Medication Literacy Tool in a Student-Run Free Clinic

Introduction: Low medication literacy can lead to prescription non-adherence and medical errors. The goal of this study was to create an easy-to-use comprehensive medication literacy assessment tool to aid in identification of patients with trouble reading and interpreting medication labels in the primary care setting. The secondary goal was to evaluate the role of primary language and education level on medication literacy and determine if patient reported difficulty with reading labels correlated with a lower medication literacy. Methods: Forty-two patients of the Cooper Rowan Clinic, a student-run free clinic, were given a demographic survey and 7-item questionnaire based on a standard prescription label. The study was limited to patients over the age of 16 who were able to read in either English or Spanish. Results: A significant difference was noted in average scores between the English and Spanish-speaking groups. In addition, a positive correlation was found between education level and assessment scores. The assessment scores of participants who self-reported having trouble reading their label were lower but not significantly different from those who did not report difficulty reading a label. Conclusions: The assessment was easily administered in a student-run clinic and could be used for medication literacy evaluation and quality improvement in other clinics. This tool also shows that primary language and education play a role in the ability to interpret labels. Further testing could be performed to establish the validity of the assessment with longer, well-established health literacy tests

Separating Oil-Water Nanoemulsions using Flux-Enhanced Hierarchical Membranes

Membranes that separate oil-water mixtures based on contrasting wetting properties have recently received significant attention. Separation of nanoemulsions, i.e. oil-water mixtures containing sub-micron droplets, still remains a key challenge. Tradeoffs between geometric constraints, high breakthrough pressure for selectivity, high flux, and mechanical durability make it challenging to design effective membranes. In this paper, we fabricate a hierarchical membrane by the phase inversion process that consists of a nanoporous separation skin layer supported by an integrated microporous layer. We demonstrate the separation of water-in-oil emulsions well below 1 μm in size. In addition, we tune the parameters of the hierarchical membrane fabrication to control the skin layer thickness and increase the total flux by a factor of four. These simple yet robust hierarchical membranes with engineered wetting characteristics show promise for large-scale, efficient separation systems.MIT Energy InitiativeShell Oil CompanyMIT Energy Initiative (Fellowship

Ghost crab burrow density at Watamu Marine National Park: an indicator of the impact of urbanisation and associated disturbance?

Ghost crab (Ocypode species) burrow densities have previously been used as an indicator of anthropogenic impact. This study aimed to assess the burrow density of Ocypode species (O. ryderi and O. cordimanus) at four sites across Watamu Marine National Park, Kenya. Two sites were in front of hotel complexes (denoting a high degree of urbanisation), and two were in front of residential housing among coastal scrub (denoting a low degree of urbanisation). The findings reveal significantly higher burrow densities at sites in front of residential housing, which was the less developed area. This provides further evidence that Ocypode burrow densities can be used, where other methods would be impractical, to estimate the impact of some human activities along beach fronts, such as at Watamu Marine National Park

SpineCreator: a Graphical User Interface for the Creation of Layered Neural Models.

There is a growing requirement in computational neuroscience for tools that permit collaborative model building, model sharing, combining existing models into a larger system (multi-scale model integration), and are able to simulate models using a variety of simulation engines and hardware platforms. Layered XML model specification formats solve many of these problems, however they are difficult to write and visualise without tools. Here we describe a new graphical software tool, SpineCreator, which facilitates the creation and visualisation of layered models of point spiking neurons or rate coded neurons without requiring the need for programming. We demonstrate the tool through the reproduction and visualisation of published models and show simulation results using code generation interfaced directly into SpineCreator. As a unique application for the graphical creation of neural networks, SpineCreator represents an important step forward for neuronal modelling

Self-reported tobacco smoking practices among medical students and their perceptions towards training about tobacco smoking in medical curricula: A cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal, and Bangladesh

<p>Abstract</p> <p>Background</p> <p>Tobacco smoking issues in developing countries are usually taught non-systematically as and when the topic arose. The World Health Organisation and Global Health Professional Student Survey (GHPSS) have suggested introducing a separate integrated tobacco module into medical school curricula. Our aim was to assess medical students' tobacco smoking habits, their practices towards patients' smoking habits and attitude towards teaching about smoking in medical schools.</p> <p>Methods</p> <p>A cross-sectional questionnaire survey was carried out among final year undergraduate medical students in Malaysia, India, Nepal, Pakistan, and Bangladesh. An anonymous, self-administered questionnaire included items on demographic information, students' current practices about patients' tobacco smoking habits, their perception towards tobacco education in medical schools on a five point Likert scale. Questions about tobacco smoking habits were adapted from GHPSS questionnaire. An <it>'ever smoker' </it>was defined as one who had smoked during lifetime, even if had tried a few puffs once or twice. 'Current smoker' was defined as those who had smoked tobacco product on one or more days in the preceding month of the survey. Descriptive statistics were calculated.</p> <p>Results</p> <p>Overall response rate was 81.6% (922/1130). Median age was 22 years while 50.7% were males and 48.2% were females. The overall prevalence of 'ever smokers' and 'current smokers' was 31.7% and 13.1% respectively. A majority (> 80%) of students asked the patients about their smoking habits during clinical postings/clerkships. Only a third of them did counselling, and assessed the patients' willingness to quit. Majority of the students agreed about doctors' role in tobacco control as being role models, competence in smoking cessation methods, counseling, and the need for training about tobacco cessation in medical schools. About 50% agreed that current curriculum teaches about tobacco smoking but not systematically and should be included as a separate module. Majority of the students indicated that topics about health effects, nicotine addiction and its treatment, counselling, prevention of relapse were important or very important in training about tobacco smoking.</p> <p>Conclusion</p> <p>Medical educators should consider revising medical curricula to improve training about tobacco smoking cessation in medical schools. Our results should be supported by surveys from other medical schools in developing countries of Asia.</p

SDSS-II SUPERNOVA SURVEY: AN ANALYSIS of the LARGEST SAMPLE of TYPE IA SUPERNOVAE and CORRELATIONS with HOST-GALAXY SPECTRAL PROPERTIES

This is the author accepted manuscript. The final version is available from the Institute of Physics via http://dx.doi.org/10.3847/0004-637X/821/2/115Using the largest single-survey sample of Type Ia supernovae (SNe Ia) to date, we study the relationship between properties of SNe Ia and those of their host galaxies, focusing primarily on correlations with Hubble residuals (HRs). Our sample consists of 345 photometrically classified or spectroscopically confirmed SNe Ia discovered as part of the SDSS-II Supernova Survey (SDSS-SNS). This analysis utilizes host-galaxy spectroscopy obtained during the SDSS-I/II spectroscopic survey and from an ancillary program on the SDSS-III Baryon Oscillation Spectroscopic Survey that obtained spectra for nearly all host galaxies of SDSS-II SN candidates. In addition, we use photometric host-galaxy properties from the SDSS-SNS data release such as host stellar mass and star formation rate. We confirm the well-known relation between HR and host-galaxy mass and find a 3.6σ significance of a nonzero linear slope. We also recover correlations between HR and host-galaxy gas-phase metallicity and specific star formation rate as they are reported in the literature. With our large data set, we examine correlations between HR and multiple host-galaxy properties simultaneously and find no evidence of a significant correlation. We also independently analyze our spectroscopically confirmed and photometrically classified SNe Ia and comment on the significance of similar combined data sets for future surveys.This material is based on work supported by the National Science Foundation Graduate Research Fellowship under Grant No. DGE-1321851. Any opinion, findings, and conclusions or recommendations expressed in this material are those of the authors(s) and do not necessarily reflect the views of the National Science Foundation. M.S. and J.A.F. are supported by the Department of Energy grant DE-SC-0009890. Funding for the SDSS and SDSS-II has been provided by the Alfred P. Sloan Foundation, the Participating Institutions, the National Science Foundation, the U.S. Department of Energy, the National Aeronautics and Space Administration, the Japanese Monbukagakusho, the Max Planck Society, and the Higher Education Funding Council for England ... Funding for SDSS-III has been provided by the Alfred P. Sloan Foundation ..

Oxygen atom transfer catalysis by dioxidomolybdenum(VI) complexes of pyridyl aminophenolate ligands

A series of new cationic dioxidomolybdenum(VI) complexes [MoO2(L-n)]PF6 (2-5) with the tripodal tetradentate pyridyl aminophenolate ligands HL2-HL5 have been synthesized and characterized. Ligands HL2-HL4 carry substituents in the 4-position of the phenolate ring, viz. Cl, Br and NO2, respectively, whereas the ligand HL5, N-(2-hydroxy-3,5-di-tert-butylbenzyl)-N,N-bis(2-pyridylmethyl)amine, is a derivative of 3,5-di-tert-butylsalicylaldehyde. X-ray crystal structures of complexes 2, 3 and 5 reveal that they have a distorted octahedral geometry with the bonding parameters around the metal centres being practically similar. Stoichiometric oxygen atom transfer (OAT) properties of 5 with PPh3 were investigated using UV-Vis, P-31 NMR and mass spectrometry. In CH2Cl2 solution, a dimeric Mo(V) complex [(mu-O){MoO(L-5)}(2)](PF6)(2) 6 was formed while in methanol solution an air-sensitive Mo(IV) complex [MoO (OCH3)(L-5)] 7 was obtained. The solid-state structure of the mu-oxo bridged dimer 6 was determined by X-ray diffraction. Complex 7 is unstable under ambient conditions and capable of reducing DMSO, thus showing reactivity analogous to that of DMSO reductases. Similarly, the OAT reactions of complexes 2-4 also resulted in the formation of dimeric Mo(V) and unsaturated monomeric Mo(IV) complexes that are analogous to complexes 6 and 7. Catalytic OAT at 25 degrees C could also be observed, using complexes 1-5 as catalysts for oxidation of PPh3 in deuterated dimethylsulfoxide (DMSO d(6)), which functioned both as a solvent and oxidant. All complexes were also tested as catalysts for sulfoxidation of methyl-p-tolylsulfide and epoxidation of various alkene substrates with tert-butyl hydroperoxide (TBHP) as an oxidant. Complex 1 did not exhibit any sulfoxidation activity under the conditions used, while 2-5 catalyzed the sulfoxidation of methyl-p-tolylsulfide. Only complexes 2 and 3, with ligands containing halide substituents, exhibited good to moderate activity for epoxidation of all alkene substrates studied, and, in general, good activity for all molybdenum(VI) catalysts was only exhibited when cis-cyclooctene was used as a substrate. No complex catalysed epoxidation of cis-cyclooctene when an aqueous solution of H2O2 was used as potential oxidant. (C) 2021 The Authors. Published by Elsevier Ltd

Immunity against Neisseria meningitidis Serogroup C in the Dutch Population before and after Introduction of the Meningococcal C Conjugate Vaccine

Contains fulltext : 88187.pdf (publisher's version ) (Open Access)BACKGROUND: In 2002 a Meningococcal serogroup C (MenC) conjugate vaccine, with tetanus toxoid as carrier protein, was introduced in the Netherlands as a single-dose at 14 months of age. A catch-up campaign was performed targeting all individuals aged 14 months to 18 years. We determined the MenC-specific immunity before and after introduction of the MenC conjugate (MenCC) vaccine. METHODS AND FINDINGS: Two cross-sectional population-based serum banks, collected in 1995/1996 (n = 8539) and in 2006/2007 (n = 6386), were used for this study. The main outcome measurements were the levels of MenC polysaccharide(PS)-specific IgG and serum bactericidal antibodies (SBA) after routine immunization, 4-5 years after catch-up immunization or by natural immunity. There was an increasing persistence of PS-specific IgG and SBA with age in the catch-up immunized cohorts 4-5 years after their MenCC immunization (MenC PS-specific IgG, 0.25 microg/ml (95%CI: 0.19-0.31 microg/ml) at age 6 years, gradually increasing to 2.34 microg/ml,(95%CI: 1.70-3.32 microg/ml) at age 21-22 years). A comparable pattern was found for antibodies against the carrier protein in children immunized above 9 years of age. In case of vaccination before the age of 5 years, PS-specific IgG was rapidly lost. For all age-cohorts together, SBA seroprevalence (> or =8) increased from 19.7% to 43.0% in the pre- and post-MenC introduction eras, respectively. In non-immunized adults the SBA seroprevalence was not significantly different between the pre- and post-MenC introduction periods, whereas PS-specific IgG was significantly lower in the post-MenC vaccination (GMT, age > or =25 years, 0.10 microg/ml) era compared to the pre-vaccination (GMT, age > or =25 years, 0.43 microg/ml) era. CONCLUSION: MenCC vaccination administered above 5 years of age induced high IgG levels compared to natural exposure, increasing with age. In children below 14 months of age and non-immunized cohorts lower IgG levels were observed compared to the pre-vaccination era, whereas functional levels remained similar in adults. Whether the lower IgG poses individuals at increased risk for MenC disease should be carefully monitored. Large-scale introduction of a MenCC vaccine has led to improved protection in adolescents, but in infants a single-dose schedule may not provide sufficient protection on the long-term and therefore a booster-dose early in adolescence should be considered

The evolution of the upright posture and gait—a review and a new synthesis

During the last century, approximately 30 hypotheses have been constructed to explain the evolution of the human upright posture and locomotion. The most important and recent ones are discussed here. Meanwhile, it has been established that all main hypotheses published until the last decade of the past century are outdated, at least with respect to some of their main ideas: Firstly, they were focused on only one cause for the evolution of bipedality, whereas the evolutionary process was much more complex. Secondly, they were all placed into a savannah scenario. During the 1990s, the fossil record allowed the reconstruction of emerging bipedalism more precisely in a forested habitat (e.g., as reported by Clarke and Tobias (Science 269:521–524, 1995) and WoldeGabriel et al. (Nature 412:175–178, 2001)). Moreover, the fossil remains revealed increasing evidence that this part of human evolution took place in a more humid environment than previously assumed. The Amphibian Generalist Theory, presented first in the year 2000, suggests that bipedalism began in a wooded habitat. The forests were not far from a shore, where our early ancestor, along with its arboreal habits, walked and waded in shallow water finding rich food with little investment. In contrast to all other theories, wading behaviour not only triggers an upright posture, but also forces the individual to maintain this position and to walk bipedally. So far, this is the only scenario suitable to overcome the considerable anatomical and functional threshold from quadrupedalism to bipedalism. This is consistent with paleoanthropological findings and with functional anatomy as well as with energetic calculations, and not least, with evolutionary psychology. The new synthesis presented here is able to harmonise many of the hitherto competing theories

Tooth wear in children with Down syndrome

The document attached has been archived with permission from the Australian Dental Association (8th Jan 2008). An external link to the publisher’s copy is included.Background: Several studies have described the impact that dental caries and periodontitis may have on the dentitions of individuals with Down syndrome, but there are few reports about the effects of tooth wear. This investigation aimed to compare the aetiology, prevalence and severity of tooth wear in 49 cytogenetically confirmed Down syndrome children with 49 non-Down syndrome controls. Methods: This study involved three aspects: an oral examination, including obtaining dental impressions; a dietary analysis spanning three days; and a questionnaire seeking information about habits, medical problems and medications. Tooth wear severity was scored on a 4-grade scale (none-to-little; moderate; severe; very severe), while aetiology was classified as being due to attrition mainly, erosion mainly, or a combination of both. Double determinations established scoring method reliability and chi-square tests assessed associations between samples. Results: Tooth wear was significantly more frequent (p<0.01) in the Down syndrome than the non-Down syndrome sample (67.4 per cent cf 34.7 per cent), with more of the Down syndrome children showing severe to very severe wear (59.2 per cent cf 8.2 per cent). Significantly more Down syndrome children (p<0.05) displayed a multifactorial aetiology of tooth wear, i.e., both attrition and erosion (46.7 per cent cf 28.6 per cent), although no particular dietary link was established. Gastric reflux and vomiting were reported in over 20 per cent of the Down syndrome sample. Conclusions: Given the potential consequences of high levels of tooth wear, associated with tooth grinding and an acidic oral environment in Down syndrome children, educational programmes aimed at increasing awareness of carers and health professionals are needed urgently.EJ Bell, J Kaidonis, GC Townsen