3,107 research outputs found
Application of Earth Resources Technology Satellite data to urban development and regional planning: Test site - County of Los Angeles
There are no author-identified significant results in this report
The effect of DAFNE education, continuous subcutaneous insulin infusion, or both in a population with type 1 diabetes in Scotland
Aim:
To investigate the effect of DAFNEand continuous subcutaneous insulin infusion in clinical practice.
Methods:
Within NHS Lothian, continuous subcutaneous insulin infusion started in 2004 and DAFNE education began in 2006. We extracted anonymized data from the national database for all those aged > 18 years with type 1 diabetes having a Dose Adjustment For Normal Eating course or continuous subcutaneous insulin infusion start date (n = 4617).
Results:
In total, 956 persons received DAFNEeducation, and 505 had received an insulin pump, 208 of whom had DAFNE education followed by insulin pump. Mean (SD) HbA1c before DAFNE education was 68 (15) mmol/mol (8.4% [1.4%]) and 66 (13) mmol/mol (8.2% [1.2%]) before continuous subcutaneous insulin infusion. In the year following DAFNE education, the mean fall in withinâperson HbA1c was 3.8 mmol/mol (95% CI 4.0 to 3.4; 0.3% [0.4% to 0.3%]). Those with the poorest control (HbA1c â„ 85 mmol/mol [9.9%]) experienced the largest decline (15.7 mmol/mol [1.4%]). Those in the lowest HbA1c band at initiation (< 53 mmol/mmol [7.0%]) experienced a rise.
In the year following continuous subcutaneous insulin infusion initiation there was a mean fall in withinâperson HbA1c of 6.6 mmol/mol (6.8 to 6.4; 0.6% [0.6% to 0.6%]). In those with the poorest control (HbA1c â„ 85 mmol/mol [9.9%]), the mean fall in HbA1c was 22.2 mmol/mol (23 to 21; 2.0% [2.1% to 1.9%]). Continuous subcutaneous insulin infusion effectiveness was not different with or without DAFNE education. The effects of both interventions were sustained over 5 years.
Conclusions:
Both DAFNE education and insulin pump therapy had the greatest effect on HbA1c in those with higher baseline values. There was little difference to attained HbA1c when Dose Adjustment For Normal Eating education was introduced before insulin pump therapy
Integrated modelling for assessing the risk of groundwater contaminants to human health and surface water ecosystems
The practical implementation of the European Water Framework Directive has resulted in an increased focus on the groundwater-surface water interaction zone. A gap exists with respect to preliminary assessment methodologies that are capable of evaluating and prioritising point sources of contamination. In particular, adaptive management tools designed to work with sparse data sets from preliminary site assessments are needed which can explicitly link contaminant point sources with groundwater, surface water and ecological impacts. Here, a novel integrated modelling approach was employed for evaluating the impact of a TCE groundwater plume, located in an area with protected drinking water interests, to human health and surface water ecosystems. This is accomplished by coupling the system dynamicsbased decision support system CARO-Plus to the aquatic ecosystem model AQUATOX via an analytical volatilisation model for the stream. The model is tested on a Danish case study involving a 750 m long TCE groundwater plume discharging into a stream. The initial modelling results indicate that TCE contaminant plumes with ÎŒgL-1 concentrations entering surface water systems do not pose a significant risk to either human or ecological receptors
Structural analysis demonstration of constitutive and life models
The overall objective of this program is to demonstrate the applicability of NASA-developed advanced constitutive and life damage models for calculating cyclic structural response and crack initiation in selected components of reusable space propulsion systems. The computer model resulting from this program will enable the user to produce an accurate life prediction of hot gas path, life limiting components of propulsion systems such as the space shuttle main engine (SSME). Previously developed computer models addressing constitutive modeling and life damage will be combined in an advanced finite element analysis to generate a sophisticated baseline life prediction program. A material data base will be established for the constitutive and life models parametrically involving temperature, strain range, strain rate, mean strain/stress, and dwell time. The verified computer program will be used to accomplish the life predictions of three SSME critical components as evidence of the model functionality
End stage renal disease and survival in people with diabetes:a national database linkage study
© The Author 2014. Published by Oxford University Press on behalf of the Association of Physicians. Funding This work was supported by the Wellcome Trust through the Scottish Health Informatics Programme (SHIP). The SHIP is collaboration between the Universities of Aberdeen, Dundee, Edinburgh, Glasgow and St Andrews and the Information Services Division of National Health Service National Service Scotland. Funding for diabetes register linkage and data extraction was provided by the Chief Scientistâs Office of the Scottish Government. The Scottish Diabetes Research Network receives financial support from National Health Services Research Scotland. The Scottish Renal Registry is funded by the Information Services Division of National Health Service National Services Scotland but relies heavily on the goodwill of the contributing renal units who spent a large amount time working with Scottish Renal Registry staff to ensure that the data held within the register are accurate and complete.Peer reviewedPublisher PD
Organic residue analysis of Egyptian votive mummies and their research potential
YesVast numbers of votive mummies were produced in Egypt during the Late Pharaonic, Ptolemaic, and Roman
periods. Although millions remain in situ, many were removed and have ultimately entered museum
collections around the world. There they have often languished as uncomfortable reminders of antiquarian
practices with little information available to enhance their value as artefacts worthy of conservation or
display. A multi-disciplinary research project, based at the University of Manchester, is currently
redressing these issues. One recent aspect of this work has been the characterization of natural products
employed in the mummification of votive bundles. Using gas chromatographyâmass spectrometry and the
well-established biomarker approach, analysis of 24 samples from 17 mummy bundles has demonstrated
the presence of oils/fats, natural waxes, petroleum products, resinous exudates, and essential oils. These
results confirm the range of organic materials employed in embalming and augment our understanding of
the treatment of votives. In this first systematic initiative of its kind, initial findings point to possible trends in
body treatment practices in relation to chronology, geography, and changes in ideology which will be
investigated as the study progresses. Detailed knowledge of the substances used on individual bundles
has also served to enhance their value as display items and aid in their conservation.RCB is supported by a PhD studentship from the Art and Humanities Research Council (43019R00209). L.M. and S.A.W. are supported by a Leverhulme Trust Research Project Award (RPG-2013-143)
Ethnic differences in Glycaemic control in people with type 2 diabetes mellitus living in Scotland
Background and Aims:
Previous studies have investigated the association between ethnicity and processes of care and intermediate outcomes of diabetes, but there are limited population-based studies available. The aim of this study was to use population-based data to investigate the relationships between ethnicity and glycaemic control in men and women with diabetes mellitus living in Scotland.<p></p>
Methods:
We used a 2008 extract from the population-based national electronic diabetes database of Scotland. The association between ethnicity with mean glycaemic control in type 2 diabetes mellitus was examined in a retrospective cohort study, including adjustment for a number of variables including age, sex, socioeconomic status, body mass index (BMI), prescribed treatment and duration of diabetes.<p></p>
Results:
Complete data for analyses were available for 56,333 White Scottish adults, 2,535 Pakistanis, 857 Indians, 427 Chinese and 223 African-Caribbeans. All other ethnic groups had significantly (p<0.05) greater proportions of people with suboptimal glycaemic control (HbA1c >58 mmol/mol, 7.5%) compared to the White Scottish group, despite generally younger mean age and lower BMI. Fully adjusted odds ratios for suboptimal glycaemic control were significantly higher among Pakistanis and Indians (1.85, 95% CI: 1.68â2.04, and 1.62,95% CI: 1.38â1.89) respectively.<p></p>
Conclusions:
Pakistanis and Indians with type 2 diabetes mellitus were more likely to have suboptimal glycaemic control than the white Scottish population. Further research on health services and self-management are needed to understand the association between ethnicity and glycaemic control to address ethnic disparities in glycaemic control.<p></p>
A calculus for distrust and mistrust
Properties of trust are becoming widely studied in several applications within the computational domain. On the contrary, negative trust attribution is less well-defined and related issues are yet to be approached and resolved. We present a natural deduction calculus for trust protocols and its negative forms, distrust and mistrust. The calculus deals efficiently with forms of trust transitivity and negative trust multiplication and we briefly illustrate some possible applications
Impaired hippocampal plasticity in mice lacking the Cbeta1 catalytic subunit of cAMP-dependent protein kinase.
Late Miocene to early Pliocene biofacies of Wanganui and Taranaki Basins, New Zealand: Applications to paleoenvironmental and sequence stratigraphic analysis
The Matemateaonga Formation is late Miocene to early Pliocene (upper Tongaporutuan to lower Opoitian New Zealand Stages) in age. The formation comprises chiefly shellbeds, siliciclastic sandstone, and siltstone units and to a lesser extent non-marine and shallow marine conglomerate and rare paralic facies. The Matemateaonga Formation accumulated chiefly in shelf paleoenvironments during basement onlap and progradation of a late Miocene to early Pliocene continental margin wedge in the Wanganui and Taranaki Basins. The formation is strongly cyclothemic, being characterised by recurrent vertically stacked facies successions, bounded by sequence boundaries. These facies accumulated in a range of shoreface to mid-outer shelf paleoenvironments during conditions of successively oscillating sea level. This sequential repetition of facies and the biofacies they enclose are the result of sixth-order glacio-eustatic cyclicity. Macrofaunal associations have been identified from statistical analysis of macrofossil occurrences collected from multiple sequences. Each association is restricted to particular lithofacies and stratal positions and shows a consistent order and/or position within the sequences. This pattern of temporal paleoecologic change appears to be the result of lateral, facies-related shifting of broad biofacies belts, or habitat-tracking, in response to fluctuations of relative sea level, sediment flux, and other associated paleoenvironmental variables. The associations also show strong similarity in terms of their generic composition to biofacies identified in younger sedimentary strata and the modern marine benthic environment in New Zealand
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