Global Diffusion of the Internet VI: The Internet in Togo

The Global Diffusion of the Internet (GDI) framework is used to examine Internet diffusion in Togo along six dimensions: Pervasiveness, Geographical Dispersion, Sectoral Absorption, Connectivity Infrastructure, Organizational Infrastructure, and Sophistication of Use. The Internet in Togo originated in the private sector in 1996. In the years that followed, the Togolese Internet grew at a slower rate than the Internet in many other countries over the same period of time. After examining how each dimension evolved, this study concludes, amongst many suggestions, that the Togolese government should encourage more telecommunication infrastructure development by allowing private companies to utilize Togo Telecom\u27s network

Residency and Spatial Use by Reef Sharks of an Isolated Seamount and Its Implications for Conservation

Although marine protected areas (MPAs) are a common conservation strategy, these areas are often designed with little prior knowledge of the spatial behaviour of the species they are designed to protect. Currently, the Coral Sea area and its seamounts (north-east Australia) are under review to determine if MPAs are warranted. The protection of sharks at these seamounts should be an integral component of conservation plans. Therefore, knowledge on the spatial ecology of sharks at the Coral Sea seamounts is essential for the appropriate implementation of management and conservation plans. Acoustic telemetry was used to determine residency, site fidelity and spatial use of three shark species at Osprey Reef: whitetip reef sharks Triaenodon obesus, grey reef sharks Carcharhinus amblyrhynchos and silvertip sharks Carcharhinus albimarginatus. Most individuals showed year round residency at Osprey Reef, although five of the 49 individuals tagged moved to the neighbouring Shark Reef (∼14 km away) and one grey reef shark completed a round trip of ∼250 km to the Great Barrier Reef. Additionally, individuals of white tip and grey reef sharks showed strong site fidelity to the areas they were tagged, and there was low spatial overlap between groups of sharks tagged at different locations. Spatial use at Osprey Reef by adult sharks is generally restricted to the north-west corner. The high residency and limited spatial use of Osprey Reef suggests that reef sharks would be highly vulnerable to targeted fishing pressure and that MPAs incorporating no-take of sharks would be effective in protecting reef shark populations at Osprey and Shark Reef

Effect of the Synthetic Bile Salt Analog CamSA on the Hamster Model of Clostridium difficile Infection

Clostridium difficile infection (CDI) is the leading cause of antibiotic-associated diarrhea and has gained worldwide notoriety due to emerging hypervirulent strains and the high incidence of recurrence. We previously reported protection of mice from CDI using the antigerminant bile salt analog CamSA. Here we describe the effects of CamSA in the hamster model of CDI. CamSA treatment of hamsters showed no toxicity and did not affect the richness or diversity of gut microbiota; however, minor changes in community composition were observed. Treatment of C. difficile-challenged hamsters with CamSA doubled the mean time to death, compared to control hamsters. However, CamSA alone was insufficient to prevent CDI in hamsters. CamSA in conjunction with suboptimal concentrations of vancomycin led to complete protection from CDI in 70% of animals. Protected animals remained disease-free at least 30 days postchallenge and showed no signs of colonic tissue damage. In a delayed-treatment model of hamster CDI, CamSA was unable to prevent infection signs and death. These data support a putative model in which CamSA reduces the number of germinating C. difficile spores but does not keep all of the spores from germinating. Vancomycin halts division of any vegetative cells that are able to grow from spores that escape CamSA

The Mid-Infrared Environments of High-Redshift Radio Galaxies

Taking advantage of the impressive sensitivity of Spitzer to detect massive galaxies at high redshift, we study the mid-infrared environments of powerful, high-redshift radio galaxies at 1.2<z<3. Galaxy cluster member candidates were isolated using a single Spitzer/IRAC mid-infrared color criterion, [3.6]-[4.5]>-0.1 (AB), in the fields of 48 radio galaxies at 1.2<z<3. This simple IRAC color selection is effective at identifying galaxies at z>1.2. Using a counts-in-cell analysis, we identify a field as overdense when 15 or more red IRAC sources are found within 1arcmin (i.e.,~0.5Mpc at 1.2<z<3) of the radio galaxy to the 5sigma flux density limits of our IRAC data (f3.6=11.0uJy, f4.5=13.4uJy). We find that radio galaxies lie preferentially in medium to dense regions, with 73% of the targeted fields denser than average. Our (shallow) 120s data permit the rediscovery of previously known clusters and protoclusters associated with radio galaxies as well as the discovery of new promising galaxy cluster candidates at z>1.2.Comment: 14 pages, 7 figures, 3 tables, accepted for publication in Ap

B2 0902+34: A Collapsing Protogiant Elliptical Galaxy at z=3.4

We have used the visible integral-field replicable unit spectrograph prototype (VIRUS-P), a new integral field spectrograph, to study the spatially and spectrally resolved Lyman-alpha emission line structure in the radio galaxy B2 0902+34 at z=3.4. We observe a halo of Lyman-alpha emission with a velocity dispersion of 250 km/s extending to a radius of 50 kpc. A second feature is revealed in a spatially resolved region where the line profile shows blueshifted structure. This may be viewed as either HI absorption at -450 km/s or secondary emission at -900 km/s from the primary peak. Our new data, in combination with the 21 cm absorption, suggest two important and unexplained discrepancies. First, nowhere in the line profiles of the Lyman-alpha halo is the 21 cm absorber population evident. Second, the 21 cm absorption redshift is higher than the Lyman-alpha emission redshift. In an effort to explain these two traits, we have undertaken the first three dimensional Monte Carlo simulations of resonant scattering in radio galaxies. Though simple, the model produces the features in the Lyman-alpha data and predicts the 21 cm properties. To reach agreement between this model and the data, global infall of the HI is strictly necessary. The amount of gas necessary to match the model and data is surprisingly high, >= 10E12 solar masses, an order of magnitude larger than the stellar mass. The collapsing structure and large gas mass lead us to interpret B2 0902+34 as a protogiant elliptical galaxy.Comment: 30 pages, 8 figures, 4 tables, accepted in Ap

End-of-life care in UK care homes: a systematic review of the literature

Background The number of people requiring end-of-life care provision in care homes has grown significantly. There is a need for a systematic examination of individual studies to provide more comprehensive information about contemporary care provision. Aim The aim of this study was to systematically review studies that describe end-of-life care in UK care homes. Method A systematic PRISMA review of the literature published between 2008 and April 2017 was carried out. A total of 14 studies were included in the review. Results A number of areas of concern were identified in the literature in relation to the phases of dying during end-of-life care: end-of-life pre-planning processes; understandings of end-of-life care; and interprofessional end-of-life care provision. Conclusions Given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments, there is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes. Further research is necessary to explore how barriers to good end-of-life care can be mitigated, and facilitators strengthened

Association between rheumatoid arthritis disease activity, progression of functional limitation and long-term risk of orthopaedic surgery : Combined analysis of two prospective cohorts supports EULAR treat to target DAS thresholds

Objectives: To examine the association between disease activity in early rheumatoid arthritis (RA), functional limitation and long-term orthopaedic episodes. Methods: Health Assessment Questionnaire (HAQ) disability scores were collected from two longitudinal early RA inception cohorts in routine care; Early Rheumatoid Arthritis Study and Early Rheumatoid Arthritis Network from 1986 to 2012. The incidence of major and intermediate orthopaedic surgical episodes over 25 years was collected from national data sets. Disease activity was categorised by mean disease activity score (DAS28) annually between years 1 and 5; remission (RDAS≤2.6), low (LDAS>2.6-3.2), low-moderate (LMDAS≥3.2-4.19), high-moderate (HMDAS 4.2-5.1) and high (HDAS>5.1). Results: Data from 2045 patients were analysed. Patients in RDAS showed no HAQ progression over 5 years, whereas there was a significant relationship between rising DAS28 category and HAQ at 1 year, and the rate of HAQ progression between years 1 and 5. During 27 986 person-years follow-up, 392 intermediate and 591 major surgeries were observed. Compared with the RDAS category, there was a significantly increased cumulative incidence of intermediate surgery in HDAS (OR 2.59 CI 1.49 to 4.52) and HMDAS (OR 1.8 CI 1.05 to 3.11) categories, and for major surgery in HDAS (OR 2.48 CI 1.5 to 4.11), HMDAS (OR 2.16 CI 1.32 to 3.52) and LMDAS (OR 2.07 CI 1.28 to 3.33) categories. There was no significant difference in HAQ progression or orthopaedic episodes between RDAS and LDAS categories. Conclusions: There is an association between disease activity and both poor function and long-term orthopaedic episodes. This illustrates the far from benign consequences of persistent moderate disease activity, and supports European League Against Rheumatism treat to target recommendations to secure low disease activity or remission in all patients.Peer reviewedFinal Published versio

A measurement of the millimetre emission and the Sunyaev-Zel'dovich effect associated with low-frequency radio sources

We present a statistical analysis of the millimetre-wavelength properties of 1.4GHz-selected sources and a detection of the Sunyaev–Zel’dovich (SZ) effect associated with the haloes that host them. We stack data at 148, 218 and 277GHz from the Atacama Cosmology Telescope at the positions of a large sample of radio AGN selected at 1.4GHz. The thermal SZ effect associated with the haloes that host the AGN is detected at the 5σ level through its spectral signature, representing a statistical detection of the SZ effect in some of the lowest mass haloes (average M 200 ≈ 10 13 M. h −1 70 ) studied to date. The relation between the SZ effect and mass (based on weak lensing measurements of radio galaxies) is consistent with that measured by Planck for local bright galaxies. In the context of galaxy evolution models, this study confirms that galaxies with radio AGN also typically support hot gaseous haloes. Adding Herschel observations allows us to show that the SZ signal is not significantly contaminated by dust emission. Finally, we analyse the contribution of radio sources to the angular power spectrum of the cosmic microwave background