Household decision-making about delivery in health facilities: evidence from Tanzania.

This study investigated how partners' perceptions of the healthcare system influence decisions about delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu district, Tanzania, to identify women who had given birth in the last five years and their partners. Of 826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors associated with delivery in a health facility were agreement of partners on the importance of delivering in a health facility and agreement that skills of doctors are better than those of traditional birth attendants. When partners disagreed, the opinion of the woman was more influential in determining delivery-location. Agreement of partners regarding perceptions about the healthcare system appeared to be an important driver of decisions about delivery-location. These findings suggest that both partners should be included in the decision-making process regarding delivery to raise rates of delivery at facility

Self-Perceived Health and Outlook Among the Rural Elderly

Differences in life outlook and self-perceived health often attributed to age differences among the elderly were found to be more accurately explained by education. The young-old (62-74 years) and the old-old (75 years and older) were compared among 495 elderly in two rural counties in western Arkansas. The old-old were more likely than the young-old to perceive their health as better than that of others their age. But when six variables including age were entered into a predictive model for self-perceived health, differences were explained by education. That is, those with better educations rated their health more positively. There was no difference between the two age groups in sick days, although the old-old reported more days hospitalized and trips to the doctor. However, no predictive model for health status measured was statistically significant. On measures of life satisfaction, the old-old were slightly more pessimistic than the young-old. But the age difference in life outlook was explained by education when the data were controlled for other variables. The customary division of the elderly into young-old and old-old is questioned, and policy implications of the findings are discussed

Intergalactic Baryons in the Local Universe

Simulations predict that shocks from large-scale structure formation and galactic winds have reduced the fraction of baryons in the warm, photoionized phase (the Lya forest) from nearly 100% in the early universe to less than 50% today. Some of the remaining baryons are predicted to lie in the warm-hot ionized medium (WHIM) phase at T=10^5-10^7 K, but the quantity remains a highly tunable parameter of the models. Modern UV spectrographs have provided unprecedented access to both the Lya forest and potential WHIM tracers at z~0, and several independent groups have constructed large catalogs of far-UV IGM absorbers along ~30 AGN sight lines. There is general agreement between the surveys that the warm, photoionized phase makes up ~30% of the baryon budget at z~0. Another ~10% can be accounted for in collapsed structures (stars, galaxies, etc.). However, interpretation of the ~100 high-ion (OVI, etc) absorbers at z<0.5 is more controversial. These species are readily created in the shocks expected to exist in the IGM, but they can also be created by photoionization and thus not represent WHIM material. Given several pieces of observational evidence and theoretical expectations, I argue that most of the observed OVI absorbers represent shocked gas at T~300,000 K rather than photoionized gas at T<30,000 K, and they are consequently valid tracers of the WHIM phase. Under this assumption, enriched gas at T=10^5-10^6 K can account for ~10% of the baryon budget at z<0.5, but this value may increase when bias and incompleteness are taken into account and help close the gap on the 50% of the baryons still "missing".Comment: Invited review to appear in "Future Directions in Ultraviolet Spectroscopy", Oct 20-22, 2008, Annapolis, MD, M. E. Van Steenberg, ed. (April 2009). 8 pages, five figure

Studying the Warm-Hot Intergalactic Medium in Emission

We assess the possibility to detect the warm-hot intergalactic medium (WHIM) in emission and to characterize its physical conditions and spatial distribution through spatially resolved X-ray spectroscopy, in the framework of the recently proposed DIOS, EDGE, Xenia, and ORIGIN missions, all of which are equipped with microcalorimeter-based detectors. For this purpose we analyze a large set of mock emission spectra, extracted from a cosmological hydrodynamical simulation. These mock X-ray spectra are searched for emission features showing both the OVII K alpha triplet and OVIII Ly alpha line, which constitute a typical signature of the warm hot gas. Our analysis shows that 1 Ms long exposures and energy resolution of 2.5 eV will allow us to detect about 400 such features per deg^2 with a significance >5 sigma and reveals that these emission systems are typically associated with density ~100 above the mean. The temperature can be estimated from the line ratio with a precision of ~20%. The combined effect of contamination from other lines, variation in the level of the continuum, and degradation of the energy resolution reduces these estimates. Yet, with an energy resolution of 7 eV and all these effects taken into account, one still expects about 160 detections per deg^2. These line systems are sufficient to trace the spatial distribution of the line-emitting gas, which constitute an additional information, independent from line statistics, to constrain the poorly known cosmic chemical enrichment history and the stellar feedback processes.Comment: 19 pages, 10 figures, ApJ in press; revised version according to revie

A Comparison of Ultraviolet, Optical, and X-Ray Imagery of Selected Fields in the Cygnus Loop

During the Astro-1 and Astro-2 Space Shuttle missions in 1990 and 1995, far ultraviolet (FUV) images of five 40' diameter fields around the rim of the Cygnus Loop supernova remnant were observed with the Ultraviolet Imaging Telescope (UIT). These fields sampled a broad range of conditions including both radiative and nonradiative shocks in various geometries and physical scales. In these shocks, the UIT B5 band samples predominantly CIV 1550 and the hydrogen two-photon recombination continuum. Smaller contri- butions are made by emission lines of HeII 1640 and OIII] 1665. We present these new FUV images and compare them with optical Halpha and [OIII], and ROSAT HRI X-ray images. Comparing the UIT images with those from the other bands provides new insights into the spatial variations and locations of these different types of emission. By comparing against shock model calculations and published FUV spectroscopy at select locations, we surmise that resonance scattering in the strong FUV permitted lines is widespread in the Cygnus Loop, especially in the bright optical filaments typically selected for observation in most previous studies.Comment: 21 pages with 10 figures. See http://www.pha.jhu.edu/~danforth/uit/ for full-resolution figure

The effect of feedback on the emission properties of the Warm-Hot Intergalactic Medium

At present, 30-40 per cent of the baryons in the local Universe is still undetected. According to theoretical predictions, this gas should reside in filaments filling the large-scale structure (LSS) in the form of a Warm-Hot Intergalactic Medium (WHIM), at temperatures of 10^5 - 10^7 K, thus emitting in the soft X-ray energies via free-free interaction and line emission from heavy elements. In this work we characterize the properties of the X-ray emission of the WHIM, and the LSS in general, focusing on the influence of different physical mechanisms, namely galactic winds (GWs), black-hole feedback and star-formation, and providing estimates of possible observational constraints. To this purpose we use a set of cosmological hydrodynamical simulations that include a self-consistent treatment of star-formation and chemical enrichment of the intergalactic medium, that allows us to follow the evolution of different metal species. We construct a set of simulated light-cones to make predictions of the emission in the 0.3-10 keV energy range. We obtain that GWs increase by a factor of 2 the emission of both galaxy clusters and WHIM. The amount of oxygen at average temperature and, consequently, the amount of expected bright Ovii and Oviii lines is increased by a factor of 3 due to GWs and by 20 per cent when assuming a top-heavy IMF. We compare our results with current observational constraints and find that the emission from faint groups and WHIM should account from half to all of the unresolved X-ray background in the 1-2 keV band.Comment: 15 pages, 8 figures, 4 tables. Accepted for publication in the MNRAS. Minor changes after referee repor

Expected properties of the Two-Point Autocorrelation Function of the IGM

Recent analyses of the fluctuations of the soft Diffuse X-ray Background (DXB) have provided indirect detection of a component consistent with the elusive Warm Hot Intergalactic Medium (WHIM). In this work we use theoretical predictions obtained from hydrodynamical simulations to investigate the angular correlation properties of the WHIM in emission and assess the possibility of indirect detection with next-generation X-ray missions. Our results indicate that the angular correlation signal of the WHIM is generally weak but dominates the angular correlation function of the DXB outside virialized regions. Its indirect detection is possible but requires rather long exposure times [0.1-1] Ms, large (~1{\deg} x1{\deg}) fields of view and accurate subtraction of isotropic fore/background contributions, mostly contributed by Galactic emission. The angular correlation function of the WHIM is positive for {\theta} < 5' and provides limited information on its spatial distribution. A satisfactory characterization of the WHIM in 3D can be obtained through spatially resolved spectroscopy. 1 Ms long exposures with next generation detectors will allow to detect ~400 O VII+O VIII X-ray emission systems that we use to trace the spatial distribution of the WHIM. We predict that these observations will allow to estimate the WHIM correlation function with high statistical significance out to ~10 Mpc h^-1 and characterize its dynamical state through the analysis of redshift-space distortions. The detectable WHIM, which is typically associated with the outskirts of virialized regions rather than the filaments has a non-zero correlation function with slope {\gamma} = -1.7 \pm 0.1 and correlation length r0 = 4.0 \pm 0.1 Mpc h^-1 in the range r = [4.5, 12] Mpc h^-1. Redshift space distances can be measured to assess the dynamical properties of the gas, typically infalling onto large virialized structures.Comment: 17 pages, 2 tables, 11 figures, Final version, accepted for publication on MNRA