EDAQ : DLV. Vragenlijst Evaluatie Dagelijkse Activiteit (Dutch language version of the Evaluation of Daily Activity Questionnaire)

The Dutch language version of the Evaluation of Daily Activity Questionnaire (EDAQ) is a self-report outcome measure, which people complete at home in their own time and then return to the clinician/ researcher. It has been validated for use with people with arthritis and musculoskeletal conditions in the UK, and with people with rheumatoid arthritis in the Netherlands. It can be used for clinical, audit and research purposes. It includes three parts. Part 1 consists of 10 numeric rating scales evaluating aspects of body functions (e.g. pain, fatigue, movement limitations). Part 2 consists of 14 domains assessing activity and participation abilities/ restrictions with and without the use of ergonomic approaches. Part 3 (optional) is about assistive device use. It is available in two forms: parts 1 to 3 and parts 1 and 2 only. Usually, the EDAQ parts 1 and 2 is used for most clinical and research purposes. The updated EDAQ Manual v3 (2018) explains how to use and score the EDAQ, with scoring examples (http://usir.salford.ac.uk/30752/). Rasch Transformation Tables are available in the EDAQ Manual v2 Supplement 1 and Supplement 2. An explanatory leaflet for clients is also available in USIR here under Monographs

Educational needs of health professionals working in rheumatology in Europe

Objective: To explore the availability of postgraduate education for health professionals (HPs) working in rheumatology in Europe, and their perceived educational needs and barriers for participation in current educational offerings. Methods: Structured interviews were conducted with national representatives of rheumatology HPs’ organisations and an online survey among individual HPs was disseminated through existing EULAR networks (10 languages including English). These comprised questions on: availability of postgraduate education, familiarity with EULAR and its educational offerings, unmet needs regarding the contents and mode of delivery and potential barriers to participate in education (0-10 scales). Results: According to 17 national representatives, postgraduate rheumatology education was most common for nurses, physical and occupational therapists. There were 1041 individual responses to the survey, of whom 48% completed all questions. More than half (56%) were familiar with EULAR as an organisation, whereas less than 25% had attended the EULAR congress or was familiar with EULAR online courses. Educational needs regarding contents were highest for “inflammatory arthritis” and “connective tissue diseases” and regarding modes of delivery for “courses organised in own country” and “online courses”. Important barriers to participation included lack of “resources”, “time” and “English language skills”. Overall, there was considerable variation in needs and barriers among countries . Conclusions: There is a lack of postgraduate rheumatology education for HPs in most countries. There are opportunities to raise awareness regarding EULAR educational offerings and to develop courses provided in HPs’ own country, tailored to national needs and barriers and taking language barriers into consideration

Brillouin Scattering Self-cancellation

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)The interaction between light and acoustic phonons is strongly modified in sub-wavelength confinement, and has led to the demonstration and control of Brillouin scattering in photonic structures such as nano-scale optical waveguides and cavities. Besides the small optical mode volume, two physical mechanisms come into play simultaneously: a volume effect caused by the strain-induced refractive index perturbation (known as photo-elasticity), and a surface effect caused by the shift of the optical boundaries due to mechanical vibrations. As a result, proper material and structure engineering allows one to control each contribution individually. Here, we experimentally demonstrate the perfect cancellation of Brillouin scattering arising from Rayleigh acoustic waves by engineering a silica nanowire with exactly opposing photo-elastic and moving-boundary effects. This demonstration provides clear experimental evidence that the interplay between the two mechanisms is a promising tool to precisely control the photon-phonon interaction, enhancing or suppressing it.7Sao Paulo Research Foundation (FAPESP) [2013/20180-3, 2012/17765-7, 2012/17610-3, 08/57857-2]National Council for Scientific and Technological Development (CNPq) [574017/2008-9]Coordination for the Improvement of Higher Education Personnel (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Performance of multistage filtration using different filter media against conventional water treatment systems

This study was aimed at introducing multistage filtration (MSF) (a combination of slow-sand filtration (SSF) and pretreatment system - horizontal flow roughing filter (HRF)) as an alternative water treatment technology to the conventional one. A pilot- plant study was undertaken to achieve this goal. Evaluating the MSF performance vs. the existing conventional system in removing selected physical and chemical drinking water quality parameters together with the biological water quality improvement by the MSF without chemical use was done. Evaluation of the effectiveness of the MSF system utilizing locally available material, i.e. gravel, improved agricultural waste (charcoal maize cobs) and broken burnt bricks as pretreatment filter material was also done The benchmark was the Kenya Bureau of Standards (KEBS) values for the selected parameters. Results showed that with proper design specifications, MSF systems perform better than conventional systems under similar conditions of raw water quality and environmental conditions. The tested locally available materials can also be effectively used as pretreatment media with each allowing a filter run greater than 82 d and therefore could serve as alternatives where natural gravel is not readily available. With special reference to the bacteriological quality improvement, the MSF greatly improved the bacteriological quality of the water recording removal efficiencies of over 99% and 98% respectively for E. coli and total coliforms. Despite the observed performance, MSF should be complemented with chlorination as a final buffer against water-borne diseases. However, in this case, the dosing will be greatly reduced when compared to the conventional system. WaterSA Vol.30 (3) 2004: 361-36

Role of rheumatology clinical nurse specialists in optimizing management of hand osteoarthritis during daily practice in secondary care: an observational study

Wing-Yee Kwok, Margreet Kloppenburg, Liesbeth JJ Beaart-van de Voorde, Tom WJ Huizinga, Thea PM Vliet VlielandDepartment of Rheumatology, Leiden University Medical Center, Leiden, The NetherlandsBackground: The purpose of this study was to describe the effectiveness of a single one-hour consultation by a clinical nurse specialist in patients with hand osteoarthritis during daily rheumatology practice in secondary care.Methods: Consecutive patients diagnosed by rheumatologists to have primary hand osteoarthritis and referred to the clinical nurse specialist were eligible for entry into this study. The standardized 1-hour consultation consisted of assessments and education on hand osteoarthritis by a clinical nurse specialist. Before and 3 months after the consultation, assessments were done to evaluate treatment (use of assistive devices, acetaminophen), health-related quality of life (physical component summary [PCS] score of Short-Form 36), and hand pain/function (Australian/Canadian Osteoarthritis Hand Index [AUSCAN]). Paired t-tests and McNemar tests were used to analyze differences between baseline and follow-up. Satisfaction was measured after consultation at follow-up using a multidimensional questionnaire comprising 13 items (rated on a four-point scale).Results: A total of 439 patients were referred, with follow-up data available for 195 patients, comprising 177 (87%) females, and of mean age 59 ± 9.0 years. After consultation, the proportions of patients using assistive devices and/or acetaminophen increased significantly from 30% to 39% and from 35% to 49%, respectively. PCS improved significantly (P = 0.03) whereas AUSCAN hand pain/function showed no significant differences compared with baseline (P values 0.52 and 0.92, respectively). The proportions of patients reporting to be satisfied or fully satisfied ranged from 78% to 99% per item.Conclusion: A single, comprehensive, standardized assessment and education by a clinical nurse specialist improved the physical dimension of health-related quality of life in hand osteoarthritis. Most patients were satisfied with the consultation. Further controlled trials are needed to determine the added value of the clinical nurse specialist in care for hand osteoarthritis.Keywords: hand osteoarthritis, nursing, quality of life, satisfactio

Prévalence de l’hépatite B chez les personnes infectées par le VIH à Parakou au Bénin

Introduction: la co-infection avec l'hépatite B est l'un des défis majeurs de la prise en charge du VIH depuis l'amélioration de l'accès aux  antirétroviraux en Afrique. La présente étude visait à estimer la prévalence de l'hépatite B chez les personnes séropositives au VIH à Parakou et décrire les facteurs associés. Méthodes: il s'agit d'une étude transversale menée de Mai 2011 à Juin 2012 dans le service de Médecine du CHU de Parakou. Ont été inclus tous les adultes séropositifs au VIH vus en  consultation ou hospitalisés. Les données ont été collectées par interviews et dépouillement de dossiers médicaux. L'antigène HBs a été recherché par un test rapide et l'ALAT a été dosé. L'analyse des données a été faite avec le logiciel EpiInfo 3.5.1. Les proportions ont été comparées grâce au test de Chi-deux ou au test de Fisher au seuil de significativité de 5%. Un modèle de régression logistique multivariable a permis d'expliquer la prévalence de l'hépatite B.Résultats: sur les 744 sujets inclus on a dénombré 555 femmes. L'âge moyen était de 35,5 + 10,1 ans. La  prévalence de l'hépatite B a été estimée à 16,9% (IC95 : 14,3%-19,9%). Cette prévalence était plus élevée chez les sujets originaires du  Borgou/Alibori et ceux au stade 4 de l'OMS. Conclusion: la prévalence de la co-infection VIH/VHB au CHU Parakou est élevée. Le dispositif national de prise en charge et de prévention de l'hépatite B chez les personnes  séropositives au VIH doit être renforcé

Note: Design and realization of a portable edge illumination X-ray phase contrast imaging system

We discuss a portable edge illumination x-ray phase contrast imaging system based on compact piezoelectric motors, which enables its transportation to different environments, e.g., hosting different x-ray source technologies. The analysis of images of standard samples reveals an angular sensitivity of 270 ± 6 nrad, which compares well with the 260 ± 10 nrad reported for previous systems based on stepper motors, demonstrating that system portability can be achieved without affecting phase sensitivity. The results can also be considered a test of the performance of the piezoelectric motors, and as such could be of interest to researchers planning their use in other imaging systems

QUALITY OF REFRIGERATED RAW MILK FROM BUFFALO COWS (Bubalus bubalis bubalis) IN DIFFERENT FARMS AND SEASONS IN BRAZIL

The present research aimed to examine the chemical and microbiological characteristics of refrigerated raw milk collected from buffalo-only dairy herds from different farms and seasons. Samples were collected from twelve farms producing buffalo milk, located in the Mideast region of São Paulo state, in Brazil, once a month throughout the dairy calendar year from 2011 to 2014. The analysis of fat, protein, lactose, dry extract, and total solids contents were carried out using Infrared Absorption. Residues for antimicrobial analysis were carried out using Delvo Test Kit technique, and both somatic cell count and standard plate count analysis were carried out using Flow Cytometry. The analysis of the chemical components as well as for the microbiological analysis of SPC proved to be statistically significant throughout the period. No antibiotic residues were found in the totality of the sample, hence indicating that the farmers complied with the current sanitary legislation in that country, as well as SCC; however, higher values were found for the SPC. Significant results for all parameters analyzed were found among the farms, indicating that price incentives paid for the quality of raw milk could be an alternative to dairy processing companies, favoring yield and quality of the final product. Keywords: Brazil; chemical parameters; dairy; microbiological parameters; monitoring

The immunopathology of canine vector-borne diseases

The canine vector-borne infectious diseases (CVBDs) are an emerging problem in veterinary medicine and the zoonotic potential of many of these agents is a significant consideration for human health. The successful diagnosis, treatment and prevention of these infections is dependent upon firm understanding of the underlying immunopathology of the diseases in which there are unique tripartite interactions between the microorganism, the vector and the host immune system. Although significant advances have been made in the areas of molecular speciation and the epidemiology of these infections and their vectors, basic knowledge of the pathology and immunology of the diseases has lagged behind. This review summarizes recent studies of the pathology and host immune response in the major CVBDs (leishmaniosis, babesiosis, ehrlichiosis, hepatozoonosis, anaplasmosis, bartonellosis and borreliosis). The ultimate application of such immunological investigation is the development of effective vaccines. The current commercially available vaccines for canine leishmaniosis, babesiosis and borreliosis are reviewed