Risk factors for chronic non communicable diseases in Mombasa, Kenya: epidemiological study using WHO stepwise approach

OBJECTIVE: To describe the prevalence and distribution patterns of the major common risk factors for non communicable diseases among the people living in Mombasa, Kenya. METHODS: Using the WHO STEPwise approach, risk factors for non communicable diseases were analyzed for 305 people aged between 13 to 67 years. The study sample was arrived at through convenient stratification of the population according to age and setting followed by random selection of the participants. RESULTS: The most common individual risk factors registered were physical inactivity, hypertension and overweight/obesity accounting for 42%, 24% and 11% of the sample respectively. Participants who possessed a single risk factor profile were 42% and those who had multiple risk factors were approximately 17%. Hypertension and physical inactivity were the most common multiple risk factor pattern possessed by 7.5% of the participants who had at least one of the investigated risk factors for CNCDs. Socio-demographic characteristics including male gender, increasing age, being a student and low socio-economic status were found to be positive predictors of CNCDs CONCLUSION: The burden of CNCDs risk factors is unequally distributed among Mombasa residents. The poorest quintile posses the worst risk factor profile compared to their privileged counterparts. The implementation of WHO STEPwise approach was feasible since it revealed a comprehensive picture of the at-risk groups thus forming a vital baseline framework for target specific and cost-effective CNCDs control and prevention interventions.Web of Scienc

PEMANFAATAN ABU LAYANG (FLY ASH) SEBAGAI ADSORBEN PADA MINYAK JELANTAH

A research on the conducted on the use of fly ash as an adsorbent in used cooking oil. This research was conducted with the aim to know the characteristics of fly ash without activation and activation with 6M HCl and to improve the quality of used cooking oil from adsorbent processing based on the Indonesian national standard (SNI). This research was conducted in several stages, namely surface acidity with the titration method, determination of surface area with the blue methylene method, determination of functional groups by FTIR analysis and oil quality based on parameters of acid number, peroxide number and smoke point. The results showed that the acidity of the surface of the fly ash was activated and without activation of 4 and 3.6 m2 / g respectively. surface area of ​​fly ash without activation 17,480 m2/g at contact time 80 and activated fly ash 18,471 m2/g at contact time 70. FTIR spectra of fly ash without activation 795,38 and 779.95 cm-1 and activated 795.38 and 778,02 cm-1 which is a symmetrical stretching adsorption band of symmetric ≡Si-O (≡Si-O-Si≡). Fly ash used for refining used cooking oil (2,468 mg KOH / g) is able to reduce the acid number 0.361 mg KOH / g in activated fly ash and 0.561 mg KOH / g for fly ash without activation, the peroxide number for activated fly ash decreased by 72.34% compared to fly ash without activation 69.14%, oil smoke point purification results from activated fly ash 203ºC and without activation 210ºC which is close to the new oil smoke point value of 200ºC. When compared with SNI, the values ​​of acid numbers, peroxide numbers and smoke points meet the standard

Pengaruh Komposisi Daun Gamal (Gliricidia sepium Hbr.) dan Kotoran Sapi dengan Nutrisi Pisang terhadap Rasio C/N Kompos

It has been done a research on the effect of the composition of gliricidia sepium Hbr. And cow dung with banana nutrition on the composting process on the C/N ratio. This research was conducted with the aim of knowing the effect of the composition and the length of time required for fermentation. Composting was made with a variety of cow dung : gliricidia sepium Hbr. In a ratio of 1:9, 1:1, 3:2, 7:3, 9:1, and 2:3 in % by using 25% banana nutrition and 100% water from the total weight of the manure. On this research was found that the optimal time is on 14th day with characteristic  of compost  that was produced, equal with the the Indonesia National Standar (SNI Kompos 19-7030-2004). The conclusion is the compcsition of cow dung and Gliricidia sepium leaves did not significant affect to the C/N compost ratio

X-ray Temperature and Mass Measurements to the Virial Radius of Abell 1413 with Suzaku

We present X-ray observations of the northern outskirts of the relaxed galaxy cluster A1413 with Suzaku, whose XIS instrument has the low intrinsic background needed to make measurements of these low surface brightness regions. We excise 15 point sources superimposed on the image above a flux of $1\times 10^{-14}$ \fluxunit (2--10keV) using XMM-Newton and Suzaku images of the cluster. We quantify all known systematic errors as part of our analysis, and show our statistical errors encompasses them for the most part. Our results extend previous measurements with Chandra and XMM-Newton, and show a significant temperature drop to about 3keV at the virial radius, $r_{200}$. Our entropy profile in the outer region ($> 0.5 r_{200}$) joins smoothly onto that of XMM-Newton, and shows a flatter slope compared with simple models, similar to a few other clusters observed at the virial radius. The integrated mass of the cluster at the virial radius is approximately $7.5\times10^{14}M_{\odot}$ and varies by about 30% depending on the particular method used to measure it.Comment: 32pages, 9 figures, accepted for publication in PAS

Searching for Diffuse Nonthermal X-Rays from the Superbubbles N11 and N51D in the Large Magellanic Cloud

We report on observations of the superbubbles (SBs) N11 and N51D in the Large Magellanic Cloud (LMC) with Suzaku and XMM-Newton. The interior of both SBs exhibits diffuse X-ray emission, which is well represented by thin thermal plasma models with a temperature of 0.2-0.3keV. The presence of nonthermal emission, claimed in previous works, is much less evident in our careful investigation. The 3-sigma upper limits of 2-10keV flux are 3.6*10^{-14}ergs/cm^2/s and 4.7*10^{-14}ergs/cm^2/s for N11 and N51D, respectively. The previous claims of the detection of nonthermal emission are probably due to the inaccurate estimation of the non X-ray background. We conclude that no credible nonthermal emission has been detected from the SBs in the LMC, with the exception of 30 Dor C.Comment: 9 pages, accepted for publication in ApJ

Translation and adaptation of the stroke-specific quality of life scale into Swahili

Background: Stroke care requires a patient-centred, evidence-based and culturally appropriate approach for better patient clinical outcomes. Quality of life necessitates precise measuring using health-related quality measures that are self-reported and language appropriate. However, most of the self-reported measures were devised in Europe and therefore not considered contextually appropriate in other settings, more so in Africa. Objectives: Our study aimed to produce a Swahili version by translating and adapting the stroke-specific quality of life (SSQOL) scale among people with stroke in Kenya. Method: We used a questionnaire translation and cross-cultural adaptation. The pre-validation sample of 36 adult participants was drawn from 40 registered people with stroke, from the Stroke Association of Kenya (SAoK). Quantitative data were collected using both English and Swahili versions of the SSQOL scale. The mean, standard deviation (s.d.) and overall scores were calculated and are presented in tables. Results: The back translation revealed a few inconsistencies. Minor semantic and equivalence alterations were done in the vision, mood, self-care, upper extremity function and mobility domains by the expert review committee. Respondents indicated that all questions were well-understood and captured. The stroke onset mean age was 53.69 years and the standard deviation was 14.05. Conclusion: The translated version of the Swahili SSQOL questionnaire is comprehensible and well-adapted to the Swahili-speaking population. Clinical implication: The SSQOL has the potential to be a useful outcome measure for use in Swahili-speaking patients with stroke

X-ray observations of the galaxy cluster Abell 2029 to the virial radius

We present Suzaku observations of the galaxy cluster Abell 2029, which exploit Suzaku's low particle background to probe the ICM to radii beyond those possible with previous observations (reaching out to the virial radius), and with better azimuthal coverage. We find significant anisotropies in the temperature and entropy profiles, with a region of lower temperature and entropy occurring to the south east, possibly the result of accretion activity in this direction. Away from this cold feature, the thermodynamic properties are consistent with an entropy profile which rises, but less steeply than the predictions of purely gravitational hierarchical structure formation. Excess emission in the northern direction can be explained due to the overlap of the emission from the outskirts of Abell 2029 and nearby Abell 2033 (which is at slightly higher redshift). These observations suggest that the assumptions of spherical symmetry and hydrostatic equilibrium break down in the outskirts of galaxy clusters, which poses challenges for modelling cluster masses at large radii and presents opportunities for studying the formation and accretion history of clusters.Comment: 15 pages, 14 figures. Accepted for publication in the Monthly Notices of the Royal Astronomical Societ

Eco-aesthetic dimensions: Herbert Marcuse, ecollogy and art

In his last book, The Aesthetic Dimension (1978), Marcuse argued that a concern for aesthetics is justified when political change is unlikely. But the relation between aesthetics and politics is oblique: “Art cannot change the world, but it can contribute to changing the consciousness … of the men and women who could change the world.” (p. 33). Marcuse also linked his critique of capitalism to environmentalism in the early 1970s: “the violation of the Earth is a vital aspect of the counterrevolution.” (Ecology and Revolution, in The New Left and the 1960s, Collected Papers 3, 2005, p. 173). This article revisits Marcuse’s ideas on aesthetics and ecology, and reviews two recent art projects which engage their audiences in ecological issues: The Jetty Project (2014) by Wolfgang Weileder—which used recycled material and community participation to construct a temporary monument within a wider conservation project on the Tyne, N-E England—and Fracking Futures by HeHe (Helen Evans and Heiko Hansen)—which turned the interior of the gallery at FACT, Liverpool, into what appeared to be a fracking site. The aim is not to evaluate the projects, nor to test the efficacy of Marcuse’s ideas, more to ask again whether art has a role in a shift of attitude which might contribute to dealing with the political and economic causes of climate change

Expected properties of the Two-Point Autocorrelation Function of the IGM

Recent analyses of the fluctuations of the soft Diffuse X-ray Background (DXB) have provided indirect detection of a component consistent with the elusive Warm Hot Intergalactic Medium (WHIM). In this work we use theoretical predictions obtained from hydrodynamical simulations to investigate the angular correlation properties of the WHIM in emission and assess the possibility of indirect detection with next-generation X-ray missions. Our results indicate that the angular correlation signal of the WHIM is generally weak but dominates the angular correlation function of the DXB outside virialized regions. Its indirect detection is possible but requires rather long exposure times [0.1-1] Ms, large (~1{\deg} x1{\deg}) fields of view and accurate subtraction of isotropic fore/background contributions, mostly contributed by Galactic emission. The angular correlation function of the WHIM is positive for {\theta} < 5' and provides limited information on its spatial distribution. A satisfactory characterization of the WHIM in 3D can be obtained through spatially resolved spectroscopy. 1 Ms long exposures with next generation detectors will allow to detect ~400 O VII+O VIII X-ray emission systems that we use to trace the spatial distribution of the WHIM. We predict that these observations will allow to estimate the WHIM correlation function with high statistical significance out to ~10 Mpc h^-1 and characterize its dynamical state through the analysis of redshift-space distortions. The detectable WHIM, which is typically associated with the outskirts of virialized regions rather than the filaments has a non-zero correlation function with slope {\gamma} = -1.7 \pm 0.1 and correlation length r0 = 4.0 \pm 0.1 Mpc h^-1 in the range r = [4.5, 12] Mpc h^-1. Redshift space distances can be measured to assess the dynamical properties of the gas, typically infalling onto large virialized structures.Comment: 17 pages, 2 tables, 11 figures, Final version, accepted for publication on MNRA

Consilient Discrepancy: Porosity and Atmosphere in Cinema and Architecture

Cinema constitutes a way of looking at the world, at a world – its aspect, its appearance; but it also presents how that world looks, its prospect – by the prospective glance it throws back toward us. The “look” of a film – its mood, ambiance or atmosphere – eclipses formal and aesthetics registers. It is fundamentally world-forming, and therefore both cosmogonic and ethical: cosmogonic because it produces a world in the midst of, and as, the temporality that devolves through its passage; and ethical because the world it brings about is an inhabited world, a conjugation of people and place that constructs particular ways of being-there-together. The premise here is that atmosphere, ambiance and mood have never been vague categories for cinema and need not be for architecture: rather, that they are in fact producible through deliberate organizational strategies – kinematic and narrative in film, tectonic and material in architecture – according to what might be called “consilient discrepancy” – the coexistence of disseveral systems in unaligned multiplicity that, while never fusing, resonate to produce emergent conditions. Cinema offers architecture an accessible and instructive instance of such consilient discrepancy, because, in it, atmosphere is more fully captured and the conditions that create it more evidently analyzable. To that extent, cinema provides architecture with comparative grounds for engaging with atmosphere through a properly tectonic practice that can potentially enrich the design and experience of architecture. Consilient discrepancy is evident across multiple registers in film. It can function at the level of narrative, space and time and thus puts into question verisimilitude, causality, situational and durational veracity. An example of this is the constitutive disjunctions of Jean-Luc Godard’s jump cut montage where sampled film sequences, film and photographic stills, texts and citations, ambient sound, spoken word and music, build into complex assemblages of sense (Histoire(s) du Cinema, 1998). It is evident in Nicholas Roeg’s multiple, simultaneous temporalities where past and future events interpenetrate and mutually condition the narrative present (Bad Timing, 1980). Similarly, we can find it in Michelangelo Antonioni’s sequence shots that traverse multiple timeframes across the same space – a technique that enables past and present to communicate and amplify the affective, foundational value of the unseen and off-frame (The Passenger, 1975). Another example would be David Lynch’s labyrinthine existential settings, constituted of interminable slippages between indeterminable and infinitely potentialized spaces of dreams, imagination, memory and reality (Mulholland Drive, 2001). Likewise, we could cite Michael Hanake’s persistent displacement of causality and verisimilitude through ambiguous narrative viewpoints (Caché, 2005), and Roy Andersson’s radically liminal settings and characters whose lives constitute larval pre- and/or posthuman states of existence (A Pigeon Sat on a Branch Reflecting on Existence, 2014). This paper will foreground two foundational characteristics of atmosphere in cinema, as evident in the works just cited, and explore their applicability to architecture. The first characteristic is the consilient discrepancy outlined here by way of introduction, and the second, related characteristic, is a spatiality of porosity and occlusion. The provisional aim of comparing cinema and architecture according to this tectonic logic is to go beyond typical ways of understanding cinema’s formal engagement with architecture. For this purpose, a detailed analysis of Béla Tarr’s film Werckmeister Harmonies (2000) will serve as a case study for how the medium of cinema generates atmosphere, ambiance and mood through visual language. This will be followed by a similarly detailed consideration of concomitant qualities created in two recent works by the architects Flores Prats, the Mills Museum and Casal Balaguer. Functioning as exemplars of how cinematic qualities can be made manifest in architecture, these precedents will further substantiate the cinematic–architectonic proposition ventured in this paper