1,548 research outputs found

    Safe, Risk-Free, Standardised Food for All, Is That What We Will Eat Tomorrow?

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    ur foods today are becoming more and more industrialised, manufactured, globalised; requiring rules and regulations to ensure the safety of those who eat. The rules and regulations are designed to manage the processes of big businesses and corporations that make our food. But these rules and regulations, once in place, come to cover all manner of foods that are local, artisanal and special. Those special, artisanal foods include those with an array of resident microbes creating, arguably, better more complex flavour, foods that might confer good health. But resident microbes are the target of the rules and regulations that ensure safety. In Australia, raw cow’s milk is a contested substance, a food too risky to allow its sale to consumers. Yet there are those who value raw milk for many reasons: nostalgia, heritage, support and care of community, wellness and flavour. The microbes that are responsible for the banning of raw milk are valued by those that drink it, contesting the notions of safe food and the foods that contribute to good health. Raw milk is just one example of an old food that has become caught up in the rules, regulations and standards that manage today’s foods. My research challenges the application of rules and regulations to foods with values that predate our desire for a totally safe food supply; foods that are artisanal, bound up with heritage, made in home kitchens with love and memories. I argue that these small-scale artisan foods should be preserved: they deserve rules that manage the scale of small, local, delicious

    Physical therapy for urinary incontinence in postmenopausal women with osteoporosis or low bone density : a randomized controlled trial

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    Objective: To assess the effectiveness of 12 weekly physical therapy sessions for urinary incontinence (UI) compared with a control intervention, for reducing the number of UI episodes measured with the 7-day bladder diary, at 3 months and 1 year postrandomization. Methods: A single parallel-group randomized controlled trial was conducted at one outpatient public health center, in postmenopausal women aged 55 years and over with osteoporosis or low bone density and UI. Women were randomized to physical therapy (PT) for UI or osteoporosis education. The primary outcome measure was number of leakage episodes on the 7-day bladder diary, assessed at baseline, after treatment and at 1 year. The secondary outcome measures included the pad test and disease-specific quality of life and self-efficacy questionnaires assessed at the same timepoints. Results: Forty-eight women participated (24 per group). Two participants dropped out of each group and one participant was deceased before 3-month follow-up. Intention-to-treat analysis was undertaken. At 3 months and 1 year, there was a statistically significant difference in the number of leakage episodes on the 7-day bladder diary (3 mo: P = 0.04; 1 y: P = 0.01) in favor of the PT group. The effect size was 0.34 at 1 year. There were no harms reported. Conclusions: After a 12-week course of PT once per week for UI, PT group participants had a 75% reduction in weekly median number of leakage episodes, whereas the control group's condition had no improvement. At 1 year, the PT group participants maintained this improvement, whereas the control group's incontinence worsened

    Novel adsorption processes for carbon dioxide capture within a IGCC process

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    AbstractThere is considerable interest in identifying carbon dioxide capture processes that can be incorporated within Integrated Gasification and Combined Cycle (IGCC) systems. In this paper, two novel adsorption based process configurations are proposed to operate in the temperature window (250–500 ∘C) suitable for an IGCC process after the water gas shift reactor. These process configurations are numerically simulated with an in-house simulator MINSA (Monash Integrated Numerical Simulator for Adsorption), and the simulation results indicate that good performance can be achieved with low operating cost. Carbon dioxide purity of greater than 95% and carbon dioxide recovery of greater than 90% can be obtained by both process options

    The attitudes of students and academic staff towards electronic course support:are we convergent?

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    The present study investigates the views and attitudes of both the students and staff with regard to the usefulness of electronic course support throughout all four years of the MPharm programme at Aston University. Students were sampled between January and March 2001 using a self-completion questionnaire administered during the start of a practical or tutorial class. All internal academic staff were interviewed using a semi-structured interview format. Response rates were 100 and 89.5%, respectively. The study found that students rapidly embraced the use of electronic course support within the undergraduate programme, although they view its role as augmenting traditional course delivery. This view was mirrored by the academic staff, although only around a half currently place their material on the University's virtual learning environment (VLE), WebCT. The failure of staff to completely embrace the VLE is grounded in a lack of confidence and ability in its use. A majority of the academic staff indicated that they wish to be trained further in the use of information technology. Academic institutions need to understand and meet these needs in parallel with the introduction of any electronic course support

    First Arkansas Records for Bigscale Logperch Percina macrolepida Stevenson (Pisces: Percidae), with Comments on Habitat Preference and Distinctive Characters

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    Fish samples were collected with seines and rotenone from 21 localities representing five major habitat types along the Red River in Arkansas. The bigscale logperch, Percina macrolepida, was found at 11 of those sites, providing the first records ofthat species from the state. The primary preferred habitat parameters for bigscale logperch are no current, a sand and/or silt substrate, and a water depth of 1.0-2.0 m. Percina macrolepida is morphologically very similar to the widespread and common logperch, P. caprodes, but can be distinguished from all forms of that species in Arkansas by a combination of characters. Snout shape and the presence of scales on the breast, prepectoral area, and along the posterior edge of the preopercle in P. macrolepida are the most useful distinguishing features

    The effects of maintenance schedules following pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomised controlled trial.

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    OBJECTIVES: Pulmonary rehabilitation (PR) provides benefit for patients with chronic obstructive pulmonary disease (COPD) in terms of quality of life (QoL) and exercise capacity; however, the effects diminish over time. Our aim was to evaluate a maintenance programme for patients who had completed PR. SETTING: Primary and secondary care PR programmes in Norfolk. PARTICIPANTS: 148 patients with COPD who had completed at least 60% of a standard PR programme were randomised and data are available for 110 patients. Patients had greater than 20 pack year smoking history and less than 80% predicted forced expiratory volume in 1 s but no other significant disease or recent respiratory tract infection. INTERVENTIONS: Patients were randomised to receive a maintenance programme or standard care. The maintenance programme consisted of 2 h (1 h individually tailored exercise training and 1 h education programme) every 3 months for 1 year. PRIMARY AND SECONDARY OUTCOME MEASURES: The Chronic Respiratory Questionnaire (CRQ) (primary outcome), endurance shuttle walk test (ESWT), EuroQol (EQ5D), hospital anxiety and depression score (HADS), body mass index (BMI), body fat, activity levels (overall score and activity diary) and exacerbations were assessed before and after 12 months. RESULTS: There was no statistically significant difference between the groups for the change in CRQ dyspnoea score (primary end point) at 12 months which amounted to 0.19 (-0.26 to 0.64) units or other domains of the CRQ. There was no difference in the ESWT duration (-10.06 (-191.16 to 171.03) seconds), BMI, body fat, EQ5D, MET-minutes, activity rating, HADS, exacerbations or admissions. CONCLUSIONS: A maintenance programme of three monthly 2 h sessions does not improve outcomes in patients with COPD after 12 months. We do not recommend that our maintenance programme is adopted. Other methods of sustaining the benefits of PR are required. TRIAL REGISTRATION NUMBER: NCT00925171.This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0408-16225). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.This is the final published version. It first appeared at http://bmjopen.bmj.com/content/5/3/e005921.full?g=w_thorax_open_tab
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