8,475 research outputs found
Method of plating copper on aluminum Patent
Method of plating copper on aluminum to permit conventional soldering of structural aluminum bodie
Why do women deliver where they had not planned to go? A qualitative study from peri-urban Nairobi Kenya.
BACKGROUND: In urban Kenya, couples face a wide variety of choices for delivery options; however, many women end up delivering in different facilities from those they had intended while pregnant. One potential consequence of this is delivering in facilities that do not meet minimum quality standards and lack the capacity to provide treatment for obstetric and neonatal complications.
METHODS: This study investigated why women in peri-urban Nairobi, Kenya deliver in facilities they had not intended to use. We used 60 in-depth audio-recorded interviews in which mothers shared their experiences 2-6 months after delivery. Descriptive statistics were used to summarize socio-demographic characteristics of participants. Qualitative data were analyzed in three steps i) exploration and generation of initial codes; ii) searching for themes by gathering coded data that addressed specific themes; and iii) defining and naming identified themes. Verbatim excerpts from participants were provided to illustrate study findings. The Health Belief Model was used to shed light on individual-level drivers of delivery location choice.
RESULTS: Findings show a confluence of factors that predispose mothers to delivering in unintended facilities. At the individual level, precipitate labor, financial limitations, onset of pain, complications, changes in birth plans, undisclosed birth plans, travel during pregnancy, fear of health facility providers, misconception of onset of labor, wrong estimate of delivery date, and onset of labor at night, contributed to delivery at unplanned locations. On the supply side, the sudden referral to other facilities, poor services, wrong projection of delivery date, and long distance to chosen delivery facility, were factors in changes in delivery location. Lack of transport discouraged delivery at a chosen health facility. Social influences included others\u27 perspectives on delivery location and lack of aides/escorts.
CONCLUSIONS: Results from this study suggest that manifold factors contribute to the occurrence of women delivering in facilities that they had not intended during pregnancy. Future studies should consider whether these changes in delivery location late in pregnancy contribute to late facility arrival and the use of lower quality facilities. Deliberate counseling during antenatal care regarding birth plans is likely to encourage timely arrival at facilities consistent with women\u27s preferences
Recommended from our members
Using aircraft measurements to determine the refractive index of Saharan dust during the DODO Experiments
Much uncertainty in the value of the imaginary part of the refractive index of mineral dust contributes to uncertainty in the radiative effect of mineral dust in the atmosphere. A synthesis of optical, chemical and physical in-situ aircraft measurements from the DODO experiments during February and August 2006 are used to calculate the refractive index mineral dust encountered over West Africa. Radiative transfer modeling and measurements of broadband shortwave irradiance at a range of altitudes are used to test and validate these calculations for a specific dust event on 23 August 2006 over Mauritania. Two techniques are used to determine the refractive index: firstly a method combining measurements of scattering, absorption, size distributions and Mie code simulations, and secondly a method using composition measured on filter samples to apportion the content of internally mixed quartz, calcite and iron oxide-clay aggregates, where the iron oxide is represented by either hematite or goethite and clay by either illite or kaolinite. The imaginary part of the refractive index at 550 nm (ni550) is found to range between 0.0001 i to 0.0046 i, and where filter samples are available, agreement between methods is found depending on mineral combination assumed. The refractive indices are also found to agree well with AERONET data where comparisons are possible. ni550 is found to vary with dust source, which is investigated with the NAME model for each case. The relationship between both size distribution and ni550 on the accumulation mode single scattering albedo at 550 nm (ω0550) are examined and size distribution is found to have no correlation to ω0550, while ni550 shows a strong linear relationship with ω0550. Radiative transfer modeling was performed with different models (Mie-derived refractive indices, but also filter sampling composition assuming both internal and external mixing). Our calculations indicate that Mie-derived values of ni550 and the externally mixed dust where the iron oxide-clay aggregate corresponds to the goethite-kaolinite combination result in the best agreement with irradiance measurements. The radiative effect of the dust is found to be very sensitive to the mineral combination (and hence refractive index) assumed, and to whether the dust is assumed to be internally or externally mixed
Recent experiences using finite-element-based structural optimization
Structural optimization has been available to the structural analysis community as a tool for many years. The popular use of displacement method finite-element techniques to analyze linearly elastic structures has resulted in an ability to calculate the weight and constraint gradients inexpensively for numerical optimization of structures. Here, recent experiences in the investigation and use of structural optimization are discussed. In particular, experience with the commercially available ADS/NASOPT code is addressed. An overview of the ADS/NASOPT procedure and how it was implemented is given. Two example problems are also discussed
Atmospheric Escape from Hot Jupiters
The extra-solar planet HD209458b has been found to have an extended
atmosphere of escaping atomic hydrogen (Vidal-Madjar et al. 2003), suggesting
that ``hot Jupiters'' closer to their parent stars could evaporate. Here we
estimate the atmospheric escape (so called evaporation rate) from hot Jupiters
and their corresponding life time against evaporation. The calculated
evaporation rate of HD209458b is in excellent agreement with the HI Lyman-alpha
observations. We find that the tidal forces and high temperatures in the upper
atmosphere must be taken into account to obtain reliable estimate of the
atmospheric escape. Because of the tidal forces, we show that there is a new
escape mechanism at intermediate temperatures at which the exobase reaches the
Roche lobe. From an energy balance, we can estimate plausible values for the
planetary exospheric temperatures, and thus obtain typical life times of
planets as a function of their mass and orbital distance.Comment: A&A Letters, in pres
- …