Analytical models to determine room requirements in outpatient clinics

Outpatient clinics traditionally organize processes such that the doctor remains in a consultation room while patients visit for consultation, we call this the Patient-to-Doctor policy (PtD-policy). A different approach is the Doctor-to-Patient policy (DtP-policy), whereby the doctor travels between multiple consultation rooms, in which patients prepare for their consultation. In the latter approach, the doctor saves time by consulting fully prepared patients. We use a queueing theoretic and a discrete-event simulation approach to provide generic models that enable performance evaluations of the two policies for different parameter settings. These models can be used by managers of outpatient clinics to compare the two policies and choose a particular policy when redesigning the patient process. We use the models to analytically show that the DtP-policy is superior to the PtD-policy under the condition that the doctor’s travel time between rooms is lower than the patient’s preparation time. In addition, to calculate the required number of consultation rooms in the DtP-policy, we provide an expression for the fraction of consultations that are in immediate succession; or, in other words, the fraction of time the next patient is prepared and ready, immediately after a doctor finishes a consultation. We apply our methods for a range of distributions and parameters and to a case study in a medium-sized general hospital that inspired this research.     

Xanthohumol induces apoptosis in cultured 40-16 human colon cancer cells by activation of the death receptor- and mitochondrial pathway

Xanthohumol (XN) is one of the major prenylflavonoids found in hop cones (Humulus lupulus L.). In this study, we investigated the cell growth inhibitory potential of XN on cultured human colon cancer cells. Cell proliferation was measured by sulforhodamine B staining. Poly(ADP-ribose)polymerase (PARP) cleavage, activation of caspases-3, -7, -8, and -9, and Bcl-2 family protein expression were detected by Western blot analyses. XN significantly reduced proliferation of the HCT 116-derived colon cancer cell line 40--16. Half-maximal inhibitory concentrations decreased from 4.1 microM after 24 h treatment to 3.6 and 2.6 microM after 48 and 72 h incubation, respectively. Treatment with 15 microM XN for 48 h and with 5 microM for 72 h led to the detection of the cleaved 89 kDa fragment of 116 kDa PARP as an indication of apoptosis induction. Concomitantly, we observed activation and cleavage of the effector caspases-3 and -7, induced by activation of the initiator caspases -8 and -9. Expression of anti-apoptotic Bcl-2 was down regulated when the cells were treated with XN for 48--72 h. We conclude that induction of apoptosis by downregulation of Bcl-2 and activation of the caspase cascade may contribute to the chemopreventive or therapeutic potential of XN.     

Salmonella biofilms: An overview on occurrence,structure, regulation and eradication

The ability of Salmonella to form complex surface-associated communities, called biofilms, contributes to its resistance and persistence in both host and non-host environments and is especially important in food processing environments. In this review, the different types of abiotic (plastic, glass, cement, rubber, and stainless steel) and biotic surfaces (plant surfaces, epithelial cells, and gallstones) on which Salmonella biofilms have been described are discussed, as well as a number of commonly used laboratory setups to study Salmonella biofilm formation (rdar morphotype, pellicle formation, and biofilms on polystyrene pegs). Furthermore, the structural components important during Salmonella biofilm formation are described (curli and other fimbriae, BapA, flagella, cellulose, colanic acid, anionic O-antigen capsule and fatty acids), with special attention to the structural variations of biofilms grown on different surfaces and under different conditions. Indeed, biofilm formation is strongly influenced by different environmental signals, via a complex regulatory network. An extensive overview is given on the current understanding of this genetic network and the interactions between its different components (CsgD, RpoS, Crl, OmpR, IHF, H-NS, CpxR, MlrA, c-di-GMP, BarA/SirA, Csr, PhoPQ, RstA, Rcs, metabolic processes and quorum sensing). To further illustrate that biofilm formation is a mechanism of Salmonella to adapt to different environments, the resistance of Salmonella biofilms against different stress factors including desiccation stress, disinfectants (e.g. hypochlorite, glutaraldehyde, cationic tensides and triclosan) and antibiotics (e.g. ciprofloxacin) is described. Finally, a number of Salmonella biofilm inhibitors, identified through bottom-up- and top-down-approaches, are discussed, such as surfactin, glucose, halogenated furanones, 4(5)-aryl 2-aminoimidazoles, furocoumarins and salicylates. Also the potential of combination therapy (e.g. combinations of triclosan and quaternary ammonium salts or halogenated furanones and antibiotics/disinfectants) and nano- and micro-emulsions to inhibit Salmonella biofilm formation is discussed. Insight into the pathogen's complex biofilm process will eventually lead to further unraveling of its intricacies and more efficient strategies to combat Salmonella biofilms.     

Improving predictability of sediment-porewater partitioning models using trends observed with PCB-contaminated field sediments

More than 1900 sediment-water partitioning coefficients were measured for 58 polychlorinated biphenyl (PCB) congeners in 53 historically contaminated sediments collected from 10 urban and rural waterways in the United States and Canada. Freely dissolved porewater concentrations were determined using passive sampling with polyoxymethylene. Measured total organic carbon (TOC)/water partitioning coefficients, K(TOC), ranged from one to nearly three orders-of-magnitude higher than typical literature values based on spiking experiments and model predictions. Although total PCB concentrations ranged from 0.08 to 194 mg/kg, the more highly contaminated sediments showed only slightly lower K(TOC) values than less-contaminated sediments. No correlation was observed between log K(TOC) values and sediment TOC, black carbon (BC), or BC/TOC fractions (r(2) typically <0.1). Utilizing a two-carbon model incorporating anthropogenic BC did not improve predictions over a one-carbon TOC model. A comparison of models recently validated for field data showed that a coal-tar poly parameter linear-free energy relationship (PP-LFER) and a Raoult's Law model were successful at predicting average log K(TOC) values, without the need for any calibration or fitting (within a factor of 10 more than 90% of the time, and within a factor of 30 more than 99% of the time). Predictions were further improved by the introduction of a Weathering Factor (WF) that accounts for the relative depletion of lower molecular weight congeners due to weathering. Highly weathered sediments (with a WF near 1) tended to follow the coal-tar PP-LFER and Raoult's Law model the closest. Less-weathered sediments (with WF ? 1) sorbed less than predicted by these models. Noncalibrated WF inclusive coal-tar PP-LFER and Raoult's Law models performed as well or better than a quantitative-structure activity relationship (QSAR) model calibrated specifically to the data. These recommended partitioning models here can readily be used for all 209-PCB congeners.     

Arsenic, cadmium, lead and mercury in meat, livers and kidneys of sheep slaughtered in The Netherlands

Summary The results obtained between 1981 and 1986 in a Dutch monitoring programme investigating the presence of arsenic, cadmium, lead and mercury in meat, livers and kidneys of sheep are presented. For the meat, livers and kidneys, the median values were 0.001, 0.003,and 0.007 mg/kg (fresh weight) for arsenic; 0.003, 0.054, and 0.098 mg/kg for cadmium; 0.04, 0.85, and 0.36 mg/kg for lead; and 0.001, 0.002, and 0.007 mg/kg for mercury. During the reported period, no clear trends were observed. The results are compared with the data from other countries. The mercury and arsenic concentrations in meat and organs may be regarded as low, but the levels of lead in livers are relatively high. The lead concentrations in livers showed seasonal fluctuations, the highest concentrations usually being found during the winter. Significant linear relationships were found between the concentrations in livers and kidneys for arsenic, cadmium and mercury. Tissue trace element levels were not related to the age of the investigated animals.

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Arsen, Cadmium, Blei und Quecksilber in Fleisch, Leber und Niere von Schafen in den Niederlanden

Zusammenfassung Es wird über die Ergebnisse der Jahre zwischen 1981 und 1986 eines holländischen Überwachungsprogramms über das Vorkommen von Arsen, Cadmium, Blei und Quecksilber in Fleisch, Leber und Niere von Schafen berichtet. Für Fleisch, Leber und Niere lagen die ermittelten Medianwerte für Arsen bei 0,001 bzw. 0,003 und 0,007 mg/kg (bezogen auf Frischgewicht), für Cadmium bei 0,003 bzw. 0,054 und 0,098 mg/kg, für Blei bei 0,04 bzw. 0,85 und 0,36 mg/kg und für Quecksilber bei 0,001 bzw. 0,002 und 0,007 mg/kg. Die Gehalte zeigten keine signifikante Änderung während dieser Periode. Die Gehalte werden verglichen mit Angaben anderer Länder. Die Arsen- und Quecksilbergehalte unserer Untersuchung sind niedrig. Die Bleigehalte in Leber sind relativ hoch, sie zeigten Änderungen abhängig von der Jahreszeit. Die Höchstgehalte wurden gewöhnlich während der Winterzeit gefunden. Die Gehalte von Niere und Leber sind signifikant miteinander korreliert für die Elemente Arsen, Cadmium und Blei. Die Arsen-, Cadmium-, Blei- und Quecksilbergehalte von Fleisch und Organen sind nicht mit dem Alter der Tiere korreliert.

     

Climate Protection

The voice of the social sciences in climate research and in climate policy discussions, except for interventions from economists mainly about the costs associated with policy options driven by climate science research, has been muted if not altogether absent. The absence of the social sciences from climate research and policy not surprisingly has coloured climate discourse in peculiar ways. We are making the case for a greater involvement and importance of the social sciences in interdisciplinary climate research.

It is not space but the structuring that comes from the soul that has social significance. Georg Simmel ([1908] 1992)

Soil and climate together determine the natural fertility of a country and of its people who are led either to indolence or to activity. Werner Sombart (1938)

     

The dorsal tegmental noradrenergic projection: An analysis of its role in maze learning.

Evaluated the hypothesis that the noradrenergic projection from the locus coeruleus (LC) to the cerebral cortex and hippocampus is an important neural substrate for learning. Four experiments were conducted with 61 male Wistar rats. Maze performance was studied in Ss receiving either electrolytic lesions of LC or 6-hydroxydopamine (6-OHDA) lesions of the dorsal tegmental noradrenergic projection. The LC lesions did not disrupt the acquisition of a running response for food reinforcement in an L-shaped runway, even though hippocampal-cortical norepinephrine (NE) was reduced to 29%. Greater telencephalic NE depletions (to 6% of control levels) produced by 6-OHDA also failed to disrupt the acquisition of this behavior or to impair the acquisition of a food-reinforced position habit in a 'T'-maze. Neither locomotor activity nor habituation to a novel environment was affected by the 6-OHDA lesions. Ss with such lesions were, however, found to be significantly more distractible than were controls during the performance of a previously trained response. The hypothesis that telencephalic NE is of fundamental importance in learning was not supported. The data suggest that this system may participate in attentional mechanisms. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)