2,428 research outputs found

    Effectiveness of a telehealth and telecare learning resource within an undergraduate nursing curriculum

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    This paper discusses the impact of a telehealth and telecare eLearning resource on a cohort of undergraduate nursing students in the United Kingdom. The resource was designed to raise awareness of telehealth and telecare applications, and to introduce learners to some of the drivers, challenges and research evidence associated with these interventions. Methods: Questionnaires were constructed that explored students’ views on the resource itself, and on their knowledge of, and attitudes towards, telehealth and telecare. Both questionnaires included a 5-point Likert scale containing items linked to knowledge, awareness and opinions of telehealth and telecare. A pre-resource questionnaire provided a baseline measure that was compared subsequently with results from a post-resource questionnaire to identify the impact of completing the learning. Results: 104 students completed the learning resource. 51 students (49%) completed either the pre- or post-course questionnaire, with 44 (42%) completing both questionnaires. Feedback from students suggested high levels of satisfaction with the quality and utility of the resource. Responses to items in the knowledge and attitudes Likert scale were analysed primarily using non-parametric tests to identify any changes in responses before and after completing the resource. Wilcoxon signed-rank testing demonstrated statistically significant changes in responses in all but one of the Likert items, suggesting an increase in students’ positive attitudes towards telehealth and telecare and their knowledge related to the topic. Conclusions: The research suggests that pre-registration nursing students value the opportunity to learn more about telehealth and telecare, and that a well-designed resource can increase awareness and knowledge

    Metabolomics on integrated circuit

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    We have demonstrated a chip-based diagnostics tool for the quantification of metabolites, using specific enzymes, to study enzyme kinetics and calculate the Michaelis-Menten constant. An array of 256×256 ion-sensitive field effect transistors (ISFETs) fabricated in a complementary metal oxide semiconductor (CMOS) process is used for this prototype. We have used hexokinase enzyme reaction on the ISFET CMOS chip with glucose concentration in the physiological range of 0.05 mM – 231 mM and successfully studied the enzyme kinetics of hexokinase in detail. This will promote future research towards multiplexing enzyme-based metabolite quantification on a single chip, ultimately opening a pathway towards a personal metabolome machine

    Thirty years of change in a benthic macroinvertebrate community of southwestern Lake Ontario after invasion by four Ponto-Caspian species

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    Beginning in the mid-1980s, the Laurentian Great Lakes underwent successive invasions by PontoCaspian species. We quantified major changes in the diversity and relative abundance of pre-invasion benthic macroinvertebrates at the same study site in southwestern Lake Ontario from 1983–2014. The zebra mussel Dreissena polymorpha Pallas arrived at the study site before 1991, the quagga mussel Dreissena rostriformis bugensis Andrusov and the amphipod Echinogammarus ischnus Stebbing arrived before 1999, and the Round Goby Neogobius melanostomus Pallas arrived about 2004. The macroinvertebrate community in 2014 was very different from 3 earlier communities in 1983, 1991, and 1999. In 2014, pulmonate and prosobranch snails and sphaeriid bivalves were absent, D. r. bugensis replaced D. polymorpha, E. ischnus replaced Gammarus fasciatus Say as the dominant amphipod, and a previously diverse community of benthic fish was replaced by abundant N. melanostomus. From 1983 to 1999, the relative abundance of prosobranchs and pulmonates declined 10-fold and rose 2-fold, respectively. From 1991 to 2014, the relative abundance of oligochaetes and chironomids increased 32- and 78-fold, respectively. The shifts we report probably are attributable to nutrient enrichment of the nearshore of Lake Ontario during the 1990s leading to a thick carpet of macroalgae, a change in the base of the benthic food web from dressenid feces and pseudofeces to macroalgal detritus, and predation by N. melanostomus on snails

    Common HLA Alleles Associated with Health, but Not with Facial Attractiveness

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    Three adaptive hypotheses have been proposed to explain the link between the human leucocyte antigen (HLA) genes, health measures and facial attractiveness: inbreeding avoidance, heterozygote advantage and frequency-dependent selection. This paper reports findings that support a new hypothesis relating HLA to health. We suggest a new method to quantify the level of heterozygosity. HLA heterozygosity did not significantly predict health measures in women, but allele frequency did. Women with more common HLA alleles reported fewer cold and flu bouts per year, fewer illnesses in the previous year and rated themselves healthier than women with rare alleles. To our knowledge, this is the first study to show a positive correlation between HLA allele frequency and general health measures. We propose that certain common HLA alleles confer resistance to prevalent pathogens. Nevertheless, neither HLA heterozygosity nor allele frequency significantly predicted how healthy or attractive men rated the female volunteers. Three non-mutually exclusive explanations are put forward to explain this finding

    Targeting the D-series resolvin receptor system for the treatment of osteoarthritic pain

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    Objective: Pain is a major symptom of osteoarthritis (OA); current analgesics either do not offer adequate pain relief or are associated with serious side effects. Herein we have investigated the therapeutic potential of targeting the resolvin receptor system to modify OA pain and pathology. Methods: Gene expression of two resolvin receptors (ALX and ChemR23) was quantified in synovia and medial tibial plateau collected from patients at joint replacement for OA. Two models of OA joint pain were used for mechanistic studies. Gene expression in the periphery and CNS were quantified. Effects of exogenous administration of the D-series resolvin precursor 17(R)-hydroxy Docosahexaenoic Acid (17(R)-HDoHE on pain behaviour, joint pathology, spinal microglia and astroglyosis were quantified. Plasma levels of relevant lipids, resolvin D2, 17R-HDoHE and arachidonic acid was determined in rats using LC-MS-MS. Results: There was a positive correlation between resolvin receptor and IL6 expression in human OA synovia and medial tibial plateau. In the rat, synovia gene expression of ALX was positively correlated with IL1β, TNFα and COX2. Treatment with 17(R)-HDoHE reversed established pain behaviour in two models of OA pain, but not joint pathology. This was associated with a significant elevation in plasma levels of resolvin D2 and a significant reduction in astrogliosis in the spinal cord in the MIA model. Conclusion: Our preclinical data demonstrate robust analgesics effects of activating the D series resolvin pathways in two different animal models of OA. Our data support a predominant central mechanism of action in this clinically relevant model of OA pain

    The local symmetries of M-theory and their formulation in generalised geometry

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    In the doubled field theory approach to string theory, the T-duality group is promoted to a manifest symmetry at the expense of replacing ordinary Riemannian geometry with generalised geometry on a doubled space. The local symmetries are then given by a generalised Lie derivative and its associated algebra. This paper constructs an analogous structure for M-theory. A crucial by-product of this is the derivation of the physical section condition for M-theory formulated in an extended space.Comment: 20 pages, v2: Author Name corrected, v3: typos correcte

    Education for sustainable development: A study in adolescent perception changes towards sustainability following a strategic planning-based intervention-the young persons' plan for the planet program

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    © 2019 by the authors. In 2016, the United Nations (UN) launched the 17 Sustainable Development Goals (SDGs) as a framework for sustainable development and a sustainable future. However, the global challenge has been to engage, connect, and empower communities, particularly young people, to both understand and deliver the 17 SDGs. In this study, we show the benefit of a strategic planning-based experiential learning tool, the Young Persons' Plan for the Planet (YPPP) Program, to improve the underlying competencies of Australian and Mauritian adolescents in increasing understanding and delivering the SDGs. The study was conducted with 300 middle to senior high school students, in 25 schools throughout Australia and Mauritius, over an 18-month period. The intervention included the development of research, strategic planning, management, STEM (Science Technology, Engineering, Maths) and global competency skills in the students, to enable them to build and deliver regional and national SDG plans. Research methods included pre- and post-intervention testing of the attitudes of these students to sustainable development outcomes and compared these attitudes to subsets of scientists and the Australian national population. Our results, from both qualitative and quantitative evidence, demonstrate significant improvements in these adolescents' appreciation of, and attitudes towards, the SDGs and sustainable outcomes, across a range of key parameters. The results from the 76 students who attended the International Conference in Mauritius in December 2018 demonstrate significant improvements in mean levels of understanding, and attitudes of the students towards the SDGs awareness (+85%), understanding/engagement (+75%), motivation (+57%), and action orientation/empowerment (+66%). These changes were tested across a range of socio-demographic, geographic, and cultural parameters, with consistent results. These findings have significant implications for the challenge of sustainable education and achieving community engagement and action towards the SDGs in Australia and Mauritius, particularly for young people. As the intervention can be replicated and scaled, the findings also highlight the opportunity to extend both the research and this type of experiential learning intervention across both broader geographies and other generation and community segments
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