Cash-based interventions to enhance dignity in persistent humanitarian refugee crises: a system dynamics approach

Cash-based interventions (CBIs) as one form of aid have recently received substantial interest from humanitarian organizations in persistent humanitarian crises. This article proposes a system dynamics (SD) approach to study the CBIs' impact factors on all aspects of the beneficiaries' dignity in longstanding refugee crises, such as the case of Syrian refugees in Turkey. Reviewing the humanitarian management literature,we first develop a set of holistic causal loops to better understand the building boxes of refugees’ dignity and their interactions. Then, an SD model is proposed and calibrated by field data from humanitarian organizations. The result of CBI amount sensitivity and payment time periods shows that CBIs are significantly more effective in diminishing child labor rates and to improve in health and accommodation service reception by the refugees in short terms, but to be as much effective in longer terms, humanitarian organizations must be more directly contribute to service capacity-building activities that are strategies by the hosting governments and supported by the international bodies, such as EU and UN.Otherwise, long-term or enhanced CBI supports can only lead to accelerated service capacity saturation and thus put extra pressure on already strained services and cause tensions between hosting and refugee communities

The Study of Cognitive Function and Related Factors in Patients With Heart Failure

Background: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. Objectives: To determine cognitive function and related factors in patients with heart failure. Materials and Methods: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. Results: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001 ), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient’s comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. Conclusions: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning

The forgotten girls: the state of evidence for health interventions for pregnant adolescents and their newborns in low-income and middle-income countries

Every year, an estimated 21 million girls aged 15–19 years become pregnant in low-income and middle-income countries (LMICs). Policy responses have focused on reducing the adolescent birth rate whereas efforts to support pregnant adolescents have developed more slowly. We did a systematic review of interventions addressing any health-related outcome for pregnant adolescents and their newborn babies in LMICs and mapped its results to a framework describing high-quality health systems for pregnant adolescents. Although we identified some promising interventions, such as micronutrient supplementation, conditional cash transfers, and well facilitated group care, most studies were at high risk of bias and there were substantial gaps in evidence. These included major gaps in delivery, abortion, and postnatal care, and mental health, violence, and substance misuse-related outcomes. We recommend that the fields of adolescent, maternal, and sexual and reproductive health collaborate to develop more adolescent-inclusive maternal health care and research, and specific interventions for pregnant adolescents. We outline steps to develop high-quality, evidence-based care for the millions of pregnant adolescents and their newborns who currently do not receive this

Effect of a static magnetic field on bone healing in the dog: radiographic and histopathological studies

Summary Although the promotional effects on bone healing of pulsed electromagnetic fields (PEMF) have been well demonstrated, the effects of static magnetic fields (SMF) remained unclear. In this study, effects of a custom-made magnetic wrap on radiographic and histopathological aspects of bone healing using a canine unstable osteotomy gap model were investigated. After an osteotomy of the midshaft radius, bone healing was evaluated over an 8-week-period in the control dogs (n = 5) and dogs exposed to SMF (1000 gauss) (n = 5). Bone healing was evaluated by qualitative and quantitative evaluation of serial radiographs every 2 weeks. Histopathological study was also performed on osteotomized radii upon completion of the experimental period. Dogs exposed to SMF had more advanced radiographic healing of osteotomy sites. Cellular morphology scores of the SMF group was significantly greater as compared with the control group (P&lt;0.05). These results suggested that using the osteotomy gap model, SMF enhanced the radiographic and histopathological aspects of bone healing in dogs. Dogs at risk for delayed healing of fractures may benefit from treatment with SMF

Mutualist-Provisioned Resources Impact Vector Competency

ABSTRACT Many symbionts supplement their host’s diet with essential nutrients. However, whether these nutrients also enhance parasitism is unknown. In this study, we investigated whether folate (vitamin B9) production by the tsetse fly (Glossina spp.) essential mutualist, Wigglesworthia, aids auxotrophic African trypanosomes in completing their life cycle within this obligate vector. We show that the expression of Wigglesworthia folate biosynthesis genes changes with the progression of trypanosome infection within tsetse. The disruption of Wigglesworthia folate production caused a reduction in the percentage of flies that housed midgut (MG) trypanosome infections. However, decreased folate did not prevent MG trypanosomes from migrating to and establishing an infection in the fly’s salivary glands, thus suggesting that nutrient requirements vary throughout the trypanosome life cycle. We further substantiated that trypanosomes rely on symbiont-generated folate by feeding this vitamin to Glossina brevipalpis, which exhibits low trypanosome vector competency and houses Wigglesworthia incapable of producing folate. Folate-supplemented G. brevipalpis flies were significantly more susceptible to trypanosome infection, further demonstrating that this vitamin facilitates parasite infection establishment. Our cumulative results provide evidence that Wigglesworthia provides a key metabolite (folate) that is “hijacked” by trypanosomes to enhance their infectivity, thus indirectly impacting tsetse species vector competency. Parasite dependence on symbiontderived micronutrients, which likely also occurs in other arthropod vectors, represents a relationship that may be exploited to reduce disease transmission. IMPORTANCE Parasites elicit several physiological changes in their host to enhance transmission. Little is known about the functional association between parasitism and microbiota-provisioned resources typically dedicated to animal hosts and how these goods may be rerouted to optimize parasite development. This study is the first to identify a specific symbiont-generated metabolite that impacts insect vector competence by facilitating parasite establishment and, thus, eventual transmission. Specifically, we demonstrate that the tsetse fly obligate mutualist Wigglesworthia provisions folate (vitamin B9) that pathogenic African trypanosomes exploit in an effort to successfully establish an infection in the vector’s MG. This process is essential for the parasite to complete its life cycle and be transmitted to a new vertebrate host. Disrupting metabolic contributions provided by the microbiota of arthropod disease vectors may fuel future innovative control strategies while also offering minimal nontarget effects

Interacting viscous ghost tachyon, K-essence and dilaton scalar field models of dark energy

We study the correspondence between the interacting viscous ghost dark energy model with the tachyon, K-essence and dilaton scalar field models in the framework of Einstein gravity. We consider a spatially non-flat FRW universe filled with interacting viscous ghost dark energy and dark matter. We reconstruct both the dynamics and potential of these scalar field models according to the evolutionary behavior of the interacting viscous ghost dark energy model, which can describe the accelerated expansion of the universe. Our numerical results show that the interaction and viscosity have opposite effects on the evolutionary properties of the ghost scalar filed models.Comment: 16 pages, 17 figure

Future perspectives in melanoma research. Meeting report from the "Melanoma Research: a bridge Naples-USA. Naples, December 6th-7 th2010"

Progress in understanding the molecular basis of melanoma has made possible the identification of molecular targets with important implications in clinical practice. In fact, new therapeutic approaches are emerging from basic science and it will be important to implement their rapid translation into clinical practice by active clinical investigation

A review of system dynamics models applied in social and humanitarian researches

Over the past decades, the number of disasters has been on the rise, including earthquakes, war, flood and other incidents that cause destruction of society, such as education and health services. Forecasts show that over the next 50 years, natural and manmade disasters are expected to increase five-folds both in the number and impact. Therefore, there is a need for effective and efficient disaster support actions during emergencies. This compels humanitarian organizations to improve the effectiveness and efficiency of their approaches and facilitate decision making in resolving such complicated problems characterized by numerous parameters. Besides, humanitarian organizations face situations with multiple critical events, inadequate funding, limited time to plan and react, and operating in increasingly challenging circumstances. Useful approaches for tackling problems in such dynamic conditions require methods and tools that take into account uncertainty and enable managers to evaluate the dynamic complexity of such systems, to facilitate decision making. Among the large amount of decision-aid tools for humanitarian organizations, System Dynamic (SD) is a method used for the evaluation of complex system behavior and for presenting the effect of decisions over time in an easy-to-use model. This method has been applied in humanitarian problems, and this paper aims to present a review of the most relevant humanitarian publications associated with system dynamics. This literature review is a structured review of the papers published since 2003 onwards. The finding of this research can be used to facilitate further research in developing the system dynamic methodology for humanitarian organizations and to present the essential requirement of SD tools for modeling complex environments

Fractionation of cellulose nanocrystals : enhancing liquid crystal ordering without promoting gelation

Colloids of electrically charged nanorods can spontaneously develop a fluid yet ordered liquid crystal phase, but this ordering competes with a tendency to form a gel of percolating rods. The threshold for ordering is reduced by increasing the rod aspect ratio, but the percolation threshold is also reduced with this change; hence, prediction of the outcome is nontrivial. Here, we show that by establishing the phase behavior of suspensions of cellulose nanocrystals (CNCs) fractionated according to length, an increased aspect ratio can strongly favor liquid crystallinity without necessarily influencing gelation. Gelation is instead triggered by increasing the counterion concentration until the CNCs lose colloidal stability, triggering linear aggregation, which promotes percolation regardless of the original rod aspect ratio. Our results shine new light on the competition between liquid crystal formation and gelation in nanoparticle suspensions and provide a path for enhanced control of CNC self-organization for applications in photonic crystal paper or advanced composites

New Mechanics of Traumatic Brain Injury

The prediction and prevention of traumatic brain injury is a very important aspect of preventive medical science. This paper proposes a new coupled loading-rate hypothesis for the traumatic brain injury (TBI), which states that the main cause of the TBI is an external Euclidean jolt, or SE(3)-jolt, an impulsive loading that strikes the head in several coupled degrees-of-freedom simultaneously. To show this, based on the previously defined covariant force law, we formulate the coupled Newton-Euler dynamics of brain's micro-motions within the cerebrospinal fluid and derive from it the coupled SE(3)-jolt dynamics. The SE(3)-jolt is a cause of the TBI in two forms of brain's rapid discontinuous deformations: translational dislocations and rotational disclinations. Brain's dislocations and disclinations, caused by the SE(3)-jolt, are described using the Cosserat multipolar viscoelastic continuum brain model. Keywords: Traumatic brain injuries, coupled loading-rate hypothesis, Euclidean jolt, coupled Newton-Euler dynamics, brain's dislocations and disclinationsComment: 18 pages, 1 figure, Late