Health education and the control of urogenital schistosomiasis: assessing the impact of the Juma na Kichocho comic-strip medical booklet in Zanzibar

Endeavours to control urogenital schistosomiasis on Unguja Island (Zanzibar) have focused on school-aged children. To assess the impact of an associated health education campaign, the supervised use of the comic-strip medical booklet Juma na Kichocho by Class V pupils attending eighteen primary schools was investigated. A validated knowledge and attitudes questionnaire was completed at baseline and repeated one year later following the regular use of the booklet during the calendar year. A scoring system (ranging from 0.0 to 5.0) measured children's understandings of schistosomiasis and malaria, with the latter being a neutral comparator against specific changes for schistosomiasis. In 2006, the average score from 751 children (328 boys and 423 girls) was 2.39 for schistosomiasis and 3.03 for malaria. One year later, the score was 2.43 for schistosomiasis and 2.70 for malaria from 779 children (351 boys and 428 girls). As might be expected, knowledge and attitudes scores for schistosomiasis increased (+0.05), but not as much as originally hoped, while the score for malaria decreased (-0.33). According to a Kolmogorov-Smirnov test, neither change was statistically significant. Analysis also revealed that 75% of school children misunderstood the importance of reinfection after treatment with praziquantel. These results are disappointing. They demonstrate that it is mistaken to assume that knowledge conveyed in child-friendly booklets will necessarily be interpreted, and acted upon, in the way intended. If long-term sustained behavioural change is to be achieved, health education materials need to engage more closely with local understandings and responses to urogenital schistosomiasis. This, in turn, needs to be part of the development of a more holistic, biosocial approach to the control of schistosomiasis

A New Evolutionary Path to Type Ia Supernovae: Helium-Rich Super-Soft X-Ray Source Channel

We have found a new evolutionary path to Type Ia supernovae (SNe Ia) which has been overlooked in previous work. In this scenario, a carbon-oxygen white dwarf (C+O WD) is originated, not from an asymptotic giant branch star with a C+O core, but from a red-giant star with a helium core of $\sim 0.8-2.0 M_\odot$. The helium star, which is formed after the first common envelope evolution, evolves to form a C+O WD of $\sim 0.8-1.1 M_\odot$ with transferring a part of the helium envelope onto the secondary main-sequence star. This new evolutionary path, together with the optically thick wind from mass-accreting white dwarf, provides a much wider channel to SNe Ia than previous scenarios. A part of the progenitor systems are identified as the luminous supersoft X-ray sources or the recurrent novae like U Sco, which are characterized by the accretion of helium-rich matter. The white dwarf accretes hydrogen-rich, helium-enhanced matter from a lobe-filling, slightly evolved companion at a critical rate and blows excess matter in the wind. The white dwarf grows in mass to the Chandrasekhar mass limit and explodes as an SN Ia. A theoretical estimate indicates that this channel contributes a considerable part of the inferred rate of SNe Ia in our Galaxy, i.e., the rate is about ten times larger than the previous theoretical estimates for white dwarfs with slightly evolved companions.Comment: 19 pages including 12 figures, to be published in ApJ, 519, No.

Electric transport properties of single-walled carbon nanotubes functionalized by plasma ion irradiation method

科研費報告書収録論文(課題番号:13852016/研究代表者:畠山力三/プラズマイオン照射による新機能性進化ナノチューブ創製法の開発

Paraunitary oversampled filter bank design for channel coding

Oversampled filter banks (OSFBs) have been considered for channel coding, since their redundancy can be utilised to permit the detection and correction of channel errors. In this paper, we propose an OSFB-based channel coder for a correlated additive Gaussian noise channel, of which the noise covariance matrix is assumed to be known. Based on a suitable factorisation of this matrix, we develop a design for the decoder's synthesis filter bank in order to minimise the noise power in the decoded signal, subject to admitting perfect reconstruction through paraunitarity of the filter bank. We demonstrate that this approach can lead to a significant reduction of the noise interference by exploiting both the correlation of the channel and the redundancy of the filter banks. Simulation results providing some insight into these mechanisms are provided

Tobacco use and nicotine dependence among people living with HIV who drink heavily in South Africa: a cross-sectional baseline study

Abstract

Rarity and limited geographical coverage of individual level alcohol interventions in sub Saharan Africa: findings from a scoping review

Introduction: A previous review on brief alcohol interventions in sub-Sahara Africa showed most of the interventions were implemented in East and Southern Africa. We carried a scoping review to assess the current amount and types of alcohol interventions in SSA. Methods: We searched six databases (MEDLINE, EMBASE, Global Health, Africa-wide, CINAHL and PsycINFO) for publications prior to June 2018. We used the search terms for alcohol use, alcohol intervention and African countries’ names. We identified 59 papers on alcohol interventions of which 26 were eligible for inclusion in the final analysis. Results: Of the 26 eligible papers, 18(69 %) were carried out in South Africa. Majority 15(58%) of the interventions were randomized clinical trial, followed by seven (27%) quasi-experimental and evaluation of the intervention and five (19%) cluster randomized trials. Most of the studies targeted patients and pregnant women. Only a few studies focused on sex workers and students. Conclusions: Our findings show that the assessment of effectiveness of individual level alcohol interventions is rare in SSA. In addition, these interventions were polarized in two countries. There is an urgent need for an evidence base on the effectiveness of alcohol interventions commensurate with the scope of the problem in SSA