Scabies: Application of the Novel Identify-Isolate-Inform Tool for Detection and Management

Scabies is a highly contagious, globally prevalent, parasitic skin infestation caused by Sarcoptes scabiei var. hominis, also known as the itch mite. There have been outbreaks not only in the developing world, but also in the developed world among refugees and asylum seekers. Once infested with scabies mites, symptomatic patients, as well as asymptomatic carriers, quickly spread the disease through direct skin-to-skin contact. Typically, symptoms of scabies are characterized by an erythematous, papular, pruritic rash associated with burrows. Treatment of scabies involves using topical or systemic scabicides and treating secondary bacterial infections, if present. Given the prevalence and contagiousness of scabies, measures to prevent its spread are essential. Through application of the novel Identify-Isolate-Inform (3I) Tool, emergency medical providers can readily identify risk factors for exposure and important symptoms of the disease, thus limiting its spread through prompt scabicide therapy; isolate the patient until after treatment; and inform local public health authorities and hospital infection prevention, when appropriate. Ultimately, these three actions can aid public health in controlling the transmission of scabies cases, thus ensuring the protection of the general public from this highly contagious skin infestation

Strangers and Fellow Citizens : Perspectives on Immigration and Society

The article sets out a critical assessment of recent public reactions in Germany upon taking in large numbers of refugees since 2015, which have been swaying between moralisation and resentment. In this situation, public theology should ask how hospitality is linked to the perceived identity of a society and to its perception of who belongs, and what role Christianity might play in these debates. Drawing on a phenomenological perspective within contemporary German philosophy (Bernhard Waldenfels), and contrasting this perspective with historical and contemporary voices on migration within political philosophy (Georg Simmel, Michael Walzer), the article explores what the concepts of stranger, member and guest imply for the relation of ‘us’ to ‘the other’. From this, I derive a suggestion as to how Christian theology could contribute to a change in the self-perception of society, centred around the seemingly paradoxical concept of ‘belonging in not-belonging’

Embodied Reasons in the Public Sphere : The Example of the Hijab

In public debates on moral or political issues between participants from different religious backgrounds, liberal and secular thinkers like John Rawls and Jürgen Habermas recommend to restrict oneself to free-standing reasons that are independent of their religious, social or cultural origin. Following German philosopher Matthias Jung, however, I argue that such reasons fall short of describing the relevance of the issue in question for the adherents of a specific religion or worldview. Referring to the debates in several European countries about the hijab, I am showing how a deeper understanding of reasons as embodied in social practices and as embodied in individual biographies can help to disentangle such debates and to facilitate a dialogue on these issues

Changes in body composition after initiation of haemodialysis: A retrospective cohort study.

Malnutrition is common in haemodialysis (HD) and is linked to poor outcomes. This study aimed to describe changes in body composition after the initiation of HD and investigate whether any routinely collected parameters were associated with these changes. The study cohort came from the HD population of a single centre between 2009 and 2014. Body composition measurements were obtained from a database of bioimpedance results using the Body Composition Monitor (BCM), while demographics and laboratory values came from the renal unit database. Primary outcomes were changes in normohydration weight, lean tissue mass and adipose tissue mass over the two years after HD initiation. A total of 299 patients were included in the primary analyses, showing an increase in adipose tissue, loss of lean tissue and no significant change in normohydration weight. None of the routinely collected parameters were associated with the lean tissue changes. Loss of lean tissue over the first year of dialysis was associated with increased mortality. The results showing loss of lean tissue that is not limited to those traditionally assumed to be at high risk supports interventions to maintain or improve lean tissue as soon as possible after the initiation of HD. It highlights the importance of monitoring nutrition and the potential for routine use of bioimpedance

Biochars as Potential Adsorbers of CH4, CO2 and H2S

Methane gas, as one of the major biogases, is a potential source of renewable energy for power production. Biochar can be readily used to purify biogas contaminants such as H2S and CO2. This study assessed the adsorption of CH4, H2S, and CO2 onto four different types of biochars. The adsorption dynamics of biochars were investigated in a fixed-bed column, by determining the breakthrough curves and adsorption capacities of biochars. The physicochemical properties of biochars were considered to justify the adsorption performance. The results showed that CH4 was not adsorbed well by the subjected biochars whereas CO2 and H2S were successfully captured. The H2S and CO2 breakthrough capacity were related to both the surface adsorption and chemical reaction. The adsorption capacity was in the following order: perilla > soybean stover > Korean oak > Japanese oak biochars. The simultaneous adsorption also leads to a competition of sorption sites. Biochars are a promising material for the biogas purification industry

The Principles behind Targeted Therapy for Cancer Treatment

The advent of molecular and genetic advancement in the field of oncology research has led to a shift in the treatment of various forms of cancer from traditional chemotherapeutics to targeted therapy. The principle behind targeted therapy is utilizing therapeutics designed to interfere with specific molecules that have a relatively specific or higher expression profile in cancer cells and are critical for cancer growth and progression. These were designed as mechanistic therapeutics in the form of small molecules and monoclonal antibodies. Currently, they have been modified to incorporate passive or active targeting delivery systems to improve their specific distribution and enhance cytotoxicity towards cancer cells while simultaneously reducing their systemic toxicity profile. Passive targeting employs encapsulated delivery systems to take advantage of the enhanced permeation and retention effect of the tumor microenvironment, while active targeting relies on receptor mediated interactions, such as cell surface ligands conjugated to the therapeutic moiety. A synergistic strategy for cancer therapy is evolving, where precision medicine acts as a diagnostic prerequisite for targeted therapy via prognostic biomarkers and tumor genotyping. Despite the plethora of research undertaken in targeted therapy, limited numbers were approved for clinical use, and significant challenges remain to be addressed

Biochar has no effect on soil respiration across Chinese agricultural soils

This work was supported by NSFC (41371298 and 41371300), Ministry of Science and Technology (2013GB23600666 and 2013BAD11B00), and Ministry of Education of China (20120097130003). The international cooperation was funded under a “111” project by the State Agency of Foreign Expert Affairs of China and jointly supported under a grant for Priority Disciplines in Higher Education by the Department of Education, Jiangsu Province, China; The work was also a contribution to the cooperation project of “Estimates of Future Agricultural GHG Emissions and Mitigation in China” under the UK-China Sustainable Agriculture Innovation Network (SAIN). Pete Smith contributed to this work under a UK BBSRC China Partnership Award. The authors are grateful to Yuming Liu, Bin Zhang, Xiao Li, Gang Wu, Jinjin Qu and Yinxin Ye and Dongqi Liu for their contribution to field experiments, and to Rongjun Bian and Qaiser Hussain for their participation in discussions of the data analysis and interpretation, and to Xinyan Yu and Jiafang Wang for their assistance in lab works.Peer reviewedPostprin

Size and the good life: Tiny houses, social housing and the role of social imaginaries

Among the key figures of global housing inequality is the average living space per person. Thus, it comes as no surprise that during the past decade, tiny houses have become an attractive option for some who want to set an example in an affluent society of the global north: free-standing, two-storey building with a total floor space of less than 30 m2. At the same time, in many countries of the global south, people are confined to a similar floorspace – not out of choice but out of need. In bringing together these two very different contexts, I am arguing that from a perspective of capability justice, the concept of home is more than just the need for shelter. In order to enable people to participate in societal life, housing solutions require processes of urban transformation, as well as careful planning and design for social housing. Even in a situation of hardship, living in a small-scale house can be a step towards a realisation of concepts of the good life within the given circumstances. Taking up Charles Taylor’s concept of social imaginaries and presenting architectural examples from the Mexican context (Apan housing laboratory and work done by Tatiana Bilbao), I am drawing some unlikely parallels between the effects that tiny houses, on the one hand, and suggestions for social housing, on the other hand, might have within their respective societies. In this, the concept of social imaginaries helps to see parallels between architecture as a medium of the social and the role of religion. Intradisciplinary and/or interdisciplinary implications: The article argues that in questions of housing justice, architectural solutions can fruitfully supplement considerations of justice

An Experimental Investigation of Premixed Combustion in Extreme Turbulence

This work has explored various aspects of high Reynolds number combustion that have received much previous speculation. A new high-Reynolds number premixed Bunsen burner, called Hi-Pilot, was designed to produce turbulence intensities in the extreme range of turbulence. The burner was modified several times in order to prevent boundary layer separation in the nozzle, and a large co-flow was designed that was capable of maintaining reactions over the entire flame surface. Velocity and turbulence characteristics were measured using a combination of Laser Doppler Velocimetry (LDV) and Particle Image Velocimetry (PIV). Flame structure was studied using a combination of formaldehyde (CH2O), hydroxyl (OH), and the CH radical. Planar Laser Induced Fluorescence (PLIF). The spatial Overlap of formaldehyde and OH PLIF qualitatively measures the reaction rate between formaldehyde molecules and OH radicals, and is a measure of the reaction layers of the flame. CH PLIF provides an alternative measure of the reaction zone, and was measured to compare with the Overlap PLIF results. Reaction layers are the full-width at half-maximum of the Overlap or CH PLIF signal, and extinction events were defined as regions where the PLIF signal drops below this threshold. Preheat structures were measured using formaldehyde PLIF, and are defined as beginning at 35% of the local maximum PLIF signal, and continue up to the leading edge of the reaction layer. Previous predictions of regime diagram boundaries were tested at the largest values of turbulent Reynolds number to date. The Overlap and CH PLIF diagnostics allowed extensive testing of the predicted broken reaction zones boundary of Peters. Measurements indicated that all run conditions are in the Broadened Preheat - Thin Reaction layers regime, but several conditions are expected to display a broken reaction zone structure. Therefore the work shows that Peters’s predicted boundary is not correct, and therefore a Karlovitz number of 100 is not a valid criteria for broken reactions in the Bunsen geometry. Several measures of the turbulent burning velocity, including the global consumption speed and the extent of flamelet wrinkling, were measured at these conditions. Reaction layers for the burning velocity measurements were provided by the OH PLIF. The measurements showed that the global consumption speed continues to increase for all levels of turbulence intensity u'=SL. In contrast, the flame surface wrinkling rapidly increases the flame surface area for u'=SL < 10, but the flame surface area does not increase further at larger turbulence intensities. This indicates that the flame is not in the laminar flamelet regime, and the consumption rate per unit of flame surface area must be increased. The turbulent diffusivity is thought to be the mechanism enhancing the consumption rate, which is a scenario first hypothesized by Damköhler. The flame structure and burning velocity measurements motivated the measurements of the evolution of turbulence through regions of very thick preheat layers. This measurement utilized simultaneous PIV and formaldehyde PLIF in order to obtain conditioned statistics of the turbulence as a function of eta, the distance from the reaction layer. Together, the results tell a consistent story, and deepen our understanding of premixed combustion at large turbulent Reynolds number.PHDAerospace EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/137086/1/twabel_1.pd