Researching domestic violence and abuse in healthcare settings: challenges and issues

Domestic violence and abuse (DVA) is now recognised as a significant global health and societal issue. Conducting DVA research in healthcare contexts requires the consideration and understanding of a number of practical, methodological and ethical issues. Based on their experiences of working as clinicians and researchers, the authors aim to explore some of the pertinent issues and challenges associated with DVA research conducted in healthcare settings involving patients and/or healthcare professionals or both. A number of ethical, methodological and practical challenges, particularly those associated with research design and data collection, and ethical challenges related to participants and researchers, are explored

Large CP Violation in B_s Meson Mixing with EDM constraint in Supersymmetry

Motivated by the recent measurement of the like-sign dimuon charge asymmetry, we investigate anomalous CP violation in the B_s- bar{B}_s mixing within the supersymmetry. We show that when gluino diagrams dominate supersymmetry contributions, it is very difficult to realize a large B_s- bar{B}_s mixing phase under the constraint from electric dipole moments barring cancellations. This constraint can be ameliorated by supposing superparticles decoupled. In this limit, we find that it is possible to achieve the large CP asymmetry, and the branching ratio of B_s -> mu^+ mu^- tends to become sizable.Comment: 20 pages, 5 figure

Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan, Nigeria

BACKGROUND: Breast cancer is the commonest cancer among women in Nigeria and globally. In Nigeria, late presentations of breast cancer cases have also been consistent for three decades. In an environment where there is no established national screening program for breast cancer, it is pertinent to assess the knowledge of breast cancer and its early detection measures. The objective of this study therefore, was to assess rural women's level of knowledge of breast cancer and its early detection measures. METHODS: The knowledge of various aspects of breast cancer; etiology, early warning signs, treatment modes and early detection measures; was assessed among women in two randomly selected health districts in Akinyele Local Government in Ibadan. The assessment was performed with the use of a self-structured validated questionnaire administered by trained interviewers to 420 women randomly selected from the two health districts. The various aspects of facts about breast cancer were scored and added together to determine respondents' level of knowledge RESULTS: The mean score of knowledge of breast cancer was 55.4 SD 5.4 (range of scores obtainable was 26–78), while the mean score for knowledge of early detection of breast cancer was 24.8 SD 2.3 (range of scores obtainable was 12–36). The leading source of information about breast cancer was "elders, neighbors and friends" and 63(15.4%) acknowledged this source, while only 18 (4.4%) respondents acknowledged health workers as source. Only 54 (13.3%) claimed to have heard about breast self- examination (BSE) however, and the leading source of information about BSE were health workers. Nine (2.2%) of respondents claimed this source. CONCLUSION: This study revealed that respondents lacked knowledge of vital issues about breast cancer and early detection measures. It also revealed that health workers were not forthcoming with information to the public thereby constituting a challenge to community health nurses and other health workers, to provide vital information to the public

Laboratory comparison of aging characteristics of warm mix asphalts involving natural and synthetic water containing additives

When comparing the aging characteristics of hot and warm mix asphalts from a technical point of view, it can intuitively be expected that a warm mix asphalt would be less subjected to aging-induced failures due to lower application temperatures. Since the side effects of warm asphalt technology should be investigated distinctly. This study addresses the aging investigation of properties of bituminous mixtures containing two (i.e., natural and synthetic zeolite) water based additives available on the market. Within the scope of this study, short- and long-term aging conditions were simulated on mixtures containing various contents of additives as well as on control specimens. The aging indices were determined based on the hardness ratio employing indirect tensile strength values in order to investigate the aging induced failures betide by time. Aging indices showed that the specimens with water containing additives demonstrate relatively better resistance against hardening than conventional hot mix asphalt specimens

Machine Learning based Energy Management Model for Smart Grid and Renewable Energy Districts

The combination of renewable energy sources and prosumer-based smart grid is a sustainable solution to cater to the problem of energy demand management. A pressing need is to develop an efficient Energy Management Model (EMM) that integrates renewable energy sources with smart grids. However, the variable scenarios and constraints make this a complex problem. Machine Learning (ML) methods can often model complex and non-linear data better than the statistical models. Therefore, developing an ML algorithm for the EMM is a suitable option as it reduces the complexity of the EMM by developing a single trained model to predict the performance parameters of EMM for multiple scenarios. However, understanding latent correlations and developing trust in highly complex ML models for designing EMM within the stochastic prosumer-based smart grid is still a challenging task. Therefore, this paper integrates ML and Gaussian Process Regression (GPR) in the EMM. At the first stage, an optimization model for Prosumer Energy Surplus (PES), Prosumer Energy Cost (PEC), and Grid Revenue (GR) is formulated to calculate base performance parameters (PES, PEC, and GR) for the training of the ML-based GPR model. In the second stage, stochasticity of renewable energy sources, load, and energy price, same as provided by the Genetic Algorithm (GA) based optimization model for PES, PEC, and GR, and base performance parameters act as input covariates to produce a GPR model that predicts PES, PEC, and GR. Seasonal variations of PES, PEC, and GR are incorporated to remove hitches from seasonal dynamics of prosumers energy generation and prosumers energy consumption. The proposed adaptive Service Level Agreement (SLA) between energy prosumers and the grid benefits both these entities. The results of the proposed model are rigorously compared with conventional optimization (GA and PSO) based EMM to prove the validity of the proposed model

Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran

BACKGROUND: There appear to be geographical differences in decisions to perform mastectomy or breast conserving surgery for early-stage breast cancer. This study was carried out to evaluate general surgeons' preferences in breast cancer surgery and to assess the factors predicting cancer practice in Iran. METHODS: A structured questionnaire was mailed to 235 general surgeons chosen from the address list of the Iranian Medical Council. The questionnaire elicited information about the general surgeons' characteristics and about their work experience, posts they have held, number of breast cancer operations performed per year, preferences for mastectomy or breast conserving surgery, and the reasons for these preferences. RESULTS: In all, 83 surgeons returned the completed questionnaire. The results indicated that only 19% of the surgeons routinely performed breast conserving surgery (BCS) and this was significantly associated with their breast cancer case load (P < 0.01). There were no associations between BCS practice and the other variables studied. The most frequent reasons for not performing BCS were uncertainty about conservative therapy results (46%), uncertainty about the quality of available radiotherapy services (32%), and the probability of patients' non-compliance in radiotherapy (32%). CONCLUSION: The findings indicate that Iranian surgeons do not routinely perform BCS as the first and the best treatment modality. Further research is recommended to evaluate patients' outcomes after BCS treatment in Iran, with regard to available radiotherapy facilities and cultural factors (patients' compliance)

PENGARUH PENGENDALIAN INTERN DAN KOMITMEN ORGANISASI TERHADAP KINERJA ORGANISASI (Survey Pada UMKM Sektor Kuliner Di Kabupaten Karawang)

ABSTRAK Penelitian ini bertujuan untuk mengetahui seberapa besar pengaruh pengendalian intern dan komitmen organisasi terhadap kinerja organisasi. Metode penelitian yang digunakan adalah metode deskriptif dan verifikatif. Teknik pengumpulan data yang dilakukan melalui data primer dengan kuesioner. Populasi pada penelitian ini adalah pelaku UMKM sektor kuliner di Kabupaten Karawang. Jumlah sampel yang diambil sebanyak 46 responden atau UMKM. Teknik sampling menggunakan teknik NonProbability Sampling dengan menggunakan jenis proposinate simple random sampling. Analisis statistik yang digunakan dalam penelitian ini yaitu uji validitas, uji reliabilitas, uji asumsi klasik, analisis regresi linier berganda, uji korelasi, uji parsial, uji simultan, dan koefisien determinasi. Hasil penelitian ini menunjukkan bahwa pengendalian intern berpengaruh terhadap kinerja organisasi dengan pengaruh sebesar 29,5%, komitmen organisasi berpengaruh terhadap kinerja organisasi dengan pengaruh sebesar 36,2% dan hipotesis secara silmutan menunjukan pengendalian intern dan komitmen organisasi berpengaruh terhadap kinerja organisasi dengan pengaruh sebesar 65,7% Kata Kunci: Pengendalian Intern, Komitmen Organisasi, dan Kinerja Organisasi

A telephone survey of cancer awareness among frontline staff: informing training needs

Background: Studies have shown limited awareness about cancer risk factors among hospital-based staff. Less is known about general cancer awareness among community frontline National Health Service and social care staff. Methods: A cross-sectional computer-assisted telephone survey of 4664 frontline community-based health and social care staff in North West England. Results: A total of 671 out of 4664 (14.4%) potentially eligible subjects agreed to take part. Over 92% of staff recognised most warning signs, except an unexplained pain (88.8%, n=596), cough or hoarseness (86.9%, n=583) and a sore that does not heal (77.3%, n=519). The bowel cancer-screening programme was recognised by 61.8% (n=415) of staff. Most staff agreed that smoking and passive smoking ‘increased the chance of getting cancer.’ Fewer agreed about getting sunburnt more than once as a child (78.0%, n=523), being overweight (73.5%, n=493), drinking more than one unit of alcohol per day (50.2%, n=337) or doing less than 30 min of moderate physical exercise five times a week (41.1%, n=276). Conclusion: Cancer awareness is generally good among frontline staff, but important gaps exist, which might be improved by targeted education and training and through developing clearer messages about cancer risk factors

Growth and Viability of Cutaneous Squamous Cell Carcinoma Cell Lines Display Different Sensitivities to Isoform-Specific Phosphoinositide 3-Kinase Inhibitors.

Cutaneous squamous cell carcinomas (cSCCs) account for about 20% of keratinocyte carcinomas, the most common cancer in the UK. Therapeutic options for cSCC patients who develop metastasis are limited and a better understanding of the biochemical pathways involved in cSCC development/progression is crucial to identify novel therapeutic targets. Evidence indicates that the phosphoinositide 3-kinases (PI3Ks)/Akt pathway plays an important role, in particular in advanced cSCC. Questions remain of whether all four PI3K isoforms able to activate Akt are involved and whether selective inhibition of specific isoform(s) might represent a more targeted strategy. Here we determined the sensitivity of four patient-derived cSCC cell lines to isoform-specific PI3K inhibitors to start investigating their potential therapeutic value in cSCC. Parallel experiments were performed in immortalized keratinocyte cell lines. We observed that pan PI3Ks inhibition reduced the growth/viability of all tested cell lines, confirming the crucial role of this pathway. Selective inhibition of the PI3K isoform p110α reduced growth/viability of keratinocytes and of two cSCC cell lines while affecting the other two only slightly. Importantly, p110α inhibition reduced Akt phosphorylation in all cSCC cell lines. These data indicate that growth and viability of the investigated cSCC cells display differential sensitivity to isoform-specific PI3K inhibitors