535 research outputs found

    Maternal iron status in early pregnancy and birth outcomes : insights from the Baby's Vascular health and Iron in Pregnancy study

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    Date of Acceptance: 16/03/2015 Acknowledgements N. A. A. was funded by a Wellcome Trust Research Training Fellowship (WT87789). H. J. M. and H. E. H. are supported by the Scottish Government’s Rural and Environment Science and Analytical Services. N. A. B. S. is supported by Cerebra. The authors’ contributions are as follows: N. A. A. was responsible for organising the study conduct, data collection and database management, performed the statistical analysis, interpreted the results and drafted the paper. N. A. A., N. A. B. S., J. E. C., H. J. M. and D. C. G. contributed to the study concept and design, and interpretation of results. H. J. M. and H. E. H. analysed the laboratory samples. J. E. C. and D. C. G. provided advice on statistical strategy and analysis. All authors have fully participated in the reporting stage and have critically reviewed and approved the final draft of the paper. The authors declare no conflict of interestPeer reviewedPublisher PD

    Antimicrobial resistance and pathogenicity of Escherichia coli isolated from common dairy products in the Lebanon

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    In a recent study, bacteria have been isolated from popular Lebanese dairy products, which had been collected in the Beqaa Valley, in north-eastern Lebanon. The foods investigated were two cheeses (shankleesh and baladi) and a dried fermented mixture of yogurt and wheat grains (kishk). Bacterial colonies on McConkey and sorbitol-McConkey agar that showed the morphology of Escherichia coli were biochemically tested and then classified, using PCR-based assays, into the various strains of pathogenic and non-pathogenic E. coli. Some of the confirmed E. coli isolates were proven to be pathogenic, including two identified as E. coli O157:H7. When the pathogenic isolates were tested for their susceptibility to 10 different antibiotics (all commonly used, by clinicians and veterinarians, for the treatment of infections with Gram-negative bacteria), each tested isolate was found to be highly resistant to at least one antibiotic. It therefore appears that, in Lebanon, some popular dairy products pose a public-health hazard, acting as vehicles for the transmission of drug-resistant pathogens. © The Liverpool School of Tropical Medicine 2009

    Effect of Starch and Chitosan Addition on Swelling Properties of Neutralized Poly(Acrylic Acid)-Based Superabsorbent Hydrogels Prepared by Using γ-Irradiation Technique

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    Superabsorbent hydrogels are polymers with a 3D network that have attracted the attention of scientists and industrialists because of their fantastic ability to absorb and retain water and aqueous solutions. The most widely used and commercially available superabsorbent hydrogels are synthetic K-acrylate materials. In this novel study, superabsorbent hydrogels have been developed using natural ingredients to have more biodegradable properties. Superabsorbent hydrogels were synthesized from acrylic acid, cassava starch, and chitosan using the γ-irradiation method under different experimental conditions. The γ-irradiation technique was chosen to produce hydrogels free of residues that may remain when chemical crosslinkers are used. The effects of irradiation dose, acrylic acid composition, and the amount of cassava starch and chitosan on the characteristics of produced hydrogels were analyzed. The resulting polymers were further characterized by fourier transform infrared spectroscopy (FTIR) and scanning electron microscope (SEM) to evaluate the structure. The thermal behavior of superabsorbent products at different neutralization doses was tested with differential scanning calorimetry (DSC). FTIR data indicated that the grafting reaction was successfully implemented in this work. SEM analysis showed that the hydrogel produced from this study was porous and there was a reduction in pore size with the addition of starch and chitosan. It can be concluded that the addition of cassava starch and chitosan affects the acrylic acid-based superabsorbent properties, which are pore size, thermal behavior, gel content, antibacterial activity, and swelling capacity in water, salt, and urea solutions. The best hydrogel was obtained by adding 0.25 g of cassava starch and 0.25 g of chitosan, using 50 % acrylic acid neutralization and 5 kGy γ-irradiation doses. The graft polymers possess the maximum swelling capacity of 670 g/g for distilled water, 520 g/g for NaCl solution, and 767 g/g for urea solution (relative to the dry weight). These products were sterile from Escherichia coli bacteria and had the potential to be applied as superabsorbent resins for various fields

    Formative evaluation of the usability and acceptability of myfood24 among adolescents: a UK online dietary assessments tool

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    BackgroundMyfood24 is a new online 24 h dietary assessment tool developed for use among the UK population. Limited information is available on the usability and acceptability of such tools. Hence this study aims to determine the usability and acceptability of myfood24 among British adolescents (11-18y) before and after making the improvements.MethodsA total of 84 adolescents were involved in two stages. In stage-I (beta-version of myfood24), 14 adolescents were recruited, 7 of whom (group-1) were asked to enter standardized tasks in a testing room with screen capture software. The remaining 7-adolescents (group-2) were asked to report their previous food intake using myfood24 at home. All participants then completed a usability and acceptability questionnaire. Stage-II was carried out after making amendments to the live-version of myfood24 in which 70 adolescents were asked to enter their food intake for two days and then complete the same questionnaire. Thematic analysis was conducted of observer comments and open-ended questions.ResultsNavigation, presentation errors and failure to find functions were the main usability issues identified in the beta-version. Significant improvements were found in the usability and acceptability of most functions after implementing certain features like a spell checker, auto-fill option, and adding ‘mouse hover’ to help with the use of some functions. Adolescents’ perceptions of searching food items, selecting food portion sizes and making a list function were significantly improved in the live-version. The mean completion time of myfood24 reduced from 31 (SD?=?6) minutes in the beta-version to 16 (SD?=?5) minutes in the live-version. The mean system usability score (SUS) of myfood24 improved from 66/100 (95 % CI 60, 73) in the beta-version to 74/100 (95 % CI 71, 77) in the live-version, which is considered as ‘good’. Of the adolescents in stage-II, 41 % preferred using myfood24 to the interviewer-administered 24 h recall because myfood24 was quicker, easier to use and provided the adolescents with privacy when reporting dietary intake.ConclusionConsidering adolescents’ feedback has helped in improving the usability and acceptability of the final-version of myfood24. myfood24 appears to support adolescents’ need in reporting their dietary intake, which may potentially improve the overall quality of adolescents’ self-reported dietary information

    Risk of new-onset Long Covid following reinfection with SARS-CoV-2: community-based cohort study

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    Background: Little is known about the risk of Long Covid following reinfection with SARS-CoV-2. We estimated the likelihood of new-onset, self-reported Long Covid after a second SARS-CoV-2 infection, and compared to a first infection. // Methods: We included UK COVID-19 Infection Survey participants who tested positive for SARS-CoV-2 between 1 November 2021 and 8 October 2022. The primary outcome was self-reported Long Covid 12 to 20 weeks after each infection. Separate analyses were performed for those <16 years and ≥16 years. We estimated adjusted odds ratios (aORs) for new-onset Long Covid using logistic regression, comparing second to first infections, controlling for socio-demographic characteristics and calendar date of infection, plus vaccination status in those ≥16 years. // Results: Overall, Long Covid was reported by those ≥16 years after 4.0% and 2.4% of first and second infections, respectively; the corresponding estimates among those <16 years were 1.0% and 0.6%. The aOR for Long Covid after second compared to first infections was 0.72 (95% confidence interval: 0.63–0.81) for those ≥16 years and 0.93 (0.57–1.53) for those <16 years. // Conclusions: The risk of new-onset Long Covid after a second SARS-CoV-2 infection is lower than that after a first infection for those ≥16 years, though there is no evidence of a difference in risk for those <16 years. However, there remains some risk of new-onset Long Covid after a second infection, with around 1 in 40 of those ≥16 years and 1 in 165 of those <16 years reporting Long Covid after a second infection

    Obtaining Fresh Water from Natural and Synthetic Fuels in the Energy Sector

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    In this work, a comparative study of the specific air consumption and water vapor emissions in combustion products was performed based on the analysis of stoichiometric equations for air oxidation reactions both of energy fuels (petrol, diesel fuel, gaseous fuel, wood) and synthetic fuels converted from biomass and coal fuels (ethanol, methanol, etc.), as well as hydrogen fuel. For the limit process temperature, the excess air ratio for various types of fuels and the real volumes of air and fuel consumption and water vapor emissions were determined. Theoretically, abnormally high consumption of atmospheric air when using hydrogen and gas fuel was shown. The feasibility of the beneficial use of the products of oxidation of organic fuels and hydrogen to produce fresh water was substantiated. The analysis procedure presented in the study was revealed to be universal and can be applied to investigate any existing and newly created fuel compositions.This study was performed with the financial support of the Government of the Russian Federation (Contract No. 02.A03.21.0006)

    Developing national obesity policy in middle-income countries: a case study from North Africa

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    Background The prevalence of overweight and obesity is a rapidly growing threat to public health in both Morocco and Tunisia, where it is reaching similar proportions to high-income countries. Despite this, a national strategy for obesity does not exist in either country. The aim of this study was to explore the views of key stakeholders towards a range of policies to prevent obesity, and thus guide policy makers in their decision making on a national level. Methods Using Multicriteria Mapping, data were gathered from 82 stakeholders (from 33 categories in Morocco and 36 in Tunisia) who appraised 12 obesity policy options by reference to criteria of their own choosing. Results The feasibility of policies in practical or political terms and their cost were perceived as more important than how effective they would be in reducing obesity. There was most consensus and preference for options targeting individuals through health education, compared with options that aimed at changing the environment, i.e. modifying food supply and demand (providing healthier menus/changing food composition/food sold in schools); controlling information (advertising controls/mandatory labelling) or improving access to physical activity. In Tunisia, there was almost universal consensus that at least some environmental-level options are required, but in Morocco, participants highlighted the need to raise awareness within the population and policy makers that obesity is a public health problem, accompanied by improving literacy before such measures would be accepted. Conclusion Whilst there is broad interest in a range of policy options, those measures targeting behaviour change through education were most valued. The different socioeconomic, political and cultural contexts of countries need to be accounted for when prioritizing obesity policy. Obesity was not recognized as a major public health priority; therefore, convincing policy makers about the need to prioritize action to prevent obesity, particularly in Morocco, will be a crucial first step

    Eliminating a Region of Respiratory Syncytial Virus Attachment Protein Allows Induction of Protective Immunity without Vaccine-enhanced Lung Eosinophilia

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    In a murine model of respiratory syncytial virus disease, prior sensitization to the attachment glycoprotein (G) leads to pulmonary eosinophilia and enhanced illness. Three different approaches were taken to dissect the region of G responsible for enhanced disease and protection against challenge. First, mutant viruses, containing frameshifts that altered the COOH terminus of the G protein, were used to challenge mice sensitized by scarification with recombinant vaccinia virus (rVV) expressing wild-type G. Second, cDNA expressing these mutated G proteins were expressed by rVV and used to vaccinate mice before challenge with wild-type respiratory syncytial virus (RSV). These studies identified residues 193–205 to be responsible for G-induced weight loss and lung eosinophilia and showed that this region was not was not necessary for induction of protective immunity. Third, mice were sensitized using an rVV that expressed only amino acids 124–203 of the G protein. Upon RSV challenge, mice sensitized with this rVV developed enhanced weight loss and eosinophilia. This is the first time that a region within RSV (amino acids 193–203) has been shown to be responsible for induction of lung eosinophilia and disease enhancement. Moreover, we now show that it is possible to induce protective immunity with an altered G protein without inducing a pathological response

    Dual Axis Solar Tracking System for a Parabolic Dish CPU Water Heater

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    The solar parabolic dish water heater is highly efficient but has limited hours of work only when sunlight is perpendicular to its surface. Therefore, this work aims to continue the work of the solar parabolic dish in the daytime using a dual tracking system, depending on the geographic location of the system (longitude and latitude angles) and using the C # programming language. To verify the effect of the dual-axis solar tracking system, the current study considered two types of solar parabolic dishes, the first was fixed, and the second was a rotating dish (by the dual tracking system). It was observed that the water temperature at the outlet of the tracking type solar water heater is 22% higher than that for the fixed dish type; this means that the proposed system has improved the temperature of water in the heat exchanger. Therefore, the highest water temperature value of about 51.4C was at the outlet of the heat exchanger for the tracking type at 1:00 pm, while the temperature recorded for the fixed type was about 46.1C. The highest energy gained from the solar heating system was at 1:00 pm for both types, which was about 76.9 W from the tracking type and 54.7 W from the fixed type. It was also observed that in the fixed dish type, most energy losses occurred during the daytime, while for the tracer of the dish type, useful energy was gained during most of the sunny working hours depending on the solar radiation intensity. © 2021 Institute of Physics Publishing. All rights reserved

    Pakistani children’s experiences of growing up with Beta-Thalassemia Major

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    In this study, we explored the lived experiences of children with beta-thalassemia major (β-TM). We considered children as experts on their experiences in contrast to the prevalent approach of asking parents or other adults about children’s perspectives. The sample consisted of 12 children aged 8 to12 years. There were two stages to data collection. In Stage 1 we employed two focus group discussions and two role plays and analyzed the data thematically. This directly informed Stage 2, consisting of 12 in-depth interviews subjected to interpretative phenomenological analysis. From our findings we show that living with β-TM involves a continuous struggle between feelings of being different and strategies to minimize these differences to strive for normalcy. We suggest that understanding the experiences of living with β-TM from children’s perspectives can provide unique insights into their experiences, which can fill the gap in the existing, predominantly adult-oriented research on chronic illness
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