857 research outputs found
Determinants of the Knowledge of and Attitude towards Tuberculosis in Nigeria
Globally, Nigeria had the fourth highest incidence of tuberculosis (TB)
cases in 2009. Datasets of the 2008 Nigeria Demographic and Health
Survey (NDHS) were used for examining factors associated with
respondents\u2019 knowledge of and attitude towards TB in Nigeria.
With the same age-group of males and females, the sample included
47,193 respondents aged 15-49 years. Factors associated with the
knowledge of and attitude towards TB were examined against a set of
individual-, household- and community-level variables, using multiple
binary logistic regression analyses. Respondents who reported having
ever heard of TB was 74.7%. Of those who ever heard of TB, 76.9%
believed that TB can be cured, and 19.6% would want a family
member\u2019s TB to be kept secret. Of those who ever heard of TB,
63.1% believed that TB was spread from person to person through the air
by coughing or sneezing. Multivariate analysis indicated that the
probability of having poor knowledge of and negative attitude towards
TB was consistently significant among the poorest household (lowest
wealth quintile), geopolitical regions (North Central), respondents
with no schooling, non-working respondents, youngest age-group (15-19
years), and rural areas [adjusted odds ratios (AOR)=0.76, 95% CI
0.66-0.86 for respondents who had ever heard of TB; AOR=0.89, 95% CI
0.80-0.99 for respondents who had ever heard of TB and believed that TB
can be cured; AOR=0.83, 95% CI 0.73-0.94 for those who had ever heard
of TB and concealed the fact that a family member had TB; and AOR=0.88,
95% CI 0.78-0.99 for those who had ever heard of TB and believed TB was
spread from person to person through the air by coughing or sneezing].
Efforts to improve the knowledge of and attitude towards TB in Nigeria
should focus on the youngest age-group (15-19 years), the poorest
households, and respondents with no schooling. Improving the knowledge
and attitude of these groups of individuals may result in an increase
in the number of people who will seek early treatment
Soliton molecules in trapped vector Nonlinear Schrodinger systems
We study a new class of vector solitons in trapped Nonlinear Schrodinger
systems modelling the dynamics of coupled light beams in GRIN Kerr media and
atomic mixtures in Bose-Einstein condensates. These solitons exist for
different spatial dimensions, their existence is studied by means of a
systematic mathematical technique and the analysis is made for inhomogeneous
media
Assessment of a community health worker training program in the Peruvian Amazon demonstrates effective learning retention: Implications for health care education in a resource-limited setting
Modelling negative linear compressibility in tetragonal beam structures
Copyright © 2012 Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in Mechanics of Materials. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Mechanics of Materials, Volume 46 (2012), DOI: 10.1016/j.mechmat.2011.12.007Most materials compress axially in all directions when loaded hydrostatically. Contrary to this, some materials have been discovered that exhibit negative linear compressibility and, as such, expand along a specific axis or plane. This paper analyses a fundamental mechanism by using a combination of finite element simulations and analytical derivations to show that negative linear compressibility can be found in a body-centred or face-centred tetragonal network of nodes connected by a network of beams. The magnitude and direction of this behaviour depends on the cross geometry in the network
Acceptability of aspirin for cancer preventive therapy: a survey and qualitative study exploring the views of the UK general population
Objectives Aspirin could be offered for colorectal cancer prevention for the UK general population. To ensure the views of the general population are considered in future guidance, we explored public perceptions of aspirin for preventive therapy.
Design We conducted an online survey to investigate aspirin use, and awareness of aspirin for cancer prevention among the UK general population. We conducted semistructured interviews with a subsample of survey respondents to explore participants’ acceptability towards aspirin for cancer preventive therapy. We analysed the interview data using reflexive thematic analysis and mapped the themes onto the Theoretical Domains Framework, and the Necessity and Concerns Framework.
Setting Online survey and remote interviews.
Participants We recruited 400 UK respondents aged 50–70 years through a market research company to the survey. We purposefully sampled, recruited and interviewed 20 survey respondents.
Results In the survey, 19.0% (76/400) of respondents were aware that aspirin can be used to prevent cancer. Among those who had previously taken aspirin, 1.9% (4/216) had taken it for cancer prevention. The interviews generated three themes: (1) perceived necessity of aspirin; (2) concerns about side effects; and (3) preferred information sources. Participants with a personal or family history of cancer were more likely to perceive aspirin as necessary for cancer prevention. Concerns about taking aspirin at higher doses and its side effects, such as gastrointestinal bleeding, were common. Many described wanting guidance and advice on aspirin to be communicated from sources perceived as trustworthy, such as healthcare professionals.
Conclusions Among the general population, those with a personal or family history of cancer may be more receptive towards taking aspirin for preventive therapy. Future policies and campaigns recommending aspirin may be of particular interest to these groups. Multiple considerations about the benefits and risks of aspirin highlight the need to support informed decisions on the medication
Mitigating a global expansion of toxic cyanobacterial blooms: Confounding effects and challenges posed by climate change
Managing and mitigating the global expansion of toxic cyanobacterial harmful algal blooms (CyanoHABs) is a major challenge facing researchers and water resource managers. Various approaches, including nutrient load reduction, artificial mixing and flushing, omnivorous fish removal, algaecide applications and sediment dredging, have been used to reduce bloom occurrences. However, managers now face the additional challenge of having to address the effects of climate change on watershed hydrological and nutrient load dynamics, water temperature, mixing regime and internal nutrient cycling. Rising temperatures and increasing frequencies and magnitudes of extreme weather events, including tropical cyclones, extratropical storms, floods and droughts, all promote CyanoHABs and affect the efficacy of ecosystem remediation measures. These climatic changes will likely require setting stricter nutrient (including both nitrogen and phosphorus) reduction targets for bloom control in affected waters. In addition, the efficacy of currently used methods to reduce CyanoHABs will need to be re-evaluated in light of the synergistic effects of climate change with nutrient enrichment
Mitigating eutrophication and toxic cyanobacterial blooms in large lakes: The evolution of a dual nutrient (N and P) reduction paradigm
Cyanobacterial harmful algal blooms (CyanoHABs) are an increasingly common feature of large, eutrophic lakes. Non-N2-fixing CyanoHABs (e.g., Microcystis) appear to be proliferating relative to N2-fixing CyanoHABs in systems receiving increasing nutrient loads. This shift reflects increasing external nitrogen (N) inputs, and a > 50-year legacy of excessive phosphorus (P) and N loading. Phosphorus is effectively retained in legacy-impacted systems, while N may be retained or lost to the atmosphere in gaseous forms (e.g., N2, NH3, N2O). Biological control on N inputs versus outputs, or the balance between N2 fixation versus denitrification, favors the latter, especially in lakes undergoing accelerating eutrophication, although denitrification removal efficiency is inhibited by increasing external N loads. Phytoplankton in eutrophic lakes have become more responsive to N inputs relative to P, despite sustained increases in N loading. From a nutrient management perspective, this suggests a need to change the freshwater nutrient limitation and input reduction paradigms; a shift from an exclusive focus on P limitation to a dual N and P co-limitation and management strategy. The recent proliferation of toxic non-N2-fixing CyanoHABs, and ever-increasing N and P legacy stores, argues for such a strategy if we are to mitigate eutrophication and CyanoHAB expansion globally
Organizational Adaptation to Changing Environments
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66531/2/10.1177_000276428502800507.pd
Eta Carinae -- Physics of the Inner Ejecta
Eta Carinae's inner ejecta are dominated observationally by the bright
Weigelt blobs and their famously rich spectra of nebular emission and
absorption lines. They are dense (n_e ~ 10^7 to 10^8 cm^-3), warm (T_e ~ 6000
to 7000 K) and slow moving (~40 km/s) condensations of mostly neutral (H^0)
gas. Located within 1000 AU of the central star, they contain heavily
CNO-processed material that was ejected from the star about a century ago.
Outside the blobs, the inner ejecta include absorption-line clouds with similar
conditions, plus emission-line gas that has generally lower densities and a
wider range of speeds (reaching a few hundred km/s) compared to the blobs. The
blobs appear to contain a negligible amount of dust and have a nearly dust-free
view of the central source, but our view across the inner ejecta is severely
affected by uncertain amounts of dust having a patchy distribution in the
foreground. Emission lines from the inner ejecta are powered by photoionization
and fluorescent processes. The variable nature of this emission, occurring in a
5.54 yr event cycle, requires specific changes to the incident flux that hold
important clues to the nature of the central object.Comment: This is Chapter 5 in a book entitled: Eta Carinae and the Supernova
Impostors, Kris Davidson and Roberta M. Humphreys, editors Springe
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