656 research outputs found

    The use of a geographical information system (GIS) to evaluate the distribution of tuberculosis in a high-incidence community

    Get PDF
    CITATION: Beyers, N. et al. 1996. The use of a geographical information system (GIS) to evaluate the distribution of tuberculosis in a high-incidence community. South African Medical Journal, 86(1):40-44.The original publication is available at http://www.samj.org.zaObjective. To determine the geographical distribution of tuberculosis in the two Western Cape suburbs with the highest reported incidence of tuberculosis. Design. Descriptive illustrative study. Setting. Two adjacent Western Cape suburbs covering 2.42 km2 with a population of 34 294 and a reported tuberculosis incidence of > 1 000/100 000. Subjects. All patients notified as having tuberculosis over a 10-year period (1985-1994). Interventions. None. Outcome measure. The geographical distribution of the cases was determined using a geographical information system (GIS) and the National Population Census (1991). Results. One thousand eight hundred and thirty-five of the 5 345 dwelling units (34.3%) housed at least 1 case of tuberculosis during the past decade and in 483 houses 3 or more cases occurred. These cases were distributed unevenly through the community, with the tuberculosis incidence per enumerator subdistrict (ESD) varying from 78 to 3 150/100 000 population. Conclusion. In a small area with a high incidence of tuberculosis, the cases are spread unevenly through the community and there are certain houses where tuberculosis occurs repeatedly. This information should be used to direct health services to concentrate on certain high-risk areas.Publisher’s versio

    Integration of TB and ART services fails to improve TB treatment outcomes: Comparison of ART/TB primary healthcare services in Cape Town, South Africa

    Get PDF
    BACKGROUND: The combined tuberculosis (TB) and HIV epidemics in South Africa (SA) have created enormous operational challenges for a health service that has traditionally run vertical programmes for TB treatment and antiretroviral therapy (ART) in separate facilities. This is particularly problematic for TB/HIV co-infected patients who need to access both services. OBJECTIVE: To determine whether integrated TB facilities had better TB treatment outcomes than single-service facilities in Cape Town, SA. METHODS: TB treatment outcomes were determined for newly registered, adult TB patients (aged > or = 18 years) at 13 integrated ART/TB primary healthcare (PHC) facilities and four single-service PHC facilities from 1 January 2009 to 30 June 2010. A chi2 test adjusted for a cluster sample design was used to compare outcomes by type of facility. RESULTS: Of 13,542 newly registered patients, 10,030 received TB treatment in integrated facilities and 3,512 in single-service facilities. There was no difference in baseline characteristics between the two groups with HIV status determined for 9,351 (93.2%) and 3,227 (91.9%) patients, of whom 6 649 (66.3%) and 2,213 (63%) were HIV-positive in integrated facilities and single-service facilities, respectively. The median CD4+ count of HIV-positive patients was 152 cells/microl (interquartile range (IQR) 71-277) for integrated facilities and 148 cells/microl (IQR 67-260) for single-service facilities. There was no statistical difference in the TB treatment outcome profile between integrated and single-service facilities for all TB patients (p = 0.56) or for the sub-set of HIV-positive TB patients (p = 0.58) CONCLUSION: This study did not demonstrate improved TB treatment outcomes in integrated PHC facilities and showed that the provision of ART in the same facility as TB services was not associated with lower TB death and default rates

    Transport Properties of a One-Dimensional Two-Component Quantum Liquid with Hyperbolic Interactions

    Full text link
    We present an investigation of the sinh-cosh (SC) interaction model with twisted boundary conditions. We argue that, when unlike particles repel, the SC model may be usefully viewed as a Heisenberg-Ising fluid with moving Heisenberg-Ising spins. We derive the Luttinger liquid relation for the stiffness and the susceptibility, both from conformal arguments, and directly from the integral equations. Finally, we investigate the opening and closing of the ground state gaps for both SC and Heisenberg-Ising models, as the interaction strength is varied.Comment: 10 REVTeX pages + 4 uuencoded figures, UoU-002029

    Assessing the sublethal impacts of anthropogenic stressors on fish: an energy‐budget approach

    Get PDF
    Fish are increasingly exposed to anthropogenic stressors from human developments and activities such as agriculture, urbanization, pollution and fishing. Lethal impacts of these stressors have been studied but the potential sublethal impacts, such as behavioural changes or reduced growth and reproduction, have often been overlooked. Unlike mortality, sublethal impacts are broad and difficult to quantify experimentally. As a result, sublethal impacts are often ignored in regulatory frameworks and management decisions. Building on established fish bioenergetic models, we present a general method for using the population consequences of disturbance framework to investigate how stressors influence ecologically relevant life processes of fish. We partition impact into the initial energetic cost of attempts to escape from the stressor, followed by the energetic impacts of any injury or behavioural change, and their consequent effects on life processes. As a case study, we assess the sublethal effects of catch and release angling for the European sea bass (Dicentrachus labrax, Moronidae), a popular target species for recreational fishers. The energy budget model described is not intended to replace existing experimental approaches but does provide a simple way to account for sublethal impacts in assessment of the impact of recreational fisheries and aid development of robust management approaches. There is potential to apply our energy budget approach to investigate a broad range of stressors and cumulative impacts for many fish species while also using individual‐based models to estimate population‐level impacts

    Systematic behaviour of the in-plane penetration depth in d-wave cuprates

    Full text link
    We report the temperature T and oxygen concentration dependences of the penetration depth of grain-aligned YBa_2Cu_3O_{7-\delta} with \delta= 0.0, 0.3 and 0.43. The values of the in-plane \lambda_{ab}(0) and out-of-plane \lambda_{c}(0) penetration depths, the low temperature linear term in \lambda_{ab}(T), and the ratio \lambda_{c}(0) /\lambda_{ab}(T) were found to increase with increasing δ\delta. The systematic changes of the linear term in \lambda_{ab}(T) with T_c found here and in recent work on HgBa_2Ca_{n-1} Cu_nO_{2n+2+\delta} (n = 1 and 3) are discussed.Comment: 4 pages, 4 figure

    One Dimensional Oxygen Ordering in YBa2Cu3O(7-delta)

    Full text link
    A model consisting of oxygen-occupied and -vacant chains is considered, with repulsive first and second nearest-neighbor interactions V1 and V2, respectively. The statistical mechanics and the diffraction spectrum of the model is solved exactly and analytically with the only assumption V1 >> V2. At temperatures T ~ V1 only a broad maximum at (1/2,0,0) is present, while for ABS(delta - 1/2) > 1/14 at low enough T, the peak splits into two. The simple expression for the diffraction intensity obtained for T << V1 represents in a more compact form previous results of Khachaturyan and Morris[1],extends them to all delta and T/V2 and leads to a good agreement with experiment. [1] A.G.Khachaturyan and J.W.Morris, Jr., Phys.Rev.Lett. 64,76(1990)Comment: 13 pages,Revtex,3 figures available upon request but can be plotted using simple analytical functions,CNEA-CAB 92/04

    Environmental and Economically Conscious Magnesium Production: Solar Thermal Electrolytic Production of Mg from MgO

    Get PDF
    One method to improve the fuel efficiency of American made vehicles is to reduce vehicle weight by substituting steel components with lighter magnesium (Mg) components. Unfortunately, U.S. produced Mg currently costs approximately 3.31perkg,overseventimesthepriceofsteel.Furthermore,Mgproductionhasastaggeringenergyandenvironmentalimpact,consumingupto102kWhr/kgMgofenergyandproducing36kgofCO2/kgMg.ToreducetheoverwhelmingeconomicandenvironmentalimpactofMg,anewsolarthermalelectrolyticprocesshasbeendevelopedfortheproductionofMgfromMgO.Throughthisprocess,liquidMgisproducedinasolarreactorutilizingboththermalandelectricalenergy.Atelevatedtemperatures,thethermalenergyfromconcentratedsunlightreducestherequiredelectricalworkbelowthatofcurrentprocesses.Thereactorabsorbstheconcentratedsolarenergy,heatingamoltensaltMgOmixtureinanelectrolyticcell.Electricityisthensuppliedtothecell,producingliquidMgandCO.ItisestimatedthatthisnewprocesswillproduceMgat3.31 per kg, over seven times the price of steel. Furthermore, Mg production has a staggering energy and environmental impact, consuming up to 102 kW-hr/kg-Mg of energy and producing 36 kg of CO2/kg-Mg. To reduce the overwhelming economic and environmental impact of Mg, a new solar thermal electrolytic process has been developed for the production of Mg from MgO. Through this process, liquid Mg is produced in a solar reactor utilizing both thermal and electrical energy. At elevated temperatures, the thermal energy from concentrated sunlight reduces the required electrical work below that of current processes. The reactor absorbs the concentrated solar energy, heating a molten salt-MgO mixture in an electrolytic cell. Electricity is then supplied to the cell, producing liquid Mg and CO. It is estimated that this new process will produce Mg at 2.50 per kg, with costs decreasing as the technology is further developed. This process requires approximately 8.3 kW-hr/kg-Mg of energy and produces only 3.44 kg of CO2/kg-Mg, large reductions compared to current processes

    Correlated local distortions of the TlO layers in Tl2_2Ba2_2CuOy_{y}: An x-ray absorption study

    Full text link
    We have used the XAFS (x-ray-absorption fine structure) technique to investigate the local structure about the Cu, Ba, and Tl atoms in orthorhombic Tl-2201 with a superconducting transition temperature Tc_c=60 K. Our results clearly show that the O(1), O(2), Cu, and Ba atoms are at their ideal sites as given by the diffraction measurements, while the Tl and O(3) atoms are more disordered than suggested by the average crystal structure. The Tl-Tl distance at 3.5 \AA{ } between the TlO layers does not change, but the Tl-Tl distance at 3.9 \AA{ } within the TlO layer is not observed and the Tl-Ba and Ba-Tl peaks are very broad. The shorter Tl-O(3) distance in the TlO layer is about 2.33 \AA, significantly shorter than the distance calculated with both the Tl and O(3) atoms at their ideal 4e4e sites ( x=y=x=y=0 or 12\frac{1}{2}). A model based on these results shows that the Tl atom is displaced along the directions from its ideal site by about 0.11 \AA; the displacements of neighboring Tl atoms are correlated. The O(3) atom is shifted from the $4e$ site by about 0.53 \AA{ } roughly along the directions. A comparison of the Tl LIII_{III}-edge XAFS spectra from three samples, with Tc_c=60 K, 76 K, and 89 K, shows that the O environment around the Tl atom is sensitive to Tc_c while the Tl local displacement is insensitive to Tc_c and the structural symmetry. These conclusions are compared with other experimental results and the implications for charge transfer and superconductivity are discussed. This paper has been submitted to Phys. Rev. B.Comment: 20 pages plus 14 ps figures, REVTEX 3.
    corecore