Systematic reviews of health effects of social interventions: 1. Finding the evidence: how far should you go?

Study objective: There is little guidance on how to identify useful evidence about the health effects of social interventions. The aim of this study was to assess the value of different ways of finding this type of information. Design: Retrospective analysis of the sources of studies for one systematic review. Setting: Case study of a systematic review of the effectiveness of interventions in promoting a population shift from using cars towards walking and cycling. Main results: Only four of the 69 relevant studies were found in a "first-line" health database such as Medline. About half of all relevant studies were found through the specialist Transport database. Nine relevant studies were found through purposive internet searches and seven relevant studies were found by chance. The unique contribution of experts was not to identify additional studies, but to provide more information about those already found in the literature. Conclusions: Most of the evidence needed for this review was not found in studies indexed in familiar literature databases. Applying a sensitive search strategy across multiple databases and interfaces is very labour intensive. Retrospective analysis suggests that a more efficient method might have been to search a few key resources, then to ask authors and experts directly for the most robust reports of studies identified. However, internet publications and serendipitous discoveries did make a significant contribution to the total set of relevant evidence. Undertaking a comprehensive search may provide unique evidence and insights that would not be obtained using a more focused search

Promoting walking and cycling as an alternative to using cars: systematic review

Objectives: To assess what interventions are effective in promoting a population shift from using cars towards walking and cycling, and to assess the health and distributional effects of such interventions. Data sources: Published and unpublished reports in any language identified from electronic databases, bibliographies, websites and reference lists. Review methods: Systematic search and appraisal to identify experimental or observational studies with a prospective or controlled retrospective design that evaluated any intervention applied to an urban population or area by measuring outcomes in members of the local population. Results: 22 studies met the inclusion criteria. We found some evidence that targeted behaviour change programmes can change the behaviour of motivated subgroups, resulting (in the largest study) in a modal shift of around 5% of all trips at a population level. Single studies of commuter subsidies and a new railwy station have also shown modest effects. The balance of best available evidence about publicity campaigns, engineering measures and other interventions suggests that they have not been effective. Participants in trials of active commuting experienced short-term improvements in certain health and fitness measures, but we found no good evidence about the health effects of any effective population-level intervention. Conclusions: The best available evidence of effectiveness is for targeted behaviour change programmes, but the social distribution of their effects is unclear and some other types of intervention remain to be rigorously evaluated. We need a stronger evidence base for the health impacts of transport policies, preferably based on properly conducted prospective studies

Systematic reviews of health effects of social interventions: 2. Best available evidence: how low should you go?

Study objective: There is little guidance on how to select the best available evidence of health effects of social interventions. The aim of this paper was to assess the implications of setting particular inclusion criteria for evidence synthesis. Design: Analysis of all relevant studies for one systematic review, followed by sensitivity analysis of the effects of selecting studies based on a two dimensional hierarchy of study design and study population. Setting: Case study of a systematic review of the effectiveness of interventions in promoting a population shift from using cars towards walking and cycling. Main results: The distribution of available evidence was skewed. Population level interventions were less likely than individual level interventions to have been studied using the most rigorous study designs; nearly all of the population level evidence would have been missed if only randomised controlled trials had been included. Examining the studies that were excluded did not change the overall conclusions about effectiveness, but did identify additional categories of intervention such as health walks and parking charges that merit further research, and provided evidence to challenge assumptions about the actual effects of progressive urban transport policies. Conclusions: Unthinking adherence to a hierarchy of study design as a means of selecting studies may reduce the value of evidence synthesis and reinforce an "inverse evidence law" whereby the least is known about the effects of interventions most likely to influence whole populations. Producing generalisable estimates of effect sizes is only one possible objective of evidence synthesis. Mapping the available evidence and uncertainty about effects may also be important

Image Transformations and Printing of Plaster Layers in Spiral Growth Manufacturing

Spiral growth manufacturing (SGM) is a high speed rapid manufacturing technique in which objects are built up, layer by layer, by simultaneously depositing, levelling and selectively consolidating thin powder layers onto a rotating build platform. The size and position of the jetted droplets are mapped by the position and greyscale level of pixels within an 8 bit greyscale bitmap image. This paper reports on the development of software in which mathematical algorithms apply geometric transformations to images in preparation for printing onto a rotating substrate. In support of this work, dimensional accuracy measurements of printed images and methods to correct radial print density variations are reported. The accuracy of printed images were found to be within ±0.2mm of their predicted size. The experimental work is briefly extended to the direct printing of plaster layers, formed by mixing two reactive ink solutions.Mechanical Engineerin

Acoustic emission spectral analysis of fiber composite failure mechanisms

The acoustic emission of graphite fiber polyimide composite failure mechanisms was investigated with emphasis on frequency spectrum analysis. Although visual examination of spectral densities could not distinguish among fracture sources, a paired-sample t statistical analysis of mean normalized spectral densities did provide quantitative discrimination among acoustic emissions from 10 deg, 90 deg, and plus or minus 45 deg, plus or minus 45 deg sub s specimens. Comparable discrimination was not obtained for 0 deg specimens

ACRF Data Collection and Processing Infrastructure

We present a description of the data flow from measurement to long-term archive. We also discuss data communications infrastructure. The data handling processes presented include collection, transfer, ingest, quality control, creation of Value-Added Products (VAP), and data archiving

Infrared emission from interstellar dust cloud with two embedded sources: IRAS 19181+1349

Mid and far infrared maps of many Galactic star forming regions show multiple peaks in close proximity, implying more than one embedded energy sources. With the aim of understanding such interstellar clouds better, the present study models the case of two embedded sources. A radiative transfer scheme has been developed to deal with an uniform density dust cloud in a cylindrical geometry, which includes isotropic scattering in addition to the emission and absorption processes. This scheme has been applied to the Galactic star forming region associated with IRAS 19181+1349, which shows observational evidence for two embedded energy sources. Two independent modelling approaches have been adopted, viz., to fit the observed spectral energy distribution (SED) best; or to fit the various radial profiles best, as a function of wavelength. Both the models imply remarkably similar physical parameters.Comment: 17 pages, 6 Figures, uses epsf.sty. To appear in Journal of Astronophysics & Astronom

Low-Frequency Radio Transients in the Galactic Center

We report the detection of a new radio transient source, GCRT J1746-2757, located only 1.1 degrees north of the Galactic center. Consistent with other radio transients toward the Galactic center, this source brightened and faded on a time scale of a few months. No X-ray counterpart was detected. We also report new 0.33 GHz measurements of the radio counterpart to the X-ray transient source, XTE J1748-288, previously detected and monitored at higher radio frequencies. We show that the spectrum of XTE J1748-288 steepened considerably during a period of a few months after its peak. We also discuss the need for a more efficient means of finding additional radio transients