2,001 research outputs found
Polymorphisms in the methylenetetrahydrofolate reductase (MTHFR) gene, intakes of folate and related B vitamins and colorectal cancer : a case-control study in a population with relatively low folate intake
Peer reviewedPublisher PD
Train-the-trainers in hand hygiene : a standardized approach to guide education in infection prevention and control
Background
Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a âTrain-the-Trainersâ (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries.Methods
We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training.Results
Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (nâ=â196; 64.2%), physicians (nâ=â53; 17.3%) and other health professionals (nâ=â56; 18.3%). In total, participants from more than 20 countries were trained. A significant (pâ<â0.05) improvement in knowledge between the pre- and post-TTT training phases was observed in all countries. Puebla (Mexico) had the highest improvement (22.3%; pâ<â0.001), followed by Malaysia (21.2%; pâ<â0.001), Jalisco (Mexico; 20.2%; pâ<â0.001), Thailand (18.8%; pâ<â0.001), South Africa (18.3%; pâ<â0.001), Iran (17.5%; pâ<â0.001) and Spain (9.7%; pâ=â0.047). Spain had the highest overall test scores, while Thailand had the lowest pre- and post-scores. Positive aspects reported included: unique learning environment, sharing experiences, hands-on practices on a secure environment and networking among IPC professionals. Sustainability was assessed through follow-up evaluations conducted in three original TTT course sites in Mexico (Jalisco and Puebla) and in Spain: improvement was sustained in the last follow-up phase when assessed 5âmonths, 1âyear and 2âyears after the first TTT course, respectively.Conclusions
The TTT in hand hygiene model proved to be effective in enhancing participantâs knowledge, sharing experiences and networking. IPC professionals can use this reference training method worldwide to further disseminate knowledge to other health care workers.peer-reviewe
Pathways between soil moisture and precipitation in southeastern South America
Southeastern South America (SESA) is found to be the main hot spot of soil moisture?evapotranspiration coupling of South America during a dry summer. However, only its eastern part is a soil moisture?precipitation hot spot. Pathways between soil moisture and precipitation are evaluated through studying the coupling of soil moisture with surface and boundary layer variables. The outcome suggests that both the moist static energy and its vertical gradient are important for the development of precipitation, as a result of the total surface heat fluxes that are affected by soil moisture only in the eastern part of SESA.Fil: Ruscica, Romina. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la AtmĂłsfera; ArgentinaFil: Sörensson, Anna A.. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la AtmĂłsfera; ArgentinaFil: Menendez, Claudio Guillermo. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la AtmĂłsfera; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ciencias de la AtmĂłsfera y los OcĂ©anos; Argentin
Local biases drive, but do not determine, the perception of illusory trajectories
When a dot moves horizontally across a set of tilted lines of alternating orientations, the dot appears to be moving up and down along its trajectory. This perceptual phenomenon, known as the slalom illusion, reveals a mismatch between the veridical motion signals and the subjective percept of the motion trajectory, which has not been comprehensively explained. In the present study, we investigated the empirical boundaries of the slalom illusion using psychophysical methods. The phenomenon was found to occur both under conditions of smooth pursuit eye movements and constant fixation, and to be consistently amplified by intermittently occluding the dot trajectory. When the motion direction of the dot was not constant, however, the stimulus display did not elicit the expected illusory percept. These findings confirm that a local bias towards perpendicularity at the intersection points between the dot trajectory and the tilted lines cause the illusion, but also highlight that higher-level cortical processes are involved in interpreting and amplifying the biased local motion signals into a global illusion of trajectory perception
Local biases drive, but do not determine, the perception of illusory trajectories
When a dot moves horizontally across a set of tilted lines of alternating orientations, the dot appears to be moving up and down along its trajectory. This perceptual phenomenon, known as the slalom illusion, reveals a mismatch between the veridical motion signals and the subjective percept of the motion trajectory, which has not been comprehensively explained. In the present study, we investigated the empirical boundaries of the slalom illusion using psychophysical methods. The phenomenon was found to occur both under conditions of smooth pursuit eye movements and constant fixation, and to be consistently amplified by intermittently occluding the dot trajectory. When the motion direction of the dot was not constant, however, the stimulus display did not elicit the expected illusory percept. These findings confirm that a local bias towards perpendicularity at the intersection points between the dot trajectory and the tilted lines cause the illusion, but also highlight that higher-level cortical processes are involved in interpreting and amplifying the biased local motion signals into a global illusion of trajectory perception
Five-Component Self-Assembly of Cucurbituril-Based Hetero-pseudorotaxanes
[5]Pseudorotaxanes can be obtained by self-sorting using heteroditopic guests and various cucurbituril homologues as hosts. The assembly and chemically induced disassembly of the pseudorotaxanes can be monitored by measuring the fluorescence of the anthracene guest in solution. Mass spectral evidence for the supramolecular assemblies is obtained in the gas phase. The disassembly in the gas phase can be achieved by collision-induced dissociation leading to the corresponding [2]- and [3]pseudorotaxanes.Ministerio de Economia y Competitividad, Madrid, Spain [CTQ2011-28390, CTQ2014-54729-C2-1-P, BES2015-074458]; Junta de Andalucia [P12-FQM2140]; Fundacao para a Ciencia e a Tecnologia, Lisbon, Portugal [SFRH/BD/81628/2011]; Egyptian Ministry of Higher Education, Cairoinfo:eu-repo/semantics/publishedVersio
Alcohol consumption and lifetime change in cognitive ability:a gene Ă environment interaction study
Studies of the effect of alcohol consumption on cognitive ability are often confounded. One approach to avoid confounding is the Mendelian randomization design. Here, we used such a design to test the hypothesis that a genetic score for alcohol processing capacity moderates the association between alcohol consumption and lifetime change in cognitive ability. Members of the Lothian Birth Cohort 1936 completed the same test of intelligence at age 11 and 70Â years. They were assessed for recent alcohol consumption in later life and genotyped for a set of four single-nucleotide polymorphisms in three alcohol dehydrogenase genes. These variants were unrelated to late-life cognition or to socioeconomic status. We found a significant gene Ă alcohol consumption interaction on lifetime cognitive change (pâ=â0.007). Individuals with higher genetic ability to process alcohol showed relative improvements in cognitive ability with more consumption, whereas those with low processing capacity showed a negative relationship between cognitive change and alcohol consumption with more consumption. The effect of alcohol consumption on cognitive change may thus depend on genetic differences in the ability to metabolize alcohol
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