Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting

Background: Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L. To date, there have been no studies using the Health Utilities Index Mark III (HUI3). The purpose of this study was to compare the level of agreement and sensitivity to change of the EQ-5D-3L and HUI3 in a nursing home population. Methods: EQ-5D-3L and HUI3 scores were measured as part of a cluster randomised controlled trial of nurse led care coordination in a nursing home population in Perth, Western Australia at baseline and 6-month follow up. Results: Both measures were completed for 199 residents at baseline and 177 at 6-month follow-up. Mean baseline utility scores for EQ-5D-3L (0.45; 95% CI 0.41±0.49) and HUI3 (0.15; 95% CI 0.10±0.20) were significantly different (Wilcoxon signed rank test, p\u3c0.01) and agreement was poor to moderate between absolute scores from each instrument (intra-class correlation coefficient = 0.63). The EQ-5D-3L appeared more sensitive to change over the 6- month period. Conclusion: Our findings show that the EQ-5D-3L and HUI3 estimate different utility scores among nursing home residents. These differences should be taken into account, particularly when considering the implications of the cost-effectiveness of particular interventions and we conclude that the HUI3 is no better suited to measuring health-related quality of life in a nursing home population when compared to the EQ-5D-3L

Application of time–stress superposition to viscoelastic behavior of polyamide 6,6 fiber and its “true” elastic modulus

The viscoelastic behavior of semi-crystalline polyamide 6,6 fiber is exploited in viscoelastically prestressed polymeric matrix composites. To understand better the underlying prestress mechanisms, strain–time performance of the fiber material is investigated in this work, under high creep stress values (330–665 MPa). A latch-based Weibull model enables prediction of the “true” elastic modulus through instantaneous deformation from the creep-recovery data, giving 4.6 ± 0.4 GPa. The fiber shows approximate linear viscoelastic characteristics, so that the time–stress superposition principle (TSSP) can be implemented, with a linear relationship between the stress shift factor and applied stress. The resulting master creep curve enables creep behavior at 330 MPa to be predicted over a large timescale, thus creep at 590 MPa for 24 h would be equivalent to a 330 MPa creep stress for ∼5200 years. Similarly, the TSSP is applied to the resulting recovery data, to obtain a master recovery curve. This is equivalent to load removal in the master creep curve, in which the yarns would have been subjected to 330 MPa creep stress for ∼4.56 × 107 h. Since our work involves high stress values, the findings may be of interest to those involved with long-term load-bearing applications using polyamide materials

Neutron background in large-scale xenon detectors for dark matter searches

Simulations of the neutron background for future large-scale particle dark matter detectors are presented. Neutrons were generated in rock and detector elements via spontaneous fission and (alpha,n) reactions, and by cosmic-ray muons. The simulation techniques and results are discussed in the context of the expected sensitivity of a generic liquid xenon dark matter detector. Methods of neutron background suppression are investigated. A sensitivity of $10^{-9}-10^{-10}$ pb to WIMP-nucleon interactions can be achieved by a tonne-scale detector.Comment: 35 pages, 13 figures, 2 tables, accepted for publication in Astroparticle Physic

Assessing riverine threats to heritage assets posed by future climate change: a methodological approach based on understanding geomorphological inheritance and predictive modelling, tested within the Derwent Valley Mills WHS, UK

Future climate change is likely to pose significant challenges for heritage management, especially in landscape settings such as river valleys as the magnitude, intensity and nature of geomorphological processes alter in response to changing threshold conditions. Industrial landscapes afford particular challenges for the heritage community, not only because the location of these historic remains is often intimately linked to the physical environment, but also because these landscapes can be heavily polluted by former (industrial) processes and, if released, the legacy of contaminants trapped in floodplain soils and sediments can exacerbate erosion and denudation. Responding to these challenges requires the development of methodologies that consider landscape change beyond individual sites and monuments and this paper reports the development of such an approach based on investigation of the Derwent Valley Mills World Heritage Site, Derbyshire, UK. Information on geomorphological evolution of the Derwent Valley over the last 1000 years, a time period encompassing the last two periods of major climatic deterioration, the Medieval Warm Period and Little Ice Age, has been dovetailed with archaeological and geochemical records to assess how the landscape has evolved to past landscape change. However, in addition to assessing past evolution, this methodology uses national climate change scenarios to predict future river change using the CAESAR-Lisflood model. Comparison of the results of this model to the spatial distribution of World Heritage Site assets highlights zones on the valley floor where pro-active mitigation might be required. The geomorphological and environmental science communities have long used predictive computer modelling to help understand and manage landscapes and this paper highlights an approach and area of research cross-over that would be beneficial for future heritage management

Limits on spin-dependent WIMP-nucleon cross-sections from the first ZEPLIN-II data

The first underground data run of the ZEPLIN-II experiment has set a limit on the nuclear recoil rate in the two-phase xenon detector for direct dark matter searches. In this paper the results from this run are converted into the limits on spin-dependent WIMP-proton and WIMP-neutron cross-sections. The minimum of the curve for WIMP-neutron cross-section corresponds to 0.07 pb at a WIMP mass of around 65 GeV.Comment: 12 pages, 2 figures, to be published in Physics Letters

Fair publication of qualitative research in health systems: a call by health policy and systems researchers.

[Extract] An open letter from Trisha Greenhalgh et al. [1] to the editors of the British Medical Journal (BMJ) triggered wide debate by health policy and systems researchers (HPSRs) globally on the inadequate recognition of the value of qualitative research and the resulting deficit in publishing papers reporting on qualitative research [2]. One key dimension of equity in health is that researchers are able to disseminate their findings and that they are taken into account in a fair and just manner, so that they can inform health policy and programmes. The Greenhalgh et al. letter and editorial responses [3, 4] were actively discussed within "SHAPES", a thematic group within Health Systems Global, focused on Social Science approaches for research and engagement in health policy & systems (http://healthsystemsglobal.org/twg-group/6/Social-science-approaches-for-research-and-engagement-in-health-policy-amp-systems/) and within EQUINET, a regional network working on health equity research in East and Southern Africa (www.equinetafrica.org). Our discussion precipitated in this follow up open letter/commentary, which has 170 co-signatories. Collectively, we feel that barriers to publication of qualitative research limit publication of many exemplary studies, and their contribution to understanding important dimensions of health care, services, policies and systems

Using geoarchaeological deposit modelling as a framework for archaeological evaluation and mitigation in alluvial environments

The pace of anthropogenic development on floodplains and adjacent valley floors is still increasing and in many countries this is accompanied by a requirement for heritage mitigation and management. The result is an increased demand for effective and efficient archaeological evaluation and mitigation strategies, which can only be achieved in alluvial environments through the application of geoarchaeological methods. This paper uses lidar data combined with deep geophysical survey (electrical resistivity), gouge coring and limited borehole data to derive a three dimensional geoarchaeological deposit model, which provided a vehicle for archaeological evaluation and mitigation. Significantly, the results of this deposit model are compared to the results from the subsequent archaeological evaluation trenching, a methodological next step that has not received sufficient attention within the (geo)archaeological literature. The deposit model is refined using radiocarbon dating and artefactual evidence derived from the archaeological evaluation trenching. The results demonstrate how geoarchaeological deposit modelling can be integrated with archaeological evaluation trenching and provides discussion of the importance and difficulties of integrating geoarchaeological sediment units (archives) with archaeological contextual excavation data, with conventional stratigraphic matrices

The ZEPLIN-III dark matter detector: instrument design, manufacture and commissioning

We present details of the technical design and manufacture of the ZEPLIN-III dark matter experiment. ZEPLIN-III is a two-phase xenon detector which measures both the scintillation light and the ionisation charge generated in the liquid by interacting particles and radiation. The instrument design is driven by both the physics requirements and by the technology requirements surrounding the use of liquid xenon. These include considerations of key performance parameters, such as the efficiency of scintillation light collection, restrictions placed on the use of materials to control the inherent radioactivity levels, attainment of high vacuum levels and chemical contamination control. The successful solution has involved a number of novel design and manufacturing features which will be of specific use to future generations of direct dark matter search experiments as they struggle with similar and progressively more demanding requirements.Comment: 25 pages, 19 figures. Submitted to Astropart. Phys. Some figures down sampled to reduce siz

A qualitative understanding of the effects of reusable sanitary pads and puberty education: Implications for future research and practice

BACKGROUND: The management of menstruation has come to the fore as a barrier to girls’ education attainment in low income contexts. Interventions have been proposed and piloted, but the emerging nature of the field means limited evidence is available to understand their pathways of effect. // METHODS: This study describes and compares schoolgirls’ experiences of menstruation in rural Uganda at the conclusion of a controlled trial of puberty education and sanitary pad provision to elucidate pathways of effect in the interventions. Semi-structured interviews were undertaken with schoolgirls who participated in the Menstruation and the Cycle of Poverty trial concurrent with the final set of quantitative surveys. A framework approach and cross-case analysis were employed to describe and compare the experiences of 27 menstruating girls across the four intervention conditions; education (n = 8), reusable sanitary pads (n = 8), education with reusable sanitary pads (n = 6), and control (n = 5). // RESULTS: Themes included: menstrual hygiene, soiling, irritation and infection, physical experience, knowledge of menstruation, psychological, social and cultural factors, and support from others. Those receiving reusable pads experienced improvements in comfort and reliability. This translated into reduced fears around garment soiling and related school absenteeism. Other menstrual hygiene challenges of washing, drying and privacy remained prominent. Puberty education improved girls’ confidence to discuss menstruation and prompted additional support from teachers and peers. // CONCLUSIONS: Findings have important implications for the development and evaluation of future interventions. Results suggest the provision of menstrual absorbents addresses one core barrier to menstrual health, but that interventions addressing broader needs such as privacy may improve effectiveness. Puberty education sessions should increase attention to body awareness and include strategies to address a wider range of practical menstrual challenges, including pain management. Interviews revealed possibilities for improving quantitative surveys in future research

Rules extraction from neural networks applied to the prediction and recognition of prokaryotic promoters

Promoters are DNA sequences located upstream of the gene region and play a central role in gene expression. Computational techniques show good accuracy in gene prediction but are less successful in predicting promoters, primarily because of the high number of false positives that reflect characteristics of the promoter sequences. Many machine learning methods have been used to address this issue. Neural Networks (NN) have been successfully used in this field because of their ability to recognize imprecise and incomplete patterns characteristic of promoter sequences. In this paper, NN was used to predict and recognize promoter sequences in two data sets: (i) one based on nucleotide sequence information and (ii) another based on stability sequence information. The accuracy was approximately 80% for simulation (i) and 68% for simulation (ii). In the rules extracted, biological consensus motifs were important parts of the NN learning process in both simulations