'Failed' contraception in a rural South African population

Objective. To investigate whether the free availability of contraception affects the need for termination of pregnancy (TOP).Design. Case-control study.Setting. South African rural hospitaLPopulation. Three thousand and ninety-five TOP seekers and 439 non-pregnant controls.Methods. Structured questionnaire followed by ultrasonography.Main outcome measures. Current use or recent discontinuation of contraception and the reason for discontinuation.Results. Less than one-third (28.6%) of TOP seekers claimed to be using contraception versus 85.0% of controls. Injectable contraception (IC)was preferred by the controls and oral contraception (OC) by TOP seekers (x2 = 48.5, p < 0.0001, OR 0.34 (95% confidence interval 0.25, 0.46)). The percentage of discontinuation of hormonal contraception was higher in controls (x2 = 6.3, p = 0.012, OR 0.51 (0.31, 0.85)). The reason for discontinuation of hormonal contraception was obtained from 31.2% of TOP seekers and 63.3% of controls; no reason for discontinuation was acknowledged by 30.1% of the former and 6.3% of the latter (x2 = 33.4, p < 0.0001, OR 6.40 (3.25, 12.56)). Side-effects of hormonal contraception prompted more discontinuation in the failed-contraception group (x2 = 120.5, p < 0.0001, OR 49.4 (21.6, 112.5)). Poor compliance and absence of an acknowledged reason for discontinuing hormonal contraception  resulted in 173 unwanted pregnancies.                                                                                                                                      Conclusion. In South Africa two main components of women's reproductive health and rights are freely available, namely contraception and TOP. Not using contraception is one of the main causes of unwanted pregnancy. Better education of both service providers and users is needed to improve use, compliance and perseverance with contraception

Separation-survivability - the elusive moral cut-off point?

LetterThe original publication is available at http://www.samj.org.za[No abstract available]Publisher’s versio

Prognostic implications of mean nuclear diameter in breast cancer.

The mean nuclear diameter of 100 breast cancers was measured on tissue sections, to evaluate its importance for early prognosis. The cases were subdivided into 3 subgroups: small (25.5% of cases), medium (63.3%) and large (11.2%) nuclei. Early recurrence and mortality rates were investigated in each of the categories. Increasing nuclear size was shown to be related to mortality from metastatic disease. However, large-nucleus tumours had an inverse relationship with lymphnode involvement and possibly with recurrence rate. Hence, in our material nuclear size as a sole criterion was not a good indicator of the early behaviour of operable breast cancer

The Future of Dancefloors: Building More Flexible, Open and Innovative Clubbing Experiences

Nightclubs across the world are in a state of crisis due to COVID-19, and neither inaction or ‘business as usual’ are viable options if the industry is to survive it. It has never been more important to question, innovate and re-imagine the status quo

Effets de lisière et sex-ratio de rongeurs forestiers dans un écosystème fragmenté en République Démocratique du Congo (Réserve de Masako, Kisangani)

Peer reviewe

Low energy measurement of the 7Be(p,gamma)8B cross section

We have measured the cross section of the 7Be(p,gamma)8B reaction for E_cm = 185.8 keV, 134.7 keV and 111.7 keV using a radioactive 7Be target (132 mCi). Single and coincidence spectra of beta^+ and alpha particles from 8B and 8Be^* decay, respectively, were measured using a large acceptance spectrometer. The zero energy S factor inferred from these data is 18.5 +/- 2.4 eV b and a weighted mean value of 18.8 +/- 1.7 eV b (theoretical uncertainty included) is deduced when combining this value with our previous results at higher energies.Comment: Accepted for publication in Phys. Rev. Let

Anthropisation et effets de lisière: impacts sur la diversité des rongeurs dans la Réserve forestière de Masako (Kisangani, R.D. Congo)

info:eu-repo/semantics/publishe

Solar Fusion Cross Sections

We review and analyze the available information for nuclear fusion cross sections that are most important for solar energy generation and solar neutrino production. We provide best values for the low-energy cross-section factors and, wherever possible, estimates of the uncertainties. We also describe the most important experiments and calculations that are required in order to improve our knowledge of solar fusion rates.Comment: LaTeX file, 48 pages (figures not included). To appear in Rev. Mod. Phys., 10/98. All authors now listed. Full postscript version with figures available at http://www.sns.ias.edu/~jnb/Papers/Preprints/nuclearfusion.htm