Evaluating gaps in knowledge, willingness and heating performance in individual preferences on household energy and climate policy: evidence from the UK

This study investigates the knowledge-willingness, willingness-performance, and knowledge-performance gaps regarding reducing carbon dioxide emissions and emerging technologies of the 2137 British residents. Household's heating sources and heat settings are anticipated as key criteria for evaluating respondents' performances. The study revealed more than 80% of respondents have a good knowledge regarding climate change and carbon issues. The study found a smaller gap in knowledge versus willingness as 59%, 87%, 88% and 85% of respondents want to use bioenergy, afforestation/reforestation, solar and wind for their future energy sources. The Multinomial logit regression (MNLR) investigates that incrementing good and very good knowledge index increases the odds of a high willingness to save energy by 33% and 6%, respectively. The willingness versus performance study identified 96% as claiming to be more likely energy savers, whereas, in reality, 52% of them never or rarely took basic measures like setting their heating system to turn off. Despite having a good and very good knowledge index, the knowledge versus performance appears, 75% of respondents are using gas boilers and gas central heating. Policymakers and the research community need to develop comprehensive plans by taking these wider social issues to meet net-zero targets. Employing smart building principles, lowering the installation costs of the new smart technologies, awarding and encouraging the energy saver, setting individual carbon footprint limits, and training and empowering household representatives to select better energy for houses could popularise the emission reduction technologies in the UK.Fortumin Foundation provided financial support as a grant to TK to visit Cambridge and carry out the research. The grant number was 201800255. The YouGov survey was supported by the UK Engineering and Physical Sciences Research Council (EPSRC) grant EP/P02614/

The impact of household wealth on child survival in Ghana

BACKGROUND Improving child health is one of the major policy agendas for most of the governments, especially for the developing countries. These governments have been implementing various strategies such as improving healthcare financing, improving access to health, increasing educational level and income level of the household to improve child health. Despite all these efforts, under-five and infant mortality rates still remain high in many developing nations. Some previous studies examined how economic development or household’s economic condition contribute to child survival in developing countries. In Ghana, the question as to what extent does economic circumstances of households reduces infant and child mortality still remain largely unanswered. Thus, the purpose of this study is to investigate the extent to which wealth affects the survival of under-five children, using data from the Demographic and Health Survey (DHS) of Ghana. METHODS The DHS is detailed dataset that provides comprehensive information on households and their demographic characteristics in Ghana. Data was obtained by distributing questionnaires to women (from 6,000 households) of reproductive age between 15 and 49 years, which asked, among other things, their birth history information. The Weibull hazard model with gamma frailty was used to estimate wealth effect, as well as the trend of wealth effect on child’s survival probability. RESULTS We find that household wealth status has a significant effect on the child survival in Ghana. A child is more likely to survive when he/she is from a household with high wealth status. Among other factors, birth spacing and parental education are found to be highly significant to increase a child’s survival probability. CONCLUSIONS Our findings offer plausible mechanisms for the association of household wealth and child survival. We therefore suggest that the Government of Ghana strengthens and sustains improved livelihood programs, which reduce poverty. They should also take further initiatives that will increase adult education and improve health knowledge. To the best of our knowledge, this is the first study in Ghana that combines four cross sectional data sets from DHS to study a policy-relevant question. We extend Standard Weibull hazard model into Weibull hazard model with gamma frailty, which gives us a more accurate estimation. Finally, the findings of this study are of interest not only because they provide insights into the determinants of child health in Ghana and other developing countries, but they also suggest policies beyond the scope of health

The impact of household wealth on child survival in Ghana

Background: Improving child health is one of the major policy agendas for most of the governments, especially in the developing countries. These governments have been implementing various strategies such as improving healthcare financing, improving access to health, increasing educational level, and income level of the household to improve child health. Despite all these efforts, under-five and infant mortality rates remain high in many developing nations. Some previous studies examined how economic development or household\u2019s economic condition contributes to child survival in developing countries. In Ghana, the question as to what extent does economic circumstances of households reduces infant and child mortality still remain largely unanswered. Thus, the purpose of this study is to investigate the extent to which wealth affects the survival of under-five children, using data from the Demographic and Health Survey (DHS) of Ghana. Methods: In this study, we use four waves of data from Demographic and Health Surveys (DHS) of Ghana from 1993 to 2008. The DHS is a detailed data set that provides comprehensive information on households and their demographic characteristics in Ghana. Data was obtained by distributing questionnaires to women (from 6000 households) of reproductive age between 15 and 49 years, which asked, among other things, their birth history information. The Weibull hazard model with gamma frailty was used to estimate wealth effect, as well as the trend of wealth effect on child\u2019s survival probability. Results: We find that household wealth status has a significant effect on the child survival in Ghana. A child is more likely to survive when he/she is from a household with high wealth status. Among other factors, birth spacing and parental education were found to be highly significant to increase a child\u2019s survival probability. Conclusions: Our findings offer plausible mechanisms for the association of household wealth and child survival. We therefore suggest that the Government of Ghana strengthens and sustains improved livelihood programs, which reduce poverty. They should also take further initiatives that will increase adult education and improve health knowledge. To the best of our knowledge, this is the first study in Ghana that combines four cross sectional data sets from DHS to study a policy-relevant question. We extend Standard Weibull hazard model into Weibull hazard model with gamma frailty, which gives us a more accurate estimation. Finally, the findings of this study are of interest not only because they provide insights into the determinants of child health in Ghana and other developing countries, but they also suggest policies beyond the scope of health

MOF-associated complexes ensure stem cell identity and Xist repression

Histone acetyl transferases (HATs) play distinct roles in many cellular processes and are frequently misregulated in cancers. Here, we study the regulatory potential of MYST1-(MOF)-containing MSL and NSL complexes in mouse embryonic stem cells (ESCs) and neuronal progenitors. We find that both complexes influence transcription by targeting promoters and TSS-distal enhancers. In contrast to flies, the MSL complex is not exclusively enriched on the X chromosome, yet it is crucial for mammalian X chromosome regulation as it specifically regulates Tsix, the major repressor of Xist lncRNA. MSL depletion leads to decreased Tsix expression, reduced REX1 recruitment, and consequently, enhanced accumulation of Xist and variable numbers of inactivated X chromosomes during early differentiation. The NSL complex provides additional, Tsix-independent repression of Xist by maintaining pluripotency. MSL and NSL complexes therefore act synergistically by using distinct pathways to ensure a fail-safe mechanism for the repression of X inactivation in ESCs

Mixed-metal Cluster Synthesis: [Re(CO)\u3csub\u3e3\u3c/sub\u3e(μ-S\u3csub\u3e2\u3c/sub\u3eNC\u3csub\u3e7\u3c/sub\u3eH\u3csub\u3e4\u3c/sub\u3e)]\u3csub\u3e2\u3c/sub\u3e as a Precursor for tri- and tetranuclear 2-mercaptobenzothiolato Capped Clusters

The readily prepared [Re2(CO)6(μ-S2NC7H4)2] (1) reacts with Group 8 trimetallic carbonyl clusters to yield new mixed-metal tri- and tetranuclear clusters. With [Os3(CO)10(NCMe)2] at 80 °C the tetranuclear mixed-metal cluster [Os3Re(CO)13(μ3-C7H4NS2)] (2) is the only isolated product. With Ru3(CO)12 products are dependent upon the reaction temperature. At 80 °C, a mixture of tetranuclear mixed-metal [Ru3Re(CO)13(μ3-C7H4NS2)] (5) and the triruthenium complex [Ru3(CO)9(μ-H)(μ3-C7H4NS2)] (4) results, while at 110 °C a second tetranuclear mixed-metal cluster, [Re2Ru2(CO)12(μ4-S)(μ-C7H4NS)(μ-C7H4NS2)] (3), resulting from carbon–sulfur bond scission, is the major product. Reaction of 1 With Fe3(CO)12 at 80 °C furnishes the trinuclear mixed-metal cluster [Fe2Re(CO)8(μ-CO)2(μ3-C7H4NS2)] (6). The reactivity of 6 has been probed with the aim of identifying any metal-based selectivity for carbonyl substitution. Addition of PPh3 in presence of Me3NO at 25 °C gives both the mono- and bis(phosphine)-substituted derivatives [Os3Re(CO)12(PPh3)(μ3-C7H4NS2)] (7) and [Os3Re(CO)11(PPh3)2(μ3-C7H4NS2)] (8). In 7 the PPh3 ligand occupies an axial site on wingtip osmium, while in 8 one PPh3 ligand is equatorially coordinated to wingtip osmium and the other is bonded to a hinge osmium. New complexes have been characterized by a combination of spectroscopic data and single crystal X-ray diffraction studies

‘We need to share our stories’: the lives of Pakistanis with intellectual disability and their guardians

© 2020 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd Introduction: The experiences of Pakistanis with intellectual disabilities (IDs) and their family members have been underexplored empirically. Method: The present study sought to address this gap by understanding the lives of five Special Olympics Pakistan athletes and their guardians through PhotoVoice. Findings: Through thematic analysis, we present the primary theme concerning Pakistan\u27s cultural context that provides an empirical exploration of cultural beliefs about intellectual disability, cultural expectations and support received by people with intellectual disabilities and their guardians. Discussion: We discuss implications for research and practice

Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia

Background: As the burden of cardiovascular disease increases in sub-Saharan Africa, there is a growing need for low-cost interventions to mitigate its impact. Providing self-care health education to patients with chronic heart failure (CHF) is recommended as an intervention to prevent complications, improve quality of life, and reduce financial burdens on fragile health systems. However, little is known about health education’s effectiveness at improving CHF self-management adherence in sub-Saharan Africa. Therefore the present study aimed to assess the effectiveness of an educational intervention to improve self-care adherence among patients with CHF at Debre Markos and Felege Hiwot Referral Hospitals in Northwest Ethiopia. Methods: To address this gap, we adapted a health education intervention based on social cognitive theory comprising of intensive four-day training and, one-day follow-up sessions offered every four months. Patients also received illustrated educational leaflets. We then conducted a clustered randomized control trial of the intervention with 186 randomly-selected patients at Debre Markos and Felege Hiwot referral hospitals. We collected self-reported data on self-care behavior before each educational session. We analyzed these data using a generalized estimating equations model to identify health education's effect on a validated 8-item self-care adherence scale. Results: Self-care adherence scores were balanced at baseline. After the intervention, patients in the intervention group (n = 88) had higher adherence scores than those in the control group (n = 98). This difference was statistically significant (β = 4.15, p < 0.05) and increased with each round of education. Other factors significantly associated with adherence scores were being single (β = − 0.25, p < 0.05), taking aspirin (β = 0.76, p < 0.05), and having a history of hospitalization (β = 0.91, p < 0.05). Conclusions: We find that self-care education significantly improved self-care adherence scores among CHF patients. This suggests that policymakers should consider incorporating self-care education into CHF management

Cellular and Cytokine Responses to Salmonella enterica Serotype Typhi Proteins in Patients with Typhoid Fever in Bangladesh

We assessed interferon-gamma (IFN-γ) responses via enzyme-linked immunosorbent spot (ELISPOT) to a number of S. Typhi antigens in samples from humans with S. Typhi bacteremia and typhoid fever in Bangladesh. Compared with responses in healthy endemic zone controls, there were significantly increased IFN-γ responses at the time of clinical presentation (acute phase) and at convalescence 14–28 days later. The majority (80–90%) of IFN-γ expressing T cells were CD4+. We observed a significant increase in interleukin-17 (IL-17) positive CD4 + T cells at convalescent versus acute stage of infection using an intracellular cytokine staining assay. We also found that stimulated peripheral blood mononuclear cells (PBMCs) produced significantly increased levels of a number of cytokines at the convalescent versus acute phase of infection, including IFN-γ, MIP-1β, sCD40L, TNF-β, IL-13, and IL-9. These results suggest that S. Typhi antigens induce a predominantly Th1 response, but that elevations in other cytokines may be modulatory