Developing targeted health service interventions using the PRECEDE-PROCEED model: two Australian case studies

 This paper provides an overview of the applicability of the PRECEDE-PROCEED Model to the development of targeted nursing led chronic illness interventions. Background. Changing health care practice is a complex and dynamic process that requires consideration of social, political, economic, and organisational factors. An understanding of the characteristics of the target population, health professionals, and organizations plus identification of the determinants for change are also required. Synthesizing this data to guide the development of an effective intervention is a challenging process. The PRECEDE-PROCEED Model has been used in global health care settings to guide the identification, planning, implementation, and evaluation of various health improvement initiatives. Design. Using a reflective case study approach, this paper examines the applicability of the PRECEDE-PROCEED Model to the development of targeted chronic care improvement interventions for two distinct Australian populations: a rapidly expanding and aging rural population with unmet palliative care needs and a disadvantaged urban community at higher risk of cardiovascular disease. Results. The PRECEDE-PROCEED Model approach demonstrated utility across diverse health settings in a systematic planning process. In environments characterized by increasing health care needs, limited resources, and growing community expectations, adopting planning tools such as PRECEDE-PROCEED Model at a local level can facilitate the development of the most effective interventions. Relevance to Clinical Practice. The PRECEDE-PROCEED Model is a strong theoretical model that guides the development of realistic nursing led interventions with the best chance of being successful in existing health care environments

Reducing the risk of heart disease among Indian Australians: knowledge, attitudes, and beliefs regarding food practices - a focus group study

BACKGROUND: Australia has a growing number of Asian Indian immigrants. Unfortunately, this population has an increased risk for coronary heart disease (CHD). Dietary adherence is an important strategy in reducing risk for CHD. This study aimed to gain greater understanding of the knowledge, attitudes and beliefs relating to food practices in Asian Indian Australians. METHODS: Two focus groups with six participants in each were recruited using a convenience sampling technique. Verbatim transcriptions were made and thematic content analysis undertaken. RESULTS: Four main themes that emerged from the data included: migration as a pervasive factor for diet and health; importance of food in maintaining the social fabric; knowledge and understanding of health and diet; and elements of effective interventions. DISCUSSION: Diet is a complex constructed factor in how people express themselves individually, in families and communities. There are many interconnected factors influencing diet choice that goes beyond culture and religion to include migration and acculturation. CONCLUSIONS: Food and associated behaviors are an important aspect of the social fabric. Entrenched and inherent knowledge, attitudes, beliefs and traditions frame individuals\u27 point of reference around food and recommendations for an optimal diet

Critical Casimir effect and wetting by helium mixtures

We have measured the contact angle of the interface of phase-separated $^{3}$He-$^{4}$He mixtures against a sapphire window. We have found that this angle is finite and does not tend to zero when the temperature approaches $T_t$, the temperature of the tri-critical point. On the contrary, it increases with temperature. This behavior is a remarkable exception to what is generally observed near critical points, i.e. "critical point wetting''. We propose that it is a consequence of the "critical Casimir effect'' which leads to an effective attraction of the $^{3}$He-$^{4}$He interface by the sapphire near $T_{t}$.Comment: submitted july 13 (2002), published march 20 (2003

Experimental characterization and multi-physics simulation of a triple-junction cell in a novel hybrid III:V concentrator photovoltaic–thermoelectric receiver design with secondary optical element

A lattice-matched monolithic triple-junction Concentrator Photovoltaic cell (InGa(0.495)P/GaIn(0.012)As/Ge) was electrically and thermally interfaced to a Thermoelectric Peltier module. A single optical design secondary lens was bonded to the CPV-TE receiver. The hybrid SILO-CPV-TE solar energy harvesting device was electrically, thermally and theoretically investigated. The electrical performance data for the cell under variable irradiance and cell temperature conditions were measured using the integrated thermoelectric module as both a temperature sensor and as a solid-state heat pump. The cell was electrically characterised under standard test conditions (1000 W/m2 irradiance, 25°C temperature and AM1.5G spectrum) for comparison with literature data. Transient multiphysics simulations in ANSYS CFX 15.0 were carried out to calculate cell temperatures and to determine the short circuit current and temperature coefficient in a scaling law. The optimization was used to determine 15 model parameters for the component sub-cells within the triple-junction cell at STC with a MATLAB scaling law. The root-mean-square error in electrical currents between measurement and simulations was 0.66%

Co-production of 11α-hydroxyprogesterone and ethanol using recombinant yeast expressing fungal steroid hydroxylases

Background Bioethanol production from sustainable sources of biomass that limit effect on food production are needed and in a biorefinery approach co-products are desirable, obtained from both the plant material and from the microbial biomass. Fungal biotransformation of steroids was among the first industrial biotransformations allowing corticosteroid production. In this work, the potential of yeast to produce intermediates needed in corticosteroid production is demonstrated at laboratory scale following bioethanol production from perennial ryegrass juice. Results Genes encoding the 11?-steroid hydroxylase enzymes from Aspergillus ochraceus (11?-SHAoch) and Rhizopus oryzae (CYP509C12) transformed into Saccharomyces cerevisiae for heterologous constitutive expression in p425TEF. Both recombinant yeasts (AH22:p11?-SHAoch and AH22:p509C12) exhibited efficient progesterone bioconversion (on glucose minimal medial containing 300 ?M progesterone) producing either 11?-hydroxyprogesterone as the sole metabolite (AH22:p11?-SHAoch) or a 7:1 mixture of 11?-hydroxyprogesterone and 6?-hydroxyprogesterone (AH22:p509C12). Ethanol yields for AH22:p11?-SHAoch and AH22:p509C12 were comparable resulting in ?75% conversion of glucose to alcohol. Co-production of bioethanol together with efficient production of the 11-OH intermediate for corticosteroid manufacture was then demonstrated using perennial ryegrass juice. Integration of the 11?-SHAoch gene into the yeast genome (AH22:11?-SHAoch+K) resulted in a 36% reduction in yield of 11?-hydroxyprogesterone to 174 ?mol/L using 300 ?M progesterone. However, increasing progesterone concentration to 955 ?M and optimizing growth conditions increased 11?-hydroxyprogesterone production to 592 ?mol/L product formed. Conclusions The progesterone 11?-steroid hydroxylases from A. ochraceus and R. oryzae, both monooxygenase enzymes of the cytochrome P450 superfamily, have been functionally expressed in S. cerevisiae. It appears that these activities in fungi are not associated with a conserved family of cytochromes P450. The activity of the A. ochraceous enzyme was important as the specificity of the biotransformation yielded just the 11-OH product needed for corticosteroid production. The data presented demonstrate how recombinant yeast could find application in rural biorefinery processes where co-production of value-added products (11?-hydroxyprogesterone and ethanol) from novel feedstocks is an emergent and attractive possibility.publishersversionPeer reviewe

Direct observation of homogeneous cavitation in nanopores

We report on the evaporation of hexane from porous alumina and silicon membranes. These membranes contain billions of independent nanopores tailored to an ink-bottle shape, where a cavity several tens of nanometers in diameter is separated from the bulk vapor by a constriction. For alumina membranes with narrow enough constrictions, we demonstrate that cavity evaporation proceeds by cavitation. Measurements of the pressure dependence of the cavitation rate follow the predictions of the bulk, homogeneous, classical nucleation theory, definitively establishing the relevance of homogeneous cavitation as an evaporation mechanism in mesoporous materials. Our results imply that porous alumina membranes are a promising new system to study liquids in a deeply metastable state.Comment: 14 pages , 4 figures. Source files also contain Supplemental Material (Doebele_HomogeneousCavitationMembranes_SM.pdf

A scaling law for monocrystalline PV/T modules with CCPC and comparison with triple junction PV cells

This is the final version of the article. Available from Elsevier via the DOI in this record.Scaling laws serve as a tool to convert the five parameters in a lumped one-diode electrical model of a photovoltaic (PV) cell/module/panel under indoor standard test conditions (STC) into the parameters under any outdoor conditions. By using the transformed parameters, a current-voltage curve can be established under any outdoor conditions to predict the PV cell/module/panel performance. A scaling law is developed for PV modules with and without crossed compound parabolic concentrator (CCPC) based on the experimental current-voltage curves of six flat monocrystalline PV modules collected from literature at variable irradiances and cell temperatures by using nonlinear least squares method. Experiments are performed to validate the model and method on a monocrystalline PV cell at various irradiances and cell temperatures. The proposed scaling law is compared with the existing one, and the former exhibits a much better accuracy when the cell temperature is higher than 40 °C. The scaling law of a triple junction flat PV cell is also compared with that of the monocrystalline cell and the CCPC effects on the scaling law are investigated with the monocrystalline PV cell. It is identified that the CCPCs impose a more significant influence on the scaling law for the monocrystalline PV cell in comparison with the triple junction PV cell. The proposed scaling law is applied to predict the electrical performance of PV/thermal modules with CCPC.The authors gratefully acknowledge the EPSRC Solar Challenge project SUNTRAP (EP/K022156/1) and Sȇr Cymru National Research Network grant 152 for financial support in the UK

The Basics of Water Waves Theory for Analogue Gravity

This chapter gives an introduction to the connection between the physics of water waves and analogue gravity. Only a basic knowledge of fluid mechanics is assumed as a prerequisite.Comment: 36 pages. Lecture Notes for the IX SIGRAV School on "Analogue Gravity", Como (Italy), May 201

Conceptual design and performance evaluation of a hybrid concentrating photovoltaic system in preparation for energy

Concentrating sunlight and focussing it on smaller sized solar cells increases the device's power output per unit active area. However, this process tends to increase the solar cell temperature considerably and has the potential to compromise system reliability. Adding a heat exchanger system to regulate this temperature rise, can improve the electrical performance whilst simultaneously providing an additional source of low temperature heat. In this study the performance of a low concentrator photovoltaic system with thermal (LCPV/T) extraction was conceptualised and evaluated in depth. An experimental analysis was performed using a first-generation prototype consisting of 5 units of Cross Compound Parabolic Concentrators (CCPC) connected to a heat extraction unit. A bespoke rotating table was used as experimental apparatus to effectively evaluate the optical performance of the system, as a function of its angular positions to replicate the motion of actual sun. Key design performance parameters for the LCPV/T collector are presented and discussed. This work also provides a useful technique to effectively calculate system performance, as a function of the orientation-dependant electrical characterisation parameters data. Finally, a Computational Fluid Dynamics (CFD) model was also applied to investigate the efficacy of the heat exchanger and hence estimate the overall co-generation benefit of using such optimisation techniques on realistic CPV systems. It was highlighted through these simulations that the water flow rate had the potential to be a critical power-generation optimisation criterion for LCPV-T systems. The maximum power output at normal incidence with concentrators and no water flow was found to be 78.4 mW. The system was found to perform with an average electrical efficiency ranging between 10 and 16% when evaluated at five different geographic locations. Experimental analysis of the data obtained showed an increase in power of 141% (power ratio 2.41) compared to the analogous non-concentrating counterpart. For example, in the case of London which receives an annual solar radiation of 1300 kWh/m2 the system is expected to generate 210 kWh/m2. This may reduce further to include losses due to temperature, reflectance/glazing losses, and electrical losses in cabling and inverter by up to 36% leading to an annual power output of 134 kWh/m2 of module

Width distribution of contact lines on a disordered substrate

We have studied the roughness of a contact line of a liquid meniscus on a disordered substrate by measuring its width distribution. The comparison between the measured width distribution and the width distribution calculated in previous works, extended here to the case of open boundary conditions, confirms that the Joanny-de Gennes model is not sufficient to describe the dynamics of contact lines at the depinning threshold. This conclusion is in agreement with recent measurements which determine the roughness exponent by extrapolation to large system sizes.Comment: 4 pages, 3 figure