Herbal weight-loss products: how informed are we?

Objective: Non-prescription, weight-loss products are advertised as quick-solution alternatives to long-term lifestyle changes.Design: Cross-sectional descriptive.Setting: Free State province.Subjects: Fifty-six dietitians registered to the Free State branch of the Association of Dietetics in South Africa, excluding lecturers and students, and 88 pharmacists working in the Bloemfontein area.Outcome measures: Structured telephonic interviews were conducted with 25 dietitians and 46 pharmacists to ascertain whether or not they had heard of the individual ingredients listed in non-prescription, weight-loss products and if they knew if each of these ingredients were scientifically proven to induce weight loss.Results: Most dietitians and pharmacists reported that they had heard of green tea extract (92% and 89%), chromium picolinate (76% and 59%), apple cider vinegar (100% and 96%), lemon juice (100% and 87%) and alcohol (100% and 91%), respectively, being ingredients in weight-loss products. More dietitians and pharmacists reported that, to their knowledge, green tea extract (52% vs. 26%), chromium picolinate (52% vs. 15%), apple cider vinegar (64% vs. 33%), lemon juice (80% vs. 64%) and alcohol (76% vs. 61%), were not scientifically proven to be effective in attaining weight loss. Both groups included a percentage who were not familiar with the ingredients, or who thought that these ingredients had been demonstrated to be effective, despite no conclusive evidence existing in the literature.Conclusion: Healthcare professionals need to actively educate themselves about non-prescription weight-loss products in order to guide the public and reduce consumer confusion

Large deviations for ideal quantum systems

We consider a general d-dimensional quantum system of non-interacting particles, with suitable statistics, in a very large (formally infinite) container. We prove that, in equilibrium, the fluctuations in the density of particles in a subdomain of the container are described by a large deviation function related to the pressure of the system. That is, untypical densities occur with a probability exponentially small in the volume of the subdomain, with the coefficient in the exponent given by the appropriate thermodynamic potential. Furthermore, small fluctuations satisfy the central limit theorem.Comment: 28 pages, LaTeX 2

Pump-probe scheme for electron-photon dynamics in hybrid conductor-cavity systems

Recent experiments on nanoscale conductors coupled to microwave cavities put in prospect transport investigations of electron-photon interplay in the deep quantum regime. Here we propose a pump-probe scheme to investigate the transient dynamics of individual electron-photon excitations in a double quantum dot-cavity system. Excitations pumped into the system decay via charge tunneling at the double dot, probed in real time. We investigate theoretically the short-time charge transfer statistics at the dot, for periodic pumping, and show that this gives access to vacuum Rabi oscillations as well as excitation dynamics in the presence of double dot dephasing and relaxation.Comment: 5 Pages, 5 figure

Pest-predator spatial relationships in winter rape: implications for integrated crop management

Douglas Warner, Les J Allen-Williams, Andrew W Ferguson, and Ingrid H Williams, 'Pest–predator spatial relationships in winter rape: implications for integrated crop management', Pest Management Science, Vol. 56 (11): 977-982, November 2000, doi: 10.1002/1526-4998(200011)56:113.0.CO;2-U. Copyright © 2000 Society of Chemical IndustryThe brassica pod midge (Dasineura brassicae) is an important and widespread pest of winter and spring oilseed rape throughout Europe. Pods infested by D brassicae larvae split prematurely, releasing seeds, and the larvae drop to the soil into which they burrow to pupate. At this stage in its lifecycle D brassicae is potentially vulnerable to predation by carabid beetles foraging on the soil surface. This is the first study in the UK to focus on carabid beetles as predators of D brassicae in the oilseed rape crop. The spatio-temporal distributions of larvae of D brassicae dropping to the soil from the crop canopy and of adult carabid beetles active on the soil surface were analysed in two consecutive years. Insect samples were collected from spatially referenced sampling points across each crop. Counts of insects were mapped and analysed, and the degree of spatial association between predator and prey determined using Spatial Analysis by Distance Indices (SADIE). Carabid species abundant and active during peak drop of first generation D brassicae larvae included Agonum dorsale, Amara similata, Harpalus rufipes and Nebria brevicollis. The larvae of D brassicae had a marked edge distribution within the crop. SADIE analysis revealed significant spatial association between larvae of D brassicae and adult H rufipes (P <0.05) in 1998, but not with adults of A dorsale, A similata or N brevicollis. In 1999, there was strong spatial association only between larvae of D brassicae and adult A dorsale (P <0.01). Aggregation of N brevicollis adults occurred in some areas of greatest D brassicae larval counts in 1999, but overall spatial association was not signi®cant. The distributions are discussed in terms of their relevance to integrated crop management (ICM) strategies and spatial targeting of insecticides.Peer reviewe

Direct frequency comb spectroscopy of trapped ions

Direct frequency comb spectroscopy of trapped ions is demonstated for the first time. It is shown that the 4s^2S_(1/2)-4p^2P_(3/2) transition in calcium ions can be excited directly with a frequency comb laser that is upconverted to 393 nm. Detection of the transition is performed using a shelving scheme to suppress background signal from non-resonant comb modes. The measured transition frequency of f=761 905 012.7(0.5) MHz presents an improvement in accuracy of more than two orders of magnitude.Comment: 4 pages, 5 figur

Traveling-wave deceleration of SrF molecules

We report on the production, deceleration and detection of a SrF molecular beam. The molecules are captured from a supersonic expansion and are decelerated in the X$^2\Sigma^+ (v=0, N=1)$ state. We demonstrate the removal of up to 40% of the kinetic energy with a 2 meter long modular traveling-wave decelerator. Our results demonstrate a crucial step towards the preparation of ultracold gases of heavy diatomic molecules for precision spectroscopy

Mind the gap: Patterns of red blood cell product usage in South Africa, 2014 - 2019

Background. A key component of any successful healthcare system is the availability of sufficient, safe blood products delivered in an equitable manner. South Africa (SA) has a two-tiered healthcare system with public and privately funded sectors. Blood utilisation data for both sectors are lacking. Evaluation of blood utilisation patterns in each healthcare sector will enable implementation of systems to bring about more equality.Objectives. To conduct a critical evaluation of red blood cell (RBC) product utilisation patterns at the South African National Blood Service (SANBS).Methods. Operationally collected data from RBC requests submitted to SANBS blood banks for the period 1 January 2014 - 31 March 2019 were used to determine temporal RBC product utilisation patterns by healthcare sector. Demographic patterns were determined, and per capita RBC utilisation trends calculated.Results. Of the 2 356 441 transfusion events, 65.9% occurred in the public and 34.1% in the private sector. Public sector patients were younger (median (interquartile range (IQR)) 33 (22 - 49) years) than in the private sector (median (IQR) 54 (37 - 68) years), and mainly female in both sectors (66.2% in the public sector and 53.4% in the private sector). Between 2014 and 2018, per capita RBC utilisation decreased from 11.9 to 11.0/1 000 population in the public sector, but increased from 34.8 to 38.2/1 000 population in the private sector.Conclusions. We confirmed distinctly different RBC utilisation patterns between the healthcare sectors in SA. Possible drivers for these differences may be healthcare access, differing patient populations and prescriber habits. Better understanding of these drivers may help inform equitable public health policy

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

<p>Abstract</p> <p>Background</p> <p>Against the background of a decreasing number of general practitioners (GPs) in rural regions in Germany, the AGnES-concept (AGnES = GP-supporting, community-based, e-health-assisted, systemic intervention) supports the delegation of regular GP-home visits to qualified practice assistants. The concept was implemented and evaluated in different model projects in Germany.</p> <p>To explore the economic effects of this concept, the development of the number of home visits in an ambulatory healthcare centre was analysed and compared with the number of home visits in the surrounding county.</p> <p>Methods</p> <p>Information about GP-home visits was derived from reimbursement data of the ambulatory healthcare centre and a statutory health insurance. Information about home visits conducted by AGnES-practice assistants was collected from the project documentation over a time period of 12 consecutive quarter years, four quarter years before the beginning of the project and 8 quarter years while the project was implemented, considering background temporal trends on the population level in the study region.</p> <p>Results</p> <p>Within the ambulatory healthcare centre, the home visits by the GPs significantly decreased, especially the number of medically urgent home visits. However, the overall rate of home visits (conducted by the GPs and the AGnES-practice assistants together) did not change significantly after implementation of the AGnES-concept. In the surrounding county, the home visit rates of the GPs were continuous; the temporal patterns were approximately equal for both usual and urgent home visits.</p> <p>Conclusion</p> <p>The results of the analyses show that the support by AGnES-practice assistants led to a decrease of GP-home visits rather than an induction of additional home visits by the AGnES-practice assistants. The most extended effect is related to the medically urgent home visits rather than to the usual home visits.</p