Acceptability and feasibility of a virtual community of practice to primary care professionals regarding patient empowerment : A qualitative pilot study

Background: Virtual communities of practice (vCoPs) facilitate online learning via the exchange of experiences and knowledge between interested participants. Compared to other communities, vCoPs need to overcome technological structures and specific barriers. Our objective was to pilot the acceptability and feasibility of a vCoP aimed at improving the attitudes of primary care professionals to the empowerment of patients with chronic conditions. Methods: We used a qualitative approach based on 2 focus groups: one composed of 6 general practitioners and the other of 6 practice nurses. Discussion guidelines on the topics to be investigated were provided to the moderator. Sessions were audio-recorded and transcribed verbatim. Thematic analysis was performed using the ATLAS-ti software. Results: The available operating systems and browsers and the lack of suitable spaces and time were reported as the main difficulties with the vCoP. The vCoP was perceived to be a flexible learning mode that provided up-to-date resources applicable to routine practice and offered a space for the exchange of experiences and approaches. Conclusions: The results from this pilot study show that the vCoP was considered useful for learning how to empower patients. However, while vCoPs have the potential to facilitate learning and as shown create professional awareness regarding patient empowerment, attention needs to be paid to technological and access issues and the time demands on professionals. We collected relevant inputs to improve the features, content and educational methods to be included in further vCoP implementation. Trial registration: ClinicalTrials.gov, NCT02757781. Registered on 25 April 2016

The European Solar Telescope

The European Solar Telescope (EST) is a project aimed at studying the magnetic connectivity of the solar atmosphere, from the deep photosphere to the upper chromosphere. Its design combines the knowledge and expertise gathered by the European solar physics community during the construction and operation of state-of-the-art solar telescopes operating in visible and near-infrared wavelengths: the Swedish 1m Solar Telescope, the German Vacuum Tower Telescope and GREGOR, the French Télescope Héliographique pour l'Étude du Magnétisme et des Instabilités Solaires, and the Dutch Open Telescope. With its 4.2 m primary mirror and an open configuration, EST will become the most powerful European ground-based facility to study the Sun in the coming decades in the visible and near-infrared bands. EST uses the most innovative technological advances: the first adaptive secondary mirror ever used in a solar telescope, a complex multi-conjugate adaptive optics with deformable mirrors that form part of the optical design in a natural way, a polarimetrically compensated telescope design that eliminates the complex temporal variation and wavelength dependence of the telescope Mueller matrix, and an instrument suite containing several (etalon-based) tunable imaging spectropolarimeters and several integral field unit spectropolarimeters. This publication summarises some fundamental science questions that can be addressed with the telescope, together with a complete description of its major subsystems

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Scaling up innovative participatory design for public transportation planning : lessons from experiments in the Global South

New data, new technologies, and greater computational power are changing the possibilities for involving stakeholders in transportation planning. This article explores these possibilities by comparing deployments of an interactive web-based public transportation mapping system in four cities of the Global South. Structured workshops focused on different public transportation improvement projects and involved different types of stakeholders. Despite the differences across the workshops, they allow for some comparison of the effects. In relation to the technology itself, participants broadly agreed about its usefulness and usability. Pre-/post-workshop surveys suggest that participants learned about the transportation projects presented but reveal modest evidence in relation to other impacts, such as learning about the concept of accessibility, and gaining an appreciation for the potential broader urban system impacts of public transport projects. Knowledge among the participants tended to converge, and the tool helped promote dialog among participants and generated some empathy for others. The workshop experiences provide some hope for such tools in enhancing public transportation planning processes, globally, but “scaling up” the technology would need to overcome institutional, technical, and procedural challenges.The BRT + Centre of Excellence through the Volvo Research and Education Foundation, the Centro de Desarrollo Urbano Sustentable (CEDEUS) CONICYT/FONDAP 15110020, the MIT-Chile PUC Seed Fund, and the MISTI MIT-Chile Graduate Student Seed Fund.https://journals.sagepub.com/home/trrhj2020Civil Engineerin

Archaeomagnetic evidence for the age of a Roman pottery kiln from Calahorra (Spain)

5 pages, 4 figures, 2 tablesThe first report of a palaeomagnetic study of a Roman pottery kiln is presented. Individual bricks from the walls of the heating chamber have been sampled and measured in order to determine their palaeomagnetic directions. the measurements indicate that the innermost part of the structure was heated well above the Curie point of haematite, enabling the use of the palaeomagnetic declination and inclination, after the axial dipole correction and fitting to the Paris I(t) curve, to infer the age of the last heating event. Copyright © 1993, Wiley Blackwell. All rights reserve

Acid hydrolysis-based sugarcane bagasse biorefining for levulinic acid production: Dynamic mechanistic modeling under varying operating conditions

© 2020, AIDIC Servizi S.r.l. The study on the lignocellulosic material conversion into bio-based platform chemicals, such as levulinic acid (LA), is one of the most promising routes to promote the development of advanced biorefineries. In this work, a dynamic mechanistic model is developed to simulate the LA production from lignocellulosic material. A wide operating range is used to estimate the parameters of the reaction kinetics. Because multi-parameter estimation problem is complex, a genetic algorithm-based optimization procedure is used to determine the optimum parameters values. Measurements are obtained for various reaction times (0 - 45 min) temperatures (150 - 200 °C) and acid concentration of 7.0 % w/v H2SO4. The calculated reaction rates for the state variables, concentrations of LA, glucose, 5-hydroxymethylfurfural and humins are used to construct the dynamic mechanistic model. The prediction of measured state variables was particularly accurate, as determined by the root mean square error (RMSE) and correlation coefficient (R2). Therefore, a satisfactory agreement between experimental LA yield of 57.2 mol% and computed LA yield of 56.4 mol% was achieved (at 200 °C, 7.0 % w/v H2SO4, 45 min). The proposed methodology drives the systematic development of an industrially reliable dynamic mechanistic model for LA production from sugarcane bagasse as a means to increase the LA yields in the biorefinery

Last millennia of the tropical moist forest of Central Africa : forest of savanna ?

International audienc

Effect of mold coating materials and thickness on heat transfer in permanent mold casting of aluminum alloys

In permanent mold casting or gravity die casting (GDC) of aluminum alloys, die coating at the casting-mold interface is the most important single factor controlling heat transfer and, hence, it has the greatest influence on the solidification rate and development of microstructure. This investigation studies the influence of coating thickness, coating composition, and alloy composition on the heat transfer at the casting-mold interface. Both graphite and TiO2-based coatings have been investigated. Two aluminum alloys have been investigated: Al-7Si-0.3Mg and Al-9Si-3Cu. Thermal histories throughout the die wall have been recorded by fine type-K thermocouples. From these measurements, die surface temperatures and heat flux density have been evaluated using an inverse method. Casting surface temperature was measured by infrared pyrometry, and the interfacial heat-transfer coefficient (HTC) has been determined using these combined pieces of information. While the alloy is liquid, the coating material has only a weak influence over heat flow and the thermal contact resistance seems to be governed more by coating porosity and thickness. The HTC decreases as the coating thickness increases. However, as solidification takes place and the HTC decreases, the HTC of graphite coating remains higher than that of ceramic coatings of similar thickness. After the formation of an air gap at the interface, the effect of coating material vanishes. The peak values of HTC and the heat flux density are larger for Al-7Si-0.3Mg than for Al-9Si-3Cu. Consequently, the apparent solidification time of Al-9Si-3Cu is larger than that of Al-7Si-0.3Mg and it increases with coating thickness