Assessment of patients' medical fitness to drive by primary care physicians: A cross-sectional study

Objectives: Motor vehicle collisions (MVCs) are a significant health burden in Saudi Arabia. The literature has consistently indicated that chronic medical conditions, such as diabetes, heart disease, stroke, obstructive sleep apnea, and neurodevelopmental disorders, increase the risk of MVCs. Therefore, assessment of driver fitness by primary care physicians (PCPs) remains a major health intervention that might reduce MVCs. We studied the practices of PCPs in assessing medical fitness to drive in at-risk patients.

Methods: We conducted a cross-sectional study of all 88 government-funded primary care centers in the city of Riyadh, Saudi Arabia. We administered a self-reported questionnaire to PCPs that inquired about their driving risk assessment for specific medical conditions.

Results: Among all PCPs and centers, 189 PCPs (63%) from 74 centers (84%) participated in our survey. The mean age of the PCPs was 40 ± 10 years, and 108 (57%) were men. The average clinical experience of the group was 13 ± 9 years. Fewer than half of PCPs considered diabetes mellitus (45%) and obstructive sleep apnea (46%) as potential risks for MVCs. Approximately 45% of PCPs did not notify any authority or relatives of potential driving issues that they noticed in their patients. Only 15% of the participants believed that PCPs were responsible for alerting authorities about their fitness to drive.

Conclusions: PCPs did not adequately assess their patients' driving history and eligibility. Efforts are needed to improve awareness among PCPs regarding the effects of chronic medical conditions on driving.     

Automated micro-transfer printing with cantilevered stamps

This paper demonstrates the use of a flexible instrumented stamp to enable automated micro transfer printing as a route to large-area, deterministic assembly of microstructured device components or ‘inks’. The ability to instrument the stamp, a critical component for retrieval and placement of a micro device, to detect contact and monitor localized forces during critical events in the printing process not only allows for the development of a robust manufacturing process, but also for a unique vantage point from which to study fundamental issues and phenomena associated with adhesion and delamination of thin films from a variety of substrate materials. This paper presents basic design analysis on the requirements of the cantilevers for compatibility with a typical transfer printing environment. Off-the-shelf thin film strain gages are integrated with a thin elastomeric post as a preliminary prototype and the feasibility of transfer printing with it is demonstrated. Further, the set-up is calibrated to produce force signals for event detection and in situ diagnosis of the process.     

Prevalence of Rotaviruses Groups A and C in Egyptian Children and Aquatic Environment

The objective of this study is to compare the prevalence of rotaviruses groups A and C in Egyptian children and aquatic environment. From 110 stool specimens of children with acute diarrhea and using RT-PCR, 35 samples (31.8 %) were positive for human rotavirus group A and 15 samples (13.6 %) were positive for human rotavirus group C. From 96 samples collected from Zenin wastewater treatment plant over a 2-year period (November 2009–October 2011) and using RT-PCR, rotavirus group A was detected in (4/24) 16.7 %, (5/24) 20.8 %, (4/24) 16.7 %, and (4/24) 16.7 %, while rotavirus group C was detected in (2/24) 8.3 %, (3/24) 12.5 %, (3/24) 12.5 %, and (0/24) 0 % in raw sewage, after primary sedimentation, after secondary sedimentation, and after final chlorination, respectively. Moreover, from 96 samples collected from El-Giza water treatment plant over a 2-year period (November 2009–October 2011), rotavirus group A was detected in (7/24) 29.2 %, (6/24) 25 %, (5/24) 20.8 %, and (3/24) 12.5 %, while rotavirus group C was detected in (3/24) 12.5 %, (1/24) 4.2 %, (1/24) 4.2 %, and (0/24) 0 % in raw Nile water, after sedimentation, after sand filtration, and after final chlorination, respectively. Using SYBR Green real-time RT-PCR, the number of human rotavirus group A genome or infectious units was higher than rotavirus group C. VP6 sequence analysis of the RT-PCR positive rotavirus group C samples revealed that four clinical specimens and three environmental samples showed similar sequences clustered with Moduganari/Human Nigerian strain AF 325806 with 98 % homology, and two clinical specimens and one environmental sample showed similar sequences clustered with Dhaka CB/Human Bangladesh strain AY 754826 with 97 % homology.     

Neutron activation analysis of ceramic tiles and its component and radon exhalation rate

IntroductionCeramic,consistofearthymaterialslikeclaykaolin ,limestoneandsandglass .Ceramicmaterialsarenonmetalic ,inorganiccompoundsprimaryoxides ,alsocarbides ,nitridesandsilicides .Twotypesofbondingmechanismsoccurinceramicmaterial ,ionicandcovalent.Theo…     

Integration of biodiversity in urban planning instruments in developing countries: the case of Kumasi Metropolitan Assembly,Ghana

There is a growing concern about integrating biodiversity into urban planning, yet, discussions are concentrated on science-informed planning in general. Few have explored the integration of biodiversity in specific planning instruments, especially in African cities. This paper examines how and what components of biodiversity are integrated into master plans, medium-term plans, building codes, zoning codes and permits in Kumasi City, Ghana. There is limited integration of biodiversity in most planning instruments as they were mostly designed on the basis of health, safety and economy. Allied to lack of funding and public participation, biodiversity in Kumasi is under significant threat from rapid urban development. Creating an opportunity for popular participation and decentralizing the planning system could set the preconditions for local integration and revision of instruments. Simplifying the definition of biodiversity could increase local planners’ appreciation, understanding and their ability to make use of biodiversity data.     

Seasonal food insecurity in Bangladesh: evidences from northern areas

Seasonal food insecurity in Bangladesh is a multidimensional socioeconomic issue emanated from more than just access and availability of food. In general, it has been considered that the northern areas of Bangladesh, treated as monga-prone, is more vulnerable to seasonal food insecurity as compared to any other region of the country. The manifestation of monga is essentially food insecurity and consequent vulnerabilities. The paper investigates the seasonal food insecurity status, coping strategies along with its possible determinants linked to socioeconomic conditions of the affected households in Kurigram, one of the monga-prone districts of northern Bangladesh. A primary survey was conducted to explore the food insecurity status and diverse factors leading to food insecurity in terms of food consumption, livelihood and consequent family experiences in mitigating the severity of food insecurity during the monga (lean) period. The nature of household food insecurity seems to be an outcome of a variety of risk factors, as well as inability to manage those risks due to income and resource constraints. Moreover, a reduction in food intake during the monga period is one of the common scenarios in the study area. Marginal effects and elasticities after probit regression reveal that household’s income, share of per capita medical expenditure, safety net(s) involvement and the area of residence appear to be the leading factors affecting seasonal food insecurity during the monga period to a significant extent. Households with more medical expenditure (68 %), cultivable landholding (9 %) and households residing by the riverside (4 %) have a higher probability of food insecurity than their counterparts. On the contrary, relatively large size family (-16 %), higher income (-4 %) and safety net coverage (-19 %) have reduced the probability of food insecurity during the monga period. Finally, the paper concludes with some policy issues based on on-site observation and econometric analysis to overcome this transitory food insecurity in the monga-prone areas.     

Smoldering combustion of dust layer on hot surface

The critical temperature as well as the critical flux for ignition of a dust layer of cornflour and a mixture of wheatflour and cornflour (80% wheatflour+20% cornflour) on a hot plate have been determined. The moulded sample was cylindrical in shape and of different heights and diameters. The particle size of dusts ranged between 63 μm to 150 μm. The temperature–time histories for self-heating without ignition and with ignition are offered, showing the critical boundaries between them. Also the times to ignition for each dust, showing the effect of sample size on their values, are determined. Certain experimental correlations which relate to times to ignition, as well as the critical temperature for ignition and thermal and geometrical dimensions of sample are presented.     

The semiochemically mediated interactions between bacteria and insects

In natural environment, semiochemicals are involved in many interactions between the different trophic levels involving insects, plants and hosts for parasitoids or prey for predators. These volatile compounds act as messengers within or between insect species, inducing particular behaviours, such as the localisation of a source of food, the orientation to an adequate oviposition site, the selection of a suitable breeding site and the localisation of hosts or prey. In this sense, bacteria have been shown to play an important role in the production of volatile compounds which ones act as semiochemicals. This review, focusing on the semiochemically mediated interactions between bacteria and insects, highlights that bacterial semiochemicals act as important messengers for insects. Indeed, in most of the studies reported here, insects respond to specific volatiles emitted by specific bacteria hosted by the insect itself (gut, mouthparts, etc.) or present in the natural environment where the insect evolves. Particularly, bacteria from the families Enterobacteriaceae, Pseudomonaceae and Bacillaceae are involved in many interactions with insects. Because semiochemicals naturally produced by bacteria could be a very interesting option for pest management, advances in this field are discussed in the context of biological control against insect pests.