Women's experience of male circumcision in Papua New Guinea: a grounded theory study

Background: Understanding how women experience and manage the myriad issues of male circumcision (MC) for themselves, their sexual partners and their sons is essential to understanding broader HIV and sexual health issues in Papua New Guinea (PNG). A great diversity of traditional and contemporary circumcision and foreskin cutting practices exist across the country. Medical MC is currently being investigated as a HIV prevention strategy. Studies have documented mixed responses by women to MC as a HIV prevention method in PNG. Methods: Between 2012 and 2014, a grounded theory study was conducted using a two-phase approach. Data from a large mixed methods multi-site MC study in 2010/2011 was analysed for themes to inform specific questions for women. Semi-structured interviews and focus group discussions, that incorporated visual methods such as storyboarding, were then conducted with 67 women at two of the initial study sites - a rural oil palm plantation and an urban university site. Data were inductively analysed to identify codes, categories and a grounded theory. Results: Women have extensive knowledge about MC and foreskin cutting practices, despite cultural norms that mean most women do not participate in decision-making about MC or other penile modifications. Women gain knowledge through personal (sometimes negative) experiences of their partners or children, through cultural traditions and/or through formal training or education. Women who have formal education or training, or who hold formal roles in their communities reported a greater power of choice about their own decision-making, including how MC affects them. Educated women reported more opportunities to influence their partner's decision about MC or other penile modifications, to choose a new partner or arrange MC for their male child/ren. Conclusions: Increased formal and informal education (such as HIV and sexual health training) results in increased status for women and access to a greater range of choices. The often culturally sanctioned low-status roles for women in PNG can be changed with training and/or formal education, which gives more power and thus more choices. If women have greater power of choice, they are less vulnerable to harmful, unintended consequences that may result from a policy of medical MC

EFFECT OF UNBROKEN LIGAMENTS ON STRESS CORROSION CRACKING BEHAVIOR OF ALLOY 82H WELDS

Previously reported stress corrosion cracking (SCC) rates for Alloy 82H gas-tungsten-arc welds tested in 360 C water showed tremendous variability. The excessive data scatter was attributed to the variations in microstructure, mechanical properties and residual stresses that are common in welds. In the current study, however, re-evaluation of the SCC data revealed that the large data scatter was an anomaly due to erroneous crack growth rates inferred from crack mouth opening displacement (CMOD) measurements. Apparently, CMOD measurements provided reasonably accurate SCC rates for some specimens, but grossly overestimated rates in others. The overprediction was associated with large unbroken ligaments that often form in welds in the wake of advancing crack fronts. When ligaments were particularly large, they prevented crack mouth deflection, so apparent crack incubation times (i.e. period of time before crack advance commences) based on CMOD measurements were unrealistically long. During the final states of testing, ligaments began to separate allowing the crack mouth to open rather quickly. This behavior was interpreted as a rapid crack advance, but it actually reflects the ligament separation rate, not the SCC rate. Revised crack growth rates obtained in this study exhibit substantially less scatter than that previously reported. The effects of crack orientation and fatigue flutter loading on SCC rates in 82H welds are also discussed

FRACTURE BEHAVIOR OF ALLOY 600, ALLOY 690, EN82H WELDS AND EN52 WELDS IN WATER

The cracking resistance of Alloy 600, Alloy 690 and their welds, EN82H and EN52, was characterized by conducting J{sub IC} rising load tests in air and hydrogenated water and cooldown testing in water under constant-displacement conditions. All test materials displayed excellent toughness in air and high temperature water, but Alloy 690 and the two welds were severely embrittled in low temperature water. In 54 C water with 150 cc H{sub 2}/kg H{sub 2}O, J{sub IC} values were reduced by 70% to 95%, relative to their air counterpart. The toughness degradation was associated with a fracture mechanism transition from microvoid coalescence to intergranular fracture. Comparison of the cracking response in water with that for hydrogen-precharged specimens tested in air demonstrated that susceptibility to low temperature crack propagation (LTCP) is due to hydrogen embrittlement of grain boundaries. The effects of water temperature, hydrogen content and loading rate on LTCP were studied. In addition, testing of specimens containing natural weld defects and as-machined notches was performed to determine if low temperature cracking can initiate at these features. Unlike the other materials, Alloy 600 is not susceptible to LTCP as the toughness in 54 C water remained high and a microvoid coalescence mechanism was operative in both air and water. Cooldown testing of EN82H welds under constant-displacement conditions was performed to determine if LTCP data from rising load J{sub IC}/K{sub Pmax} tests predict the onset of LTCP for other load paths. In these tests, bolt-loaded CT specimens were subjected to 288 C water for up to 1 week, cooled to 54 C and held in 54 C hydrogenated water for 1 week. This cycle was repeated up to 6 times. For two of the three welds tested, critical K{sub I} levels for LTCP under constant-displacement conditions were much higher than rising load K{sub Pmax} values. Bolt-loaded specimens from a third weld were found to exhibit LTCP at K{sub I} levels comparable to K{sub Pmax} values. Although work to date indicates that rising load tests either accurately or conservatively predict the critical conditions for LTCP under constant displacement conditions, the potential for LTCP at K{sub I} levels less than K{sub Pmax} has not been fully evaluated. Annealing at 1093 C reduces or eliminates LTCP susceptibility. The microstructure and mechanical properties for susceptible and nonsusceptible EN82H welds were characterized to identify the key material parameters responsible for LTCP in the as-welded condition. The key microstructural feature associated with LTCP appears to be fine Nb- and Ti-rich carbonitrides decorating grain boundaries. In addition, the higher yield strength for the as-fabricated weld also promotes LTCP because it increases stresses and local hydrogen concentrations ahead of a crack

On the dual structure of the auditory brainstem response in dogs

Objective: To use the over-complete discrete wavelet transform (OCDWT) to further examine the dual structure of auditory brainstem response (ABR) in the dog. Methods: ABR waveforms recorded from 20 adult dogs at supra-threshold (90 and 70 dBnHL) and threshold (0-15 dBSL) levels were decomposed using a six level OCDWT and reconstructed at individual scales (frequency ranges) A6 (0-391 Hz), D6 (391-781 Hz), and D5 (781-1563 Hz). Results: At supra-threshold stimulus levels, the A6 scale (0-391 Hz) showed a large amplitude waveform with its prominent wave corresponding in latency with ABR waves II/III; the D6 scale (391-781 Hz) showed a small amplitude waveform with its first four waves corresponding in latency to ABR waves I, II/III, V, and VI; and the D5 scale (781-1563 Hz) showed a large amplitude, multiple peaked waveform with its first six waves corresponding in latency to ABR waves I, II, III, IV, V, and VI. At threshold stimulus levels (0-15 dBSL), the A6 scale (0-391 Hz) continued to show a relatively large amplitude waveform, but both the D6 and D5 scales (391781 and 781-1563 Hz, respectively) now showed relatively small amplitude waveforms. Conclusions: A dual structure exists within the ABR of the dog, but its relative structure changes with stimulus level. Significance: The ABR in the dog differs from that in the human both in the relative contributions made by its different frequency components, and the way these components change with stimulus level. (c) 2006 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved

Prebiotic feeding elevates central brain derived neurotrophic factor, N-methyl-D-aspartate receptor subunits and D-serine

The influence of the gut microbiota on brain chemistry has been convincingly demonstrated in rodents. In the absence of gut bacteria, the central expression of brain derived neurotropic factor, (BDNF), and N-methyl-d-aspartate receptor (NMDAR) subunits are reduced, whereas, oral probiotics increase brain BDNF, and impart significant anxiolytic effects. We tested whether prebiotic compounds, which increase intrinsic enteric microbiota, also affected brain BDNF and NMDARs. In addition, we examined whether plasma from prebiotic treated rats released BDNF from human SH-SY5Y neuroblastoma cells, to provide an initial indication of mechanism of action. Rats were gavaged with fructo-oligosaccharides (FOS), galacto-oligosaccharides (GOS) or water for five weeks, prior to measurements of brain BDNF, NMDAR subunits and amino acids associated with glutamate neurotransmission (glutamate, glutamine, and serine and alanine enantiomers). Prebiotics increased hippocampal BDNF and NR1 subunit expression relative to controls. The intake of GOS also increased hippocampal NR2A subunits, and frontal cortex NR1 and d-serine. Prebiotics did not alter glutamate, glutamine, l-serine, l-alanine or d-alanine concentrations in the brain, though GOSfeeding raised plasma d-alanine. Elevated levels of plasma peptide YY (PYY) after GOS intake was observed. Plasma from GOS rats increased the release of BDNF from SH-SY5Y cells, but not in the presence of PYY antisera. The addition of synthetic PYY to SH-SY5Y cell cultures, also elevated BDNF secretion. We conclude that prebiotic-mediated proliferation of gut microbiota in rats, like probiotics, increases brain BDNF expression, possibly through the involvement of gut hormones. The effect of GOS on components of central NMDAR signalling was greater than FOS, and may reflect the proliferative potency of GOS on microbiota. Our data therefore, provide a sound basis to further investigate the utility of prebiotics in the maintenance of brain health and adjunctive treatment of neuropsychiatric disorders

Wholesale pricing in a small open economy

This paper addresses the empirical analysis of wholesale profit margins using data of the Dutch wholesale sector, 1986. At the heart of the analysis is the typical nature of wholesale production: wholesalers do not produce a tangible product, but offer a service capacity. This has an immediate impact on the identification, interprelation and measurement of determinants of profit variations. A model is set up to explain variations in wholesale profit margins, which is inspired by two widely applied approaches to industry pricing: the behavioural mark-up model and the marginalist price-cost model

An Integrated TCGA Pan-Cancer Clinical Data Resource to Drive High-Quality Survival Outcome Analytics

For a decade, The Cancer Genome Atlas (TCGA) program collected clinicopathologic annotation data along with multi-platform molecular profiles of more than 11,000 human tumors across 33 different cancer types. TCGA clinical data contain key features representing the democratized nature of the data collection process. To ensure proper use of this large clinical dataset associated with genomic features, we developed a standardized dataset named the TCGA Pan-Cancer Clinical Data Resource (TCGA-CDR), which includes four major clinical outcome endpoints. In addition to detailing major challenges and statistical limitations encountered during the effort of integrating the acquired clinical data, we present a summary that includes endpoint usage recommendations for each cancer type. These TCGA-CDR findings appear to be consistent with cancer genomics studies independent of the TCGA effort and provide opportunities for investigating cancer biology using clinical correlates at an unprecedented scale. Analysis of clinicopathologic annotations for over 11,000 cancer patients in the TCGA program leads to the generation of TCGA Clinical Data Resource, which provides recommendations of clinical outcome endpoint usage for 33 cancer types

Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results