1,421 research outputs found

    'Older people for older people' toolkit: developing social enterprise and service delivery in remote and rural areas

    Get PDF

    The changing role of cell culture in the generation of transgenic livestock

    Get PDF
    Transgenesis may allow the generation of farm animals with altered phenotype, animal models for research and animal bioreactors. Although such animals have been produced, the time and expense involved in generating transgenic livestock and then evaluating the transgene expression pattern is very restrictive. If questions about the ability and efficiency of expression could be asked solely in vitro rapid progress could be achieved. Unfortunately, experiments addressing transcriptional control in vitro have proved unreliable in their ability to indicate whether a transgene will be transcribed or not. However, initial studies suggest that cell culture may be able to predict in vivo post-transcriptional events. We review these issues and propose that strategies which engineer the transgene integration site could enhance the probability for efficient expression. This approach has now become feasible with the development of techniques allowing animals to be generated from somatic cells by nuclear transfer. The important step in this procedure is the use of cells grown in culture as the source of genetic information, allowing the selection of specific transgene integration events. This technology which has dramatically increased the potential use of transgenic livestock for both agricultural and biotechnological applications, is based on standard cell culture methodology. We are now at the start of a new era in large animal transgenics

    Aspects of insulin secretion and action in non-insulin-dependent diabetes mellitus

    Get PDF

    Role of infection control in combating antibiotic resistance

    Get PDF
    Infection control has been identified as one of the key interventions in controlling the threat of antibiotic resistance. Reducing thetransmission of multidrug-resistant organisms (MDROs) reduces the need for broad-spectrum antibiotics in particular, while interventionsthat decrease the risk of infection have an impact on the use of any antibiotic. Hand hygiene remains the cornerstone of decreasing thetransmission of MDROs. Alcohol-based hand rubs are a cheap, effective and convenient means of performing hand hygiene. Patientscolonised or infected with MDROs should be placed on contact precautions, although implementation remains challenging in resourcelimitedenvironments. Screening for certain MDROs may play a role in curbing transmission of these organisms. If implemented, screeningmust be part of a comprehensive infection control strategy. In resource-limited settings, the costs and potential benefits of screeningprogrammes need to be carefully weighed up. Care bundles have been shown to reduce the incidence of common healthcare-associatedinfections, including catheter-associated urinary tract infection, ventilator-associated pneumonia, central line-associated bloodstreaminfection and surgical site infection. These bundles are relatively inexpensive, and can play an important role in reducing antibiotic use andimproving clinical outcomes

    Flow in out-of-plane double S-bonds

    Get PDF
    Developing flows in two out-of-plane double S-bend configurations have been measured by laser-Doppler anemometry. The first duct had a rectangular cross-section 40mmx40mm at the inlet and consisted of a uniform area 22.5 deg. - 22.5 deg. S-duct upstream with a 22.5 deg.- 22.5 deg. S- diffuser downstream. The second duct had a circular cross-section and consisted of a 45 deg. - 45 deg. uniform area S-duct upstream with a 22.5 deg. -22.5 deg. S-diffuser downstream. In both configurations the ratio of the mean radius of curvature to the inlet hydraulic diameter was 7.0, the exit-to-inlet area ratio of the diffusers was 1.5 and the ducts were connected so that the centerline of the S-duct lay in a plane normal to that of the S-diffuser. Streamwise and cross-stream velocity components were measured in laminar flow for the rectangular duct and in turbulent flow for both configurations; measurements of the turbulence levels, cross-correlations and wall static pressures were also made in the turbulent flow cases. Secondary flows of the first kind are present in the first S-duct and they are complemented or counteracted by the secondary flows generated by the area expansion and by the curvature of the S-diffusers downstream. Cross-stream velocities with magnitudes up to 0.19 and 0.11 of the bulk velocity were measured in the laminar and turbulent flows respectively in the rectangular duct and six cross-flow vortices were evident at the exit of the duct in both flow cases. The turbulent flow in the circular duct was qualitatively similar to that in the rectangular configuration, but the cross-stream velocities measured at the exit plane were smaller in the circular geometry. The results are presented in sufficient detail and accuracy for the assessment of numerical calculation methods and are listed in tabular form for this purpose

    Velocimetry with refractive index matching for complex flow configurations, phase 1

    Get PDF
    The feasibility of obtaining detailed velocity field measurements in large Reynolds number flow of the Space Shuttle Main Engine (SSME) main injector bowl was demonstrated using laser velocimetry and the developed refractive-index-matching technique. An experimental system to provide appropriate flow rates and temperature control of refractive-index-matching fluid was designed and tested. Test results are presented to establish the feasibility of obtaining accurate velocity measurements that map the entire field including the flow through the LOX post bundles: sample mean velocity, turbulence intensity, and spectral results are presented. The results indicate that a suitable fluid and control system is feasible for the representation of complex rocket-engine configurations and that measurements of velocity characteristics can be obtained without the optical access restrictions normally associated with laser velocimetry. The refractive-index-matching technique considered needs to be further developed and extended to represent other rocket-engine flows where current methods either cannot measure with adequate accuracy or they fail

    Mapping mass customization

    Get PDF
    Mass customization (MC) and personal fabrication (PF) are current relevant topics in architecture offices practice and schools design research. Architects are adopting information based design and production techniques as a response to architectural century challenges. However, is not clear how various authors used and transformed the concept in practice, research and industry after three decades since the MC term was introduced by Davis (1987). Therefore, is essential to map the most relevant works in the field in relation to production and design control. The paper presents some of the results of the ongoing study through an evolving map that aims to visualize relationships, layering complexity and revealing difference.info:eu-repo/semantics/publishedVersio

    Molecular characterization of multidrug-resistant Klebsiella pneumoniaeand Escherichia coliharbouring extended spectrum beta-lactamases andcarbapenemases genes at a tertiary hospital, Kenya

    Get PDF
    Background: Multidrug-resistant (MDR) Gram negative rods are increasingly being reported in sub-Saharan Africa. Molecular investigations play an important role, alongside other measures, in controlling nosocomial infections attributed to these organisms. This study aimed to determine the common extended spectrum beta-lactamases (ESBL) and carbapenemases genes, and clonal relationship in MDR Klebsiella pneumoniae and Escherichia coli. Methods: Fifty-four MDR isolates collected at the Aga Khan University hospital, Nairobi in the month of August 2012 formed the study. These were picked after an increase in the number of resistant strains during the said period was experienced. Results: blaCTXM was present in 41 (74%) of the isolates, while blaSHV was detected in 18 (33%) and blaTEM in 13 (24%) of the isolates. Nine (16.7%) of the isolates harboured all three ESBL genes and 8 (14.8%) harboured two. Eight of the isolates (all E. coli) had none of the ESBL genes tested. Two isolates harboured carbapenemases genotypes: one had blaNDM-1 and the other blaSPM. Sequencing matched CTXM-15 and TEM-1 genes in all the isolates harbouring blaCTXM and blaTEM respectively. However, there was diversity in blaSHV with SHV-11 and SHV-12 genes predominant. The isolates were non-clonal. Conclusions: The isolates mostly harboured blaCTX-M-15 while only a few had carbapenemases genes. Lack of clonality suggests these were the stable circulating strains at the time of the study

    Intraventricular haemorrhage and posthaemorrhagic ventricular dilatation: moving beyond CSF diversion

    Get PDF
    Advances in medical care have led to more premature babies surviving the neonatal period. In these babies, germinal matrix haemorrhage (GMH), intraventricular haemorrhage (IVH) and posthaemorrhagic ventricular dilatation (PHVD) are the most important determinants of long-term cognitive and developmental outcomes. In this review, we discuss current neurosurgical management of IVH and PHVD, including the importance of early diagnosis of PHVD, thresholds for intervention, options for early management through the use of temporising measures and subsequent definitive CSF diversion. We also discuss treatment options for the evolving paradigm to manage intraventricular blood and its breakdown products. We review the evidence for techniques such as drainage, irrigation, fibrinolytic therapy (DRIFT) and neuroendoscopic lavage in the context of optimising cognitive, neurodevelopmental and quality of life outcomes in these premature infants
    corecore