Haemoglobin status of adult non-pregnant Kazakh women living in Kzyl-Orda region, Kazakhstan.

OBJECTIVE: To estimate the prevalence of anaemia among adult non-pregnant women in the Kzyl-Orda region of Kazakhstan, and to determine the association between haemoglobin concentration and anthropometric, socioeconomic, reproductive and dietary factors. DESIGN: A cross-sectional study using a randomly selected sample. Subjects were interviewed, and finger-prick blood samples and anthropometric measurements were collected. Associations between haemoglobin concentration and anthropometric and questionnaire data were evaluated by sequential linear regression analysis. SETTING: Health centres in Kazalinsk, Djalagash and Zhanakorgan districts of Kzyl-Orda region, Kazakhstan. SUBJECTS: Three-thousand six-hundred and twenty-five non-pregnant women aged 18-45 y randomly selected from health centre records. RESULTS: Iron deficiency anaemia, as reflected by low haemoglobin levels (Hb<12 g/dl), was detected in 40.2% of the total sample. There was a significant curvilinear relationship between haemoglobin concentration and age, with the nadir of the curve in the 30-40 y age-group. Haemoglobin concentration was found to be positively associated with body mass index (BMI) and socioeconomic factors. Significant negative associations were found between haemoglobin concentration and duration of menses, use of the intra-uterine contraceptive device and the consumption of tea. CONCLUSIONS: This study demonstrates that iron deficiency anaemia is present at considerable levels among adult women living in Kzyl-Orda region, Kazakhstan, and provides important baseline information for future research and public health interventions. SPONSORSHIP: Funding was provided by the United States Agency for International Development, Office of Nutrition, the United Kingdom Department for International Development, and the Polden-Puckham Trust

Finite-state Markov Chains obey Benford's Law

A sequence of real numbers (x_n) is Benford if the significands, i.e. the fraction parts in the floating-point representation of (x_n) are distributed logarithmically. Similarly, a discrete-time irreducible and aperiodic finite-state Markov chain with probability transition matrix P and limiting matrix P* is Benford if every component of both sequences of matrices (P^n - P*) and (P^{n+1}-P^n) is Benford or eventually zero. Using recent tools that established Benford behavior both for Newton's method and for finite-dimensional linear maps, via the classical theories of uniform distribution modulo 1 and Perron-Frobenius, this paper derives a simple sufficient condition (nonresonant) guaranteeing that P, or the Markov chain associated with it, is Benford. This result in turn is used to show that almost all Markov chains are Benford, in the sense that if the transition probabilities are chosen independently and continuously, then the resulting Markov chain is Benford with probability one. Concrete examples illustrate the various cases that arise, and the theory is complemented with several simulations and potential applications.Comment: 31 pages, no figure

The planning and control of multiple task work: a study of secretarial office administration

This paper reports an attempt to construct a design-oriented model of the planning and control of multiple task work (PCMT) based on observations of secretarial office administration (SOA). The model is design-oriented in that it is intended to assist a designer to reason about the behaviours of an interactive human-computer worksystem; in this case, the planning and control behaviours of worksystems which carry out multiple task work. Design-oriented models of engineering contrast with the understanding-oriented models of science, which offer an understanding of phenomena in the form of their explanation and prediction

Prescribing practices of primary-care veterinary practitioners in dogs diagnosed with bacterial pyoderma

Concern has been raised regarding the potential contributions of veterinary antimicrobial use to increasing levels of resistance in bacteria critically important to human health. Canine pyoderma is a frequent, often recurrent diagnosis in pet dogs, usually attributable to secondary bacterial infection of the skin. Lesions can range in severity based on the location, total area and depth of tissue affected and antimicrobial therapy is recommended for resolution. This study aimed to describe patient signalment, disease characteristics and treatment prescribed in a large number of UK, primary-care canine pyoderma cases and to estimate pyoderma prevalence in the UK vet-visiting canine population

What Can We Conclude from Death Registration? Improved Methods for Evaluating Completeness

Julie Rajaratnam and colleagues evaluate the performance of a suite of demographic methods that estimate the fraction of deaths registered and counted by civil registration systems, and identify three variants that generally perform the best

Intrinsic alignments of the extended radio continuum emission of galaxies in the EAGLE simulations

We present measurements of the intrinsic alignments (IAs) of the star-forming gas of galaxies in the EAGLE simulations. Radio continuum imaging of this gas enables cosmic shear measurements complementary to optical surveys. We measure the orientation of star-forming gas with respect to the direction to, and orientation of, neighbouring galaxies. Star-forming gas exhibits a preferentially radial orientation-direction alignment that is a decreasing function of galaxy pair separation, but remains significant to $\gtrsim 1$ Mpc at $z=0$. The alignment is qualitatively similar to that exhibited by the stars, but is weaker at fixed separation. Pairs of galaxies hosted by more massive subhaloes exhibit stronger alignment at fixed separation, but the strong alignment of close pairs is dominated by ${\sim}L^\star$ galaxies and their satellites. At fixed comoving separation, the radial alignment is stronger at higher redshift. The orientation-orientation alignment is consistent with random at all separations, despite subhaloes exhibiting preferential parallel minor axis alignment. The weaker IA of star-forming gas than for stars stems from the former's tendency to be less well aligned with the dark matter structure of galaxies than the latter, and implies that the systematic uncertainty due to IA may be less severe in radio continuum weak lensing surveys than in optical counterparts. Alignment models equating the orientation of star-forming gas discs to that of stellar discs or the DM structure of host subhaloes will therefore overestimate the impact of IAs on radio continuum cosmic shear measurements

Genetic variation at CHRNA5-CHRNA3-CHRNB4 interacts with smoking status to influence body mass index

Cigarette smoking is associated with lower body mass index (BMI), and a commonly cited reason for unwillingness to quit smoking is a concern about weight gain. Common variation in the CHRNA5-CHRNA3-CHRNB4 gene region (chromosome 15q25) is robustly associated with smoking quantity in smokers, but its association with BMI is unknown. We hypothesized that genotype would accurately reflect smoking exposure and that, if smoking were causally related to weight, it would be associated with BMI in smokers, but not in never smokers

SUPPORT Tools for evidence-informed health Policymaking (STP) 12: Finding and using research evidence about resource use and costs

This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers

Stretchable liquid-crystal blue-phase gels

Liquid crystalline polymers are materials of considerable scientific interest and technological value to society [1-3]. An important subset of such materials exhibit rubber-like elasticity; these can combine the remarkable optical properties of liquid crystals with the favourable mechanical properties of rubber and, further, exhibit behaviour not seen in either type of material independently [2]. Many of their properties depend crucially on the particular mesophase employed. Stretchable liquid crystalline polymers have previously been demonstrated in the nematic, chiral nematic, and smectic mesophases [2,4]. Here were report the fabrication of a stretchable gel of blue phase I, which forms a self-assembled, three-dimensional photonic crystal that may have its optical properties manipulated by an applied strain and, further, remains electro-optically switchable under a moderate applied voltage. We find that, unlike its undistorted counterpart, a mechanically deformed blue phase exhibits a Pockels electro-optic effect, which sets out new theoretical challenges and new possibilities for low-voltage electro-optic devices.Comment: 15 pages, 6 figures, additional data and discussion included. Supplementary videos available from F. Castles on reques