Measuring project success in local government.

Local government (councils) in New South Wales (NSW), Australia, are responsible for the management and delivery of projects in various fields such as: information technology; engineering; and planning. Council budgets for capital works can vary from less than 2 million ($AUD) in smaller councils to over one hundred million ($AUD) in large city councils. Although projects are publicised and promoted as examples of effective local government, operations often comprise the bulk of the statutory reporting requirements. One reason for the preference of operational reporting over project reporting is the difficulty associated in measuring the success of projects. This paper will discuss the issues local government project managers must consider to determine if their project is a success

Outcomes for Children Receiving Noninvasive Ventilation as the First-Line Mode of Mechanical Ventilation at Intensive Care Admission: A Propensity Score-Matched Cohort Study.

OBJECTIVES: To compare outcomes of children receiving noninvasive ventilation with those receiving invasive ventilation as first-line mode of mechanical ventilation following unplanned intensive care admission. DESIGN: Propensity score-matched cohort study analyzing data prospectively collected by the Pediatric Intensive Care Audit Network over 8 years (2007-2014). SETTING: Thirty-one PICUs in the United Kingdom and Ireland; twenty-one of whom submitted Pediatric Critical Care Minimum Dataset data for the entire study period. PATIENTS: Children consecutively admitted to study PICUs. Planned admissions following surgery, unplanned admissions from other hospitals, those on chronic ventilation, and those who did not receive mechanical ventilation on the day of PICU admission were excluded. INTERVENTIONS: Use of noninvasive ventilation, rather than invasive ventilation, as the first-line mode of mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: PICU mortality, length of ventilation, length of PICU stay, and ventilator-free days at day 28. During the study period, there were 151,128 PICU admissions. A total of 15,144 admissions (10%) were eligible for analysis once predefined exclusion criteria were applied: 4,804 (31.7%) received "noninvasive ventilation first," whereas 10,221 (67.5%) received "invasive ventilation first"; 119 (0.8%) admissions could not be classified. Admitting PICU site explained 6.5% of the variation in first-line mechanical ventilation group (95% CI, 2.0-19.0%). In propensity score-matched analyses, receiving noninvasive ventilation first was associated with a significant reduction in mortality by 3.1% (95% CI, 1.7-4.6%), length of ventilation by 1.6 days (95% CI, 1.0-2.3), and length of PICU stay by 2.1 days (95% CI, 1.3-3.0), as well as an increase in ventilator-free days at day 28 by 3.7 days (95% CI, 3.1-4.3). CONCLUSIONS: Use of noninvasive ventilation as first-line mode of mechanical ventilation in critically ill children admitted to PICU in an unplanned fashion may be associated with significant clinical benefits. Further high-quality evidence regarding optimal patient selection and timing of initiation of noninvasive ventilation could lead to less variability in clinical care between institutions and improved patient outcomes

Electrochemical fecal pellet sensor for simultaneous real-time ex vivo detection of colonic serotonin signalling and motility

Various investigations have focused on understanding the relationship between mucosal serotonin (5-HT) and colonic motility, however contradictory studies have questioned the importance of this intestinal transmitter. Here we described the fabrication and use of a fecal pellet electrochemical sensor that can be used to simultaneously detect the release of luminal 5-HT and colonic motility. Fecal pellet sensor devices were fabricated using carbon nanotube composite electrodes that were housed in 3D printed components in order to generate a device that had shape and size that mimicked a natural fecal pellet. Devices were fabricated where varying regions of the pellet contained the electrode. Devices showed that they were stable and sensitive for ex vivo detection of 5-HT, and no differences in the fecal pellet velocity was observed when compared to natural fecal pellets. The onset of mucosal 5-HT was observed prior to the movement of the fecal pellet. The release of mucosal 5-HT occurred oral to the fecal pellet and was linked to the contraction of the bowel wall that drove pellet propulsion. Taken, together these findings provide new insights into the role of mucosal 5-HT and suggest that the transmitter acts as a key initiator of fecal pellet propulsion

Summation of visual motion across eye movements reflects a nonspatial decision mechanism

Human vision remains perceptually stable even though retinal inputs change rapidly with each eye movement. Although the neural basis of visual stability remains unknown, a recent psychophysical study pointed to the existence of visual feature-representations anchored in environmental rather than retinal coordinates (e.g., "spatiotopic" receptive fields; Melcher and Morrone, 2003). In that study, sensitivity to a moving stimulus presented after a saccadic eye movement was enhanced when preceded by another moving stimulus at the same spatial location before the saccade. The finding is consistent with spatiotopic sensory integration, but it could also have arisen from a probabilistic improvement in performance due to the presence of more than one motion signal for the perceptual decision. Here we show that this statistical advantage accounts completely for summation effects in this task. We first demonstrate that measurements of summation are confounded by noise related to an observer's uncertainty about motion onset times. When this uncertainty is minimized, comparable summation is observed regardless of whether two motion signals occupy the same or different locations in space, and whether they contain the same or opposite directions of motion. These results are incompatible with the tuning properties of motion-sensitive sensory neurons and provide no evidence for a spatiotopic representation of visual motion. Instead, summation in this context reflects a decision mechanism that uses abstract representations of sensory events to optimize choice behavior. Copyright © 2010 the authors

Visual dysfunction in Parkinson's disease

Patients with Parkinson's disease have a number of specific visual disturbances. These include changes in colour vision and contrast sensitivity and difficulties with complex visual tasks such as mental rotation and emotion recognition. We review changes in visual function at each stage of visual processing from retinal deficits, including contrast sensitivity and colour vision deficits to higher cortical processing impairments such as object and motion processing and neglect. We consider changes in visual function in patients with common Parkinson's disease-associated genetic mutations including GBA and LRRK2 We discuss the association between visual deficits and clinical features of Parkinson's disease such as rapid eye movement sleep behavioural disorder and the postural instability and gait disorder phenotype. We review the link between abnormal visual function and visual hallucinations, considering current models for mechanisms of visual hallucinations. Finally, we discuss the role of visuo-perceptual testing as a biomarker of disease and predictor of dementia in Parkinson's disease

Developments in the fluidised bed process for fibre recovery from thermoset composites

Carbon fibre reinforced plastic (CFRP) is being used in increasing quantities particularly in the transport industry to reduce carbon emissions through weight reduction and in the energy industries for renewable technologies, such as wind turbines. As a high value and energy intensive material to manufacture a good case can be made for recovering and reusing carbon fibre from waste material. A number of companies in Europe and the USA are now in the early stages of commercial operation, but the focus is upon the recycling of clean, uncontaminated scrap from manufacturing processes and it is recognised that CFRP that is mixed with other materials eg. sandwich panels, metal inserts, painted surfaces and composites made from toughened polymers are more difficult to recycle effectively with existing commercial processes. The fluidised bed process developed at the University of Nottingham for recovering carbon fibre from waste composite material has the potential to process mixed and contaminated CFRP waste. The oxidising conditions allow full removal of any organic materials and the fluidised bed effectively separates the carbon fibres from other incombustible materials, such as metals. The process has now been developed to a scale representative of commercial operation and a waste CFRP comprising intermediate modulus carbon fibre and toughened epoxy resin has been processed successfully and good quality recycled fibres recovered. This paper will present the results and discuss the quality of the carbon fibre recovered from the process. A discussion of some of the key requirements to build a viable fluidised bed plant will also be presented

Mapping the complete glycoproteome of virion-derived HIV-1 gp120 provides insights into broadly neutralizing antibody binding

The surface envelope glycoprotein (SU) of Human immunodeficiency virus type 1 (HIV-1), gp120SU plays an essential role in virus binding to target CD4+ T-cells and is a major vaccine target. Gp120 has remarkably high levels of N-linked glycosylation and there is considerable evidence that this “glycan shield” can help protect the virus from antibody-mediated neutralization. In recent years, however, it has become clear that gp120 glycosylation can also be included in the targets of recognition by some of the most potent broadly neutralizing antibodies. Knowing the site-specific glycosylation of gp120 can facilitate the rational design of glycopeptide antigens for HIV vaccine development. While most prior studies have focused on glycan analysis of recombinant forms of gp120, here we report the first systematic glycosylation site analysis of gp120 derived from virions produced by infected T lymphoid cells and show that a single site is exclusively substituted with complex glycans. These results should help guide the design of vaccine immunogens

Clinical research encounters as a focus of public engagement with science and research

The clinical research encounter is a site of close interaction between research professionals and members of the public, as they jointly perform research, but is not normally considered as a potential site for public engagement. In this paper we adduce theoretical and empirical arguments on the potential of this site for developing a novel mode of engaging publics with science. Our empirical studies use qualitative methods, based primarily on interviews and participant observation. We find that performing in a live experiment offers participants material engagement with science through embodied experience, and generates commitment to the research and to building close working relationships with researchers. Researchers reciprocate, and acknowledge benefits from closer interactions with participants, though remaining partly constrained by their professional acculturation. We argue that the potential of clinical research as an engagement site lies in the combination of material engagement and the conscious commitment by participants to making a contribution to a specific project. Thus the clinical research encounter offers a useful alternative mode of engagement to the language-based paradigm currently dominating work in this field

Study of the lubricant-surface system for in-cylinder applications Abstract

Study of the lubricant-surface system for in-cylinder applications Abstrac