Knowledge and practice of folic acid supplementation and impact of income level on awareness among women of child-bearing age in Saudi Arabia

Purpose: To investigate the knowledge of Saudi women (pregnant and non-pregnant) about the significance of folic acid (FA) supplementation and to determine how income levels affects this knowledge and its implementation. Methods: The study was conducted among women of child-bearing age attending Al-Hada Armed Forces Hospital and Khaliss General Hospital (both in Riyadh, Saudi Arabia) for pregnant women and Omm Al-Qura University in Makkah Governorate (Saudi Arabia) for non-pregnant women. A structured questionnaire was used to collect socio-demographic data and to analyze levels of FA knowledge, including general awareness, proper timing of its use, information source, FA benefits, and the perils of FA deficiency. A chi-square test was performed to test the differences between variables. Results: Analysis of the survey data revealed that 81.1 % of non–pregnant and 91.1 % of pregnant women were aware of the term, FA (p < 0.05). Moreover, 71.1 % of the pregnant compared to 35.6% of non-pregnant women knew that this supplement must be taken before becoming pregnant and this difference was statistically significant (p < 0.05). For pregnant women, doctors and previous pregnancies were the main sources of FA knowledge, while mass media was the most frequently reported source for non-pregnant women (p < 0.05). Income level was not associated with FA knowledge in either group. Conclusions: This study illustrates a deficiency in the knowledge and consumption of this important micronutrient in women of childbearing age, the population most in need of this information. Nutrition education should be provided to increase the understanding and practice of FA supplementation periconceptionally and during pregnancy

TURBINE AIRFOIL HEAT TRANSFER PREDICTIONS USING CFD

ABSTRACT Conventional heat transfer design methods for turbine airfoils use 2-D boundary layer codes (BLC) combined with empiricism. While such methods may be applicable in the mid span of an airfoil, they would not be very accurate near the endwalls and airfoil tip where the flow is very three-dimensional (3-D) and complex. In order to obtain accurate heat transfer predictions along the entire span of a turbine airfoil, 3-D computational fluid dynamics (CFD) must be used. This paper describes the development of a CFD based design system to make heat transfer predictions. A 3-D, compressible, Reynoldsaveraged Navier-Stokes CFD solver with k-ω turbulence modeling was used. A wall integration approach was used for boundary layer prediction. First, the numerical approach was validated against a series of fundamental airfoil cases with available data. The comparisons were very favorable. Subsequently, it was applied to a real engine airfoil at typical design conditions. A discussion of the features of the airfoil heat transfer distribution is included

"One for Sorrow, Two for Joy?": American embryo transfer guideline recommendations, practices and outcomes for gestational surrogate patients

In January 2016, Melissa Cook, a California gestational surrogate experiencing a multiple birth pregnancy following the in vitro fertilization (IVF) transfer of three embryos comprised of donor eggs and sperm provided by the intended father went to the media when the intended father requested that she undergo a fetal reduction because twins were less expensive to raise than triplets. Much of the legal interest in this case to date has centered on the enforceability of surrogacy contracts. However, the Cook case also raises troubling issues about fertility treatment practices involving gestational surrogates, twin preference, and third-party reproduction medical decision-making. This paper focuses on multipleembryo transfers in the context of U.S. surrogacy arrangements. Offering an original analysis of data obtained from the U.S. national assisted reproduction registry, it examines single- and multiple-embryo transfer trends over an eleven-year period (2003 to 2014). Findings reveal that recommended guidelines were followed in less than 42% of cases in 2014. The paper argues that ensuring equitable medical treatment for all recipients of IVF requires the adoption of treatment guidelines tailored to, and offering protections for, specific patient groups, and that, once in place, guidelines must be robustly implemente

Biodegradable materials as binders for IVth generation moulding sands

This paper focuses on the possibility of using the biodegradable materials as binders (or parts of binders?compositions) for foundry moulding and core sands. Results showed that there is a great possibility of using available biodegradable materials as foundry moulding sand binders. Using biodegradable materials as partial content of new binders, or additives to moulding sands may not only decrease the toxicity and increase reclamation ability of tested moulding sands, but also accelerate the biodegradation rate of used binders, and the new biodegradable additive (PCL) did not decrease the strength and thermal properties. In addition, using polycaprolactone (PCL) as a biodegradable material may improve the flexibility of moulding sands with polymeric binder and reduce toxicity

Patient involvement to maximise patient-centred benefit of medical technology for people living with kidney disease

Research Centre Grant from Science Foundation Ireland [grant number RC/2073 p2 (CURAM)]