Inequalities in maternity care and newborn outcomes: one-year surveillance of births in vulnerable slum communities in Mumbai

Background: Aggregate urban health statistics mask inequalities. We described maternity care in vulnerable slum communities in Mumbai, and examined differences in care and outcomes between more and less deprived groups. Methods: We collected information through a birth surveillance system covering a population of over 280 000 in 48 vulnerable slum localities. Resident women identified births in their own localities and mothers and families were interviewed at 6 weeks after delivery. We analysed data on 5687 births over one year to September 2006. Socioeconomic status was classified using quartiles of standardized asset scores. Results: Women in higher socioeconomic quartile groups were less likely to have married and conceived in their teens (Odds ratio 0.74, 95% confidence interval 0.69–0.79, and 0.82, 0.78–0.87, respectively). There was a socioeconomic gradient away from public sector maternity care with increasing socioeconomic status (0.75, 0.70–0.79 for antenatal care and 0.66, 0.61–0.71 for institutional delivery). Women in the least poor group were five times less likely to deliver at home (0.17, 0.10–0.27) as women in the poorest group and about four times less likely to deliver in the public sector (0.27, 0.21–0.35). Rising socioeconomic status was associated with a lower prevalence of low birth weight (0.91, 0.85–0.97). Stillbirth rates did not vary, but neonatal mortality rates fell non-significantly as socioeconomic status increased (0.88, 0.71–1.08). Conclusion: Analyses of this type have usually been applied across the population spectrum from richest to poorest, and we were struck by the regularly stepped picture of inequalities within the urban poor, a group that might inadvertently be considered relatively homogeneous. The poorest slum residents are more dependent upon public sector health care, but the regular progression towards the private sector raises questions about its quality and regulation. It also underlines the need for healthcare provision strategies to take account of both sectors

Casimir Effect in Hyperbolic Polygons

We derive a trace formula for the spectra of quantum mechanical systems in hyperbolic polygons which are the fundamental domains of discrete isometry groups acting in the two dimensional hyperboloid. Using this trace formula and the point splitting regularization method we calculate the Casimir energy for a scalar fields in such domains. The dependence of the vacuum energy on the number of vertexes is established.Comment: Latex, 1

Dark matter-baryons separation at the lowest mass scale: the Bullet Group

We report on the X-ray observation of a strong lensing selected group, SL2S J08544-0121, with a total mass of $2.4 \pm 0.6 \times 10^{14}$ $\rm{M_\odot}$ which revealed a separation of $124\pm20$ kpc between the X-ray emitting collisional gas and the collisionless galaxies and dark matter (DM), traced by strong lensing. This source allows to put an order of magnitude estimate to the upper limit to the interaction cross section of DM of 10 cm$^2$ g$^{-1}$. It is the lowest mass object found to date showing a DM-baryons separation and it reveals that the detection of bullet-like objects is not rare and confined to mergers of massive objects opening the possibility of a statistical detection of DM-baryons separation with future surveys.Comment: 5 pages, 3 figures. Accepted for publication in MNRAS Letters. Typos correcte

First impressions and perceived roles: Palestinian perceptions on foreign aid

This paper summarizes some results of a wider research on foreign aid that was conducted in the West Bank and Gaza Strip in 2010. It seeks to describe the impressions and feelings of Palestinian aid beneficiaries as well as the roles and functions they attached to foreign aid. To capture and measure local perceptions on Western assistance a series of individual in depth interviews and few focus group interviews were conducted in the Palestinian territories. The interview transcripts were processed by content analysis. As research results show — from the perspective of aid beneficiaries — foreign aid is more related to human dignity than to any economic development. All this implies that frustration with the ongoing Israeli-Palestinian conflict inevitably embraces the donor policies and practices too

Generalised Decision Level Ensemble Method for Classifying Multi-media Data

In recent decades, multimedia data have been commonly generated and used in various domains, such as in healthcare and social media due to their ability of capturing rich information. But as they are unstructured and separated, how to fuse and integrate multimedia datasets and then learn from them eectively have been a main challenge to machine learning. We present a novel generalised decision level ensemble method (GDLEM) that combines the multimedia datasets at decision level. After extracting features from each of multimedia datasets separately, the method trains models independently on each media dataset and then employs a generalised selection function to choose the appropriate models to construct a heterogeneous ensemble. The selection function is dened as a weighted combination of two criteria: the accuracy of individual models and the diversity among the models. The framework is tested on multimedia data and compared with other heterogeneous ensembles. The results show that the GDLEM is more exible and eective

Using assignment data to analyse a blended information literacy intervention: a quantitative approach

This research sought to determine whether a blended information literacy learning and teaching intervention could statistically significantly enhance undergraduates’ information discernment compared to standard face-to-face delivery. A mixture of face-to-face and online activities, including online social media learning, was used. Three interventions were designed to develop the information literacies of first-year undergraduates studying Sport and Exercise at Staffordshire University and focused on one aspect of information literacy: the ability to evaluate source material effectively. An analysis was devised where written evaluations of found information for an assessment were converted into numerical scores and then measured statistically. This helped to evaluate the efficacy of the interventions and provided data for further analysis. An insight into how the information literacy pedagogical intervention and the cognitive processes involved in enabling participants to interact critically with information is provided. The intervention which incorporated social media learning proved to be the most successful learning and teaching approach. The data indicated that undergraduate students’ information literacy can be developed. However, additional long-term data is required to establish whether this intervention would have a lasting impact

Constraints on the CMB temperature redshift dependence from SZ and distance measurements

The relation between redshift and the CMB temperature, $T_{CMB}(z)=T_0(1+z)$ is a key prediction of standard cosmology, but is violated in many non-standard models. Constraining possible deviations to this law is an effective way to test the $\Lambda$CDM paradigm and search for hints of new physics. We present state-of-the-art constraints, using both direct and indirect measurements. In particular, we point out that in models where photons can be created or destroyed, not only does the temperature-redshift relation change, but so does the distance duality relation, and these departures from the standard behaviour are related, providing us with an opportunity to improve constraints. We show that current datasets limit possible deviations of the form $T_{CMB}(z)=T_0(1+z)^{1-\beta}$ to be $\beta=0.004\pm0.016$ up to a redshift $z\sim 3$. We also discuss how, with the next generation of space and ground-based experiments, these constraints can be improved by more than one order of magnitude.Comment: 27 pages, 11 figure

Community mobilization in Mumbai slums to improve perinatal care and outcomes: a cluster randomized controlled trial.

Improving maternal and newborn health in low-income settings requires both health service and community action. Previous community initiatives have been predominantly rural, but India is urbanizing. While working to improve health service quality, we tested an intervention in which urban slum-dweller women's groups worked to improve local perinatal health

On Thermodynamical Properties of Some Coset CFT Backgrounds

We investigate the thermodynamical features of two Lorentzian signature backgrounds that arise in string theory as exact CFTs and possess more than two disconnected asymptotic regions: the 2-d charged black hole and the Nappi-Witten cosmological model. We find multiple smooth disconnected Euclidean versions of the charged black hole background. They are characterized by different temperatures and electro-chemical potentials. We show that there is no straightforward analog of the Hartle-Hawking state that would express these thermodynamical features. We also obtain multiple Euclidean versions of the Nappi-Witten cosmological model and study their singularity structure. It suggests to associate a non-isotropic temperature with this background.Comment: 1+39 pages, harvmac, 8 eps figure

On the Resolution of the Time-Like Singularities in Reissner-Nordstrom and Negative-Mass Schwarzschild

Certain time-like singularities are shown to be resolved already in classical General Relativity once one passes from particle probes to scalar waves. The time evolution can be defined uniquely and some general conditions for that are formulated. The Reissner-Nordstrom singularity allows for communication through the singularity and can be termed "beam splitter" since the transmission probability of a suitably prepared high energy wave packet is 25%. The high frequency dependence of the cross section is w^{-4/3}. However, smooth geometries arbitrarily close to the singular one require a finite amount of negative energy matter. The negative-mass Schwarzschild has a qualitatively different resolution interpreted to be fully reflecting. These 4d results are similar to the 2d black hole and are generalized to an arbitrary dimension d>4.Comment: 47 pages, 5 figures. v2: See end of introduction for an important note adde