Knowledge and attitude of women on the available PMTCT services at the antenatal clinic of the Coast Province General Hospital

Introduction: Several high profile events of the last decade have served as catalysts for the now widely  available prevention of mother-to-child transmission of HIV services. However, Kenya continues to face challenges in assuring that all women in need of PMTCT services receive the full package.Methods: Background: Methods: A cross sectional survey was undertaken. Systematic sampling method  was used for sample selection. Data was collected using pretested structured questionnaires. Data was  analyzed in SPSS and Epi Info using bivariate and multivariate logistic regression.Results: Approximately 75% of participants were seeking PMTCT services in CPGH for the first time, 71% knew of their HIV status. About 95% of participants were satisfied with privacy during testing. Clients who  had never delivered in CPGH had a significantly (pConclusion: Participants seeking PMTCT services had poor HIV knowledge; but reported positive experiences and good provider – client relationship. However for a successful PMTCT program in CPGH attention needs to be paid in the patient experiences as they seek other reproductive services

Magnetic-Moment Fragmentation and Monopole Crystallization

The Coulomb phase, with its dipolar correlations and pinch-point-scattering patterns, is central to discussions of geometrically frustrated systems, from water ice to binary and mixed-valence alloys, as well as numerous examples of frustrated magnets. The emergent Coulomb phase of lattice-based systems has been associated with divergence-free fields and the absence of long-range order. Here, we go beyond this paradigm, demonstrating that a Coulomb phase can emerge naturally as a persistent fluctuating background in an otherwise ordered system. To explain this behavior, we introduce the concept of the fragmentation of the field of magnetic moments into two parts, one giving rise to a magnetic monopole crystal, the other a magnetic fluid with all the characteristics of an emergent Coulomb phase. Our theory is backed up by numerical simulations, and we discuss its importance with regard to the interpretation of a number of experimental results

Co-Attendance Communities: A Multilevel Egocentric Network Analysis of American Soccer Supporters’ Groups

The growth of professional soccer in the United States is evident through the rapid expansion of franchises and increased game attendance within Major League Soccer (MLS) and the United Soccer League (USL). Coinciding with this growth is the emergence of European-style supporters’ groups filling sections of MLS and USL stadiums. In this study, the authors utilized an egocentric network analysis to explore relationships among supporters’ group members for two professional soccer clubs based in the United States. Egocentric network research focuses on the immediate social environment of individuals and is often viewed as an alternative approach to sociocentric (i.e., whole network) analyses. This study employed hierarchical linear modeling as an example of multilevel modeling with egocentric data, using ego- and alter-level variables to explain the strength of co-attendance ties. The results indicate the perceived commitment of fellow fans to the team, shared membership in a supporters’ group, age, and interactions with other fans in team settings related to higher levels of co-attendance. The outcomes of this study are both theoretical, as they advance an understanding of sport consumer behavior within soccer supporters’ groups, and methodological, as they illustrate the unique value of employing egocentric network analysis in sport fan research

Chronic Recurrent Multifocal Osteomyelitis (CRMO):advancing the diagnosis

BackgroundChronic recurrent multifocal osteomyelitis (CRMO) is a little known inflammatory bone disease occurring primarily in children and adolescents. Delays in referral and diagnosis may lead to prolonged courses of antibiotics with in-patient care, unnecessary radiation exposure from multiple plain radiographs or bone scans and repeated surgery including bone biopsies.Children (aged < 18 years) diagnosed with CRMO between January 2005 and December 2012, reviewed at Bristol Royal Hospital for Children were included and all available data collected. Information regarding CRMO was sent to all orthopaedic surgeons in the region in 2009.The aim of the study was to examine the features of the cohort, to examine the length of time to diagnosis and to explore the criteria used for diagnosis with and without biopsy.FindingsOver an 8 year period, 41 patients were diagnosed with CRMO. Symptom onset occurred at a median of 9 years of age and time to diagnosis had a median of 15 months (range 0 - 92). Correlation coefficient analysis for time to diagnosis by year showed statistical significance with a decreasing trend. From the cohort data, diagnostic criteria were developed; applied retrospectively, 34 (83%) children may have been diagnosed using the criteria, without a biopsy.ConclusionsThe data suggest that increasing knowledge of this condition may shorten time to diagnosis. Use of the Bristol diagnostic criteria by an experienced clinician may obviate the need for biopsy in some patients

Determination of the Mechanical Properties of Hot Stamped Parts from Numerical Simulations

AbstractHot stamping is a well-established process in car manufacturing today. However, the resulting mechanical properties of a hot stamped part and its behaviour during a crash are still open questions. The usual procedure includes destructive experiments to determine the mechanical properties resulting from the forming and quenching process. The gained information is then used for crash simulation. Using images from micrographs to determine the proportion of bainite and martensite resulting from the hot stamping process has proved to be difficult, as these structures are fairly similar and hard to distinguish.Sophisticated numerical simulations of the hot stamping process are available. The hardness resulting from the hot stamping process can be predicted fairly well from these process simulations. However, information like the tensile strength that is more relevant for the crash behaviour cannot be predicted that easily. It is not yet state of the art to map the results from the hot stamping simulation directly into the crash simulation. The approach to be presented in detail in this contribution uses the forming speed and the quenching velocity to predict the relevant mechanical properties of the hot stamped parts. Both input parameters, the forming speed and the quenching velocity, can be derived from the numerical hot stamping simulation. By means of experiments using a thermomechanical test system Gleeble well defined process parameters were used. Micro tensile test specimens were manufactured out of the Gleeble specimens to eliminate the effect of the Gaussian temperature profile created during the Gleeble experiments. Afterwards, tensile tests were carried out to derive a response surface for 22MnB5. The validated results allow the determination of the tensile strength of hot stamped parts from the numerical simulation of the hot stamping process with good accuracy

Remote sensing of aerosols in the Arctic for an evaluation of global climate model simulations

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are madeIn this study Moderate Resolution Imaging Spectroradiometer (MODIS) Aqua retrievals of aerosol optical thickness (AOT) at 555 nm are compared to Sun photometer measurements from Svalbard for a period of 9 years. For the 642 daily coincident measurements that were obtained, MODIS AOT generally varies within the predicted uncertainty of the retrieval over ocean (ΔAOT=±0.03±0.05·AOT). The results from the remote sensing have been used to examine the accuracy in estimates of aerosol optical properties in the Arctic, generated by global climate models and from in situ measurements at the Zeppelin station, Svalbard. AOT simulated with the Norwegian Earth System Model/Community Atmosphere Model version 4 Oslo global climate model does not reproduce the observed seasonal variability of the Arctic aerosol. The model overestimates clear-sky AOT by nearly a factor of 2 for the background summer season, while tending to underestimate the values in the spring season. Furthermore, large differences in all-sky AOT of up to 1 order of magnitude are found for the Coupled Model Intercomparison Project phase 5 model ensemble for the spring and summer seasons. Large differences between satellite/ground-based remote sensing of AOT and AOT estimated from dry and humidified scattering coefficients are found for the subarctic marine boundary layer in summer.Peer reviewe

CfAIR2: Near Infrared Light Curves of 94 Type Ia Supernovae

CfAIR2 is a large homogeneously reduced set of near-infrared (NIR) light curves for Type Ia supernovae (SN Ia) obtained with the 1.3m Peters Automated InfraRed Imaging TELescope (PAIRITEL). This data set includes 4607 measurements of 94 SN Ia and 4 additional SN Iax observed from 2005-2011 at the Fred Lawrence Whipple Observatory on Mount Hopkins, Arizona. CfAIR2 includes JHKs photometric measurements for 88 normal and 6 spectroscopically peculiar SN Ia in the nearby universe, with a median redshift of z~0.021 for the normal SN Ia. CfAIR2 data span the range from -13 days to +127 days from B-band maximum. More than half of the light curves begin before the time of maximum and the coverage typically contains ~13-18 epochs of observation, depending on the filter. We present extensive tests that verify the fidelity of the CfAIR2 data pipeline, including comparison to the excellent data of the Carnegie Supernova Project. CfAIR2 contributes to a firm local anchor for supernova cosmology studies in the NIR. Because SN Ia are more nearly standard candles in the NIR and are less vulnerable to the vexing problems of extinction by dust, CfAIR2 will help the supernova cosmology community develop more precise and accurate extragalactic distance probes to improve our knowledge of cosmological parameters, including dark energy and its potential time variation.Comment: 31 pages, 15 figures, 10 tables. Accepted to ApJS. v2 modified to more closely match journal versio