62 research outputs found

    Development and testing of culturally sensitive patient information material for Turkish, Polish, Russian and Italian migrants with depression or chronic low back pain (KULTINFO): study protocol for a double-blind randomized controlled trial

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    BACKGROUND: Many of the approximately 15 million people with a migration background living in Germany (19% of the population) are inadequately reached by existing healthcare provision. In the literature, the necessity for cultural adaptation of information material for patients with a migration background is often cited as a measure for improving healthcare. In this study, culturally sensitive information material will be developed and evaluated for patients with a migration background and depression or chronic low back pain. In this respect, it will be examined whether culturally sensitive information material is judged as more useful by the patients than standard translated patient information without cultural adaptation. METHODS/DESIGN: The implementation and evaluation of culturally sensitive patient information material will occur in the framework of a double-blind randomized controlled parallel-group study in four study centres in Germany. Primary care patients with a Turkish, Polish, Russian or Italian migration background with a diagnosis of depressive disorder or chronic low back pain will be included and randomly allocated to the intervention group or the control group. In the intervention group, culturally sensitive patient information will be handed to the patient at the end of the physician consultation, while in the control group, standard translated patient information material will be provided. The patients will be surveyed by means of questionnaires following the consultation as well as after 8 weeks and 6 months. In addition to the primary outcome (subjective usefulness), several patient- and physician-rated secondary outcomes will be considered. DISCUSSION: The study will provide an empirical answer to the question of whether persons with a migration background perceive culturally sensitive patient information material as more useful than translated information material without cultural adaptation. TRIAL REGISTRATION: Deutsches Register Klinischer Studien (DRKS-ID) DRKS00004241 and Universal Trial Number (UTN) U1111-1135-8043

    Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission

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    Understanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics

    Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission

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    AbstractUnderstanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics.</jats:p

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    Performance limits of a helium-cooled divertor (unconventional design) Final report on subtask PPA1.3.2 of the preparation of a power plant conceptual study on plant availability

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    In the frame of preparatory work for an European power plant conceptual study to be launched in 2000, the potential of different blanket and divertor cooling concepts has been assessed with view to their performance limits in a commercial reactor. As part of this activity the present work covers investigations related to the performance of a helium-cooled divertor, employing refractory materials as structure, able to extract high-grade heat for power conversion. Performance limits in terms of maximum achievable heat flux at divertor target plates are set mainly by materials temperature and stress constraints, but also by general design requirements like pumping power and tolerable deformation. In this context a high structure-to-coolant heat transfer is essential, which the porous media (PM) heat exchanger concept promises to provide effectively. Hence, the PM is the key design feature adopted in this study. Other basic elements of the assessment are assumptions on divertor configuration and operating conditions (dimensions, cooling scheme, power division to sub-components), material data base review for refractory materials involved, and a review of alternative heat transfer enhancement methods. The main part of the study covers the analysis methods and results of the proposed concept, which are grouped in overall divertor cooling parameters, thermal-hydraulics of target plate, and thermomechanical aspects of a single target plate cooling channel. Finally, the maximum tolerable heat flux is assessed based on limits set by temperature windows, thermal stresses and deformations. It is shown that heat fluxes of 5.5 to 6 MW/m&quot;2 can be handled with helium-cooled concepts of unconventional design, given that the operating temperature in the only structural material deemed viable (molybdenum and tungsten alloys) must not fall below 600-700 C for reasons of embrittlement. The potential for further improvements is judged to be marginal. Coolant parameters can be kept in an attractive range for power conversion. (orig.)Available from TIB Hannover: ZA 5141(6401) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman
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