Analysis of the Effects of 3DP Parameters on Part Feature Dimensional Accuracy

3D printing (3DP) is a widely investigated scaffold manufacturing process for Tissue Engineering (TE). Useful scaffold geometries should have high porosity (60-80%) with small (100-500 μm) interconnected pores. Therefore dimensional accuracy on the micron level is one of the crucial parameters of the bone scaffolds. Previously it was shown that the behavior of scaffold geometries can be well simulated with Finite Element Modeling (FEM) however the prediction of actual strength and stiffness values are dependent on dimensional accuracy. This accuracy is in turn dependent on several parameters including particle size and shape, powderbinder interaction, and machine setup. In this work different scaffold strut sizes (0.3 - 0.5 mm) have been fabricated using two different plaster powders (zp102 and zp130) with variations in shell saturation levels, part print position, and part print orientation. The parameters for each powder were analyzed using a full 35 factorial experimental design. It was found that the part size and orientation had a significant effect on the dimensional accuracy while the influence of the shell saturation and position was relatively small. The results allow for better dimensional specification for scaffold geometry fabrication by defining the process parameters in 3DP that may be used further in scaffold accuracy optimization.Mechanical Engineerin

Influenza Vaccination Coverage Rates in 5 European Countries: a Population-Based Cross-Sectional Analysis of the Seasons 02/03, 03/04 and 04/05

Introduction:: Influenza continues to be a considerable health problem in Europe. Vaccination is the only preventive measure, reducing mortality and morbidity of influenza in all age groups Objectives:: The objective of this survey was to assess and compare the level of influenza vaccination coverage during three consecutive influenza seasons (02/03, 03/04, 04/05) in the five European countries United Kingdom, France, Italy, Germany and Spain, understand the driving forces and barriers to vaccination now and 3 years ago and determine vaccination intentions for the following winter. Methods:: We conducted a random-sampling, telephone-based household survey among non-institutionalized individuals representative of the population aged 14 and over. The surveys used the same questionnaire for all three seasons. The data were subsequently pooled. Four target groups were determined for analysis: (1) persons aged 65 and over; (2) people working in the medical field; (3) persons suffering from chronic illness and (4) a group composed of persons aged 65 and over or working in the medical field or suffering from a chronic illness. Results:: The overall sample consisted of 28,021 people. The influenza vaccination coverage rate increased from 21.0% in season 02/03 to 23.6% in season 03/04 and then to 23.7% in season 04/05. The differences between the seasons are statistically significant (p = 0.01). The highest rate over all countries and seasons had Germany in season 04/05 with 26.5%, Spain had in season 02/03 with 19.3% the lowest rate totally. The coverage rate in the target group composed of person's aged 65 and over or working in the medical field or suffering from a chronic illness was 49.7% in season 02-04 and 50.0% in season 04/05. The driving forces and barriers to vaccination did not change over the years. The most frequent reasons for being vaccinated given by vaccines were: influenza, considered to be a serious illness which people wanted to avoid, having received advise from the family doctor or nurse to be vaccinated and not wanting to infect family and friends. Reasons for not being vaccinated mentioned by people who have never been vaccinated were: not expecting to catch influenza, not having considered vaccination before and not having received a recommendation from the family doctor to be vaccinated. Options encouraging influenza vaccination are: recommendation by the family doctor or nurse, more available information on the vaccine regarding efficacy and tolerance and more information available about the disease. The adjusted odds ratio of receiving influenza vaccine varied between 2.5 in Germany and 6.3 in the United Kingdom in any risk group. Conclusion:: The vaccination coverage rate increased from the first season (21.0%) to the third season (23.7%) by 2.6%. The family doctor is the most important source of encouragement for people to be vaccinated against influenza. It seems that the public would be more likely to be vaccinated if they had more information on the efficacy and tolerance of the vaccine, as well as the disease. We therefore suggest that family doctors be better informed on influenza vaccine and the disease itself, so that they can actively inform their patients on these topic

ERP evidence of cognitive strategy change in motivational conditions with varying level of difficulty

Recent research suggests that motivation improves cognitive functions but the particular mechanisms and precise behavioural conditions involved in such improvement still remain unknown. Particularly, it is unclear when in time and in which conditions these mechanisms are engaged. In the present study, we aimed to look at the neural markers of cognitive control strategies in different motivational conditions (motivation vs neutral) with different levels of difficulty (high vs low). Twenty-five adults completed a newly designed task in the four conditions above. Three ERP components were analysed: the CNV, LRP and P3b. We found that a motivational situation triggers the use of a proactive strategy when low cognitive control is required. A reactive strategy was used in a non-motivational situation and for difficult trials. Our study is also the first to provide evidence that the difference between proactive and reactive strategies occurs after the first stimulus (cue) is processe

Predictors of family communication of one’s organ donation intention in Switzerland

OBJECTIVES: Family members continue to play a prominent role in decisions to donate organs at the time of death. Prior knowledge of the deceased's intention to donate was identified as an important influential factor in the donation decision-making process. This study examined what factors lead to family communication of a person's wish regarding organ donation. METHODS: A population-based survey was used to identify the prevalence of people who had informed family members of their intention to donate. Associated factors were evaluated using bivariate and multivariate analyses. RESULTS: Multivariate analysis revealed that communication to a family member of the intention to donate organs was more likely if the respondent had a signed donor card (OR = 10.23, CI = 5.25-19.93), had a family discussion on organ donation or transplantation (OR = 7.12, CI = 4.91-10.34), had a partner and knew his or her attitude to organ donation (OR = 5.76, CI = 4.20-7.90), had previously personally had a good look at the issue of organ donation (OR = 2.59, CI = 1.79-3.75), was rather younger (OR = 0.98, CI = 0.97-0.99), was of Swiss nationality (OR = 2.21, CI = 1.25-3.91), felt that he or she was sufficiently informed (OR = 2.10, CI = 1.50-2.94), had the information necessary to come to an appropriate decision on organ donation and-although this relation may be weaker-were (rather) willing to become an organ donor after death (OR = 1.41, CI = 1.01-1.97). CONCLUSIONS: Our findings highlight the need for public education and community campaigns to promote the need to share with others, the intention to donate and to increase people's knowledge on this issue

Content-specificity in verbal recall: a randomized controlled study.

Published onlineJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tThis is the final version of the article. Available from Public Library of Science via the DOI in this record.In this controlled experiment we examined whether there are content effects in verbal short-term memory and working memory for verbal stimuli. Thirty-seven participants completed forward and backward digit and letter recall tasks, which were constructed to control for distance effects between stimuli. A maximum-likelihood mixed-effects logistic regression revealed main effects of direction of recall (forward vs backward) and content (digits vs letters). There was an interaction between type of recall and content, in which the recall of digits was superior to the recall of letters in verbal short-term memory but not in verbal working memory. These results demonstrate that the recall of information from verbal short-term memory is content-specific, whilst the recall of information from verbal working memory is content-general.This research was funded by a Jolanta and Leszek Czarnecki Foundation studentship to JZ and Medical Research Council grant G90951 awarded to DS. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

The experiential blink: Mapping the cost of working memory encoding onto conscious perception in the attentional blink.

The attentional blink (AB) represents a cognitive deficit in reporting the second of two targets (T2), when that second target appears 200-600 msec after the first (T1). However, it is unclear how this paradigm impacts the subjective visibility (that is, the conscious perception) of T2, and whether the temporal profile of T2 report accuracy matches the temporal profile of subjective visibility. In order to compare report accuracy and subjective visibility, we asked participants to identify T1 and T2, and to rate the subjective visibility of T2 across two experiments. Event-related potentials were also measured. The results revealed different profiles for the report of T2 versus the subjective visibility of T2, particularly when T1 and T2 appeared within 200 msec of one another. Specifically, T2 report accuracy was high but T2 visibility was low when the two targets appeared in close temporal succession, suggesting what we call the Experiential Blink is different from the classic AB. Electrophysiologically, at lag-1, the P3 component was modulated more by subjective visibility than by report accuracy. Collectively, the data indicate that the deficit in accurately reporting T2 is not the same as the deficit in subjectively experiencing T2. This suggests that traditional understandings of the AB may require adjustment and that, consistent with other findings, working memory (WM) encoding and conscious perception may not be synonymous

Prospective Survey of AntibioticUtilization in Pediatric Hospitalized Patients to IdentifyTargets for Improvement of Prescription

Abstract. : Background: : The rise in the use of antibiotics has resulted in increasing health care costs and the emergence of resistant bacteria. Little is known about the general misuse of antibiotics in hospitalized children. We evaluated the utilization of antibiotics in a pediatric teaching hospital aiming to identify targets for improvement of prescription. Patients and Methods: : Clinical, radiological, laboratory and treatment data of patients hospitalized in a pediatric medical and a pediatric surgery ward were prospectively collected during a 6-week period. A subsequent review of the collected data by a pediatric infectious diseases specialist, taking into consideration existing in-house treatment guidelines, was carried out. Results: : A total of 125 (36%) of 349 patients was prescribed 246 antibiotics. The median length of hospital stay for children prescribed antibiotics was 5 days (range, 2-30 days) and for those not prescribed 3 days (1-32 days; p < 0.001). Of 154 patients in the medical ward, 64 (42%) received antibiotics, compared to 61 (31%) of 195 patients in the surgical ward (p < 0.05). Empirical prescriptions were more frequent than prophylactic ones, which were more frequent than therapeutic prescriptions (136 [55%] vs 94 [38%] vs 16 [7%]; p < 0.001). Overall, 85% of the prescriptions were considered justified. The rates of inappropriate prescriptions were similar in the medical and surgical ward, and higher for therapeutic (19%) or prophylactic treatment (18%) than for empirical treatment (12%). Higher inappropriate prescription rates were noted for macrolides than for co-trimoxazole and β-lactams (50% vs 18% and 15%, respectively; p < 0.05). Conclusion: : Efforts need to be undertaken towards continuous education of medical staff on judicious antibiotic use, as well as ensuring compliance with existing guidelines. Improvement in the availability of rapid diagnostic methods to discern viral from bacterial infections may help reduce the numbers of empiric therapies in favor of pathogen-targeted therapeutic treatment

ALMA Observations of the Young Substellar Binary System 2M1207

We present ALMA observations of the 2M1207 system, a young binary made of a brown dwarf with a planetary-mass companion at a projected separation of about 40 au. We detect emission from dust continuum at 0.89 mm and from the $J = 3 - 2$ rotational transition of CO from a very compact disk around the young brown dwarf. The small radius found for this brown dwarf disk may be due to truncation from the tidal interaction with the planetary-mass companion. Under the assumption of optically thin dust emission, we estimated a dust mass of 0.1 $M_{\oplus}$ for the 2M1207A disk, and a 3$\sigma$ upper limit of $\sim 1~M_{\rm{Moon}}$ for dust surrounding 2M1207b, which is the tightest upper limit obtained so far for the mass of dust particles surrounding a young planetary-mass companion. We discuss the impact of this and other non-detections of young planetary-mass companions for models of planet formation, which predict the presence of circum-planetary material surrounding these objects.Comment: 10 pages, 6 figures, accepted for publication in A