Studies on transportation of fish. Pt. 1. Packaging of frozen fish in insulated containers

The paper deals with certain technological aspects of transportation of fish. Frozen fish packed in thermocole insulated plywood box (tea chests) and transported has been found to remain in good condition, for 3 to 4 days. Fish reaching the destination in a thawed state can be stored in crushed ice for a further period of 2-3 days. The effect of initial temperature of frozen fish on the storage life, the maximum storage period for different types of frozen fish packed in the insulated container and the changes in chemical and organoleptic qualities of different varieties of fish under condition of transport are also discussed.

Transportation of fish in India: problems and prospects

India has a long coast line of about 4,800 km along which fish landing centers are scattered. Fish catches are showing an upward trend consequent on rapid mechanization of fishing crafts. Economic utilization of the landed fish is an essential prerequisite for the proper development of Indian fishing and fish processing industries.

Investigations on long distance transportation of fish. 3. Field trials with a dismantlable insulated galvanised iron container

The paper communicates the results of field trials conducted with a dismantlable insulated galvanised iron container designed and fabricated by the first two authors in their laboratory. Different varieties of fishes and different types of packing, namely, fresh iced, chilled iced and frozen were employed in the transportation experiments which were conducted from Kakinada to Howrah, Kakinada to New Delhi and Paradeep to Howrah. In all the experiments the container performed exceedingly well and has still remained in very trim condition.

Investigations on long distance transportation of fish. 4. A comparative study of the performance of expanded polystyrene slabs and multi-layer gunny (jute) fabric as insulants

A comparative study of the insulation efficiencies of expanded polystyrene slabs and multi-layer gunny fabric in long distance transportation of fresh iced fish was made. Used plywood boxes (second hand tea chests) were employed as containers and the experiments conducted between Kakinada and Calcutta. All the three insulants tried, namely, 25.4 mm thick expanded polystyrene slab, four and two layer gunny (jute) fabric, all sealed in 150 gauge polythene sheets, showed comparable insulation efficiencies, considering total bacterial counts, organoleptic qualities and TMA and TVN values of the transported fish as parameters.

Investigations on long distance transportation of fish. 5. Transportation of filleted and round seer fish (Scomberomorus sp.) from Kakinada to Calcutta by rail

Iced seer fish (Scomberomorus sp.) was transported by rail in expanded polystyrene insulated plywood boxes from Kakinada to Calcutta in round and fillet forms. While both withstood the rigors of transportation squarely, the fillets fetched only half the price of round fish in the auction conducted at the Calcutta market.

Transportation of fish - 3. Biochemical changes in fish during transportation in insulated containers

The changes in the biochemistry of different varieties of iced fish during transportation in thermocole lined second hand tea chests from Veraval to Bombay and Delhi are discussed. The moisture increased for all the varieties except for eel and hilsa at Bombay. TMAN and TVN increased in all cases. Maximum increase of TMAN and TVN was observed in seer fish.

Comparative study of traditional and improved containers for transportation of fresh fish

Traditional bamboo basket and expanded polystyrene insulated plywood box (second hand tea-chest) were compared for transportation of iced marine, fresh water and brackish water fishes from Kakinada to Madras by rail. Quality of fish at dispatching and receiving centres was assessed by organoleptic, total volatile nitrogen (TVN) and total bacterial count (TBC) tests. Based on the results obtained and the prices fetched, the traditional bamboo basket apart from being cheaper was found to be as good as expanded polystyrene insulated plywood box for short distance transportation of iced fish involving less than 24 hours journey.

Transportation of fish - 1. A preliminary study on insulated containers and their efficacy in long distance transportation

Polythene lined thermocole insulated plywood boxes (second-hand tea chests) could be successfully used for transport of fresh iced fish. It was found that a minimum of 25 mm thermocole insulation was necessary during summer (April to June) and 15 mm during winter (Nov. to March). By using these insulated boxes the initial fish to ice ratio could be brought down to 1:0.75 and still further to 1:0.5 at the height of winter in Jan. and Feb. These second-hand tea chests are robust and are able to stand a minimum of 5 trips to and fro. The moulded polystyrene boxes are not suited for long distance transport. Another redeeming feature in the entire operation was that there was practically no loss of fish due to spoilage in transit. 100% of the fish transported was in acceptable condition and could be marketed. In the non-insulated boxes used by the trade, the loss due to spoilage ranged from 10% to 25%, and this could be completely eliminated by the use of these insulated boxes.

Investigations on long distance transportation of fish 1. Transportation of frozen fish from Cochin to Calcutta

Oil Sardine (Sardinella longiceps), mackerel (Rastrelliger kanagurta), cat fish (Arius sp.), threadfin bream (Nemipterus japonicus) and ribbon fish (Trichurus sp.) were frozen in glazed/unglazed blocks, packed in expanded polystyrene (EPS) insulated plywood boxes with and without additional ice and despatched in uninsulated parcel vans of trains from Cochin to Calcutta. The consignments reached the destination in excellent condition and were readily disposed off.

Studies on the transportation of live clams

Live clams (Villorita cyprinoides) collected from their natural beds were packed in different ways like dry pack, tray pack, in oxygenated water (wet pack) and depurated samples in wet pack. It was found that the packaging in l kg lots in 200 gauge polythene bags with oxygen at a temperature of 20°C could keep them live for 4 days. In tray pack without oxygen and water they can be kept alive for 3 days at 20°C. Temperature seems to be the critical factor in the transportation of live clams. At room temperature both dry and wet pack can be kept for 24 h only. Depuration technique does not appear to be useful in prolonging the storage life of clams in live condition as percentage mortality is more at 48 h both at 20°C and room temperature compared to the non-depurated samples.

Bulk packages for storage and transportation of salted and dried fish

The effect of bulk packaging on the storage of salted and dried fish was studied at ambient conditions. Four different packaging systems were tried, among which gusseted type high density polyethylene woven sacks having either circular loom or traditional loom laminated with 100 gauge low density polyethylene were found to be best suited for dry fish packaging as they could withstand the hazards of handling, transportation and storage.

An exploration through interview and drawings of the experiences of patients diagnosed with oral cancer across their cancer trajectory

Background: The treatment of oral cancer is complex and lengthy. Curative treatment implies a combination of surgery, radiotherapy and chemotherapy. The main goal of treatment is to guarantee long-term tumour free survival with as little functional and cosmetic damage. Despite progress in developing these strategies, cancers of the oral cavity continue to have high mortality rates that have not improved dramatically over the past ten years. Aim: The aim of this study was to uniquely explore the dynamic changes in the physical, psychological, social and existential experiences of newly diagnosed patients with oral cancer at two points across their cancer illness trajectory i.e. at the time of diagnosis and at the end of treatment. Methodology: A qualitative prospective longitudinal design was employed. Non-probability purposive sampling allowed the recruitment of 10 participants. The principal data collection method used was a digital audio taped semi-structured interview along with drawings produced by the participants. Analysis: Data was analysed using latent content analyses. Summary: Three ‘dynamic’ themes, physical, psychosocial and existential experiences were revealed that interact and influence each other in a complex and compound whole. These experiences are present at different degrees and throughout the entire trajectory of care. Patients have a number of specific concerns and challenges that cannot be compartmentalised into unitary or discrete aspects of their daily lives. Conclusion & Implications: An understanding of the patient’s experience of their illness at all stages of the disease trajectory, is essential to inform service providers’ decision making if the delivery of care is to be client centred. Dynamic and fluctuating changes in the patient’s personal experience of the cancer journey require dynamic, energetic and timely input from health care professionals.

Taxanes alone or in combination with anthracyclines as first-line therapy of patients with metastatic breast cancer.

PURPOSE: Taxanes (paclitaxel or docetaxel) have been sequenced or combined with anthracyclines (doxorubicin or epirubicin) for the first-line treatment of advanced breast cancer. This meta-analysis uses data from all relevant trials to detect any advantages of taxanes in terms of tumor response, progression-free survival (PFS), and survival. PATIENTS AND METHODS: Individual patient data were collected on eight randomized combination trials comparing anthracyclines + taxanes (+ cyclophosphamide in one trial) with anthracyclines + cyclophosphamide (+ fluorouracil in four trials), and on three single-agent trials comparing taxanes with anthracyclines. Combination trials included 3,034 patients; single-agent trials included 919 patients. RESULTS: Median follow-up of living patients was 43 months, median survival was 19.3 months, and median PFS was 7.1 months. In single-agent trials, response rates were similar in the taxanes (38%) and in the anthracyclines (33%) arms (P = .08). The hazard ratios for taxanes compared with anthracyclines were 1.19 (95% CI, 1.04 to 1.36; P = .011) for PFS and 1.01 (95% CI, 0.88 to 1.16; P = .90) for survival. In combination trials, response rates were 57% (10% complete) in taxane-based combinations and 46% (6% complete) in control arms (P < .001). The hazard ratios for taxane-based combinations compared with control arms were 0.92 (95% CI, 0.85 to 0.99; P = .031) for PFS and 0.95 (95% CI, 0.88 to 1.03; P = .24) for survival. CONCLUSION: Taxanes were significantly worse than single-agent anthracyclines in terms of PFS, but not in terms of response rates or survival. Taxane-based combinations were significantly better than anthracycline-based combinations in terms of response rates and PFS, but not in terms of survival.

Facilitators and barriers to hypertension self-management in urban African Americans: perspectives of patients and family members.

INTRODUCTION: We aimed to inform the design of behavioral interventions by identifying patients' and their family members' perceived facilitators and barriers to hypertension self-management. MATERIALS AND METHODS: We conducted focus groups of African American patients with hypertension and their family members to elicit their views about factors influencing patients' hypertension self-management. We recruited African American patients with hypertension (n = 18) and their family members (n = 12) from an urban, community-based clinical practice in Baltimore, Maryland. We conducted four separate 90-minute focus groups among patients with controlled (one group) and uncontrolled (one group) hypertension, as well as their family members (two groups). Trained moderators used open-ended questions to assess participants' perceptions regarding patient, family, clinic, and community-level factors influencing patients' effective hypertension self-management. RESULTS: Patient participants identified several facilitators (including family members' support and positive relationships with doctors) and barriers (including competing health priorities, lack of knowledge about hypertension, and poor access to community resources) that influence their hypertension self-management. Family members also identified several facilitators (including their participation in patients' doctor's visits and discussions with patients' doctors outside of visits) and barriers (including their own limited health knowledge and patients' lack of motivation to sustain hypertension self-management behaviors) that affect their efforts to support patients' hypertension self-management. CONCLUSION: African American patients with hypertension and their family members reported numerous patient, family, clinic, and community-level facilitators and barriers to patients' hypertension self-management. Patients' and their family members' views may help guide efforts to tailor behavioral interventions designed to improve hypertension self-management behaviors and hypertension control in minority populations.

Development and usability testing of a Web-based decision aid for families of patients receiving prolonged mechanical ventilation.

BACKGROUND: Web-based decision aids are increasingly important in medical research and clinical care. However, few have been studied in an intensive care unit setting. The objectives of this study were to develop a Web-based decision aid for family members of patients receiving prolonged mechanical ventilation and to evaluate its usability and acceptability. METHODS: Using an iterative process involving 48 critical illness survivors, family surrogate decision makers, and intensivists, we developed a Web-based decision aid addressing goals of care preferences for surrogate decision makers of patients with prolonged mechanical ventilation that could be either administered by study staff or completed independently by family members (Development Phase). After piloting the decision aid among 13 surrogate decision makers and seven intensivists, we assessed the decision aid's usability in the Evaluation Phase among a cohort of 30 surrogate decision makers using the Systems Usability Scale (SUS). Acceptability was assessed using measures of satisfaction and preference for electronic Collaborative Decision Support (eCODES) versus the original printed decision aid. RESULTS: The final decision aid, termed 'electronic Collaborative Decision Support', provides a framework for shared decision making, elicits relevant values and preferences, incorporates clinical data to personalize prognostic estimates generated from the ProVent prediction model, generates a printable document summarizing the user's interaction with the decision aid, and can digitally archive each user session. Usability was excellent (mean SUS, 80 ± 10) overall, but lower among those 56 years and older (73 ± 7) versus those who were younger (84 ± 9); p = 0.03. A total of 93% of users reported a preference for electronic versus printed versions. CONCLUSIONS: The Web-based decision aid for ICU surrogate decision makers can facilitate highly individualized information sharing with excellent usability and acceptability. Decision aids that employ an electronic format such as eCODES represent a strategy that could enhance patient-clinician collaboration and decision making quality in intensive care.