30 research outputs found

    Gendered governing: Leadership experiences of seven women former governors

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    Fifty years ago, Second Wave feminists theorized that American culture was dominated by patriarchal systems that subordinated women to second class citizenship status (Brown, 1988; Dolan, Deckman & Swers, 2010). In the 21st century, women have become highly visible candidates for office on a national level. Since 1925, 31 women have served as governors; 20 were elected to office, three replaced their husbands, and eight became governor by Constitutional succession (CAWP, 2012). Many women of the Third Wave generation, or Post-feminists, reject the theory that male oppression continues to influence women’s life choices, some claiming that there is no need today for organized efforts on behalf of women’s equality (Jackson, 2010). However, little is actually known about the leadership experiences of female governors, in part because there are still relatively few to sample (Thomas, 2003). Qualitative research provides the appropriate methodology to determine the impact of gender on the leadership experiences of female governors by documenting their own narratives (Glesne, 1999) about their terms ranging from 1984 through 2005. In the mini-case studies of seven women who served as governor, the degree to which women experienced asymmetrical power as a result of patriarchal systems they encountered in office is examined through their oral histories. The study found that all of the women governors perceived that a double standard applied to their leadership: receiving less support from their colleagues in political parties, as well as more criticism and inequitable coverage from mass media news sources. All of the women reported an inability to discuss gender-related leadership issues for fear of handicapping their administrations. Thus, the study concludes that patriarchal systems continue to affect women governors, despite their winning the highest elected office in the US, short of the Presidency

    Bio-Based Renewable Additives for Anti-Icing Applications (Phase II)

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    The performance and impacts of several agro-based anti-icers along with a traditional chloride-based anti-icer (salt brine) were evaluated. A statistical design of experiments (central composite design) was employed for developing anti-icing liquids consisting of cost-competitive chemicals such as agro-based compounds (e.g., Concord grape extract and glycerin), sodium chloride, sodium metasilicate, and sodium formate. The following experimentally obtained parameters were examined as a function of the formulation design: ice-melting capacity at 25°F (−3.9°C), splitting strength of Portland cement mortar samples after 10 freeze-thaw/deicer cycles, corrosion rate of C1010 carbon steel after 24-hour immersion, and impact on asphalt binder stiffness and m-value. One viable formula (“best performer”) was tested for thermal properties by measuring its differential scanning calorimetry (DSC) thermograms, the friction coefficient of asphalt pavement treated by this anti-icing formulation (vs. 23 wt.% NaCl and beet juice blend) at 25°F after being applied at 30 gallons per lane mile (1 hour after simulated trafficking and plowing), and other properties (pH, oxygen demand in COD). Laboratory data shed light on the selection and formulation of innovative agro-based snow- and ice-control chemicals that can significantly reduce the costs of winter maintenance operations

    Blood Lead Levels and Risk Factors for Lead Exposure in a Pediatric Population in Ho Chi Minh City, Vietnam.

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    Although lead recycling activities are a known risk factor for elevated blood levels in South East Asia, little is known regarding the prevalence of and risk factors for elevated blood lead levels (BLL) among the general pediatric population in Vietnam. This study is a cross-sectional evaluation of 311 children from Children's Hospital #2 in Ho Chi Minh City, Vietnam. Capillary blood lead testing was performed using the LeadCare II. Mean BLLs were 4.97 Îźg/dL (Standard Deviation (SD) 5.50), with 7% of the participants having levels greater than 10 Îźg/dL. Living in Bing Duong province (OR 2.7, 95% CI 1.4-5.6.1) or the Dong Nai province (OR 2.3, 95% CI 1.0-5.1) and having an age greater than 12 months (OR 6.0, 95% CI 3.1-11.8) were associated with higher BLLs. The prevalence of elevated BLLs in Vietnam is consistent with other SE Asian countries. Mean BLLs in Ho Chi Minh City are markedly less than those seen in a separate study of children living near lead recycling activities. Additional evaluation is necessary to better detail potential risk factors if screening is to be implemented within Vietnam

    Household Air Pollution and Acute Lower Respiratory Infections in Adults: A Systematic Review.

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    INTRODUCTION: Household air pollution from solid fuel burning kills over 4 million people every year including half a million children from acute lower respiratory infections. Although biologically plausible, it is not clear whether household air pollution is also associated with acute lower respiratory infections in adults. We systematically reviewed the literature on household air pollution and acute lower respiratory infection in adults to identify knowledge gaps and research opportunities. METHODS: Ten bibliographic databases were searched to identify studies of household air pollution and adult acute lower respiratory infection. Data were extracted from eligible studies using standardised forms. RESULTS: From 4617 titles, 513 abstracts and 72 full-text articles were reviewed. Eight studies met the inclusion criteria of which 2 found a significant adjusted increased risk of acute lower respiratory infection, 2 identified a univariate association whilst 4 found no significant association. Study quality was generally limited. Heterogeneity in methods and findings precluded meta-analysis. DISCUSSION: A systematic review of the literature found limited evidence for an association between household air pollution and risk of acute lower respiratory infection in adults. Additional research, with carefully defined exposure and outcome measures, is required to complete the risk profile caused by household air pollution in adults. REGISTRATION NUMBER: CRD42015028042

    A health intervention or a kitchen appliance? Household costs and benefits of a cleaner burning biomass-fuelled cookstove in Malawi

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    Pneumonia is the leading cause of mortality for children under five years in sub-Saharan Africa. Household air pollution has been found to increase risk of pneumonia, especially due to exposure from dirty burning biomass fuels. It has been suggested that advanced stoves, which burn fuel more efficiently and reduce smoke emissions, may help to reduce household air pollution in poor, rural settings. This qualitative study aims to provide an insight into the household costs and perceived benefits from use of the stove in Malawi. It was conducted alongside The Cooking and Pneumonia Study (CAPS), the largest village cluster-level randomised controlled trial of an advanced combustion cookstove intervention to prevent pneumonia in children under five to date. In 2015, using 100 semi-structured interviews this study assessed household time use and perceptions of the stove from both control and intervention participants taking part in the CAPS trial in Chilumba. Household direct and indirect costs associated with the intervention were calculated. Users overwhelming liked using the stove. The main reported benefits were reduced cooking times and reduced fuel consumption. In most interviews, the health benefits were not initially identified as advantages of the stove, although when prompted, respondents stated that reduced smoke emissions contributed to a reduction in respiratory symptoms. The cost of the stove was much higher than most respondents said they would be willing to pay. The stoves were not primarily seen as health products. Perceptions of limited impact on health was subsequently supported by the CAPS trial data which showed no significant effect on pneumonia. While the findings are encouraging from the perspective of acceptability, without innovative financing mechanisms, general uptake and sustained use of the stove may not be possible in this setting. The findings also raise the question of whether the stoves should be marketed and championed as ‘health interventions’

    Pneumonia and exposure to household air pollution in children under the age of 5 years in rural Malawi findings from the Cooking And Pneumonia Study

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    Background Exposure to household air pollution is associated with an increased risk of pneumonia in children in low- and middle-income countries, however exposure-response data are limited and there are uncertainties around the extent to which biomass-fueled cookstoves can reduce these exposures. Research question What is the association between exposure to household air pollution and pneumonia in children under the age of 5 years in rural Malawi and what are the effects of a biomass-fueled cookstove intervention on personal exposure to household air pollution? Study design and methods We measured personal exposure to carbon monoxide (CO) [48 hours of continuous measurement and transcutaneous carboxyhemoglobin (COHb)] 6-monthly in children participating in a cluster-randomised controlled trial of a cleaner-burning biomass-fueled cookstove intervention to prevent pneumonia in children under the age of 5 years in rural Malawi – the Cooking And Pneumonia Study (CAPS). Exposure-response and multi-variable analyses were done. Results We recruited 1805 (928 intervention; 877 control) children (mean age 25.6 months, 50.6% female). We found no evidence of an association between exposure to CO (IRR=1.0 95% CI:0.967-1.014; p=0.53) or COHb (IRR=1.00 95% CI:0.993-1.003; p=0.41)) in children who experienced pneumonia versus those who did not. Median exposure to CO in the intervention and control groups was was 0.34 ppm (IQR 0.15-0.81) and 0.37 ppm (IQR 0.15-0.97), respectively. The group difference in means was 0.46 (95% CI:-0.95-0.012; p=0.06). Interpretation Exposure to CO in our population was low with no association seen between exposure to CO and pneumonia incidence and no effect of the CAPS intervention on these exposures. These findings suggest that CO may not be an appropriate measure of household air pollution exposure in settings like rural Malawi and that there is a need to develop ways to directly measure particulate matter exposures in young children instead

    Implementation of World Health Organization Integrated Management of Childhood Illnesses (IMCI) Guidelines for the Assessment of Pneumonia in the Under 5s in Rural Malawi

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    The Cooking and Pneumonia Study (CAPS) is a pragmatic cluster-level randomized controlled trial of the effect of an advanced cookstove intervention on pneumonia in children under the age of 5 years (under 5s) in Malawi (www.capstudy.org). The primary outcome of the trial is the incidence of pneumonia during a two-year follow-up period, as diagnosed by healthcare providers who are using the World Health Organization (WHO) integrated management of childhood illnesses (IMCI) pneumonia assessment protocol and who are blinded to the trial arms. We evaluated the quality of pneumonia assessment in under 5s in this setting via a cross-sectional study of provider-patient encounters at nine outpatient clinics located within the catchment area of 150 village-level clusters enrolled in the trial across the two study locations of Chikhwawa and Karonga, Malawi, between May and June 2015 using the IMCI guidelines as a benchmark. Data were collected using a key equipment checklist, an IMCI pneumonia knowledge test, and a clinical evaluation checklist. The median number of key equipment items available was 6 (range 4 to 7) out of a possible 7. The median score on the IMCI pneumonia knowledge test among 23 clinicians was 75% (range 60% to 89%). Among a total of 176 consultations performed by 15 clinicians, a median of 9 (range 3 to 13) out of 13 clinical evaluation tasks were performed. Overall, the clinicians were adequately equipped for the assessment of sick children, had good knowledge of the IMCI guidelines, and conducted largely thorough clinical evaluations. We recommend the simple pragmatic approach to quality assurance described herein for similar studies conducted in challenging research settings

    Bio-Based Renewable Additives for Anti-icing Applications (Phase II)

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    T1462-14The performance and impacts of several agro-based anti-icers along with a traditional chloride-based anti-icer (salt brine) were evaluated. A statistical design of experiments (central composite design) was employed for developing anti-icing liquids consisting of cost-competitive chemicals such as agro-based compounds (e.g., Concord grape extract and glycerin), sodium chloride, sodium metasilicate, and sodium formate. The following experimentally obtained parameters were examined as a function of the formulation design: ice-melting capacity at 25\ub0F ( 123.9\ub0C), splitting strength of Portland cement mortar samples after 10 freeze-thaw/deicer cycles, corrosion rate of C1010 carbon steel after 24-hour immersion, and impact on asphalt binder stiffness and m-value. One viable formula (\u201cbest performer\u201d) was tested for thermal properties by measuring its differential scanning calorimetry (DSC) thermograms, the friction coefficient of asphalt pavement treated by this anti-icing formulation (vs. 23 wt.% NaCl and beet juice blend) at 25\ub0F after being applied at 30 gallons per lane mile (1 hour after simulated trafficking and plowing), and other properties (pH, oxygen demand in COD). Laboratory data shed light on the selection and formulation of innovative agro-based snow-and ice-control chemicals that can significantly reduce the costs of winter maintenance operations
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