Impact of swimming on chronic suppurative otitis media in Aboriginal children: a randomised controlled trial

Objectives: To measure the impact of 4 weeks of daily swimming on rates of ear discharge among Aboriginal children with a tympanic membrane perforation (TMP) and on the microbiology of the nasopharynx and middle ear.Design, setting and participants: A randomised controlled trial involving 89 Aboriginal children (aged 5–12 years) with a TMP, conducted in two remote Northern Territory Aboriginal communities from August to December 2009.Intervention: 4 school weeks of daily swimming lessons (45 minutes) in a chlorinated pool.Main outcome measures: Proportions of children with ear discharge and respiratory and opportunistic bacteria in the nasopharynx and middle ear.Results: Of 89 children randomly assigned to the swimming or non-swimming groups, 58 (26/41 swimmers and 32/48 non-swimmers) had ear discharge at baseline. After 4 weeks, 24 of 41 swimmers had ear discharge compared with 32 of 48 non-swimmers (risk difference, − 8% (95% CI, − 28% to 12%). There were no statistically significant changes in the microbiology of the nasopharynx or middle ear in swimmers or non-swimmers. Streptococcus pneumoniae and non-typeable Haemophilus influenzae were the dominant organisms cultured from the nasopharynx, and H. influenzae, Staphylococcus aureus and Pseudomonas aeruginosa were the dominant organisms in the middle ear.Conclusions: Swimming lessons for Aboriginal children in remote communities should be supported, but it is unlikely that they will substantially reduce rates of chronic suppurative otitis media and associated bacteria in the nasopharynx and middle ear. However, swimming was not associated with increased risk of ear discharge and we found no reason to discourage it.&nbsp

Subdiffusive axial transport of granular materials in a long drum mixer

Granular mixtures rapidly segregate radially by size when tumbled in a partially filled horizontal drum. The smaller component moves toward the axis of rotation and forms a buried core, which then splits into axial bands. Models have generally assumed that the axial segregation is opposed by diffusion. Using narrow pulses of the smaller component as initial conditions, we have characterized axial transport in the core. We find that the axial advance of the segregated core is well described by a self-similar concentration profile whose width scales as $t^\alpha$, with $\alpha \sim 0.3 < 1/2$. Thus, the process is subdiffusive rather than diffusive as previously assumed. We find that $\alpha$ is nearly independent of the grain type and drum rotation rate within the smoothly streaming regime. We compare our results to two one-dimensional PDE models which contain self-similarity and subdiffusion; a linear fractional diffusion model and the nonlinear porous medium equation.Comment: 4 pages, 4 figures, 1 table. Submitted to Phys Rev Lett. For more info, see http://www.physics.utoronto.ca/nonlinear

Plantain (\u3cem\u3ePlantago lanceolata\u3c/em\u3e) Outperforms Chicory (\u3cem\u3eCichorium intybus\u3c/em\u3e) under Moisture Stress in Glasshouse

Forage chicory (Cichorium intybus) and plantain (Plantago lanceolata) are now widely used throughout the world as high feed quality perennial herbage (Sanderson et al. 2003; Labreveux et al. 2006; Li et al. 2010; Golding et al. 2011; Hutton et al. 2011). Both are taprooted plants and are thus likely to confer a degree of drought tolerance through accessing water deeper in the soil profile (Kemp et al. 2010). Nie et al. (2008) reported chicory can tolerate moisture stress to a greater degree than plantain. However, overall little is known about the effect of moisture stress on plantain and chicory persistence under defoliated conditions. The objective was to compare plantain and chicory un-der moisture stress and defoliation under glasshouse conditions