Effects of study design and allocation on participant behaviour-ESDA: study protocol for a randomized controlled trial

Background: What study participants think about the nature of a study has been hypothesised to affect subsequent behaviour and to potentially bias study findings. In this trial we examine the impact of awareness of study design and allocation on participant drinking behaviour. Methods/Design: A three-arm parallel group randomised controlled trial design will be used. All recruitment, screening, randomisation, and follow-up will be conducted on-line among university students. Participants who indicate a hazardous level of alcohol consumption will be randomly assigned to one of three groups. Group A will be informed their drinking will be assessed at baseline and again in one month (as in a cohort study design). Group B will be told the study is an intervention trial and they are in the control group. Group C will be told the study is an intervention trial and they are in the intervention group. All will receive exactly the same brief educational material to read. After one month, alcohol intake for the past 4 weeks will be assessed. Discussion: The experimental manipulations address subtle and previously unexplored ways in which participant behaviour may be unwittingly influenced by standard practice in trials. Given the necessity of relying on self-reported outcome, it will not be possible to distinguish true behaviour change from reporting artefact. This does not matter in the present study, as any effects of awareness of study design or allocation involve bias that is not well understood. There has been little research on awareness effects, and our outcomes will provide an indication of the possible value of further studies of this type and inform hypothesis generation

A Literature Review Outlining the Importance of Blinds and Shutters as a Sustainable Asset that has the Potential to enhance the Productivity of Occupants in the UK

Blinds and Shutters in the UK are still thought of as an optional window dressing rather than a low cost sustainable building asset that can enhance a window/glazing system’s performance and in return, save energy through passive thermal measures and measurable solar performance. Although the array of benefits is validated for blinds and shutters there are historic barriers to realising the potential for saving energy. Simple behavioural change related to the use of existing products would be a no cost productivity and energy benefit. Use of blinds and shutters is based on the need of a variety of factors in both commercial and domestic markets. These factors can be categorized into three broad areas namely energy savings, comfort (inclusive of visual, thermal and acoustic preferences) and occupant satisfaction which contribute to improving the health, well-being and productivity of occupants. In recent publications it has been demonstrated how thermal, visual, acoustic and controllability of occupants’ working environments impacts productivity. The business case for linking productivity to ‘green’ working environments has been made by the World Green Building Council (WGBC) highlighting how productivity of staff is a greater incentive for commercial buildings to become more sustainable. This study incorporates a literature review of the sustainable benefits of shading and illustrates how they are an asset to the building façade in creating dynamic, comfortable and potentially productive environments for the commercial sector. However, we highlight the difficulties of this research and outline a potential future study

A London Residential Retrofit Case Study: Evaluating passive mitigation methods of reducing risk to overheating through the use of solar shading combined with night-time ventilation.

Overheating in the indoor environment, specifically in domestic homes, schools and healthcare settings has become of great concern to us in the UK. This is due to frequent hot weather events as a result of the continually rising global average temperatures. Overheating is a result of the heat gains associated with occupancy and solar heat gains trapped in the internal environment. The continuing rise in global average temperatures and improved insulation standards necessary to mitigate heat losses during the winter, in conjunction with poorly planned ventilation strategies, are exacerbating overheating during warmer weather conditions. In the last decade there has been a considerable improvement in reducing heat gains associated with occupancy (from lighting and equipment) thus making solar heat gains more prominent in contributing to overheating. With the rise in the number of buildings that overheat and the rise in the number of associated deaths these contribute to, it is now crucial that passive measures are utilised appropriately, and for building occupants to be educated in how to safeguard their homes against overheating. This research is centered around a real-world monitoring case study and investigates how the proposed passive measures can mitigate overheating risk. These measures include the use of different internal and external solar shading devices combined with a night-time natural ventilation strategy. This study was conducted in a south-west facing, single aspect retrofit apartment building in London between August and October 2016 and 10-minute interval data was collected during the daytime over twenty days. Throughout the monitoring period, a controlled window opening strategy was applied in rooms where differing shading strategies were implemented. In the absence of nighttime measurements, the rooms were evaluated according to CIBSE TM52 Overheating Criteria to assess the frequency and the severity of overheating and mitigation methods were statistically compared to analyse the difference in internal operative temperature increase according to the type of passive mitigation scenario implemented. The combination of opening windows at night and the closure of shading devices during the day can provide a significant thermal benefit to occupants. The inter-relationship between glazing, shading, ventilation amongst other variables need to be collectively evaluated at the building design stage to ensure the appropriate design of an effective façade management strategy

Relationship between Tibial conformation, cage size and advancement achieved in TTA procedure

Previous studies have suggested that there is a theoretical discrepancy between the cage size and the resultant tibial tuberosity advancement, with the cage size consistently providing less tibial tuberosity advancement than predicted. The purpose of this study was to test and quantify this in clinical cases. The hypothesis was that the advancement of the tibial tuberosity as measured by the widening of the proximal tibia at the tibial tuberosity level after a standard TTA, will be less than the cage sized used, with no particular cage size providing a relative smaller or higher under-advancement, and that the conformation of the proximal tibia will have an influence on the amount of advancement achieved

Boundary Interactions of Rough non-Gaussian Surfaces

Surface topography is important as it influences contact load-carrying capacity and operational efficiency through generated friction, as well as wear. As a result, a plethora of machining processes and surface finishing techniques have been developed. These processes yield topographies, which are often non-Gaussian, with roughness parameters that alter hierarchically according to their interaction heights. They are also subject to change through processes of rapid initial running-in wear as well as any subsequent gradual wear and embedding. The stochastic nature of the topography makes for complexity of contact mechanics of rough surfaces, which was first addressed by the pioneering work of Greenwood and Williamson, which among other issues is commemorated by this contribution. It is shown that their seminal contribution, based on idealised Gaussian topography and mean representation of asperity geometry should be extended for practical applications where surfaces are often non-Gaussian, requiring the inclusion of surface-specific data which also evolve through process of wear. The paper highlights a process dealing with practical engineering surfaces from laboratory-based testing using a sliding tribometer to accelerated fired engine testing for high performance applications of cross-hatched honed cylinder liners. Such an approach has not hitherto been reported in literature

Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop

<p>Abstract</p> <p>Background</p> <p>Envenomation by crotaline snakes (rattlesnake, cottonmouth, copperhead) is a complex, potentially lethal condition affecting thousands of people in the United States each year. Treatment of crotaline envenomation is not standardized, and significant variation in practice exists.</p> <p>Methods</p> <p>A geographically diverse panel of experts was convened for the purpose of deriving an evidence-informed unified treatment algorithm. Research staff analyzed the extant medical literature and performed targeted analyses of existing databases to inform specific clinical decisions. A trained external facilitator used modified Delphi and structured consensus methodology to achieve consensus on the final treatment algorithm.</p> <p>Results</p> <p>A unified treatment algorithm was produced and endorsed by all nine expert panel members. This algorithm provides guidance about clinical and laboratory observations, indications for and dosing of antivenom, adjunctive therapies, post-stabilization care, and management of complications from envenomation and therapy.</p> <p>Conclusions</p> <p>Clinical manifestations and ideal treatment of crotaline snakebite differ greatly, and can result in severe complications. Using a modified Delphi method, we provide evidence-informed treatment guidelines in an attempt to reduce variation in care and possibly improve clinical outcomes.</p

Thermochemistry of Microhydration of Sodiated and Potassiated Monosaccharides

The thermochemical properties ΔHon , ΔSon, and ΔGon for the hydration of sodiated and potassiated monosaccharides (Ara = arabinose, Xyl = xylose, Rib = ribose, Glc = glucose, and Gal = galactose) have been experimentally studied in the gas phase at 10 mbar by equilibria measurements using an electrospray high-pressure mass spectrometer equipped with a pulsed ion beam reaction chamber. The hydration enthalpies for sodiated complexes were found to be between −46.4 and −57.7 kJ/mol for the first, and −42.7 and −52.3 kJ/mol for the second water molecule. For potassiated complexes, the water binding enthalpies were similar for all studied systems and varied between −48.5 and −52.7 kJ/mol. The thermochemical values for each system correspond to a mixture of the α and β anomeric forms of monosaccharide structures involved in their cationized complexes

Lung Volume, Breathing Pattern and Ventilation Inhomogeneity in Preterm and Term Infants

BACKGROUND: Morphological changes in preterm infants with bronchopulmonary dysplasia (BPD) have functional consequences on lung volume, ventilation inhomogeneity and respiratory mechanics. Although some studies have shown lower lung volumes and increased ventilation inhomogeneity in BPD infants, conflicting results exist possibly due to differences in sedation and measurement techniques. METHODOLOGY/PRINCIPAL FINDINGS: We studied 127 infants with BPD, 58 preterm infants without BPD and 239 healthy term-born infants, at a matched post-conceptional age of 44 weeks during quiet natural sleep according to ATS/ERS standards. Lung function parameters measured were functional residual capacity (FRC) and ventilation inhomogeneity by multiple breath washout as well as tidal breathing parameters. Preterm infants with BPD had only marginally lower FRC (21.4 mL/kg) than preterm infants without BPD (23.4 mL/kg) and term-born infants (22.6 mL/kg), though there was no trend with disease severity. They also showed higher respiratory rates and lower ratios of time to peak expiratory flow and expiratory time (t(PTEF)/t(E)) than healthy preterm and term controls. These changes were related to disease severity. No differences were found for ventilation inhomogeneity. CONCLUSIONS: Our results suggest that preterm infants with BPD have a high capacity to maintain functional lung volume during natural sleep. The alterations in breathing pattern with disease severity may reflect presence of adaptive mechanisms to cope with the disease process

Single fraction radiosurgery using Rapid Arc for treatment of intracranial targets

<p>Abstract</p> <p>Background</p> <p>Stereotactic-Radio-Surgery (SRS) using Conformal-Arc-Therapy (CAT) is a well established irradiation technique for treatment of intracranial targets. Although small safety margins are required because of very high accuracy of patient positioning and exact online localisation, there are still disadvantages like long treatment time, high number of monitor units (MU) and covering of noncircular targets. This planning study analysed whether Rapid Arc (RA) with stereotactic localisation for single-fraction SRS can solve these problems.</p> <p>Methods</p> <p>Ten consecutive patients were treated with Linac-based SRS. Eight patients had one or more brain metastases. The other patients presented a symptomatic vestibularis schwannoma and an atypic meningeoma. For all patients, two plans (CAT/RA) were calculated and analysed.</p> <p>Results</p> <p>Conformity was higher for RA with additional larger low-dose areas. Furthermore, RA reduced the number of MU and the treatment time for all patients. Dose to organs at risk were equal or slightly higher using RA in comparison to CAT.</p> <p>Conclusions</p> <p>RA provides a new alternative for single-fraction SRS irradiation combining advantages of short treatment time with lower number of MU and better conformity in addition to accuracy of stereotactic localisation in selected cases with uncomplicated clinical realization.</p