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

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

Bulk Density of a Sandy Loam: Traffic, Tillage, and Irrigation-Method Effects

Modern crop production creates a cycle between soil compaction caused by traffic and alleviation of this condition by tillage or natural processes such as freezing and thawing. The objective of this study was to evaluate important management practices as they relate to changes in bulk density of a tilled sandy loam soil. Practices evaluated were irrigation method, time between tillage and traffic, tire pressure and wheel load of applied traffic, and controlled traffic. Relationships among bulk density, penetration resistance, and infiltration rate were determined. Experiments were conducted in the San Joaquin Valley of California, on a sandy loam soil (Entisol) with an organic-matter content of <1%. After tillage, settling and trafficking of a soil resulted in rapid changes in its bulk density until a new equilibrium was reached. Tire pressure of 408 kPa and wheel weight of 2724 kg applied at moisture contents near field capacity resulted in a bulk density of 1.92 Mg m-3 , compared with a value of 1.67 for no traffic. The time interval between tillage and traffic did not affect final bulk density. Drip irrigation, which did not saturate the soil, resulted in a bulk density of ≈0.1 Mg m-3 lower than flood irrigation, which saturated the soil surface. Wheel traffic in the furrow resulted in only small changes in the bulk density within the row. When tillage did not occur between cropping seasons, traffic caused high bulk densities in the furrow but only small changes in the row. An increase in bulk density from 1.7 to 1.89 Mg m-3 decreased the infiltration rate by four times and increased resistance to penetration at the end of the season by three times. Knowledge of how management practices affect bulk density can aid growers in reducing recompaction following tillage

The Effect of Mobility and Strength Training on Firefighter Cadet Functional Mobility

Strength and Conditioning programs have positive effects on athletic performance (Hedrick, 2002). Similarly, firefighters have to be adequately fit to perform their job duties which require muscular strength and endurance, and aerobic fitness (Smith, 2011). Thus, firefighter’s health and fitness, including mobility, is crucial in their job performance. PURPOSE: We examined the effects of a strength, conditioning, and mobility program on functional mobility in firefighter cadets. METHODS: 43 firefighter cadets who were enrolled in a 12-week basic firefighter academy course participated. Cadets were separated into one of three cohorts; 1) No program; 2) Unmonitored Program; and 3) Indirectly Monitored Program. Participants either completed daily physical fitness training tasks on their own or set by fire instructors. A certified strength and conditioning specialist (CSCS) set up the physical fitness training modes for cohorts 2 and 3; however, the CSCS did not monitor training directly. Mobility was assessed by ROM exercises using DARI Motion Capture® (DARI Motion, Kansas City, Missouri). Motions included bodyweight bilateral squat, unilateral squat right and left, forward lunge right and left, and lateral lunge right and left. Post testing was completed 12-weeks after initial assessments. Statistical analysis was conducted using SPSS. RESULTS: Overall Cohort 3, Indirectly Monitored Program, had the greatest positive mobility changes when comparing pre post testing. There were significant increases in bodyweight squat left knee flexion in cohort three (115.58±16.0 to 124.56±16.42, p=0.02). Bodyweight squat left ankle flexion also significantly increased (24.20±11.78 to 34.98±12.03, p=0.005). Significant increases in bodyweight squat percentage of lower body height in cohort three were also positive (47.3±10.7% to 52.7±10.0%, p=0.037), indicating that greater squat depth was achieved after the indirectly monitored program. However, negative effects on the bodyweight squat includes left and right knee valgus both increasing showing a lack of stability in dynamic knee control while squatting (left: 4.65±1.33to 5.02±0.66, p=0.039; right: 3.97±2.06 to 4.87±1.33, p=0.005). Unilateral squat depth percentage of lower body showed significant changes in Cohort 3 (26.9±8.3% to 32.0±13.6%, p=0.032). Unilateral squat knee and ankle flexion both showed positive significant differences (knee: 83.70±18.05 to 94.62±23.49, p=0.02; ankle: 24.34±9.38 to 34.57±12.25, p=0.001). CONCLUSION: The results of the current study suggest that even indirect monitoring of tactical strength and conditioning programming can have a positive effect on firefighter cadet’s functional mobility. In the future, programming should be more direct including the installation of tactical personnel to aid and facilitate training programs with proper supervision

Inequality, poverty and the privatization of essential services: A "systems of provision" study of water, energy and local buses in the UK

This paper is concerned with the distributional effects of the deregulation and privatization of essential services in Britain since the 1980s, based on a cross-sector study of water, energy and local bus transport. Our approach locates end users within the structures and processes, and prevailing narratives that underpin both production and consumption. This framework highlights the ways that the provisioning of these vital services is contested, contradictory and underpinned by power relations. We show that, at one end, investors in these sectors have made generous returns on their investments but their methods of profit maximization are often not in the public interest. Meanwhile these profits are financed by end users’ payments of bills and fares. Many lower-income households face challenges in terms of affording, and even accessing, these essential services. Regulation has failed to provide adequate social protection. We argue that adverse social outcomes emerge from systemic factors embedded in these modes of provision. A narrative of politically-neutral, technocratic solutions belies the underlying contested nature of privatized monopolistic shared essential services. Moreover, a policy preoccupation with markets and competition obscures the inequality embedded in the underlying structures and processes and undermines more collective and equitable forms of provisioning

Seasonal variations in incidence and maternal-fetal outcomes of gestational diabetes.

AIMS: To determine whether the neonatal and delivery outcomes of gestational diabetes vary seasonally in the context of a relatively cool temperate climate. METHODS: A retrospect cohort of 23 735 women consecutively delivering singleton, live-born term infants in a single tertiary obstetrics centre in the UK (2004-2008) was identified. A total of 985 (4.1%) met the diagnostic criteria for gestational diabetes. Additive dynamic regression models, adjusted for maternal age, BMI, parity and ethnicity, were used to compare gestational diabetes incidence and outcomes over annual cycles. Outcomes included: random plasma glucose at booking; gestational diabetes diagnosis; birth weight centile; and delivery mode. RESULTS: The incidence of gestational diabetes varied by 30% from peak incidence (October births) to lowest incidence (March births; P=0.031). Ambient temperature at time of testing (28 weeks) was strongly positively associated with diagnosis (P<0.001). Significant seasonal variation was evident in birth weight in gestational diabetes-affected pregnancies (average 54th centile June to September; average 60th centile December to March; P=0.027). Emergency Caesarean rates also showed significant seasonal variation of up to 50% (P=0.038), which was closely temporally correlated with increased birth weights. CONCLUSIONS: There is substantial seasonal variation in gestational diabetes incidence and maternal-fetal outcomes, even in a relatively cool temperate climate. The highest average birth weight and greatest risk of emergency Caesarean delivery occurs in women delivering during the spring months. Recognizing seasonal variation in neonatal and delivery outcomes provides new opportunity for individualizing approaches to managing gestational diabetes.Catherine Aiken is supported by an Isaac Newton Trust/Wellcome Trust ISSF/ University of Cambridge Joint Research Grant. Claire Meek receives salary funding from the Diabetes UK Harry Keen Intermediate Clinical Fellowship (17/0005712). The funders have had no role in study design, data collection, data analysis, manuscript preparation and/or publication decisions

Essential role for proteinase-activated receptor-2 in arthritis

Using physiological, pharmacological, and gene disruption approaches, we demonstrate that proteinase-activated receptor-2 (PAR-2) plays a pivotal role in mediating chronic inflammation. Using an adjuvant monoarthritis model of chronic inflammation, joint swelling was substantially inhibited in PAR-2-deficient mice, being reduced by more than fourfold compared with wild-type mice, with virtually no histological evidence of joint damage. Mice heterozygous for PAR-2 gene disruption showed an intermediate phenotype. PAR-2 expression, normally limited to endothelial cells in small arterioles, was substantially upregulated 2 weeks after induction of inflammation, both in synovium and in other periarticular tissues. PAR-2 agonists showed potent proinflammatory effects as intra-articular injection of ASKH95, a novel synthetic PAR-2 agonist, induced prolonged joint swelling and synovial hyperemia. Given the absence of the chronic inflammatory response in the PAR-2-deficient mice, our findings demonstrate a key role for PAR-2 in mediating chronic inflammation, thereby identifying a novel and important therapeutic target for the management of chronic inflammatory diseases such as rheumatoid arthritis

Particle-in-cell simulations of rf breakdown

Breakdown voltages of a capacitively coupled radio frequency argon discharge at 27 MHz are studied. We use a one-dimensional electrostatic PIC code to investigate the effect of changing the secondary emission properties of the electrodes on the breakdown voltage, particularly at low pd values. Simulation results are compared with the available experimental results and a satisfactory agreement is found.Comment: 12th International Congress on Plasma Physics, 25-29 October 2004, Nice (France

Latitudinal wave coupling of the stratosphere and mesosphere during the major stratospheric warming in 2003/2004

The coupling of the dynamical regimes in the high- and low-latitude stratosphere and mesosphere during the major SSW in the Arctic winter of 2003/2004 has been studied. The UKMO zonal wind data were used to explore the latitudinal coupling in the stratosphere, while the coupling in the mesosphere was investigated by neutral wind measurements from eleven radars situated at high, high-middle and tropical latitudes. It was found that the inverse relationship between the variability of the zonal mean flows at high- and low-latitude stratosphere related to the SSW is produced by global-scale zonally symmetric waves. Their origin and other main features have been investigated in detail. Similar latitudinal dynamical coupling has been found for the mesosphere as well. Indirect evidence for the presence of zonally symmetric waves in the mesosphere has been found

Reading and re-reading Shrek

This article presents the findings of a small-scale research project which aimed to enable young people to reflect on their childhood responses to the popular films, ‘Shrek’ and ‘Shrek 2’. During the project the participants develop new readings of the films in the light of their own recent experiences both of life and of other texts. The research draws on reader response theories to describe the complex readings of the films made by two young women from Rotherham. These readings include an engagement with an element of the films’ narrative structure, the relationship dilemma between the main characters. There was also clearly recollection of enjoyment of the animation style, the humour and the fairytale intertextuality of the film. However, the strongest response was based on more recent experiences and involved considerable empathy with the characters. This has important implications for both educational research and classroom practice. This paper argues for an increased recognition of the significance of children and young people’s engagements with popular children’s films as integral to their development as readers and creators of narrative texts