Reliability of an icterometer in black neonates with hyperbilirubinaemia

A perspex icterometer previously graded for White neonates was evaluated in an unselected Black newborn population. Grades of icterus showed a close correlation with levels of total serum bilirubin (TSB) as determined colorimetrically in a bilirubinometer. Previously reported data on White babies follow the same pattern, but are slightly higher for each grade.S. Afr. Med. J., 48, 1533 (1974)

Simulation of oscillopsia in virtual reality

Purpose: Nystagmus is characterised by involuntary eye movement. A proportion of those with nystagmus experience the world constantly in motion as their eyes move: a symptom known as oscillopsia. Individuals with oscillopsia can be incapacitated and often feel neglected due to limited treatment options. Effective communication of the condition is challenging and no tools to aid communication exist. This paper describes a virtual reality (VR) application that recreates the effects of oscillopsia, enabling others to appreciate the condition. Methods: Eye tracking data was incorporated into a VR oscillopsia simulator and released as a smartphone app – “Nystagmus Oscillopsia Sim VR”. When a smartphone is used in conjunction with a Google Cardboard headset, it presents an erratic image consistent with oscillopsia. The oscillopsia simulation was appraised by six participants for its representativeness. These individuals have nystagmus and had previously experienced oscillopsia but were not currently symptomatic; they were therefore uniquely placed to judge the app. The participants filled in a questionnaire to record impressions and the usefulness of the app. Results: The published app has been downloaded ~3700 times (28/02/2018) and received positive feedback from the nystagmus community. The validation study questionnaire scored the accuracy of the simulation an average of 7.8/10 while its ability to aid communication received 9.2/10. Conclusion: The evidence indicates that the simulation can effectively recreate the sensation of oscillopsia and facilitate effective communication of the symptoms associated with the condition. This has implications for communication of other visual conditions

A complex flow phantom for medical imaging : ring vortex phantom design and technical specification

Cardiovascular fluid dynamics exhibit complex flow patterns, such as recirculation and vortices. Quantitative analysis of these complexities supports diagnosis, leading to early prediction of pathologies. Quality assurance of technologies that image such flows is challenging but essential, and to this end, a novel, cost-effective, portable, complex flow phantom is proposed and the design specifications are provided. The vortex ring is the flow of choice because it offers patterns comparable to physiological flows and is stable, predictable, reproducible and controllable. This design employs a piston/cylinder system for vortex ring generation, coupled to an imaging tank full of fluid, for vortex propagation. The phantom is motor-driven and by varying piston speed, piston displacement and orifice size, vortex rings with different characteristics can be produced. Two measurement methods, namely Laser-PIV and an optical/video technique, were used to test the phantom under a combination of configurations. Vortex rings with a range of travelling velocities (approximately 1–80 cm/s) and different output-orifice diameters (10–25 mm) were produced with reproducibility typically better than ±10%. Although ultrasound compatibility has been demonstrated, longer-term ambitions include adapting the design to support comparative studies with different modalities, such as MRA and X-ray-CTA

The Chemical Evolution of Helium in Globular Clusters: Implications for the Self-Pollution Scenario

We investigate the suggestion that there are stellar populations in some globular clusters with enhanced helium (Y from 0.28 to 0.40) compared to the primordial value. We assume that a previous generation of massive Asymptotic Giant Branch (AGB) stars have polluted the cluster. Two independent sets of AGB yields are used to follow the evolution of helium and CNO using a Salpeter initial mass function (IMF) and two top-heavy IMFs. In no case are we able to produce the postulated large Y ~ 0.35 without violating the observational constraint that the CNO content is nearly constant.Comment: accepted for publication in Ap

Computer model for the cardiovascular system: development of an e-learning tool for teaching of medical students

BACKGROUND: This study combined themes in cardiovascular modelling, clinical cardiology and e-learning to create an on-line environment that would assist undergraduate medical students in understanding key physiological and pathophysiological processes in the cardiovascular system. METHODS: An interactive on-line environment was developed incorporating a lumped-parameter mathematical model of the human cardiovascular system. The model outputs were used to characterise the progression of key disease processes and allowed students to classify disease severity with the aim of improving their understanding of abnormal physiology in a clinical context. Access to the on-line environment was offered to students at all stages of undergraduate training as an adjunct to routine lectures and tutorials in cardiac pathophysiology. Student feedback was collected on this novel on-line material in the course of routine audits of teaching delivery. RESULTS: Medical students, irrespective of their stage of undergraduate training, reported that they found the models and the environment interesting and a positive experience. After exposure to the environment, there was a statistically significant improvement in student performance on a series of 6 questions based on cardiovascular medicine, with a 33% and 22% increase in the number of questions answered correctly, p < 0.0001 and p < 0.001 respectively. CONCLUSIONS: Considerable improvement was found in students' knowledge and understanding during assessment after exposure to the e-learning environment. Opportunities exist for development of similar environments in other fields of medicine, refinement of the existing environment and further engagement with student cohorts. This work combines some exciting and developing fields in medical education, but routine adoption of these types of tool will be possible only with the engagement of all stake-holders, from educationalists, clinicians, modellers to, most importantly, medical students

Faecal sludge simulants to aid the development of desludging technologies

This paper presents a review of currently available data from the literature on the undrained shear strength, bulk density, stickiness and debris content of faecal sludge. Those data have been used to develop two different simulants that replicate the full range of shear strengths and densities reported for faecal sludge. Comprehensive specifications are also presented for the debris or solid waste found in latrines to more closely replicate the challenge of pumping faecal sludge. Finally, a design guide has been produced to capture these results and support quantitative performance testing of desludging pumps. The simulants have already been used as part of the Bill &amp; Melinda Gates Foundation's Faecal Sludge Omni-Ingestor project and by Water for People's SaniHub in developing improved desludging pumps. The wider use of these simulants could accelerate the development of pit emptying technologies and help standardize the quantitative evaluation of their performance.The development of the simulants presented here was funded by the Bill & Melinda Gates Foundation under the Faecal Sludge Omni-Ingestor project.This is the author accepted manuscript. The final version is available from IWA Publishing via http://dx.doi.org/10.2166/washdev.2015.01

Building bridges between theory and practice: how citizen science can bring equine researchers and practitioners together

Over the last decade, equitation scientists have increasingly relied on online survey tools to gather information on horse training, management, behaviour and other equine-related subjects. With a detailed knowledge of their animals, horse owners and riders are ideally placed to contribute to research but are sometimes reluctant to engage with and devote time to surveys. The current article reveals, through consultation with stakeholder groups, the potential of a range of motivational items to boost horse-owner participation. A short, three-question inquiry was developed to rank respondents’ (n=747) preferred survey tools and other items designed to engage the equestrian community with the donation of data. Respondents were asked to assign themselves to one of four categories: academics/researchers, professionals, practitioners and enthusiasts. The inquiry offered respondents the choice of three hypothetical tools: a standardized tool to measure behaviour over time; a logbook tool to record training and behaviour on a regular basis; and a chart to compare an individual horse’s behaviour with that of the general horse population. While analysis revealed that stakeholders considered at least one of the tools to be useful, it also exposed significant differences among the perceived usefulness of the various tools themselves. Using free-text responses, participants described the challenges faced when gathering information on horse training, management and behaviour. Qualitative analysis of these data revealed the need to improve the current dissemination of scientific findings to bridge various knowledge gaps. The Equine Behavior Assessment and Research Questionnaire (E-BARQ) is a longitudinal instrument that investigates horse training and management practices and permits an analysis of their relationship with behaviour. The current stakeholder consultation contributed to the final version of the E-BARQ questionnaire, identified incentivizing items that can be offered to putative E-BARQ respondents, guided the eventual selection of a Share-&-Compare feedback chart, and reinforced the need for open-access dissemination of findings

Abundance Anomalies in NGC6752 - Do AGB Stars Have a Role?

We are in the process of testing a popular theory that the observed abundance anomalies in the Globular Cluster NGC 6752 are due to `internal pollution' from intermediate mass asymptotic giant branch stars. To this end we are using a chemical evolution model incorporating custom-made stellar evolution yields calculated using a detailed stellar evolution code. By tracing the chemical evolution of the intracluster gas, which is polluted by two generations of stars, we are able to test the internal pollution scenario in which the Na- and Al-enhanced ejecta from intermediate mass stars is either accreted onto the surfaces of other stars, or goes toward forming new stars. In this paper we focus mainly on the nucleosynthetic yields of the AGB stars and discuss whether these stars are the source of the observed Na-O anticorrelation. Comparing our preliminary results with observational data suggests that the qualitative theory is not supported by this quantitative study.Comment: To be published in: Nuclear Physics, Section A. 4 pages, 2 figures. Conference: "The Eighth International Symposium on Nuclei in the Cosmos", Canada, July 200

A stochastic evolutionary model generating a mixture of exponential distributions

Recent interest in human dynamics has stimulated the investigation of the stochastic processes that explain human behaviour in various contexts, such as mobile phone networks and social media. In this paper, we extend the stochastic urn-based model proposed in \cite{FENN15} so that it can generate mixture models, in particular, a mixture of exponential distributions. The model is designed to capture the dynamics of survival analysis, traditionally employed in clinical trials, reliability analysis in engineering, and more recently in the analysis of large data sets recording human dynamics. The mixture modelling approach, which is relatively simple and well understood, is very effective in capturing heterogeneity in data. We provide empirical evidence for the validity of the model, using a data set of popular search engine queries collected over a period of 114 months. We show that the survival function of these queries is closely matched by the exponential mixture solution for our model

Inclusive One Jet Production With Multiple Interactions in the Regge Limit of pQCD

DIS on a two nucleon system in the regge limit is considered. In this framework a review is given of a pQCD approach for the computation of the corrections to the inclusive one jet production cross section at finite number of colors and discuss the general results.Comment: 4 pages, latex, aicproc format, Contribution to the proceedings of "Diffraction 2008", 9-14 Sep. 2008, La Londe-les-Maures, Franc