Rural to Urban Migration and Changes in Cardiovascular risk Factors in Tanzania: A Prospective Cohort Study.

High levels of rural to urban migration are a feature of most African countries. Our aim was to investigate changes, and their determinants, in cardiovascular risk factors on rural to urban migration in Tanzania. Men and women (15 to 59 years) intending to migrate from Morogoro rural region to Dar es Salaam for at least 6 months were identified. Measurements were made at least one week but no more than one month prior to migration, and 1 to 3 monthly after migration. Outcome measures included body mass index, blood pressure, fasting lipids, and self reported physical activity and diet. One hundred and three men, 106 women, mean age 29 years, were recruited and 132 (63.2%) followed to 12 months. All the figures presented here refer to the difference between baseline and 12 months in these 132 individuals. Vigorous physical activity declined (79.4% to 26.5% in men, 37.8% to 15.6% in women, p < 0.001), and weight increased (2.30 kg men, 2.35 kg women, p < 0.001). Intake of red meat increased, but so did the intake of fresh fruit and vegetables. HDL cholesterol increased in men and women (0.24, 0.25 mmoll-1 respectively, p < 0.001); and in men, not women, total cholesterol increased (0.42 mmoll-1, p = 0.01), and triglycerides fell (0.31 mmoll-1, p = 0.034). Blood pressure appeared to fall in both men and women. For example, in men systolic blood pressure fell by 5.4 mmHg, p = 0.007, and in women by 8.6 mmHg, p = 0.001. The lower level of physical activity and increasing weight will increase the risk of diabetes and cardiovascular disease. However, changes in diet were mixed, and may have contributed to mixed changes in lipid profiles and a lack of rise in blood pressure. A better understanding of the changes occurring on rural to urban migration is needed to guide preventive measures

Nanoscale electrochemical patterning reveals the active sites for catechol oxidation at graphite surfaces

Graphite-based electrodes (graphite, graphene, and nanotubes) are used widely in electrochemistry, and there is a long-standing view that graphite step edges are needed to catalyze many reactions, with the basal surface considered to be inert. In the present work, this model was tested directly for the first time using scanning electrochemical cell microscopy reactive patterning and shown to be incorrect. For the electro-oxidation of dopamine as a model process, the reaction rate was measured at high spatial resolution across a surface of highly oriented pyrolytic graphite. Oxidation products left behind in a pattern defined by the scanned electrochemical cell served as surface-site markers, allowing the electrochemical activity to be correlated directly with the graphite structure on the nanoscale. This process produced tens of thousands of electrochemical measurements at different locations across the basal surface, unambiguously revealing it to be highly electrochemically active, with step edges providing no enhanced activity. This new model of graphite electrodes has significant implications for the design of carbon-based biosensors, and the results are additionally important for understanding electrochemical processes on related sp2-hybridized materials such as pristine graphene and nanotubes

Monitoring the Bi-Directional Relativistic Jets of the Radio Galaxy 1946+708

We report on a multi-frequency, multi-epoch campaign of Very Long Baseline Interferometry observations of the radio galaxy 1946+708 using the VLBA and a Global VLBI array. From these high-resolution observations we deduce the kinematic age of the radio source to be $\sim$4000 years, comparable with the ages of other Compact Symmetric Objects (CSOs). Ejections of pairs of jet components appears to take place on time scales of 10 years and these components in the jet travel outward at intrinsic velocities between 0.6 and 0.9 c. From the constraint that jet components cannot have intrinsic velocities faster than light, we derive H_0 > 57 km s^-1 Mpc^-1 from the fastest pair of components launched from the core. We provide strong evidence for the ejection of a new pair of components in ~1997. From the trajectories of the jet components we deduce that the jet is most likely to be helically confined, rather than purely ballistic in nature.Comment: 20 pages, 8 figures, accepted to Ap

Electrochemistry of Fe3+/2+ at highly oriented pyrolytic graphite (HOPG) electrodes : kinetics, identification of major electroactive sites and time effects on the response

The electrochemistry of the Fe3+/2+ redox couple has been studied on highly oriented pyrolytic graphite (HOPG) samples that differ in step edge density by 2 orders of magnitude to elucidate the effect of surface structure on the electron transfer (ET) kinetics. Macroscopic cyclic voltammetry measurements in a droplet-cell arrangement, highlight that the Fe3+/2+ process is characterised by slow ET kinetics on HOPG and that step edge coverage has little effect on the electrochemistry of Fe3+/2+. A standard heterogeneous ET rate constant of ~5 × 10-5 cm s-1 for freshly cleaved HOPG was derived from simulation of the experimental results, which fell into the range of the values reported for metal eletrodes, e.g. platinum and gold, despite the remarkable difference in density of electronic states (DOS) between HOPG and metal electrodes. This provides further evidence that outer-sphere redox processes on metal and sp2 carbon electrodes appear to be adiabatic. Complementary surface electroactivity mapping of HOPG, using scanning electrochemical cell microscopy, reveal the basal plane to be the predominant site for the Fe3+/2+ redox process. It is found that time after cleavage of the HOPG surface has an impact on the surface wettability (and surface contamination), as determined by contact angle measurements, and that this leads to a slow deterioration of the kinetics. These studies further confirm the importance of understanding and evaluating surface structure and history effects in HOPG electrochemistry, and how high resolution measurements, coupled with macroscopic studies provide a holistic view of electrochemical processes

Local status and power in area-based health improvement partnerships

This is the authors' PDF version of an article published in Health© 2014. The definitive version is available at http://hea.sagepub.comArea-based initiatives (ABIs) have formed an important part of public policy towards more socio-economically deprived areas in many countries. Co-ordinating service provision within and across sectors has been a common feature of these initiatives. Despite sustained policy interest in ABIs, little empirical work has explored relations between ABI providers and partnership development within this context remains under-theorised. This paper addresses both of these gaps by exploring partnerships as a social and developmental process, drawing on concepts from figurational sociology to explain how provider relations develop within an ABI. Qualitative methods were used to explore, prospectively, the development of an ABI targeted at a town in the north west of England. A central finding was that, although effective delivery of ABIs is premised on a high level of coordination between service providers, the pattern of interdependencies between providers limits the frequency and effectiveness of cooperation. In particular, the interdependency of ABI providers with others in their organisation (what is termed here ‘organisational pull’) constrained the ways in which they worked with providers outside of their own organisations. ‘Local’ status, which could be earned over time, enabled some providers to exert greater control over the way in which provider relations developed during the course of the initiative. These findings demonstrate how historically constituted social networks, within which all providers are embedded, shape partnership development. The theoretical insight developed here suggests a need for more realistic expectations among policy makers about how and to what extent provider partnerships can be managed. Keywords: partnership, collaboration, community services, area-based initiatives, organisational pull, figurational sociologyNational Health Service (NHS

θ13\theta_{13} and the Higgs mass from high scale supersymmetry

In the framework in which supersymmetry is used for understanding fermion masses rather than stabilizing the electroweak scale, we elaborate the phenomenological analysis for the neutrino physics. A relatively large $\sin{\theta_{13}}$ is the natural result. The model further predicts vanishingly small CP violation in neutrino oscillations. And $\theta_{23}$ is not necessarily maximal. While the high scale supersymmetry generically results in a Higgs mass of about 141 GeV, our model reduces this mass via introducing SU(2)$_L$ triplet fields which also contribute to neutrino masses.Comment: 13 pages, no figure, revtex4, revised versio

Systems Science for Caribbean Health: the development and piloting of a model for guiding policy on diabetes in the Caribbean.

BACKGROUND: Diabetes is highly prevalent in the Caribbean, associated with a high morbidity and mortality and is a recognised threat to economic and social development. Heads of Government in the Caribbean Community came together in 2007 and declared their commitment to reducing the burden of non-communicable diseases (NCDs), including diabetes, by calling for a multi-sectoral, systemic response. To facilitate the development of effective policies, policymakers are being engaged in the development and use of a system dynamics (SD) model of diabetes for Caribbean countries. METHODS: Previous work on a diabetes SD model from the United States of America (USA) is being adapted to a local context for three countries in the region using input from stakeholders, a review of existing qualitative and quantitative data, and collection of new qualitative data. Three country models will be developed using one-on-one stakeholder engagement and iterative revision. An inter-country model will also be developed following a model-building workshop. Models will be compared to each other and to the USA model. The inter-country model will be used to simulate policies identified as priorities by stakeholders and to develop targets for prevention and control. The model and model-building process will be evaluated by stakeholders and a manual developed for use in other high-burden developing regions. DISCUSSION: SD has been applied with success for health policy development in high-income country settings. The utility of SD in developing countries as an aid to policy decision-making related to NCDs has not been tested. This study represents the first of its kind.The project is funded by a health initiatives development grant sponsored by the DFID/MRC/Wellcome Trust/ESRC. Reference: MR/N005384/1

Simultaneous interfacial reactivity and topography mapping with scanning ion conductance microscopy

Scanning ion conductance microscopy (SICM) is a powerful technique for imaging the topography of a wide range of materials and interfaces. In this report, we develop the use and scope of SICM, showing how it can be used for mapping spatial distributions of ionic fluxes due to (electro)chemical reactions occurring at interfaces. The basic idea is that there is a change of ion conductance inside a nanopipet probe when it approaches an active site, where the ionic composition is different to that in bulk solution, and this can be sensed via the current flow in the nanopipet with an applied bias. Careful tuning of the tip potential allows the current response to be sensitive to either topography or activity, if desired. Furthermore, the use of a distance modulation SICM scheme allows reasonably faithful probe positioning using the resulting ac response, irrespective of whether there is a reaction at the interface that changes the local ionic composition. Both strategies (distance modulation or tuned bias) allow simultaneous topography-activity mapping with a single channel probe. The application of SICM reaction imaging is demonstrated on several examples, including voltammetric mapping of electrocatalytic reactions on electrodes and high-speed electrochemical imaging at rates approaching 4 s per image frame. These two distinct approaches provide movies of electrochemical current as a function of potential with hundreds of frames (images) of surface reactivity, to reveal a wealth of spatially resolved information on potential- (and time) dependent electrochemical phenomena. The experimental studies are supported by detailed finite element method modeling that places the technique on a quantitative footing

Zero modes, entropy bounds and partition functions

Some recent finite temperature calculations arising in the investigation of the Verlinde-Cardy relation are re-analysed. Some remarks are also made about temperature inversion symmetry.Comment: 12 pages, JyTe

Probing the Galactic Potential with Next-Generation Observations of Disk Stars

Near-future surveys promise a dramatic improvement in the number and precision of astrometric, photometric and spectroscopic measurements of stars in the Milky Way's disk. We examine the impact of such surveys on our understanding of the Galaxy by "observing" particle realizations of non-axisymmetric disk distributions orbiting in an axisymmetric halo with appropriate errors and then attempting to recover the underlying potential using a Markov Chain Monte Carlo (MCMC) approach. We demonstrate that the azimuthally averaged gravitational force field in the Galactic plane--and hence, to a lesser extent, the Galactic mass distribution--can be tightly constrained over a large range of radii using a variety of types of surveys so long as the error distribution of the measurements of the parallax, proper motion and radial velocity are well-understood and the disk is surveyed globally. One advantage of our method is that the target stars can be selected non-randomly in real or apparent-magnitude space to ensure just such a global sample without biasing the results. Assuming we can always measure the line-of-sight velocity of a star with at least 1 km/s precision, we demonstrate that the force field can be determined to better than ~1% for Galactocentric radii in the range R=4-20 kpc We conclude that near-future surveys, like SIM Lite, Gaia, and VERA, will provide the first precise mapping of the gravitational force field in the region of the Galactic disk.Comment: 41 pages and 10 figures, accepted for publication in Ap