Incentives for breastfeeding and for smoking cessation in pregnancy: An exploration of types and meanings

Financial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by providing insights into incentive acceptability and mechanisms of action. Systematic evidence syntheses of incentive intervention studies for smoking cessation in pregnancy or breastfeeding identified incentive characteristics, which were developed into initial categories. Little published qualitative data on user perspectives and acceptability was available. Qualitative interviews and focus groups conducted in three UK regions with a diverse socio-demographic sample of 88 women and significant others from the target population, 53 service providers, 24 experts/decision makers, and conference attendees identified new potential incentives and providers, with and without experience of incentives. Identified incentives (published and emergent) were classified into eight categories: cash and shopping vouchers, maternal wellbeing, baby and pregnancy-related, behaviour-related, health-related, general utility, awards and certificates, and experiences. A typology was refined iteratively through concurrent data collection and thematic analysis to explore participants' understandings of ‘incentives’ and to compare and contrast meanings across types. Our typology can be understood in three dimensions: the degree of restriction, the extent to which each is hedonic and/or utilitarian, and whether each has solely monetary value versus monetary with added social value. The layers of autonomy, meanings and the social value of incentive types influence their acceptability and interact with structural, social, and personal factors. Dimensions of incentive meaning that go beyond the simple incentive description should inform incentive programme design and are likely to influence outcomes

Asthma during pregnancy

Journal ArticleOBJECTIVE: To determine neonatal and maternal outcomes stratified by asthma severity during pregnancy by using the 1993 National Asthma Education Program Working Group on Asthma and Pregnancy definitions of asthma severity. The primary hypothesis was that moderate or severe asthmatics would have an increased incidence of delivery at <32 weeks of gestation compared with nonasthmatic controls. METHODS: This was a multicenter, prospective, observational cohort study conducted over 4 years at 16 university hospital centers. Asthma severity was defined according to the National Asthma Education Program Working Group on Asthma and Pregnancy classification and modified to include medication requirements. This study had 80% power to detect a 2- to 3-fold increase in delivery less than 32 weeks of gestation among the cohort with the moderate or severe asthma compared with controls. Secondary outcome measures included obstetrical and neonatal outcomes. RESULTS: The final analysis included 881 nonasthmatic controls, 873 with mild asthma, 814 with moderate, and 52 with severe asthma. There were no significant differences in the rates of preterm delivery less than 32 weeks (moderate or severe 3.0%, mild 3.4%, controls 3.3%; P =.873) or less than 37 weeks of gestation. There were no significant differences for neonatal outcomes except discharge diagnosis of neonatal sepsis among the mild group compared with controls, adjusted odds ratio 2.9, 95% confidence interval 1.2, 6.8. There were no significant differences for maternal complications except for an increase in overall cesarean delivery rate among the moderate-or-severe group compared with controls (adjusted odds ratio 1.4, 95% confidence interval 1.1, 1.8). CONCLUSION: Asthma was not associated with a significant increase in preterm delivery or other adverse perinatal outcomes other than a discharge diagnosis of neonatal sepsis. Cesarean delivery rate was increased among the cohort with moderate or severe asthma. LEVEL OF EVIDENCE: II-

Generalization of Hasimoto's transformation

In this paper, we generalize the famous Hasimoto's transformation by showing that the dynamics of a closed unidimensional vortex filament embedded in a three-dimensional manifold of constant curvature gives rise under Hasimoto's transformation to the non-linear Schrodinger equation. We also give a natural interpretation of the function \psi introduced by Hasimoto in terms of moving frames associated to a natural complex bundle over the filament

SOCI430B: Perspectives on Global Citizenship Syllabus 2011-2012

This document details the goals and objectives, curriculum design, structure, and presentation of Perspectives on Global Citizenship &ndash; an interdisciplinary and interactive online course.&nbsp; The course was designed to complement students&rsquo; specialized areas of learning, and to challenge students to consider what responsibility they have &ndash; within their political, social, cultural and professional contexts &ndash; to participate as active global citizens.&nbsp; It comprises twelve weekly thematic modules, on a Blackboard Vista course management platform, and makes use of Vista communication and collaboration tools.&nbsp; Themes include:&nbsp; &bull; Ethics of Global Citizenship&nbsp; &bull; What is citizenship?&nbsp; &bull; The Challenge of Global Divisions: Race, Ethnicity, Nation, State&nbsp; &bull; Challenging Old Conceptions of Citizenship: Diversity and Multiculturalism &bull; The Challenge of Being Informed: Media, Communications and Critical Thinking&nbsp; &bull; Poverty&nbsp; &bull; Requirements for a Healthy Society&nbsp; &bull; Consumerism and Consumer Choices&nbsp; &bull; Human Impact on the Environment&nbsp; &bull; Sustainability&nbsp; &bull; Global Citizenship in Action&nbsp; Students participate in weekly topical discussions with peers from different disciplines and institutions, and complete four short written assignments over the course of the semester. Assessment is continuous, of both discussion contributions and written work

Near-Threshold eta Meson Production in Proton-Proton Collisions

The production of eta mesons has been measured in the proton-proton interaction close to the reaction threshold using the COSY-11 internal facility at the cooler synchrotron COSY. Total cross sections were determined for eight different excess energies in the range from 0.5 MeV to 5.4 MeV. The energy dependence of the total cross section is well described by the available phase-space volume weighted by FSI factors for the proton-proton and proton-eta pairs.Comment: 9 pages, 1 table, 5 figure

Histone H1 binding to nucleosome arrays depends on linker DNA length and trajectory

Throughout the genome, nucleosomes often form regular arrays that differ in nucleosome repeat length (NRL), occupancy of linker histone H1 and transcriptional activity. Here, we report cryo-EM structures of human H1-containing tetranucleosome arrays with four physiologically relevant NRLs. The structures show a zig-zag arrangement of nucleosomes, with nucleosomes 1 and 3 forming a stack. H1 binding to stacked nucleosomes depends on the NRL, whereas H1 always binds to the non-stacked nucleosomes 2 and 4. Short NRLs lead to altered trajectories of linker DNA, and these altered trajectories sterically impair H1 binding to the stacked nucleosomes in our structures. As the NRL increases, linker DNA trajectories relax, enabling H1 contacts and binding. Our results provide an explanation for why arrays with short NRLs are depleted of H1 and suited for transcription, whereas arrays with long NRLs show full H1 occupancy and can form transcriptionally silent heterochromatin regions

Competing forces of withdrawal and disease avoidance in the risk networks of people who inject drugs

We analyze a network of needle-sharing ties among 117 people who inject drugs (PWID) in rural Puerto Rico, using exponential random graph modeling to examine whether network members engage in partner restriction to lower their risk of contracting HIV or hepatitis C (HCV), or in informed altruism to prevent others from contracting these infections. Although sharing of used syringes is a significant risk factor for transmission of these diseases among PWID, we find limited evidence for partner restriction or informed altruism in the network of reported needle-sharing ties. We find however that sharing of needles is strongly reciprocal, and individuals with higher injection frequency are more likely to have injected with a used needle. Drawing on our ethnographic work, we discuss how the network structures we observe may relate to a decision-making rationale focused on avoiding withdrawal sickness, which leads to risk-taking behaviors in this poor, rural context where economic considerations often lead PWID to cooperate in the acquisition and use of drugs

Homotheties and topology of tangent sphere bundles

We prove a Theorem on homotheties between two given tangent sphere bundles $S_rM$ of a Riemannian manifold $M,g$ of $\dim\geq 3$, assuming different variable radius functions $r$ and weighted Sasaki metrics induced by the conformal class of $g$. New examples are shown of manifolds with constant positive or with constant negative scalar curvature, which are not Einstein. Recalling results on the associated almost complex structure $I^G$ and symplectic structure ${\omega}^G$ on the manifold $TM$, generalizing the well-known structure of Sasaki by admitting weights and connections with torsion, we compute the Chern and the Stiefel-Whitney characteristic classes of the manifolds $TM$ and $S_rM$.Comment: 15 pages, to appear in Journal of Geometr

Some constructions of almost para-hyperhermitian structures on manifolds and tangent bundles

In this paper we give some examples of almost para-hyperhermitian structures on the tangent bundle of an almost product manifold, on the product manifold $M\times\mathbb{R}$, where $M$ is a manifold endowed with a mixed 3-structure and on the circle bundle over a manifold with a mixed 3-structure.Comment: 10 pages; This paper has been presented in the "4th German-Romanian Seminar on Geometry" Dortmund, Germany, 15-18 July 200

Pay Attention: Accuracy Versus Interpretability Trade-off in Fine-tuned Diffusion Models

The recent progress of diffusion models in terms of image quality has led to a major shift in research related to generative models. Current approaches often fine-tune pre-trained foundation models using domain-specific text-to-image pairs. This approach is straightforward for X-ray image generation due to the high availability of radiology reports linked to specific images. However, current approaches hardly ever look at attention layers to verify whether the models understand what they are generating. In this paper, we discover an important trade-off between image fidelity and interpretability in generative diffusion models. In particular, we show that fine-tuning text-to-image models with learnable text encoder leads to a lack of interpretability of diffusion models. Finally, we demonstrate the interpretability of diffusion models by showing that keeping the language encoder frozen, enables diffusion models to achieve state-of-the-art phrase grounding performance on certain diseases for a challenging multi-label segmentation task, without any additional training. Code and models will be available at https://github.com/MischaD/chest-distillation