Profiling hospitals based on emergency readmission: a multilevel transition modelling approach

Emergency readmission is seen as an important part of the United Kingdom government policy to improve the quality of care that patients receive. In this context, patients and the public have the right to know how well different health organizations are performing. Most methods for profiling estimate the expected numbers of adverse outcomes (e.g. readmission, mortality) for each organization. A number of statistical concerns have been raised, such as the differences in hospital sizes and the unavailability of relevant data for risk adjustment. Having recognized these statistical concerns, a new framework known as the multilevel transition model is developed. Hospital specific propensities of the first, second and further readmissions are considered to be measures of performance, where these measures are used to define a new performance index. During the period 1997 and 2004, the national (English) hospital episodes statistics dataset comprise more than 5 million patient readmissions. Implementing a multilevel model using the complete population dataset could possibly take weeks to estimate the parameters. To resolve the problem, we extract 1000 random samples from the original data, where each random sample is likely to lead to differing hospital performance measures. For computational efficiency a Grid implementation of the model is developed. Analysing the output from the full 1000 sample, we noticed that 4 out of the 5 worst performing hospitals treating cancer patients were in London. These hospitals are known to be the leading NHS Trusts in England, providing diverse range of services to complex patients, and therefore it is inevitable to expect higher numbers of emergency readmissions.     

Confocal surface profiling utilizing chromatic aberration

A new method for surface profiling in the confocal microscope utilizing chromatic aberration is presented. An expression for the integrated spectral intensity in the new profilometer is derived and chromatic aberration in the confocal microscope is explained. Estimates of the minimum resolvable depth and the maximum depth that can be profiled are given utilizing a ratiometric signal detection scheme. Examples of ratio images illustrating the new surface profiling technique are presented, showing the scheme to be both simple to implement and effective.     

Dietary Supplementation of Tetracarpidium conophorum (African Walnut) Seed Enhances Muscle n‐3 Fatty Acids in Broiler Chickens

The influence of dietary Tetracarpidium conophorum (African Walnut) seed meal (TCSM) on fatty acids, productivity parameters, and physicochemical properties of breast and thigh muscles in broiler chickens are assessed. A total of 180, 28‐d‐old Arbor acre broiler chickens are randomly assigned to dietary treatments containing 0% (control), 2.5%, and 5% w/w TCSM, fed for 28 d, and euthanized. Dietary TCSM reduces (p < 0.05) feed intake, body weight gain (BWG), carcass weight, and abdominal fat. Diet does not affect feed efficiency and hematological parameters. The control birds have higher (p < 0.05) serum total cholesterol and triglycerides than do the supplemented birds. Diet has no effect on pH, water holding capacity, carbonyl and malondialdehyde contents, and organoleptic properties of breast and thigh muscles. The 5% TCSM has higher redness in breast muscle than do other treatments. Dietary TCSM improves (p < 0.05) the concentration of C18:3n‐3 (4.80–8.76% vs 1.56%), C20:5n‐3 (0.54–0.79% vs 0.39%), C22:5n‐3 (0.64–0.89% vs 0.18%), and C22:6n‐3 (0.75–0.97% vs 0.19%), and reduces (p <  0.05) the fat content (2.15–2.45% vs 3.15%) in breast and thigh muscles. Dietary TCSM enhances muscle n‐3 fatty acids without instigating oxidative deterioration, but reduces BWG in broiler chickens. Practical Application: Albeit that broiler meat is rich in polyunsaturated fatty acids (PUFA), its omega 6 (n‐6)/omega 3 (n‐3) is >4. Elevated n‐6/n‐3 could have adverse effect on human physiology thereby promoting the pathogenesis of certain diseases. This heightens the need to enhance the n‐3 PUFA content of broiler meat. Dietary TCSM induced up to a fourfold increase in n‐3 PUFA content of the breast and thigh muscles in broiler chickens. Moreover, dietary TCSM induced up to a tenfold decrease in the n‐6/n‐3 of the breast and thigh muscles in broiler chickens. This finding assumes great significance because the health concerns regarding dietary fat are the foremost factors responsible for the bad image suffered by meat. These results provide insights on the potential of TCSM to improve the nutritional quality without compromising the oxidative shelf life, organoleptic traits, and physicochemical properties of broiler meat.     

Correction to: Durability Properties of Alkali Activated Slag Composites: Short Overview

Silicon - The original version of this paper was unfortunately published as a book review, when it is a review article.     

Physicochemical,mineralogy,and thermo-kinetic characterisation of newly discovered Nigerian coals under pyrolysis and combustion conditions

In this study,the physicochemical,microstructural,mineralogical,thermal,and kinetic properties of three newly discovered coals from Akunza (AKZ),Ome (OME),and S...     

Warm compression tests of aluminum alloy

Compression tests of aluminum alloy were experimentally investigated at specified temperatures ranging from 30 ‡C (room temperature) to 250 ‡C under a constant strain rate of 0.2 X 10^-3/s using powdered graphite as a lubricant throughout the tests. The effective stress method is found to show a significant fall in stress values beyond the barreling point, indicating a serious shortcoming over the barrel correction factor method within the tested temperature range. The compression curves obtained using the barrel correction factor method and the Bridgman remachining technique (no barreling allowed during the test) are found to have close values, even at higher temperatures. The true-stress versus true-strain curves and the barrel sizes obtained follow empirical power laws, even at higher test temperatures.     

Effects of processing conditions and packaging material on the quality attributes of dry‐roasted peanuts

Five different processing conditions of raw shelled unblanched peanuts were investigated. The first two treatments involved soaking the peanuts in tap water for 10 and 30 min respectively, then mixing thoroughly with dry NaCl before roasting. Another two treatments involved soaking the peanuts in saturated brine solution for 10 and 30 min respectively before roasting. Unsalted roasted peanuts served as the control. Packaging and storage studies were carried out by packaging the differently treated dry‐roasted peanuts in four different packaging materials and storing them under three different relative humidities for 3 months at ambient temperature. Proximate composition, NaCl content, peroxide value and thiobarbituric acid value were determined and sensory evaluation tests were carried out. Salting was found to improve the taste, flavour and overall acceptability of dry‐roasted peanuts but had no effect on shelf‐life. Peanuts treated in saturated brine solution for 30 min before roasting were the most preferred. The control packaging material, 18 µm transparent polyethylene, was found to be inadequate for protecting the quality attributes of dry‐roasted peanuts, with mould growth being observed on the 42nd day of storage at 80% relative humidity. However, acceptable results were obtained with 45 µm transparent polypropylene. The mean sensory scores and objective tests were found to be negatively correlated. © 2002 Society of Chemical Industry     

Psychiatric disorders in Nigerian nursing home residents

BACKGROUND: The prevalence of psychiatric disorders in nursing homes, which has not been studied before in Nigeria, is the subject of this cross-sectional study. METHOD: Psychiatric disorders were assessed in 23 of the 29 residents of the two nursing homes in Lagos and diagnoses based on DSM-III-R criteria (APA, 1987) and AGECAT (Copeland et al., 1986) were made independently. RESULTS: The commonest diagnoses were dementia in 11 out of 23 residents and depression in four residents. Overall prevalence rate of psychiatric disorders was 74%. CONCLUSION: The present prevalence rate of psychiatric disorders is similar to those reported in similar institutions in the industrialized societies. This has implications for the care of the elderly in a non-industrialized society.     

Biosorptive removal of Pband Cd onto novel biosorbent: Defatted Carica papaya seeds

Carica papaya seeds, an agricultural waste in Nigeria, were defatted to obtain defatted C. papaya seed biosorbent. The Fourier Transformed Infrared spectrum of defatted C. papaya seed biosorbent suggests the presence of CO, OH of carboxylic acid, lactonic and amide band functional groups. The adsorption of metal ion onto defatted C. papaya seed biosorbent led to small shifts in the IR bands. The adsorption capacity of defatted C. papaya seed biosorbent was evaluated to be 1666.67 mg/g for Pb²⁺ and 1000.00 mg/g for Cd²⁺. In binary metal ion solution, the defatted C. papaya seeds showed decreased adsorption capacity for either metal ion. The influence of different particle sizes was found to have negative impact on the adsorption capacity of C. papaya seed biosorbent in the removal of Pb²⁺ and Cd²⁺ from aqueous solution. The adsorption of both metal ions was observed to follow the Freudlich model better than the Langmuir model suggesting that the adsorption of both metal ions was on multisites on the defatted C. papaya seed biosorbent. The adsorption was found to be highly feasible, spontaneous and exothermic in nature. Optimization results suggests 5 m³ of 100 mg/L of Pb²⁺ and Cd²⁺ requires 43.3 and 49.2 kg of defatted C. papaya seeds to remove 95% of the metal ions from aqueous solution.