1,659 research outputs found

    "Even if the test result is negative, they should be able to tell us what is wrong with us": a qualitative study of patient expectations of rapid diagnostic tests for malaria.

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    BACKGROUND: The debate on rapid diagnostic tests (RDTs) for malaria has begun to shift from whether RDTs should be used, to how and under what circumstances their use can be optimized. This has increased the need for a better understanding of the complexities surrounding the role of RDTs in appropriate treatment of fever. Studies have focused on clinician practices, but few have sought to understand patient perspectives, beyond notions of acceptability. METHODS: This qualitative study aimed to explore patient and caregiver perceptions and experiences of RDTs following a trial to assess the introduction of the tests into routine clinical care at four health facilities in one district in Ghana. Six focus group discussions and one in-depth interview were carried out with those who had received an RDT with a negative test result. RESULTS: Patients had high expectations of RDTs. They welcomed the tests as aiding clinical diagnoses and as tools that could communicate their problem better than they could, verbally. However, respondents also believed the tests could identify any cause of illness, beyond malaria. Experiences of patients suggested that RDTs were adopted into an existing system where patients are both physically and intellectually removed from diagnostic processes and where clinicians retain authority that supersedes tests and their results. In this situation, patients did not feel able to articulate a demand for test-driven diagnosis. CONCLUSIONS: Improvements in communication between the health worker and patient, particularly to explain the capabilities of the test and management of RDT negative cases, may both manage patient expectations and promote patient demand for test-driven diagnoses

    Atomic data for neutron-capture elements II. Photoionization and recombination properties of low-charge krypton ions

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    We present multi-configuration Breit-Pauli distorted-wave photoionization (PI) cross sections and radiative recombination (RR) and dielectronic recombination (DR) rate coefficients for the first six krypton ions. These were calculated with the AUTOSTRUCTURE code, using semi-relativistic radial wavefunctions in intermediate coupling. Kr has been detected in several planetary nebulae (PNe) and H II regions, and is a useful tracer of neutron-capture nucleosynthesis. PI, RR, and DR data are required to accurately correct for unobserved Kr ions in ionized nebulae, and hence to determine elemental Kr abundances. PI cross sections have been determined for ground configuration states of Kr^0--Kr^5+ up to 100 Rydbergs. Our Kr^+ PI calculations were significantly improved through comparison with experimental measurements. RR and DR rate coefficients were determined from the direct and resonant PI cross sections at temperatures (10^1--10^7)z^2 K, where z is the charge. We account for Delta n=0 DR core excitations, and find that DR is the dominant recombination mechanism for all but Kr^+ at photoionized plasma temperatures. Internal uncertainties are estimated by comparing results computed with three different configuration-interaction expansions for each ion, and by testing the sensitivity to variations in the orbital radial scaling parameters. The PI cross sections are generally uncertain by 30-50% near the ground state thresholds. Near 10^4 K, the RR rate coefficients are typically uncertain by <10%, while those of DR exhibit uncertainties of factors of 2 to 3, due to the unknown energies of near-threshold autoionizing resonances. With the charge transfer rate coefficients presented in the third paper of this series, these data enable robust Kr abundance determinations in photoionized nebulae for the first time.Comment: 19 pages, 8 figures. Accepted for publication in Astronomy & Astrophysic

    VUV/EUV ionising radiation and atoms and ions: dual laser plasma investigations

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    The interaction of ionising radiation with atoms and ions is a key fundamental process. This report concentrates on studies of photoexcitation/photoionisation using laser-produced plasmas as continuum sources and synchronised laser plasma plumes to provide the absorbing atom or ion species. Examples from studies of the interaction of ionising radiation with atoms and ions ranging from few-electron atomic and ionic systems to the many-electron high atomic number actinides are reviewed and illustrate the advantages and limitations of the Dual Laser Plasma technique

    Water-, pH- and temperature relations of germination for the extreme xerophiles <i>Xeromyces bisporus</i> (FRR 0025), <i>Aspergillus penicillioides</i> (JH06THJ), and <i>Eurtotium halophilicum</i> (FRR 2471)

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    Water activity, temperature and pH are determinants for biotic activity of cellular systems, biosphere function and, indeed, for all life processes. This study was carried out at high concentrations of glycerol, which concurrently reduces water activity and acts as a stress protectant, to characterize the biophysical capabilities of the most extremely xerophilic organisms known. These were the fungal xerophiles: Xeromyces bisporus (FRR 0025), Aspergillus penicillioides (JH06THJ) and Eurotium halophilicum (FRR 2471). High-glycerol spores were produced and germination was determined using 38 media in the 0.995-0.637 water activity range, 33 media in the 2.80-9.80 pH range and 10 incubation temperatures, from 2 to 50°C. Water activity was modified by supplementing media with glycerol+sucrose, glycerol+NaCl and glycerol+NaCl+sucrose which are known to be biologically permissive for X. bisporus, A. penicillioides and E. halophilicum respectively. The windows and rates for spore germination were quantified for water activity, pH and temperature; symmetry/asymmetry of the germination profiles were then determined in relation to supra- and sub-optimal conditions; and pH- and temperature optima for extreme xerophilicity were quantified. The windows for spore germination were ~1 to 0.637 water activity, pH 2.80-9.80 and > 10 and < 44°C, depending on strain. Germination profiles in relation to water activity and temperature were asymmetrical because conditions known to entropically disorder cellular macromolecules, i.e. supra-optimal water activity and high temperatures, were severely inhibitory. Implications of these processes were considered in relation to the in-situ ecology of extreme conditions and environments; the study also raises a number of unanswered questions which suggest the need for new lines of experimentation

    Columnas: The Honors Program Newsletter at Bentley University

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    Page 1: HOW AI IS IMPACTING THE BENTLEY CLASSROOM AND EDUCATION OVERALL ~ by Nayeli Franco ’24 Page 2: A BEAUTY OF DIVERSITY ~ by Yun Song ’26 Page 3: RESURRECTING THE DEAD THROUGH COMPUTER TECHNOLOGY: HONORING THEIR MEMORY OR EXPLOITING THEIR LEGACY? ~ by Hailey Jennato ’24 Page 4: THE IMPORTANCE OF DEVELOPING EMOTIONAL INTELLIGENCE ~ by Isa Ramirez Perdomo ’26 Page 5: FROM STRUGGLE TO STRENGTH: THRIVING AS AN INTERNATIONAL STUDENT ~ by Ledion Hoti ’25 Page 6: CHASING BUTTERFLIES ~ by Alyssa Galin ’2

    Examining the Determinants of Location Attributes and their Effect on Hotel Pricing in the Period of the Covid-19 Pandemic in an Emerging Market

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    The emergence of COVID-19 and the consequent travel restrictions have led to a decrease in the patronage of hotel services in nearly all economies in the world. In this circumstance, location attributes have become even more important in hotel pricing and investment decision-making. It is even more interesting to see how this plays out in emerging economies such as Ghana. The study assesses the effect of location attributes on hotel pricing during the COVID-19 pandemic period in Tamale. A sequential mixed research design including Mixed Spatial Hedonic Price Approach, Exploratory Factor Analysis and key informant interviews was employed. A sample of 815 tourists and 163 hotels was used. Hotel class, road accessibility, age of building, and hotel rate are the key determinants of hotel pricing. Among these, the hotel class showed more significance in influencing pricing decisions in the COVID-19 period. The models show that the hotel class with positive coefficients are located outside the city centre of Tamale. This has resulted in increased Yield To Maturity because the hotels located outside the city centre received more clients, with grade one hotels showing a huge net income and good post-COVID-19 investment drive. The results show that potential hotel investors should consider hotel class as a major entry decision factor during and after periods of the pandemic

    Neonicotinoids thiamethoxam and clothianidin adversely affect the colonisation of invertebrate populations in aquatic microcosms

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    Surface waters are sometimes contaminated with neonicotinoids: a widespread, persistent, systemic class of insecticide with leaching potential. Previous ecotoxicological investigations of this chemical class in aquatic ecosystems have largely focused on the impacts of the neonicotinoid imidacloprid; few empirical, manipulative studies have investigated the effect on invertebrate abundances of two other neonicotinoids which are now more widely used: clothianidin and thiamethoxam. In this study, we employ a simple microcosm semi-field design, incorporating a one-off contamination event, to investigate the effect of these pesticides at field-realistic levels (ranging from 0 to 15 ppb) on invertebrate colonisation and survival in small ephemeral ponds. In line with previous research on neonicotinoid impacts on aquatic invertebrates, significant negative effects of both neonicotinoids were found. There were clear differences between the two chemicals, with thiamethoxam generally producing stronger negative effects than clothianidin. Populations of Chironomids (Diptera) and Ostracoda were negatively affected by both chemicals, while Culicidae appeared to be unaffected by clothianidin at the doses used. Our data demonstrate that field-realistic concentrations of neonicotinoids are likely to reduce populations of invertebrates found in ephemeral ponds, which may have knock on effects up the food chain. We highlight the importance of developing pesticide monitoring schemes for European surface waters

    Fungal Origins of the Bicyclo[2.2.2]diazaoctane Ring System of Prenylated Indole Alkaloids

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    Over eight different families of natural products, consisting of nearly seventy secondary metabolites, which contain the bicyclo[2.2.2]diazaoctane ring system, have been isolated from various Aspergillus, Penicillium, and Malbranchea species. Since 1968, these secondary metabolites have been the focus of numerous biogenetic, synthetic, taxonomic, and biological studies, and, as such, have made a lasting impact across multiple scientific disciplines. This review covers the isolation, biosynthesis, and biological activity of these unique secondary metabolites containing the bridging bicyclo[2.2.2]diazaoctane ring system. Furthermore, the diverse fungal origin of these natural products is closely examined and, in many cases, updated to reflect the currently accepted fungal taxonomy

    User and Systems Requirement Framework for Electronic Land Registration Systems Decentralisation in Ghana

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    Although land registration systems are constantly changing based on entrenched institutional frameworks, they cannot fulfill their technical objectives. Technical designs based on loopholes in the existing land registration system are the common steps in advanced countries. However, the missing link between the implementation of technical designs and their uses and users, affect the prospects of land registration decentralisation in developing countries. User and System requirements are used to integrate and enhance land registration services delivery across land information systems. This study assesses and develops framework for decentralised electronic land registration systems in Ghana. Semi-structured interviews were used to collect user and system requirement data from clients and technical staff of the Lands Commission in Accra. The framework pointed out five main policy outline strategies. These include land registration process modeling (process reduction and turnaround time monitoring), technical function (file tracking), the effect of changes in the registration loupe and absorption of land registration report, land registration workflow improvement, and the use of aerial images. The study recommends a systemic monitoring and evaluation of staff job roles
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