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1.
Brain Stimul ; 17(5): 1101-1118, 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39277130

RESUMO

Navigational decision-making tasks, such as spatial working memory (SWM), rely highly on information integration from several cortical and sub-cortical regions. Performance in SWM tasks is associated with theta rhythm, including low-frequency oscillations related to movement and memory. The interaction of the ventral hippocampus (vHPC) and medial prefrontal cortex (mPFC), reflected in theta synchrony, is essential in various steps of information processing during SWM. We used a closed-loop neurofeedback (CLNF) system to upregulate theta power in the mPFC and investigate its effects on circuit dynamics and behavior in animal models. Specifically, we hypothesized that enhancing the power of the theta rhythm in the mPFC might improve SWM performance. Animals were divided into three groups: closed-loop (CL), random-loop (RL), and OFF (without stimulation). We recorded local field potential (LFP) in the mPFC while electrical reward stimulation contingent on cortical theta activity was delivered to the lateral hypothalamus (LH), which is considered one of the central reward-associated regions. We also recorded LFP in the vHPC to evaluate the related subcortical neural changes. Results revealed a sustained increase in the theta power in both mPFC and vHPC for the CL group. Our analysis also revealed an increase in mPFC-vHPC synchronization in the theta range over the stimulation sessions in the CL group, as measured by coherence and cross-correlation in the theta frequency band. The reinforcement of this circuit improved spatial decision-making performance in the subsequent behavioral results. Our findings provide direct evidence of the relationship between specific theta upregulation and SWM performance and suggest that theta oscillations are integral to cognitive processes. Overall, this study highlights the potential of adaptive CLNF systems in investigating neural dynamics in various brain circuits.

2.
Sensors (Basel) ; 24(14)2024 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-39066147

RESUMO

Road cracks significantly affect the serviceability and safety of roadways, especially in mountainous terrain. Traditional inspection methods, such as manual detection, are excessively time-consuming, labor-intensive, and inefficient. Additionally, multi-function detection vehicles equipped with diverse sensors are costly and unsuitable for mountainous roads, primarily because of the challenging terrain conditions characterized by frequent bends in the road. To address these challenges, this study proposes a customized Unmanned Aerial Vehicle (UAV) inspection system designed for automatic crack detection. This system focuses on enhancing autonomous capabilities in mountainous terrains by incorporating embedded algorithms for route planning, autonomous navigation, and automatic crack detection. The slide window method (SWM) is proposed to enhance the autonomous navigation of UAV flights by generating path planning on mountainous roads. This method compensates for GPS/IMU positioning errors, particularly in GPS-denied or GPS-drift scenarios. Moreover, the improved MRC-YOLOv8 algorithm is presented to conduct autonomous crack detection from UAV imagery in an on/offboard module. To validate the performance of our UAV inspection system, we conducted multiple experiments to evaluate its accuracy, robustness, and efficiency. The results of the experiments on automatic navigation demonstrate that our fusion method, in conjunction with SWM, effectively enables real-time route planning in GPS-denied mountainous terrains. The proposed system displays an average localization drift of 2.75% and a per-point local scanning error of 0.33 m over a distance of 1.5 km. Moreover, the experimental results on the road crack detection reveal that the MRC-YOLOv8 algorithm achieves an F1-Score of 87.4% and a mAP of 92.3%, thus surpassing other state-of-the-art models like YOLOv5s, YOLOv8n, and YOLOv9 by 1.2%, 1.3%, and 3.0% in terms of mAP, respectively. Furthermore, the parameters of the MRC-YOLOv8 algorithm indicate a volume reduction of 0.19(×106) compared to the original YOLOv8 model, thus enhancing its lightweight nature. The UAV inspection system proposed in this study serves as a valuable tool and technological guidance for the routine inspection of mountainous roads.

3.
Quant Imaging Med Surg ; 13(10): 6493-6502, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37869309

RESUMO

Background: Advanced fibrosis detection in the general population is an unmet need. Additionally, screening method for advanced fibrosis in the general population is not established. Thus, this study aimed to examine the use of shear wave measurement (SWM), which measures liver stiffness by ultrasound elastography as a screening tool for advanced fibrosis in health checkups that represents the general population. Methods: SWM was performed in all subjects. Magnetic resonance elastography (MRE) was performed in those with SWM shear wave velocity (Vs) ≥1.3 m/s to determinate advanced fibrosis. The diagnostic accuracy of SWM Vs for advanced fibrosis (determined by MRE of ≥3.62 kPa) was examined. This prospective study was registered with the University Hospital Medical Information Network clinical trial registry (UMIN000041609). Results: A total of 2,233 subjects were included. SWM Vs of 1.64 m/s was selected as the best threshold for advanced fibrosis. Using the threshold of SWM Vs at ≥1.64 m/s, subjects were narrowed down to 1.7%, and sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for advanced fibrosis were 53.3%, 92.4%, 47.1%, and 94.0%, respectively, among these subjects. The multivariable analysis, after adjusting the age, sex, body mass index (BMI), hypertension, diabetes mellitus (DM), dyslipidemia, and alcohol use, revealed an SWM Vs of ≥1.64 m/s as the significant factor for advanced fibrosis with an odds ratio (95% confidence interval) of 14.5 (3.4-62; P<0.001). Conclusions: SWM has high diagnostic accuracy for advanced fibrosis (PPV 47.1%) and may be used as a screening tool for liver fibrosis in the general population.

4.
J Environ Manage ; 348: 119242, 2023 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-37832296

RESUMO

In the USA, 8.66% of municipal solid waste (MSW) plastic was recycled and 75.9% landfilled (2018). Some critical challenges in widespread adoption of post-consumer recycled (PCR) plastic include high collection costs, sortation complexity, inconsistent feedstock properties, and unknown contamination leading to safety considerations. The objective of this review is to discuss global Extended Producer Responsibility (EPR) policies/regulations and their ability to facilitate coordination of domestic/international policies and business to overcome critical recycling complications. Global EPR and recycling laws were examined to compare and contrast initiatives to increase recycling and avoid plastic waste generation. EPR laws increase producers' liability towards product generation, marketing, and disposal by applying fees and taxes on products depending on product recyclability and volume generation. Countries with established plastic EPR regulations and landfill bans often possess higher recycling rates. The results of this research can facilitate development of local regulatory mandates to increase recycling rates.


Assuntos
Instalações de Eliminação de Resíduos , Gerenciamento de Resíduos , Resíduos Sólidos , Reciclagem , Política Pública , Impostos , Plásticos
5.
Environ Sci Pollut Res Int ; 30(41): 93760-93778, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37516702

RESUMO

Globally, around 1.3 billion tonnes of waste are generated annually, and solid waste management has thus become a major concern worldwide. There are projections of a 70% increase in waste generation from 2016 to 2050 owing to urbanization and the rapid growth of the global population. Estimates indicate that around 38,200 tonnes of waste are generated per day in Malaysia, and this volume of waste is significantly shortening the planned life spans of operating sanitary landfills in the country. Batu Pahat is a district in the state of Johor, Malaysia, with a relatively large population of 495,000 and with no record of an operational sanitary landfill. This study was conducted to identify and classify the most suitable sites for sanitary landfill developments in southern Peninsular Malaysia by means of the Analytical Hierarchy Process (AHP), which is recognized as a competent technique for multicriteria decision-making. The resulting landfill site suitability index map established 33.88 km2 of area coverage as very highly suitable for landfill development, while 353.86 km2 of area coverage was classified as unsuitable. Sites 1-6 were identified as the most suitable for landfill activities. Sites 1-5 are situated in agricultural land areas, while site 6 is in a forested land area; this implies public participation and the adoption of compensatory measures in the event of landfill development in these areas, given their socioeconomic importance. The six suitable sites are all at least 2000 m from rivers: 2000-3000 m for sites 1, 3, and 5 and > 3000 m for sites 2, 4, and 6. The six sites are all > 3000 m from fault zones and > 1000 m from flood-prone areas, meaning that occurrences such as fault movements and flooding will have minimal impact on the operational activities of landfills at these sites. The selection of sites 1-6 as very suitable for landfill development was associated with an overall accuracy rating of 93.33% and kappa coefficient score of 0.92 based on accuracy assessment analysis of all sites. This study will guide the actions of policymakers, city planners, and local authorities toward sustainable and environment-friendly landfill development and operation in Batu Pahat and other districts in the state of Johor.


Assuntos
Eliminação de Resíduos , Eliminação de Resíduos/métodos , Malásia , Técnicas de Apoio para a Decisão , Sistemas de Informação Geográfica , Resíduos Sólidos , Instalações de Eliminação de Resíduos
6.
Mar Pollut Bull ; 192: 114977, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37167663

RESUMO

To examine the influence of anthropogenic activities on the marine ecosystem near the coastal waters of the port city, Kakinada, a study was conducted to investigate the abundance of heterotrophic, indicator and pathogenic bacteria during the spring inter monsoon (SIM) and southwest monsoon (SWM) seasons. A drastic change in the marine bacteria due to the input of allochthonous bacteria during SWM was noticed. An order of magnitude higher abundance of indicators (Escherichia coli and Enterococcus faecalis) and bacterial pathogens (Proteus mirabilis and Pseudomonas aeruginosa) was observed during SWM. In contrast, Chlorophyll-a, heterotrophic bacterial abundance, Aeromonas hydrophila and Klebsiella pneumoniae were higher during SIM. A significant increase in some of the indicator and pathogenic bacterial abundance due to moderate rainfall suggests that the improper drainage system in the city could spread these bacteria, posing a considerable threat to both environment and human health.


Assuntos
Ecossistema , Monitoramento Ambiental , Humanos , Estações do Ano , Baías , Bactérias
7.
Neuroimage ; 273: 120058, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36997135

RESUMO

The in-vivo profiling of iron and myelin across cortical depths and underlying white matter has important implications for advancing knowledge about their roles in brain development and degeneration. Here, we utilize χ-separation, a recently-proposed advanced susceptibility mapping that creates positive (χpos) and negative (χneg) susceptibility maps, to generate the depth-wise profiles of χpos and χneg as surrogate biomarkers for iron and myelin, respectively. Two regional sulcal fundi of precentral and middle frontal areas are profiled and compared with findings from previous studies. The results show that the χpos profiles peak at superificial white matter (SWM), which is an area beneath cortical gray matter known to have the highest accumulation of iron within the cortex and white matter. On the other hand, the χneg profiles increase in SWM toward deeper white matter. These characteristics in the two profiles are in agreement with histological findings of iron and myelin. Furthermore, the χneg profiles report regional differences that agree with well-known distributions of myelin concentration. When the two profiles are compared with those of QSM and R2*, different shapes and peak locations are observed. This preliminary study offers an insight into one of the possible applications of χ-separation for exploring microstructural information of the human brain, as well as clinical applications in monitoring changes of iron and myelin in related diseases.


Assuntos
Substância Branca , Humanos , Substância Branca/diagnóstico por imagem , Bainha de Mielina , Ferro , Imageamento por Ressonância Magnética/métodos , Encéfalo , Substância Cinzenta/diagnóstico por imagem
8.
J Nippon Med Sch ; 90(5): 398-403, 2023 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-35644558

RESUMO

A metastatic thyroid tumor (MTT) arising from breast carcinoma (BC) is rare and sometimes difficult to diagnose. We present a case of MTT from BC; we suspected anaplastic thyroid carcinoma at initial presentation. The patient was a 58-year-old female with a hard nodule in the right anterior neck and a history of breast cancer. Computed tomography indicated tumors on both thyroid lobes, and ultrasonography (US) with shear wave measurement (SWM) showed malignant features. We performed fine needle aspiration cytology (FNAC), the results of which led us to strongly suspect MTT from BC. The surgically resected specimen was evaluated histopathologically, including by immunohistochemistry (IHC), and the diagnosis was confirmed. In addition to FNAC and IHC, SWM is useful to diagnose MTT from BC.


Assuntos
Neoplasias da Mama , Segunda Neoplasia Primária , Neoplasias da Glândula Tireoide , Nódulo da Glândula Tireoide , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Neoplasias da Glândula Tireoide/cirurgia , Neoplasias da Glândula Tireoide/patologia , Pescoço/patologia , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/patologia , Ultrassonografia , Nódulo da Glândula Tireoide/patologia
9.
J Family Med Prim Care ; 11(6): 2417-2422, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36119232

RESUMO

Background: In India, on an average, 0.5-0.99 kg/person/day general solid waste is produced which is higher (i.e. 0.1-0.49 kg per person per day) than solid waste generated in low-income nations and lower than in developed countries (1.5 kg per day). The Government of India has issued guidelines for the management of a different kind of hospital waste from time to time including Solid Waste Management (SWM) Rules in the year 2016 and is mandatorily applicable to all organizations including the hospitals. Objective: We conducted this study to assess the knowledge and awareness among nursing professionals regarding various provisions of solid waste management rules, 2016. Methods: It was a cross-sectional study done on nursing professionals across all seniority and from various specialties and super specialty departments. A pretested questionnaire comprising 20 questions was used as a study tool. Results: There were a total of 550 participants. The mean knowledge count of the respondents was 9.487273 (1.00-14.00). The mean score was 59.3% of the overall achievable score. In the subgroup analysis, respondents above 60 years of age, married, females, urban residents, nursing sisters scored better than the middle-aged professionals, unmarried, males, rural residents, and staff nurses. Conclusions: This study has given insight into various domains of SWM rules, 2016 where nurses performed well and those where considerable gaps exist. The health care workers are more aware of biomedical waste (M&H) rules, and the solid waste management rules are new to them. It is recommended that the biomedical waste management training program must include training on general solid waste management rules.

10.
Genetics ; 222(2)2022 09 30.
Artigo em Inglês | MEDLINE | ID: mdl-35762963

RESUMO

The regulation of stem cell survival, self-renewal, and differentiation is critical for the maintenance of tissue homeostasis. Although the involvement of signaling pathways and transcriptional control mechanisms in stem cell regulation have been extensively investigated, the role of post-transcriptional control is still poorly understood. Here, we show that the nuclear activity of the RNA-binding protein Second Mitotic Wave Missing is critical for Drosophila melanogaster intestinal stem cells and their daughter cells, enteroblasts, to maintain their progenitor cell properties and functions. Loss of swm causes intestinal stem cells and enteroblasts to stop dividing and instead detach from the basement membrane, resulting in severe progenitor cell loss. swm loss is further characterized by nuclear accumulation of poly(A)+ RNA in progenitor cells. Second Mitotic Wave Missing associates with transcripts involved in epithelial cell maintenance and adhesion, and the loss of swm, while not generally affecting the levels of these Second Mitotic Wave Missing-bound mRNAs, leads to elevated expression of proteins encoded by some of them, including the fly ortholog of Filamin. Taken together, this study indicates a nuclear role for Second Mitotic Wave Missing in adult stem cell maintenance, raising the possibility that nuclear post-transcriptional regulation of mRNAs encoding cell adhesion proteins ensures proper attachment of progenitor cells.


Assuntos
Proteínas de Drosophila , Drosophila melanogaster , Animais , Diferenciação Celular/genética , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/metabolismo , Filaminas/metabolismo , RNA Mensageiro/metabolismo , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Células-Tronco/metabolismo
11.
Artigo em Inglês | MEDLINE | ID: mdl-35151795

RESUMO

BACKGROUND: Bipolar disorder (BD) is a mental disorder with severe implications for those affected and their families. Previous studies detected brain structural and functional alterations in BD patients. However, very few studies conducted a multimodal MRI fusion analysis, and little is known about the role of common anomalies in the connectivity of BD. METHODS: We collected sMRI, rs-fMRI, and DTI data from 56 patients with unmedicated BD-II depression and 72 age-, sex- and handedness-matched healthy controls. We applied data-driven approaches to analyze multimodal MRI data and detected brain areas with significant group differences in cortical thickness (CT), amplitude of low frequency fluctuations (ALFF), and fractional anisotropy (FA) of the superficial white matter. We observed the common abnormal areas and took these areas as seeds to analyze the resting-state functional connectivity (RSFC) patterns in BD patients by overlapping these abnormal areas. RESULTS: The BD patients showed two common abnormal areas: (1) the left anterior insula (AI) with abnormal CT and FA, and (2) the left posterior cingulate cortex (PCC) with abnormal CT and ALFF. Seed-based analyses showed RSFC between the left AI and left occipital sensory cortex, the left AI and left superior and inferior parietal cortex, and the left PCC and right medial prefrontal cortex were uniformly lower in the BD patients than controls. Correlation analyses showed negative correction between AI's FA and disease episodes and between AI's FA and disease duration in depressed BD-II patients. CONCLUSIONS: We observed abnormal brain structural and functional properties in the left AI and left PCC in BD patients. The abnormal RSFC patterns may suggest sensory and cognitive dysfunction in BD.


Assuntos
Transtorno Bipolar , Substância Branca , Transtorno Bipolar/diagnóstico por imagem , Encéfalo , Giro do Cíngulo/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Substância Branca/diagnóstico por imagem
12.
Environ Sci Pollut Res Int ; 29(23): 35096-35109, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35044602

RESUMO

This study proposes to explore solid waste material (SWM) reuse of the riverway silt and sediment, and examines the impacts of chemical composition on road construction through sensitivity analysis. Considering the characteristics of silt mixture, it is necessary to investigate the modified materials to improve the mechanical feasibility for subgrade filling. In this study, the water content of riverway silt and sediments was found to be important to determine the selection and content of modified materials. Specifically, the riverway silt and sediment with low water content could be improved effectively with 6 to 8% lime. Compared to the original sludge, the improved mixture had better particle size and permeability, and the carrying capacity also grew 2 to 3 times. On the other hand, the reuse of riverway silt and sediment with high water content over 40% was provided with multiple schemes. Among them, the modification scheme of construction waste or garbage slag showed well mechanical properties and environmental benefits in the sensitivity analysis, especially for the high water content sludge modified by the mixture of garbage slag and lime. The California bearing ratio (CBR2.5) was 2 to 5 times higher than the original silt, which would promote the reuse of multiple solid wastes in road construction. Finally, this study puts forward engineering measures to prevent heavy metals from polluting the water and soil environment by silt-improved soil roadbeds, and the improved riverway silt and sediment roadbeds were proved to be safe and reliable for the environment during service.


Assuntos
Metais Pesados , Resíduos Sólidos , Esgotos , Solo , Água
13.
Graefes Arch Clin Exp Ophthalmol ; 260(2): 577-581, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34554296

RESUMO

BACKGROUND/OBJECTIVES: The correct classification of a slowly progressing optic atrophy can be challenging. The aim of this work was to find out if the characteristics of peripapillary retinal nerve fiber layer (RNFL) thickness loss differ between open angle glaucoma (POAG), optic nerve sheath meningioma (ONSM), and sphenoid wing meningioma (SWM). METHODS: A total of 45 patients with POAG, ONSM, and SWM were included in the retrospective study. The peripapillary RNFL thickness measured by spectral-domain optical coherence tomography was analyzed using the Heidelberg Engineering glaucoma module©. RESULTS: Each group consisted of 15 patients. The temporal sector of the RNFL thickness showed a median decrease of - 17 µm in glaucoma patients (range + 6/-34 µm), - 43 µm in ONSM (range - 19/ - 52 µm), and - 44 µm in SWM patients (range - 25/ - 52 µm). The RNFL thickness of the temporal sector of glaucoma patients differed significantly from the other groups (p < 0.001). All other sectors showed no significant difference between the 3 groups. CONCLUSION: The peripapillary RNFL thickness of the temporal sector of patients with beginning to moderate POAG is usually inside normal limits or borderline. In contrast, patients with ONSM and SWM are much more likely to show a considerable reduction in RNFL thickness of the temporal sector. RNFL thickness of the temporal sector marked outside normal limits occurred exclusively in meningioma patients. Considering the presence of this condition as a predictor for meningioma, sensitivity and specificity were 0.8 and 1.0, respectively. In patients with significant reduction in RNFL thickness of the temporal sector, magnetic resonance imaging of the head should be considered to rule out compression of the optic nerves.


Assuntos
Glaucoma de Ângulo Aberto , Glaucoma , Neoplasias Meníngeas , Meningioma , Atrofia , Glaucoma/patologia , Glaucoma de Ângulo Aberto/diagnóstico , Glaucoma de Ângulo Aberto/patologia , Humanos , Neoplasias Meníngeas/complicações , Neoplasias Meníngeas/diagnóstico , Meningioma/complicações , Meningioma/diagnóstico , Fibras Nervosas/patologia , Nervo Óptico/patologia , Estudos Retrospectivos , Tomografia de Coerência Óptica , Campos Visuais
14.
Brain Imaging Behav ; 16(1): 476-491, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34410610

RESUMO

Parkinson's disease (PD), a chronic neurodegenerative disease, is characterized by sensorimotor and cognitive deficits. Previous diffusion tensor imaging (DTI) studies found abnormal DTI metrics in white matter bundles, such as the corpus callosum, cingulate, and frontal-parietal bundles, in PD patients. These studies mainly focused on alterations in microstructural features of long-range bundles within the deep white matter (DWM) that connects pairs of distant cortical regions. However, less is known about the DTI metrics of the superficial white matter (SWM) that connects local cortical regions in PD patients. To determine whether the DTI metrics of the SWM were different between the PD patients and the healthy controls, we recruited DTI data from 34 PD patients and 29 gender- and age-matched healthy controls. Using a probabilistic tractographic approach, we first defined a population-based SWM mask across all the subjects. Using a tract-based spatial statistical (TBSS) analytic approach, we then identified the SWM bundles showing abnormal DTI metrics in the PD patients. We found that the PD patients showed significantly lower DTI metrics in the SWM bundles connecting the sensorimotor cortex, cingulate cortex, posterior parietal cortex (PPC), and parieto-occipital cortex than the healthy controls. We also found that the clinical measures in the PD patients was significantly negatively correlated with the fractional anisotropy in the SWM (FASWM) that connects core regions in the default mode network (DMN). The FASWM in the bundles that connected the PPC was significantly positively correlated with cognitive performance in the PD patients. Our findings suggest that SWM may serve as the brain structural basis underlying the sensorimotor deficits and cognitive degeneration in PD patients.


Assuntos
Doenças Neurodegenerativas , Doença de Parkinson , Substância Branca , Imagem de Tensor de Difusão , Humanos , Imageamento por Ressonância Magnética , Doença de Parkinson/diagnóstico por imagem , Substância Branca/diagnóstico por imagem
15.
J Clean Prod ; 326: 129200, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34866810

RESUMO

Surging amounts of waste are reported globally and especially in lower-income countries, with negative consequences for health and the environment. Increasing concern has been raised for the limited progress achieved in practice by diverse sets of policies and programmes. Waste management is a wicked problem characterised by multilayered interdependencies, complex social dynamics and webs of stakeholders. Interactions among these generate unpredictable outcomes that can be missed by decision makers through their understanding and framing of their context. This article aims to identify possible sources of persistent problems by focussing on what captures, shapes and limits the attention of stakeholders and decision-makers, drawing on the attention-based view from organisation theory. The theory describes the process through which issues and opportunities are noticed and how these are translated into actions, by focussing on the influencers at the individual, organisational and context scale. Views on issues and opportunities for waste management were collected in a series of fieldwork activities from 60 participants representing seven main types of stakeholders in the typical lower-middle income Kenyan city of Kisumu. Through a thematic analysis guided by the attention-based view, we identified patterns and misalignment of views, especially between government, community-based organisations and residents, which may contribute to persistent waste problems in Kisumu. Some point to detrimental waste handling practices, from separation to collection and treatment, as the main cause of issues. For others, these practices are due to a poor control of such practices and enforcement of the law. This study's major theoretical contribution is extending the application of attention theory to multi-stakeholder problems and to non-formalized organisations, namely residents and to the new field of waste management. This novel lens contributes a greater understanding of waste issues and their management in Africa that is relevant to policy and future research. By revealing the "wickedness" of the waste problem, we point to the need for a holistic and systems-based policy approach to limit further unintended consequences.

16.
Arch Rehabil Res Clin Transl ; 3(3): 100138, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34589688

RESUMO

OBJECTIVE: To investigate cognitive correlates of instrumental activities of daily living (IADL) performance among people with Parkinson disease (PD) without dementia. DESIGN: Cross-sectional. SETTING: Academic medical center. PARTICIPANTS: Volunteer sample (N=161) comprising participants with PD without dementia (n=102) and healthy comparison (HC) participants (n=59). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Performance-based assessment of cognitively-demanding IADL (meal preparation, bill paying, shopping, medication management, small home repair), neuropsychological tests (attentional control/flexibility, planning, working memory, memory, crystallized intelligence), and measures of motor function and other characteristics (eg, depressive symptoms). RESULTS: There were no group differences in neuropsychological test performance (P>.06). The PD group performed more poorly than the HC group on a number of cognitive IADL tasks (P<.04). After accounting for the effects of motor impairment and other disease-related characteristics, neuropsychological test performance accounted for a small but unique portion of the variance in performance of all cognitive IADL combined, meal preparation, shopping, and medication management in the PD group (R 2=4%-13%; P≤.01). CONCLUSIONS: The PD group had cognitive IADL performance limitations despite being unimpaired on neuropsychological tests. Within PD, neuropsychological test performance accounted for a small but significant portion of the variance in cognitive IADL performance over and above the effects of motor and other impairments. These results support the added value of using performance-based IADL assessments in functional evaluations of individuals with early and mild PD without dementia.

17.
Dig Endosc ; 33(4): 629-638, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32662150

RESUMO

BACKGROUND AND AIMS: Endoscopic ultrasound (EUS) elastography (EUS-EG) is a minimally invasive diagnostic method for evaluating tissue elasticity. The aim of this study was to evaluate the feasibility of newly developed EUS shear-wave measurement (EUS-SWM) and to compare diagnostic performance between EUS-SWM and the conventional strain elastography (SE) for the measurement of elasticity of solid pancreatic lesions (SPLs). METHODS: From December 2017 until August 2019, we retrospectively reviewed 64 consecutive cases with SPLs who underwent both EUS-SWM and SE. EUS-SWM was used to measure the shear-wave velocity, Vs (m/s), and the unique measurement reliability index, VsN (%), in the target lesion. SE images were assessed by strain histogram (SH) analysis, and the mean strain value of the elasticity index was measured. We evaluated the diagnostic performance of EUS-SWM and SE with SH to characterize the SPLs. RESULTS: The Vs (m/s) values of SPLs were 2.19 for pancreatic cancer (PC), 1.31 for pancreatic neuroendocrine neoplasm (PanNEN), 2.56 for mass-forming pancreatitis (MFP) and 1.58 for metastatic tumors. Vs showed no significant difference based on the disease. The mean strain values were 45.5 for PC, 47.3 for PanNEN, and 74.5 for MFP. In the comparison of tissue elasticity between PC and MFP, Vs showed no significant difference (P = 0.5687); however, the mean strain value was significantly lower in PC cases (45.4 vs 74.5: P = 0.0007). CONCLUSION: Endoscopic ultrasound SWM tended to be unstable for the measurement of elasticity of SPLs, and conventional SE with SH was superior for their characterization.


Assuntos
Técnicas de Imagem por Elasticidade , Neoplasias Pancreáticas , Endossonografia , Humanos , Neoplasias Pancreáticas/diagnóstico por imagem , Reprodutibilidade dos Testes , Estudos Retrospectivos
18.
Water Environ Res ; 93(2): 274-305, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33118679

RESUMO

Water resources can be soon exhausted with the overdeveloped industrialization. High-water-consumption (HWC) industries and their supply chains are trying to reduce water consumption in the production process. These water-saving behaviors and effects may be subsidized by the government to pursue the goal of social welfare maximization (SWM). In this context, to investigate when to bring in government subsidy for any water-saving behaviors and effects to maximize the social welfare, six game-theoretical decision models for the water-saving supply chain under three scenarios are developed, analyzed, and compared, and the corresponding numerical and sensitivity analyses of water-saving case in the papermaking industry are conducted and compared; on this basis, the corresponding policy implications and managerial insights are discussed and summarized in this article. The research results indicate that the supply chain would only have internal incentive to implement water-saving management under low- or medium-cost case, while the government would only have external incentive to subsidize water-saving behaviors and effects under medium-cost case. Besides, the coordination strategy outperforms the equilibrium strategy regarding the water-saving effects, operational performances, social welfare, consumer surplus, and positive externality for the water-saving supply chain under all three scenarios. Furthermore, a kind of niche targeting subsidy policy based on actual water-saving effect that the government only subsidizes the water-saving supply chain operating under coordination strategy with medium water-saving cost structure can achieve social welfare maximization, operational performance improvement, and positive externality enhancement. PRACTITIONER POINTS: The optimal interval for internal incentives of water-saving is explored. The optimal interval for government subsidies of water-saving is investigated. The optimal operational strategy for the water-saving supply chain is examined.


Assuntos
Motivação , Água , Financiamento Governamental , Indústrias , Recursos Hídricos
19.
Membranes (Basel) ; 10(4)2020 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-32225043

RESUMO

Spacer design in spiral-wound membranes (SWMs) significantly affects the axial pressuredrop in the flow channel but also the deposit layer removal. However, the effects of the spacerdesign and feed flow distribution in the module on the filtration performance have not yet beeninvestigated during the highly fouling-susceptible fractionation of proteins from skim milk bySWMs. Therefore, a parallel spacer with no turbulence promotion and a less homogeneous feedflow distribution in the SWM was compared to a diamond spacer with regard to its impact ondeposit formation and filtration performance. The experiments were conducted in a flat sheet testcell and in SWMs. The parallel spacer induced a more homogeneous deposit layer formation.However, no difference in filtration performance could be observed in the experiments with the testcell. Even though deposit layer formation dominates the microfiltration, its amount and spatialdistribution could not be directly linked to the filtration performance. Furthermore, both spacerswere assessed in SWM. Despite the higher crossflow velocity applicable in the more open channelsof the parallel spacer, the performance of the parallel spacer was inferior to the diamond spacer.This was independent of the viscosity of the feed. Due to the high curvature of the membrane sheetsclose to the permeate collection tube, the cross-section of the flow channels in the SWM equippedwith the parallel spacer was reduced. This resulted in a distinctly lower deposit layer control andperformance, which could not be compensated by the resulting higher crossflow velocity far fromthe permeate collection tube.

20.
MethodsX ; 7: 100780, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31993341

RESUMO

Fouling distinctly reduces the filtration performance of membranes. A characterization of the fouling in membranes, however, is difficult due to its spatial distribution. Currently applied methods for deposit layer analysis are rather complex or do not offer a spatial resolution. Knowledge of the spatial distribution, however, could be used to improve the design of membranes, modules, and spacers. Staining with Coomassie Brilliant Blue, related to the staining of PAGE gels, is a simple method to visualize and analyze the deposited proteins semi-quantitatively. We improved an existing staining technique for protein deposits on membranes by adding a calibration for the semi-quantitative analysis and optimizing the sample handling. The method provides a spatially resolved analysis of deposited proteins up to a concentration of 10 g m-2. Apart from staining, data processing is described in order to generate false colors or topographic images of deposits. Thus, the paper describes a simple method to assess and visualize the influence of module characteristics such as spacer design on the spatially resolved protein fouling of polymeric and ceramic membranes. Therefore, the method can contribute to the improvement of the module design and processing conditions with regard to the filtration performance. •Visualization of proteinaceous deposits on membranes•Spatially resolved quantification of proteinaceous deposits.

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