112 research outputs found
Journal of African Christian Biography: v. 4, no. 1
A publication of the Dictionary of African Christian Biography with U.S. offices located at the Center for Global Christianity and Mission at Boston University. This issue focuses on: 1. Introducing African Christian Biography. 2. Modern African Church History and the Streetlight Effect. 3. Both African and Christian. 4. Musicians and Composers in African Christianity. 5. Yared. 6. John Knox Bokwe. 7. Recent Print and Digital Resources Related to Christianity in Africa. 8. Guidelines for Article Contributors. 9. Suggested Interview Guidelines and Questions. 10. Guidelines for Book Reviewers
Linking the Practice Environment to Nurses' Job Satisfaction Through Nurse-Physician Communication
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74776/1/j.1547-5069.2005.00063.x.pd
Optimization of placebo use in clinical trials with systemic treatments for atopic dermatitis: an International Eczema Council survey-based position statement.
Background: As novel systemic therapeutics for patients with atopic dermatitis (AD) are developed, ethical and methodological concerns regarding placebo-controlled-trials (PCT) have surfaced. Objective: To guide the design and implementation of PCT in AD, focusing on trials with systemic medications. Methods: A subgroup of the International Eczema Council (IEC) developed a consensus e-survey, which was disseminated to IEC members. Results: The response rate was 43/82 (52%). Consensus was reached on 24/27 statements and on 3/11 options from multiple-selection statements, including: performing monotherapy studies in proof-of-concept phases; avoiding concomitant topical corticosteroids or calcineurin inhibitors until a predefined timepoint as rescue (borderline consensus); selection of sites and assessors with recognized expertise in AD clinical trials; clear definition and identification of baseline disease severity; minimizing time and proportion of patients on placebo; using daily emollients with several options provided; instigating open-label extension studies for enrolment after a predefined timepoint; and including outcomes which set a higher bar for disease clearance. Conclusion: Conducting PCT in AD requires balancing several, sometimes opposing principles, including ethics, methodology, regulatory requirements and real-world needs. This paper can provide a framework for conducting PCT with systemic medications for patients with AD
Low-temperature co-sintering for fabrication of zirconia/ceria bi-layer electrolyte via tape casting using a Fe2O3 sintering aid
Bilayer electrolytes have potential in solid oxide cells to improve ionic conduction whilst blocking electronic
conduction. GDC/YSZ bilayer electrolyte processinghas provenproblematic due to thermochemical
instability at high sintering temperatures. We first match the shrinkage profile of the two bulk materials
using a Fe2O3 sintering additive. Additions of 5 mol% of Fe2O3 in the GDC layer and 2 mol% of Fe2O3 in
the YSZ layer prevents delamination during co-sintering. The addition of Fe2O3 promotes densification,
enabling achievement of a dense bilayer at a reduced sintering temperature of 1300 ◦C; ∼150 ◦C below
conventional sintering temperatures. Elemental analysis showed the compositional distribution curves
across the bilayer interface to be asymmetric when Fe2O3 is employed. The Fe2O3 increases the total
conductivity of the bilayer electrolyte by an order of magnitude; this is explained by the effect of Fe2O3
on reducing the resistive solid solution interlayer at YSZ/GDC interface from ∼15 to ∼5 m
Post-fire salvage logging reduces carbon sequestration in Mediterranean coniferous forest
Post-fire salvage logging is a common silvicultural practice around the world, with the potential to alter the regenerative capacity of an ecosystem and thus its role as a source or a sink of carbon. However, there is no information on the effect of burnt wood management on the net ecosystem carbon balance. Here, we examine for the first time the effect of post-fire burnt wood management on the net ecosystem carbon balance by comparing the carbon exchange of two treatments in a burnt Mediterranean coniferous forest treated by salvage logging (SL, felling and removing the logs and masticating the woody debris) and Non-Intervention (NI, all trees left standing) using eddy covariance measurements. Using different partitioning approaches, we analyze the evolution of photosynthesis and respiration processes together with measurements of vegetation cover and soil respiration and humidity to interpret the differences in the measured fluxes and underlying processes. Results show that SL enhanced CO2 emissions of this burnt pine forest by more than 120 g C m−2 compared to the NI treatment for the period June–December 2009. Although soil respiration was around 30% higher in NI during growing season, this was more than offset by photosynthesis, as corroborated by increases in vegetation cover and evapotranspiration. Since SL is counterproductive to climate-change and Kyoto protocol objectives of optimal C sequestration by terrestrial ecosystems, less aggressive burnt wood management policies should be considered.This work was financed by INIA Project SUM2006-00010-00-00, by the Autonomous Organism of National Parks (MMA) Project 10/2005 and in part by the Spanish national CO2 flux tower network (Carbored-II; CGL2010-22193-C04-02), CGL 2008-01671, Consolider-Ingenio MONTESCSD2008-00040 and the European Community 7th 9 Framework Programme Project GHG-Europe (FP7/2007-2013; Grant Agreement 244122)
Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019
Background: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019. Methods: 8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate age-specific fertility rates for 5-year age groups between ages 15 and 49 years. With extensions to age groups 10–14 and 50–54 years, the total fertility rate (TFR) was then aggregated using the estimated age-specific fertility between ages 10 and 54 years. 7417 sources were used for under-5 mortality estimation and 7355 for adult mortality. ST-GPR was used to synthesise data sources after correction for known biases. Adult mortality was measured as the probability of death between ages 15 and 60 years based on vital registration, sample registration, and sibling histories, and was also estimated using ST-GPR. HIV-free life tables were then estimated using estimates of under-5 and adult mortality rates using a relational model life table system created for GBD, which closely tracks observed age-specific mortality rates from complete vital registration when available. Independent estimates of HIV-specific mortality generated by an epidemiological analysis of HIV prevalence surveys and antenatal clinic serosurveillance and other sources were incorporated into the estimates in countries with large epidemics. Annual and single-year age estimates of net migration and population for each country and territory were generated using a Bayesian hierarchical cohort component model that analysed estimated age-specific fertility and mortality rates along with 1250 censuses and 747 population registry years. We classified location-years into seven categories on the basis of the natural rate of increase in population (calculated by subtracting the crude death rate from the crude birth rate) and the net migration rate. We computed healthy life expectancy (HALE) using years lived with disability (YLDs) per capita, life tables, and standard demographic methods. Uncertainty was propagated throughout the demographic estimation process, including fertility, mortality, and population, with 1000 draw-level estimates produced for each metric. Findings: The global TFR decreased from 2•72 (95% uncertainty interval [UI] 2•66–2•79) in 2000 to 2•31 (2•17–2•46) in 2019. Global annual livebirths increased from 134•5 million (131•5–137•8) in 2000 to a peak of 139•6 million (133•0–146•9) in 2016. Global livebirths then declined to 135•3 million (127•2–144•1) in 2019. Of the 204 countries and territories included in this study, in 2019, 102 had a TFR lower than 2•1, which is considered a good approximation of replacement-level fertility. All countries in sub-Saharan Africa had TFRs above replacement level in 2019 and accounted for 27•1% (95% UI 26•4–27•8) of global livebirths. Global life expectancy at birth increased from 67•2 years (95% UI 66•8–67•6) in 2000 to 73•5 years (72•8–74•3) in 2019. The total number of deaths increased from 50•7 million (49•5–51•9) in 2000 to 56•5 million (53•7–59•2) in 2019. Under-5 deaths declined from 9•6 million (9•1–10•3) in 2000 to 5•0 million (4•3–6•0) in 2019. Global population increased by 25•7%, from 6•2 billion (6•0–6•3) in 2000 to 7•7 billion (7•5–8•0) in 2019. In 2019, 34 countries had negative natural rates of increase; in 17 of these, the population declined because immigration was not sufficient to counteract the negative rate of decline. Globally, HALE increased from 58•6 years (56•1–60•8) in 2000 to 63•5 years (60•8–66•1) in 2019. HALE increased in 202 of 204 countries and territories between 2000 and 2019. Interpretation: Over the past 20 years, fertility rates have been dropping steadily and life expectancy has been increasing, with few exceptions. Much of this change follows historical patterns linking social and economic determinants, such as those captured by the GBD Socio-demographic Index, with demographic outcomes. More recently, several countries have experienced a combination of low fertility and stagnating improvement in mortality rates, pushing more populations into the late stages of the demographic transition. Tracking demographic change and the emergence of new patterns will be essential for global health monitoring. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens
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