The military technology of classical Islam

SIGLELD:D45955/83(3vols) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Eucalyptus cordata Subsp. quadrangulosa (Myrtaceae), a new taxon of restricted distribution from southern Tasmania

Eucalyptus cordata subsp. quadrangulosa is described to accommodate western populations of the species, and differs from the typical subspecies most conspicuously in the quadrangular branchlets, and also in the larger and more pointed juvenile leaves, the more flattened peduncles, the larger bi-ribbed flower buds, and the larger fruits. The quadrangular branchlets of the new subspecies are unique in E. ser. Orbiculares. The new subspecies occurs to the west of, and largely disjunct from, eastern E. cordata, and tends to occupy cooler and wetter sites. Some morphologically and geographically intermediate populations are known. Both subspecies of E. cordata are of restricted distribution and are known from relatively few, disjunct and generally numerically small populations, and as such are under threat from various natural and human-induced influences. The newly described subsp. quadrangulosa is commonly cultivated in cool climates as an ornamental tree for its silvery foliage. A key to E. ser. Orbiculares, and a distribution map and photographs of representative types of E. cordata are presented

Efficacy of mupirocin nasal ointment in eradicating Staphylococcus aureus nasal carriage in chronic haemodialysis patients

Topical 2% mupirocin ointment eradicated chronic Staphylococcus aureus nasal carriage immediately post-therapy in 17 (77%) of 22 haemodialysis patients. Mean time to recurrence was 3.8 weeks. Similar pre-therapy and post-therapy phage types occurred in 12 (71%) of 17 patients. Staphylococcus aureus infections developed in none of 17 successfully treated patients, two of five treatment failures (P = 0.05), and 10 of 46 untreated patients studied concurrently (P = 0.03)

Have I just pressed something? The effects of everyday cold temperatures on dexterity

This paper details work on the effect of physical context of use on inclusive product interaction. Context of use refers to a set of circumstances which relate to the Users, Tasks, Equipment/Tools and Environment (both Physical and Social) (ISO, 1997). In particular, the physical context of use refers to factors such as lighting levels, temperature, weather conditions, vibration, noise, the built environment, etc. Consideration of the context of use is an integral, although sometimes implicit, part of any product design process. When a mismatch between context and a product occurs, it is unlikely that the benefits of a product will be realised (Maguire, 2001). Recent evidence suggests context of use can have a multi-faceted impact on product use (e.g. increasing or decreasing user capability and/or increasing product demand) particularly with older adults who have significantly reduced capability due to their age (Elton et al, 2008). Specifically, it is the physical environment that significantly affects capability. The vast majority of product interactions make demands on the visual and dexterous (arm, hand and finger) capabilities of the user. Whilst other capabilities are also used, it is these that are most common. Several studies (Riley and Cochran, 1984; Havenith et al, 1995; Boyce, 2003) have reported the effect of the physical environment on vision and dexterity. However, such studies focus on the body’s physiological response to such conditions and generally investigate extremes, e.g. freezing temperatures. Whilst these studies indicate the extent to which the physical environment can affect capability, they have very little relevance to everyday scenarios where products are used. Previous research investigated the effect of everyday lighting levels on visual capabilities (Elton and Nicolle, 2009). This paper reports the findings from a pilot study that investigated the effect of an everyday winter temperature on dexterity and how this can affect product interaction

The Use of a Scoring System to Guide Thromboprophylaxis in a High-Risk Pregnant Population

Guidelines for thromboprophylaxis in pregnancy are usually based upon clinical observations and expert opinion. For optimal impact, their use must be attended by consistency in the advice given to women. In this observational study, we evaluated the performance of a scoring system, used as a guide for clinicians administering dalteparin to pregnant women at increased risk of venous thromboembolism. The work included 47 women treated with dalteparin prior to adoption of the scoring system and 58 women treated with dalteparin after its adoption. The indication for thromboprophylaxis was recorded in each case together with details of the regimen employed, obstetric, and haematological outcomes. The main outcome measure was to determine whether consistency improved after adoption of the scoring system. We also recorded the occurrence of any new venous thromboembolism, haemorrhage, the use of regional anaesthesia during labour, evidence of allergy, and thrombocytopenia. We found that use of the scoring system improved the consistency of advice and increased the mean duration of thromboprophylaxis. None of the subjects suffered venous thromboembolism after assessment using the scoring system. There was no increase in obstetric or anaesthetic morbidity when dalteparin was given antenatally period and no evidence of heparin-induced thrombocytopenia

Establishing an Independent Mobile Health Program for Chronic Disease Self-Management Support in Bolivia

Background: Mobile health (m-health) work in low and middle-income countries (LMICs) mainly consists of pilot programmes with an unclear path to scaling and dissemination. We describe the deployment and testing of an m-health platform for non-communicable disease (NCD) self-management support in Bolivia. Methods: 364 primary care patients in La Paz with diabetes or hypertension completed surveys about their use of mobile phones, health and access to care. 165 of those patients then participated in a 12-week demonstration of automated telephone monitoring and self-management support. Weekly Interactive Voice Response (IVR) calls were made from a platform established at a university in La Paz, under the direction of the regional health ministry. Results: 37% of survey respondents spoke indigenous languages at home, and 38% had six or fewer years of education. 82% had a mobile phone; half (45%) used text messaging with a standard phone, and 9% had a smartphone. Smartphones were least common among patients who were older, spoke indigenous languages, or had less education. IVR programme participants completed 1007 self-management support calls, with an overall response rate of 51%. IVR call completion was lower among older adults, but was not related to patients’ ethnicity, health status or healthcare access. IVR health and self-care reports were consistent with information reported during baseline interviews. Patients’ likelihood of reporting excellent, very good, or good health (versus fair or poor health) via IVR increased during programme participation, and was associated with better medication adherence. Patients completing follow-up interviews were satisfied with the programme, with 19/20 (95%) reporting that they would recommend it to a friend. Conclusions: By collaborating with LMICs, m-health programmes can be transferred from higher-resource centres to LMICs and implemented in ways that improve access to self-management support among people with NCDs

A revised classification for the predominantly eastern Australian Eucalyptus subgenus Symphyomyrtus sections Maidenaria, Exsertaria, Latoangulatae and related smaller sections (Myrtaceae)

A revised classification for Eucalyptus subgenus Symphyomyrtus sections Maidenaria, Exsertaria, Latoangulataeand five related smaller sections (Liberivalvae, Racemus, Incognitae, Similares and Pumilio) (herein referred to as‘MEL+5’ lineage for convenience) is provided, based on evidence from a recent phylogenetic study of this group(Jones et al. 2016) and on observations and data from other sources, including our extensive field observations,study of herbarium collections, common garden trials and the findings of other phylogenetic studies. Werecognise 153 species and 184 terminal taxa in the ‘MEL+5’ lineage, and classify this group into 6 sections,23 series and 8 subseries. This new classification mainly involved the repositioning of various terminal taxainto existing higher-level taxonomic groups (sections, series and subseries), as we have attempted to achievean accurate and useful classification while minimising taxonomic disruption of existing names. Nevertheless,nine new higher-level taxa (eight series and one subseries) are newly described. A full classification of the‘MEL+5’ lineage is provided, which includes all terminal taxa, taxon authorships, type species, the naturaldistribution of recognised terminal taxa, and taxonomic and nomenclatural synonyms

Climate variability in the subarctic area for the last 2 millennia

To put recent climate change in perspective, it is necessary to extend the instrumental climate records with proxy data from paleoclimate archives. Arctic climate variability for the last 2 millennia has been investigated using statistical and signal analyses from three regionally averaged records from the North Atlantic, Siberia and Alaska based on many types of proxy data archived in the Arctic 2k database v1.1.1. In the North Atlantic and Alaska, the major climatic trend is characterized by long-term cooling interrupted by recent warming that started at the beginning of the 19th century. This cooling is visible in the Siberian region at two sites, warming at the others. The cooling of the Little Ice Age (LIA) was identified from the individual series, but it is characterized by wide-range spatial and temporal expression of climate variability, in contrary to the Medieval Climate Anomaly. The LIA started at the earliest by around AD 1200 and ended at the latest in the middle of the 20th century. The widespread temporal coverage of the LIA did not show regional consistency or particular spatial distribution and did not show a relationship with archive or proxy type either. A focus on the last 2 centuries shows a recent warming characterized by a well-marked warming trend parallel with increasing greenhouse gas emissions. It also shows a multidecadal variability likely due to natural processes acting on the internal climate system on a regional scale. A similar to 16-30-year cycle is found in Alaska and seems to be linked to the Pacific Decadal Oscillation, whereas similar to 20-30- and similar to 50-90-year periodicities characterize the North Atlantic climate variability, likely in relation with the Atlantic Multidecadal Oscillation. These regional features are probably linked to the sea ice cover fluctuations through ice-temperature positive feedback.Peer reviewe

Feasibility of an interactive voice response system for monitoring depressive symptoms in a lower-middle income Latin American country

Abstract Background Innovative, scalable solutions are needed to address the vast unmet need for mental health care in low- and middle-income countries (LMICs). Methods We conducted a feasibility study of a 14-week automated telephonic interactive voice response (IVR) depression self-care service among Bolivian primary care patients with at least moderately severe depressive symptoms. We analyzed IVR call completion rates, the reliability and validity of IVR-collected data, and participant satisfaction. Results Of the 32 participants, the majority were women (78 % or 25/32) and non-indigenous (75 % or 24/32). Participants had moderate depressive symptoms at baseline (PHQ-8 score mean 13.3, SD = 3.5) and reported good or fair general health status (88 % or 28/32). Fifty-four percent of weekly IVR calls (approximately 7 out of 13 active call-weeks) were completed. Neither PHQ-8 scores nor IVR call completion differed significantly by ethnicity, education, self-reported depression diagnosis, self-reported overall health, number of chronic conditions, or health literacy. The reliability for IVR-collected PHQ-8 scores was good (Cronbach’s alpha = 0.83). Virtually every participant (97 %) was “mostly” or “very” satisfied with the program. Many described the program as beneficial for their mood and self-care, albeit limited by some technological difficulties and the lack of human interaction. Conclusion Findings suggest that IVR could feasibly be used to provide monitoring and self-care education to depressed patients in Bolivia. An expanded stepped-care service offering contact with lay health workers for more depressed individuals and expanded mHealth content may foster greater patient engagement and enhance its therapeutic value while remaining cost-effective. Trial registration ISRCTN ISRCTN 18403214. Registered 14 September 2016. Retrospectively registeredhttp://deepblue.lib.umich.edu/bitstream/2027.42/134641/1/13033_2016_Article_93.pd