Electrical Field Flow Fractionation (EFFF) Using an Electrically Insulated Flow Channel

The present invention is an apparatus and a process for separation and resolution of particles suspended in, or molecules dissolved in, a sample mixture or solution using electrical field flow fractionation (EFFF). Fractionation of individual components in the mixture/solution is obtained by the interaction of particles/molecules with an electric field applied perpendicular to the flow direction, and externally to the fractionation channel. The plate electrodes are electrically isolated from the sample and carrier within a thin, non-permeable, insulating coating on the inside surfaces electrodes. This coating forms a barrier between the solution phase and the electric circuit used to generate the working electric field. The flow channel is formed by sandwiching a shaped insulating gasket between the two parallel plate electrodes. The side walls of the channel are defined then by the inside walls of the shaped, insulating gasket

RESPOND – A patient-centred program to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a multi-centre randomised controlled trial

Introduction: Participation in falls prevention activities by older people following presentation to the Emergency Department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND program which is designed to improve older persons’ participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies. Design and setting: An RCT at two tertiary referral EDs in Melbourne and Perth, Australia. Participants: Five-hundred and twenty eight community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who: require an interpreter or hands-on assistance to walk; live in residential aged care or >50 kilometres from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or history of psychosis; are receiving palliative care; or are unable to use a telephone will be excluded. Methods: Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates: (1) home-based risk factor assessment; (2) education, coaching, goal setting, and follow-up telephone support for management of one or more of four risk factors with evidence of effective intervention; and (3) healthcare provider communication and community linkage delivered over six months. Primary outcomes are falls and fall injuries per-person-year. Discussion: RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease however evidence to support this approach in falls prevention is limited. Trial registration. The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684)

Staffing for Success

One in a series of fact sheets for 4-H professionals and Cooperative Extension directors to use when designing a program to increase diversity in program participation

Effective Communication of 4-H Program Essentials to 4-H Families

Youths and parents in the California 4-H program have reported issues with communication and challenges in understanding the program. As a result, we developed a family handbook and other supporting documents to help youths and parents navigate the California 4-H program. This article addresses the development, dissemination, and reach of the handbook. Additionally, the article discusses future directions and implications for other Extension programs

Selecting Appropriate Technology for an Effective Online Extension Course

Technology is a strategic asset in accomplishing the land grant mission. Selecting appropriate technology for Extension program management and delivery is essential to achieving planned outcomes, but can be challenging. This article describes the technology platforms selected by a new, legislatively funded Extension program delivering an online course in a hybrid distance-learning experience. The descriptions and application of these technology platforms will assist Extension professionals in choosing technology suitable for delivery and management of their programs as they plan for impact

New limb-darkening coefficients and synthetic photometry for model-atmosphere grids at Galactic, LMC, and SMC abundances

New grids of Atlas9 models have been calculated using revised convection parameters and updated opacity-distribution functions, for chemical compositions intended to be representative of solar, [M/H] = +0.3, +0.5, Large Magellanic Cloud (LMC), and Small Magellanic Cloud (SMC) abundances. The grids cover T(eff) = 3.5-50kK, from log(g) = 5.0 to the effective Eddington limit. Limb-darkening coefficients and synthetic photometry are presented in the UBVRIJHKLM, uvby, ugriz, WFCAM, Hipparcos/Tycho, and Kepler passbands for these models, and for Castelli's comparable `new-ODF' grids. Flux distributions are given for the new models. The sensitivity of limb-darkening coefficients to the adopted physics is illustrated

Exploring the Effectiveness of a Retreat Method for Extension Staff

The California 4-H Association hosted two retreats to support its members with goals of balancing professional development with intentional relationship building. Evaluations demonstrated that staff found the intentional balance of time spent in unstructured, semi-structured, and structured time offered opportunities to grow professionally while building relationships with peers. Follow-up surveys found that 4-H professionals strengthened their network of peers to rely on in their work. Future work for professional development may benefit from a social capital lens

Don't lose sight of the importance of the individual in effective falls prevention interventions

Falls remain a major public health problem, despite strong growth in the research evidence of effective single and multifactorial interventions, particularly in the community setting. A number of aspects of falls prevention require individual tailoring, despite limitations being reported regarding some of these, including questions being raised regarding the role of falls risk screening and falls risk assessment. Being able to personalise an individual's specific risk and risk factors, increase their understanding of what interventions are likely to be effective, and exploring options of choice and preference, can all impact upon whether or not an individual undertakes and sustains participation in one or more recommendations, which will ultimately influence outcomes. On all of these fronts, the individual patient receiving appropriate and targeted interventions that are meaningful, feasible and that they are motivated to implement, remains central to effective translation of falls prevention research evidence into practice

Addressing Retention in Youth Programs: A Survey for Understanding Families\u27 Experiences

Research on retention in the 4-H youth development program has consistently shown that one of the primary indicators for youths\u27 dropping out of 4-H is being a first-year member. Extension 4-H professionals from California, Idaho, Wyoming, and New Jersey formed a team to study this issue. Our team surveyed first-year members and their parents/guardians to better understand why youths were not reenrolling in 4-H after their first year. This article introduces the survey used to assess the first-year experience and intent to reenroll. We discuss the survey development process, survey testing, lessons learned, and conclusions related to its future use

Comprehensive Molecular Testing for Respiratory Pathogens in Community-Acquired Pneumonia.

BACKGROUND: The frequent lack of a microbiological diagnosis in community-acquired pneumonia (CAP) impairs pathogen-directed antimicrobial therapy. This study assessed the use of comprehensive multibacterial, multiviral molecular testing, including quantification, in adults hospitalized with CAP. METHODS: Clinical and laboratory data were collected for 323 adults with radiologically-confirmed CAP admitted to 2 UK tertiary care hospitals. Sputum (96%) or endotracheal aspirate (4%) specimens were cultured as per routine practice and also tested with fast multiplex real-time polymerase-chain reaction (PCR) assays for 26 respiratory bacteria and viruses. Bacterial loads were also calculated for 8 bacterial pathogens. Appropriate pathogen-directed therapy was retrospectively assessed using national guidelines adapted for local antimicrobial susceptibility patterns. RESULTS: Comprehensive molecular testing of single lower respiratory tract (LRT) specimens achieved pathogen detection in 87% of CAP patients compared with 39% with culture-based methods. Haemophilus influenzae and Streptococcus pneumoniae were the main agents detected, along with a wide variety of typical and atypical pathogens. Viruses were present in 30% of cases; 82% of these were codetections with bacteria. Most (85%) patients had received antimicrobials in the 72 hours before admission. Of these, 78% had a bacterial pathogen detected by PCR but only 32% were culture-positive (P < .0001). Molecular testing had the potential to enable de-escalation in number and/or spectrum of antimicrobials in 77% of patients. CONCLUSIONS: Comprehensive molecular testing significantly improves pathogen detection in CAP, particularly in antimicrobial-exposed patients, and requires only a single LRT specimen. It also has the potential to enable early de-escalation from broad-spectrum empirical antimicrobials to pathogen-directed therapy