Levels of some heavy metals in cassava and plantain from farmlands in Kaani and Kpean in Khana Local Government Area of Rivers State

The concentrations of heavy metals (Ni, Zn, Cu, Pb and Fe) were determined in cassava and plantain from farmlands in kaani and Kpean Communities in Khana Local Government Area of Rivers State, Nigeria. Samples were collected, prepared, digested and analyzed using AAS. The levels of heavy metals obtained for cassava samples from Kaani were Ni (5.71 mg/kg), Cu (2.45 mg/kg), Fe (92.4 mg/ kg), Pb (6.57 mg/kg), Zn (9.64 mg/kg) and for plantain samples; Ni (4.31 mg/kg), Fe (59.8 mg/kg), Cu (1.89 mg/ kg), Pb (3.69 mg/kg), Zn (7.04 mg/kg) were recorded. The levels of heavy metals obtained for samples from Kpean were Ni (4.09 mg/kg), Cu (9.64 mg/kg), Fe (6.34 mg/ kg), Pb (13.44 mg/kg), Zn (0.22 mg/kg) for cassava and Ni (10.23 mg/kg), Cu (18.53 mg/ kg), Fe (30.50 mg/kg), Pb (39.18 mg/kg), Zn (9.25 mg/kg) for plantain. Results showed that the levels of these heavy metals Ni, Cr, Cu, Pb and Fe in these food crops were found to be  relatively high when compared with FAO/WHO recommended values with crops from Kpean farms having  higher values. The most essential element Zn was found to have values below the acceptable limits for cassava and plantain from both farmlands

La Plaque Console Du Radius : Une Alternative Dans L’ostéosynthèse Des Fractures De L’extrémité Supérieure De L’humérus ?

The aim of this study was to report the results of our experience in the treatment of proximal fractures with distal radius plate. This prospective study was conducted between January 2010 and December 2014. It took into account patients with a body mass index (BMI) not more than 25 kg/m2 in which the indication of conservative surgical treatment was decided and who did not have enough financial means to fulfill the required implants. The Neer classification was used to characterize fracture. To assess treatment outcomes, we used UCLA (University of California in Los Angeles) slightly modified score. There were 17 patients including 10 men and 7 women with a mean age of 32 years. According to Neer classification, six patients (35,29%) had stage I lesions, 5 others (29,42%) stage II and 6 patients (35,29%), stage III. There was no open fracture. There were three cases (17, 66%) of fracture-dislocations with one posterior variety. The average time of care was 13, 7 days (with a range of 2 to 29 days). The average time of healing was 117, 4 days with extremes of 81 days and 4 months 10 days. All patients were consolidated. The results at a mean of 15.31 months revealed excellent results in 29.41% and 29.41% poor results. In young patients whose treatment should be as conservative as possible, the distal radius plate could be an alternative if patient BMI does not exceed 25 kg/m2 and the epiphyseal screws are not too long. In case of comminuted fracture, it seems more desirable to postpone the osteosynthesis of weeks. However, only other subsequent studies on larger samples and longer followup, may lead to some conclusions about the usefulness of the distal radius plate in these lesions

Analysing multiparticle quantum states

The analysis of multiparticle quantum states is a central problem in quantum information processing. This task poses several challenges for experimenters and theoreticians. We give an overview over current problems and possible solutions concerning systematic errors of quantum devices, the reconstruction of quantum states, and the analysis of correlations and complexity in multiparticle density matrices.Comment: 20 pages, 4 figures, prepared for proceedings of the "Quantum [Un]speakables II" conference (Vienna, 2014

Design of Experiments for Screening

The aim of this paper is to review methods of designing screening experiments, ranging from designs originally developed for physical experiments to those especially tailored to experiments on numerical models. The strengths and weaknesses of the various designs for screening variables in numerical models are discussed. First, classes of factorial designs for experiments to estimate main effects and interactions through a linear statistical model are described, specifically regular and nonregular fractional factorial designs, supersaturated designs and systematic fractional replicate designs. Generic issues of aliasing, bias and cancellation of factorial effects are discussed. Second, group screening experiments are considered including factorial group screening and sequential bifurcation. Third, random sampling plans are discussed including Latin hypercube sampling and sampling plans to estimate elementary effects. Fourth, a variety of modelling methods commonly employed with screening designs are briefly described. Finally, a novel study demonstrates six screening methods on two frequently-used exemplars, and their performances are compared

Lay and professional stakeholder involvement in scoping palliative care issues: Methods used in seven European countries

BACKGROUND: Stakeholders are people with an interest in a topic. Internationally, stakeholder involvement in palliative care research and health technology assessment requires development. Stakeholder involvement adds value throughout research (from prioritising topics to disseminating findings). Philosophies and understandings about the best ways to involve stakeholders in research differ internationally. Stakeholder involvement took place in seven countries (England, Germany, Italy, Lithuania, the Netherlands, Norway and Poland). Findings informed a project that developed concepts and methods for health technology assessment and applied these to evaluate models of palliative care service delivery. AIMS: To report on stakeholder involvement in the INTEGRATE-HTA project and how issues identified informed project development. DESIGN: Using stakeholder consultation or a qualitative research design, as appropriate locally, stakeholders in seven countries acted as 'advisors' to aid researchers' decision making. Thematic analysis was used to identify key issues across countries. SETTING/PARTICIPANTS: A total of 132 stakeholders (82 professionals and 50 'lay' people) aged ⩾18 participated in individual face-to-face or telephone interviews, consultation meetings or focus groups. RESULTS: Different stakeholder involvement methods were used successfully to identify key issues in palliative care. A total of 23 issues common to three or more countries informed decisions about the intervention and comparator of interest, sub questions and specific assessments within the health technology assessment. CONCLUSION: Stakeholders, including patients and families undergoing palliative care, can inform project decision making using various involvement methods according to the local context. Researchers should consider local understandings about stakeholder involvement as views of appropriate and feasible methods vary. Methods for stakeholder involvement, especially consultation, need further development

Does knowledge of cancer diagnosis affect quality of life? A methodological challenge

BACKGROUND: As part of an assessment of quality of life in lung cancer patients an investigation was carried out to examine whether the knowledge of their diagnosis affected their quality of life. METHODS: Every patient in a defined geographical area with a potential diagnosis of lung cancer was interviewed at first consultation and after a definitive treatment has been given. Quality of life was assessed using three standard measures: the Nottingham Health Profile (NHP), the EORTC quality of life questionnaire (QLQ-C30) and its lung cancer supplementary questionnaire (QLQ-LC13). Comparison was made in quality of life scores between patients who knew their cancer diagnosis and those who did not. RESULTS: In all, 129 lung cancer patients were interviewed. Of these, 30 patients (23%) knew and 99 (78%) did not know their cancer diagnosis at the time of baseline assessment. The patient groups were similar in their characteristics except for age (P = 0.04) and cell type (P < 0.0001). Overall, there were no significant differences between these two groups with regard to their scores on the three instruments used. A major finding was that both group scored almost the same on emotional reactions (P = 0.8) and social isolation (P = 1.0) as measured by the NHP, and emotional (P = 0.7) and social functioning (P = 1.0) as measured by the EORTC QLQ-C30. In addition there were no significant differences in patients' symptom scores between those who knew their diagnosis and those who did not, nor did any consistent pattern emerge. The only significant difference was for sleep difficulties (P = 0.02). CONCLUSION: The findings suggest that the knowledge of cancer diagnosis does not affect the way in which patients respond to quality of life questionnaires

Student midwives perspectives on the efficacy of feedback after objective structured clinical examination

Students’ experience of feedback is considered an indicator of the efficacy of the assessment process. Negative experiences of feedback are unproductive in terms of the likelihood that students will act upon and learn from assessment. To understand the impact of feedback on learning this study explored the experiences of student midwives after receiving feedback following Objective Structured Clinical Examination (OSCE). Data were collected from second year undergraduate student midwives who had recently completed OSCE, via a focus group. Students reported raised stress levels, concerns around legitimacy of feedback, and inconsistencies in the manner in which feedback was articulated. Assessment feedback in higher education should be used to empower students to become self-regulated learners. This is important for student midwives for whom a considerable amount of leaning is spent in practice. The study has implications for midwifery academics concerned with modes of assessment and quality of assessment feedback in midwifery education

Frequency of medically attended adverse events following tetanus and diphtheria toxoid vaccine in adolescents and young adults: a Vaccine Safety Datalink study

<p>Abstract</p> <p>Background</p> <p>Local reactions are the most commonly reported adverse events following tetanus and diphtheria toxoid (Td) vaccine and the risk of local reactions may increase with number of prior Td vaccinations.</p> <p>Methods</p> <p>To estimate the risk of medically attended local reactions following Td vaccination in adolescents and young adults we conducted a six-year retrospective cohort study assessing 436,828 Td vaccinations given to persons 9 through 25 years of age in the Vaccine Safety Datalink population from 1999 through 2004.</p> <p>Results</p> <p>Overall, the estimated risk of a medically attended local reaction was 3.6 events per 10,000 Td vaccinations. The lowest risk (2.8 events per 10,000 vaccinations) was found in the 11 to 15 year old age group. In comparison with that group, the event risks were significantly higher in both the 9 to 10 and 21 to 25 year old age groups. The risk of a local reaction was significantly higher in persons who had received another tetanus and diphtheria toxoid containing vaccine (TDCV) in the previous five years (incidence rate ratio, 2.9; 95% confidence interval, 1.2 to 7.2). Twenty-eight percent of persons with a local reaction to Td vaccine were prescribed antibiotics.</p> <p>Conclusion</p> <p>Medically attended local reactions were uncommon following Td vaccination. The risk of those reactions varied by age and by prior receipt of TDCVs. These findings provide a point of reference for future evaluations of the safety profile of newer vaccines containing tetanus or diphtheria toxoid.</p

Cross-Modal Object Recognition Is Viewpoint-Independent

BACKGROUND: Previous research suggests that visual and haptic object recognition are viewpoint-dependent both within- and cross-modally. However, this conclusion may not be generally valid as it was reached using objects oriented along their extended y-axis, resulting in differential surface processing in vision and touch. In the present study, we removed this differential by presenting objects along the z-axis, thus making all object surfaces more equally available to vision and touch. METHODOLOGY/PRINCIPAL FINDINGS: Participants studied previously unfamiliar objects, in groups of four, using either vision or touch. Subsequently, they performed a four-alternative forced-choice object identification task with the studied objects presented in both unrotated and rotated (180 degrees about the x-, y-, and z-axes) orientations. Rotation impaired within-modal recognition accuracy in both vision and touch, but not cross-modal recognition accuracy. Within-modally, visual recognition accuracy was reduced by rotation about the x- and y-axes more than the z-axis, whilst haptic recognition was equally affected by rotation about all three axes. Cross-modal (but not within-modal) accuracy correlated with spatial (but not object) imagery scores. CONCLUSIONS/SIGNIFICANCE: The viewpoint-independence of cross-modal object identification points to its mediation by a high-level abstract representation. The correlation between spatial imagery scores and cross-modal performance suggest that construction of this high-level representation is linked to the ability to perform spatial transformations. Within-modal viewpoint-dependence appears to have a different basis in vision than in touch, possibly due to surface occlusion being important in vision but not touch