77 research outputs found
Inhalation therapy in the next decade : Determinants of adherence to treatment in asthma and COPD
Peer reviewedPublisher PD
Co-limitation towards lower latitudes shapes global forest diversity gradients
The latitudinal diversity gradient (LDG) is one of the most recognized global patterns of species richness exhibited across a wide range of taxa. Numerous hypotheses have been proposed in the past two centuries to explain LDG, but rigorous tests of the drivers of LDGs have been limited by a lack of high-quality global species richness data. Here we produce a high-resolution (0.025° × 0.025°) map of local tree species richness using a global forest inventory database with individual tree information and local biophysical characteristics from ~1.3 million sample plots. We then quantify drivers of local tree species richness patterns across latitudes. Generally, annual mean temperature was a dominant predictor of tree species richness, which is most consistent with the metabolic theory of biodiversity (MTB). However, MTB underestimated LDG in the tropics, where high species richness was also moderated by topographic, soil and anthropogenic factors operating at local scales. Given that local landscape variables operate synergistically with bioclimatic factors in shaping the global LDG pattern, we suggest that MTB be extended to account for co-limitation by subordinate drivers
Estimating solar irradiance using sky imagers
10.5194/amt-12-5417-2019Atmospheric Measurement Techniques12105417-542
Implementation of digital home monitoring of respiratory disease and management
PURPOSE OF REVIEW: Digital respiratory monitoring interventions (e.g. smart inhalers and digital spirometers) can improve clinical outcomes and/or organizational efficiency, and the focus is shifting to sustainable implementation as an approach to delivering respiratory care. This review considers key aspects of the technology infrastructure, discusses the regulatory, financial and policy context that influence implementation, and highlights the over-arching societal themes of equity, trust and communication.RECENT FINDINGS: Technological requirements include developing interoperable and connected systems; establishing stable, wide internet coverage; addressing data accuracy and monitoring adherence; realising the potential of artificial intelligence; and avoiding clinician data overload. Policy challenges include concerns about quality assurance and increasingly complex regulatory systems. Financial barriers include lack of clarity over cost-effectiveness, budget impact and reimbursement. Societal concerns focus on the potential to increase inequities because of poor e-health literacy, deprivation or lack of available infrastructure, the need to understand the implications for patient/professional interactions of shifting care to remote delivery and ensuring confidentiality of personal data.SUMMARY: Understanding and addressing the implementation challenges posed by gaps in policy, regulatory, financial, and technical infrastructure is essential to support delivery of equitable respiratory care that is acceptable to patients and professionals.</p
ERS CRC “CONNECT” - Moving multiple digital innovations towards connected respiratory care:addressing the over-arching challenges of whole systems implementation
International audienc
Prevalence and factor/s associated with smoking among adults in Malaysia - Findings from the National Health and Morbidity Survey (NHMS) 2015
Introduction
The continuous monitoring of smoking prevalence and its associated
factors is an integral part of anti-smoking programmes and valuable for the evaluation
of the effectiveness of anti-smoking measures and policies. This study aimed at
determining prevalence of smoking and identifying socio-demographic factors
associated with smoking among adults in Malaysia aged 15 years and over.
Methods
This is a cross-sectional study with a representative sample of 21 445 adults
in Malaysia, aged 15 years and over, selected via a stratified, two-stage proportionateto-
size sampling method. Data were obtained from face-to-face interviews by trained
research assistants, using a standard validated questionnaire. Multivariable logistic
regression was performed to determine socio-demographic factors associated with
smoking among Malaysians.
Results
The overall prevalence of smoking was 22.8% (95% CI: 21.9–23.8%), with
males having a significantly higher prevalence compared to females (43.0%, 95%
CI: 41.1–44.6 vs 1.4%, 95% CI: 1.1–1.7). The highest smoking prevalence was
observed among other ethnicities (35.7%), those aged 25–44 years (59.3%), and low
educational attainment (25.2%). Males, those with lower educational attainment and
Malays were significantly associated with smoking.
Conclusions
The prevalence of smoking among Malaysians, aged 15 years and over,
remains high despite the implementation of several anti-smoking measures over the past
decades. Specially tailored anti-smoking policies or measures, particularly targeting
males, the Malays, younger adults and those with lower educational attainment, are
greatly warranted to reduce the prevalence of smoking in Malaysia
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