Disposable clean delivery kits and prevention of neonatal tetanus in the presence of skilled birth attendants.

OBJECTIVE: To determine whether the use of disposable clean delivery kits (CDKs) is effective in reducing neonatal tetanus (NNT) infection, regardless of the skills of birth attendants in resource-poor settings. METHODS: A secondary analysis was conducted on data from a matched case-control study in Karachi, Pakistan, involving 140 NNT cases and 280 controls between 1998 and 2001. Conditional logistic regression was performed to assess the independent effect on NNT of CDKs and skilled birth attendants (SBAs). RESULTS: After adjustment for socioeconomic factors, both CDKs (adjusted matched odds ratio [mOR] 2.0; 95% confidence interval [CI], 1.3-3.1) and SBAs (adjusted mOR 1.7; 95% CI, 1.1-2.7) were independently associated with NNT. The association with CDKs remained significant when additionally adjusted for SBAs (mOR 2.0; 95% CI, 1.0-3.9; P=0.05). The population attributable risk for lack of CDK use was 24% in the study setting. CONCLUSION: In the context of resource-poor settings in low-income countries with poor coverage of tetanus toxoid immunization, the use of CDKs seems to be an effective strategy for reducing NNT infection, irrespective of the skill levels of birth attendants. Approximately one-quarter of NNT cases could be prevented in low-income populations with the use of CDKs

Nae too bad: a survey of job satisfaction, staff morale and qualifications in residential child care in Scotland

The report of the National Children’s Bureau study of staff morale, qualifications and retention in England (Mainey, 2003) rightly highlighted a number of crucial issues facing providers of residential child care. Entitled Better Than You Think the key finding was that the rates of morale and job satisfaction were not low despite the adverse environment in which residential care operates. Residential care in the modern world is intended to be mainly a temporary placement for some of the most demanding young people who require out-of-home care. However, as with foster care, significant numbers of young people are spending years in out-of-home care and many residential services have to accommodate a wide variety of needs within a single unit. This general remit is challenging enough but the sector also continues to struggle with the aftermath of a number of high profile public inquiries which have identified instances of abuse of children and young people in residential care (Kent, 1997; Utting, 1997; Waterhouse, 2000)

On the Large N Limit of the Itzykson-Zuber Integral

We study the large N limit of the Itzykson -- Zuber integral and show that the leading term is given by the exponent of an action functional for the complex inviscid Burgers (Hopf) equation evaluated on its particular classical solution; the eigenvalue densities that enter in the IZ integral being the imaginary parts of the boundary values of this solution. We show how this result can be applied to ``induced QCD" with an arbitrary potential $U(x)$. We find that for a nonsingular $U(x)$ in one dimension the eigenvalue density $\rho(x)$ at the saddle point is the solution of the functional equation $G_{+}(G_{-}(x))=G_{-}(G_{+}(x))=x$, where $G_{\pm}(x) \equiv {1\over{2}}U^{\prime}(x)\pm i\pi \rho(x)$. As an illustration we present a number of new particular solutions of the $c=1$ matrix model on a discrete real line.Comment: 19 page

Yangian-invariant field theory of matrix-vector models

We extend our study of the field-theoretic description of matrix-vector models and the associated many-body problems of one dimensional particles with spin. We construct their Yangian-su(R) invariant Hamiltonian. It describes an interacting theory of a c=1 collective boson and a k=1 su(R) current algebra. When $R \geq 3$ cubic-current terms arise. Their coupling is determined by the requirement of the Yangian symmetry. The Hamiltonian can be consistently reduced to finite-dimensional subspaces of states, enabling an explicit computation of the spectrum which we illustrate in the simplest case.Comment: Extensive modifications in the construction of the spinon basis and the subsequent computations of eigenvalues and eigenvectors. Title and references modified. To appear in Nuclear Physics B. 21 pages, Late

Modified algebraic Bethe ansatz for XXZ chain on the segment - III - Proof

In this paper, we prove the off-shell equation satisfied by the transfer matrix associated with the XXZ spin-$\frac12$ chain on the segment with two generic integrable boundaries acting on the Bethe vector. The essential step is to prove that the expression of the action of a modified creation operator on the Bethe vector has an off-shell structure which results in an inhomogeneous term in the eigenvalues and Bethe equations of the corresponding transfer matrix.Comment: V2 published version, 16 page

Validitas Buku Pelajaran Biologi Berbasis Pendekatan Kontekstual pada Materi Sistem Pernapasan Bagi Siswa Sma/ma

Penelitian ini merupakan penelitian pengembangan yang bertujuan menghasilkan buku pelajaran biologi berbasis pendekatan kontekstual pada materi sistem pernapasan bagi siswa SMA/MA yang valid. Penelitian ini menggunakan model pengembangan 4-D, tetapi disseminate tidak dilakukan. Validitas buku pelajaran biologi berbasis kontekstual diukur melalui lembar validasi. Validasi tersebut dilakukan oleh dua pakar dan satu guru biologi. Hasil penelitian menunjukkan bahwa buku pelajaran yang dikembangkan sangat layak dengan rata-rata skor 3,93.   Kata Kunci: validitas, buku pelajaran, pendekatan kontekstual, sistem pernapasa

On the scattering theory of the classical hyperbolic C(n) Sutherland model

In this paper we study the scattering theory of the classical hyperbolic Sutherland model associated with the C(n) root system. We prove that for any values of the coupling constants the scattering map has a factorized form. As a byproduct of our analysis, we propose a Lax matrix for the rational C(n) Ruijsenaars-Schneider-van Diejen model with two independent coupling constants, thereby setting the stage to establish the duality between the hyperbolic C(n) Sutherland and the rational C(n) Ruijsenaars-Schneider-van Diejen models.Comment: 15 page

Structures in BC_N Ruijsenaars-Schneider models

We construct the classical r-matrix structure for the Lax formulation of BC_N Ruijsenaars-Schneider systems proposed in hep-th 0006004. The r-matrix structure takes a quadratic form similar to the A_N Ruijsenaars-Schneider Poisson bracket behavior, although the dynamical dependence is more complicated. Commuting Hamiltonians stemming from the BC_N Ruijsenaars-Schneider Lax matrix are shown to be linear combinations of particular Koornwinder-van Diejen ``external fields'' Ruijsenaars-Schneider models, for specific values of the exponential one-body couplings. Uniqueness of such commuting Hamiltonians is established once the first of them and the general analytic structure are given.Comment: 18 pages, gzip latex fil

On sl(N) and sl(M|N) integrable open spin chains

We study open spin chains based on rational sl(N) and sl(M|N) R-matrices. We classify the solutions of the reflection equations, for both the soliton-preserving and soliton-non-preserving cases. We then write the Bethe equations for these open spin chains.Comment: Talk given by DA at SYMPHYS11, Prague, June 200

R-matrix Quantization of the Elliptic Ruijsenaars--Schneider model

It is shown that the classical L-operator algebra of the elliptic Ruijsenaars-Schneider model can be realized as a subalgebra of the algebra of functions on the cotangent bundle over the centrally extended current group in two dimensions. It is governed by two dynamical r and $\bar{r}$-matrices satisfying a closed system of equations. The corresponding quantum R and $\overline{R}$-matrices are found as solutions to quantum analogs of these equations. We present the quantum L-operator algebra and show that the system of equations on R and $\overline{R}$ arises as the compatibility condition for this algebra. It turns out that the R-matrix is twist-equivalent to the Felder elliptic R^F-matrix with $\overline{R}$ playing the role of the twist. The simplest representation of the quantum L-operator algebra corresponding to the elliptic Ruijsenaars-Schneider model is obtained. The connection of the quantum L-operator algebra to the fundamental relation RLL=LLR with Belavin's elliptic R matrix is established. As a byproduct of our construction, we find a new N-parameter elliptic solution to the classical Yang-Baxter equation.Comment: latex, 29 pages, some misprints are corrected and the meromorphic version of the quantum L-operator algebra is discusse