1,706 research outputs found
NASA-Langley helicopter tower instrumentation systems
Background information is presented for the helicopter rotor test facility, in preface to a more detailed discussion of major subsystems equipment, including error considerations, frequency response, and display instrumentation
Offering disinclined people the choice between different screening appointments: a randomised online survey
Objectives:
An invitation to cancer screening with a single (fixed) appointment time has been shown to be a more effective way at increasing uptake compared with an invitation with an open (unscheduled) appointment. The present study tested whether offering more than one fixed appointment could further enhance this effect or be detrimental to people’s intention. /
Design:
Experimental online hypothetical vignette survey. /
Methods:
1,908 respondents who stated that they did not intend to participate in Bowel Scope Screening (BSS) were offered either one, two, four or six hypothetical fixed BSS appointments (all of which covered the same time of day to control for individual preferences). /
Results:
Participants who were given more than one appointment to choose from were less likely to intend to book an appointment despite multiple appointments being perceived as more convenient. /
Conclusions:
These results suggest that when it comes to offering people appointments for cancer screening, less (choice) is more, at least if alternatives fail to serve an inherent preference
Effectiveness of behavioural economics-based interventions to improve colorectal cancer screening participation: A rapid systematic review of randomised controlled trials
• We searched PubMed, PsycInfo and EconLit for RCTs that evaluated BE interventions in CRC screening. • We identified 1027 papers for title and abstract review. 30 studies were eligible for the review. • The most frequently tested BE intervention was incentives, followed by default principle and salience. • Default-based interventions were most likely to be effective. Incentives had mixed evidence. • BE remains a promising field of interest in relation to influencing CRC screening behaviours
Schmerzmanagement bei Kindern in der Schweiz
Zusammenfassung: Hintergrund: Schmerzen bei stationär aufgenommenen Kindern werden häufig unzureichend behandelt. Bisher gab es keine Informationen zum Schmerzmanagement von Kinderkrankenhäusern in der Schweiz. Ziel der vorliegenden Studie war, den aktuellen Stand der Schmerzerfassung, -interpretation und -behandlung zu bestimmen. Studiendesign: Ein Fragebogen wurde an alle pädiatrischen Krankenhäuser in der Schweiz gesendet. Ergebnisse: Insgesamt antworteten 27 von 45Einheiten (Antwortrate: 60%). Die meisten Abteilungen verwenden Schmerzerfassungstools (96%) und führten diesbezügliche Leitlinien ein (78%). Die Behandlung von Schmerzen erfolgt ebenfalls meist nach hausinterner Leitlinie (78%). Prozedurale und postoperative Schmerzen werden stets (100%) analgetisch behandelt. Bei Frühgeborenen und Kindern auf Intensivpflegestationen werden bei invasiven Eingriffen häufig Analgetika (> 87%) verwendet. Auf Intensivstationen liegen in 44% diesbezügliche Leitlinien vor. Resümee: Der Nutzen eines effektiven Schmerzmanagements bei Kindern ist eindeutig belegt. Viele Ansätze zur Verbesserung werden in der Schweiz gut umgesetzt. Vor allem im internationalen Vergleich verbesserte sich das Schmerzmanagement. Es gibt aber noch Optimierungsmöglichkeiten. Beispielsweise besitzen weniger als die Hälfte aller schweizerischen Intensivstationen eine Leitlinie für die Behandlung von Schmerzen bei invasiven Eingriffe
Effects of housing, perches, genetics, and 25-hydroxycholecalciferol on keel bone deformities in laying hens
Several studies have shown a high prevalence of keel bone deformities in commercial laying hens. The aim of this project was to assess the effects of perch material, a vitamin D feed additive (25-hydroxyvitamin D3; HyD, DSM Nutritional Products, Basel, Switzerland), and genetics on keel bone pathology. The study consisted of 2 experiments. In the first experiment, 4,000 Lohmann Selected Leghorn hens were raised in aviary systems until 18 wk of age. Two factors were investigated: perch material (plastic or rubber-coated metal) and feed (with and without HyD). Afterward, the hens were moved to a layer house with 8 pens with 2 aviary systems. Daily feed consumption, egg production, mortality, and feather condition were evaluated. Every 6 wk, the keel bones of 10 randomly selected birds per pen were palpated and scored. In the second experiment, 2,000 Lohmann Brown (LB) hens and 2,000 Lohmann Brown parent stock (LBPS) hens were raised in a manner identical to the first experiment. During the laying period, the hens were kept in 24 identical floor pens but equipped with different perch material (plastic or rubber-coated metal). The same variables were investigated as in the first experiment. No keel bone deformities were found during the rearing period in either experiment. During the laying period, deformities gradually appeared and reached a prevalence of 35% in the first experiment and 43.8% in the second experiment at the age of 65 and 62 wk, respectively. In the first experiment, neither HyD nor the aviary system had any significant effect on the prevalence of keel bone deformities. In the second experiment, LBPS had significantly fewer moderate and severe deformities than LB, and rubber-coated metal perches were associated with a higher prevalence of keel bone deformities compared with plastic perches. The LBPS laid more but smaller eggs than the LB. Again, HyD did not affect the prevalence of keel bone deformities. However, the significant effect of breed affiliation strongly indicates a sizeable genetic component that may provide a basis for targeted selectio
Dzyaloshinskii-Moriya interaction in transport through single molecule transistors
The Dzyaloshinskii-Moriya interaction is shown to result in a canting of
spins in a single molecule transistor. We predict non-linear transport
signatures of this effect induced by spin-orbit coupling for the generic case
of a molecular dimer. The conductance is calculated using a master equation and
is found to exhibit a non-trivial dependence on the magnitude and direction of
an external magnetic field. We show how three-terminal transport measurements
allow for a determination of the coupling-vector characterizing the
Dzyaloshinskii-Moriya interaction. In particular, we show how its orientation,
defining the intramolecular spin chirality, can be probed with ferromagnetic
electrodes
Public preferences for using quantitative faecal immunochemical test (FIT) vs colonoscopy (CC) as diagnostic test for colorectal cancer: Evidence from an online survey
Background: There has been interest in using the non-invasive, home-based quantitative faecal
immunochemical test (FIT) to rule out colorectal cancer (CRC) in high-risk symptomatic patients.
Aim: To elicit public preferences for FIT versus colonoscopy (CC) and its delivery in primary care.
Design & setting: A cross-sectional online survey in England.
Method: A total of 1057 adults (without CRC symptoms and diagnosis) aged 40–59 years were invited
from an English online survey panel. Responders were asked to imagine they had been experiencing
CRC symptoms that would qualify them for a diagnostic test. Participants were presented with choices
between CC and FIT in ascending order of number of CRCs missed by FIT (from 1–10%). It was
measured at what number of missed CRCs responders preferred CC over FIT.
Results: While 150 participants did not want either of the tests when both missed 1% CRCs, the
majority (n = 741, 70.0%) preferred FIT to CC at that level of accuracy. However, this preference
reduced to 427 (40.4%) when FIT missed one additional cancer. Women were more likely to tolerate
missing CRC when using FIT. Having lower numeracy and perceiving a higher level of risk meant
participants were less likely to tolerate a false negative test. Most of those who chose FIT preferred
to return it by mail (62.2%), to be informed about normal test results by letter (42.1%), and about
abnormal test results face to face (32.5%).
Conclusion: While the majority of participants preferred FIT over CC when both tests had the same
sensitivity, tolerance for missed CRCs was low
The 1600 CE Huaynaputina eruption as a possible trigger for persistent cooling in the North Atlantic region
Paleoclimate reconstructions have identified a period of exceptional summer and winter cooling in the North Atlantic region following the eruption of the tropical volcano Huaynaputina (Peru) in 1600 CE. A previous study based on numerical climate simulations has indicated a potential mechanism for the persistent cooling in a slowdown of the North Atlantic subpolar gyre (SPG) and consequent ocean-atmosphere feedbacks. To examine whether this mechanism could have been triggered by the Huaynaputina eruption, this study compares the simulations used in the previous study both with and without volcanic forcing and this SPG shift to reconstructions from annual proxies in natural archives and historical written records as well as contemporary historical observations of relevant climate and environmental conditions. These reconstructions and observations demonstrate patterns of cooling and sea-ice expansion consistent with, but not indicative of, an eruption trigger for the proposed SPG slowdown mechanism. The results point to possible improvements in future model-data comparison studies utilizing historical written records. Moreover, we consider historical societal impacts and adaptations associated with the reconstructed climatic and environmental anomalies
Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders
Background Participation in bowel scope screening (BSS) is low (43%), limiting its potential to reduce colorectal cancer (CRC) incidence and mortality. This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant profiles: non-responders to the BSS invitation, active decliners of the invitation, and non-attenders of confirmed appointments. Methods Individuals invited for BSS between March 2013 and December 2015, across 28 General Practices in England, were sent a questionnaire. Questions measured initial interest in BSS, engagement with the information booklet, BSS participation, and, where applicable, reasons for BSS non-attendance. Chi-square tests of independence were performed to examine the relationship between barriers, non-participant groups and socio-demographic variables. Results 1478 (45.8%) questionnaires were returned for analysis: 1230 (83.2%) attended screening, 114 (7.7%) were non-responders to the BSS invitation, 100 (6.8%) were active decliners, and 34 (2.3%) were non-attenders. Non-responders were less likely to have read the whole information booklet than active decliners (x2 (2, N = 157) = 7.00, p = 0.008) and non-attenders (x2 (2, N = 101) = 8.07, p = 0.005). Non-responders also had lower initial interest in having BSS than either active decliners (x2 (2, N = 213) = 6.07, p = 0.014) or non-attenders (x2 (2, N = 146) = 32.93, p
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