Implementing digital resources for clinicians' and patients' varying needs.

This paper presents an overview of several evidence-based medicine and patient information studies conducted across the UK health service over a 4 year period, investigating clinicians', managers', and patients' perceptions of digital resources (primarily digital libraries) in hospitals, Primary Care Trusts, NHS Direct (patient call centre) and patient groups. In-depth interviews and focus groups are analysed using grounded theory methodologies and through content analysis used to produce quantitative finding. The perceived impacts of three different methods employed for delivering health informatics are presented. The findings highlight some generic issues relevant for health informatics in the UK health sector as well as some specific issues for medical digital libraries. This paper reviews in more detail the issues of medical technology implementation (traditional implementation, on the wards, and intermediaries within in communities). A breakdown of the clinicians' and patients' information journey (information initiation, facilitation and interpretation) is also presented with regard to medical digital libraries and online resources. Broad guidelines derived from these findings are provided for health-informatics deployment

Synergistic and competitive aspects of the adsorption of Poly(ethylene glycol) and Poly(vinyl alcohol) onto Na-Bentonite

Graph Presented) The competitive adsorption of poly(ethylene glycol) (PEG) and poly(vinyl alcohol) (PVOH) onto Na-bentonite has been assessed quantitatively. Particular emphasis was focused on the amount of organic located within the bentonite interlayer and any subsequent eff ects on the extent of layer expansion. The individual isotherms showed strong adsorption for both PVOH and PEG at amounts lower than the quantities required to produce a fully loaded bilayer (0.33 g of PVOH/g of clay) and single layered structures (0.10 g of PEG/g of clay), respectively. Above these concentrations, the incremental amounts adsorbed were smaller, and the concentration of adsorbates in solution gradually increased. Na-bentonite adsorbed more PVOH than PEG at any given concentration. In the competitive study, the amount of PVOH adsorbed was enhanced in the presence of PEG (0.10 and 0.30 g/g of clay), but less PEG was adsorbed. At low loadings of PVOH (0.02-0.10 g/g of clay), the amount of adsorbed PEG was increased but at higher PVOH levels PEG adsorption was reduced. The XRD data showed stepped changes in the d-spacing as the adsorbed amounts of both PEG and PVOH increased. The PEG-bentonite samples did not expand beyond a bilayer structure (18 A˚), but the XRD data for PVOH-treated samples indicated the formation of multilayer structures (d ≥ 44 A˚)

Surface Modulation Towards Next Generation Vascular Grafts

This Thesis is based on the surface modification of a platform-technology polymer, POSS-PCU. This POSS-PCU polymer has been primarily developed for use as a small diameter vascular bypass graft. The mechanical properties and compliance of this material is thought to be superior to current vascular graft materials in clinical use. However, the lack of endothelialisation of this polymer in preclinical evaluation is a cause for concern. The hydrophobic nature of the POSS-PCU polymer is thought to be the culprit and therefore the need to render the surface of the polymer suitable for endothelialisation forms the basis of this Thesis. It is possible to engineer the surface of the polymer without affecting the beneficial bulk properties of the polymer. Recent technological advances have made this possible. A combination of plasma treatment and surface topology modification on the micro- and nanoscale has been shown to encourage the growth of endothelial cells. However, nanofeatures show a subtle improvement in endothelial cell adherence. Two different nanopit topographies, SQ and NSQ, have formed the main focus of this Thesis to further investigate the effect of nanotopography on endothelial cells. These two topographies are different from each other only by an offset of 50nm and therefore are very similar. Despite this, they have shown to illicit different responses by the endothelial cells, especially in the up-regulation of different adhesion proteins. These topographies also have a strong effect on mesenchymal stem cells, by either directing them to maintenance or osteogenic differentiation, and unfortunately this effect can also be enhanced by the presence of endothelial cells, causing calcification. This can be detrimental in a vascular graft. The results of this Thesis highlight the potential of using a combination of plasma treatment and surface nanoengineering to create a new generation of vascular graft, that requires further investigation

The serious games ecosystem: Interdisciplinary and intercontextual praxis

This chapter will situate academia in relation to serious games commercial production and contextual adoption, and vice-versa. As a researcher it is critical to recognize that academic research of serious games does not occur in a vaccum. Direct partnerships between universities and commercial organizations are increasingly common, as well as between research institutes and the contexts that their serious games are deployed in. Commercial production of serious games and their increased adoption in non-commercial contexts will influence academic research through emerging impact pathways and funding opportunities. Adding further complexity is the emergence of commercial organizations that undertake their own research, and research institutes that have inhouse commercial arms. To conclude, we explore how these issues affect the individual researcher, and offer considerations for future academic and industry serious games projects

Entrepreneurial-intention constraint model: A comparative analysis among post-graduate management students in India, Singapore and Malaysia

YesAlthough literature on entrepreneurship has increasingly focused on intention-based models, not much emphasis has been laid on understanding the combined effect of contextual and situational factors along with support of university environment on the formation of entrepreneurial intention among students. In an effort to make up for this shortfall, by taking Theory of Planned Behavior as basic framework, the present study seeks to understand the influence of three of the most important factors, viz. (a) endogenous barriers, (b) exogenous environment, and (c) university environment and support on the entrepreneurial intention among management students. The study sample consisted of 1,097 students, wherein 526 students were from India, 252 from Singapore, and 319 were from Malaysia. The results indicates that along with positive attitude and perceived behavioral control that directly influences entrepreneurial intention, university environment and support and exogenous environment also have an indirect but significant impact on shaping of entrepreneurial intention among students. With this, it was found that exogenous environment was found to have a negative relationship with both attitude towards behavior and perceived behavioral control for all three countries.The full-text of this article will be released for public view at the end of the publisher embargo on 2 Jun 2018

Risk mapping using serologic surveillance for selected One Health and transboundary diseases in Cambodian goats

In Cambodia, goat production and meat consumption are customary among Muslim communities. Recently, goat meat has gained popularity among Cambodians. Goat farmers use a traditional management system, including grazing, requiring minimal labour. The close proximity between humans and animals could increase the risk of zoonotic disease transmission. A serological survey was undertaken to estimate the prevalence of some priority zoonoses and high-impact animal diseases in the Cambodian goat population. A total of 540 samples were collected from goats in six provinces and analysed with commercially available enzyme-linked immunosorbent assays for Brucella species, Q fever (Coxiella burnetii), Foot and Mouth Disease virus non-structural protein (FMDV NSP) and Peste des Petits Ruminants virus (PPRV). True seroprevalences with a 95% Confidence Interval (CI), taking into account imperfect tests, risk factors and odds ratios (ORs), were calculated to better understand the disease distribution and epidemiology. Independent variables used in statistical modellings included sex, body condition score, age, vaccination history, province and commune, while dependent variables were ELISA test results. The overall true prevalence of antibodies to Brucella spp., C. burnetii, FMDV and PPRV, were 0.1% (95% CI 0.0, 1.0), 7.2% (95% CI 5.3, 9.7), 57.7% (95% CI 53.1, 62.3) and 0.0% (95% CI 0.0, 0.0), respectively. There was no identified risk factor for brucellosis and PPR. The two risk factors for C. burnetii seropositivity were sex (p-value = 0.0005) and commune (p-value <0.0001). However, only the OR of C. burnetii seropositive female goat was significant at 9.7 (95% CI 2.7, 35.5) times higher than male. The risk factors of FMD NSP seropositivity were age (p-value = 0.001) and commune (p-value <0.0001). Only the age ’more than two-year-old’ group with a significant OR of 6.2 (95% CI 2.1, 18.4) using the ’up to one-year-old’ group as the reference. In summary, Brucella spp. seroprevalence was low, while no evidence of PPRV antibodies was detected in the goat populations. C. burnetii seroprevalence in female goats was significantly higher than for males, and there were significant differences in C. burnetii seroprevalence between communes. The overall FMDV NSP seroprevalence was high, especially in older animals. Vaccination should be advocated to protect animals from FMDV and improve productivity. As the impacts of these zoonoses on human and animal health were still unknown, further investigation of these zoonotic diseases’ epidemiology is recommended

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

How do you define creativity? A qualitative study of undergraduate chemistry students’ perspectives.

As technology continues to become more sophisticated, human thought in a professional setting will become more dependent on creativity. Employers around Australia identify creativity as a highly sought after attribute of recent graduate. To better understand how universities can develop STEM students’ creativity, an open-ended questionnaire was administered to first, second and third year undergraduate chemistry students at Monash University in semester one of 2019. Over 900 students completed the questionnaire which was processed through via NVivo. When asked to define creativity, students commonly identified themes of “originality and innovation” which aligned with the existing literature. Additional themes uncommon to the literature, such as “expression” and “problem solving” were also expressed. Within their studies, students identified self-directed activities such as the laboratories, assignments, and “teamwork activities” where opinions and thoughts are discussed most developed their creativity. Finally, students most commonly associated creativity with performing or creative arts in their extracurricular activities and suggested that these activities helped develop their problem solving, team work and experimentation within a STEM context. Once this data is triangulated with educators and employer perspectives, we anticipate an undergraduate teaching intervention can be designed to improve STEM students’ learning outcomes in creativity

Integrated Polyphenol-Based Hydrogel Templating Method for Functional and Structured Oxidic Nanomaterials

A straightforward fabrication method for tunable nanomaterials remains a key objective in the research areas of template chemistry, catalysis, and energy storage materials. A growing focus in materials chemistry is the development of structuring methods that are simple, scalable, and, at the same time, feasible with environmentally benign chemicals. We present a hydrogel-mediated templating method that yields customizable, porous transition-metal oxides. The protocol is extremely simple and includes predominately naturally occurring compounds. For example, the incorporation of sacrificial polymer latex into a polyphenolic hydrogel network produces xerogel composites with various filler contents. Voids are generated simultaneously during the pyrolysis of the dried gel, allowing for controlling the three-dimensional (3D) arrangement of titania nanocrystals. As a proof of concept, we use the produced macroporous titania as a negative electrode (anode) material in lithium-ion batteries. We demonstrate that the gel-derived macroporous anatase significantly reduces the capacity loss compared to its commercial or nonporous analogues. The modularity of this one-pot templating protocol is further demonstrated by the fabrication of titanate nanostructures and porous zirconia

Reaction-kinetics of organo-clay hybrid films: in-situ IRRAS and AFM studies

In this paper we have reported the reaction kinetics of nano dimensional clay saponite and hectorite with an amphiphilic cation octadecyl rhodamine B (RhB) in hybrid Langmuir monolayer at the air-water interface. The surface pressure-molecular area (pi-A) isotherms were strongly influenced by the presence of clay with the lift-off area of the cationic amphiphile shifted to progressively larger area. In-situ infrared reflection absorption spectroscopy (IRRAS) was used to demonstrate the reaction kinetics. Time taken to complete the reaction kinetics for RhB-hectorite hybrid films is larger than RhB-saponite hybrid films. Atomic force microscopic images of hybrid Langmuir-Blodgett films give compelling visual evidence of the incorporation of clay platelets into the hybrid films and density of which increases with the progress of reaction kinetics.Comment: 11 pages, 5 figure