Access to hypertensive care. Effects of income, insurance, and source of care

BACKGROUND: This study examines the relationship between income, health insurance, and usual source of care characteristics and screening and management of hypertension. METHODS: This is a secondary analysis of data from the 1987 National Medical Expenditure Survey. Adult survey respondents constitute a sample representative of the total adult noninstitutionalized US population. Screening, follow-up care, and pharmacologic treatment for hypertension were examined among low income individuals, the uninsured, those without a usual source of care place, and those without a particular usual source of care physician. RESULTS: The uninsured, individuals without a usual source of care place, and those without a particular usual source of care physician received less screening, follow-up care, and pharmacologic treatment for hypertension. Income did not affect receipt of hypertensive care. CONCLUSIONS: Lack of health insurance and lack of a usual source of care are barriers to hypertensive care. Policies that increase access to health insurance or to usual source of care physicians may enable more individuals to attain control of hypertension.     

Aryl phosphate ester fire‐retardant additive for low‐smoke vinyl applications

Additives that act as flame retardants can contribute significantly to smoke generation because they decrease the efficiency of the fuel source and, as a result, create a sooty combustion. Work on a new phosphate ester material has shown interesting results and synergies that complement both flame retardancy and low smoke generation in flexible vinyl compositions. This new proprietary aryl phosphate was examined in both neat and blended systems and compared to other typical phosphate ester fire‐retardant (FR) compounds for vinyl. Additionally, the flammability and smoke effects were measured with and without other common vinyl FR additives (zinc borate and ammonium octamolybdate). J. Vinyl Addit. Technol. 10:187–192, 2004. © 2004 Society of Plastics Engineers.     

Ultimate properties of blown films of linear low density polyethylene resins as affected by alpha-olefin comonomers

Blown film samples of linear low density polyethylene resins copolymerized with butene, hexene, and octene were characterized in terms of various mechanical and optical properties which included tensile, impact, tear, puncture, haze, and gloss. The microstructure development aspects were also investigated employing crystallinity and density, infrared dichroic ratio, and birefringence, and focusing on various positions along the circumference of the bubble. The ultimate properties, and the microstructure of the blown film samples, were found to depend strongly on the extent of short chain branching and on the comonomer employed.     

A combined UASB-MBR with shortcut nitrification-denitrification for energy reduction in wastewater reclamation

Shortcut nitrification has been successfully applied in a laboratory scale nitrification-denitrification process consisting of an up-flow anaerobic sludge blanket (UASB) and an aerobic membrane bioreactor (MBR) in treating synthetic and municipal wastewater to simultaneously remove organic carbon and nitrogen. For the treatment of synthetic wastewater, the combined system exhibited a high TOC removal of 98% with a steady ammonia removal efficiency of about 98% in the MBR and a total nitrogen (TN) removal efficiency of 90%. In treating municipal wastewater, due to its low COD concentration, removal efficiencies of TOC, ammonia and TN were 70%, 98% and 60%, respectively. The biogas production was around 76.4 L/m3 wastewater when treating synthetic wastewater. However, little biogas was produced when treating municipal wastewater which was the result of low organic carbon loading to the UASB. Energy analysis has demonstrated that this novel shortcut nitrification process could consume less energy than a conventional process and have the potential of bio-energy generation via biogas production thus helping to achieve a more favorable energy balance.     

Chromatographic characterisation of aptamer-modified poly(EDMA-co-GMA) monolithic disk format for protein binding and separation

The introduction of aptameric ligands onto disk-monolithic adsorbent, representing a unique strategy for convective isolation of target molecules with high specificity and selectivity, is investigated for the first time. Experimental results showed that the disk monolith possessed a good permeability of 1.67 ± 0.05 × 10^–14 m² (RSD = 3.2%). The aptameric ligand density for the aptamer-modified disk monolith was 480 pmol/uL. Chromatographic analysis of the aptamer disk-monolith efficiency showed an optimum linear velocity of 126 cm/min (≈0.25 mL/min) at room temperatures 25 ± 2°C. The theoretical number of plates corresponding to the optimum linear velocity was 128.2 with an height equivalent to the theoretical plate of 0.022 mm. The disk aptamer-immobilised monolithic system demonstrated good selectivity and isolation of thrombin from non-targets.     

Raman microprobe investigation of the calcium phosphate phases of three commercially available plasma-flame-sprayed hydroxyapatite-coated dental implants

The purpose of the current study was to evaluate the crystallographic properties of three commercially plasma-flame-sprayed hydroxyapatite (HAp) coatings on dental implants. For this purpose a Raman microprobe (MOLE U1000) was used. No preparation of the surfaces was necessary to examine the thin ceramic surface layers. Microspectra (5 µm) and macrospectra (100 µm) have been measured and compared to the spectra of crystalline and amorphous HAp as well as to the spectra of tricalciumphosphate. All implants showed spectra that were more like that of the amorphous phase of HAp than any of the other examined reference materials. However, the implant spectra exhibited an extra band that as yet has not been identified. This band is probably indicative of some structure within the sprayed amorphous phase. Such structural effects would result either directly from quenching from the plasma state or by incorporation of titanium into the lattice during plasma treatment.     

New developments in fire retardant non‐halogen aromatic phosphates

Akzo Nobel Chemicals has recently introduced on the market an aromatic oligomeric phosphate (BDP) based on Bisphenol A. This product shows higher thermal and hydrolytic stability than other aryl phosphates. It provides similar or better fire retardant performance than an oligomeric phosphate (RDP) based on resorcinol. Fire retardant formulations with BDP based on polycarbonate/ABS plastic (PC/ABS) blend, polyphenylene oxide/high impact polystyrene (PPO/HIPS) blend, and HIPS alone show similar or better physical properties than those obtained with RDP. Upon thermal decomposition of the fire retarded polymers containing BDP, phosphorus tends to accumulate in the solid residue, a result which indicates that the primary fire retardant action of BDP is likely to occur in the condensed phase.     

Thermoelastic Stress Analysis of a GRP Tee Joint

A detailed study of the stresses that are developed in a glass reinforced plastic (GRP) tee joint under service loads is described. The joints are fabricated by laminating a boundary angle over a radiused fillet on either side of the ‘tee’. Full-field stress characterisation data is provided by a thermoelastic analysis of the tee joint. Calibration procedures that allow the thermoelastic data to be compared with the results of a finite element analysis are detailed. The results of the thermoelastic analysis are compared with values obtained from the finite element analysis. The applicability of thermoelastic analysis as a validation tool for finite element models of composite materials is assessed.