72 research outputs found
Light distribution and perceived spaciousness: Light patterns in scale models
Previous research showed that light distribution can affect the perception of spatial size and shape. However, most studies are limited to quantitative assessment of a few scenarios without explaining possible causes behind peoples’ experiences. This exploratory study aimed to reveal complex relationships between light patterns and perceived size, and to investigate how light patterns affect perceived spaciousness. A qualitative approach was used with pair-wise comparisons between systematic visual observations of scale models. The observations confirmed that illuminated walls increase spaciousness. Yet, darkness impacts the perception of spaciousness as well. Both compound and separated light zones can expand depth, height, or width, depending on the interpretation of these patterns of light seen in relation to the whole spatial context. Furthermore, the position of illuminated areas, with placements on edge or in the center, may additionally influence perceived size
Experience of Spaciousness and Enclosure: Distribution of Light in Spatial Complexity
This study explore how distribution of light impacts perceived space. The purpose of this study was to gain a rich and deep understanding of the relationships that exist between distribution of light and spatial experience. In this research, spatial complexity is studied through a qualitative approach with a combined methods strategy. 21 informants answered a questionnaire and drew sketches, followed by in-depth interviews in a real-life auditorium with five light scenarios. The scenarios varied in light distribution, light level and light colour. All findings were triangulated in the final analysis. Surprisingly, a dark room appeared as more spacious when the spatial boundaries become unclearly defined. Simultaneously, findings indicate that bright walls can, in contrast to what most previous research suggests, contribute to a decreased spaciousness, if they become prominent enough. The results indicate a relationship between perception of increased width, caused by wall lighting, and reduced height, caused by indirect ceiling light. The experience of room size and spatial enclosure in relation to light distribution did not follow physical room boundaries. Furthermore, interview answers indicate that there can be a relationship between lighting and social interaction
Training, status and migration of general practitioners / family physicians within Europe
The survey intended to explore and identify the
training background and status of general practitioners/
family physicians (GPs) in member countries within
EURACT (European Academy of Teachers in General
Practice/Family Medicine), and to gain an overview of
processes involved when GP-trained doctors migrate to
work in another member country. A questionnaire, with closed and open-ended
questions, was sent to representatives of all 39
EURACT-member countries in 2009. The main outcome
measures were the training background and status of
GPs in public/private settings in each country and the
requirements of additional training and testing when
migrating to another country. Forty-one completed questionnaires were received
from 31 (79%) of the EURACT countries. The data
indicate that specialist training for General Practice/
Family Medicine (GP/FM) is well established throughout
and generally required for appointment to public career
posts. The data also indicate that European Uniontrained
GPs can move freely to most countries with
usually no tests of medical knowledge or language
proficiency. Orientation to the healthcare system in the
destination country is usually not provided. work in public/private GP/FM posts in many European
countries, although new appointments to public posts
RESEARCH ARTICLE
Training, status and migration
of General Practitioners/Family
Physicians within Europe
in nearly all countries require specialist GP training.
It was not possible to identify a uniform or agreed
approach applied by employing agencies to confirm
the medical competence and language skills of migrant
doctors and to provide them with orientation to
healthcare systems. In the high-context dependent
discipline of GP/FM this is of concern.peer-reviewe
“Just Carbon”: Ideas About Graphene Risks by Graphene Researchers and Innovation Advisors
Graphene is a nanomaterial with many promising and innovative applications, yet early studies indicate that graphene may pose risks to humans and the environment. According to ideas of responsible research and innovation, all relevant actors should strive to reduce risks related to technological innovations. Through semi-structured interviews, we investigated the idea of graphene as a risk (or not) held by two types of key actors: graphene researchers and innovation advisors at universities, where the latter are facilitating the movement of graphene from the laboratory to the marketplace. The most common idea found is that graphene is not a risk due to, e.g., low toxicity, low amounts produced/used, and its similarity to harmless materials (being “just carbon”). However, some researchers and advisors also say that graphene is a risk, e.g., under certain conditions or due to a lack of risk-related information. We explain the co-existence of these seemingly contradictory ideas through (1) the semantic ambiguity of the word risk and (2) a risk/no-risk rhetoric, where risks are mentioned rhetorically only to be disregarded as manageable or negligible. We suggest that some of the ideas held by the researchers and innovation advisors constitute a challenge to responsible research and innovation regarding graphene. At the same time, we acknowledge the dilemma that the discourse of responsible innovation creates for the actors: denying graphene risks makes them irresponsible due to a lack of risk awareness, while affirming graphene risks makes them irresponsible due to their everyday engagement in graphene development. We therefore recommend more research into what researchers and innovation advisors should do in practice in order to qualify as responsible
Invasive Group B Streptococcal Disease in Neonates and Infants, Italy, Years 2015–2019
Invasive infections by group B streptococci (iGBS) are the leading cause of sepsis and meningitis in the first three months of life worldwide. The clinical and microbiological characteristics of neonatal and infant iGBS in Italy during the years 2015–2019 were investigated. Voluntary-based surveillance reported 191 cases (67 early-onset (EOD) and 124 late-onset disease (LOD)) and 89 bacterial isolates were received. The main clinical manifestations were sepsis (59.2%) followed by meningitis (21.5%), bacteremia (12.0%) and septic shock (6.3%). Hospitalized preterm babies accounted for one third of iGBS and constituted the most fragile population in terms of mortality (8.2%) and brain damage (16.4%). GBS serotype III was predominant in EOD (56%) and caused almost all LOD (95%). The rate of resistance to clindamycin reached 28.8%. Most of clindamycin-resistant GBS strains (76%) were serotype III-ST17 and possessed the genetic markers of the emerging multidrug resistant (MDR) CC-17 sub-clone. Our data revealed that iGBS is changing since it is increasingly reported as a healthcare-associated infection (22.6%), mainly caused by MDR-CC17. Continuous monitoring of the clinical and microbiological characteristics of iGBS remains of primary importance and it represents, at present, the most effective tool to support prevention strategies and the research on the developing GBS vaccine
Invasive Group B Streptococcal Disease in Neonates and Infants, Italy, Years 2015–2019
Invasive infections by group B streptococci (iGBS) are the leading cause of sepsis and meningitis in the first three months of life worldwide. The clinical and microbiological characteristics of neonatal and infant iGBS in Italy during the years 2015–2019 were investigated. Voluntary-based surveillance reported 191 cases (67 early-onset (EOD) and 124 late-onset disease (LOD)) and 89 bacterial isolates were received. The main clinical manifestations were sepsis (59.2%) followed by meningitis (21.5%), bacteremia (12.0%) and septic shock (6.3%). Hospitalized preterm babies accounted for one third of iGBS and constituted the most fragile population in terms of mortality (8.2%) and brain damage (16.4%). GBS serotype III was predominant in EOD (56%) and caused almost all LOD (95%). The rate of resistance to clindamycin reached 28.8%. Most of clindamycin-resistant GBS strains (76%) were serotype III-ST17 and possessed the genetic markers of the emerging multidrug resistant (MDR) CC-17 sub-clone. Our data revealed that iGBS is changing since it is increasingly reported as a healthcare-associated infection (22.6%), mainly caused by MDR-CC17. Continuous monitoring of the clinical and microbiological characteristics of iGBS remains of primary importance and it represents, at present, the most effective tool to support prevention strategies and the research on the developing GBS vaccine
Identification of a SOX2-dependent subset of tumor- and sphere-forming glioblastoma cells with a distinct tyrosine kinase inhibitor sensitivity profile
Putative cancer stem cells have been identified in glioblastomas and are associated with radio- and chemo-resistance. Further knowledge about these cells is thus highly warranted for the development of better glioblastoma therapies
Impaired Release of Antimicrobial Peptides into Nasal Fluid of Hyper-IgE and CVID Patients
Patients with primary immunodeficiency (PID) often suffer from frequent respiratory tract infections. Despite standard treatment with IgG-substitution and antibiotics many patients do not improve significantly. Therefore, we hypothesized that additional immune deficits may be present among these patients.To investigate if PID patients exhibit impaired production of antimicrobial peptides (AMPs) in nasal fluid and a possible link between AMP-expression and Th17-cells.Nasal fluid, nasopharyngeal swabs and peripheral blood mononuclear cells (PBMCs) were collected from patients and healthy controls. AMP levels were measured in nasal fluid by Western blotting. Nasal swabs were cultured for bacteria. PBMCs were stimulated with antigen and the supernatants were assessed for IL-17A release by ELISA.In healthy controls and most patients, AMP levels in nasal fluid were increased in response to pathogenic bacteria. However, this increase was absent in patients with common variable immunodeficiency (CVID) and Hyper-IgE syndrome (HIES), despite the presence of pathogenic bacteria. Furthermore, stimulation of PBMCs revealed that both HIES and CVID patients exhibited an impaired production of IL-17A.CVID and HIES patients appear to have a dysregulated AMP response to pathogenic bacteria in the upper respiratory tract, which could be linked to an aberrant Th17 cell response
- …