Waiting Times and Waiting Lists: A Model of the Market for Elective Surgery

We present a simple dynamic model of the demand and supply for elective surgery in the NHS and test it using a panel of quartely data for 123 English health authorities from the second quarter of 1987 to the first quarter of 1993. We find that supply is increasing in measures of the previous period's waiting time and that demand is decreasing in the previous period waiting time. The results imply that health care systems which are rationed by waiting do respond to indicators of waiting times and waiting lists. More generally, the paper adds to the small but consistent body of research which demonstrates that health care systems respond to the publication of high profile performance data.Waiting times; Rationing; Elective surgery.

Effect of the incorporation of salted additives on probiotic whey cheeses

The research effort described here has focused on incorporation of Lactobacillus casei, in whey protein matrices, in the presence of selected salty additives. Those matrices were produced via thermal processing of a combination of either ovine or bovine whey (or a mixture thereof) with ovine milk, and were inoculated (at 10%) with L. casei strain LAFTI®L26; salt, salt and herbs, or salt and xanthan were further added to such matrices, which were then homogenized and stored at 7 °C for up to 21 d. In general, viable cell numbers maintained or even increased throughout the storage period, irrespective of the type of salty additive considered. Partial depletion of lactose was detected, and concomitant production of lactic acid throughout the 21 d-period of storage; lower lactic acid concentrations were found in matrices containing salty additives. In matrices with xanthan (SX), the probiotic strain exhibited the lowest metabolic activity. Matrices SX were less soft and firmer than the others, by the end of storage, and were similar to matrices with herbs (SH). The incorporation of salty additives affected bacterial metabolism, in terms of glycolysis and proteolysis, which in turn had a significant impact on the development of textural propertiesinfo:eu-repo/semantics/acceptedVersio

Global systematic map of research on bats in agricultural systems

Introduction: The conversion of natural habitats to agricultural systems is one of the main global threats to bats. Here, we aimed to develop a systematic mapping to identify publication trends and research gaps in studying bats and agricultural systems. Methods: We reviewed 309 studies published between 1990 and 2021 that sampled bats in agricultural systems or evaluated the effect of these systems on these animals. Results: We found that most studies were conducted in the Palearctic and Neotropical regions (55.3%) and forest biomes (66.0%). Grassland-cropland systems (50.2%) and forest plantations that do not require cutting during the extraction of their products (47.9%) were more studied than forest plantations that require cutting (19.7%). Additionally, acoustic recordings (41.1%) and mist nets (34.3%) were the primary sampling methods used, with few studies combining these methods (7.1%). Also, most studies were conducted on a local scale (77.7%). The number of landscape-scale studies was smaller (34.3%) and concentrated in the Palearctic region (39.6%). Most studies assessed how agricultural systems affect biodiversity (62.1%). However, the phylogenetic and functional dimensions and b-diversity were little explored, with 2.5% and 23.3% of the biodiversity studies, respectively. Of the proposed mitigation measures, the most cited was including natural/semi-natural/potential bat habitats in cultivated landscapes (59.5%). Discussion: In summary, our findings highlight the need for attention to the Afrotropic and Indo-Malaysia regions; predominantly non-forested biomes; plantations that require cutting during the extraction of their products; combined use of different sampling methods, as well as other methods as telemetry; use of multiple biodiversity descriptors and others biological descriptors, such as ecological services; landscape-scale studies and the role of conservation policies in promoting their conservation and raising awareness of their importance among producers and local communities. Filling these knowledge gaps is necessary to understand the factors influencing bat survival in cultivated landscapes. This is the only way to develop management and conservation strategies in these landscapes.info:eu-repo/semantics/publishedVersio

Excess mortality among 10‐year survivors of classical Hodgkin lymphoma in adolescents and young adults

Adolescents and young adults (AYA) surviving classical Hodgkin lymphoma (cHL) risk long term fatal treatment‐related toxicities. We utilized the Surveillance, Epidemiology and End Results (SEER) program to compare excess mortality rate (EMR‐observed minus expected mortality) for 10‐year survivors of AYA cHL diagnosed in 1973–1992 and 1993–2003 eras. The 15‐year EMR reduced from 4.88% to 2.19% while the 20‐year EMR reduced from 9.46% to 4.07% between eras. Survivors of stages 1–2 had lower EMR than survivors of stages 3–4 cHL in the 1993‐2003 but not in the 1973–1992 era. There was an overall decline in risk of death between 10 and 15 years from diagnosis, driven mostly by second neoplasms and cardiovascular mortality. Despite reduction in fatal second neoplasms and cardiovascular disease with more current therapy, long term survivors of AYA cHL still have a higher risk of death than the general population highlighting the need for safer therapies.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142133/1/ajh24964_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142133/2/ajh24964.pd

Concepts in Animal Parasitology, Chapter 11: \u3ci\u3eTrypanosoma\u3c/i\u3e (Genus)

Chapter 11 in Concepts in Animal Parasitology on the genus Trypanosoma by Ana Maria Jansen, Samanta C. Chagas Xavier, and André Luiz Rodrigues Roque. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap01

Efflux pumps expression and its association with porin down-regulation and β-lactamase production among Pseudomonas aeruginosa causing bloodstream infections in Brazil

Background: Multi-drug efflux pumps have been increasingly recognized as a major component of resistance in P. aeruginosa. We have investigated the expression level of efflux systems among clinical isolates of P. aeruginosa, regardless of their antimicrobial susceptibility profile.Results: Aztreonam exhibited the highest in vitro activity against the P. aeruginosa isolates studied (64.4% susceptibility), whereas susceptibility rates of imipenem and meropenem were both 47.5%. the MexXY-OprM and MexAB-OprM efflux systems were overexpressed in 50.8% and 27.1% of isolates studied, respectively. Overexpression of the MexEF-OprN and MexCD-OprJ systems was not observed. AmpC beta-lactamase was overexpressed in 11.9% of P. aeruginosa isolates. in addition, decreased oprD expression was also observed in 69.5% of the whole collection, and in 87.1% of the imipenem non-susceptible P. aeruginosa clinical isolates. the MBL-encoding genes bla(SPM-1) and bla(IMP-1) were detected in 23.7% and 1.7% P. aeruginosa isolates, respectively. the bla(GES-1) was detected in 5.1% of the isolates, while bla(GES-5) and bla(CTX-M-2) were observed in 1.7% of the isolates evaluated. in the present study, we have observed that efflux systems represent an adjuvant mechanism for antimicrobial resistance.Conclusions: Efflux systems in association of distinct mechanisms such as the porin down-regulation, AmpC overproduction and secondary beta-lactamases play also an important role in the multi-drug resistance phenotype among P. aeruginosa clinical isolates.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Universidade Federal de São Paulo, Div Infect Dis, BR-04039032 São Paulo, BrazilUniversidade Federal de São Paulo, Div Infect Dis, BR-04039032 São Paulo, BrazilFAPESP: FAPESP - 2006/01716-8CNPq: 307714/2006-3Web of Scienc

Sweet whey cheese matrices inoculated with the probiotic strain Lactobacillus paracasei LAFTI® L26

Consumption of dairy products containing viable probiotic strains has increased dramatically in recent years, owing to general health claims associated therewith. This trend has boosted diversification of the portfolio of said products, including whey cheese matrices. However, taking into account the relatively poor organoleptic and textural features of these matrices, improvement is in order via incorporation of selected additives, provided that viability of the strains is duly assayed. Lactobacillus paracasei LAFTI® L26 was accordingly incorporated into whey protein solid matrices, in the presence of several additives aimed at enhancing their organoleptic appeal and textural performance. These matrices were produced from a combination of either ovine or bovine whey (or a mixture thereof) with ovine milk, and were inoculated at 10% (v/v) with the probiotic strain. Sugar, sugar and aloe vera, sugar and chocolate, and sugar and jam were further added, and the resulting products were then stored at 7 ◦C for 21 d. In general, viable cell numbers remained high in all experimental matrices throughout storage. Despite the observed low extents of breakdown, proteolytic activities by the end of storage were higher in matrices containing jam. Furthermore, L. paracasei partially converted lactose into lactic acid in these matrices. Additives enhanced the organoleptic features of whey cheeses, and produced different textural patterns. The higher sensory scores were attained by matrices containing sugar: sugar and aloe vera received the best scores by 3 d of storage, but these scores decreased as storage time elapsed

Study of the antibacterial effects of chitosans on bacillus cereus (and its spores) by atomic force microscopy imaging and nanoindentation

Bacillus cereus is a Gram-positive, spore-forming bacterium that is widely distributed in nature. Its intrinsic thermal resistance coupled with the extraordinary resistance against common food preservation techniques makes it one of the most frequent food-poisoning microorganisms causing both intoxications and infections. In order to control B. cereus growth/sporulation, and hence minimize the aforementioned hazards, several antimicrobial compounds have been tested. The aim of this work was to assess by atomic force microscopy (AFM) the relationship between the molecular weight (MW) ofchitosan and its antimicrobial activity upon both vegetative and resistance forms of B. cereus. The use ofAFM imaging studies helped us to understand how chitosans with different MW act differently upon B. cereus. Higher MW chitosans (628 and 100 kDa) surrounded both forms of B. cereus cells by forming a polymer layer-which eventually led to the death of the vegetative form by preventing the uptake of nutrients yet did not affect the spores since these can survive for extended periods without nutrients. Chitooligosaccharides (COS) (<3kDa), on the other hand, provoked more visible damages in the B. cereus vegetative form-most probably due to the penetration of the cells by the COS. The use of COS by itself on B. cereus spores was not enough for the destruction ofa large number of cells, but it may well weaken the spore structure and its ability to contaminate, by inducing exosporium loss

Characterization of desmodesmus pleiomorphus isolated from a heavy metal-contaminated site: biosorption of zinc

Microalgae have been proven efficient biological vectors for heavy metal uptake. In order to further study their biosorption potential, a strain of Desmodesmus pleiomorphus (L) was isolated from a strongly contaminated industrial site in Portugal. Under different initial Zn2? concentrations, metal removal by that strain reached a maximum of 360 mg Zn/g biomass after 7 days, at 30 mg Zn/l, after an initial rapid phase of uptake. Comparative studies were carried out using a strain of the same microalgal species that is commercially available (ACOI 561): when exposed to 30 mg Zn/l, it could remove only 81.8 mg Zn/g biomass. Biosorption experiments using inactivated biomass of the isolated strain reached a maximum Zn2? uptake of 103.7 mg/g. Metal removal at various initial pH values was studied as well; higher removal was obtained at pH 5.0. The microalga strain L, isolated from the contaminated site, exhibited a much higher removal capacity than the commercial strain, and the living biomass yielded higher levels of metal removal than its inactivated form

Boreholes plans optimization methodology combining geostatistical simulation and simulated annealing

Nowadays, the prospection plans have the difficult task of ensuring a more complete and rich characterization of the rock mass for the purpose of optimizing costs and increasing safety in geotechnical projects. Currently, boreholes location and depth are mainly defined based on experience and know-how of professionals, as such, it is user-dependent. Hence, there is a lack of methodologies to help the decision-makers in defining the optimal location of boreholes (with relevant information). Therefore, this paper presents a methodology based on the use of geostatistical conditional simulation allied to a stochastic global optimization algorithm (Simulated Annealing) to develop optimized boreholes plans comparing a uni-objective and a multi-criteria optimization approaches. In this work, the optimized location is considered the one that minimizes uncertainty translated by either the average local variance or the average width of 95% probability intervals of simulated values at unsampled locations. This methodology was applied using preliminary information obtained from previously executed boreholes using as variable the empirical rock mass classification system, Rock Mass Rating, in a Chilean deposit.This research is inserted in LNEC project named P2I-RockGeoStat and was partially funded by FCT (Fundação para a Ciência e Tecnologia, Portugal) in the scope of project PEst-UID/CEC/00319/2013, included in ISISE project UID/ECl/04029/2013 as well as the PhD grant SFRH/BD/89627/2012, and by the Chilean Commission for Scientific and Technological Research, through Project CONICYT PIA Anillo ACT1407.info:eu-repo/semantics/publishedVersio