Designing sustainable medical devices

Stakeholders in the medical device manufacturing industry are becoming more concerned about the environmental impact of their products and processes. The consumers are also becoming more aware of the negative impact that manufacturers can have on the environment. Government initiatives continue to increase environmental awareness through the development of new policy and legislation, encouraging industry to become more accountable for the environmental impact of their products and operations. The ISO 14001 standard, Environmental Management Systems-Requirements with Guidance for Use, sets guidelines to enable businesses to recognize the environmental effects of their products and processes. Departments can use the tool to set targets to lower the environmental impact and identify areas of high environmental concern when designing, purchasing, and marketing products. Research in these areas will be used to develop the environmental scoring tool to aid in the design of future sustainable medical devices

T-cell responses in oiled guillemots and swans in a rehabilitation setting

This article has been accepted for publication in the Archives of Environmental Contamination and Toxicology. The final version can be accessed from the link below.This article has been made available through the Brunel Open Access Publishing Fund.Aquatic birds are commonly affected by oil spills. Despite rehabilitation efforts, the majority of rehabilitated common guillemots (Uria aalge) do not survive, whereas mute swans (Cygnus olor) tend to have higher post-release survival. Polyaromatic hydrocarbons (PAHs) present in crude oil and diesel are immunotoxic in birds affecting cell-mediated responses to immunogens. Because it is a target of PAH toxicity, T-lymphocyte response to controlled mitogen administration (phytohemagglutinnin test) was investigated in a scoping study as a potentially useful minimally invasive in vivo test of cell-mediated immunity. The test was performed on 69 mute swans and 31 common guillemots stranded on the Norfolk and Lincolnshire coastline and inland waterways in England (UK)either due to injury or to contamination with crude or diesel oil. T-lymphocyte response was significantly decreased in swans with greater oil scores. T-lymphocyte responses were also decreased in guillemots, but this finding was not statistically significant

Bioaccumulation of PCB & DDE methyl sulfones in marine mammals and their interactions with receptor proteins

PCB and DDE-Methyl sulphone metabolites are the product of enzymatic and bile acid entero hepatic metabolism in the final phase (III) of PCB and DDE detoxification in mammals following hepatic microsomal cytochrome P450-dependent metabolism (phase I) and conjugation (phase II). There is good evidence that PCB and DDE methyl sulphone (MSF) metabolites interfere with steroid binding to a receptor protein in uterine epithelium (uteroglobin - UG2 and bronchial epithelium (clara cell secretory protein - CCSP). UG and CCSP are homologous 16,000 Da proteins with different tissue-specific functions. UG binds progesterone in the pre-implantation uterus to signal localised endometrial thickening and capillary formation, vital for successful attachment of the fertilised embryo. PCB-MSFs can displace progesterone in the mammalian uterus due to their higher affinity for UG, resulting in implantation failure or early fetal death. CCSP however, functions to sequester phospholipase A2 (PLA2) released in response to stress (pathogenic infection / injury) to suppress inflammatory responses triggered by PLA2 in bronchial epithelium. CCSP is also known as retinol-binding protein (RBP) transporting retinol (vit A) to target epithelia for a functional immune response*. Studies with Harbour Seals demonstrated displacement of retinol from RBP by hydroxy-PCB metabolites resulting in immunosuppression. PCB-MSFs have been shown to accumulate in clara cells and uterine epithelium in laboratory radioactive tracer studies and CCSP-knock out studies with mice. PCB and DDE -MSFs burdens have been found in marine mammals, suggesting they may be subject to reproductive and immuno-toxic effects of these metabolites. This study determines PCB and DDE-MSFs burdens in tissues (including lung & uterus) of Harbour Seal (Phoca vitulina) and Striped Dolphin (Stenella coeruleoalba) morbillivirus victims and characterises the marine mammalian UG/CCSP protein

Contraceptive use and sexual function: a comparison of Italian female medical students and women attending family planning services

Objectives: The aims of the study were to understand how education relates to contraceptive choice and how sexual function can vary in relation to the use of a contraceptive method. Methods: We surveyed female medical students and women attending a family planning service (FPS) in Italy. Participants completed an online questionnaire which asked for information on sociodemographics, lifestyle, sexuality and contraceptive use and also included items of the Female Sexual Function Index (FSFI). Results: The questionnaire was completed by 413 women (362 students and 51 women attending the FPS) between the ages of 18 and 30 years. FSFI scores revealed a lower risk of sexual dysfunction among women in the control group who did not use oral hormonal contraception. The differences in FSFI total scores between the two study groups, when subdivided by the primary contraceptive method used, was statistically significant (p < 0.005). Women using the vaginal ring had the lowest risk of sexual dysfunction, compared with all other women, and had a positive sexual function profile. In particular, the highest FSFI domain scores were lubrication, orgasm and satisfaction, also among the control group. Expensive contraception, such as long-acting reversible contraception, was not preferred by this young population, even though such methods are more contemporary and manageable. Compared with controls, students had lower compliance with contraception and a negative attitude towards voluntary termination of pregnancy. Conclusion: Despite their scientific knowledge, Italian female medical students were found to need sexual and contraceptive assistance. A woman's sexual function responds to her awareness of her body and varies in relation to how she is guided in her contraceptive choice. Contraceptive counselling is an excellent means to improve female sexuality

Variation in the μ-opioid receptor gene (OPRM1) moderates the influence of early maternal care on fearful attachment

There is evidence that both early experience and genetic variation play a role in influencing sensitivity to social rejection. In this study, we aimed at ascertaining if the A118G polymorphism of the k-opioid receptor gene (OPRM1) moderates the impact of early maternal care on fearful attachment, a personality trait strongly related to rejection sensitivity. In 112 psychiatric patients, early maternal care and fearful attachment were measured using the Parental Bonding Inventory and the Relationship Questionnaire (RQ), respectively. The pattern emerging from the RQ data was a crossover interaction between genotype and maternal caregiving. Participants expressing the minor 118 G allele had similar and relatively high scores on fearful attachment regardless of the quality of maternal care. By contrast, early experience made a major difference for participants carrying the A/A genotype. Those who recalled higher levels of maternal care reported the lowest levels of fearful attachment whereas those who recalled lower levels of maternal care scored highest on fearful attachment. Our data fit well with the differential susceptibility model which stipulates that plasticity genes would make some individuals more responsive than others to the negative consequences of adversity and to the benefits of environmental support and enrichment

Cloud Chamber: A Performance with Real Time Two-Way Interaction between Subatomic Particles and Violinist

‘Cloud Chamber’ - a composition by Alexis Kirke, Antonino Chiaramonte, and Anna Troisi - is a live performance in which the invisible quantum world becomes visible as a violinist and subatomic particle tracks interact together. An electronic instrument was developed which can be “played” live by radioactive atomic particles. Electronic circuitry was developed enabling a violin to create a physical force field that directly affects the ions generated by cosmic radiation particles. This enabled the violinist and the ions to influence each other musically in real time. A glass cloud chamber was used onstage to make radioactivity visible in bright white tracks moving within, with the tracks projected onto a large screen

Pilot study and evaluation of a SMMR-derived sea ice data base

Data derived from the Nimbus 7 scanning multichannel microwave radiometer (SMMR) are discussed and the types of problems users have with satellite data are documented. The development of software for assessing the SMMR data is mentioned. Two case studies were conducted to verify the SMMR-derived sea ice concentrations and multi-year ice fractions. The results of a survey of potential users of SMMR data are presented, along with SMMR-derived sea ice concentration and multiyear ice fraction maps. The interaction of the Arctic atmosphere with the ice was studied using the Nimbus 7 SMMR. In addition, the characteristics of ice in the Arctic ocean were determined from SMMR data

The Newtonian Limit of F(R) gravity

A general analytic procedure is developed to deal with the Newtonian limit of $f(R)$ gravity. A discussion comparing the Newtonian and the post-Newtonian limit of these models is proposed in order to point out the differences between the two approaches. We calculate the post-Newtonian parameters of such theories without any redefinition of the degrees of freedom, in particular, without adopting some scalar fields and without any change from Jordan to Einstein frame. Considering the Taylor expansion of a generic $f(R)$ theory, it is possible to obtain general solutions in term of the metric coefficients up to the third order of approximation. In particular, the solution relative to the $g_{tt}$ component gives a gravitational potential always corrected with respect to the Newtonian one of the linear theory $f(R)=R$. Furthermore, we show that the Birkhoff theorem is not a general result for $f(R)$-gravity since time-dependent evolution for spherically symmetric solutions can be achieved depending on the order of perturbations. Finally, we discuss the post-Minkowskian limit and the emergence of massive gravitational wave solutions.Comment: 16 page

Systemic approach to the management of infrastructure safety: Organizational items

This study deals with the organizational items within a systemic approach finalized to make the safety management of road infrastructures more sustainable at a scale of territory. In fact, the infrastructure safety is a very relevant topic in many states with structural systems built some decades ago. Beyond the inherent structural problems, other items are worthy to be investigated, such as, social, economic and organizational aspects. With this aim, the study describes a systemic approach finalized to make all the public and private stakeholders active actors in the management process by improving the organizational items: interaction and mode of governance. In detail, regarding a case study in an Italian region, the authors propose to take on the satellite-based information to investigate the structural safety problems of the infrastructures at a scale of territory. Along this issue, risk or alert maps are properly defined. Successively, useful suggestions are discussed with the focus to increase the interactions between the different actors for a better management of the safety. The recommendations are able to improve the governance mode and decision process with a more all-inclusive level of organization

Characterization of broom fibers for PRB in the remediation of aquifers contaminated by heavy metals

Abstract. The present level of pollution, increasingly involving ground waters, constitutes a serious risk to the environment and also to human health. Therefore the remediation of saturated and unsaturated soils to remove pollutant materials is more and more frequently required. In the present paper, the possibility of removing heavy metals by permeable reactive barrier (PRB) from the groundwater carried out specifically with broom fibers, is investigated. Once shown the economic benefits deriving from the use of this plant, a hydraulic characterization of the broom fiber mass was performed, determining the permeability and the porosity in correspondence to different levels of compactness of the fibers. Having verified the effectiveness of removal of some heavy metals by these fibers, the results of some experiments, carried out in the laboratory for this purpose, are shown. These experiments were carried out utilizing broom fibers obtained in different ways and, limitedly to the considered pollutants, showed the high capability of these fibers to reduce their concentrations. The best results were obtained for the broom fibers extracted by a particular chemical-physical process. Moreover, the behaviour of this fiber with time was investigated, determining the kinetic constant of degradation