theft: revisiting the price–theft hypothesis

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    Objectives: To test the commonly espoused but little examined hypothesis that fluctuations in the price of metal are associated with changes in the volume of metal theft. Specifically, we analyze the relationship between the price of copper and the number of police recorded 'live’ copper cable thefts from the British railway network (2006 to 2012)

    Cauchy-characteristic Evolution of Einstein-Klein-Gordon Systems: The Black Hole Regime

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    The Cauchy+characteristic matching (CCM) problem for the scalar wave equation is investigated in the background geometry of a Schwarzschild black hole. Previously reported work developed the CCM framework for the coupled Einstein-Klein-Gordon system of equations, assuming a regular center of symmetry. Here, the time evolution after the formation of a black hole is pursued, using a CCM formulation of the governing equations perturbed around the Schwarzschild background. An extension of the matching scheme allows for arbitrary matching boundary motion across the coordinate grid. As a proof of concept, the late time behavior of the dynamics of the scalar field is explored. The power-law tails in both the time-like and null infinity limits are verified.Comment: To appear in Phys. Rev. D, 9 pages, revtex, 5 figures available at http://www.astro.psu.edu/users/nr/preprints.htm
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