33 research outputs found

    Experiences of Using Models and Information of Building Automation System in Commissioning

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    Simulation programs are widely used in the design of heating and cooling devices. However, modeling of the whole building with simulation programs is exceptional at least in Finland. We have built and utilized whole building models in a commissioning project to estimate the energy consumption and the indoor climate in an educational building. We have also used component models in the commissioning of a ventilation system. One of our pilots was modeled very accurately using IDA-ICE. Finnish engineering office Granlund LTD has modeled the same building with a simulation program called RIUSKA, which is based on DOE-2. We present an analysis based on verification results of simulation to measured energy consumption, and the results of component models to the actual properties of HVAC system

    Variation in the observed effect of Xpert MTB/RIF testing for tuberculosis on mortality: A systematic review and analysis of trial design considerations [version 2; peer review: 3 approved]

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    Background: Most studies evaluating the effect of Xpert MTB/RIF testing for tuberculosis (TB) concluded that it did not reduce overall mortality compared to usual care. We conducted a systematic review to assess whether key study design and execution features contributed to earlier identification of patients with TB and decreased pre-treatment loss to follow-up, thereby reducing the potential impact of Xpert MTB/RIF testing. / Methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and Scopus for literature published from 1st January 2009 to February 2019. We included all primary intervention studies that had evaluated the effect of Xpert MTB/RIF on mortality compared to usual care in participants with presumptive pulmonary TB. We critically reviewed features of included studies across: Study setting and context, Study population, Participant recruitment and enrolment, Study procedures, and Study follow-up. / Results: We included seven randomised and one non-randomised study. All included studies demonstrated relative reductions in overall mortality in the Xpert MTB/RIF arm ranging from 6% to 40%. However, mortality reduction was reported to be statistically significant in two studies. Study features that could explain the lack of observed effect on mortality included: the higher quality of care at study sites; inclusion of patients with a higher pre-test probability of TB leading to higher than expected empirical rates; performance of additional diagnostic testing not done in usual care leading to increased TB diagnosis or empiric treatment initiation; the recruitment of participants likely to return for follow-up; and involvement of study staff in ensuring adherence with care and follow-up. / Conclusion: Most studies of Xpert MTB/RIF were designed and conducted in a manner that resulted in more patients being diagnosed and treated for TB, minimising the potential difference in mortality Xpert MTB/RIF testing could have achieved compared to usual care

    Brewery industry-led seed sector development for sorghum in Tanzania

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    The use of sorghum improved variety seeds has been low among sorghum farmers in Tanzania. Due to this, stakeholders such as brewing companies have launched various initiatives to expand the use of improved sorghum seeds. In general, this study was undertaken to assess the contribution of brewing industry to the sorghum value chain in Tanzania. Specifically, this study aims to determine the extent of use of sorghum in brewing (by quantifying the amount of sorghum grain sold to brewing companies and grain off-takers), identifying stakeholders in the value chain, and the impact of the brewing industry on use of improved seeds by smallholder farmers. The study was conducted in 11 districts in 6 regions of Tanzania covering sorghum farmers, grain off-takers, brewing companies, extension officers, and seed producers. Purposive and simple random sampling was used to select respondents: 591 individual farmers, 160 farmers from 16 focus groups, 15grain off-takers, 14 extension officers, 4 Quality Declared Seed (QDS) producers, and 2 brewing companies. Data was then analyzed using descriptive analysis statistics, Probit Regression, and cost-benefit analysis

    Harnessing Opportunities for Informed Investments in the Sorghum Commodity Value Chain in Tanzania: A Business Case

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    This study was conducted among sorghum farmers, focus groups, seed producers and extension officers in 10 districts of Tanzania to map out business opportunities along the sorghum value chain. Results obtained demonstrated that socio-economic factors such as number of years spent in school, group membership, availability of free seeds, market accessibility and seed accessibility influenced the adoption of improved varieties among sorghum farmers. Improved sorghum seeds reflected the profitability from positive gross benefits obtained among sorghum farmers and seed producers. The general adoption rate among sorghum farmers was low (39.0%), with variety NACO Mtama 1 having the highest adoption rate among farmers (17.0%). Among traders, a majority were large off-takers (79.0%). These off-takers experienced issues such as quality (71.4%), quantity (15.9%), lack of market information (7.9%), unreliable markets (36.3%), low grain quality (24.8%) and high tax levies (10.6%). Further, financial constraints and poor linkages among stakeholders were some inefficiencies in the sorghum value chain. The study recommends greater accessibility to improved sorghum seeds as well as reliable policies that enable processes for sorghum stakeholders along the sorghum value chain

    Molecular characterisation of protist parasites in human-habituated mountain gorillas (Gorilla beringei beringei), humans and livestock, from Bwindi impenetrable National Park, Uganda

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    Over 60 % of human emerging infectious diseases are zoonotic, and there is growing evidence of the zooanthroponotic transmission of diseases from humans to livestock and wildlife species, with major implications for public health, economics, and conservation. Zooanthroponoses are of relevance to critically endangered species; amongst these is the mountain gorilla (Gorilla beringei beringei) of Uganda. Here, we assess the occurrence of Cryptosporidium, Cyclospora, Giardia, and Entamoeba infecting mountain gorillas in the Bwindi Impenetrable National Park (BINP), Uganda, using molecular methods. We also assess the occurrence of these parasites in humans and livestock species living in overlapping/adjacent geographical regions

    Echinococcus multilocularis Detection in Live Eurasian Beavers (Castor fiber) Using a Combination of Laparoscopy and Abdominal Ultrasound under Field Conditions

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    Echinococcus multilocularis is an important pathogenic zoonotic parasite of health concern, though absent in the United Kingdom. Eurasian beavers (Castor fiber) may act as a rare intermediate host, and so unscreened wild caught individuals may pose a potential risk of introducing this parasite to disease-free countries through translocation programs. There is currently no single definitive ante-mortem diagnostic test in intermediate hosts. An effective non-lethal diagnostic, feasible under field condition would be helpful to minimise parasite establishment risk, where indiscriminate culling is to be avoided. This study screened live beavers (captive, n = 18 or wild-trapped in Scotland, n = 12) and beaver cadavers (wild Scotland, n = 4 or Bavaria, n = 11), for the presence of E. multilocularis. Ultrasonography in combination with minimally invasive surgical examination of the abdomen by laparoscopy was viable under field conditions for real-time evaluation in beavers. Laparoscopy alone does not allow the operator to visualize the parenchyma of organs such as the liver, or inside the lumen of the gastrointestinal tract, hence the advantage of its combination with abdominal ultrasonography. All live beavers and Scottish cadavers were largely unremarkable in their haematology and serum biochemistry with no values suspicious for liver pathology or potentially indicative of E. multilocularis infection. This correlated well with ultrasound, laparoscopy, and immunoblotting, which were unremarkable in these individuals. Two wild Bavarian individuals were suspected E. multilocularis positive at post-mortem, through the presence of hepatic cysts. Sensitivity and specificity of a combination of laparoscopy and abdominal ultrasonography in the detection of parasitic liver cyst lesions was 100% in the subset of cadavers (95%Confidence Intervals 34.24-100%, and 86.7-100% respectively). For abdominal ultrasonography alone sensitivity was only 50% (95%CI 9.5-90.6%), with specificity being 100% (95%CI 79.2-100%). For laparoscopy alone sensitivity was 100% (95% CI 34.2-100%), with specificity also being 100% (95% CI 77.2-100%). Further immunoblotting, PCR and histopathological examination revealed one individual positive for E. multilocularis, whilst the other individual was positive for Taenia martis
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