1,165 research outputs found
The pale evidence for treatment of iron-deficiency anaemia in older people
Funding The authors have received funding to carry out a pilot RCT on management of IDA in older people from the Chief Scientist Office, Scotland.Peer reviewedPostprin
Prognostic value of troponins in acute coronary syndrome depends upon patient age
Peer reviewedPostprin
Discriminant Analysis with Spatial Weights for Urban Land Cover Classification
Classifying urban area images is challenging because of the heterogeneous nature of the urban landscape resulting in mixed pixels and classes with highly variable spectral ranges. Approaches using ancillary data, such as knowledge based or expert systems, have shown to improve the classification accuracy in urban areas. Appropriate ancillary data, however, may not always be available. The goal of this study is to compare the results of the discriminant analysis statistical technique with discriminant analysis with spatial weights to classify urban land cover. Discriminant analysis is a statistical technique used to predict group membership for a target based on the linear combination of independent variables. Strict per pixel statistical analysis however does not consider the spatial dependencies among neighbouring pixels. Our study shows that approaches using ancillary data continue to outperform strict spectral classifiers but that using a spatial weight improved the results. Furthermore, results show that when the discriminant analysis technique works well then the spatially weighted approach performs better. However, when the discriminant analysis performs poorly, those poor results are magnified in the spatially weighted approach in the same study area. The study shows that for dominant classes, adding spatial weights improves the classification accuracy.
Process analysis and optimization of biodiesel production from vegetable oils
The dwindling resources of fossil fuels coupled with the steady increase in energy
consumption have spurred research interest in alternative and renewable energy sources.
Biodiesel is one of the most promising alternatives for fossil fuels. It can be made from
various renewable sources, including recycled oil, and can be utilized in lieu of
petroleum-based diesel. To foster market competitiveness for biodiesel, it is necessary to
develop cost-effective and technically sound processing schemes, to identify related key
design criteria, and optimize performance.
The overall goal of this work was to design and optimize biodiesel (Fatty Acid
Methyl Ester āFAMEā) production from vegetable oil. To achieve this goal, several interconnected
research activities were undertaken. First, a base-case flow sheet was
developed for the process. The performance of this flow sheet along with the key design
and operating criteria were identified by conducting computer-aided simulation using
ASPEN Plus. Various scenarios were simulated to provide sufficient understanding and
insights. Also, different thermodynamic databases were used for different sections of the
process to account for the various characteristics of the streams throughout the process.
Next, mass and energy integration studies were performed to reduce the consumption of
material and energy utilities, improve environmental impact, and enhance profitability.
Finally, capital cost estimation was carried out using the ICARUS Process Evaluator
computer-aided tools linked to the results of the ASPEN simulation.
The operating cost of the process was estimated using the key information on
process operation such as raw materials, utilities, and labor. A profitability analysis was
carried out by examining the ROI (Return of Investment) and PP (Payback Period). It
was determined that the single most important economic factor is the cost of soybean oil,
which accounted for more than 90% of the total annualized cost. Consequently, a sensitivity analysis was performed to examine the effect of soybean oil cost on
profitability. It was determined that both ROI and PP quickly deteriorate as the cost of
soybean oil increases
Protocol for a scoping review on information needs and information-seeking behaviour of people with dementia and their non-professional caregivers
Background: Dementia is a debilitating disease that can lead to major changes in a patientās behaviour and function. It is important to educate both dementia patients and their non-professional caregivers about the disease. Yet, currently available sources do not seem to be effective for patients and caregivers, who report a need for more information and guidance. A systematic identification of the patientsā and caregiversā needs for information and information seeking behaviour is needed to create information resources that are relevant and beneficial to the target population. Objective: This is a protocol for a scoping review aimed at gathering knowledge on the information needs and information seeking behaviour of dementia patients and their non- professional caregivers. Our aim is also to provide recommendations for development of future dementia information resources. Methods: The study will commence in November 2018. Both quantitative and qualitative studies on the information needs of dementia patients or caregivers will be examined using Arksey and OāMalleyās methodological framework for scoping studies. A comprehensive literature search will be conducted in electronic databases and grey literature sources. We will also screen reference lists of included studies and related systematic reviews for additional eligible studies. Two authors will perform screening of citations for eligibility, and independently extract data from the included studies in parallel. Any discrepancies will be resolved through discussion. The findings will be presented through a narrative synthesis and reported in line with PRISMA reporting guidelines. Ethics and dissemination: In this review, all included data will originate from published literature. Ethics approval is therefore not a requirement. We will present our findings at relevant conferences and will submit them for publication in peer-reviewed journals. Strengths and limitations of this study ā¢ In this scoping review, we will perform a comprehensive search of electronic databases and grey literature sources to identify up-to-date evidence on information needs and information seeking behaviour of dementia patients and their informal caregivers. ā¢ We will seek to identify evidence on information needs and information seeking behaviour of both dementia patients and their caregivers. ā¢ As this is a scoping review, a formal quality and risk of bias assessment of the included literature will not be performed. ā¢ This review will only include studies published in English
The Genetic Architecture of Noise-Induced Hearing Loss: Evidence for a Gene-by-Environment Interaction.
The discovery of environmentally specific genetic effects is crucial to the understanding of complex traits, such as susceptibility to noise-induced hearing loss (NIHL). We describe the first genome-wide association study (GWAS) for NIHL in a large and well-characterized population of inbred mouse strains, known as the Hybrid Mouse Diversity Panel (HMDP). We recorded auditory brainstem response (ABR) thresholds both pre and post 2-hr exposure to 10-kHz octave band noise at 108 dB sound pressure level in 5-6-wk-old female mice from the HMDP (4-5 mice/strain). From the observation that NIHL susceptibility varied among the strains, we performed a GWAS with correction for population structure and mapped a locus on chromosome 6 that was statistically significantly associated with two adjacent frequencies. We then used a "genetical genomics" approach that included the analysis of cochlear eQTLs to identify candidate genes within the GWAS QTL. In order to validate the gene-by-environment interaction, we compared the effects of the postnoise exposure locus with that from the same unexposed strains. The most significant SNP at chromosome 6 (rs37517079) was associated with noise susceptibility, but was not significant at the same frequencies in our unexposed study. These findings demonstrate that the genetic architecture of NIHL is distinct from that of unexposed hearing levels and provide strong evidence for gene-by-environment interactions in NIHL
Preoperative Kidney Function linked to mortality and readmission outcomes at Day 90 and 30 in Older Emergency Surgical Patients
Grants were received from British Geriatric Society and The Renal Association to support Louis EvansPeer reviewedPublisher PD
The influence of early research experience in medical school on the decision to intercalate and future career in clinical academia : A questionnaire study
Funding for the study was made available from University academic development funds.Peer reviewedPublisher PD
Lower Mental Health Related Quality of Life Precedes Dementia Diagnosis : findings from the EPIC-Norfolk prospective population-based study.
Acknowledgements The EPIC-Norfolk study (DOI 10.22025/2019.10.105.00004) has received funding from the Medical Research Council (MR/N003284/1, MC-UU_12015/1 and MC_UU_00006/1) and Cancer Research UK (C864/A14136). We are grateful to all the participants and participating GP practices who have been part of the project, and to the many members of the study team at the University of Cambridge who have enabled this researchPeer reviewe
Hyponatremia : Special Considerations in Older Patients
Acknowledgments Roy L. Soiza is funded by an NRS Career Research Fellowship.Peer reviewedPublisher PD
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