Heteroepitaxy of 3-5 compound semiconductors on insulating substrates Interim report

Heteroepitaxial growth of GaAs films on aluminum oxide substrates by trimethylgallium-arsine proces

Social Conditions of Nebraska\u27s Elderly

In 1991, the authors conducted a study of 500 older Nebraskans, comparing 300 people in Omaha and its surrounding counties with a sample of 200 who lived in the very rural Sandhills counties. The purpose of that study was to compare health and health care experience and satisfaction between urban and rural-dwelling elders. Random samples of older people were identified and interviewed by trained telephone operators; each interview took about a half hour. People were asked about their experiences with health and illness, the distance to their primary source of medical care and the distance to the hospital they use, their levels of satisfaction with that health care provider and hospital, their experience with dental care and satisfaction with it, and a number of questions dealing with their health beliefs. Levels of functioning and disability were also assessed through activities of daily living scales

Requirements for Quality of Life Instruments in Clinical Research

AbstractThe ability to produce high quality instruments for the assessment of quality of life has advanced considerably in recent years. As the science progresses it has become clear that certain standards must be met if outcome measures are to be capable of providing useful, reliable, and valid information within the context of clinical studies and trials. This paper specifies what these standards are with particular reference to theoretical basis, practicality, acceptability to respondents, unidimensionality, scaling and psychometric properties, and cultural validity and equivalence. The paper also indicates how failure to achieve such standards results in measures that are inaccurate and insensitive to true changes in outcome

Measuring the psychosocial consequences of screening

The last three decades have seen a dramatic rise in the implementation of screening programmes for cancer in industrialised countries. However, in contrast to screening for infectious diseases, most cancer screening programmes only have the potential to reduce mortality; they cannot lower the incidence of cancer in a population. In fact, most cancer screening programmes have been shown to increase the incidence of the disease as a consequence of over-diagnosis. A further dilemma of cancer screening programmes is that they do not distinguish between healthy people and those with disease. Rather, they identify a continuum of disease severity. Consequently, many healthy people who have abnormal screening tests are wrongly diagnosed. Indeed, studies have demonstrated that for each screening-prevented death from cancer, at least 200 false-positive results are given. Therefore, screening has the potential to be harmful as well as beneficial. The psychosocial consequences of false-positive screening results cannot be determined by diagnostic tests or by other technical means. Instead, patient reported outcome measures must be employed. To measure the outcomes of screening accurately and comprehensively patient reported outcome measures have to capture; the nature and extent of the psychosocial consequences and how these change over time. The outcome measures used must have high content validity and their psychometric properties should be determined prior to their use in the specific population. In particular it is important to establish unidimensionality, additivity and item ordering through the application of Item Response Theory

The difficulty with responding to policy changes for HIV and infant feeding in Malawi

<p>Abstract</p> <p>Background</p> <p>When and how to wean breastfed infants exposed to HIV infection has provoked extensive debate, particularly in low-income countries where safe alternatives to breastfeeding are rarely available. Although there is global consensus on optimal infant-feeding practices in the form of guidelines, practices are sub-optimal in much of sub-Saharan Africa. Policy-makers and health workers face many challenges in adapting and implementing these guidelines.</p> <p>Methods</p> <p>This paper is based on in-depth interviews with five policy-makers and 11 providers of interventions to prevent mother-to-child transmission (PMTCT) of HIV, participant observations during clinic sessions and site visits.</p> <p>Results</p> <p>The difficulties with adapting the global infant-feeding guidelines in Malawi have affected the provision of services. There was a lack of consensus on HIV and infant-feeding at all levels and general confusion about the 2006 guidelines, particularly those recommending continued breastfeeding after six months if replacement feeding is not acceptable, feasible, affordable, sustainable and safe. Health workers found it particularly difficult to advise women to continue breastfeeding after six months. They worried that they would lose the trust of the PMTCT clients and the population at large, and they feared that continued breastfeeding was unsafe. Optimal support for HIV-infected women was noted in programmes where health workers were multi-skilled; coordinated their efforts and had functional, multidisciplinary task forces and engaged communities. The recent 2009 recommendations are the first to support antiretroviral (ARV) use by mothers or children during breastfeeding. Besides promoting maternal health and providing protection against HIV infection in children, the new Rapid Advice has the potential to resolve the difficulties and confusion experienced by health workers in Malawi.</p> <p>Conclusions</p> <p>The process of integrating new evidence into institutionalised actions takes time. The challenge of keeping programmes, and especially health workers, up-to-standard is a dynamic process. Effective programmes require more than basic resources. Along with up-to-date information, health workers need contextualized, easy-to-follow guidelines in order to effectively provide services. They also require supportive supervision during the processes of change. Policy-makers should ensure that consensus is carefully considered and that comprehensive perspectives are incorporated when adapting the global guidelines.</p

#EndMaleGuardianship: women’s rights, social media and the Arab public sphere

This study examines the online communicative dynamics between women and men during the Saudi women’s rights campaign to end male guardianship, which unfolded on Twitter. We analysed 2.7 million tweets with the #EndMaleGuardianship hashtag over a 7-month period quantitatively and 150,245 of these qualitatively to examine the extent to which Twitter shapes and facilitates cross-gender communication, and how this helped engender new spaces for expression of dissent. Our study shows that Twitter provided shared online communicative spaces that had several characteristics commonly associated with public sphere(s). There is also evidence that using these alternatives spaces, women transcended to an extent the gender segregation that exists in traditional public discourses and spaces of Saudi society. The anonymity of Twitter offered women a safe place to deliberate their concerns about male guardianship. We suggest that these deliberations created a counterpublic sphere of sorts, which helped Saudi women legitimise the #EndMaleGuardianship campaign

Dyeability of corona-treated fabrics

In this study, corona technology is applied in the wet processing of cotton fabrics. The properties of cotton, such as hydrophilicity, ionisation and mechanical properties, are evaluated and compared with previous results of cuticle oxidation and morphological changes. The results of dyeings of coronatreated materials under different conditions are compared with those of raw, bleached and desized cotton. The dyeings are carried out with three different commercial direct dyes. The classical method for the processing of cotton materials and the corona discharge method are discussed and compared in order to analyse the advantages of this innovative process