To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Introduction: Patients with chronic diseases are known to benefit from exercise. Such patients often visit the emergency department (ED). There are few studies examining prescribing exercise in the ED. We wished to study if exercise prescription in the ED is feasible and effective. Methods: In this pilot prospective block randomized trial, patients in the control group received routine care, whereas the intervention group received a combined written and verbal prescription for moderate exercise (150 minutes/week). Both groups were followed up by phone at 2 months. The primary outcome was achieving 150 min of exercise per week. Secondary outcomes included change in exercise, and differences in reported median weekly exercise. Comparisons were made by Mann-Whitney and Fishers tests (GraphPad). Results: Follow-up was completed for 22 patients (11 Control; 11 Intervention). Baseline reported median (with IQR) weekly exercise was similar between groups; Control 0(0-0)min; Intervention 0(0-45)min. There was no difference between groups for the primary outcome of 150 min/week at 2 months (Control 3/11; Intervention 4/11, RR 1.33 (95%CI 0.38-4.6;p=1.0). There was a significant increase in median exercise from baseline in both groups, but no difference between the groups (Control 75(10-225)min; Intervention 120(52.5-150)min;NS). 3 control patients actually received exercise prescription as part of routine care. A post-hoc comparison of patients receiving intervention vs. no intervention, revealed an increase in patients meeting the primary target of 150min/week (No intervention 0/8; Intervention 7/14, RR 2.0 (95%CI 1.2-3.4);p=0.023). Conclusion: Recruitment was feasible, however our study was underpowered to quantify an estimated effect size. As a significant proportion of the control group received the intervention (as part of standard care), any potential measurable effect was diluted. The improvement seen in patients receiving intervention and the increase in reported exercise in both groups (possible Hawthorne effect) suggests that exercise prescription for ED patients may be beneficial.
One of the cornerstones in the development of a new feed rationing system for dairy cows must involve a reappraisal of both the concepts and ‘numbers’ adopted in defining the energy requirements for dairy cows. This is particularly important in the present scenario where increasingly high levels of animal output are being achieved from very different animal genotypes to those used in UK dairying 20 - 30 years ago. One of the tasks within the Feed Into Milk (FIM) project was to develop a new system to predict the energy requirements of todays dairy cow. The objective of the present study was to collate all available energy metabolism data with dairy cows in the UK and to develop relationships for describing metabolisable energy (ME) requirement for maintenance (MEm) and efficiency of ME use for lactation (kl) using both existing and new methodologies.
The Feed into Milk (FIM) project in the United Kingdom has developed a Mitscherlich equation from calorimetric data for energy rationing of dairy cattle (Agnew et al., 2004). The objective of the present study was to evaluate this equation using independent data sets obtained in both calorimetric and production studies.
Introduction: The positive health outcomes of exercise have been well-studied, and exercise prescription has been shown to reduce morbidity in several chronic health conditions. However, patient attitudes around the prescription of exercise in the emergency department (ED) have not been explored. The aim of our pilot study is to explore patients’ willingness and perceptions of exercise being discussed and prescribed in the ED. Methods: This study is a survey of patients who had been previously selected for exercise prescription in a pilot study conducted at a tertiary care ED. This intervention group were given a standardized provincial written prescription to perform moderate exercise for 150 minutes per week. Participants answered a discharge questionnaire and were followed up by a telephone interview 2 months later. A structured interview of opinions around exercise prescription was conducted. Questions included a combination of non-closed style interview questions and Likert scale. Patients rated prescription detail, helpfulness and likelihood on a Likert scale from 1-5 (1 being strongly disagree and 5 being strongly agree). Median values (+/-IQRs) are presented, along with dominant themes. Results: 17 people consented to exercise prescription and follow up surveys. 2 were excluded due to hospital admission. 15 participants were enrolled and completed the discharge survey. Two-month follow up survey response rate was 80%. Patients rated the detail given in their prescription as 5 (+/-1). Helpfulness of prescription was rated as 4 (+/-2). Likelihood to continue exercising based on the prescription was rated as 4 (+/-2). 11/12 participants felt that exercise should be discussed in the Emergency Department either routinely or on a case-by-case basis.1 participant felt it should not be discussed at all. Conclusion: Our study demonstrates that most patients are open to exercise being discussed during their Emergency Department visit, and that the prescription format was well-received by study participants.
A multi-faceted, multi-institutional laboratory astrophysics program is carried out at the Livermore electron beam ion trap facility, which is a mature spectroscopic source with unsurpassed controls and capabilities, and an unparalleled assortment of spectroscopic equipment, including a full complement of grating and crystal spectrometers and a 6x6 micro-calorimeter array. Recent results range from the calibration of x-ray diagnostics, including the Fe XVII and Fe XXV emission lines, extensive lists of L-shell ions, the first laboratory simulation and fit of a cometary x-ray emission spectrum, and the discovery of new spectral diagnostics for measuring magnetic field strengths.
Acinetobacter is a well-recognized nosocomial pathogen. Previous reports of community-associated Acinetobacter infections have lacked clear case definitions and assessment of healthcare-associated (HCA) risk factors. We identified Acinetobacter bacteraemia cases from blood cultures obtained <3 days after hospitalization in rural Thailand and performed medical record reviews to assess HCA risk factors in the previous year and compare clinical and microbiological characteristics between cases with and without HCA risk factors. Of 72 Acinetobacter cases, 32 (44%) had no HCA risk factors. Compared to HCA infections, non-HCA infections were more often caused by Acinetobacter species other than calcoaceticus–baumannii complex species and by antibiotic-susceptible organisms. Despite similar symptoms, the case-fatality proportion was lower in non-HCA than HCA cases (9% vs. 45%, P < 0·01). Clinicians should be aware of Acinetobacter as a potential cause of community-associated infections in Thailand; prospective studies are needed to improve understanding of associated risk factors and disease burden.
Cognitive remediation (CR) is an effective treatment for several psychiatric disorders. To date, there have been no published studies examining solely first-episode psychiatric cohorts, despite the merits demonstrated by early intervention CR studies. The current study aimed to assess the effectiveness of CR in patients with a first-episode of either major depression or psychosis.
Fifty-five patients (mean age = 22.8 years, s.d. = 4.3) were randomly assigned to either CR (n = 28) or treatment as usual (TAU; n = 27). CR involved once-weekly 2-h sessions for a total of 10 weeks. Patients were comprehensively assessed before and after treatment. Thirty-six patients completed the study, and analyses were conducted using an intent-to-treat (ITT) approach with all available data.
In comparison to TAU, CR was associated with improved immediate learning and memory controlling for diagnosis and baseline differences. Similarly, CR patients demonstrated greater improvements than TAU patients in psychosocial functioning irrespective of diagnosis. Delayed learning and memory improvements mediated the effect of treatment on psychosocial functioning at a marginal level.
CR improves memory and psychosocial outcome in first-episode psychiatric out-patients for both depression and psychosis. Memory potentially mediated the functional gains observed. Future studies need to build on the current findings in larger samples using blinded allocation and should incorporate longitudinal follow-up and assessment of potential moderators (e.g. social cognition, self-efficacy) to examine sustainability and the precise mechanisms of CR effects respectively.
Mathematical models to enable long-term prediction of the corrosion
behaviour of carbon steel overpacks for radioactive waste have been
developed. An existing model of the growth of pits, implemented in the CAMLE
software, has been extended and used to investigate the sensitivity of the
predictions to input parameters, including cathodic reaction kinetics and
the relative position of the anode and cathode. Predictions have also been
made of the aeration period of the repository, during which localised
corrosion is possible.
Natural and synthetic hydroxyapatite (HA) scaffolds for potential
load-bearing bone implants were fabricated by two methods. The natural
scaffolds were formed by heating bovine cancellous bone at 1325°C, which
removed the organic and sintered the HA. The synthetic scaffolds were
prepared by freeze-casting HA powders, using different solid loadings (20–35
vol.%) and cooling rates (1–10°C/min). Both types of scaffolds were
infiltrated with polymethylmethacrylate (PMMA). The porosity, pore size, and
compressive mechanical properties of the natural and synthetic scaffolds
were investigated and compared to that of natural cortical and cancellous
bone. Prior to infiltration, the sintered cancellous scaffolds exhibited
pore sizes of 100 – 300 μm, a strength of 0.4 – 9.7 MPa, and a Young’s
modulus of 0.1 – 1.2 GPa. The freeze-casted scaffolds had pore sizes of 10 –
50 μm, strengths of 0.7 – 95.1 MPa, and Young’s moduli of 0.1 –19.2 GPa.
When infiltrated with PMMA, the cancellous bone- PMMA composite showed a
strength of 55 MPa and a Young’s modulus of 4.5 GPa. Preliminary data for
the synthetic HA-PMMA composite showed a strength of 42 MPa and a modulus of
A double rotation goniometer has been mounted in the neutron beam in order to characterize the molecular deformation in polymers subjected to various strain conditions.
The results provide a direct verification of the fiber symmetry in solid state coextruded polymethylmethacrylate (PMMA) and polypropylene (PP) homopolymers.
In the case of the shear banding phenomenon, we have been able to test the validity of the simple shear assumption: it also provides a direct estimate of the finite shear strain involved in the process. As a last illustration ofthe method, we also consider the biaxial deformation of PP and PMMA squeezed under various temperature and strain-rate conditions.
Silicon carbide whisker reinforcement can significantly reduce creep rates in polycrystalline alumina , but the system SiC/Al2O3 is thermodynamically unstable in air and oxidizes to mullite during creep testing . The system SiC/Si3N4 was investigated as a potentially more stable, high temperature structural composite. Silicon carbide whiskers were successfully incorporated into a silicon nitride matrix doped with alumina and yttria. Processing involved mixing dispersed slurries of silicon carbide and silicon nitride, adding the dopants as a solution of their nitrates and subsequently increasing the pH to precipitate the additive hydroxides. The resulting slurries were filter pressed at room temperature and hot pressed at 1650°C in graphite dies to full density. X-ray diffraction and transmission electron microscopy confirmed the presence of β-Si3N4, α-SiC and trace quantities of α-Si3N4, confirming that the α-β Si3N4 reaction occurred. An additional, as yet unidentified, minor phase was also detected.
Whisker reinforcement was shown to increase the room temperature flexural strength and fracture toughness but high temperature creep performance was unaffected by whisker reinforcement.
Thin films of titanium, platinum, and hafnium were deposited on single crystal n-type, (0001) 6H-SiC at room temperature in UHV. Microstructure and chemistry of their interfaces were analyzed by high spatial resolution TEM imaging and spectroscopy. Ti5Si3 and TiC were the two phases found in the reaction zone of Ti/SiC specimens annealed at 700°C. A carbon-containing amorphous layer formed between Pt and SiC when the annealing temperature went up to 750°C. There was no apparent reaction zone in Hf/SiC specimens annealed at 700°C for 60 min‥ The change of electrical properties of metal/6H-SiC devices was attributed to these new product phases.
Thin films (2 Å - 1000 Å) of titanium, platinum, and hafnium were deposited via UHV electron beam evaporation at room temperature on n-type, (0001) alpha (6H)-SiC and compared in terms of interfacial chemistry, energy barriers to electrical conduction, and macroscopic electrical behavior. Current-voltage measurements have shown that these contacts are rectifying, all with ideality factors between 1.01 and 1.09. The lowest leakage currents (∼5 × 10−8 A/cm2 at -10 V) were determined for unannealed Pt contacts and for Hf contacts annealed at 700°C for 20 minutes. Current-voltage (I-V), capacitance-voltage (C-V), and x-ray photoelectron spectro-scopy (XPS) were among the techniques used to determine barrier heights, all of which were within a few tenths of an electron volt of 1.0 eV. The narrow range of calculated barrier heights along with the XPS valence spectrum of the chemically prepared SiC surface give evidence that the Fermi level is pinned at the semiconductor surface.
This paper describes a joint modelling and experimental study for investigation of pit growth in carbon steel High-Level Radioactive Waste overpacks under consideration in Japan. A mathematical model of the growth of corrosion pits in metals has been developed. This model is implemented in the computer program CAMLE, and includes representation of the chemical, electrochemical and migration processes that control pit-growth rates. Experiments to provide key input data for the model are described, in addition to experiments to measure ‘short-term’ pit growth. Predictions from the model are compared with these data. Overall, the comparisons are encouraging and the model shows good potential as a tool for assessment of the long-term corrosion behaviour of overpacks under repository conditions. Future developments of the model to improve agreement are discussed.