50 research outputs found

    DNA fingerprinting of Haemophilus somnus, Histophilus ovis and Actinobacillus seminis

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    SIGLEAvailable from British Library Document Supply Centre-DSC:DXN022653 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    Improving decision making, communication and documentation regarding advanced resuscitation decisions in a tertiary care hospital in Sri Lanka

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    Background: Resuscitation decisions made in advance are especially important to prevent negative patient outcomes at end-of-life. We conducted a clinical audit to assess the current practice of these decisions in Sri Lanka and then introduced interventions to improve the same. Methods: An auditor-administered questionnaire developed through a focused group discussion among experts was used to analyse the medical records of deaths during a period of sixty days focusing on advanced resuscitation decisions and factors affecting them. The junior doctors directly involved in the care of each patient were interviewed regarding their retrospective judgement about the most appropriate resuscitation decision, which was later compared with the decision of an expert panel, who decided on the most appropriate resuscitation decision based on the medical records of the patient. An educational session for doctors was then conducted to improve their knowledge about advanced resuscitation decisions including the importance of meticulous documentation of such decisions. The outcome was assessed after sixty days following the introduction of the intervention using the same questionnaire. Results: There was a significant improvement in the number of documented advanced resuscitation decisions from 4/40 (10%) to 17/38 (44.73%) (Z=3.5, P=0.0006), with a significant increase in DNACPR decisions from 4/40 (10%) to 14/38 (36.8%) (Z= 2.8, P=0.005) following the intervention. Unsuccessful CPR attempts decreased significantly from 31/40 (77.5%) to 14/38 (36.8%) (Z=3.6, P=0.0003) in the post-intervention period. The resuscitation decisions suggested by junior doctors that matched with expert decisions increased significantly for both interns ((from 11/40 (27.5%) to 22/38 (57.9%) (Z=2.7, P=0.0066)) and registrars ((18/40 (45%) to 27/38 (71.05%) (Z=2.3, P=0.0202)) in the post-intervention period. Conclusion: Documentation and practice regarding advanced resuscitation decisions are suboptimal in Sri Lanka. This can be improved by interventions targeting improving the knowledge about the concept and its proper documentation among health care professionals

    Algebraic properties of Toeplitz operators on weighted Bergman spaces

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    summary:We study algebraic properties of two Toeplitz operators on the weighted Bergman space on the unit disk with harmonic symbols. In particular the product property and commutative property are discussed. Further we apply our results to solve a compactness problem of the product of two Hankel operators on the weighted Bergman space on the unit bidisk

    Sustainable Way to Minimize the Solid Fabric Wastes using Peroxidase Extracts of Ipomoea palmate Forssk. and Saccharum officinarum L.

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    One of the major environmental problems currently existing in the Sri Lankan apparel Industry is the aggregation of huge amounts of solid fabric wastes. This study was conducted to find out the optimum time and concentration taken to decolorise solid fabric wastes and investigate reuse and recycle methods of fabrics in order to minimise the impact upon the environment. The decolorisation was practiced by the peroxidase extracts of Ipomoea palmate Forssk. and Saccharum officinarum L. which are abundantly found in home gardens of Kandy District and Kurunegala District. The purification of biomolecules was done by a novel yet simple method of purification known as Three-Phase Partitioning (TPP). Butanol-water solvent system was used in this method. The concentration of purified solvents was measured using Potassium Permanganate and were tested upon Polyester and Cotton fabrics. The decolorisation activity shown in I. palmate extract was higher than that of S. officinarum. The highest decolorisation capacity was shown for a concentration of 1.6375×10ˉ⁵ mol dm-1 of I. palmate extract, and a minimum time of 9 days was taken for complete decolorisation. For S. officinarum extract, it has taken a minimum time of 15 days for a concentration of 3.125×10ˉ⁶ mol dm-1. The decolorisation capability was measured using a standard colour matrix. A slight deviation of peroxidase contents was observed in the plant materials collected from Kandy District and in Kurunegala District. Without aggregating huge amounts of solid wastes to the environment it has been stressed out that using simple and cheap methods of managing the solid fabrics in sustainable ways can minimize the damage on the environment by this study.Keywords: Decolorisation, Solid fabric waste, Ipomoea palmate, Saccharum officinarum, Three phase partitionin

    Clinics in diagnostic imaging (176)

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