55,913 research outputs found

    Study of lunar reflective components of solar radio emission semiannual status report

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    Solar radio frequency reflection from lunar surface for scattering measuremen

    The AdHOC study of older adultsā€™ adherence to medication in 11 countries

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    BACKGROUND: Compared with the resources expended developing, evaluating and making clinical decisions about prescribing medication, we know little about what determines whether people take it. Older adults are prescribed more medication than any other group. Poor adherence is a common reason for nonresponse to medication. OBJECTIVES: To investigate cross-nationally the impact of demographic, psychiatric (including cognitive), physical health, behavioural and medication factors on adherence to medication in older adults. METHODS: Researchers interviewed 3881 people over 65 who receive home care services using a structured interview at participantsā€™ places of residence in eleven countries. The main outcome measure was the percentage participants not adherent to medication. RESULTS: 12.5% (n= 456) of people reported they were not fully adherent to medication. Non-adherence was predicted by problem drinking (OR=3.6), not having a doctor review medication (OR=3.3), dementia (OR=1.4 for every one point increase in impairment), good physical health (OR=1.2), resisting care (OR=2.1) being married (OR=2.3) and living in the Czech Republic (OR=4.7) or Germany (OR=1.4). CONCLUSION: People, who screen positive for problem drinking and with dementia, often undiagnosed are less likely to adhere to medication. Therefore doctors should consider dementia and problem drinking when prescribing for older adults. Interventions to improve adherence in older adults might be more effective if 4 targeted at these groups. It is possible that medication review enhances adherence, by improving the patient-doctor relationship, or by emphasising the relevance of medications

    Effects of organic and ā€˜low inputā€™ production methods on food quality and safety

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    The intensification of agricultural production in the last century has resulted in a significant loss of biodiversity, environmental problems and associated societal costs. The use of shorter rotations or monocropping and high levels of mineral fertilisers, pesticides and crop growth regulators may also have had negative impacts on food quality and safety. To reverse the negative environmental and biodiversity impacts of agricultural intensification, a range of different ā€˜low inputā€™ farming systems have been developed and are now supported by EU and government support schemes. A range of recent reviews concluded that switching to low input, integrated or organic farming practices results in significant environmental benefits and increased biodiversity in agro-ecosystems. Some recent studies also reported higher levels of nutritionally desirable compounds (e.g. vitamins, antioxidants, mineral nutrients) in foods from organic and ā€˜low inputā€™ production systems compared to food from conventional systems. The increasing demand and current price premiums achieved by foods from low input and especially organic production systems were shown to be closely linked to consumer perceptions about nutritional and health benefits of such foods. However, there are other studies reporting no significant differences in composition between low input and conventional foods, or inconsistent results. There is currently a lack of (a) factorial studies, which allow the effect of individual production system components (e.g. rotation design, fertility management, crop health management, variety choice) on food composition to be assessed and (b) dietary intervention or cohort studies which compare the effect of consuming foods from different production systems on animal and/or human health. It is therefore currently not possible to draw overall conclusions about the effect of low input production on food quality and safety. This paper will (a) describe the range of organic and other ā€˜low inputā€™ standards, certification and support systems currently used, (b) summarise the currently available information on effects of organic and other low input crop production systems on the environment, biodiversity and food quality, and (c) describe the methodologies and results from subproject 2 of the EU-funded Integrated project QualityLowInputFood. This project focused on improving our knowledge about the effect of organic and low input crop and livestock production systems on food quality and safety parameters

    Monetary costs of agitation in older adults with Alzheimer's disease in the UK: prospective cohort study

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    While nearly half of all people with Alzheimer's disease (AD) have agitation symptoms every month, little is known about the costs of agitation in AD. We calculated the monetary costs associated with agitation in older adults with AD in the UK from a National Health Service and personal social services perspective

    A multi-data source surveillance system to detect a bioterrorism attack during the G8 summit in Scotland

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    In 18 weeks, Health Protection Scotland (HPS) deployed a syndromic surveillance system to early-detect natural or intentional disease outbreaks during the G8 Summit 2005 at Gleneagles, Scotland. The system integrated clinical and non-clinical datasets. Clinical datasets included Accident and Emergency (A and E) syndromes, and General Practice (GPs) codes grouped into syndromes. Non-clinical data included telephone calls to a nurse helpline, laboratory test orders, and hotel staff absenteeism. A cumulative sum-based detection algorithm and a log-linear regression model identified signals in the data. The system had a fax-based track for real-time identification of unusual presentations. Ninety-five signals were triggered by the detection algorithms and four forms were faxed to HPS. Thirteen signals were investigated. The system successfully complemented a traditional surveillance system in identifying a small cluster of gastroenteritis among the police force and triggered interventions to prevent further cases
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