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Haemonchosis is a fatal disease of livestock caused by Haemonchus contortus (HC) – a blood-sucking parasite of the abomasum. This parasite is quite prevalent in sheep, causing mortality and production losses. The suppressor of cytokine signalling-2 (SOCS2) gene plays a vital role in sheep’s immune response against gastrointestinal parasites. This study aimed to estimate the parasitic load of HC in three sheep breeds (Balkhi, Ghalji, and Michni) through faecal egg count and to identify SNPs in the SOCS2 gene associated with the susceptibility of sheep against HC. The results showed that the mean number of HC eggs per gram (EPG) was higher in the faecal samples of Ghalji (4022 ± 1162 EPG), followed by Michni (1988 ± 367 EPG), while the HC EPG was the lowest in Balkhi sheep (1535 ± 552 eggs/gm). Sequencing results showed polymorphisms in the SOCS2 gene between the low-infection and high-infection categories of the three sheep breeds. A total number of six genic variants were observed, of which three were SNPs, one was insertion, and two were deletions. Polymorphisms were observed in the intronic and 3′ UTR regions of the SOCS2 gene. A deletion (c.1083delGCA) in intron 1 and an insertion (c.3304insT) in intron 2 showed positive correlations (0.833 and 0.889, respectively) with the HC infection, while one SNP in the 3′ UTR region showed negative correlation (–0.654). This study provides a basis for selecting resistant sheep against HC infection based on the SOCS2 gene molecular markers.
Gender quotas are increasingly being adopted by autocrats in part to legitimize their rule. Yet, even in autocracies, these quotas increase women’s political representation. It thus stands to reason that public support for gender quotas in autocracies might be shaped by this trade-off between advancing women’s rights and granting the regime legitimacy. All else equal, regime opponents should be less supportive of gender quotas in autocracies, wary of legitimizing the regime. We uncover evidence of this proposition in an analysis of region-wide Arab Barometer surveys and a survey experiment in Algeria. We also find that evaluations of this trade-off are conditioned by other demographics, with women, gender egalitarians, and Islamists remaining more consistent in their support for/opposition to gender quotas regardless of regime gains. Overall, our findings suggest that gender quotas in autocracies are viewed through a political lens, creating a potential backlash toward women’s empowerment.
Challenging behavior is a common reason for referral to psychiatric service. Psychotropic medications widely used to modify behaviors, even when no evidence of diagnosable mental illness. However, literature show little evidence that benefits outweigh the risks in their prescription. Monitoring using International guidelines may help improving the outcomes. We audit current practice against known standards.
Objectives
- To assess adherence within the Qatar Mental Health Services to National guidelines on using medication to manage behavior problems in adults with a learning disability. - To identify strengths and weaknesses in current practice. - To Make recommendations to improve LD patient care
Methods
Patients with LD attending psychiatric clinic screened using selection and exclusion criteria and data collected and analyzed using format from the International standards.
Results
102 patients screened, 85 selected and 17 cases excluded Age range 18 to 50 years. 27% mild, 29% moderate and 44% severe LD, Autism 40% Psychiatric Diagnosis 55% Challenging behavior 45% Antipsychotic prescribing: 79% Rationale documented in 74%, Capacity assessment in 81%, Review of side effects in 53% Safety of medication in 61%, Medication discontinuation in 66%, Reasons for discontinuation in 36%
Conclusions
Antipsychotics use (79%) is high with several combinations of IM and oral or more than 2 drugs. There is need for improvement across all standards. Rationalising the prescribing for LD patients to improve the outcomes for the safety of these patients. The audit indicate need for specialist service to monitor prescribing and apply standards of care in clinical service.
To determine the prevalence and distribution of inner-ear malformations in congenital single-sided deafness cases, as details of malformation type are crucial for disease prognosis and management.
Methods
A retrospective study was conducted of 90 patients aged under 16 years with congenital single-sided deafness. Radiological findings were evaluated using computed tomography and magnetic resonance imaging. Inner-ear malformations were identified and cochlear nerve status was determined in affected ears.
Results
Out of 90 ears, 42 (46.7 per cent) were found to have inner-ear malformation. Isolated cochlear aperture stenosis was the most common anomaly (n = 18, 20 per cent), followed by isolated cochlear aperture atresia (n = 11, 12.2 per cent) and cochlear hypoplasia (n = 7, 7.8 per cent). Cochlear nerve deficiency was encountered in 41 ears (45.6 per cent). The internal auditory canal was also stenotic in 49 ears (54.4 per cent).
Conclusion
Inner-ear malformations, especially cochlear aperture anomalies, are involved in the aetiology of single-sided deafness more than expected. The cause of single-sided deafness differs greatly between congenital and adult-onset cases. All children with single-sided deafness should undergo radiological evaluation, as the prognosis and management, as well as the aetiology, may be significantly influenced by inner-ear malformation type.
Falls are a major health concern in older adults. Falls lead to mortality, immobility and high costs to social and health care services. Early detection and classification of falls is imperative for timely and appropriate medical aid response. Traditional machine learning models have been explored for fall classification. While newly developed deep learning techniques have the ability to potentially extract high-level features from raw sensor data providing high accuracy and robustness to variations in sensor position, orientation and diversity of work environments that may skew traditional classification models. However, frequently used deep learning models like Convolutional Neural Networks (CNN) are computationally intensive. To the best of our knowledge, we present the first instance of a Hybrid Multichannel Random Neural Network (HMCRNN) architecture for fall detection and classification. The proposed architecture provides the highest accuracy of 92.23% with dropout regularization, compared to other deep learning implementations. The performance of the proposed technique is approximately comparable to a CNN yet requires only half the computation cost of the CNN-based implementation. Furthermore, the proposed HMCRNN architecture provides 34.12% improvement in accuracy on average than a Multilayer Perceptron.
To verify dose delivery and quality assurance of volumetric-modulated arc therapy (VMAT) for head and neck (H&N) cancer.
Method
The Imaging and Radiation Oncology Core Houston (IROC-H) H&N phantom with thermoluminescent dosimeters (TLDs) and films, were imaged with computed tomography scan and the reconstructed image was transferred to pinnacle treatment planning system (TPS). On TPS, the planning target volume (PTV), secondary target volume (STV) and organ at risk (OAR) were delineated manually and a treatment plan was made. The dose constraints were determined for the concerned organs according to IROC-H prescription. The treatment plan was optimised using adoptive convolution algorithm to improve dose homogeneity and conformity. The dose calculation was performed using C.C Convolution algorithm and a Varian True Beam linear accelerator was used to deliver the treatment plan to the H&N phantom. The delivered radiation dose to the phantom was measured through TLDs and GafChromic external beam radiotherapy 2 (EBT2) films. The dosimetric performance of the VMAT delivery was studied by analysing percent dose difference, isodose line profile and gamma analysis of the TPS-computed dose and linac-delivered doses.
Result
The percent dose difference of 3.8% was observed between the planned and measured doses of TLDs and a 1.5-mm distance to agreement (DTA) was observed by comparing isodose line profiles. Passed the gamma criteria of 3%/3 mm was with good percentages.
Conclusion
The dosimetric performance of VMAT delivery for a challenging H&N radiotherapy can be verified using TLDs and films embedded in an anthropomorphic H&N phantom.
L-carnitine (B-hydroxy-Y-N-trimethyl aminobutyrate) is a water-soluble product, found in animals, plants and microorganisms. Its synthesis takes place from two important amino acids, lysine and methionine. Essentially, L-carnitine has an intermediary role in metabolism. It promotes energy metabolism for cell and regulates co-enzyme A concentration in cystosol and mitochondria, which are important in glucose and lipid metabolism. L-carnitine was first isolated from the chicken embryo in a significant amount, but is absent in the egg. Under normal physiological conditions, the endogenously synthesised levels are sufficient for normal growth and functions. Its requirements are increased in stressful conditions and during metabolic and physiological higher demands, such as growth and laying periods. L-carnitine increases energy production, fat metabolism and improves immune status in birds, which is energy demanding. In this review, several aspects of the beneficial effects of dietary supplementation of L-carnitine on poultry health and production are briefly summarised.
Mycotoxins are secondary fungal metabolites of structurally diverse groups occurring worldwide as contaminants of cereals such as wheat, corn, maize, peanut, and barley, which comprise the main ingredients of poultry diets. Milk thistle (Silybum marianum) has wide range of beneficial properties, including data showing its positive effects in protecting the liver of birds exposed to aflatoxins. Trials have shown that in broilers affected by aflatoxicosis, which adversely affected feed intake, weight gain, feed efficiency, serum biochemistry and immune status, supplementation of diets with silymarin reduced the detrimental effects, thereby improving the productivity and health. Although promising results have been reported, established doses and further research on the standardisation of this herb will increase its uses as alternative to synthetic drugs. The following review discusses several important aspects of the beneficial properties of milk thistle on poultry growth performance in experimentally induced aflatoxicosis.
The bony cochlear nerve canal is the space between the fundus of the internal auditory canal and the base of the cochlear modiolus that carries cochlear nerve fibres. This study aimed to determine the distribution of bony labyrinth anomalies and cochlear nerve anomalies in patients with bony cochlear nerve canal and internal auditory canal atresia and stenosis, and then to compare the diameter of the bony cochlear nerve canal and internal auditory canal with cochlear nerve status.
Methods:
The study included 38 sensorineural hearing loss patients (59 ears) in whom the bony cochlear nerve canal diameter at the mid-modiolus was 1.5 mm or less. Atretic and stenotic bony cochlear nerve canals were examined separately, and internal auditory canals with a mid-point diameter of less than 2 mm were considered stenotic. Temporal bone computed tomography and magnetic resonance imaging scans were reviewed to determine cochlear nerve status.
Results:
Cochlear hypoplasia was noted in 44 out of 59 ears (75 per cent) with a bony cochlear nerve canal diameter at the mid-modiolus of 1.5 mm or less. Approximately 33 per cent of ears with bony cochlear nerve canal stenosis also had a stenotic internal auditory canal and 84 per cent had a hypoplastic or aplastic cochlear nerve. All patients with bony cochlear nerve canal atresia had cochlear nerve deficiency. The cochlear nerve was hypoplastic or aplastic when the diameter of the bony cochlear nerve canal was less than 1.5 mm and the diameter of the internal auditory canal was less than 2 mm.
Conclusion:
The cochlear nerve may be aplastic or hypoplastic even if temporal bone computed tomography findings indicate a normal cochlea. If possible, patients scheduled to receive a cochlear implant should undergo both computed tomography and magnetic resonance imaging of the temporal bone. The bony cochlear nerve canal and internal auditory canal are complementary structures, and both should be assessed to determine cochlear nerve status.
Psychotherapeutic interventions have been adopted effectively in the management of tinnitus for a long time. This study compared mindfulness meditation and relaxation therapy for management of tinnitus.
Methods:
In this randomised controlled trial, patients were recruited for five sessions of mindfulness meditation or five sessions of relaxation therapy. Patients’ responses were evaluated using the Tinnitus Reaction Questionnaire as a primary outcome measure, and the Hospital Anxiety and Depression Scale, visual analogue scale and a health status indicator as secondary outcome measures.
Results:
A total of 86 patients were recruited. Thirty-four patients completed mindfulness meditation and 27 patients completed relaxation therapy. Statistically significant improvement was seen in all outcome measures except the health status indicator in both treatment groups. The change in treatment scores was greater in the mindfulness meditation group than in the relaxation therapy group.
Conclusion:
This study suggests that although both mindfulness meditation and relaxation therapy are effective in the management of tinnitus, mindfulness meditation is superior to relaxation therapy.
An ultra-wideband (UWB) log-periodic dipole array (LPDA) antenna inkjet-printed on a 0.5 mm thick photo paper substrate is presented. The overall size of the LPDA antenna is 130 × 60 mm2. The LPDA antenna exhibits stable input-impedance characteristics and a consistent end-fire radiation pattern over the whole operating band of 2.2–11 GHz. Fulfilling the need of high-gain flexible antennas for UWB, a highly directive measured gain of 9.5 dBi on a paper substrate makes it an excellent candidate for flexible wireless devices.
The purpose of this study was to audit positioning errors during bladder image-guided radiotherapy (IGRT) and quantify survival outcomes.
Materials and methods
We carried out a retrospective review of 141 patients treated between March 2007 and July 2010 with three-dimensional conformal radiotherapy. An offline imaging protocol using kV cone beam computed tomography (CBCT) was used. Positioning errors, clinical interventions and re-planning rates were quantified. Cancer outcomes and survival were collected by review of patient notes and a registry search.
Results
Among all, 43% of the patients required no intervention. Isocentre corrections were used for systematic bony set-up error in 13% and to improve bladder coverage in 28%. Clinical interventions to improve bladder coverage were required in 16% of the patients and repeat computed tomography planning in a further 16%. Overall, 44% of the patients demonstrated some form of organ deformation that would have resulted in inadequate dose to the bladder or significant overdose to an organ at risk if not corrected for. Post-treatment check cystoscopy was undertaken in 107 patients (76%) with 72 noted to have a complete response. Overall survival was 47·8% at 3 years.
Conclusions
Organ deformation during radiotherapy for bladder cancer is a significant problem for over 40% of patients. Strategies to compensate are essential to ensure optimal plan delivery.
Particle acceleration is an important tool in material modification and several other applications. There are multiple techniques to generate and accelerate ion beams. In the current research work, ions emitted from laser induced plasma were accelerated by employing a DC high voltage extraction assembly. The Nd:YAG laser (1064 nm) with 10 mJ energy and 12 ns pulse width was irradiated on Aluminum target. Thomson parabola technique using Solid State Nuclear Track Detector (CR-39) was employed for measurement of ions energy generated from laser induced plasma. In response to a stepwise increase in acceleration potential from 0–10 kV, an evident increase in energy, in the range 627–730 keV, was observed. In order to utilize this facility as an ion source, Aluminum was exposed to these ions. The Optical and AFM micrographs revealed that the damage produced by the ions on Al surfaces, become more prominent with the increase in ion energy. TRIM simulations were performed for the analysis of the damage at the irradiated samples. Changes in the total displacements, target vacancies and replacement collisions, calculated by TRIM simulation, were analyzed for ion irradiations with increasing ion energies.
Triggered by the need to develop inter-seasonal, multi-cut cereal forage crops, this study aimed at the exploitation of phenotypic variations among the rich pearl millet (Pennisetum glaucum L.) collections in Sudan for possible utilization in forage-type breeding programmes. A total of 100 pearl millet accessions were used in three field trials grown in rainy, winter and summer seasons (2008–2009) at the Gezira Research Station Farm and the Gezira University Experimental Farm. Wide diversity and highly significant differences in the total dry forage yield, days to harvest, plant height, number of tillers/plant and leaf/stem ratio were found among the accessions. At an 80% morphological similarity level, the 100 accessions of pearl millet were clustered into four main groups. In the rainy and winter seasons, 71 and 56% of the accessions produced forage yield of more than 5 t/ha, respectively. In contrast, 77% of the accessions produced less than 5 t/ha in the summer season. Among the top-ranking 25 accessions, two accessions (HSD 2190 and HSD 2236) were common in dry matter yield in the three seasons, whereas 11 accessions were identified in at least two seasons. The presence of such common accessions in more than one season is encouraging for growing pearl millet as a multi-cut crop for a longer period. These results indicated the possibility of the development of forage-suited varieties of pearl millet directly through further evaluation of those common accessions or indirectly through a crop breeding programme.
A 2 × 2 factorial feeding experiment was conducted to examine the effects of varying the maturity level of the grass used to prepare silage and the nature of concentrate starch source and their interactions on dry matter intake (DMI), diet digestibility, energy corrected milk (ECM) production and milk composition in dairy cows. Twenty-eight multiparous Swedish Red dairy cows, 133 ± 45 days in milk (DIM), with an average milk yield of 30 ± 4 kg/day and a live weight of 624 ± 69 kg were blocked by DIM and randomly assigned to seven replicated balanced 4 × 4 Latin squares with four 21-day experimental periods. The experimental diets consisted of four total mixed rations (TMR) consisting of early-cut grass silage (EGS) supplemented with either barley- or maize-based concentrate and late-cut grass silage (LGS) supplemented with either barley- or maize-based concentrate. All TMR contained identical proportions of forage (51%) and concentrate (49%). Total tract digestibility was estimated by determining indigestible NDF (iNDF) concentrations in feeds and faeces and using iNDF as an internal marker. The feeds’ ruminal degradation parameters were determined using both in situ (nylon bag) and in vitro (gas production (GP)) techniques. Cows offered diets containing EGS had greater (P < 0.001) daily dry matter (DM) intakes, ECM yields and total tract digestibilities for DM and organic matter (OM), but these were not affected by the nature of the concentrate starch source. No interaction between the maturity of the silage and the nature of the concentrate starch source was observed for DMI, diet digestibility or ECM yield. Both grass silages and concentrates had similar rates of ruminal degradation of NDF when measured in situ. The in situ DM (P < 0.001) and starch (P = 0.001) degradation rates of barley-based concentrate were greater than those for maize-based concentrate. In vitro OM GP rates and extents were similar for both concentrate feeds. The results showed that diets containing EGS offered better animal performance and diet digestibility than diets containing LGS. The concentrate starch source did not affect animal performance, but total NDF digestibility was better with diet containing barley- than maize-based concentrate.
The atomic displacement parameters of individual ions in SrO have been determined from the Rietveld analysis of high-resolution powder neutron diffraction data. As the neutron velocity is smaller than the sound velocity in SrO, the intensity data was not corrected for the effect of thermal diffuse scattering. The room temperature value of overall isotropic thermal displacement parameters was B=0.57(2) Å2; which corresponds to Debye temperature, Θ of 242(4) K. The results are compared with experimental and theoretical estimates.
The authors have reviewed over 60 texts on the subject of Enterprise Risk Management (ERM). In this paper they set out a summary of ERM based on three of those sources, selected for their relevance and breadth of view. The paper observes that the approaches described vary widely in nature. A separate ‘on-line” source is provided, which summarises key readings from the 60 texts. Combining findings from these texts with the authors' own experiences, the paper suggests some best practice checklists, designed to enable organisations to take stock of their current ERM frameworks. It discusses other aspects of ERM for practitioners, including extreme events, opportunity management and the link with corporate strategy. The paper looks at immediate and longer-term implications for actuaries in the United Kingdom, and then poses questions about future professional development and education. It suggests an emerging role for the ‘ERM actuary’, and, finally, it suggests future work to progress the development of ERM and the actuaries' role.