107 research outputs found
I-Move towards monitoring seasonal and pandemic influenza vaccine effectiveness: lessons learnt from a pilot multi-centric case-control study in europe, 2008-9
Within I-MOVE (European programme to monitor seasonal and pandemic influenza vaccine effectiveness (IVE)) five countries conducted IVE pilot case-control studies in 2008-9. One hundred and sixty sentinel general practitioners (GP) swabbed all elderly consulting for influenza-like illness (ILI). Influenza confirmed cases were compared to influenza negative controls. We conducted a pooled analysis to obtain a summary IVE in the age group of >or=65 years. We measured IVE in each study and assessed heterogeneity between studies qualitatively and using the I2 index. We used a one-stage pooled model with study as a fixed effect. We adjusted estimates for age-group, sex, chronic diseases, smoking, functional status, previous influenza vaccinations and previous hospitalisations. The pooled analysis included 138 cases and 189 test-negative controls. There was no statistical heterogeneity (I2=0) between studies but ILI case definition, previous hospitalisations and functional status were slightly different. The adjusted IVE was 59.1% (95% CI: 15.3-80.3%). IVE was 65.4% (95% CI: 15.6-85.8%) in the 65-74, 59.6% (95% CI: -72.6 -90.6%) in the age group of >or=75 and 56.4% (95% CI: -0.2-81.3%) for A(H3). Pooled analysis is feasible among European studies. The variables definitions need further standardisation. Larger sample sizes are needed to achieve greater precision for subgroup analysis. For 2009-10, I-MOVE will extend the study to obtain early IVE estimates in groups targeted for pandemic H1N1 influenza vaccination.European Centre for Disease Prevention and Control (ECDC
Cavity Ringdown Spectroscopy of the Hydroxy-Methyl-Peroxy Radical
We report vibrational and electronic spectra of the hydroxy-methyl-peroxy radical (HOCH_2OO^âą or HMP), which was formed as the primary product of the reaction of the hydroperoxy radical, HO_2^âą, and formaldehyde, HCHO. The Îœ_1 vibrational (OH stretch) spectrum and the Ă â X electronic spectrum of HMP were detected by infrared cavity ringdown spectroscopy (IR-CRDS), and assignments were verified with density functional calculations. The HMP radical was generated in reactions of HCHO with HO_2^âą. Free radical reactions were initiated by pulsed laser photolysis (PLP) of Cl_2 in the presence of HCHO and O_2 in a flow reactor at 300â330 Torr and 295 K. IR-CRDS spectra were measured in mid-IR and near-IR regions over the ranges 3525â3700 cm^(â1) (Îœ_1) and 7250â7800 cm^(â1) (Ă â X) respectively, at a delay time 100 ÎŒs after photolysis. The Îœ_1 spectrum had an origin at 3622 cm^(â1) and exhibited partially resolved P- and R-branch contours and a small Q-branch. At these short delay times, spectral interference from HOOH and HCOOH was minimal and could be subtracted. From B3LYP/6-31+G(d,p) calculations, we found that the anharmonic vibrational frequency and band contour predicted for the lowest energy conformer, HMP-A, were in good agreement with the observed spectrum. In the near-IR, we observed four well spaced vibronic bands, each with partially resolved rotational contours. We assigned the apparent origin of the Ă â X electronic spectrum of HMP at 7389 cm^(â1) and two bands to the blue to a progression in Îœ15âČ, the lowest torsional mode of the Ă state (Îœ_(15âČ) = 171 cm^(â1)). The band furthest to the red was assigned as a hot band in Îœ^(15âł), leading to a ground state torsional frequency of (Îœ^(15âł) = 122 cm^(â1)). We simulated the spectrum using second order vibrational perturbation theory (VPT2) with B3LYP/6-31+G(d,p) calculations at the minimum energy geometries of the HMP-A conformer on the X and Ă states. The predictions of the electronic origin frequency, torsional frequencies, anharmonicities, and rotational band contours matched the observed spectrum. We investigated the torsional modes more explicitly by computing potential energy surfaces of HMP as a function of the two dihedral angles Ï_(HOCO) and Ï_(OOCO). Wave functions and energy levels were calculated on the basis of this potential surface; these results were used to calculate the FranckâCondon factors, which reproduced the vibronic band intensities in the observed electronic spectrum. The transitions that we observed all involved states with wave functions localized on the minimum energy conformer, HMP-A. Our calculations indicated that the observed near-IR spectrum was that of the lowest energy X state conformer HMP-A, but that this conformer is not the lowest energy conformer in the Ă state, which remains unobserved. We estimated that the energy of this lowest conformer (HMP-B) of the Ă state is E_0 (Ă, HMP-B) â 7200 cm^(â1), on the basis of the energy difference E_0(HMP-B) â E_0(HMP-A) on the Ă state computed at the B3LYP/6-31+G(d,p) level
Palaeo-ecological and archaeological analysis of two Dutch Celtic fields (Zeijen-Noordse Veld and Wekerom-Lunteren): solving the puzzle of local Celtic field bank formation
Landesque capital as an alternative to food storage in Melanesia: Irrigated taro terraces in New Georgia, Solomon Islands
In the Pacific islands, subsistence diversity made possible continuous production of food while welldeveloped exchange networks redistributed these foodstuffs as well as items within the prestige economy. All these were aspects of the âstorage structuresâ that enabled social and nutritional value to be saved, accumulated and later mobilised. In addition, there were investments in the land, landesque capital, which secured future food surpluses and so provided an alternative to food storage, in a region where the staple foods were mostly perishable, yams excepted, and food preservation was difficult. Landesque capital included such long-term improvements to productivity as terraces, mounds, irrigation channels, drainage ditches, soil structural changes and tree planting. These investments provided an effective alternative to food storage and made possible surplus production for exchange purposes. As an example, in the New Georgia group of the western Solomon Islands irrigated terraces, termed ruta, were constructed for growing the root crop taro (Colocasia esculenta). Surplus taro from ruta enabled inland groups to participate in regional exchange networks and so obtain the shell valuables that were produced by coastal groups. In this paper, we reconstruct how this exchange system worked in New Georgia using ethno-archaeological evidence, we chart its prehistoric rise and post-colonial fall, and we outline the factors that constrained its long-term expansion.Our gratitude for support during earlier fieldwork in the New Georgia group has already been expressed in previous publications. The 2014 project was supported by the Smuts Fund and Foreign Travel Fund, University of Cambridge, and by St Johnâs College, Cambridge.This is the accepted manuscript. The final version is available from Maney at http://dx.doi.org/10.1179/1749631414Y.000000004
Besieged Palaeonegritics or Innovative Farmers: Historical Political Ecology of Intensive and Terraced Agriculture in West Africa and Sudan
Patients presenting at the emergency department with acute abdominal pain are less likely to be admitted to inpatient wards at times of access block: a registry study
A pathway care model allowing low-risk patients to gain direct admission to a hospital medical ward â a pilot study on ambulance nurses and Emergency Department physicians
Surveillance of recent HIV infections among newly diagnosed HIV cases in Germany between 2008 and 2014
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