Effects of cash transfers on Children's health and social protection in Sub-Saharan Africa: differences in outcomes based on orphan status and household assets

BACKGROUND: Unconditional and conditional cash transfer programmes (UCT and CCT) show potential to improve the well-being of orphans and other children made vulnerable by HIV/AIDS (OVC). We address the gap in current understanding about the extent to which household-based cash transfers differentially impact individual children’s outcomes, according to risk or protective factors such as orphan status and household assets. METHODS: Data were obtained from a cluster-randomised controlled trial in eastern Zimbabwe, with random assignment to three study arms – UCT, CCT or control. The sample included 5,331 children ages 6-17 from 1,697 households. Generalized linear mixed models were specified to predict OVC health vulnerability (child chronic illness and disability) and social protection (birth registration and 90% school attendance). Models included child-level risk factors (age, orphan status); household risk factors (adults with chronic illnesses and disabilities, greater household size); and household protective factors (including asset-holding). Interactions were systematically tested. RESULTS: Orphan status was associated with decreased likelihood for birth registration, and paternal orphans and children for whom both parents’ survival status was unknown were less likely to attend school. In the UCT arm, paternal orphans fared better in likelihood of birth registration compared with non-paternal orphans. Effects of study arms on outcomes were not moderated by any other risk or protective factors. High household asset-holding was associated with decreased likelihood of child’s chronic illness and increased birth registration and school attendance, but household assets did not moderate the effects of cash transfers on risk or protective factors. CONCLUSION: Orphaned children are at higher risk for poor social protection outcomes even when cared for in family-based settings. UCT and CCT each produced direct effects on children’s social protection which are not moderated by other child- and household-level risk factors, but orphans are less likely to attend school or obtain birth registration. The effects of UCT and CCT are not moderated by asset-holding, but greater household assets predict greater social protection outcomes. Intervention efforts need to focus on ameliorating the additional risk burden carried by orphaned children. These efforts might include caregiver education, and additional incentives based on efforts made specifically for orphaned children

Abell 1430: A merging cluster with exceptional diffuse radio emission

Diffuse radio emission has been found in many galaxy clusters, predominantly in massive systems which are in the state of merging. The radio emission can usually be classified as relic or halo emission, which are believed to be related to merger shocks or volume-filling turbulence, respectively. Recent observations have revealed radio bridges for some pairs of very closeby galaxy clusters. The mechanisms that may allow to explain the high specific density of relativistic electrons, necessary to explain the radio luminosity of these bridge regions, are poorly explored. We analyse the galaxy cluster Abell 1430 with LoTSS data in detail and complement it with recent JVLA L-band observations, XMM-Newton, Chandra, and SDSS data. Moreover, we compare our results to clusters extracted from the "The Three Hundred Project" cosmological simulation. We find that Abell 1430 consists of two components, namely A1430-A and A1430-B. We speculate that the two components undergo an off-axis merger. The more massive component shows diffuse radio emission which can be classified as radio halo showing a low radio power given the mass of the cluster. Most interestingly, there is extended diffuse radio emission, dubbed as the `Pillow', which is apparently related to A1430-B and thus related to low density intracluster or intergalactic medium. To date, a only few examples for emission originating from such regions are known. These discoveries are crucial to constrain possible acceleration mechanisms, which may allow to explain the presence of relativistic electrons in these regions. Our results indicate a spectral index of $\alpha_{144\,\text{MHz}}^{1.5\,\text{GHz}}=-1.4\pm0.5$ for the Pillow. If future observations confirm a slope as flat as the central value of -1.4 or even flatter, this would pose a severe challenge for the electron acceleration scenarios.Comment: 14 pages, 12 figures, accepted for publication in A&

Clinical 18F-FDG and amyloid brain positron emission tomography/CT in the investigation of cognitive impairment: where are we now?

The number of people living with dementia is increasing, but as yet there remains no cure or disease-modifying treatment. This review aims to help readers understand the role of 18F-FDG PET/CT imaging in the investigation of cognitive impairment and how the advent of amyloid PET/CT imaging may hold the key to radically changing management of the most common form of dementia - Alzheimer's disease. The indications for 18F-FDG PET/CT and amyloid PET/CT imaging in cognitive impairment are outlined. Additionally, the mechanisms of action, technique, patient preparation and acquisition parameters for both are detailed. We conclude by providing a framework for interpreting 18F-FDG PET/CT and amyloid PET/CT imaging in the more common conditions that lead to cognitive impairment conditions with tips on avoiding pitfalls in interpretation

Asset ownership among households caring for orphans and vulnerable children in rural Zimbabwe: The influence of ownership on children's health and social vulnerabilities

The high prevalence of human immunodeficiency virus/acquired immune deficiency syndrome in sub-Saharan Africa has resulted in a dramatic increase in orphans and vulnerable children (OVC) over the past decade. These children typically rely on extended family networks for support, but the magnitude of the crisis has resulted in traditional familial networks becoming overwhelmed and more economically and socially vulnerable. Previous research consistently demonstrates the positive influence of household asset ownership on children's well-being. Using data from impoverished households caring for OVC in rural Manicaland Province, Zimbabwe, this study explores the influence of household asset ownership on OVC health vulnerability (HV) and social vulnerability (SV). Findings indicate that asset ownership is associated with significantly lower SV, in terms of school attendance and birth registration. Yet, assets do not emerge as a direct influence of OVC HV as measured by disease and chronic illness, although having a chronically ill adult in the household increases HV. These findings suggest that asset ownership, specifically a combination of fixed and movable assets, may offset the influence of other risk factors for children's SV

New mysteries and challenges from the Toothbrush relic: wideband observations from 550 MHz to 8 GHz

Context. Radio relics are diffuse extended synchrotron sources that originate from shock fronts induced by galaxy cluster mergers. The particle acceleration mechanism at the shock fronts is still under debate. The galaxy cluster 1RXS J0603.3+4214 hosts one of the most intriguing examples of radio relics, known as the Toothbrush. Aims. In order to understand the mechanism(s) that accelerate(s) relativistic particles in the intracluster medium, we investigated the spectral properties of large-scale diffuse extended sources in the merging galaxy cluster 1RXS J0603.3+4214. Methods. We present new wideband radio continuum observations made with uGMRT and VLA. Our new observations, in combination with previously published data, allowed us to carry out a detailed high-spatial-resolution spectral and curvature analysis over a wide range of frequencies. Results. The integrated spectrum of the Toothbrush closely follows a power law over almost two orders of magnitude in frequency, with a spectral index of −1.16 ± 0.02. We do not find any evidence of spectral steepening below 8 GHz. The subregions of the Toothbrush also exhibit near-perfect power laws and identical spectral slopes, suggesting that the observed spectral index is rather set by the distribution of Mach numbers which may have a similar shape at different parts of the shock front. Indeed, numerical simulations show an intriguing similar spectral index, indicating that the radio spectrum is dominated by the average over the inhomogeneities within the shock, with most of the emission coming from the tail of the Mach number distribution. In contrast to the Toothbrush, the spectra of the fainter relics show a high-frequency steepening. Moreover, the integrated spectrum of the halo also follows a power law from 150 MHz to 3 GHz with a spectral index of −1.16 ± 0.04. We do not find any evidence for spectral curvature, not even in subareas of the halo. This suggest a homogeneous acceleration throughout the cluster volume. Between the “brush” region of the Toothbrush and the halo, the color-color analysis reveals emission that was consistent with an overlap between the two different spectral regions. Conclusions. None of the relic structures, that is, the Toothbrush as a whole or its subregions or the other two fainter relics, show spectral shapes consistent with a single injection of relativistic electrons, such as at a shock, followed by synchrotron aging in a relatively homogeneous environment. Inhomogeneities in some combination of Mach number, magnetic field strength, and projection effects dominate the observed spectral shapes

Correction to: The practice of emergency radiology throughout Europe: a survey from the European Society of Emergency Radiology on volume, staffing, equipment, and scheduling (European Radiology, (2021), 31, 5, (2994-3001), 10.1007/s00330-020-07436-x)

The original version of this article, published on 05 November 2020, unfortunately contained a mistake. The following correction has therefore been made in the original: The spelling of Michael N. Patlas’ name was incorrect. The corrected author list is given above. The original article has been corrected

The practice of emergency radiology throughout Europe. a survey from the european society of emergency radiology on volume, staffing, equipment, and scheduling

Objectives: To obtain information from radiology departments throughout Europe regarding the practice of emergency radiology Methods: A survey which comprised of 24 questions was developed and made available online. The questionnaire was sent to 1097 chairs of radiology departments throughout Europe using the ESR database. All data were collected and analyzed using IBM SPSS Statistics software, version 20 (IBM). Results: A total of 1097 radiologists were asked to participate, 109 responded to our survey. The response rate was 10%. From our survey, 71.6% of the hospitals had more than 500 beds. Ninety-eight percent of hospitals have an active teaching affiliation. In large trauma centers, emergency radiology was considered a dedicated section. Fifty-three percent of institutions have dedicated emergency radiology sections. Less than 30% had all imaging modalities available. Seventy-nine percent of institutions have 24/7 coverage by staff radiologists. Emergency radiologists interpret cross-sectional body imaging, US scans, and basic CT/MRI neuroimaging in more than 50% of responding institutions. Cardiac imaging examinations/procedures are usually performed by cardiologist in 53% of institutions, while non-cardiac vascular procedures are largely performed and interpreted by interventional radiologists. Most people consider the European Diploma in Emergency Radiology an essential tool to advance the education and the dissemination of information within the specialty of emergency radiology. Conclusion: Emergency radiologists have an active role in the emergency medical team. Indeed, based upon our survey, they have to interact with emergency physicians and surgeons in the management of critically ill patients. A broad skillset from ultrasonography and basic neuroimaging is required. Key Points: • At most major trauma centers in Europe, emergency imaging is currently performed by all radiologists in specific units who are designated in the emergency department. • Radiologists in the emergency section at present have a broad skillset, which includes cross-sectional body imaging, ultrasonography, and basic neuroimaging of the brain and spine. • A dedicated curriculum that certifies a subspecialty in emergency radiology with a diploma offered by the European Society of Emergency Radiology demonstrates a great interest by the vast majority of the respondents