Assessing the Economics of Obesity and Obesity Interventions

Examines projections for healthcare costs associated with the obesity epidemic; policy solutions and proven cost-effective interventions for addressing it; and the need to improve the Congressional Budget Office's projections

A HACCP-based approach to mastitis control in dairy herds. Part 1: Development

Hazard Analysis and Critical Control Points (HACCP) systems are a risk based preventive approach developed to increase levels of food safety assurance. This is part 1 of a pilot study on the development, implementation and evaluation of a HACCP-based approach for the control of good udder health in dairy cows. The paper describes the use of a novel approach based on a deconstruction of the infectious process in mastitis to identify Critical Control Points (CCPs) and develop a HACCP-based system to prevent and control mastitis in dairy herds. The approach involved the creation of an Infectious Process Flow Diagram, which was then cross-referenced to two production process flow diagrams of the milking process and cow management cycle. The HACCP plan developed, may be suitable for customisation and implementation on dairy farms. This is a logical, systematic approach to the development of a mastitis control programme that could be used as a template for the development of control programmes for other infectious diseases in the dairy herd

Relative importance of herd-level risk factors for probability of infection with paratuberculosis in Irish dairy herds

Control of paratuberculosis is challenging due to the relatively poor performance of diagnostic tests, a prolonged incubation period, and protracted environmental survival. Prioritization of herd-level interventions is not possible because putative risk factors are often not supported by risk factor studies. The objective for this study was to investigate the relative importance of risk factors for an increased probability of herd paratuberculosis infection. Risk assessment data, comprehensive animal purchase history, and diagnostic test data were available for 936 Irish dairy herds. Both logistic regression and a Bayesian β regression on the outcome of a latent class analysis were conducted. Population attributable fractions and proportional reduction in variance explained were calculated for each variable in the logistic and Bayesian models, respectively. Routine use of the calving area for sick or lame cows was found to be a significant explanatory covariate in both models. Purchasing behavior for the previous 10 yr was not found to be significant. For the logistic model, length of time calves spend in the calving pen (25%) and routine use of the calving pen for sick or lame animals (14%) had the highest attributable fractions. For the Bayesian model, the overall R2 was 16%. Dry cow cleanliness (7%) and routine use of the calving area for sick or lame cows (6%) and had the highest proportional reduction in variance explained. These findings provide support for several management practices commonly recommended as part of paratuberculosis control programs; however, a large proportion of the observed variation in probability of infection remained unexplained, suggesting other important risks factors may exist

The CLARITY modular ambient health and wellness measurement platform

Emerging healthcare applications can benefit enormously from recent advances in pervasive technology and computing. This paper introduces the CLARITY Modular Ambient Health and Wellness Measurement Platform:, which is a heterogeneous and robust pervasive healthcare solution currently under development at the CLARITY Center for Sensor Web Technologies. This intelligent and context-aware platform comprises the Tyndall Wireless Sensor Network prototyping system, augmented with an agent-based middleware and frontend computing architecture. The key contribution of this work is to highlight how interoperability, expandability, reusability and robustness can be manifested in the modular design of the constituent nodes and the inherently distributed nature of the controlling software architecture.Emerging healthcare applications can benefit enormously from recent advances in pervasive technology and computing. This paper introduces the CLARITY Modular Ambient Health and Wellness Measurement Platform:, which is a heterogeneous and robust pervasive healthcare solution currently under development at the CLARITY Center for Sensor Web Technologies. This intelligent and context-aware platform comprises the Tyndall Wireless Sensor Network prototyping system, augmented with an agent-based middleware and frontend computing architecture. The key contribution of this work is to highlight how interoperability, expandability, reusability and robustness can be manifested in the modular design of the constituent nodes and the inherently distributed nature of the controlling software architecture

Review of the role of abdominal imaging in irritable bowel syndrome.

The role of radiologic imaging in the investigation of irritable bowel syndrome (IBS) remains a subject of debate and there is some evidence, from recent studies of utilization of imaging in IBS, which focused on associated costs and radiation exposure, that imaging is being used relatively widely in these patients. This review aims to assess current best evidence to accurately define the role of radiologic imaging in IBS patients. Primary and secondary literature searches were performed. Evidence suggests that the lack of "red flag" or alarm features in IBS patients should reassure the clinician that the diagnosis of IBS is correct and United States and United Kingdom guidelines recommend no radiologic imaging for IBS patients if alarm features are not present. In patients presenting with IBS symptoms and alarm features, radiologic testing may be used to exclude an alternative diagnosis and the imaging modality should be chosen based on the most likely alternative diagnosis

Australian marine radiocarbon reservoir effects: ΔR atlas and ΔR calculator for Australian mainland coasts and near-shore islands

Studies of pre-bomb mollusks live-collected around the Australian coastline have concluded that near-shore marine radiocarbon reservoir effects are small and relatively uniform. These studies are based on limited samples of sometimes dubious quality representing only selective parts of Australia’s lengthy coastline. We systematically examine spatial variability in the marine radiocarbon reservoir effect (ΔR) through analysis of 292 live-collected mollusk samples across the Australian mainland coasts and near-shore islands subject to strict selection criteria. This study presents 233 new ΔR values combined with an evaluation of 59 previously published values. Results demonstrate significant spatial variability in marine radiocarbon reservoir effects across the study region. ΔR values range from 68 ± 24 14C years off the Pilbara region of Western Australia to –337 ± 46 14C years in the southern Gulf of Carpentaria in Queensland. Most sets of local values exhibit internal consistency, reflecting the dominant influence of regional oceanography, including depletion in ΔR values southwards along the eastern Australian coastline coincident with the East Australian Current. Anomalous values are attributed to inaccurate documentation, species-specific relationships with the carbon cycle and/or short-term fluctuations in marine radiocarbon activities. To account for the heterogeneous distribution of marine 14C, we recommend using a location specific ΔR value calculated using the Australian ΔR Calculator, available at: https://delta-r-calc.jcu.io/

Monitoring and validating the transport of waste

The illegal disposal of waste is a growing problem in many countries of the Organization for Economic Cooperation and Development. A weakness with the conventional waste- management cycle concerns the validation and integrity of the transportation process, from collection at industrial premises to delivery at a licenced waste-disposal facility. The on-going Waste Augmentation and Integrated Shipment Tracking (Waist) project, at CLARITY: Centre for Sensor Web Technologies, focuses on this very problem. Waist integrates a triptych of sensing technologies in addressing this problem

Cool, Luminous, and Highly Variable Stars in the Magellanic Clouds. II: Spectroscopic and Environmental Analysis of Thorne-\.Zytkow Object and Super-AGB Star Candidates

In previous work we identified a population of 38 cool and luminous variable stars in the Magellanic Clouds and examined 11 in detail in order to classify them as either Thorne-\.Zytkow Objects (T\.ZOs, red supergiants with a neutron star cores) or super-AGB stars (the most massive stars that will not undergo core collapse). This population includes HV\,2112, a peculiar star previously considered in other works to be either a T\.ZO or high-mass AGB star. Here we continue this investigation, using the kinematic and radio environments and local star formation history of these stars to place constraints on the age of the progenitor systems and the presence of past supernovae. These stars are not associated with regions of recent star formation, and we find no evidence of past supernovae at their locations. Finally, we also assess the presence of heavy elements and lithium in their spectra compared to red supergiants. We find strong absorption in Li and s-process elements compared to RSGs in most of the sample, consistent with super-AGB nucleosynthesis, while HV\,2112 shows additional strong lines associated with T\.ZO nucleosynthesis. Coupled with our previous mass estimates, the results are consistent with the stars being massive (~4-6.5M$_{\odot}$) or super-AGB (~6.5-12M$_{\odot}$) stars in the thermally pulsing phase, providing crucial observations of the transition between low- and high-mass stellar populations. HV\,2112 is more ambiguous; it could either be a maximally massive sAGB star, or a T\.ZO if the minimum mass for stability extends down to <13 M$_\odot$.Comment: 32 pages, 10 figures, 7 tables, spectroscopic data available at https://zenodo.org/record/7058608, accepted to The Astrophysical Journa