Zimbabwean diabetics' beliefs about health and illness: an interview study

<p>Abstract</p> <p>Background</p> <p>Diabetes mellitus (DM) is increasing globally, with the greatest increase in Africa and Asia. In Zimbabwe a threefold increase was shown in the 1990s. Health-related behaviour is important in maintaining health and is determined by individual beliefs about health and illness but has seen little study. The purpose of the study was to explore beliefs about health and illness that might affect self-care practice and health care seeking behaviour in persons diagnosed with DM, living in Zimbabwe.</p> <p>Methods</p> <p>Exploratory study. Consecutive sample from a diabetes clinic at a central hospital. Semi-structured interviews were held with 21 persons aged 19-65 years. Data were analysed using qualitative content analysis.</p> <p>Results</p> <p>Health was described as freedom from disease and well-being, and individual factors such as compliance with advice received and drugs were considered important to promote health. A mixture of causes of DM, predominantly individual factors such as heredity, overweight and wrong diet in combination with supernatural factors such as fate, punishment from God and witchcraft were mentioned. Most respondents did not recognize the symptoms of DM when falling ill but related the problems to other diseases, e.g. HIV, malaria etc. Limited knowledge about DM and the body was indicated. Poor economy was mentioned as harmful to health and a consequence of DM because the need to buy expensive drugs, food and attend check-ups. Self-care was used to a limited extent but if used, a combination of individual measures, household remedies or herbs and religious acts such as prayers and holy water were frequently used, and in some cases health care professionals were consulted.</p> <p>Conclusions</p> <p>Limited knowledge about DM, based on beliefs about health and illness including biomedical and traditional explanations related to the influence of supernatural forces, e.g. fate, God etc., were found, which affected patients' self-care and care-seeking behaviour. Strained economy was stated to be a factor of the utmost importance affecting the management of DM and thus health. To develop cost-effective and optimal diabetes care in a country with limited resources, not only educational efforts based on individual beliefs are needed but also considering systemic and structural conditions in order to promote health and to prevent costly consequences of DM.</p

Norms for an Isometric Muscle Endurance Test

Musculoskeletal performance assessment is critical in the analysis of physical training programs in order to prioritize goals for decreasing injury risk and focusing performance goals. Abdominal endurance as part of this analysis is often assessed with techniques that have validity that has been debated in literature. The purpose of this study was to develop normative sex- and athlete-specific percentiles for a trunk stabilization and muscular endurance by using a prone forearm plank test in college-aged students. A second purpose of this study was to investigate the effect of habitual physical activity and the reason for test termination. There were 471 participants (means SE; males: n = 194, age 20.4 0.2 years, body height 179.4 0.5 cm, body mass 81.1 1.2 kg; females: n = 277, age 20.2 0.2 years, body height 165.7 0.4 cm, body mass 63.9 0.7 kg) who performed this test to volitional or technique failure. Males produced significantly higher test durations than females (means SD; 124 72 seconds vs. 83 63 seconds) and athletes produced significantly longer test durations than non-athletes (123 69 s vs. 83 63 s) but no interaction effects were seen in the variables of sex and athletic status. The activity level was found to have a threshold of influence (\u3e3 times/week) on abdominal endurance that is dose-specific where greater than 5 times/week showed the greatest influence. The fatigue of the abdominals was the termination reason producing the lowest test duration and there was no sex effect on reason for test termination. These normative percentiles for abdominal endurance suggest that the abdominal plank test can now be used as an alternative to other abdominal assessments in college students, but further investigation is warranted prior to confirmation and generalization to other populations

Law Libraries and Laboratories: The Legacies of Langdell and His Metaphor

Law Librarians and others have often referred to Harvard Law School Dean C.C. Langdell’s statements that the law library is the lawyer’s laboratory. Professor Danner examines the context of what Langdell through his other writings, the educational environment at Harvard in the late nineteenth century, and the changing perceptions of university libraries generally. He then considers how the “laboratory metaphor” has been applied by librarians and legal scholars during the twentieth century and into the twenty-first. The article closes with thoughts on Langdell’s legacy for law librarians and the usefulness of the laboratory metaphor

Современные представления о НСV−инфекции

Рассмотрены достижения в изучении этиологии, патогенеза и клиники НСV−инфекции. Описаны современные возможности лабораторной и инструментальной диагностики заболевания, основные принципы лечения в зависимости от тяжести течения и активности патологического процесса в печени.The achievements in the study of the etiology, pathogenesis and clinical manifestations of HCV infection are discussed. Contemporary capabilities of laboratory and instrumental diagnosis of the disease as well as main principles of treatment depending on the severity of the course and activity of the pathological process in the liver are described

High field x-ray diffraction study on a magnetic-field-induced valence transition in YbInCu4

We report the first high-field x-ray diffraction experiment using synchrotron x-rays and pulsed magnetic fields exceeding 30 T. Lattice deformation due to a magnetic-field-induced valence transition in YbInCu4 is studied. It has been found that the Bragg reflection profile at 32 K changes significantly at around 27 T due to the structural transition. In the vicinity of the transition field the low-field and the high-field phases are observed simultaneously as the two distinct Bragg reflection peaks: This is a direct evidence of the fact that the field-induced valence state transition is the first order phase transition. The field-dependence of the low-field-phase Bragg peak intensity is found to be scaled with the magnetization.Comment: 5 pages, 6 figures, submitted to J. Phys. Soc. Jp

HST FOC spectroscopy of the NLR of NGC 4151. I. Gas kinematics

We present the results from a detailed kinematic analysis of both ground-based, and Hubble Space Telescope/Faint Object Camera long-slit spectroscopy at sub-arcsec spatial resolution, of the narrow-line region of NGC 4151. In agreement with previous work, the extended emission gas (R > 4") is found to be in normal rotation in the galactic plane, a behaviour that we were able to trace even across the nuclear region, where the gas is strongly disturbed by the interaction with the radio jet, and connects smoothly with the large scale rotation defined by the neutral gas emission. The HST data, at 0.029" spatial resolution, allow us for the first time to truly isolate the kinematic behaviour of the individual clouds in the inner narrow-line region. We find that, underlying the perturbations introduced by the radio ejecta, the general velocity field can still be well represented by planar rotation down to a radius of ~ 0.5" (30 pc), distance at which the rotation curve has its turnover. The most striking result that emerges from our analysis is that the galaxy potential derived fitting the rotation curve changes from a "dark halo" at the ENLR distances to dominated by the central mass concentration in the NLR, with an almost Keplerian fall-off in the 1"< R < 4" interval. The observed velocity of the gas at 0.5" implies a mass of M ~ 10E9 M(sol) within the inner 60 pc. The presence of a turnover in the rotation curve indicates that this central mass concentration is extended. The first measured velocity point (outside the region saturated by the nucleus) would imply an enclosed mass of ~ 5E7 M(sol) within R ~ 0.15" (10 pc) which represents an upper limit to any nuclear point mass.Comment: 30 pages (aaspp4.sty), 14 figures. Fig. 1, 2 and 4 available by anonymous FTP at 143.54.2.51 (cd /pub/winge) as GIF files; or upon request to [email protected]. Accepted for publication in the Astrophysical Journal (part 1