Inter‐agency transport planning: co‐ordination and governance structures

This article begins by clarifying the forms and means of co‐ordination peculiar to the governance structures of market, hierarchy and network. Co‐ordination in these structures is primarily achieved by competition, command and co‐operation, respectively. The case study focuses on co‐operation. It gives an account of how the administrative agencies of public roads, railways, civil aviation and coastal infrastructure work together in the Norwegian national transport planning process. The administrations take varying interest in the integrated plan and have different degrees of power in the co‐ordination process, which has caused some tension. The divergent co‐operation strategies chosen by the agencies are partly due to dissimilar sources of funding and organization models. These features and the degree of agency interest in the co‐ordination effort are influenced by the relative strength of market elements and hierarchical elements guiding their operations. It is therefore meaningful to explain the agencies' more or less co‐operative strategies by utilizing the concepts of governance structure and co‐ordination.     

Experiences with the Implementation of Computerized Tools in Health Care Units: A Review Article

Demands for improved patient care as well as improved efficiency in the delivery of health care have increased dramatically in recent years. New technologies, including computers, are expected to play an important role in meeting these demands. The aim of this review is to identify the main challenges to the introduction of computer technology in health care and to identify what kinds of factors may promote or hamper the implementation process. A systematic search of relevant databases resulted in 299 hits related to implementation of computer technology in health care, of which 17 met all criteria for inclusion in this review. The following barriers to the adoption of computer technology were identified: negative attitudes, lack of knowledge, role adjustment related to the disruption of traditional work habits, and changes in established work roles. The dual needs to both assess and change attitudes were identified as crucial factors in allowing for the successful implementation of these new technologies. The challenges for future clinical work and research will be to influence the behavior and intentions of health care personnel, to focus on the benefits of introducing computer technology (CT) in health care units, and to make certain that the institution's leadership is fully supportive of the change. Furthermore, this review showed that if the introduction of computerized tools is going to succeed, an adequate training program is imperative.     

Synthesis of monoglycerides by glycerolysis of rapeseed oil using immobilized lipase

Reaction conditions for the synthesis of monoglycerides (MG) by enzyme-catalyzed glycerolysis of rapeseed oil using Lipozyme® IM have been studied. Silica gel was used to adsorb the glycerol to overcome the problems of low glycerol solubility in the organic phase. An experimental design was used where temperature, time, the ratio of silica gel to glycerol (w/w), the water activity (a) _w , the isooctane concentration, and the ratio of glycerol to triglycerides (mol/mol) were varied. Response surface methodology was used to evaluate initial reaction rate and yield for the different products. The best yield of MG achieved under the studied conditions was 17.4% (mol fatty acid in substance/total mol fatty acid in mixture) (75°C, 20 h, silica gel/glycerol 2:1, a _w =0.17, 48% isooctane, glycerol/triglycerides 6:1). The same conditions yielded 36.8% diglycerides, 13.6% free fatty acids (FFA), and 36.9% triglycerides. This is at the same level as the equilibrium yield. The yield of MG is low compared to the final yield achieved with solid-phase glycerolysis. However, in solid-phase glycerolysis the reaction mixture becomes solid, and therefore the solid-phase process is not suitable for industrial application. The formation of FFA was very fast compared to the synthesis of MG. Equilibrium for FFA was reached within 2 h, and the yield was strongly affected by the a _w . Increasing a _w greatly increased the formation of FFA. In the a _w ratio 0.06–0.3, the yield of FFA increased from 4 to 19% while the yield of MG was nearly unaffected. As FFA is an undesired product, it is important to keep the a _w as low as possible.     

Controllable hydrogen generation by use smart hydrogel reactor containing Ru nano catalyst and magnetic iron nanoparticles

In this study, p(AMPS) hydrogels are synthesized from 2-acrylamido-2-methyl-1-propansulfonic acid (AMPS) via a photo polymerization technique. The hydrogels are used as template for metal nanoparticles and magnetic ferrite nanoparticles, and also as a catalysis vessel in the generation of hydrogen from the hydrolysis of NaBH₄. Approximately 5 nm Ru (0) and 20-30 nm magnetic ferrite particles are generated in situ inside this p(AMPS) hydrogel network and then used as a catalysis medium in hydrogen production by hydrolysis of sodium boron hydride in a basic medium. With an applied external magnetic field, the hydrogel reactor, containing Ru and ferrite magnetic particles, can be removed from the catalysis medium; providing on-demand generation of hydrogen. The effect of various parameters such as the initial concentration of NaBH₄, the amount of catalyst and temperature on the hydrolysis reaction is evaluated. The activation energy for hydrogen production by Ru (0) nanoparticles is found to be 27.5 kJ mol⁻¹; while the activation enthalpy is 30.4 kJ mol⁻¹. The hydrogen generation rate in presence of 5 wt% NaOH and 50 mg p(AMPS)-Ru catalyst is 8.2 L H₂ min⁻¹ g Ru.     

Comparison of enterococcal populations in animals, humans, and the environment--a European study

The objectives of the present study were to generate knowledge of enterococcal populations in the food chain, by studying the population structure (in measures of abundance and diversity) among enterococci in different geographical regions and in different parts of the food chain, as well as the similarities between different enterococcal populations. Altogether, 2868 samples were collected from humans (healthy and hospitalised individuals and clinical isolates), animals (slaughterhouse carcasses and farm animals), and the environment (pig farms, sewage, and surface water) in four European countries-Sweden, Denmark, UK, and Spain. The samples were characterised with regard to presence and numbers of enterococci, and eight (for faecal samples) or 24 (for environmental samples) isolates per sample were phenotyped and preliminarily identified with the PhP-RF system. In total, more than 20,000 isolates were typed. A majority of the samples (77%) showed the presence of presumed enterococci. The diversities of enterococci in environmental samples were generally high, and also faecal samples normally showed presence of more than one enterococcal strain. The most common species found were Enterococcus faecium (33%), E. faecalis (29%), and E. hirae (24%), but different enterococcal populations differed in their species distribution. Clinical isolates, hospitalised patients, and hospital sewage in Sweden showed a clear dominance of E. faecalis (80%, 57%, and 54%, respectively) whereas healthy individuals and urban sewage contained less E. faecalis (39% and 40%, respectively). The species distribution among isolates from slaughterhouses varied between animal species and also between countries, but E. faecalis seemed to be mainly associated with broiler, and E. hirae with cattle and pigs. The results from the study have indicated a simplified method to study the diversity of bacterial populations. Instead of collecting many samples and analysing one or a few isolates per sample, it is possible to collect fewer samples and analyse several isolates per sample. Both approaches yielded similar information on the diversity of the populations. Another useful information was that since samples from hospital sewage, urban sewage, and manure contained enterococcal populations that reflected those in faecal samples of hospitalised patients, healthy humans, and animals, respectively, such samples may be used as pooled faecal samples and may replace cumbersome samplings from many individuals.     

Factors that influence the release of metals from stainless steels exposed to physiological media

Release rates of chromium, nickel and iron from grade 304 stainless steel with three different surface finishes, BA, 2B and 2D, have been determined after exposure to artificial lysosomal fluid. Metal release rates are discussed in relation to corrosion resistance, compositional changes of the outermost surface film of the stainless steel and to measurements of the effective surface area and roughness. The total metal release decreased in the following sequence: 2D > 2B ≈ BA, and was primarily related to the electrochemically active surface area. No direct correlation was observed between corrosion resistance and metal release rates.     

Short-chain fatty acid content and pH in caecum of rats given various sources of carbohydrates

The caecal content of short-chain fatty acids (SCFA; acetic, propionic and butyric acid), caecal pH, fermentability and dry matter digestibility (DMD) were examined through balance experiments in rats fed 11 various indigestible carbohydrates. The following carbohydrate sources were incorporated into test diets: cellulose, oat husk, wheat bran, oat bran, pea fibre, linseed fibre, low methoxylated (LM)-pectin, guargum, β-glucans, neosugar and raffinose. The indigestible carbohydrates, except for those in wheat bran, oat husk and cellulose, were highly fermented, ie > 90%. Caecal pH varied between 5·6 and 7·8, with neosugar and raffinose causing the lowest pH and the fibre-free diet and the diet with oat husk the highest. The caecal pool sizes of SCFA were highest with raffinose, β-glucans, LM-pectin, guargum and linseed fibre (335-400 μmol) while pea fibre, wheat bran, oat bran and neosugar gave intermediate levels (137–227 μmol). The pool size with oat husk and cellulose was similar as with the basal diet (45–64 μmol). A high proportion of propionic acid was obtained with guargum and linseed fibre, whereas acetic acid was the predominant product in case of LM-pectin. On the other hand, linseed fibre gave a remarkably low proportion of butyric acid. The quantity fermented and caecal pH correlated well to the amount of SCFA with most materials (r = 0·96 and r = ?0·87, respectively), an exception was neosugar and in case of fermentability also oat bran. DMD values with most of the easily fermented carbohydrates were high (>96%). Exceptions were diets with β-glucans and oat bran which caused low DMD values, about 93%. It is concluded that indigestible carbohydrates may differ in ability to lower caecal pH and to form SCFA during fermentation.     

Short‐chain fatty acid content in the hindgut of rats fed various composite foods and commercial dietary fibre fractions from similar sources

The fermentability of indigestible carbohydrates and content of short‐chain fatty acids along the hindgut of rats were investigated using plant materials of importance in the Swedish diet (instant potato powder, apples and oat flakes). Results with the composite food products were compared with commercial fibre fractions obtained from similar sources, ie potato fibre, apple pectin and β‐glucan‐enriched oat fibre. The materials were incorporated into diets yielding a concentration of 60 or 70 g kg^?1 indigestible carbohydrates. The fermentability of indigestible carbohydrates was high with all diets, between 79 and 90%. All substrates except the pure apple pectin generated intermediate to high proportions of butyric acid in the caecum (15–22 vs 8%). The potato products gave high concentrations of butyric acid in the distal colon. The potato powder, ie the diet with the highest content of resistant starch (22 g kg^?1), also gave the highest proportion of butyric acid in the distal colon (19%), which was higher than the proportion in the caecum with the same substrate (15%) (P < 0.005). The composite foods promoted a higher proportion of butyric acid in the distal colon as compared with the commercial fibre fractions (P < 0.05). © 2002 Society of Chemical Industry     

Carbohydrate composition and content of organic acids in fresh and stored apples

The contents of low‐molecular‐weight carbohydrates (LMWC; sorbitol, glucose, fructose and sucrose), starch, dietary fibre and organic acids were determined in seven apple cultivars at the start and end of the consumption interval. The cultivars included were Summered, Aroma, Ingrid Marie, Cox Orange, Mutzu, Belle de Boskoop and Jonagold. The total content of LMWC ranged between 615 and 716 g kg⁻¹ dry matter (DM). The dominating sugar was fructose, corresponding to on average 57% (range 48–62%) of the total LMWC. However, in Cox Orange the sucrose content was considerably higher and the fructose and sucrose contents constituted approximately 46% each. Total dietary fibre content was similar in the cultivars (total dietary fibre 160 ± 20 g kg⁻¹ DM), except for Belle de Boskoop which had a higher content (203 g kg⁻¹ DM). Mutzu had a lower proportion of soluble fibre (27% of total dietary fibre) compared with the others (mean 32%). The organic acid content was on average 80 ± 4 g kg⁻¹ DM, except for two of the cultivars (Summered and Belle de Boskoop) which had a higher content (105 ± 6 g kg⁻¹ DM). Interestingly, the organic acid content was only slightly reduced upon storage in the case of Belle de Boskoop, whereas there was a substantial decrease in all the other cultivars (p < 0.001). Sucrose (p < 0.01) and starch (p < 0.05) contents decreased in all cultivars following storage, whereas sorbitol (p < 0.05) and total dietary fibre (p < 0.05) contents increased. It is concluded that the observed differences in composition are of such magnitude that they may affect both nutritional and sensory properties. © 2000 Society of Chemical Industry