Hotspot Zuidplaspolder: Climate adaptation in the Zuidplaspolder

Building at the lowest point in the Netherlands, in the Zuidplaspolder, is viewed as a challenge and not something that is impossible. The Xplorelab approach in the Hotspot Zuidplaspolder project is a combination of research, implementation of ideas into inspiring examples and evaluation

The Flatness of Bifurcations in 3D Dendritic Trees: An Optimal Design

The geometry of natural branching systems generally reflects functional optimization. A common property is that their bifurcations are planar and that daughter segments do not turn back in the direction of the parent segment. The present study investigates whether this also applies to bifurcations in 3D dendritic arborizations. This question was earlier addressed in a first study of flatness of 3D dendritic bifurcations by Uylings and Smit (1975), who used the apex angle of the right circular cone as flatness measure. The present study was inspired by recent renewed interest in this measure. Because we encountered ourselves shortcomings of this cone angle measure, the search for an optimal measure for flatness of 3D bifurcation was the second aim of our study. Therefore, a number of measures has been developed in order to quantify flatness and orientation properties of spatial bifurcations. All these measures have been expressed mathematically in terms of the three bifurcation angles between the three pairs of segments in the bifurcation. The flatness measures have been applied and evaluated to bifurcations in rat cortical pyramidal cell basal and apical dendritic trees, and to random spatial bifurcations. Dendritic and random bifurcations show significant different flatness measure distributions, supporting the conclusion that dendritic bifurcations are significantly more flat than random bifurcations. Basal dendritic bifurcations also show the property that their parent segments are generally aligned oppositely to the bisector of the angle between their daughter segments, resulting in “symmetrical” configurations. Such geometries may arise when during neuronal development the segments at a newly formed bifurcation are subjected to elastic tensions, which force the bifurcation into an equilibrium planar shape. Apical bifurcations, however, have parent segments oppositely aligned with one of the daughter segments. These geometries arise in the case of side branching from an existing apical main stem. The aligned “apical” parent and “apical” daughter segment form together with the side branch daughter segment already geometrically a flat configuration. These properties are clearly reflected in the flatness measure distributions. Comparison of the different flatness measures made clear that they all capture flatness properties in a different way. Selection of the most appropriate measure thus depends on the question of research. For our purpose of quantifying flatness and orientation of the segments, the dihedral angle β was found to be the most discriminative and applicable single measure. Alternatively, the parent elevation and azimuth angle formed an orthogonal pair of measures most clearly demonstrating the dendritic bifurcation “symmetry” properties

Characterizing neuromorphologic alterations with additive shape functionals

The complexity of a neuronal cell shape is known to be related to its function. Specifically, among other indicators, a decreased complexity in the dendritic trees of cortical pyramidal neurons has been associated with mental retardation. In this paper we develop a procedure to address the characterization of morphological changes induced in cultured neurons by over-expressing a gene involved in mental retardation. Measures associated with the multiscale connectivity, an additive image functional, are found to give a reasonable separation criterion between two categories of cells. One category consists of a control group and two transfected groups of neurons, and the other, a class of cat ganglionary cells. The reported framework also identified a trend towards lower complexity in one of the transfected groups. Such results establish the suggested measures as an effective descriptors of cell shape

“I Wish I Had AIDS”: A qualitative study on access to health care services for HIV/AIDS and diabetic patients in Cambodia

Financially stricken Cambodian patients with diabetes and HIV/AIDS typically encounter multiple, serious barriers to effective care. This process may extend over many years and involve numerous rounds of diagnosis and treatment as the disease progresses from initial symptoms to longer term complications. Living with both the impact of the disease and this ongoing struggle for care can severely disrupt the everyday life of both sufferers and their families. Our retrospective study adopted qualitative research methods to collect data from HIV/AIDS and diabetic patients enrolled and not enrolled in treatment programs at varying institutions in urban and rural settings. Using purposive sampling techniques, a total of 25 HIV/AIDS and 45 diabetic patients were recruited. Semi-structured and open-ended interviews were used to collect information on patient experiences of different phases in the on-going process of seeking care and treatment. The findings indicate that both HIV/AIDS and diabetic patients encounter multiple supply- and demand-side barriers to care at different stages of their illness. More strikingly, our research findings suggest that supply-side barriers, for example rationing systems or targeting strategies that limit access to free treatment or social assistance, are substantially higher for diabetic patients. This perceived inequity had a profound impact on diabetic patients to the extent that some “wished they had HIV/AIDS”. These findings suggest that there is an urgent need to widen the focus of health care to address the substantial and increasing burden of disease resulting from diabetes and other serious chronic disorders in Cambodia and many other low/middle income countries.

Библиотековедение как фундаментальная наука

The Netherlands saw an unexplained increase in campylobacteriosis incidence between 2003 and 2011, following a period of continuous decrease. We conducted an ecological study and found a statistical association between campylobacteriosis incidence and the annual number of prescriptions for proton pump inhibitors (PPIs), controlling for the patient's age, fresh and frozen chicken purchases (with or without correction for campylobacter prevalence in fresh poultry meat). The effect of PPIs was larger in the young than in the elderly. However, the counterfactual population-attributable fraction for PPIs was largest for the elderly (ca 45% in 2011) and increased at population level from 8% in 2004 to 27% in 2011. Using the regression model and updated covariate values, we predicted a trend break for 2012, largely due to a decreased number of PPI prescriptions, that was subsequently confirmed by surveillance data. Although causality was not shown, the biological mechanism, age effect and trend-break prediction suggest a substantial impact of PPI use on campylobacteriosis incidence in the Netherlands. We chose the ecological study design to pilot whether it is worthwhile to further pursue the effect of PPI on campylobacteriosis and other gastrointestinal pathogens in prospective cohort studies. We now provide strong arguments to do so

Een binnenstedelijke herontwikkeling

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Een binnenstedelijke herontwikkeling

Coherent privaatrech