714 research outputs found
Sucrose-dependent accumulation of oral streptococci and their adhesion-defective mutants on saliva-coated hydroxyapatite
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73122/1/j.1399-302X.1995.tb00139.x.pd
Discrimination of prostate cancer cells and non-malignant cells using secondary ion mass spectrometry
This communication utilises Time-of-Flight Secondary Ion Mass Spectrometry (ToF-SIMS) combined with multivariate analysis to obtain spectra from the surfaces of three closely related cell lines allowing their discrimination based upon mass spectral ions
The transport problem: The need for consistent policies on pricing and investment
This paper reviews the basic issues involved in identifying and providing solutions to transport problems. The paper argues that solutions focusing solely on investment in capacity or second-best solutions to pricing such as road pricing and free public transport ignore the essential economic relationships involved in transport. The paper provides a critique of investment and pricing and argues for a more integrated approach in which optimal pricing is a core consideration in any investment decisions. This is seen as particularly important in a post Covid-19 world where many of the fundamental drivers of transport demand have changed, and public authorities face significant constraints on budgets whilst new pressures such as commitments to net zero in the face of global warming threats add additional pressures. The paper offers some thoughts on the principles involved in establishing a more suitable structure for dealing with the transport problem
Beyond cost-benefit analysis; the search for a comprehensive evaluation of transport investment
Major advances have been made in trying to go beyond the conventional cost-benefit analysis appraisal of major transport projects that focus almost entirely on user benefits. Whilst newer methods to estimate the potential for agglomeration impacts in an imperfectly competitive world have become more mainstream there is still a desire to be able to capture more robustly the even more transformational impacts that are often claimed to result from major projects. This paper reviews some of these approaches and discusses how they have been used in some projects in the United Kingdom. It concludes that there is still scope for further improvement but that the desire of policy makers for precise estimates may have to be modified
Can high-speed rail have a transformative effect on the economy?
High-speed rail is frequently claimed to have a transformative effect on the economy. By
bringing cities and regions closer together it is argued that economies can benefit from
lower generalised costs of transport leading to enhanced growth and productivity. A
counter argument is that such effects are largely redistributive with some regions benefiting
and others suffering depending on their ability to take advantage of new opportunities.
However, some argue further than this and claim that such step changes in transport
provision can lead to major changes in economic structure that can transform regions’
absolute as well as relative position and thus redress the existence of regional disparities.
In this paper, we address the question as to whether there is a clear and robust economic
theory of the transformational impact of high-speed rail and if there is any consistent
evidence to support it? The paper uses evidence from the North-west European High-Speed
Rail network and a more detailed study of the UK’s first high-speed line, HS1. This is
followed by a discussion of the various claims and counter-claims for the impact of the
proposed HS2 that will link London with Birmingham, Leeds and Manchester. On the basis of
this some of the implications for the appraisal of such projects are considered. The main
conclusion from the paper is that transport infrastructure by itself is not likely to be
transformative, but coupled with other policy interventions it can contribute to such an
effect
SmaggIce 2.0: Additional Capabilities for Interactive Grid Generation of Iced Airfoils
The Surface Modeling and Grid Generation for Iced Airfoils (SmaggIce) software toolkit has been extended to allow interactive grid generation for multi-element iced airfoils. The essential phases of an icing effects study include geometry preparation, block creation and grid generation. SmaggIce Version 2.0 now includes these main capabilities for both single and multi-element airfoils, plus an improved flow solver interface and a variety of additional tools to enhance the efficiency and accuracy of icing effects studies. An overview of these features is given, especially the new multi-element blocking strategy using the multiple wakes method. Examples are given which illustrate the capabilities of SmaggIce for conducting an icing effects study for both single and multi-element airfoils
The impact of syphilis screening among female sex workers in China: a modelling study.
BACKGROUND: In China, female sex workers (FSWs) are at high risk of syphilis infection, but are hard to reach for interventions. Point-of-care testing introduces opportunities for expanding syphilis control measures. Modelling is used to estimate the impact of using rapid tests to screen FSWs for syphilis. In other settings, modelling has predicted large rebounds in infectious syphilis following screening, which may undermine any impact achieved. METHODS: A deterministic syphilis transmission model among FSWs and clients was fitted to data from Yunnan Province (FSW syphilis prevalence = 7.5%), and used to estimate the impact of rapid syphilis testing and treatment for FSWs. Impact projections were compared for different model structures that included risk heterogeneity amongst FSWs, incoming syphilis infections amongst new FSWs and clients and re-infection from FSWs' regular non-commercial partners. The rebound in syphilis prevalence after screening ceased was explored. RESULTS: All model structures suggest yearly syphilis screening could substantially reduce (by 72-88%) syphilis prevalence amongst FSWs in this setting over five years. However, incoming syphilis infections amongst new FSWs and clients or re-infections from regular non-commercial partners of FSWs can considerably reduce (>30%) the proportion of infections averted. Including heterogeneity in risk amongst FSWs had little effect upon the proportion of infections averted. In this setting, the rebound in syphilis prevalence after screening ceased is predicted to be slight, but it could be large in high prevalence settings. CONCLUSIONS: Rapid test screening could dramatically reduce syphilis prevalence amongst hard-to-reach groups, but strategies to reduce re-infection from regular non-commercial partners are needed to maximise impact
Integrated Hepatitis C Care for People Who Inject Drugs (Heplink): Protocol for a Feasibility Study in Primary Care (Preprint)
Background:
Hepatitis C virus (HCV) infection is a major cause of chronic liver disease and death. Drug use remains the significant cause of new infections in the European Union, with estimates of HCV antibody prevalence among people who inject drugs ranging from 5% to 90% in 29 European countries. In Ireland and the European Union, primary care is a key area to focus efforts to enhance HCV diagnosis and treatment among people who inject drugs.
Objective:
The Heplink study aims to improve HCV care outcomes among opiate substitution therapy (OST) patients in general practice by developing an integrated model of HCV care and evaluating its feasibility, acceptability, and likely efficacy.
Methods:
The integrated model of care comprises education of community practitioners, outreach of an HCV-trained nurse into general practitioner (GP) practices, and enhanced access of patients to community-based evaluation of their HCV disease (including a novel approach to diagnosis, that is, Echosens FibroScan Mini 430). A total of 24 OST-prescribing GP practices were recruited from the professional networks and databases of members of the research consortium. Patients were eligible if they are aged ≥18 years, on OST, and attend the practice for any reason during the recruitment period. Baseline data on HCV care processes and outcomes were extracted from the clinical records of participating patients.
Results:
This study is ongoing and has the potential to make an important impact on patient care and provide high-quality evidence to help GPs make important decisions on HCV testing and onward referral.
Conclusions:
A substantial proportion of HCV-positive patients on OST in general practice are not engaged with specialist hospital services but qualify for direct-acting antiviral drugs treatment. The Heplink model has the potential to reduce HCV-related morbidity and mortality. Registered Report Identifier: RR1-10.2196/904
Is contact between men who have sex with men and non-governmental organisations providing harm reduction associated with improved HIV outcomes?
Imaging ToF-SIMS and synchrotron-based FT-IR microspectroscopic studies of prostate cancer cell lines
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