Foley Catheter Priming Device

A lack of a pressure gradient throughout the catheter prevents urine flow from the bladder and through catheter system in a condition referred to as “air-lock.” The purpose of this project was to design a device that could be utilized by person with a catheter faced with the problem of air-lock to restore urine flow and normal functioning of the catheter system. After a prototype was created, the device was put through a series of tests to insure proper functioning, absence of leakage, and durability. The device created can be added in-line with the catheter system, inconspicuously under the user’s clothing, as a primer that the catheter user can push to create a pressure gradient in the system and initiate urine flow. Overall, the device functions as its intended design and has the potential to solve the problem of air-lock for many catheter users

Stellenbosch Media Forum 2008

Stellenbosch Media Forum is an annual publication written and produced by the BPhil (Journalism) class of that specific year in the Department of Journalism, Stellenbosch University.Earlier this year Koos Bekker, owner of Media24, said he would not buy the New York Times even though his company could afford it. According to Moneyweb.co.za Bekker said the days of print media are numbered and the New York Times is old news. Die afgelope klompie jare het die media 'n transformasie ondergaan. In Suid-Afrika spesifiek is talle beperkinge op die media in die post-94-era opgehef. Die media funksioneer in 'n vryemark-stelsel en die algemene persepsie is dat dit meer fokus op die kommersiele as tevore. Met die ekonomiese afplatting is daar boonop gerugte van personeelverminderings en word selfs meer verwag van die Gideonsbende wat in die nuuskantore oorbly. Exposure to a variety of TV channels and internet websites is increasing the visual stimulation of media audiences. Media products are being redesigned to satisfy specific needs, in specific niches. One big change in terms of design is that more - and bigger - visuals and less text are being used. Vanjaar het e.tv die eerste 24-uur-nuuskanaal in Suid-Afrika geloods en al hoe meer drukmediaprodukte fokus op hul aanlyn-teenwoordigheid. Die Mail & Guardian het in Junie sy webtuiste herontwerp en sy groepblog, Thoughtleader, het die prys vir die Beste Suid-Afrikaanse Blog in die 2008 Suid-Afrikaanse Blogtoekennnings gekry. The Times, die Sunday Times se interaktiewe dagblad, het vanjaar sy eerste verjaarsdag gevier en bewys (sover) dat die konsep van 'n koerant wat met 'n webblad geintegreer is, wel werk. We are living in exciting times as far as development in the media is concerned. And that is why this year's edition of SMF has as its theme "Change in the media". Die veranderende media is hoofsaaklik te danke aan die ontwikkeling van tegnologie, soos dat jy jou nuus op jou selfoon kan kry. Nuttig, veral in Suid-Afrika waar die toegang tot breebandinternet gebrekkig is. Die koms van blogs noop koerante nou om onmiddellikheid en interaksie na te volg. These developments also influence journalists, sources and their audiences. With the advent of democracy in South Africa, changes in the consumer demographics of certain media products have occurred. And, oh yes, women have also advanced in the media since 1994, both as producers of media, and how they are represented. And then there is the youth, who "owns" new media technologies. And the disabled, who can get access to a new world through media technology. But, there are still many people in South Africa who do not have access to media, because of socio-economic circumstances: too poor to own the latest technology; illiterate and forgotten by the media elites. Die rol van die media, om debat te stimuleer, as waghond op te tree en die stem van die stemloses te wees, word deur al hierdie veranderings uitgedaag. Toenemende kommersialisering kan mediavryheid van binne erodeer. En dan is daar steeds die moontlikheid van politieke inmenging, al is mediavryheid grondwetlik verskans. Tradisionele kunsvorme in die media, soos kortverhale, radiodramas en boekresensies word gemarginaliseer, maar tog is daar die moontlikheid dat hulle kan aanpas en bly voortbestaan. Another challenge is the media's coverage of environmental issues, which has to be in sync with the phenomenon of global warming. Sport reporting also has to adapt to new developments, with sport writers now needing to have a knowledge of economics and politics as well. Een ding is seker: maatskappye, mense, produkte en onderwerpe wat by die media betrokke is, sal soos 'n verkleurmannetjie moet aanpas om te kan oorleef

Spatio-temporal plasma heating mechanisms in a radio-frequency electrothermal microthruster

Low-power micro-propulsion sources are currently being developed for a variety of space missions. Electrothermal plasma thrusters are of specific interest since they enable spatial control of the power deposition to the propellant gas. Understanding the mechanisms whereby electrical power is coupled to the propellant will allow for optimization of the heating and fuel efficiencies of electrothermal sources. Previous studies of radio frequency (RF) plasmas have shown a dependence of the gas and electron heating mechanisms on the local collisionality. This is of particular importance to thrusters due to the large pressure gradients that exist between the inlet and outlet when expanding into vacuum. In this work, phase-resolved optical emission spectroscopy and numerical simulations were employed to study plasma heating in an asymmetric RF (13.56 MHz) electrothermal microthruster operating in argon between 186-226 Pa (1.4-1.7 Torr) plenum pressure, and between 130-450 V (0.2-5 W). Three distinct peaks in the phase-resolved Ar(2p 1) electron impact excitation rate were observed, arising from sheath collapse heating, sheath expansion heating, and heating via secondary electron collisions. These experimental findings were corroborated with the results of two-dimensional fluid/Monte Carlo simulations performed using the Hybrid Plasma Equipment Model (HPEM). The influence of each mechanism with respect to the position within the plasma source during an α-γ mode transition, where plasma heating is driven via bulk and sheath heating, respectively, was investigated. Sheath dynamics were found to dictate the electron heating at the inlet and outlet, this is distinct from the center of the thruster where interactions of secondary electrons were found to be the dominant electron heating mechanism. Optimization of the heating mechanisms that contribute to the effective exhaust temperature will directly benefit electrothermal thrusters used on miniaturized satellite platforms

\textsc{MaGe} - a {\sc Geant4}-based Monte Carlo Application Framework for Low-background Germanium Experiments

We describe a physics simulation software framework, MAGE, that is based on the GEANT4 simulation toolkit. MAGE is used to simulate the response of ultra-low radioactive background radiation detectors to ionizing radiation, specifically the MAJORANA and GERDA neutrinoless double-beta decay experiments. MAJORANA and GERDA use high-purity germanium detectors to search for the neutrinoless double-beta decay of 76Ge, and MAGE is jointly developed between these two collaborations. The MAGE framework contains the geometry models of common objects, prototypes, test stands, and the actual experiments. It also implements customized event generators, GEANT4 physics lists, and output formats. All of these features are available as class libraries that are typically compiled into a single executable. The user selects the particular experimental setup implementation at run-time via macros. The combination of all these common classes into one framework reduces duplication of efforts, eases comparison between simulated data and experiment, and simplifies the addition of new detectors to be simulated. This paper focuses on the software framework, custom event generators, and physics lists.Comment: 12 pages, 6 figure

MaGe-a Geant4-Based Monte Carlo Application Framework for Low-Background Germanium Experiments

We describe a physics simulation software framework, MAGE, that is based on the GEANT4 simulation toolkit. MAGE is used to simulate the response of ultra-low radioactive background radiation detectors to ionizing radiation, specifically the MAJORANA and GERDA neutrinoless double-beta decay experiments. MAJORANA and GERDA use high-purity germanium detectors to search for the neutrinoless double-beta decay of 76Ge, and MAGE is jointly developed between these two collaborations. The MAGE framework contains the geometry models of common objects, prototypes, test stands, and the actual experiments. It also implements customized event generators, GEANT4 physics lists, and output formats. All of these features are available as class libraries that are typically compiled into a single executable. The user selects the particular experimental setup implementation at run-time via macros. The combination of all these common classes into one framework reduces duplication of efforts, eases comparison between simulated data and experiment, and simplifies the addition of new detectors to be simulated. This paper focuses on the software framework, custom event generators, and physics lists

Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity.

Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant

Hospital admission and emergency care attendance risk for SARS-CoV-2 delta (B.1.617.2) compared with alpha (B.1.1.7) variants of concern: a cohort study

Background: The SARS-CoV-2 delta (B.1.617.2) variant was first detected in England in March, 2021. It has since rapidly become the predominant lineage, owing to high transmissibility. It is suspected that the delta variant is associated with more severe disease than the previously dominant alpha (B.1.1.7) variant. We aimed to characterise the severity of the delta variant compared with the alpha variant by determining the relative risk of hospital attendance outcomes. Methods: This cohort study was done among all patients with COVID-19 in England between March 29 and May 23, 2021, who were identified as being infected with either the alpha or delta SARS-CoV-2 variant through whole-genome sequencing. Individual-level data on these patients were linked to routine health-care datasets on vaccination, emergency care attendance, hospital admission, and mortality (data from Public Health England's Second Generation Surveillance System and COVID-19-associated deaths dataset; the National Immunisation Management System; and NHS Digital Secondary Uses Services and Emergency Care Data Set). The risk for hospital admission and emergency care attendance were compared between patients with sequencing-confirmed delta and alpha variants for the whole cohort and by vaccination status subgroups. Stratified Cox regression was used to adjust for age, sex, ethnicity, deprivation, recent international travel, area of residence, calendar week, and vaccination status. Findings: Individual-level data on 43 338 COVID-19-positive patients (8682 with the delta variant, 34 656 with the alpha variant; median age 31 years [IQR 17–43]) were included in our analysis. 196 (2·3%) patients with the delta variant versus 764 (2·2%) patients with the alpha variant were admitted to hospital within 14 days after the specimen was taken (adjusted hazard ratio [HR] 2·26 [95% CI 1·32–3·89]). 498 (5·7%) patients with the delta variant versus 1448 (4·2%) patients with the alpha variant were admitted to hospital or attended emergency care within 14 days (adjusted HR 1·45 [1·08–1·95]). Most patients were unvaccinated (32 078 [74·0%] across both groups). The HRs for vaccinated patients with the delta variant versus the alpha variant (adjusted HR for hospital admission 1·94 [95% CI 0·47–8·05] and for hospital admission or emergency care attendance 1·58 [0·69–3·61]) were similar to the HRs for unvaccinated patients (2·32 [1·29–4·16] and 1·43 [1·04–1·97]; p=0·82 for both) but the precision for the vaccinated subgroup was low. Interpretation: This large national study found a higher hospital admission or emergency care attendance risk for patients with COVID-19 infected with the delta variant compared with the alpha variant. Results suggest that outbreaks of the delta variant in unvaccinated populations might lead to a greater burden on health-care services than the alpha variant. Funding: Medical Research Council; UK Research and Innovation; Department of Health and Social Care; and National Institute for Health Research

Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity

Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant

Changes in symptomatology, reinfection, and transmissibility associated with the SARS-CoV-2 variant B.1.1.7: an ecological study

Background The SARS-CoV-2 variant B.1.1.7 was first identified in December, 2020, in England. We aimed to investigate whether increases in the proportion of infections with this variant are associated with differences in symptoms or disease course, reinfection rates, or transmissibility. Methods We did an ecological study to examine the association between the regional proportion of infections with the SARS-CoV-2 B.1.1.7 variant and reported symptoms, disease course, rates of reinfection, and transmissibility. Data on types and duration of symptoms were obtained from longitudinal reports from users of the COVID Symptom Study app who reported a positive test for COVID-19 between Sept 28 and Dec 27, 2020 (during which the prevalence of B.1.1.7 increased most notably in parts of the UK). From this dataset, we also estimated the frequency of possible reinfection, defined as the presence of two reported positive tests separated by more than 90 days with a period of reporting no symptoms for more than 7 days before the second positive test. The proportion of SARS-CoV-2 infections with the B.1.1.7 variant across the UK was estimated with use of genomic data from the COVID-19 Genomics UK Consortium and data from Public Health England on spike-gene target failure (a non-specific indicator of the B.1.1.7 variant) in community cases in England. We used linear regression to examine the association between reported symptoms and proportion of B.1.1.7. We assessed the Spearman correlation between the proportion of B.1.1.7 cases and number of reinfections over time, and between the number of positive tests and reinfections. We estimated incidence for B.1.1.7 and previous variants, and compared the effective reproduction number, Rt, for the two incidence estimates. Findings From Sept 28 to Dec 27, 2020, positive COVID-19 tests were reported by 36 920 COVID Symptom Study app users whose region was known and who reported as healthy on app sign-up. We found no changes in reported symptoms or disease duration associated with B.1.1.7. For the same period, possible reinfections were identified in 249 (0·7% [95% CI 0·6–0·8]) of 36 509 app users who reported a positive swab test before Oct 1, 2020, but there was no evidence that the frequency of reinfections was higher for the B.1.1.7 variant than for pre-existing variants. Reinfection occurrences were more positively correlated with the overall regional rise in cases (Spearman correlation 0·56–0·69 for South East, London, and East of England) than with the regional increase in the proportion of infections with the B.1.1.7 variant (Spearman correlation 0·38–0·56 in the same regions), suggesting B.1.1.7 does not substantially alter the risk of reinfection. We found a multiplicative increase in the Rt of B.1.1.7 by a factor of 1·35 (95% CI 1·02–1·69) relative to pre-existing variants. However, Rt fell below 1 during regional and national lockdowns, even in regions with high proportions of infections with the B.1.1.7 variant. Interpretation The lack of change in symptoms identified in this study indicates that existing testing and surveillance infrastructure do not need to change specifically for the B.1.1.7 variant. In addition, given that there was no apparent increase in the reinfection rate, vaccines are likely to remain effective against the B.1.1.7 variant. Funding Zoe Global, Department of Health (UK), Wellcome Trust, Engineering and Physical Sciences Research Council (UK), National Institute for Health Research (UK), Medical Research Council (UK), Alzheimer's Society