Good vibrations: Do electrical therapeutic massagers work?

Health, leisure and beauty activities are increasing in popularity, with a particular emphasis on self-help and alternative health practices. One product type that has increased sales with this expansion is the hand-held electric massager. These are products that use vibration as a means of alleviating muscular strains and pains, as well as promoting relaxation. Paradoxically, these products are extremely popular as gifts, but are soon discarded. A multi-disciplinary research team was commissioned by a British manufacturer of electrical consumer products to investigate user attitudes and perceptions of existing massagers, to identify areas of user dissatisfaction. The manufacturer was also concerned about a possible stigma attached to these products because of an association with sex aids. This paper provides an account of the perceptions of both consumers and therapists regarding the use of these products. Identifying the differences between the perceptions of consumers and therapists should help provide a basis for effective integration of user needs, manufacturer requirements, designers’ skills and sound therapeutic practice. The results provide insight to support the development of more effective hand-held massagers

Investigating steam penetration using thermometric methods in dental handpieces with narrow internal lumens during sterilizing processes with non-vacuum or vacuum processes

Background: Dental handpieces are required to be sterilized between patient use. Vacuum steam sterilization processes with fractionated pre/post-vacuum phases or unique cycles for specified medical devices, are required for hollow instruments with internal lumens to assure successful air removal. Entrapped air will compromise achievement of required sterilization conditions. Many countries and professional organisations still advocate non-vacuum sterilization processes for these devices. Aim: To investigate non-vacuum downward/gravity displacement, type-N steam sterilization of dental handpieces, using thermometric methods to measure time to achieve sterilization temperature at different handpiece locations. Methods: Measurements at different positions within air turbines were undertaken with thermocouples and dataloggers. Two examples of commonly used UK benchtop steam sterilizers were tested; a non-vacuum benchtop sterilizer (Little Sister 3, Eschmann, UK) and a vacuum benchtop sterilizer (Lisa, W&H, Austria). Each sterilizer cycle was completed with three handpieces and each cycle in triplicate. Findings: A total of 140 measurements inside dental handpiece lumens were recorded. We demonstrate that the non-vacuum process fails (time range 0-150 seconds) to reliably achieve sterilization temperatures within the time limit specified by the International standard (15 seconds equilibration time). The measurement point at the base of the handpiece failed in all test runs (n=9) to meet the standard. No failures were detected with the vacuum steam sterilization type B process with fractionated pre-vacuum and post-vacuum phases. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilization processes are unreliable in achieving sterilization conditions inside dental handpieces and the base of the handpiece is the site most likely to fail

Failure of non-vacuum steam sterilization processes for dental handpieces

Background: Dental handpieces are used in critical and semi-critical operative interventions. Although a number of dental professional bodies recommend that dental handpieces are sterilized between patient use there is a lack of clarity and understanding of the effectiveness of different steam sterilization processes. The internal mechanisms of dental handpieces contain narrow lumens (0·8-2·3mm) which can impede the removal of air and ingress of saturated steam required to achieve sterilization conditions. Aim: To identify the extent of sterilization failure in dental handpieces using a non-vacuum process. Methods: In-vitro and in-vivo investigations were conducted on commonly used UK benchtop steam sterilizers and three different types of dental handpieces. The sterilization process was monitored inside the lumens of dental handpieces using thermometric (TM) methods (dataloggers), chemical indicators (CI) and biological indicators (BI). Findings: All three methods of assessing achievement of sterility within dental handpieces that had been exposed to non-vacuum sterilization conditions demonstrated a significant number of failures (CI=8/3,024(fails/n tests); BI=15/3,024; TM=56/56) compared to vacuum sterilization conditions (CI=2/1,944; BI=0/1,944; TM=0/36). The dental handpiece most likely to fail sterilization in the non-vacuum process was the surgical handpiece. Non-vacuum sterilizers located in general dental practice had a higher rate of sterilization failure (CI=25/1,620; BI=32/1,620; TM=56/56) with no failures in vacuum process. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilizers are an unreliable method for sterilization of dental handpieces in general dental practice. The handpiece most likely to fail sterilization is the type most frequently used for surgical interventions

Supporting the development and delivery of the Level 3 DEC! learning programme : enhancing the pathway to higher education and employment through local HEI and School partnership

This report outlines the key findings and benefits from this BIM4Education project, and the partnership between St. Ambrose Barlow RC High School, The University of Salford, and Class Of Your Own. The purpose of the report is to document evidence of the value for all contributors to the DEC curriculum, i.e. pupils, teaching staff, schools, and HE partners

Observational advances in estimates of oceanic heating

Since the early twenty-first century, improvements in understanding climate variability resulted from the growth of the ocean observing system. The potential for a closure of the Earth’s energy budget has emerged with the unprecedented coverage of Argo profiling floats, which now provide a decade (2006–2015) of invaluable information on ocean heat content changes above 2000 m. The expertise gained from Argo and repeat hydrography sections motivated the extension of the array toward the ocean bottom, which will progressively reveal the poorly known deep ocean and reduce the uncertainty of its presumed 10–15 % contribution to the global ocean warming trend of 0.65–0.80 W m−2. The sustainability and synergy of various observing systems helped to corroborate numerical models and decipher the internal variability of distinct ocean basins. Due to unique observations of the circulation in the North Atlantic, particular attention is paid to heat content changes and their relationship to dynamic variability in that region

Room temperature sol-gel fabrication and functionalization for sensor applications

The structure and physical properties of a thin titania sol-gel layer prepared on silicon and silica surfaces were examined. Spectroscopic (FTIR, UV-VIS spectroscopy), refractive index (ellipsometry) and microscopic (light microscopy and SEM/EDS) tools were used to examine both chemical uniformity and physical uniformity of the sol-gel glass layers. The conditions for the fabrication of uniform layers were established, and room temperature dopant incorporation was examined. The absorption bands of porphyrin-containing titania sol-gel layers were characterized. By addition of a metal salt to the titania layer, it was possible to metallate the free-base porphyrin within and change the UV-VIS absorbance of the porphyrin, the basis of metal detection using porphyrins. The metalloporphyrins were detected by localized laser ablation inductive coupled mass spectroscopy (LA-ICP-MS), indicating fairly uniform distribution of metals across the titania surface. © 2012 The Author(s)

Are we there yet?:An update on transitional care in rheumatology

Abstract Significant progress has been made in the understanding of transitional care in rheumatology over the last few decades, yet universal implementation has not been realised and unmet needs continue to be reported. Possible explanations for this include lack of evidence as to which model is most effective; lack of attention to the multiple dimensions, stakeholders and systems involved in health transitions; and lack of consideration of the developmental appropriateness of transition interventions and the services/organisations/systems where such interventions are delivered. Successful transition has major implications to both the young people with juvenile-onset rheumatic disease and their families. Future research in this area will need to reflect both the multidimensional (biopsychosocial) and the multisystemic (multiple systems and stakeholders across personal/social/family support networks and health/social care/education systems). Only then will we be able to determine which aspects of transition readiness and service components influence which dimension. It is therefore imperative we continue to research and develop this area, involving both paediatric and adult rheumatology clinicians and researchers, remembering to look beyond both the condition and our discipline. Neither should we forget to tap into the exciting potential associated with digital technology to ensure further advances in transitional care are brought about in and beyond rheumatology

Factors affecting internal standard selection for quantitative elemental bio-imaging of soft tissues by LA-ICP-MS

Element response variations under different laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) operating conditions were investigated to identify important factors for selecting an internal standard (IS) for quantitative elemental bio-imaging. Analytes covering a range of atomic masses and first ionisation potentials (FIP) were selected to investigate the signal response variation with changes in laser spot diameter, mass bias and cell sampling position. In all cases, an IS improved experimental precision regardless of a close match in element mass or FIP but optimal analyte/IS combinations depended on the difference in masses of the analyte and IS. Particular attention was paid to 13C as this isotope is typically used as an IS in elemental bio-imaging applications. Despite its non-ideal IS characteristics (often different mass and FIP to many analytes), possibility of abundance sensitivity effects and poor signal-to-background ratio, 13C was a suitable IS candidate exhibiting a linear response with respect to the mass ablated, apparent independence from the high abundance of the adjacent 14N mass peak and effective analyte normalisation after background subtraction as long as the 13C signal from the sample was at least 6% of the gross signal. © 2011 The Royal Society of Chemistry

Report on the TRILATTRADE Project: Trade regulation & IP Post-Brexit

TRILATTRADE examines three thematic strands in UK-EU-Japan relations going forward: overall economic law; regulation theory and data transfers; and IP law and policy. The ESRC-funded TRILATTRADE research project seeks to model the legal framework of the trilateral UK-EU-Japan Trade, Regulation and IP relationship. Trade, regulation and IP constitute three core pillars of international, national and regional economic law and policy frameworks. This is relevant to the functional operation of trade and its innovation. The project addresses these core pillars with three interlocking thematic strands: 1. UK-Japan Trade; 2. UK-EU-Japan Regulatory Cooperation and Data Flows; and 3. UK-EU-Japan Intellectual Property. The project aims to generate trade and business opportunities as well as models for good global governance in law and policy as a future research agenda