2,485 research outputs found
An electroviscous damper
A new type of vibration damper for rotor systems was developed and tested. The damper contains electroviscous fluid which solidifies and provides Coulomb damping when an electric voltage is imposed across the fluid. The damping capacity is controlled by the voltage. The damper was incorporated in a flexible rotor system and found to be able to damp out high levels of unbalanced excitation. Other proven advantages include controllability, simplicity, and no requirement for oil supply. Still unconfirmed are the capabilities to eliminate critical speeds and to suppress rotor instabilities
Audit of Antenatal Care at a Rural District of KZN, South Africa
Background: Maternal and perinatal mortality remain a big challenge in developing countries, including South Africa, where the figures are amongst the highest in the world. Provision of adequate antenatal care is regarded as a cornerstone of maternal and perinatal health care and is expected to have a considerable impact on achieving the Millennium Development Goals. The detection of high-risk pregnancies through antenatal care has been advocated as a good tool to reduce maternal mortality in developing coun-
tries. The South African Government\'s response in terms of providing free maternal care in public health facilities is commendable but access to quality antenatal care is still questionable. We conducted this audit to evaluate the quality of antenatal care/services provided against the set national standards at the first (booking) visit, and visits at 28 and 36 weeks of gestation, as part of a quality improvement initiative.Methods: A retrospective cross-sectional descriptive study was undertaken, targeting women who attended public health institutions for antenatal care in the Empangeni sub-district of Uthungulu, which is a health district in KwaZulu-Natal province. Data were collected from 244 pregnant mothers\' antenatal care records after delivery, and a random selection from a total of 5 109 women who delivered in Empangeni hospital during July to December 2004. Frequency tables were produced on the predetermined selective antenatal care indicators. A Pearson correlation test was conducted to determine the significant relations, if any, among variables. Results: The majority of the pregnant mothers were unemployed and poor. Virtually all of them (99.6%) had attended public healthcare (PHC) facilities for antenatal care (88% attended PHC clinics and the rest attended hospitals) and each woman had, on average, six antenatal visits. One quarter did not enrol for a prevention of mother-to-child transmission (PMTCT) programme. Only 9% of pregnant women booked a visit during their first trimester period but most of them (two-thirds) booked a visit during the second trimester of pregnancy. History-taking was done for every woman. Recording of haemoglobin (Hb) estimation was high at the first visit (95%) but low at 28 and 36 weeks (46% and 30% respectively). Recording of syphilis screening was very low (18%) at the first visit and only 2% was screened at 36 weeks. Only 16% received adequate treatment in cases where the results were positive. At 36 weeks, only 2% had a Wasserman reaction (WR) test done to screen syphilis at term. Over half (55%) of the pregnant women received three doses of tetanus toxoid vaccination before delivery.
Conclusion: The study showed that the standard of antenatal care offered in the Empangeni sub-district fell short of the required level. This lack of proper care represents missed opportunities to impact optimally on maternal and perinatal health outcomes.
Thus strategies are urgently needed to improve antenatal care through a quality improving initiative. South African Family Practice Vol. 50 (3) 2008: pp. 66-66
Risk Factors for Anaemia in Pregnancy in Rural KwaZulu-Natal – South Africa: Implication for Health Education and Health Promotion
Background: Anaemia in pregnancy is a major public health problem in developing countries. It is associated with an increased risk of maternal and perinatal morbidity and mortality. A high rate of anaemia in pregnancy in the rural population of KwaZulu-Natal (30% according to national and 57% according to the World Health Organization [WHO] definition of anaemia in pregnancy) is observed. The risk factors for anaemia, particularly during pregnancy, are multiple and complex and their relative contributions are known to vary by geographic areas and by seasons. In order to design an intervention for treatment and prevention of anaemia in pregnancy, studies to assess the aetiological factors are necessary. The aim of this study was to evaluate the strength of association between intestinal helminthiasis, urinary schistosomiasis and HIV infection on anaemia in pregnancy.Methods: A retrospective case-control study design was used in a rural district hospital of South Africa. A total of 300 pregnant women, 100 of them with anaemia (haemoglobin less than 10 gm/dL according to the national definition of anaemia in pregnancy) referred as cases and 200 controls were studied from Empangeni Hospital. Both cases and controls were matched for age, parity and gestational age. Data were collected from the antenatal clinic and prevention of mother-to-child transmission of HIV (PMTCT) programme registers for cases and controls at their booking visit during the months of May, June and July of 2004. Univariate and multiple logistic regression were performed to analyse the data.Results: Of the cases, 48% and 1% among the controls had intestinal helminthiasis, resulting in the odds ratio of 42 (p = 0,000 and 95% CI 9,96 – 176.59). The risk of anaemia was related to urinary schistosomiasis, as 27% of the cases compared to 1% of controls was found with anaemia. The odds ratio was 12 (p = 0,000 and 95% CI 3.58 – 41.02). These parasitic infestations are known to cause chronic haemorrhage and iron deficiency resulting in the development of anaemia in pregnancy. Transmissions of intestinal parasitic infestation occur through the faecal-oral route. Personal hygiene and other environmental factors are therefore an important factor for the transmission of the disease. To reduce the transmission of faecaloral diseases (e.g. intestinal helminthiasis and urinary schistosomiasis) key interventions recommended are: 1) safe disposal of human excreta, 2) hand-washing practices with soap after defecation, and 3) maintenance of drinking water free from faecal contamination. Similarly, HIV infection increased the chance of developing anaemia in pregnancy twofold as HIV infection was more common among cases (56%) than among controls (37%), resulting in an odds ratio of 2.11 (p = 0,003 and 95% CI 1.123 – 3.21). The prevention of HIV infection and transmission can be achieved through the improvement of knowledge of these conditions. These can be achieved through health education and health promotion.Conclusion: These findings confirm and conform to other studies on the association between anaemia in pregnancy and parasitic and HIV infections. Antenatal care should promote de-worming and education on personal hygiene and HIV (risk factors, mode of transmission, etc.). The provision of safe water supply and toilet facilities for the rural communities should be considered urgently to prevent and promote better health for all, including pregnant women
Simulated rotor test apparatus dynamic characteristics in the 80- by 120-foot wind tunnel
A shake test was conducted in the 80 by 120 foot Wind Tunnel at NASA Ames Research Center, using a load frame and dummy weights to simulate the weight of the NASA Rotor Test Apparatus. The simulated hub was excited with broadband random excitation, and accelerometer responses were measured at various locations. The transfer functions (acceleration per unit excitation force as a function of frequency) for each of the accelerometer responses were computed, and the data were analyzed using modal analysis to estimate the model parameters
Contraceptive practices in the era of HIV/AIDS among university students in KwaZulu-Natal, South Africa
University students as a population of young adults are reportedly at a higher risk of acquiring sexually transmitted infections and HIV infection than the general public due to their higher levels of sexual  experimentation and unsafe sexual practices. The objective of thiscross-sectional study was to find the patterns of contraceptive use among university students at Mangosuthu University of Technology (MUT), KwaZulu-Natal, South Africa. A total of 752 students were selected by stratified random sampling techniques. A self-administered questionnaire probing contraceptive usage and reasons for non-usage was used to collect data. The results were summarized using means (SD) for continuous variables and percentages for categorical variables. Chi-square test was used to find the association between gender and contraceptive use. The mean age of the participants was 21.25 years (SD ¼ 2.99). Fifty-ninepercent (n ¼ 442) were sexually active. Of the sexually active students, 90.7% (n ¼ 401) used contraceptives. Among contraceptive users, 90.5% (n ¼ 363) used condoms. Gender was not significantly associated (p ¼ 0.327) with contraceptive use, but there was a significant association between gender and condom use as males used condom more than females (p , 0.001). Eighty-one percent (n ¼ 323) of the sexually active students reported that they had used a contraceptive the last time they had sex. Regarding frequency of contraceptive use, 38.7% (n ¼ 155) reported that they use contraceptives sometimes or rarely. The frequency of contraceptive use was not significantly related to gender (p ¼ 0.305). Among 60 participants those who disapproved of using contraception, 68.3% (n ¼ 41) were afraid that contraception would cause sterility and 6 students reported that contraception would make their partner promiscuous. In conclusion, a large proportion of university students at MUT in South Africa are sexually active and use contraception, but the use may be inconsistent. Thus, more research is needed to create  interventions on contraception uptake
卵胞発育期における顆粒膜細胞のミトコンドリア機能に関する研究
内容の要約広島大学(Hiroshima University)博士(学術)Doctor of Philosophydoctora
A more precise mapping of trp-5 in Neurospora crassa
A more precise mapping of trp-5 in Neurospora crass
Household costs of healthcare during pregnancy, delivery, and the postpartum period : a case study from Matlab, Bangladesh
A household survey was undertaken in Matlab, a rural area of Bangladesh, to estimate the costs incurred during pregnancy, delivery, and the postpartum period for women delivering at home and in a health facility. Those interviewed included 121 women who delivered at home, 120 who delivered in an ICDDR,B basic obstetric care (BEOC) facility, 27 who delivered in a public comprehensive obstetric care (CEOC) hospital, and 58 who delivered in private hospitals. There was no significant difference in total costs incurred by those delivering at home and those delivering in a BEOC facility. Costs for those delivering in CEOC facilities were over nine times greater than for those delivering in BEOC facilities. Costs of care during delivery were predominant. Antenatal and postnatal care added between 7% and 30% to the total cost. Services were more equitable at home and in a BEOC facility compared to services provided at CEOC facilities. The study highlights the regressive nature of the financing of CEOC services and the need for a financing strategy that covers both the costs of referral and BEOC care for those in need.This research was funded under the Cooperative Agreement No. 388-A-00-97-00032-00 with the United States Agency for International Development (USAID) (ICDDR,B Grant No. GR-00089). ICDDR,B acknowledges with gratitude the commitment of USAID to the Centre’s research efforts. Carine Ronsmans and Jo Borghi are funded by the Department for International Development, UK
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