Can routinely collected electronic health data be used to develop novel healthcare associated infection surveillance tools?

Background: Healthcare associated infections (HCAI) pose a significant burden to health systems both within the UK and internationally. Surveillance is an essential component to any infection control programme, however traditional surveillance systems are time consuming and costly. Large amounts of electronic routine data are collected within the English NHS, yet these are not currently exploited for HCAI surveillance. Aim: To investigate whether routinely collected electronic hospital data can be exploited for HCAI surveillance within the NHS. Methods: This thesis made use of local linked electronic health data from Imperial College Healthcare NHS Trust, including information on patient admissions, discharges, diagnoses, procedures, laboratory tests, diagnostic imaging requests and traditional infection surveillance data. To establish the evidence base on surveillance and risks of HCAI, two literature reviews were carried out. Based on these, three types of innovative surveillance tools were generated and assessed for their utility and applicability. Results: The key findings were firstly the emerging importance of automated and syndromic surveillance in infection surveillance, but the lack of investigation and application of these tools within the NHS. Syndromic surveillance of surgical site infections was successful in coronary artery bypass graft patients; however it was an inappropriate methodology for caesarean section patients. Automated case detection of healthcare associated urinary tract infections, based on electronic microbiology data, demonstrated similar rates of infection to those recorded during a point prevalence survey. Routine administrative data demonstrated mixed utility in the creation of simplified risk scores or infection, with poorly performing risk models of surgical site infections but reasonable model fit for HCA UTI. Conclusion: Whilst in principle routine administrative data can be used to generate novel surveillance tools for healthcare associated infections; in reality it is not yet practical within the IT infrastructure of the NHS

Introductory Guide to Scuba Diver Species

Scuba studies primarily focused on physiological aspects of the sport. A few studies about consumer dive behavior have surfaced in the tourism and leisure literature since the 1980s. The recreational scuba market is not homogeneous. Hence the purpose of this study was to gain an understanding of scuba diver characteristics and to conduct an exploratory examination of scuba specific values and involvement. The study sought to identify differences between local scuba divers and visitors, and classify subgroups of divers based on scuba specific values. Data ( =377) was collected in the Florida Keys. Results showed that visitors had less years of certification experience but spent more on scuba, compared to local resident divers. Cluster analysis identified four groups of scuba divers - ‘fun-seeking belongers’, ‘actualizers’, ‘inner- circles’ and ‘moderates’. Group characteristics and scuba specific values were presented. Results may be useful to scuba stakeholders such as marketers and tourism administrators

AN INVESTIGATION OF QR CODE USE IN INDIANAPOLIS FOOD AND BEVERAGE INDUSTRY

poster abstractAccording Mostyn, market research specialist, (2012), global smartphone shipments increased by 62.7 percent in 2011. In the US, smart phones are gaining in popularity. A Quick Response (QR) code is a type of barcode that can be read by smart phones. It can be used to link print to other interactive information (e.g. access URLs, send an e-coupon, download video, etc.). The QR code is considered new technology in food and beverage industry and there is limited information about its use. Nation’s Restaurant News (2011) reported that QR codes are slowly being used to promote restaurants, such as Taco Bell and Boudin Bakery. The purpose of this research is to investi-gate if and how QR codes are being used in the Indianapolis restaurant in-dustry. The study will provide baseline information and the potential for QR code use in the Indianapolis restaurants. Effective use of QR codes may even influence consumer choices and/or company profitability. Archival and web search in addition to interviews with restaurant managers is the method of data collection. Approximately 10 restaurants in the Indianapolis area will be sampled. Some interview questions include: What is the purpose of using QR code? And what are the advantages and disadvantages of using QR codes? The study is currently in the data collection phase. Preliminary results sug-gest that QR code use is in its infancy in Indianapolis, when compared to restaurants in Chicago or Vancouver. Also, more franchise restaurants and big chain restaurants have embraced this technology than the smaller family owned restaurants. QR codes are typically used for menu nutrition and res-taurant history information, marketing via coupons, and customer surveys. This study was sponsored by the IUPUI Undergraduate Research Opportunities Program

An Examination of Motivation and Identification of Football Fans

This study examined the fans motivation to attend the National Football League (NFL) games and how it relates to fan identification. Data from 158 fans who attended regular season games in a Midwestern city in the United States were analyzed using regression to determine the degree to which fan identification could be explained by motivation factors. It was found that self-esteem, entertainment, escape, and eustress explained 40.1% of the variance in fan identification. Understanding that fans have different levels of identification and different types of motivations will enable sport marketers can better tailor strategies to more effectively reach target markets

An Examination of Motivation and Identification of Football Fans

This study examined the fans motivation to attend the National Football League (NFL) games and how it relates to fan identification. Data from 158 fans who attended regular season games in a Midwestern city in the United States were analyzed using regression to determine the degree to which fan identification could be explained by motivation factors. It was found that self-esteem, entertainment, escape, and eustress explained 40.1% of the variance in fan identification. Understanding that fans have different levels of identification and different types of motivations will enable sport marketers can better tailor strategies to more effectively reach target markets

Morphological characterisation of three indigenous Mozambican cattle populations

Information on phenotypic and morphometric variation is important in the characterisation of indigenous cattle breeds.  The objective of this study was to assess the morphological variation of the indigenous Angone, Landim, and Tete cattle breeds of Mozambique, kept under traditional management systems. These breeds are farmed mainly for meat and draught power, although they can produce some milk, especially the Landim. Data were collected through a survey of twenty-three villages in Maputo, Gaza, Inhambane (southern Mozambique), and Tete (central Mozambique) provinces. A total of 614 heads of adult animals including 140 Angone, 292 Landim, and 182 Tete were sampled.  The collected qualitative and quantitative data were examined using SPSS version 16. The dominant coat pattern was even (no spotting) (59.5 %), with black being the most common coat colour (51.5 %), followed by light brown (26.5 %). The three breeds showed morphological differentiation based on size, body weight, and horn shape. Landim males and females were significantly (p0.05) heavier than their Tete and Angone counterparts. Across breeds, the majority of cattle (95.2 %) had horns, and 66.9 % of these horns were curved. Individual assignment using discriminant function analysis revealed that 73.0 % of Landim, 77.4 % of Angone, and 59.9 % of Tete cattle were correctly assigned to their respective populations. Results from this study indicate a considerable phenotypic variation of Mozambican indigenous cattle and will assist in future improvement and conservation programs

Genetic diversity and population structure of three native cattle populations in Mozambique

In the present work, the population diversity and structure of three populations of native Mozambican cattle were studied, to develop knowledge that is required for sound conservation and genetic improvement programs of these genetic resources. A total of 228 animals (Landim, Angone, and Tete) were genotyped using the International Dairy and Beef version three (IDBV3) SNP BeadChip array. Population parameters varied within a limited scope, with the average minor allele frequency (MAF) ranging from 0.228 ± 0.154 in the Angone to 0.245 ± 0.145 in the Tete population, while estimates of expected heterozygosities varied from 0.304 ± 0.166 in the Angone to 0.329 ± 0.148 in the Tete population. Low positive (0.065 ± 0.109) inbreeding rates were detected in the three cattle groups. Population structure and admixture analyses indicated low genetic differentiation and various degrees of admixture among the populations. The effective population size has decreased over time and at 12 generations ago ranged between 349 (Tete) and 929 (Landim). The average linkage disequilibrium (LD) of the studied populations ranged from 0.400 ± 0.213 (Tete) to 0.434 ± 0.232 (Landim). The findings of this study will be valuable for formulating management and conservation strategies for indigenous Mozambican cattle populations.The Ministry of Science, Technology, and Higher Education of Mozambique.http://link.springer.com/journal/11250hj2022Animal and Wildlife Science

Designing a brief behaviour change intervention to reduce sexually transmitted infections: a discrete choice experiment

Objectives: To understand whether people attending sexual health (SH) clinics are willing to participate in a brief behavioural change intervention (BBCI) to reduce the likelihood of future sexually transmitted infections (STIs) and to understand their preferences for different service designs. Methods: A discrete choice experiment (DCE) with young heterosexual adults (aged 16-25 years), and men who have sex with men (MSM) aged 16 or above, attending SH clinics in England. Results: Data from 368 participants showed that people particularly valued BBCIs that involved talking (OR 1.45; 95%CI 1.35, 1.57 compared with an ‘email or text’ based BBCI), preferably with a health care professional rather than a peer. Findings also showed that 26% of respondents preferred ‘email / texts’ to all other options; the remaining 14% preferred not to participate in any of the offered BBCIs. Implications: These results suggest that most people attending SH clinics in England are likely to participate in a BBCI if offered, but the type / format of the BBCI is likely to be the single important determinant of uptake rather than characteristics such as the length and the number of sessions. Moreover, participants generally favoured ‘talking’ based options rather than digital alternatives, which are likely to require the most resources to implement