Biomaterials for ocular reconstruction

Synthetic materials have played a significant role in ophthalmic applications to improve vision for many years. This has been in four main areas in ophthalmology: ocular surface reconstruction, lens replacement, vitreous replacement and structural support and cell transplantation in the retina. Corneal replacement therapies have been developed using both synthetic acrylic-based materials and more recently naturally derived materials such as amniotic membrane. Intraocular lenses as a replacement for the natural lens post cataract surgery has been used for many years. Newer developments include the opportunity to use gels so that the lenses can accommodate but these need improving in terms of the cross-linking chemistry. Silicone oils have been used as long-term tamponade agents as vitreous replacements but recent developments in their properties has enhanced the clinical outcomes and further research into their use as drug delivery vehicles will be a major advancement. Regenerative medicine therapies to repopulate the retina to repair and replace specific cell layers require the optimisation of synthetic scaffolds and this is a major area for development. Recent developments in biomaterials have emphasised the importance of the physical, chemical and mechanical properties specific to a particular ophthalmic application. Materials science has a critical role in developing strategies to overcome vision loss.     

Cumulative Sum Control Charts for Monitoring Weibull‐distributed Time Between Events

The Weibull distribution can be used to effectively model many different failure mechanisms due to its inherent flexibility through the appropriate selection of a shape and a scale parameter. In this paper, we evaluate and compare the performance of three cumulative sum (CUSUM) control charts to monitor Weibull‐distributed time‐between‐event observations. The first two methods are the Weibull CUSUM chart and the exponential CUSUM (ECUSUM) chart. The latter is considered in literature to be robust to the assumption of the exponential distribution when observations have a Weibull distribution. For the third CUSUM chart included in this study, an adjustment in the design of the ECUSUM chart is used to account for the true underlying time‐between‐event distribution. This adjustment allows for the adjusted ECUSUM chart to be directly comparable to the Weibull CUSUM chart. By comparing the zero‐state average run length and average time to signal performance of the three charts, the ECUSUM chart is shown to be much less robust to departures from the exponential distribution than was previously claimed in the literature. We demonstrate the advantages of using one of the other two charts, which show surprisingly similar performance. Copyright © 2014 John Wiley & Sons, Ltd.     

Discharge-based QMRA for estimation of public health risks from exposure to stormwater-borne pathogens in recreational waters in the United States

This study is the first to report a quantitative microbial risk assessment (QMRA) on pathogens detected in stormwater discharges-of-concern, rather than relying on pathogen measurements in receiving waters. The pathogen concentrations include seven “Reference Pathogens” identified by the U.S. EPA: Cryptosporidium, Giardia, Salmonella, Norovirus, Rotavirus, Enterovirus, and Adenovirus. Data were collected from 12 sites representative of seven discharge types (including residential, commercial/industrial runoff, agricultural runoff, combined sewer overflows, and forested land), mainly during wet weather conditions during which times human health risks can be substantially elevated. The risks calculated herein therefore generally apply to short-term conditions (during and just after rainfall events) and so the results can be used by water managers to potentially inform the public, even for waters that comply with current criteria (based as they are on a 30-day mean risk). Using an example waterbody and mixed source, pathogen concentrations were used in QMRA models to generate risk profiles for primary and secondary water contact (or inhalation) by adults and children. A number of critical assumptions and considerations around the QMRA analysis are highlighted, particularly the harmonization of the pathogen concentrations measured in discharges during this project with those measured (using different methods) during the published dose–response clinical trials. Norovirus was the most dominant predicted health risk, though further research on its dose–response for illness (cf. infection) is needed. Even if the example mixed-source concentrations of pathogens had been reduced 30 times (by inactivation and mixing), the predicted swimming-associated illness rates – largely driven by Norovirus infections – can still be appreciable. Rotavirus generally induced the second-highest incidence of risk among the tested pathogens while risks for the other Reference Pathogens (Giardia, Cryptosporidium, Adenovirus, Enterovirus and Salmonella) were considerably lower. Secondary contact or inhalation resulted in considerable reductions in risk compared to primary contact. Measurements of Norovirus and careful incorporation of its concentrations into risk models (harmonization) should be a critical consideration for future QMRA efforts. The discharge-based QMRA approach presented herein is particularly relevant to cases where pathogens cannot be reliably detected in receiving waters with detection limits relevant to human health effects.     

The relationship between integrated design and construction and safety on construction projects

The occurrence of accidents and injuries continues to be a major problem in construction worldwide. Even though accident statistics have been improving in most markets there are significant areas requiring further attention. The extent of integrated working between designers and constructors may be an instrumental factor. A comparison is undertaken of the accident performance of 55 large construction projects in the UK, with varying levels of design/construction integration as represented by procurement path. Although a statistical relationship between high levels of integration and low levels of accidents was weak, a follow‐up interview study provided strong support, suggesting that a lack of significance was related to the unreliability of the statistics available. The interview study also indicated reasons for this link. A key element in improved safety was seen to be better communications and a more positive relationship between designers and constructors. Further research into designing for safety for all procurement paths is recommended.     

“They have good intentions”. Young People's Experiences of Living in Melbourne's Peri-Urban Areas

While contemporary urban theories suggest that individuals have transcended their geographical community, evidence suggests that urban residents still feel ‘attached’ to place. In the literature, several socio-demographic characteristics are associated with place attachment. Scholars suggest physical features, such as community ‘greenspace’, may also influence place attachment. Yet research does not consider the relationship between one's objective proximity to greenspace or the objective availability of community greenspace on residents' place attachment. This study employs multi-level models and draws on police incident data, census data, two spatial data sets and survey data from over 4000 residents living across 148 state suburbs in Australia to assess the relationship between greenspace proximity and greenspace availability on place attachment. Our findings indicate that greater proportions and more accessible greenspace may not improve residents' attachment to their local community.     

Hydromorphological,hydraulic and ecological effects of restored wood: findings and reflections from an academic partnership approach

Large wood (re)introduction can deliver multiple benefits in river restoration, but there is a dearth of the detailed and longer‐term post‐project monitoring and evaluation required for improving best practice. We present findings from an academic partnership approach to post‐project evaluation, based on successive MSc research projects on restored large wood in the Loddon catchment, UK. Field and modelling data reveal: (i) key differences in large wood features between restored and natural reaches; (ii) increased hydraulic retention and changes to mesohabitats associated with large wood; (iii) differences in macroinvertebrate community composition around large wood but a lack of site‐level effects; (iv) interactions between macrophytes and large wood that may be specific to restored reaches; (v) a need for further field and modelling studies to inform the accurate representation of large wood in hydraulic models. Some key challenges in partnership working are identified to aid planning and effectiveness of future collaborations.