A multi-center study on the attitudes of Malaysian emergency health care staff towards allowing family presence during resuscitation of adult patients

BACKGROUND The practice of allowing family members to witness on-going active resuscitation has been gaining ground in many developed countries since it was first introduced in the early 1990s. In many Asian countries, the acceptability of this practice has not been well studied. AIM We conducted a multi-center questionnaire study to determine the attitudes of health care professionals in Malaysia towards family presence to witness ongoing medical procedures during resuscitation. METHODS Using a bilingual questionnaire (in Malay and English language), we asked our respondents about their attitudes towards allowing family presence (FP) as well as their actual experience of requests from families to be allowed to witness resuscitations. Multiple logistic regression was used to analyze the association between the many variables and a positive attitude towards FP. RESULTS Out of 300 health care professionals who received forms, 270 responded (a 90% response rate). Generally only 15.8% of our respondents agreed to allow relatives to witness resuscitations, although more than twice the number (38.5%) agreed that relatives do have a right to be around during resuscitation. Health care providers are significantly more likely to allow FP if the procedures are perceived as likely to be successful (e.g., intravenous cannulation and blood taking as compared to chest tube insertion). Doctors were more than twice as likely as paramedics to agree to FP (p-value = 0.002). This is probably due to the Malaysian work culture in our health care systems in which paramedics usually adopt a 'follow-the-leader' attitude in their daily practice. CONCLUSION The concept of allowing FP is not well accepted among our Malaysian health care providers

Novel genetic loci associated with hippocampal volume

The hippocampal formation is a brain structure integrally involved in episodic memory, spatial navigation, cognition and stress responsiveness. Structural abnormalities in hippocampal volume and shape are found in several common neuropsychiatric disorders. To identify the genetic underpinnings of hippocampal structure here we perform a genome-wide association study (GWAS) of 33,536 individuals and discover six independent loci significantly associated with hippocampal volume, four of them novel. Of the novel loci, three lie within genes (ASTN2, DPP4 and MAST4) and one is found 200 kb upstream of SHH. A hippocampal subfield analysis shows that a locus within the MSRB3 gene shows evidence of a localized effect along the dentate gyrus, subiculum, CA1 and fissure. Further, we show that genetic variants associated with decreased hippocampal volume are also associated with increased risk for Alzheimer's disease (rg =-0.155). Our findings suggest novel biological pathways through which human genetic variation influences hippocampal volume and risk for neuropsychiatric illness

Bereiding van vinylacetaat uit acetyleen en azijnzuur

Document(en) uit de collectie Chemische ProcestechnologieDelftChemTechApplied Science

Paenibacillus taichungensis sp nov., from soil in Taiwan

Among a large collection of Taiwanese soil isolates, a novel Gram-variable, rod-shaped, motile, endospore-forming bacterial strain, strain V10537(T), was subjected to a polyphasic study including 16S rRNA and gyrB gene sequence analysis, DNA-DNA hybridization experiments, cell wall peptidoglycan type, cellular fatty acid composition analysis and comparative phenotypic characterization. 16S rRNA gene sequence analysis indicated that the organism belonged to the genus Paenibacillus. Strain V10537(T) possessed meso-diaminopimelic acid as the diagnostic diamino acid of the peptidoglycan. It contained menaquinone MK-7 as the predominant isoprenoid quinone and anteiso-C(15:0),0 (53.6%) and C(16:0) (19.0%) as the major fatty acids. Phylogenetically, the most closely related species to strain V10537(T) were Paenibacillus pabuli, Paenibacillus xylanilyticus, Paenibaciflus amylolyticus, Paenibacillus barcinonensis and Paenibacillus illinoisensis, with 16S rRNA gene sequence similarities of 99.5, 98.8, 98.3, 98.2 and 98.1 % to the respective type strains. The gyrB gene sequence similarities between strain V10537(T) and these strains were 76.9-85.0%. DNA-DNA hybridization experiments showed levels of relatedness of 8.5-45.6 % between strain V10537(T) and these strains. The DNA G + C content of strain V10537(T) was 46.7 mol%. Strain V10537(T) was clearly distinguishable from other Paenibacillus species and thus represents a novel species of the genus Paenibacillus, for which the name Paenibacillus taichungensis sp. nov. is proposed. The type strain is V10537(T) (=BCRC 17757(T) = DSM 19942(T))

Processes of structural crust formation on coarse-textured soils

Summary In order to understand better the mechanisms of structural crust formation on coarse-textured soils, mixtures of 92.5% sand and 7.5% Ca2+-kaolinite are exposed to simulated rainfall in experiments- involving a range of sand particle sizes, drop diameters and drop kinetic energies. For each combination of these variables, clay illuviation is measured and the changes in surface structure are observed on thin sections. The intensity of clay illuviation is inversely proportional to sand particle size and is shown to be determined by both rainfall and drop kinetic energy. A washed-out layer forms at the surface of all samples exposed to drop impact. The lower boundary of this layer is generally marked by a relative concentration of clay micro-aggregates in the form of a band. These micro-aggregates are probably fragments derived from grain coatings initially present in the washed-out layer. They accumulate at a depth that increases, on average, with drop kinetic energy and with the particle size of the sand fraction. Based on similarities with natural crusts, it is proposed that clay-band formation in structural crusts formed on coarse-textured soils may be initiated by the displacement of micro-aggregates or other small particles from the washed-out layer, followed by their accumulation due to mechanical straining. The experiments also point to the potential importance of the particle size of the sand fraction on the morphology of structural crusts