Search

Background: Dementia with Lewy bodies (DLB) is an important cause of dementia with a range of clinical manifestations, including motor, neuropsychiatric, and autonomic symptoms. Compared with more common forms of dementia such as Alzheimer’s disease, DLB has been the focus of significantly fewer treatment studies, often with diverse outcome measures, making comparison and clinical implementation difficult. A core outcome set (COS) can address this by ensuring that data are comparable, relevant, useful, and usable for making the best healthcare decisions. Methods: Using a multi-stage approach, development of the DLB-COS will include the following stages: (1) A systematic review, following PRISMA guidelines to create an initial long list of outcomes; (2) A two-round online Delphi including clinicians, scientists, policymakers, and individuals with lived experience of DLB and their representatives; (3) An online consensus meeting to agree on the final core list of outcomes (the final DLB-COS) for use in research and clinical practice; (4) A literature search to identify appropriate measurement instruments for the DLB-COS outcomes; (5) A final consensus meeting of the professional stakeholders who attended the online consensus meeting to agree on the instruments that should be used to measure the outcomes in the DLB-COS; and (6) Global dissemination. Discussion: This is a multi-stage project to develop a COS to be used in treatment trials for DLB. A DLB-COS will ensure the selection of relevant outcomes and will identify the instruments to be used to measure DLB globally.

La Confederation ecossaise des bibliotheques universitaires et de recherche (Scottish Confederation of University and Research Libraries, Scurl) a ete creee il y a plus de 30 ans avec pour mission de faciliter la collaboration entre les bibliotheques universitaires ou de recherche en Ecosse. Elle compte parmi ses 26 membres l’ensemble des 19 bibliotheques de l’enseignement superieur du pays mais egalement 7 autres etablissements dont la ...

Snow cover forms a porous medium that acts as a receptor for aerially deposited polycyclic aromatic hydrocarbons (PAHs) and metals. The snowpack, acting as a temporary storage reservoir, releases contaminants accumulating over the winter during a relatively short melt period. This process could result in elevated concentrations of contaminants in melt water. Recent studies in the Alberta oil sands region have documented increases in snowpack and lake sediment concentrations; however, no studies have addressed the fate and transport of contaminants during the snowmelt period. This study describes modelling approaches that were developed to assess potential effects of aerially deposited PAHs and metals to snowpack and snowmelt water concentrations. The contribution of snowmelt to freshwater PAH concentrations is assessed using a dynamic, multi-compartmental fate model, and the contribution to metal concentrations is estimated using a mass-balance approach. The modelling approaches described herein were applied to two watersheds in the Alberta oil sands region for two planned oil sands developments. Accumulation of PAHs in a lake within the deposition zone was also modelled for comparison to observed concentrations.

IN the 2001 census, nine per cent of the population of England and Wales were not classified as white. Racial tensions undeniably exist and it is probable that amongst the individuals randomly selected from the electoral roll to serve as jurors there will be some with race-related prejudices. By this we mean the inclination to prejudge others using pejorative stereotypes based on perceptions of “race, colour, descent or national or ethnic origin”.