Strategies, Practices, and Challenges for Interagency Co-Authorship in an International Science and Development Program

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Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Destruction of methylene blue by mediated electrolysis using two-phase system

The destruction and colour removal of methylene blue were carried out by mediated electrochemical oxidation using cerium(IV) mediator in nitric acid medium using two-phase system and was applied for oxidation of organic compound. Organic compounds and mediator were taken in the organic and aqueous phases respectively. The influence of organic solvent type, cerium(III) concentration, dye concentration, stirring speed and temperature were investigated in order to find the optimum conditions of the system to check the removal of COD and colour in the organic phase. The decolourisation followed the pseudo-first order reaction for electrochemically oxidized cerium(IV). The maximum colour removal efficiency of 95% was achieved within 45 min in dichloromethane solvent system. The COD removal efficiency and colour removal rate were increased with increase in temperature and stirring speed

Experimental investigation of augmented thermal and performance characteristics of solar air heater ducts due to varied orientations of roughness geometry on the absorber plate

This paper presents the outdoor experimental results for thermal performance analysis of artificially roughened solar air heaters (SAHs). Circular wire ribs have been arranged to form arc shape geometry on the absorber plates and have been tested for two configurations of SAHs named as arc shape apex-downstream flow and arc shape apex-upstream flow SAH. Roughness parameters have been taken as relative roughness pitch in the range of 8–15, angle of attack 45°–75°, and for fixed relative roughness height of 0.0454, duct width to duct height ratio of 11. During the experimental analysis the mass flow rate varied from 0.0100 to 0.0471 kg/s. Based on the experimental results it was found that roughness with apexupstream flow SAH is having higher value of thermal efficiency, heat removal factor and collector efficiency factor as compared to roughness with apexdownstream flow SAH and simple absorber plate SAH. In the range of the operating parameters investigated the maximum of thermal efficiency, heat removal factor, and collector efficiency factor have been found

Face To Face Proximity Estimation Using Bluetooth on Smartphones

ABSTRACT The availability of "always-on" communications has tremendous implications for how people interact socially. In particular, individuals within a certain distance? Moreover, the problem of proximity estimation is complicated by the fact that the measurement must be quite precise (1-1.5 m) and can cover a wide variety of environments. Existing approaches such as GPS and Wi-Fi triangulation are insufficient to meet the requirements of accuracy and flexibility. In contrast, Bluetooth, which is commonly available on most smartphones, provides a compelling alternative for proximity estimation. In this paper, we demonstrate through experimental studies the efficacy of Bluetooth for this exact purpose. We propose a proximity estimation model to determine the distance based on the RSSI values of Bluetooth and light sensor data in different environments. We present several real world scenarios and explore Bluetooth proximity estimation on Android with respect to accuracy and power consumption

Proceedings of International Conference On Global Innovations In Computing Technology (ICGICT'14) Disperse Processin Of Presumption Top-K Inquire In Wireless Sensor Networks

Abstract: WSN is a wider range of network to collect the data and extract information from the physical world. The new technology is implemented in various fields of military, science, industry, commerce etc. The sensing quality produces the good results of accuracy and tolerance to hardware and external noise. In existing system two techniques are used namely sufficient set and necessary set. But, it does not reduce the transmission cost. In the proposed system, we develop suitable algorithms namely SSB, NSB and BB for intercluster query processing with boundary rounds of communications. There are three algorithms which dynamically changes of data distribution in the network and minimize the transmission cost. In the wireless sensor networks, the sufficient set of data with two-tier hierarchical and tree structure network topologies. Hence, the experimental results show that the proposed algorithms reduce the data transmission significantly. According to various conditions which give the near optimal solutions with high performance