312 research outputs found

    Reducing admissions in patients presenting with rectal bleeding

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    Development of thermoacoustic devices for power generation and refrigeration

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    This paper is intended as a technical overview of the research and development work initially undertaken at the University of Manchester and subsequently transferred to the University of Leicester as part of the EPSRC-funded SCORE project (Stove for Cooking, Refrigeration and Electricity supply). The objectives of the work were twofold: Firstly, to develop an early demonstrator of a low-power electricity generator (to deliver approximately 10–20 W of electricity). This was to be based on the concept of using low-cost materials, working fluids and linear alternators suitable for deployment in rural areas of developing countries. The issues of concern here were the development of a suitable thermoacoustic engine topology and control measures; design of suitable heat exchanger configurations from initial use of electrical heaters to heat input through propane combustion; and characterisation of commercial loudspeakers to work as linear alternators and subsequent incorporation of selected models for engine prototyping purposes. These matters will be illustrated by a number of demonstrators and their testing in the laboratory environment. Secondly, to develop a demonstrator of a combustion driven thermoacoustic cooler for storage of vital medical supplies in remote and rural areas where there is no access to electricity grid. To this end, the paper will describe the design, construction and test results of an electrically driven demonstrator of a standing wave thermoacoustic engine coupled to a travelling wave thermoacoustic cooler. The final part of the paper will summarise the achievements to date and outline future work that has spun out from the original SCORE project. This will in particular include the current work on a scaled up version of electricity generator designed to deliver 100 W of electricity by using a two-stage engine configuration and the issues of integration of the thermoacoustic electricity generator and thermoacoustic cooler into one system

    Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study

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    Isometric exercise training (IET) is increasingly cited for its role in reducing resting blood pressure (BP). Despite this, few studies have investigated a potential sham effect attributing to the success of IET, thus dictating the aim of the present study. Thirty physically inactive males (n = 15) and females (n = 15) were randomly assigned into three groups. The IET group completed a wall squat intervention at 95% peak heart rate (HR) using a prescribed knee joint angle. The sham group performed a parallel intervention, but at an intensity (<75% peak HR) previously identified to be inefficacious over a 4-week training period. No-intervention controls maintained their normal daily activities. Pre- and post-measures were taken for resting and continuous blood pressure and cardiac autonomic modulation. Resting clinic and continuous beat-to-beat systolic (−15.2 ± 9.2 and −7.3 ± 5.6 mmHg), diastolic (−4.6 ± 5 and −4.5 ± 5.1), and mean (−7 ± 4.2 and −7.5 ± 5.3) BP, respectively, all significantly decreased in the IET group compared to sham and no-intervention control. The IET group observed a significant decrease in low-frequency normalized units of heart rate variability concurrent with a significant increase in high-frequency normalized units of heart rate variability compared to both the sham and no-intervention control groups. The findings of the present study reject a nonspecific effect and further support the role of IET as an effective antihypertensive intervention. Clinical Trials ID: NCT05025202

    Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham-controlled study

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    Isometric exercise training (IET) is increasingly cited for its role in reducing resting blood pressure (BP). Despite this, few studies have investigated a potential sham effect attributing to the success of IET, thus dictating the aim of the present study. Thirty physically inactive males (n=15) and females (n=15) were randomly assigned into 3 groups. The IET group completed a wall-squat intervention at 95% peak heart rate (HR) using a prescribed knee joint angle. The sham group performed a parallel intervention, but at an intensity (<75% peak HR) previously identified to be inefficacious over a 4-week training period. No-intervention controls maintained their normal daily activities. Pre- and post-measures were taken for resting and continuous blood pressure and cardiac autonomic modulation. Resting clinic and continuous beat to beat systolic (-15.2±9.2 and -7.3±5.6 mmHg), diastolic (-4.6±5 and -4.5±5.1) and mean (-7±4.2 and -7.5±5.3) BP, respectively, all significantly decreased in the IET group compared to sham and no-intervention control. The IET group observed a significant decrease in low frequency normalised units of heart rate variability concurrent with a significant increase in high frequency normalised units of heart rate variability compared to both the sham and no-intervention control groups. The findings of the present study reject a non-specific effect and further support the role of IET as an effective anti-hypertensive intervention

    Coronavax : preparing community and government for COVID-19 vaccination:: a research protocol for a mixed methods social research project

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    Introduction Ahead of the implementation of a COVID-19 vaccination programme, the interdisciplinary Coronavax research team developed a multicomponent mixed methods project to support successful roll-out of the COVID-19 vaccine in Western Australia. This project seeks to analyse community attitudes about COVID-19 vaccination, vaccine access and information needs. We also study how government incorporates research findings into the vaccination programme. Methods and analysis The Coronavax protocol employs an analytical social media study, and a qualitative study using in-depth interviews with purposively selected community groups. Participant groups currently include healthcare workers, aged care workers, first responders, adults aged 65+ years, adults aged 30-64 years, young adults aged 18-29 years, education workers, parents/guardians of infants and young children (&lt;5 years), parents/guardians of children aged 5-18 years with comorbidities and parents/guardians who are hesitant about routine childhood vaccines. The project also includes two studies that track how Australian state and Commonwealth (federal) governments use the study findings. These are functional dialogues (translation and discussion exercises that are recorded and analysed) and evidence mapping of networks within government (which track how study findings are used). Ethics and dissemination Ethics approval has been granted by the Child and Adolescent Health Service Human Research Ethics Committee (HREC) and the University of Western Australia HREC. Study findings will be disseminated by a series of journal articles, reports to funders and stakeholders, and invited and peer-reviewed presentations.</p

    Ordering and finite-size effects in the dynamics of one-dimensional transient patterns

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    We introduce and analyze a general one-dimensional model for the description of transient patterns which occur in the evolution between two spatially homogeneous states. This phenomenon occurs, for example, during the Freedericksz transition in nematic liquid crystals.The dynamics leads to the emergence of finite domains which are locally periodic and independent of each other. This picture is substantiated by a finite-size scaling law for the structure factor. The mechanism of evolution towards the final homogeneous state is by local roll destruction and associated reduction of local wavenumber. The scaling law breaks down for systems of size comparable to the size of the locally periodic domains. For systems of this size or smaller, an apparent nonlinear selection of a global wavelength holds, giving rise to long lived periodic configurations which do not occur for large systems. We also make explicit the unsuitability of a description of transient pattern dynamics in terms of a few Fourier mode amplitudes, even for small systems with a few linearly unstable modes.Comment: 18 pages (REVTEX) + 10 postscript figures appende

    Women’s experiences of receiving care for pelvic organ prolapse: a qualitative study

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    Background Pelvic organ prolapse is a common urogenital condition affecting 41–50% of women over the age of 40. To achieve early diagnosis and appropriate treatment, it is important that care is sensitive to and meets women’s needs, throughout their patient journey. This study explored women’s experiences of seeking diagnosis and treatment for prolapse and their needs and priorities for improving person-centred care. Methods Twenty-two women receiving prolapse care through urogynaecology services across three purposefully selected NHS UK sites took part in three focus groups and four telephone interviews. A topic guide facilitated discussions about women’s experiences of prolapse, diagnosis, treatment, follow-up, interactions with healthcare professionals, overall service delivery, and ideals for future services to meet their needs. Data were analysed thematically. Results Three themes emerged relating to women’s experiences of a) Evaluating what is normal b) Hobson’s choice of treatment decisions, and c) The trial and error of treatment and technique. Women often delayed seeking help for their symptoms due to lack of awareness, embarrassment and stigma. When presented to GPs, their symptoms were often dismissed and unaddressed until they became more severe. Women reported receiving little or no choice in treatment decisions. Choices were often influenced by health professionals’ preferences which were subtly reflected through the framing of the offer. Women’s embodied knowledge of their condition and treatment was largely unheeded, resulting in decisions that were inconsistent with women’s preferences and needs. Physiotherapy based interventions were reported as helping women regain control over their symptoms and life. A need for greater awareness of prolapse and physiotherapy interventions among women, GPs and consultants was identified alongside greater focus on prevention, early diagnosis and regular follow-up. Greater choice and involvement in treatment decision making was desired. Conclusions As prolapse treatment options expand to include more conservative choices, greater awareness and education is needed among women and professionals about these as a first line treatment and preventive measure, alongside a multi-professional team approach to treatment decision making. Women presenting with prolapse symptoms need to be listened to by the health care team, offered better information about treatment choices, and supported to make a decision that is right for them

    Generating synthetic fjord bathymetry for coastal Greenland

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    Bed topography is a critical boundary for the numerical modelling of ice sheets and ice-ocean interactions. A persistent issue with existing topography products for the bed of the Greenland Ice Sheet and surrounding sea floor is the poor representation of coastal bathymetry, especially in regions of floating ice and near the grounding line. Sparse data coverage, and the resultant coarse resolution at the ice-ocean boundary, poses issues in our ability to model ice flow advance and retreat from the present position. In addition, as fjord bathymetry is known to exert strong control on ocean circulation and ice-ocean forcing, the lack of bed data leads to an inability to model these processes adequately. Since the release of the last complete Greenland bed topography-bathymetry product, new observational bathymetry data have become available. These data can be used to constrain bathymetry, but many fjords remain completely unsampled and therefore poorly resolved. Here, as part of the development of the next generation of Greenland bed topography products, we present a new method for constraining the bathymetry of fjord systems in regions where data coverage is sparse. For these cases, we generate synthetic fjord geometries using a method conditioned by surveys of terrestrial glacial valleys as well as existing sinuous feature interpolation schemes. Our approach enables the capture of the general bathymetry profile of a fjord in north-west Greenland close to Cape York, when compared to observational data. We validate our synthetic approach by demonstrating reduced overestimation of depths compared to past attempts to constrain fjord bathymetry. We also present an analysis of the spectral characteristics of fjord centrelines using recently acquired bathymetric observations, demonstrating how a stochastic model of fjord bathymetry could be parameterised and used to create different realisations.This study was supported by UK NERC grant NE/M000869/1

    Bottom sediments of Lake Rotoma

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    Lake Rotoma is a deep (70-80 m), oligotrophic, warm monomictic lake of volcanic origin with insignificant stream inflow and no clearly defined outflow. For at least 60 years up to 1972 the lake level fluctuated markedly about an overall rising trend of some 6-10 m. Nearshore profiles are related to the prevailing wave climate superimposed upon the overall rising lake level, shelves being wider, less steep, and deeper about the more exposed eastern and southern shorelines. The outer portions of shelves extending well below modern storm wave base into waters as deep as 15-25 m are relict features from lower lake level stands. Sediments fine from sand-gravel mixtures nearshore to silts in basinal areas. Their composition reflects a composite provenance involving the lavas and tephras about the lake, as well as intralake diatom frustules and organic matter. The distribution pattern of surficial bottom sediments is an interplay between grains of both biological and terrigenous origin, supplied presently and in the past by a variety of processes, that have been dispersed either by the modern hydrodynamic regime or by former ones associated with lower lake levels. These interrelationships are structured by erecting 5 process-age sediment classes in the lake, namely neoteric, amphoteric, proteric, palimpsest, and relict sediments, analogous to categories postulated for sediments on oceanic continental shelves. Short-core stratigraphy includes the Kaharoa (A.D. -1020) and Tarawera (A.D. 1886) tephras. The rates of sedimentation of diatomaceous silts in basinal areas have more than doubled since the Tarawera eruption, indicating an overall increase in the fertility level of lake waters associated, perhaps, with recent farm development in the catchment
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