Control of spatial deposition of electrospun fiber using electric field manipulation

A significant challenge in the synthesis of uniform membranes via electrospinning is achieving a spatially uniform deposition of electrospun fibers. The problem is more pronounced in the case of a multi-spinneret system due to self repulsion between the jets. In this study, electric field manipulation (via auxiliary electrodes) is explored as a potential technique for controlling the spatial deposition area of electrospun fiber. It was observed experimentally that the location and size of the deposition area can be moved linearly in response to the applied voltages at the auxiliary electrodes. Finite element analysis (FEA) was used to simulate the electric field strength and distribution at a given applied voltage and its effect on the flight path of electrospun fiber. Comparisons between experiments and simulations were made in evaluating the accuracy of simulations. The adaptation of this technique in production would provide a method of controlled deposition for producing uniform electrospun fiber membranes

Comparing service quality in public vs private distance education institutions:Evidence based on Malaysia

Assessment of the quality of distance education institutions has become an important issue that needs to be addressed to ensure program survival. This study uses SERVPERF model to identify the differences that exists in students' perception of service quality in public and private universities in Malaysia that offer distance education. Our study confirms that this model is valid and reliable. We find that the students' overall perception of service quality is lower in all five dimensions of service quality for the private universities. The dimensions that influence overall service quality are noticeably different for public and private universities. This suggests that private universities need to improve their service provision in order to remain competitive. Managerial implications of the major findings are discussed

Manipulation of electrospun fibres in flight: the principle of superposition of electric fields as a control method

This study investigates the magnitude of movement of the area of deposition of electrospun fibres in response to an applied auxiliary electric field. The auxiliary field is generated by two pairs of rod electrodes positioned adjacent and parallel to the line of flight of the spun fibre. The changes in shape of the deposition area and the degree of movement of the deposition area are quantified by optical scanning and image analysis. A linear response was observed between the magnitude of movement of the deposition area and voltage difference between the auxiliary and deposition electrodes. A squeezing effect which changed the aspect ratio of the deposition area was also observed to result from the application of symmetric electrical fields. Statistical analysis showed that the deflection and squeezing responses can be thought of as independent control actions. The results from this experiment suggest this particular application of superposition of electric fields could be used as to control the flight path of an electrospun fibre

Diabetes care provision in UK primary care practices

Background: Although most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care. Methods: Postal surveys with all healthcare professionals and a random sample of 100 patients with Type 2 diabetes from 99 UK primary care practices. Results: 326/361 (90.3%) doctors, 163/186 (87.6%) nurses and 3591 patients (41.8%) returned a questionnaire. Clinicians reported giving advice about lifestyle behaviours (e.g. 88% would routinely advise about calorie restriction; 99.6% about increasing exercise) more often than patients reported having received it (43% and 42%) and correlations between clinician and patient report were low. Patients’ reported levels of confidence about managing their diabetes were moderately high; a median (range) of 21% (3% to 39%) of patients reporting being not confident about various areas of diabetes selfmanagement. Conclusions: Primary care practices have organisational structures in place and are, as judged by routine quality indicators, delivering high quality care. There remain evidence-practice gaps in the care provided and in the self confidence that patients have for key aspects of self management and further research is needed to address these issues. Future research should use robust designs and appropriately designed studies to investigate how best to improve this situation

Health and economic benefits of achieving hepatitis C virus elimination in Pakistan: A modelling study and economic analysis

Background: Modelling suggests that achieving the WHO incidence target for hepatitis C virus (HCV) elimination in Pakistan could cost US$3.87 billion over 2018 to 2030. However, the economic benefits from integrating services or improving productivity were not included.Methods and findings: We adapt a HCV transmission model for Pakistan to estimate the impact, costs, and cost-effectiveness of achieving HCV elimination (reducing annual HCV incidence by 80$148 to US$198/DALY). Compared to existing levels of treatment, scaling up screening and treatment to achieve HCV elimination in Pakistan averts 5.57 (95$1.45 (1.32 to 1.60) billion but will result in US$1.30 (0.94 to 1.72) billion in improved economic productivity over 2018 to 2030. This elimination strategy is highly cost-effective (ICER = US$29 per DALY averted) by 2030, with it becoming cost-saving by 2031 and having a net economic benefit of US$9.10 (95% UI 6.54 to 11.99) billion by 2050. Limitations include uncertainty around what level of integration is possible within existing primary healthcare services as well as a lack of Pakistan-specific data on disease-related healthcare management costs or productivity losses due to HCV.Conclusions: Investment in HCV elimination can bring about substantial societal health and economic benefits for Pakistan

Detection of Hepatitis E Virus Antibodies in Dogs in the United Kingdom.

Hepatitis E virus (HEV) genotypes 3 and 4 are zoonotic pathogens, with pigs predominantly implicated in disease transmission. The rapid rise in human cases in developed countries over the past decade indicates a change in epidemiology of HEV, and it has been suggested that additional animal species may be involved in transmission of infection. Multiple studies have identified contact with dogs as a risk factor for HEV infection in industrialised nations, and a low seroprevalence to HEV has previously been reported in dogs in low-income countries. In this study we aimed to evaluate the possibility that dogs are susceptible to HEV, and determine the frequency with which this occurs. Serum samples from UK dogs with and without hepatitis were screened for HEV-specific antibodies, and canine liver and stool samples were analysed by qPCR for the presence of HEV RNA. We describe evidence to show HEV infection occurs at low levels in dogs in the UK, but the strain of origin is undetermined. The low seroprevalence level of HEV in dogs implies the risk of zoonotic disease transmission is likely to be limited, but further investigations will be required to determine if HEV-infected dogs can transmit HEV to man.This project was made possible by a Wellcome Trust Vacation Scholarship to AM, and was supported by a PhD studentship from the Medical Research Council to SC, a Wellcome Trust Research Training Fellowship to NB (Ref: WT088619MA) and a Wellcome Trust Senior Fellowship to IG (Ref: WT097997MA).This is the final version of the article. It first appeared from PLOS via http://dx.doi.org/10.1371/journal.pone.012870