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To review existing publications using Household Consumption and Expenditure Survey (HCES) data to estimate household dietary nutrient supply to (1) describe scope of available literature, (2) identify the metrics reported and parameters used to construct these metrics, (3) summarise comparisons between estimates derived from HCES and individual dietary assessment data and (4) explore the demographic and socio-economic sub-groups used to characterise risks of nutrient inadequacy.
Design:
This study is a systematic review of publications identified from online databases published between 2000 to 2019 that used HCES food consumption data to estimate household dietary nutrient supply. Further publications were identified by ‘snowballing’ the references of included database-identified publications.
Setting:
Publications using data from low- and lower-middle income countries.
Results:
In total, fifty-eight publications were included. Three metrics were reported that characterised household dietary nutrient supply: apparent nutrient intake per adult-male equivalent per day (n 35), apparent nutrient intake per capita per day (n 24) and nutrient density (n 5). Nutrient intakes were generally overestimated using HCES food consumption data, with several studies finding sizeable discrepancies compared with intake estimates based on individual dietary assessment methods. Sub-group analyses predominantly focused on measuring variation in household dietary nutrient supply according to socio-economic position and geography.
Conclusion:
HCES data are increasingly being used to assess diets across populations. More research is needed to inform the development of a framework to guide the use of and qualified interpretation of dietary assessments based on these data.
Recent investigations now suggest that cerebrovascular reactivity (CVR) is impaired in Alzheimer’s disease (AD) and may underpin part of the disease’s neurovascular component. However, our understanding of the relationship between the magnitude of CVR, the speed of cerebrovascular response, and the progression of AD is still limited. This is especially true in patients with mild cognitive impairment (MCI), which is recognized as an intermediate stage between normal aging and dementia. The purpose of this study was to investigate AD and MCI patients by mapping repeatable and accurate measures of cerebrovascular function, namely the magnitude and speed of cerebrovascular response (τ) to a vasoactive stimulus in key predilection sites for vascular dysfunction in AD.
Methods:
Thirty-three subjects (age range: 52–83 years, 20 males) were prospectively recruited. CVR and τ were assessed using blood oxygen level-dependent MRI during a standardized carbon dioxide stimulus. Temporal and parietal cortical regions of interest (ROIs) were generated from anatomical images using the FreeSurfer image analysis suite.
Results:
Of 33 subjects recruited, 3 individuals were excluded, leaving 30 subjects for analysis, consisting of 6 individuals with early AD, 11 individuals with MCI, and 13 older healthy controls (HCs). τ was found to be significantly higher in the AD group compared to the HC group in both the temporal (p = 0.03) and parietal cortex (p = 0.01) following a one-way ANCOVA correcting for age and microangiopathy scoring and a Bonferroni post-hoc correction.
Conclusion:
The study findings suggest that AD is associated with a slowing of the cerebrovascular response in the temporal and parietal cortices.
This study investigated the reciprocal relationship between parental caregiving and labour force participation to determine whether (1) caregiving related to subsequent employment; (2) employment related to subsequent caregiving; (3) caregiving and labour force participation had a reciprocal relationship across time; and (4) gender differences existed in these relationships. A cross-lagged panel design was applied with structural equation modeling. The study sample included adult children aged 51 or older with living parents or parents-in-law. No reciprocal relationship was found between caregiving and labour force participation, but gender differences were evident. Women caregivers in 2006 were less likely to be working in 2008, whereas employment status was not related to subsequent caregiving. In contrast, men working in 2008 were less likely to be caregiving in 2010, whereas caregiving was not related to subsequent employment status. Findings suggest that gender plays an important role in the relationship between caregiving and labour force participation.
In nonaqueous emulsion, moisture-sensitive polymerizations are performed in order to generate nanoparticles, which are not accessible by common aqueous emulsion polymerization. A nonaqueous emulsion, consisting of two immiscible aprotic organic solvents, is stabilized by amphiphilic block copolymers, such as PIb-PEO or PIb-PMMA copolymer, and lead to formation of nanosized dispersed droplets. They act as dispersed “nanoreactors” for the one-step synthesis of poly(urethane) nanoparticles in a polyadditon reaction as well as poly(L-lactide) nanoparticles through ring-opening polymerization, catalyzed by a moisture-sensitive catalyst. The well-dispersed particles possess average diameters below 100 nm and have narrow size distributions owing to the long-term stability of the dispersed droplets in the continuous phase.
This paper presents an analysis of a generalized version of the coupon collector problem, in which the collector receives d coupons each run and chooses the least-collected coupon so far. In the asymptotic case when the number of coupons n goes to infinity, we show that, on average, (nlogn) / d + (n / d)(m − 1)log logn + O(mn) runs are needed to collect m sets of coupons. An exact algorithm is also developed for any finite case to compute the exact mean number of runs. Numerical examples are provided to verify our theoretical predictions.
The cognitive profile of early onset Parkinson’s disease (EOPD) has not been clearly defined. Mutations in the parkin gene are the most common genetic risk factor for EOPD and may offer information about the neuropsychological pattern of performance in both symptomatic and asymptomatic mutation carriers. EOPD probands and their first-degree relatives who did not have Parkinson’s disease (PD) were genotyped for mutations in the parkin gene and administered a comprehensive neuropsychological battery. Performance was compared between EOPD probands with (N = 43) and without (N = 52) parkin mutations. The same neuropsychological battery was administered to 217 first-degree relatives to assess neuropsychological function in individuals who carry parkin mutations but do not have PD. No significant differences in neuropsychological test performance were found between parkin carrier and noncarrier probands. Performance also did not differ between EOPD noncarriers and carrier subgroups (i.e., heterozygotes, compound heterozygotes/homozygotes). Similarly, no differences were found among unaffected family members across genotypes. Mean neuropsychological test performance was within normal range in all probands and relatives. Carriers of parkin mutations, whether or not they have PD, do not perform differently on neuropsychological measures as compared to noncarriers. The cognitive functioning of parkin carriers over time warrants further study. (JINS, 2011, 17, 1–10)
Operational medical support is the provision of field medical care during high-risk, extended-duration, and mission-driven law enforcement operations, often rendered under functionally austere conditions. The goals of tactical medicine are to facilitate the success and the safety of law enforcement missions during all phases of a tactical or Special Weapons And Tactics (SWAT) operation through the delivery of preventative, urgent, and emergency medical care. The role of protective medicine is the similarly broad medical support of protective operations in which security and law enforcement personnel and resources are dedicated to the safety and physical well-being of an individual or group of individuals. There exists significant overlap both in the approach to and implementation of tactical and protective medicine. Both tactical and protective medicine methodologies intend to provide the best possible outcome for both the personnel and the mission and recognize that medical challenges emerging during a law enforcement operation present to commanders both a medical problem and a tactical problem.
HISTORICAL BACKGROUND
The principles employed by tactical medicine providers were initially developed by the military for small unit operations and continued to gain widespread acceptance in the civilian law enforcement community. The emerging need for tactical medical support followed closely the development and expansion of SWAT teams now commonly deployed by police departments and law enforcement agencies in the United States.
The need for these specialized tactical teams arose in response to the changing patterns of crime and violence in society and the need to provide an effective response to the criminal use of military-style weapons, the taking of hostages, and terrorist activities involving explosive, chemical, and biological agents.
Bismuth sulfide (Bi2S3), a direct band gap material with Eg ñ 1.3 eV, attracts high interest in thermoelectric investigations. In this work, nanometer-sized bismuth sulfide with unique morphology has been successfully prepared by a precipitation between bismuth 2-ethylhexanoate and thioacetamide in high-temperature organic solution with presence of proper capping/ stabilizing agents. By employing this technique, we are able to produce nanobeads of bismuth sulfide with an aspect ratio of ∼ 5, typically ~10 nm wide and ∼50 nm long according to the TEM observation. Characterization of XRD and TEM/HRTEM reveals that the as-prepared particles exist in single orthorhombic phase and possess high crystallinity. The composite ratio between Bi and S can be adjusted by varying the ratio between two precursors and was determined by using EDS (TEM) technique. Thermoelectric properties of these bismuth sulfide nanobeads were also investigated and will be discussed comparatively with those from commercial bulk materials.
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