The development of a design and construction process protocol to support the home modification process delivered by occupational therapists

Modifying the home environments of older people as they age in place is a well-established health and social care intervention. Using design and construction methods to redress any imbalance caused by the ageing process or disability within the home environment, occupational therapists are seen as the experts in this field of practice. However, the process used by occupational therapists when modifying home environments has been criticised for being disorganised and not founded on theoretical principles and concepts underpinning the profession. To address this issue, research was conducted to develop a design and construction process protocol specifically for home modifications. A three stage approach was taken to the analysis of qualitative data generated from an on-line survey, completed by 135 occupational therapists in the UK. Using both the existing Occupational Therapy Intervention Process Model, and the Design and Construction Process Protocol as the theoretical frameworks, a 4 phase, 9 sub-phase design and construction process protocol for home modifications was developed. Overall, the study is innovative in developing the first process protocol for home modifications, potentially providing occupational therapists with a systematic and effective approach to the design and delivery of home modification services for older and disabled people

Intra-group relatedness affects parental and helper investment rules in offspring care

In any system where multiple individuals jointly contribute to rearing offspring, conflict is expected to arise over the relative contributions of each carer. Existing theoretical work on the conflict over care has: (a) rarely considered the influence of tactical investment during offspring production on later contributions to offspring rearing; (b) concentrated mainly on biparental care, rather than cooperatively caring groups comprising both parents and helpers; and (c) typically ignored relatedness between carers as a potential influence on investment behavior. We use a game-theoretical approach to explore the effects of female production tactics and differing group relatedness structures on the expected rearing investment contributed by breeding females, breeding males, and helpers in cooperative groups. Our results suggest that the breeding female should pay higher costs overall when helpful helpers are present, as she produces additional offspring to take advantage of the available care. We find that helpers related to offspring through the breeding female rather than the breeding male should contribute less to care, and decrease their contribution as group size increases, because the female refrains from producing additional offspring to exploit them. Finally, within-group variation in helper relatedness also affects individual helper investment rules by inflating the differences between the contributions to care of dissimilar helpers. Our findings underline the importance of considering maternal investment decisions during offspring production to understand investment across the entire breeding attempt, and provide empirically testable predictions concerning the interplay between maternal, paternal and helper investment and how these are modified by different relatedness structures.This work was supported by a Natural Environment Research Council Studentship to the University of Cambridge (J.L.S.) and by a Royal Society University Research Fellowship (A.F.R.)This is the author accepted manuscript. The final version can be found on the publisher's website at: http://link.springer.com/article/10.1007%2Fs00265-013-1595-5# © Springer-Verlag Berlin Heidelberg 201

Maternal costs in offspring production affect investment rules in joint rearing

When multiple individuals contribute to rearing the same offspring, conflict is expected to occur over the relative amounts invested by each carer. Existing models of biparental care suggest that this conflict should be resolved by partially compensating for changes by co-investors, but this has yet to be explicitly modeled in cooperative breeders over a range of carer numbers. In addition, existing models of biparental and cooperative care ignore potential variation in both the relative costs of offspring production to mothers and in maternal allocation decisions. If mothers experience particularly high costs during offspring production, this might be expected to affect their investment strategies during later offspring care. Here we show using a game-theoretical model that a range of investment tactics can result depending on the number of carers and the relative costs to the mother of the different stages within the breeding attempt. Additional carers result in no change in investment by individuals when production costs are low, as mothers can take advantage of the greater potential investment by increasing offspring number; however this tactic ultimately results in a decrease in care delivered to each offspring. Conversely, when production costs prevent the mother from increasing offspring number, our model predicts that other individuals should partially compensate for additional carers and hence offspring should each receive a greater amount of care. Our results reinforce the importance of considering investment across all stages in a breeding attempt, and provide some explanatory power for the variation in investment rules observed across cooperative species.This work was supported by a Natural Environment Research Council studentship to JLS, and by a Royal Society University Research Fellowship to AFR.This is the author accepted manuscript. The final version can be found on the publisher's website at: http://beheco.oxfordjournals.org/content/early/2012/11/20/beheco.ars203 © The Author 2012. Published by Oxford University Press on behalf of the International Society for Behavioral Ecology. All rights reserved

A survey of attitudes of glaucoma subspecialists in England and Wales to visual field test intervals in relation to NICE guidelines

Objectives: To establish the attitudes of glaucoma specialists to the frequency of visual field (VF) testing in the UK, using the NICE recommendations as a standard for ideal practice. / Design: Interview and postal survey. / Setting: UK and Eire Glaucoma Society national meeting 2011 in Manchester, UK, with a second round of surveys administered by post. / Participants: All consultant glaucoma specialists in England and Wales were invited to complete the survey. / Primary and secondary outcome measures: (1) Compliance of assigned follow-up VF intervals with NICE guidelines for three hypothetical patient scenarios, with satisfactory treated intraocular pressure and (a) no evidence of VF progression; (b) evidence of VF progression and (c) uncertainty about VF progression, and respondents were asked to provide typical follow-up intervals representative of their practice; (2) attitudes to research recommendations for six VF in the first 2 years for newly diagnosed patients with glaucoma. / Results: 70 glaucoma specialists completed the survey. For each of the clinical scenarios a, b and c, 14 (20%), 33 (47%) and 28 (40%) responses, respectively, fell outside the follow-up interval recommended by NICE. Nearly half of the specialists (46%) agreed that 6 VF tests in the first 2 years was ideal practice, while 16 (28%) said this was practice ‘not possible’, with many giving resources within the NHS setting as a limiting factor. / Conclusions: The results from this survey suggest that there is a large variation in attitudes to follow-up intervals for patients with glaucoma in the UK, with assigned intervals for VF testing which are, in many cases, inconsistent with the guidelines from NICE

Application of Polyethylene Glycol to Promote Cellular Biocompatibility of Polyhydroxybutyrate Films

Polyhydroxybutyrate (PHB) is a biomaterial with potential for applications in biomedical and tissue engineering; however, its brittle nature and high crystallinity limit its potential. Blending PHB with a variety of PEGs produced natural-synthetic composite films composed of FDA-approved polymers with significant reductions in crystallinity, from 70.1% for PHB films to 41.5% for its composite with a 30% (w/w) loading of PEG2000. Blending also enabled manipulation of the material properties, increasing film flexibility with an extension to break of 2.49±1.01% for PHB films and 8.32±1.06% for films containing 30% (w/w) PEG106. Significant changes in the film surface properties, as measured by porosity, contact angles, and water uptake, were also determined as a consequence of the blending process, and these supported greater adhesion and proliferation of neural-associated olfactory ensheathing cells (OECs). A growth rate of 7.2×105 cells per day for PHB films with 30% (w/w) PEG2000 loading compared to 2.5×105 for PHB films was observed. Furthermore, while cytotoxicity of the films as measured by lactate dehydrogenase release was unaffected, biocompatibility, as measured by mitochondrial activity, was found to increase. It is anticipated that fine control of PEG composition in PHB-based composite biomaterials can be utilised to support their applications in medicinal and tissue engineering applications. Copyright © 2011 Rodman T. H. Chan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Electron and ion microprobe analysis of calcium distribution and transport in coral tissues.

It is shown by x-ray microanalysis that a gradient of total intracellular Ca concentration exists from the outer oral ectoderm to the inner skeletogenic calicoblastic ectoderm in the coral Galaxea fascicularis. This suggests an increase in intracellular Ca stores in relation to calcification. Furthermore, Ca concentration in the fluid-filled space of the extrathecal coelenteron is approximately twice as high as in the surrounding seawater and higher than in the mucus-containing seawater layer on the exterior of the oral ectoderm. This is indicative of active Ca2+ transport across the oral epithelium. Polyps were incubated in artificial seawater in which all 40Ca was replaced by 44Ca. Imaging Ca2+ transport across the epithelia by secondary ion mass spectroscopy (SIMS) using 44Ca as a tracer showed that Ca2+ rapidly entered the cells of the oral epithelium and that 44Ca reached higher concentrations in the mesogloea and extrathecal coelenteron than in the external seawater layer. Very little Ca2+ was exchanged in the mucocytes, cnidocytes or zooxanthellae. These observations again suggest that Ca2+ transport is active and transcellular and also indicate a hitherto unsuspected role in Ca2+ transport for the mesogloea. © 2007, Company of Biologist

Performance and engine-out emissions evaluation of the double injection strategy applied to the gasoline partially premixed compression ignition spark assisted combustion concept

Spark assistance has been found to improve combustion control when combined with both single and double injection operation applied to compression ignition (CI) engines using gasoline as the fuel. Previous work has verified the potential of a double injection strategy when applied to the gasoline spark assisted partially premixed compression ignition combustion (PPC) concept. The current research presents performance and engine-out emissions results using a double injection strategy with the spark assisted PPC concept and shows its benefits compared to a single injection strategy. For this purpose, a parametric study was carried out using gasoline in a high-speed single-cylinder diesel engine equipped with a modified cylinder head, which included a spark plug. The parameters that were varied during the double injection testing included: injection timing, dwell, fuel mass split between the injections and intake oxygen concentration. A detailed analysis of the air/fuel mixing process was also conducted by means of a 1-D in-house spray model (DICOM)The authors would like to thank General Motors for supporting this research.Benajes Calvo, JV.; Molina Alcaide, SA.; García Martínez, A.; Monsalve Serrano, J.; Durrett, R. (2014). Performance and engine-out emissions evaluation of the double injection strategy applied to the gasoline partially premixed compression ignition spark assisted combustion concept. Applied Energy. 134:90-101. doi:10.1016/j.apenergy.2014.08.008S9010113

Manipulation of Polyhydroxybutyrate Properties through Blending with Ethyl-Cellulose for a Composite Biomaterial

Polyhydroxybutyrate (PHB) is widely used as a biomaterial in medical and tissue-engineering applications, a relatively high crystallinity limits its application. Blending PHB with ethyl-cellulose (EtC) was readily achieved to reduce PHB crystallinity and promote its degradation under physiological conditions without undue influence on biocompatibility. Material strength of composite films remained unchanged at 6.5 ± 0.6 MPa with 40% (w/w) EtC loadings. Phase separation between the two biopolymers was determined with PHB crystallinity decreasing from 63% to 47% for films with the same loading. This reduction in crystallinity supported an increase in the degradation rates of composite films from 0.39 to 0.81% wk−1 for PHB and its composite, respectively. No significant change in morphology and proliferation of olfactory ensheathing cells were observed with the composites despite significant increases in average surface roughness (Ra) of the films from 2.90 to 3.65 μm for PHB and blends with 80% (w/w) EtC, respectively. Copyright © 2011 Rodman T. H. Chan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited