OBJECTIVE

Physical performance measures (PPMs) such as The Star Excursion Balance Test (SEBT) and the Y-Balance Test (YBT) are functional movement tests used to assess participants' dynamic balance, which can be a vital component in physical exams to identify predisposing factors for risk of injury. The YBT is a functional assessment tool for the upper and lower body. It evolved from the SEBT, which has been previously used in research as a lower body functional assessment. It is comprised of fewer movement directions, which help limit fatigue. The YBT kit is a commercialized tool, which may pose barriers for clinicians with limited budgets and/or strict approval process for purchasing capital items in their clinics, especially healthcare providers in the secondary school setting. The cost may also pose a barrier for researchers with limited budgets. A less expensive, easy to make kit, may provide clinicians an opportunity to integrate functional testing into their evaluation or research. The purpose of this pilot study was to describe a cost efficient method to gather participant's upper quarter YBT (UQYBT) measurements and examine the inter- and intra-rater score agreement between this method and the commercial YBT measurements.

METHODS

A convenience sample of 20 physically active participants volunteered to participate in a comparison study of the of Upper Quarter Y-Balance Test (UQYBT) using the commercialized kit and the Modified Upper Quarter Y-Balance Test kit (mUQYBT) made with three cloth tape measures, athletic tape, a goniometer and three 2x4x8 wood blocks. A Pearson Product Moment correlation and Bland-Altman analyses were used to examine the relationship between intra-rater scores comparing the UQYBT and mUQYBT. Inter-rater scores were analyzed using intraclass correlation coefficients (ICC) (2,1) and Bland-Altman analyses.

RESULTS

All Pearson Product Moment r-values for intra-rater scores were greater than .96 and statistically significant at p<0.05. Coefficients of determination suggest that the mUQYBT scores account for approximately 92% of the UQYBT composite score when analyzing intra-rater comparisons. Bland-Altman plots suggest moderate agreement between the two tests with a potential bias towards higher composite scores in the mUQYBT. Inter-rater ICC scores were all greater than .98, while Bland-Altman plot analyses suggest moderate agreement between the raters.

CONCLUSIONS

The mUQYBT produced similar results in both inter- and intra-rater measurements when compared to the commercialized YBT kit and offers a cost-effective alternative for assessing upper quarter PPMs for clinicians with limited budgets.

METHODS

2b.

With the COVID-19 pandemic, the wearing of face masks covering mouth and nose has become ubiquitous all around the world. This study investigates the impact of typical face masks on voice radiation. To analyze the transmission loss caused by masks and the influence of masks on directivity, this study measured the full-spherical voice directivity of a dummy head with a mouth simulator covered with six masks of different types, i.e., medical masks, filtering facepiece respirator masks, and cloth face coverings. The results show a significant frequency-dependent transmission loss, which varies depending on the mask, especially above 2 kHz. Furthermore, the two facepiece respirator masks also significantly affect speech directivity, as determined by the directivity index (DI). Compared to the measurements without a mask, the DI deviates by up to 7 dB at frequencies above 3 kHz. For all other masks, the deviations are below 2 dB in all third-octave frequency bands.

In the growing pandemic, family healthcare is widely concerned with the increase of medical self-diagnosis away from the hospital. A cobalt metal-organic framework modified carbon cloth/paper (Co-MOF/CC/Paper) hybrid button-sensor was developed as a portable, robust, and user-friendly electrochemical analytical chip for nonenzymatic quantitative detection of glucose. Highly integrated electrochemical analytical chip was successfully fabricated with a flexible Co-MOF/CC sensing interface, effectively increasing the specific area and catalytic sites than the traditional plane electrode. Based on the button-sensor, rapid quantitative detection of glucose was achieved in multiple complex bio-matrixes, such as serum, urine, and saliva, with desired selectivity, stability, and durability. With the advantages of low cost, high environment tolerance, ease of production, our nanozyme-based electrochemical analytical chip achieved reliable nonenzymatic electrocatalysis, has great potential for the application of rapid on-site analysis in personalized diagnostic and disease prevention.

Keywords: Carbon cloth; Glucose diagnostics; Metal-organic framework; Nonenzymatic sensor; Paper-based device.

This paper focuses on the technical solutions enabling the monitoring of health conditions by means of ECG, HR, oxygen saturation, impedance pneumography and activity patterns. The Healthwear service is based on the Wealthy prototype system. A new design has been made to increase comfort in wearing of the system during daily patient activities. The cloth is connected to a patient portable electronic unit (PPU) that acquires and elaborates the signals from the sensors. The PPU transmits the signal to a central processing site through the use of GPRS wireless technology. This service is applied to three distinct clinical contexts: rehabilitation of cardiac patients, following an acute event; early discharge program in chronic respiration patients; promotion of physical activity in ambulatory stable cardio-respiratory patients.

We collected serial blood samples from children in the intensive care unit who underwent daily bathing with 2% chlorhexidine gluconate (CHG)-impregnated cloths. Low concentrations of CHG were detected in a few blood samples, indicating absorption through intact skin. There was no suggestion that CHG accumulated in the blood with repeated exposures.

OBJECTIVE

To study the knowledge and practices related to newborn care in urban slums of Lucknow city, UP, and to identify critical behaviors, practices, and barriers that influence the survival of newborns.

METHODS

A cross-sectional study in urban slums of Lucknow city, UP, included 524 women who had a live birth during last 1 year preceding data collection. Data were analyzed using statistical software SPSS 10.0 for windows.

RESULTS

Study findings showed that about half of the deliveries took place at home. Majority (77.1%) of the mothers believed that baby should be bathed with warm water and dried with clean cloth and 79.7% mothers practiced it. Only 36.6% mothers initiated breast-feeding within 1 h of birth and 30.2% initiated after 1 day. The mothers who have not given colostrum to their baby, in majority the reason was customs.

CONCLUSIONS

In majority of cases, correct knowledge and correct practices regarding newborn care were lacking among mothers and this should be promoted through improved coverage with existing health services.

OBJECTIVE

To evaluate the influence of olfactory stimulation on the exploratory activity of captive-housed domestic cats.

METHODS

To evaluate the cats' exploratory behaviour, we devised three treatments. We placed a wooden cube (0.027 m(3)) covered with a cloth treated with rat scent on the floor of each cat enclosure (T3). We also used a cloth-covered cube that did not have rat scent (T2) and observed the cats' behaviours in the same area without any object (T1). All cats participated in T1, T2, and T3. All treatments were performed equally and at the same time in two identical enclosures with 11 and 10 cats, respectively. The cats had lived in the enclosures since entering the permanent animal house. We used a continuous recording method associated with focal sampling to analyse the recordings.

RESULTS

Exploration was induced in the presence of a novel object, the cube, irrespective of whether the object was associated with the scent. In T3, we observed sex differences in exploration time: females spent more time exploring the scent-impregnated cube than males. Female cats also spent more time exploring the scent-impregnated cube than the scent-free cube. Cats in T3 had shorter latency for exploration, spent more time sniffing the ground and rubbing the cube, and had a higher frequency of urine spraying than those in T2.

CONCLUSIONS

Although exploratory behaviour was induced by novelty in the form of a new object, significant effects were observed in the presence of the scent, mainly regarding latency to explore, sex differences and sniffing, rubbing and urine spraying.

OBJECTIVE

Ventilator associated pneumonia (VAP) is the most important nosocomial infection in intensive care units (ICUs). Our objective was to assess whether daily bathing with chlorhexidine gluconate (CHG) would significantly result in the reduction of VAP.

METHODS

Meta-analysis of randomized controlled trials (RCTs) and quasi-experimental studies were conducted. The setting are medical, surgical, trauma, and combined medical-surgical ICUs. The patients are adult. We searched electronic search engine (PubMed), Embase and the Cochrane Central Register database for all published studies related to the application of daily CHG bathing with VAP risk.

RESULTS

In all, six articles reporting a total of 27,638 ventilator-days met the inclusion criteria; 132 patients in the CHG arm developed a VAP (13,349 ventilator-days), compared with 188 patients in the control arm (14,289 ventilator-days). Daily bathing with CHG was significantly associated with decreased incidence risk of VAP [relative risk (RR): 0.73, 95% confidence interval (CI): 0.57-0.92, I(2)=0%]. In the subgroup analysis, we found that daily bathing with 2% CHG impregnated cloths or wipes would reduce the incidence risk of VAP among before-and-after studies (pooled RR: 0.73, 95% CI: 0.57-0.93).

CONCLUSIONS

The application of daily bathing with CHG would decrease incidence risk of VAP, which would be an important complementary intervention to barrier precautions.

Canine heartworm (cHW) disease is now recognised as potential cause of serious disease in cats and other felids, especially in endemic areas. In March 2009, a 23-years-old male African leopard (Panthera pardus pardus) housed in a zoological park located in the Province of Padova (Veneto Region), a cHW endemic area of the north-eastern Italy, died and was immediately necropsied. A cloth completely occluding the pyloric lumen was considered the presumptive cause of death. During necropsy, six nematodes (4 males and 2 females) were found within the right ventricle of the heart and the pulmonary artery. Diagnosis of HW (Dirofilaria immitis) infection was carried out by morphological features of adult worms and microfilariae, and then confirmed by detection of circulating HW antigens using a commercial SNAP kit (IDEXX Laboratories inc., USA). D. immitis infection was also confirmed by PCR amplification of the 5S ribosomal spacer region, performed on worm fragments and microfilaraemic blood samples obtained from the right ventricle of the heart. A glomerulonephritis of immuno-mediated origin and most likely associated with the HW infection is also reported. HW chemoprophylaxis and annual serological testing on wild felids housed outdoors in endemic cHW disease areas are recommended. This is the first diagnosis of D. immitis infection in an exotic felid in Italy.

OBJECTIVE

The present study was initiated to examine a quantitative relationship between tetrachloroethene (TETRA) in blood and urine with TETRA in air, and to compare TETRA in blood or urine with trichloroacetic acid (TCA) in urine as exposure markers.

METHODS

In total, 44 workers (exposed to TETRA during automated, continuous cloth-degreasing operations), and ten non-exposed subjects volunteered to participate in the study. The exposure to vapor was monitored by diffusive sampling. The amounts of TETRA and TCA in end-of-shift blood and urine samples were measured by either head-space gas chromatography (HS-GC) or automated methylation followed by HS-GC. The correlation was examined by regression analysis.

RESULTS

The maximum time-weighted average (TWA) concentration for TETRA-exposure was 46 ppm. Regression analysis for correlation of TETRA in blood, TETRA in urine and TCA in urine, with TETRA in air, showed that the coefficient was largest for the correlation between TETRA in air and TETRA in blood. The TETRA in blood, in urine and in air correlated mutually, whereas TCA in urine correlated more closely with TETRA in blood than with TETRA in urine. The TCA values determined by colorimetry and by the GC method were very similar. The biological marker levels at a hypothetical exposure of 25 ppm TETRA were substantially higher in the present study than were the levels reported in the literature. Possible reasons are discussed.

CONCLUSIONS

Blood TETRA is the best marker of occupational exposure to TETRA, being superior to the traditional marker, urinary TCA.

Observers (72 college students) estimated the size of plastic squares that they held in their fingers and simultaneously viewed through a reducing lens that halved the squares' visual size. The squares were grasped from below through a cloth that prevented direct sight of the hand. Each estimate was a match selected later, either haptically or visually, from a set of comparison squares. Vision dominated the visual estimates and touch dominated the haptic estimates, whether or not the observers knew in advance which type of estimate they would be asked to make. Neither modality inherently dominates perceived size.

The possible relationship between the results of a microbiological sampling programme and visual inspections carried out in local food-manufacturing premises was examined. Using five main parameters - overall appearance, personal hygiene, risk of contamination, temperature control, and training and education - a visual inspection rating score was established for each of the premises. A variety of high-risk processed foods, and specimens from hands, wiping cloths and environmental swabs were examined. The results from two study periods indicated that there was an overall poor agreement between microbiological results and inspection ratings. On its own, neither sampling nor visual assessment reliably monitored the performance of the premises. A combined approach, using selective microbiological examination to support a system of standardized inspections, is suggested for monitoring food hygiene standards in premises selling high-risk foods.

Fe2O3/Fe3O4-S core-shell nanorods were fabricated on a carbon cloth by sulfurization of FeOOH and post annealing. The prepared electrode exhibited remarkable cyclic stability and attractive rate capability for lithium storage.

A Fe2O3@NiO core/shell nanorod array on carbon cloth was prepared with the aid of hydrothermal synthesis combined with subsequent chemical bath deposition. The resultant array structure is composed of Fe2O3 nanorods as the core and interconnected ultrathin NiO nanoflakes as the shell. As an anode material for lithium-ion batteries, the heterostructured array electrode delivers a high discharge capacity of 1047.2 mA h g(-1) after 50 cycles at 200 mA g(-1), and 783.3 mA h g(-1) at a high current density of 2000 mA g(-1). The excellent electrochemical performance is attributed to the unique 3D core/shell nanorod array architecture and a rational combination of two electrochemical active materials. Our growth approach offers a simple and effective technique for the design and synthesis of a transition metal oxide hierarchical array that is promising for high-performance electrochemical energy storage.

In this study, three-dimensional SnO2@TiO2 double-shell nanotubes on carbon cloth are synthesized by a combination of the hydrothermal method for ZnO nanorods and a subsequent SnO2 and TiO2 thin film coating with atomic layer deposition (ALD). The as-prepared SnO2@TiO2 double-shell nanotubes are further tested as a flexible anode for Li ion batteries. The SnO2@TiO2 double-shell nanotubes/carbon cloth electrode exhibited a high initial discharge capacity (e.g. 778.8 mA h g(-1) at a high current density of 780 mA g(-1)) and good cycling performance, which could be attributed to the 3D double-layer nanotube structure. The interior space of the stable TiO2 hollow tube can accommodate the large internal stress caused by volume expansion of SnO2 and protect SnO2 from pulverization and exfoliation.

Capacitive deionization (CDI) for removal of water hardness was investigated for water softening applications. In order to examine the wettability and pore structure of the activated carbon cloth and composites electrodes, surface morphological and electrochemical characteristics were observed. The highly wettable electrode surface exhibited faster adsorption/desorption of ions in a continuous treatment system. In addition, the stack as well as unit cell operations were performed to investigate preferential removal of the hardness ions, showing higher selectivity of divalent ions rather than that of the monovalent ion. Interestingly, competitive substitution was observed in which the adsorbed Na ions were replaced by more strongly adsorptive Ca and Mg ions. The preferential removal of divalent ions was explained in terms of ion selectivity and pore characteristics in electrodes. Finally, optimal pore size and structure of carbon electrodes for efficient removal of divalent ions were extensively discussed.

Three capuchin monkeys (Cebus apella) were tested on a 2-choice discrimination task designed to examine their knowledge of support, modeled after Hauser, Kralik, and Botto-Mahan's (1999) experiments with tamarins. This task involved a choice between 2 pieces of cloth, including 1 with a food reward placed on its surface, and a second cloth with the food reward next to its surface. After reliably solving the basic problem, the capuchins were tested with various alternations of the original food reward and cloth. The capuchins were able to solve the initial task quickly, and generalize their knowledge to additional functional and nonfunctional variations of the problem. In comparison to the tamarins previously tested on this problem (Hauser et al., 1999), the capuchins were able to reach criterion faster during the training and food size conditions and showed a greater ability to inhibit reaching toward larger food rewards that were unavailable.

The technique of septation of the univentricular heart via a transatrial approach is described in detail. Clinical details of four patients having Type A-III univentricular heart document the feasibility of working through the right-sided atrioventricular valve to place a cloth prosthesis into the ventricle to divide it into approximately equal chambers. Improved hemodynamics were observed in the postoperative period, which probably were related to retaining the integrity of the ventricular wall. This approach seems best suited to the ventricular chamber estimated to be large by echocardiography without severe pulmonary outflow tract obstruction. Techniques for enlargement of the pulmonary outflow tract are also described.

BACKGROUND

Between June 1968 and March 1977, Starr-Edwards cloth-covered ball valves were used for valve replacement on a routine basis.

RESULTS

Among the 66 operative survivors who underwent an isolated aortic or mitral valve replacement, 20 patients required reoperation 22 times because of valve dysfunction, thromboembolic complication, paravalvular leakage, hemolytic anemia, and/or prosthetic valve endocarditis. Reoperation was performed at a mean of 15.9+/-9.8 years after initial replacement. Excised valves were examined and reoperation after initial operation was reviewed. Operative mortality was 10.0%. Freedom from reoperation for aortic valve replacement and mitral valve replacement was 56.2% at 34 years and 61.0% at 37 years after initial operation, respectively. Cloth wear or pannus formation were observed in all excised prostheses. Orifice cloth was more markedly worn in mitral valves than in aortic valves, particularly in mitral valves of more than 20 years old. Pannus overgrowth contributed to valve regurgitation in the older valves.

CONCLUSIONS

Early diagnosis of valve dysfunction and reoperation are recommended as soon as symptoms appear.

A new and simplified approach for making cathodes for microbial fuel cells (MFCs) was developed by using metal mesh current collectors and inexpensive polymer/carbon diffusion layers (DLs). Rather than adding a current collector to a cathode material such as carbon cloth, we constructed the cathode around the metal mesh itself, thereby avoiding the need for the carbon cloth or other supporting material. A base layer of poly(dimethylsiloxane) (PDMS) and carbon black was applied to the air-side of a stainless steel mesh, and Pt on carbon black with Nafion binder was applied to the solution-side as catalyst for oxygen reduction. The PDMS prevented water leakage and functioned as a DL by limiting oxygen transfer through the cathode and improving coulombic efficiency. PDMS is hydrophobic, stable, and less expensive than other DL materials, such as PTFE, that are commonly applied to air cathodes. Multiple PDMS/carbon layers were applied in order to optimize the performance of the cathode. Two PDMS/carbon layers achieved the highest maximum power density of 1610 +/- 56 mW/m(2) (normalized to cathode projected surface area; 47.0 +/- 1.6 W/m(3) based on liquid volume). This power output was comparable to the best result of 1635 +/- 62 mW/m(2) obtained using carbon cloth with three PDMS/carbon layers and a Pt catalyst. The coulombic efficiency of the mesh cathodes reached more than 80%, and was much higher than the maximum of 57% obtained with carbon cloth. These findings demonstrate that cathodes can be constructed around metal mesh materials such as stainless steel, and that an inexpensive coating of PDMS can prevent water leakage and lead to improved coulombic efficiencies.

Managers are told: Be global and be local. Collaborate and compete. Change, perpetually, and maintain order. Make the numbers while nurturing your people. To be effective, managers need to consider the juxtapositions in order to arrive at a deep integration of these seemingly contradictory concerns. That means they must focus not only on what they have to accomplish but also on how they have to think. When the authors, respectively the director of the Centre for Leadership Studies at the University of Exeter in the U.K. and the Cleghorn Professor of Management Studies at McGill University in Montreal, set out to develop a masters program for practicing managers, they saw that they could not rely on the usual MBA educational structure, which divides the management world into discrete business functions such as marketing and accounting. They needed an educational structure that would encourage synthesis rather than separation. Managing, they determined, involves five tasks, each with its own mind-set: managing the self (the reflective mind-set); managing organizations (the analytic mind-set); managing context (the worldly mind-set); managing relationships (the collaborative mind-set); and managing change (the action mind-set). The program is built on the exploration and integration of those five aspects of the managerial mind. The authors say it has proved powerful in the classroom and insightful in practice. Imagine the mind-sets as threads and the manager as weaver. Effective performance means weaving each mind-set over and under the others to create a fine, sturdy cloth.

Rats exposed to a cloth impregnated with the odor of a cat made fewer contacts with the cloth and spent more time sheltering under the food and water hopper than did rats exposed to a neutral odor. In two experiments there was little evidence of between-trial habituation of these responses to cat odor. The pattern of within-session changes depended on the trial duration (15 or 60 min) and the initial level of the avoidance responses. In order to test for conditioned generalization of the avoidance responses to the test situation, rats with two previous exposures to cat odor were given a third trial in which they were exposed to a neural odor. Experiment 1 showed that those previously exposed to cat odor for two 15 min trials spent more time sheltering when exposed to the neutral odor cloth than those previously exposed to the neutral odor. Experiment 2 confirmed this effect and found that the increase in sheltering was even more marked for a group exposed to cat odor for 60 min on trial 1. The number of contacts with the neutral odor cloth on trial 3 was reduced only in the group of high avoiders (defined as making no contacts with the cat odor cloth in the first 5 min of trial 1). Thus, both the duration of exposure to cat odor and the initial response level were important in determining the conditioned generalization of the responses to a phobic stimulus.