62,681 research outputs found

    Getting the balance right: qualitative evaluation of a holistic weight management intervention to address childhood obesity

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    Background Childhood obesity is linked to a range of health and social problems. Solutions include the delivery of appropriate weight management interventions for those aged 16 and under. The ‘Balance It! Getting the Balance Right’ programme appears to be effective for those who complete the intervention, but the non-completion rate remains high. A qualitative evaluation was undertaken to explore the views of key stakeholders in the programme and identify possible reasons for non-completion. Methods Semi-structured interviews were conducted with a purposive sample of 16 NHS and local authority staff, and with 20 children (aged 4–16 years) and their families. A mosaic methodology was used, involving visual and verbal techniques employed to enable children of all ages to take an active role in expressing their opinions. Results Key themes included the challenges of approaching overweight children; positive outcomes for some families; and issues relating to communication and coordination. Participants spoke positively about the multi-disciplinary approach of ‘Balance It!’, but felt it could better meet the needs of its target population. Conclusions Structured interventions help to ensure consistency and coherence in terms of approaches to childhood overweight and obesity. Whole family approaches may be most effective in enhancing the user experience

    Development of EM-CCD-based X-ray detector for synchrotron applications

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    A high speed, low noise camera system for crystallography and X-ray imaging applications is developed and successfully demonstrated. By coupling an electron-multiplying (EM)-CCD to a 3:1 fibre-optic taper and a CsI(Tl) scintillator, it was possible to detect hard X-rays. This novel approach to hard X-ray imaging takes advantage of sub-electron equivalent readout noise performance at high pixel readout frequencies of EM-CCD detectors with the increase in the imaging area that is offered through the use of a fibre-optic taper. Compared with the industry state of the art, based on CCD camera systems, a high frame rate for a full-frame readout (50 ms) and a lower readout noise (<1 electron root mean square) across a range of X-ray energies (6–18 keV) were achieved

    Large time scale variation in hydrogen emission from Jupiter and Saturn

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    The IUE and Voyager spacecraft observations of Jupiter and Saturn were combined to obtain a consistent measurement of temporal variation of the equatorial subsolar hydrogen emission. The outer planets appear to have rather independent behavior over time scales of the order of 10 yr, particularly in emission from the H Ly alpha line. The time interval from 1978 to the present shows variation of mean equatorial H Ly alpha brightness of 2 at Jupiter and 5 at Saturn. The relative magnitudes of the variations is sufficiently different to suggest that response to input from the Sun is at least nonlinear. The brightness of H2 band emission appears to be relatively more stable than H Ly alpha. There is evidence in IUE observations of a moderate increase in H2 band brightness with increasing time at Jupiter, in opposition to the variation in H Ly alpha

    Recurrence rates for SIDS - the importance of risk stratification

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    Objective: To investigate the importance of stratification by risk factors in computing the probability of a second SIDS in a family. Design: Simulation Study Background: The fact that a baby dies suddenly and unexpectedly means that there is a raised probability that the baby’s family have risk factors associated with Sudden Infant Death Syndrome (SIDS). Thus one cannot consider the risk of a subsequent death to be that of the general population. The Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI)6 identified three major social risk factors: smoking, age1, and unemployed/unwaged as major risk factors. It gave estimates of risk for families with different numbers of these risk factors. We investigate whether it is reasonable to assume that, conditional on these risk factors, the risk of a second event is independent of the risk of the first and as a consequence one can square the risks to get the risk of two SIDS in a family. We have used CESDI data to estimate the probability of a second SID in a family under different plausible scenarios of the prevalence of the risk factors. We have applied the model to make predictions in the Care of Next Infant (CONI) study7. Results: The model gave plausible predictions. The CONI study observed 18 second SIDS. Our model predicted 14 (95% prediction interval 7 to 21). Conclusion: When considering the risk of a subsequent SIDS in a family one should always take into account the known risk factors. If all risks have been identified, then conditional on these risks, the risk of two events is the product of the individual risks However for a given family we cannot quantify the magnitude of the increased risk because of other possible risk factors not accounted for in the model

    Computer program to generate attitude error equations for a gimballed platform

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    Computer program for solving attitude error equations related to gimballed platform is described. Program generates matrix elements of attitude error equations when initial matrices and trigonometric identities have been defined. Program is written for IBM 360 computer

    No-till Forage Establishment in Alaska

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    We assessed the effectiveness of no-till forage establishment at six Alaska locations: Anchor Point, Sterling, Point MacKenzie, Palmer, Delta Junction, and Fairbanks. Directly seeding grass into established grass stands generally did not improve forage yields or quality. Seeding rate had little effect on establishment of newly seeded forages in no-till. Grass yields were depressed when companion crop yields were high, and they typically did not recover in subsequent years. Red clover established well, producing high yields of good quality forage under no-till at Point MacKenzie, but established poorly at Anchor Point and Delta Junction. These results indicated that no-till seeding of most forage crops into declining grass stands is not likely to be successful in Alaska with current available technology

    Magnetic Properties of a Two-Dimensional Mixed-Spin System

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    Using a Langmuir-Blodgett (LB) synthesis method, novel two-dimensional (2D) mixed-spin magnetic systems, in which each magnetic layer is both structurally and magnetically isolated, have been generated. Specifically, a 2D Fe-Ni cyanide-bridged network with a face-centered square grid structure has been magnetically and structurally characterized. The results indicate the presence of ferromagnetic exchange interactions between the Fe3+^{3+} (S=1/2S=1/2) and Ni2+^{2+} (S=1) centers.Comment: 2 pages, 3 figs., submitted 23rd International Conference on Low Temperature Physics (LT-23), Aug. 200

    Passive fetal monitoring sensor

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    An ambulatory, passive sensor for use in a fetal monitoring system is discussed. The invention is comprised of a piezoelectric polymer film, combined with a metallic mounting plate fastened to a belt, and electrically connected to a signal processing unit by means of a shielded cable. The purpose of the sensor is to receive pressure pulses emitted by a fetus inside an expectant mother. Additionally, the monitor will filter out pressure pulses arising from other sources, such as the maternal heart
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