The prevalence of medical reasons for non-participation in the Scottish breast and bowel cancer screening programmes

Objective: Increasing uptake of cancer screening is a priority for health systems internationally, however, some patients may not attend because they are undergoing active treatment for the cancer of interest or have other medical reasons that mean participation would be inappropriate. This study aims to quantify the proportion of non-participants who have a medical reason for not attending cancer screening.<p></p> Methods: Medical reasons for not participating in breast and bowel screening were defined a priori on the basis of a literature review and expert opinion. The notes of 700 patients at two GP practices in Scotland were reviewed, to ascertain the prevalence of medical reasons amongst non-participants. Simple proportions and confidence intervals were calculated.<p></p> Results: 17.4% of breast and 2.3% of bowel screening non-participants had a medical reason to not participate. The two most common reasons were previous breast cancer follow up (8.86%) and recent mammogram (6.57%).<p></p> Conclusion: These patients may not benefit from screening while also being distressed by receiving an invitation. This issue also makes accurate monitoring and target-setting for improving uptake difficult. Further work is needed to estimate robustly the extent to which medical reasons account for screening non-participation in a larger population.<p></p&gt

The characterisation of diesel nozzle flow using high speed imaging of elastic light scattering

Two identical, conventional six-hole, valve-covered orifice (VCO) diesel injectors have been modified in order to provide optical access to the region below the needle, and the nozzle-flow passages. This has been achieved through the removal of the metal tips, and their replacement with transparent acrylic tips of identical geometry. These two identical injectors were employed in order to offer comparability between the measurements. One of them had a dark, anodised inner surface at the base, while the other had a silvered inner surface at the base. Elastic scattering of incident white light from the internal cavitating flow inside the nozzle holes of the optically accessible diesel injector tips was captured on a high-speed electronic camera. The optical image data was obtained for three injector rail pressures ranging from 200 bar to 400 bar, and for five diesel fuels of varying density, viscosity, and distillation profile, in order to identify variations in cavitation flow behaviour inside the nozzle hole passages. A set of mean time-resolved diesel fuel flow images were obtained from 30 successive fuel injection pulses, for each operating condition, for each injector. The mean cavitation image occurring in the nozzle holes was converted to the mean proportion of nozzle hole area producing cavitation-induced optical scattering. The mean normalised area images were then analysed, and were able to demonstrate the anticipated inverse relationship between injected fuel mass and cavitation volume fraction (indicated by mean normalised area), and the effect of fuel viscosity and distillation profile on cavitation volume fraction (again indicated by mean normalised area)

Exposure to Endocrine Disruptors and Nuclear Receptors Gene Expression in Infertile and Fertile Men from Italian Areas with Different Environmental Features

Internal levels of selected endocrine disruptors (EDs) (i.e., perfluorooctane sulfonate (PFOS), perfluorooctanoic acid (PFOA), di-2-ethylhexyl-phthalate (DEHP), mono-(2-ethylhexyl)-phthalate (MEHP), and bisphenol A (BPA)) were analyzed in blood/serum of infertile and fertile men from metropolitan, urban and rural Italian areas. PFOS and PFOA levels were also evaluated in seminal plasma. In peripheral blood mononuclear cells (PBMCs) of same subjects, gene expression levels of a panel of nuclear receptors (NRs), namely estrogen receptor α (ERα) estrogen receptor β (ERβ), androgen receptor (AR), aryl hydrocarbon receptor (AhR), peroxisome proliferator-activated receptor γ (PPARγ) and pregnane X receptor (PXR) were also assessed. Infertile men from the metropolitan area had significantly higher levels of BPA and gene expression of all NRs, except PPARγ, compared to subjects from other areas. Subjects from urban areas had significantly higher levels of MEHP, whereas subjects from rural area had higher levels of PFOA in both blood and seminal plasma. Interestingly, ERα, ERβ, AR, PXR and AhR expression is directly correlated with BPA and inversely correlated with PFOA serum levels. Our study indicates the relevance of the living environment when investigating the exposure to specific EDs. Moreover, the NRs panel in PBMCs demonstrated to be a potential biomarker of effect to assess the EDs impact on reproductive health

Takeuti's Well-Ordering Proof: Finitistically Fine?

If it could be shown that one of Gentzen's consistency proofs for pure number theory could be shown to be finitistically acceptable, an important part of Hilbert's program would be vindicated. This paper focuses on whether the transfinite induction on ordinal notations needed for Gentzen's second proof can be finitistically justified. In particular, the focus is on Takeuti's purportedly finitistically acceptable proof of the well-ordering of ordinal notations in Cantor normal form. The paper begins with a historically informed discussion of finitism and its limits, before introducing Gentzen and Takeuti's respective proofs. The rest of the paper is dedicated to investigating the finitistic acceptability of Takeuti's proof, including a small but important fix to that proof. That discussion strongly suggests that there is a philosophically interesting finitist standpoint that Takeuti's proof, and therefore Gentzen's proof, conforms to

Population genetics of trypanosoma brucei rhodesiense: clonality and diversity within and between foci

African trypanosomes are unusual among pathogenic protozoa in that they can undergo their complete morphological life cycle in the tsetse fly vector with mating as a non-obligatory part of this development. Trypanosoma brucei rhodesiense, which infects humans and livestock in East and Southern Africa, has classically been described as a host-range variant of the non-human infective Trypanosoma brucei that occurs as stable clonal lineages. We have examined T. b. rhodesiense populations from East (Uganda) and Southern (Malawi) Africa using a panel of microsatellite markers, incorporating both spatial and temporal analyses. Our data demonstrate that Ugandan T. b. rhodesiense existed as clonal populations, with a small number of highly related genotypes and substantial linkage disequilibrium between pairs of loci. However, these populations were not stable as the dominant genotypes changed and the genetic diversity also reduced over time. Thus these populations do not conform to one of the criteria for strict clonality, namely stability of predominant genotypes over time, and our results show that, in a period in the mid 1990s, the previously predominant genotypes were not detected but were replaced by a novel clonal population with limited genetic relationship to the original population present between 1970 and 1990. In contrast, the Malawi T. b. rhodesiense population demonstrated significantly greater diversity and evidence for frequent genetic exchange. Therefore, the population genetics of T. b. rhodesiense is more complex than previously described. This has important implications for the spread of the single copy T. b. rhodesiense gene that allows human infectivity, and therefore the epidemiology of the human disease, as well as suggesting that these parasites represent an important organism to study the influence of optional recombination upon population genetic dynamics

Electroweak Corrections to the Top Quark Decay

We have calculated the one-loop electroweak corrections to the decay t-> bW+, including the counterterm for the CKM matrix elements V(tb). Previous calculations used an incorrect delta V(tb) that led to a gauge dependent amplitude. However, since the contribution stemming from delta V(tb) is small, those calculations only underestimate the width by roughly one part in 10^5.Comment: 7 pages, 2 figure

Z-prime Gauge Bosons at the Tevatron

We study the discovery potential of the Tevatron for a Z-prime gauge boson. We introduce a parametrization of the Z-prime signal which provides a convenient bridge between collider searches and specific Z-prime models. The cross section for p pbar -> Z-prime X -> l^+ l^- X depends primarily on the Z-prime mass and the Z-prime decay branching fraction into leptons times the average square coupling to up and down quarks. If the quark and lepton masses are generated as in the standard model, then the Z-prime bosons accessible at the Tevatron must couple to fermions proportionally to a linear combination of baryon and lepton numbers in order to avoid the limits on Z--Z-prime mixing. More generally, we present several families of U(1) extensions of the standard model that include as special cases many of the Z-prime models discussed in the literature. Typically, the CDF and D0 experiments are expected to probe Z-prime-fermion couplings down to 0.1 for Z-prime masses in the 500--800 GeV range, which in various models would substantially improve the limits set by the LEP experiments.Comment: 34 pages, 13 figure

Consumer attitudes towards sustainability attributes on food labels

Concerns about climate change and the general status of the environment have increased expectation that food products have sustainability credentials, and that these can be verified. There are significant and increasing pressures in key export markets for information on Greenhouse gas (GHG) intensity of products throughout its life-cycle. How this information is conveyed to consumers is a key issue. Labelling is a common method of communicating certain product attributes to consumers that may influence their choices. In a choice experiment concerning fruit purchase decisions, this study estimates willingness to pay for sustainability attributes by consumers in Japan and the UK. The role of label presentation format is investigated: text only, text and graphical, and graphical only. Results indicate that sustainability attributes influence consumers’ fruit purchase decisions. Reduction of carbon in fruit production is shown to be the least valued out of sustainability attributes considered. Differences are evident between presentation formats and between countries, with increased nutrient content being the most sensitive to format and country while carbon reduction is the most insensitive and almost always valued the least

Precision Electroweak Data and Unification of Couplings in Warped Extra Dimensions

Warped extra dimensions allow a novel way of solving the hierarchy problem, with all fundamental mass parameters of the theory naturally of the order of the Planck scale. The observable value of the Higgs vacuum expectation value is red-shifted, due to the localization of the Higgs field in the extra dimension. It has been recently observed that, when the gauge fields propagate in the bulk, unification of the gauge couplings may be achieved. Moreover, the propagation of fermions in the bulk allows for a simple solution to potentially dangerous proton decay problems. However, bulk gauge fields and fermions pose a phenomenological challenge, since they tend to induce large corrections to the precision electroweak observables. In this article, we study in detail the effect of gauge and fermion fields propagating in the bulk in the presence of gauge brane kinetic terms compatible with gauge coupling unification, and we present ways of obtaining a consistent description of experimental data, while allowing values of the first Kaluza Klein mode masses of the order of a few TeV.Comment: 32 pages, 7 figures. References adde