Proposed reference models for atomic oxygen in the terrestrial atmosphere

A provisional Atomic Oxygen Reference model was derived from average monthly ozone profiles and the MSIS-86 reference model atmosphere. The concentrations are presented in tabular form for the altitude range 40 to 130 km

Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures?

Background: Failures of post-exposure prophylaxis following sexual exposure (PEPSE) to prevent seroconversion have been reported and are often associated with ongoing risk exposure. Understanding why men who have sex with men (MSM) access PEPSE on some occasions and not others may lead to more effective health promotion and disease prevention strategies Methods: A qualitative study design using semi-structured interviews of 15 MSM within 6 months of them initiating PEPSE treatment at an HIV outpatient service in Brighton, UK. Results: PEPSE seeking was motivated by a number of factors: an episode that related to a particular sexual partner and their behaviour; the characteristics of the venue where the risk occurred; the respondent’s state of mind and influences of alcohol and recreational drug use; and their perceived beliefs on the effectiveness of PEPSE. Help was sought in the light of a “one-off” or “unusual” event. Many respondents felt they were less likely to behave in a risky manner following PEPSE. Conclusion: If PEPSE is to be effective as a public health measure, at risk individuals need to be empowered to make improved risk calculations from an increased perception that they could be exposed to HIV if they continue their current behaviour patterns. The concern is that PEPSE was sought by a low number of MSM implying that a greater number are not using the service based on failure to make accurate risk calculations or recognise high-risk scenario

Unmasking quality: exploring meanings of health by doing art

This paper arises from a presentation at the ‘Quality in Healthcare’ symposium at Cumberland Lodge, England, in 2013. MK, CR and SH conceived the paper and led the writing of the manuscript. JF, JL-D, AC, DE contributed substantially to the intellectual content of the paper through providing critical commentary and interpretation. All authors read and approved the final manuscript

Drug administration errors by South African anaesthetists - a survey

Objectives. To investigate the incidence, nature of and factors contributing towards wrong drug administrations by South African anaesthetists. Design. A confidential, self-reporting survey was sent out to the 720 anaesthetists on the database of the South African Society of Anaesthesiologists. Results. A total of 133 questionnaires were returned for analysis (18.5% response rate). Of the respondents, 125 (94%) admitted to having inadvertently administered a wrong drug. Thirty respondents (22.6%) said they had made errors on at least four occasions. A total of 303 specific wrong drug administrations were described. Nearly 50% involved muscle relaxants. A further 43 incidents (14%) involved the erroneous administration of vasoactive drugs. Five deaths and 3 nonfatal cardiac arrests were reported. In 9.9% of incidents the anaesthetic time was prolonged by more than 30 minutes. Contributory causes identified included syringe swaps (40%), misidentification of drugs (27.1%), fatigue (14.1%), distractions (4.7%), and mislabelling of syringes (4.7%). Only 19% of respondents regularly use colour-coded syringe labels complying with the national standard. Conclusions. Most anaesthetists experienced at least one drug error. The incidence of wrong drug administrations by South African anaesthetists appears to be similar to that in Australasia and Canada. The commonest error was a ‘syringe swap’ involving muscle relaxants. Most drug errors are inconsequential. An important minority of incidents result in severe morbidity or death. The study supports efforts to improve ampoule labelling, to encourage the use of syringe labels based on the international colour code and to develop a national reporting system for such incidents

Trapping of Pd, Au, and Cu by implantation-induced nanocavities and dislocations in Si

The gettering of metallic impurities by nanocavities formed in Si is a topic of both scientific importance and technological significance. Metallic precipitates observed in the regions where nanocavities were formed have been considered the result of the metal filling the nanocavities, either as elemental metal or a silicide phase. However, our transmission electron microscopy observations demonstrate that many of these precipitates are concentrated along dislocations, rather than randomly distributed as expected for precipitates formed by the filling of nanocavities. Consequently, the gettering contribution of dislocations in the lattice caused by nanocavity formation must be considered. For Pd, dislocations are the preferred sites for the precipitation of the metal silicide. We compare results of gettering by nanocavities and dislocations for Pd, Au, and Cu to determine which structure is the dominant influence for the formation of precipitates of these metals and/or their silicides

A User-Centred Approach to Reducing Sedentary Behaviour

The use of digital technologies in the administration of healthcare is growing at a rapid rate. However, such platforms are often expensive. As people are living longer, the strain placed on hospitals is increasing. It is evident that a usercentric approach is needed, which aims to prevent illness before a hospital visit is required. As such, with the levels of obesity rising, preventing this illness before such resources are required has the potential to save an enormous amount of time and money, whilst promoting a healthier lifestyle. New and novel approaches are needed, which are inexpensive and pervasive in nature. One such approach is to use human digital memories. This outlet provides visual lifelogs, composed of a variety of data, which can be used to identify periods of inactivity. This paper explores how the DigMem system is used to successfully recognise activity and create temporal memory boxes of human experiences, which can be used to monitor sedentary behaviour

Capturing and Sharing Human Digital Memories with the Aid of Ubiquitous Peer– to–Peer Mobile Services

The explosion of mobile computing and the sharing of content ubiquitously has enabled users to create and share memories instantly. Access to different data sources, such as location, movement, and physiology, has helped to create a data rich society where new and enhanced memories will form part of everyday life. Peer–to–Peer (P2P) systems have also increased in popularity over the years, due to their ad hoc and decentralized nature. Mobile devices are “smarter” and are increasingly becoming part of P2P systems; opening up a whole new dimension for capturing, sharing and interacting with enhanced human digital memories. This will require original and novel platforms that automatically compose data sources from ubiquitous ad-hoc services that are prevalent within the environments we occupy. This is important for a number of reasons. Firstly, it will allow digital memories to be created that include richer information, such as how you felt when the memory was created and how you made others feel. Secondly, it provides a set of core services that can more easily manage and incorporate new sources as and when you are available. In this way memories created in the same location, and time are not necessarily similar – it depends on the data sources that are accessible. This paper presents DigMem, the initial prototype that is being developed to utilize distributed mobile services. DigMem captures and shares human digital memories, in a ubiquitous P2P environment. We present a case study to validate the implementation and evaluate the applicability of the approach

Brief interventions to prevent sexually transmitted infections suitable for in-service use: a systematic review

Background: Sexually transmitted infections (STIs) are more common in young people and men who have sex with men (MSM) and effective in-service interventions are needed. Methods: A systematic review of randomized control trials (RCTs) of waiting-room delivered,self-delivered and brief healthcare-provider-delivered interventions designed to reduce STIs, increase use of home-based STI testing, or reduce STI-risk behaviour was conducted. Six databases were searched between January 2000 to October 2014. Results: 17,916 articles were screened. 23 RCTs of interventions for young people met our inclusion criteria. Significant STI reductions were found in four RCTs of interventions using brief one-to-one counselling (2 RCTs), video (1 RCT) and a STI home-testing kit (1 RCT). Increase in STI test uptake was found in five studies using video (1 RCT), one-to-one counselling (1 RCT), home test kit (2 RCTs) and a web-based intervention (1 RCT). Reduction in STI-risk behaviour was found in seven RCTs of interventions using digital online (web-based) and offline (computer software) (3 RCTs), printed materials (1 RCT) and video (3 RCTs). Ten RCTs of interventions for MSM met our inclusion criteria. Three tested for STI reductions but none found significant differences between intervention and control groups. Increased STI test uptake was found in two studies using brief one-to-one counselling (1 RCT) and an online web-based intervention (1 RCT. Reduction in STI-risk behaviour was found in six studies using digital online (web-based) interventions (4 RCTs) and brief one-to one counselling (2 RCTs. Conclusion: A small number of interventions which could be used, or adapted for use, in sexual health clinics were found to be effective in reducing STIs among young people and in promoting self-reported STI-risk behaviour change in MSM

A User-Centred Approach to Reducing Sedentary Behaviour

The use of digital technologies in the administration of healthcare is growing at a rapid rate. However, such platforms are often expensive. As people are living longer, the strain placed on hospitals is increasing. It is evident that a usercentric approach is needed, which aims to prevent illness before a hospital visit is required. As such, with the levels of obesity rising, preventing this illness before such resources are required has the potential to save an enormous amount of time and money, whilst promoting a healthier lifestyle. New and novel approaches are needed, which are inexpensive and pervasive in nature. One such approach is to use human digital memories. This outlet provides visual lifelogs, composed of a variety of data, which can be used to identify periods of inactivity. This paper explores how the DigMem system is used to successfully recognise activity and create temporal memory boxes of human experiences, which can be used to monitor sedentary behaviour

Monitoring and Measuring Sedentary Behaviour with the Aid of Human Digital Memories

There is growing global concern over the growing levels of obesity and the fact that people in general are not as active as they once were. Many believe that this is directly related to poor diet and our increasing reliance on technology, such as television, social networking, computer games, and voice activated home control systems. These kinds of activities increase sedentary behaviour across all age groups and is considered one of the main contributors to obesity and poor health. For this reason decreasing sedentary behaviour is considered a crucial theme within many research programs in health. Ironically, there is general agreement that the use of technology is likely to help researchers understand this type of behaviour. One interesting approach is based upon the use of human digital memories to provide visual lifelogs of a user’s activity and to identify the behaviour patterns of individuals. In this way visual lifelogs provide a way for user’s to evaluate their lifestyle choices. This paper discusses some of the key technologies used to achieve this and considers some of the challenges that still need to be addressed