Incidence and progression of diabetic retinopathy within a private diabetes mellitus clinic in South Africa

Objective: The study objective was to examine the influence of glycaemic control and ethnic variations on the incidence and progression of diabetic retinopathy (DR).Design, subjects and setting: Eight hundred and ninety-two persons with type 1 diabetes mellitus, and 1 998 persons with type 2 diabetes mellitus, who were enrolled in a private diabetes mellitus management programme in South Africa, participated in the study. Survival analyses were conducted to assess the relationship between the risk factors and the incidence of DR and referable DR, and the progression of DR.Outcome measures: Cumulative incidence of diabetic retinopathy and referable diabetic retinopathy.Results: The seven-year cumulative incidence of DR and referable DR was 536 and 50 cases per 1 000 persons with type 1 diabetes mellitus without DR at baseline, and 351 and 47 cases per 1 000 persons with type 2 diabetes mellitus. The seven-year cumulative incidence of referable DR was 332 cases per 1 000 persons with type 1 diabetes mellitus with background DR at baseline, and 360 cases with type 2 diabetes mellitus, representing a seven- and eightfold increase compared to no DR at baseline. After controlling for known risk factors for DR, a high baseline haemoglobin A1c (HbA1c) and non-Caucasian ethnicity were associated with the incidence of referable DR in patients with type 1 and type 2 diabetes mellitus.Conclusion: It was revealed in the first study to report on the incidence and progression of DR in South Africa that a high baseline HbA1c, ethnicity, and the presence of background DR increased the risk of the development of referable DR.Keywords: diabetes mellitus, diabetic retinopathy, epidemiology, incidence, risk factors, South Afric

Fermi Surface as the Driving Mechanism for Helical Antiferromagnetic Ordering in Gd-Y Alloys

The first direct experimental evidence for the Fermi surface (FS) driving the helical antiferromagnetic ordering in a gadolinium-yttrium alloy is reported. The presence of a FS sheet capable of nesting is revealed, and the nesting vector associated with the sheet is found to be in excellent agreement with the periodicity of the helical ordering.Comment: 4 pages, 4 figure

Magnetic phase transitions in Gd64Sc36 studied using non-contact ultrasonics

The speed and attenuation of ultrasound propagation can be used to determine material properties and identify phase transitions. Standard ultrasonic contact techniques are not always convenient due to the necessity of using couplant; however, recently reliable non-contact ultrasonic techniques involving electromagnetic generation and detection of ultrasound with electromagnetic acoustic transducers (EMATs) have been developed for use on electrically conducting and/or magnetic materials. We present a detailed study of magnetic phase transitions in a single crystal sample of Gd64Sc36 magnetic alloy using contact and non-contact ultrasonic techniques for two orientations of external magnetic field. Phase diagrams are constructed based on measurements of elastic constant C33, the attenuation and the efficiency of generation when using an EMAT. The EMATs are shown to provide additional information related to the magnetic phase transitions in the studied sample, and results identify a conical helix phase in Gd64Sc36 in the magnetic field orientation

Bridge pier scour under pressure flow conditions

The probability of pressurized flow conditions occurring in existing bridges is forecast to increase due to possible changes in extreme precipitation, storm surges and flooding predicted under climate change scenarios. The presence of a pressure flow is generally associated with scouring processes in proximity to the bridge. Scouring can also occur around bridge piers, possibly causing infrastructure failure. While there is a vast literature on bridge pier scour and pressure flow scour, only a few studies have investigated their combined effect. This study will provide a new overview of the main features of bridge pier scour under pressurized flow conditions, based on laboratory experiences. Special focus is placed on the analysis of the flow features under pressure and free surface conditions and to the temporal evolution of the scour. A comparison with existing literature data is also conducted. The results highlight the nonlinear nature of scour processes and the need to consider pressurized flow conditions during structural design, as the interaction between pressure flow and the bridge pier strongly influences scour features and leads to scour depths much greater than the sum of the individual scours created only by pressure flow or pier presence

Challenges in context-aware mobile language learning: the MASELTOV approach

Smartphones, as highly portable networked computing devices with embedded sensors including GPS receivers, are ideal platforms to support context-aware language learning. They can enable learning when the user is en-gaged in everyday activities while out and about, complementing formal language classes. A significant challenge, however, has been the practical implementation of services that can accurately identify and make use of context, particularly location, to offer meaningful language learning recommendations to users. In this paper we review a range of approaches to identifying context to support mobile language learning. We consider how dynamically changing aspects of context may influence the quality of recommendations presented to a user. We introduce the MASELTOV project’s use of context awareness combined with a rules-based recommendation engine to present suitable learning content to recent immigrants in urban areas; a group that may benefit from contextual support and can use the city as a learning environment

Co-producing research with academics and industry to create a more resilient UK water sector

This is the final version. Available on open access from UCL Press via the DOI in this recordSocietal, economic and environmental impact generated by academic research is a key focus of publicly funded research in the UK. Drawing on experiences from the Safe & SuRe project, a five-year research project that was co-produced with industry, this paper explores the challenges, learnings and benefits of co-producing research with academics and practitioners to create a more resilient UK water sector. Three aspects of the project are explored in detail: the use of a steering group, co-developing research intensively with a water company, and co-dissemination industry-facing events. Emerging themes include: (1) benefits of the industry steering group to develop working relationships and trust among the group; (2) increased dialogue and sharing of information between industry and academics going beyond the one-way communication more commonly reported by STEM academics; and (3) the value of co-disseminating research to maintain and engage new connections and spark new research questions.Engineering and Physical Sciences Research Council (EPSRC

Walk well:a randomised controlled trial of a walking intervention for adults with intellectual disabilities: study protocol

Background - Walking interventions have been shown to have a positive impact on physical activity (PA) levels, health and wellbeing for adult and older adult populations. There has been very little work carried out to explore the effectiveness of walking interventions for adults with intellectual disabilities. This paper will provide details of the Walk Well intervention, designed for adults with intellectual disabilities, and a randomised controlled trial (RCT) to test its effectiveness. Methods/design - This study will adopt a RCT design, with participants allocated to the walking intervention group or a waiting list control group. The intervention consists of three PA consultations (baseline, six weeks and 12 weeks) and an individualised 12 week walking programme. A range of measures will be completed by participants at baseline, post intervention (three months from baseline) and at follow up (three months post intervention and six months from baseline). All outcome measures will be collected by a researcher who will be blinded to the study groups. The primary outcome will be steps walked per day, measured using accelerometers. Secondary outcome measures will include time spent in PA per day (across various intensity levels), time spent in sedentary behaviour per day, quality of life, self-efficacy and anthropometric measures to monitor weight change. Discussion - Since there are currently no published RCTs of walking interventions for adults with intellectual disabilities, this RCT will examine if a walking intervention can successfully increase PA, health and wellbeing of adults with intellectual disabilities