[Accepted Manuscript] An Exploration of the Perspectives and Experiences of General Practitioners in Barbados in Relation to Lesbian, Gay, Bisexual and Transgender (LGBT) Patients

ABSTRACTThis qualitative study sought to explore the experiences and perspectives of General Practitioners (GPs) in Barbados in relation to lesbian, gay, bisexual, and transgender (LGBT) patients, and to inform training in this area. Ten GPs were interviewed using a semi-structured guide and interviews audio-taped, transcribed verbatim, and analyzed thematically. Key themes were scant discussions on sexual health, practices, and identity; varied understandings of sexual and gender identity; and the invisible LGBT patient and their specific health care needs. Enhanced GP training is required to improve LGBT patient care, and will need to address societal, professional, and methodological challenges to implementation

Views and experiences of men who have sex with men on the ban on blood donation: a cross sectional survey with qualitative interviews.

OBJECTIVE: To explore compliance with the UK blood services' criterion that excludes men who have had penetrative sex with a man from donating blood, and to assess the possible effects of revising this policy. DESIGN: A random location, cross sectional survey followed by qualitative interviews. SETTING: Britain. PARTICIPANTS: 1028 of 32,373 men in the general population reporting any male sexual contact completed the survey. Additional questions were asked of a general population sample (n=3914). Thirty men who had had penetrative sex with a man participated in the qualitative interviews (19 who had complied with the blood services' exclusion criterion and 11 who had not complied). Main outcome measure Compliance with the blood services' lifetime exclusion criterion for men who have had penetrative sex with a man. RESULTS: 10.6% of men with experience of penetrative sex with a man reported having donated blood in Britain while ineligible under the exclusion criterion, and 2.5% had donated in the previous 12 months. Ineligible donation was less common among men who had had penetrative sex with a man recently (in previous 12 months) than among men for whom this last occurred longer ago. Reasons for non-compliance with the exclusion included self categorisation as low risk, discounting the sexual experience that barred donation, belief in the infallibility of blood screening, concerns about confidentiality, and misunderstanding or perceived inequity of the rule. Although blood donation was rarely viewed as a "right," potential donors were seen as entitled to a considered assessment of risk. A one year deferral since last male penetrative sex was considered by study participants to be generally feasible, equitable, and acceptable. CONCLUSIONS: A minority of men who have sex with men who are ineligible to donate blood under the current donor exclusion in Britain have nevertheless done so in the past 12 months. Many of the reasons identified for non-compliance seem amenable to intervention. A clearly rationalised and communicated one year donor deferral is likely to be welcomed by most men who have sex with men

Urban Cholera transmission hotspots and their implications for Reactive Vaccination: evidence from Bissau city, Guinea Bissau

Use of cholera vaccines in response to epidemics (reactive vaccination) may provide an effective supplement to traditional control measures. In Haiti, reactive vaccination was considered but, until recently, rejected in part due to limited global supply of vaccine. Using Bissau City, Guinea-Bissau as a case study, we explore neighborhood-level transmission dynamics to understand if, with limited vaccine and likely delays, reactive vaccination can significantly change the course of a cholera epidemic

The extrasolar planet Gliese 581 d: a potentially habitable planet? (Corrigendum to arXiv:1009.5814)

We report here that the equation for H2O Rayleigh scattering was incorrectly stated in the original paper [arXiv:1009.5814]. Instead of a quadratic dependence on refractivity r, we accidentally quoted an r^4 dependence. Since the correct form of the equation was implemented into the model, scientific results are not affected.Comment: accepted to Astronomy&Astrophysic

Estimating precipitation on early Mars using a radiative-convective model of the atmosphere and comparison with inferred runoff from geomorphology

We compare estimates of atmospheric precipitation during the Martian Noachian-Hesperian boundary 3.8 Gyr ago as calculated in a radiative-convective column model of the atmosphere with runoff values estimated from a geomorphological analysis of dendritic valley network discharge rates. In the atmospheric model, we assume CO2-H2O-N2 atmospheres with surface pressures varying from 20 mb to 3 bar with input solar luminosity reduced to 75% the modern value. Results from the valley network analysis are of the order of a few mm d-1 liquid water precipitation (1.5-10.6 mm d-1, with a median of 3.1 mm d-1). Atmospheric model results are much lower, from about 0.001-1 mm d-1 of snowfall (depending on CO2 partial pressure). Hence, the atmospheric model predicts a significantly lower amount of precipitated water than estimated from the geomorphological analysis. Furthermore, global mean surface temperatures are below freezing, i.e. runoff is most likely not directly linked to precipitation. Therefore, our results strongly favor a cold early Mars with episodic snowmelt as a source for runoff. Our approach is challenged by mostly unconstrained parameters, e.g. greenhouse gas abundance, global meteorology (for example, clouds) and planetary parameters such as obliquity- which affect the atmospheric result - as as well as by inherent problems in estimating discharge and runoff on ancient Mars, such as a lack of knowledge on infiltration and evaporation rates and on flooding timescales, which affect the geomorphological data. Nevertheless, our work represents a first step in combining and interpreting quantitative tools applied in early Mars atmospheric and geomorphological studies.Comment: accepted in Planetary and Space Science, 37 pages, 14 figures, 2 table

Detailed Spectroscopic and Photometric Analysis of DQ White Dwarfs

We present an analysis of spectroscopic and photometric data for cool DQ white dwarfs based on improved model atmosphere calculations. In particular, we revise the atmospheric parameters of the trigonometric parallax sample of Bergeron et al.(2001), and discuss the astrophysical implications on the temperature scale and mean mass, as well as the chemical evolution of these stars. We also analyze 40 new DQ stars discovered in the first data release of the Sloan Digital Sky Survey.Comment: 6 pages,3 figures, 14th European Workshop on White Dwarfs, ASP Conference Series, in pres

Clouds in the atmospheres of extrasolar planets. I. Climatic effects of multi-layered clouds for Earth-like planets and implications for habitable zones

The effects of multi-layered clouds in the atmospheres of Earth-like planets orbiting different types of stars are studied. The radiative effects of cloud particles are directly correlated with their wavelength-dependent optical properties. Therefore the incident stellar spectra may play an important role for the climatic effect of clouds. We discuss the influence of clouds with mean properties measured in the Earth's atmosphere on the surface temperatures and Bond albedos of Earth-like planets orbiting different types of main sequence dwarf stars.Comment: accepted for publication in A&

Representation Of A Nonspherical Ice Particle By A Collection Of Independent Spheres For Scattering And Absorption Of Radiation: 2. Hexagonal Columns And Plates

[1] A cloud of nonspherical ice particles may be represented in radiation models by a collection of spheres, in which the model cloud contains the same total volume of ice and the same total surface area as the real cloud but not the same number of particles. The spheres then have the same volume-to-area (V/A) ratio as the nonspherical particle. In previous work this approach was shown to work well to represent randomly oriented infinitely long circular cylinders for computation of hemispherical reflectance, transmittance, and absorptance. In this paper the results have been extended to hexagonal columns and plates using a geometric optics technique for large particles and finite-difference-time-domain theory (FDTD) for small particles. The extinction efficiency and single-scattering coalbedo for these prisms are closely approximated by the values for equal-V/A spheres across the ultraviolet, visible, and infrared from 0.2 to 25 mum wavelength. Errors in the asymmetry factor can be significant where ice absorptance is weak, at visible wavelengths for example. These errors are greatest for prisms with aspect ratios close to 1. Errors in hemispheric reflectance, absorptance, and transmittance are calculated for horizontally homogeneous clouds with ice water paths from 0.4 to 200,000 g m(-2) and crystal thicknesses of 1 to 400 mum, to cover the range of crystal sizes and optical depths from polar stratospheric clouds (PSCs) through cirrus clouds to surface snow. The errors are less than 0.05 over most of these ranges at all wavelengths but can be larger at visible wavelengths because of the ideal shapes of the prisms. The method was not tested for, and is not expected to be accurate for, angle-dependent radiances

Profitable portfolios: capital that counts in higher education

Under-representation in UK higher education of students from less privileged social backgrounds is an enduring problem. While there are examples of productive participation, the pattern of collective trajectories of this group differs sharply from that of traditional entrants (Reay 2006). The onus falls largely to students to adapt to established practices which remain strongly oriented towards traditional white middle-class populations (Read et al. 2003, Burke 2005).Bourdieu’s theory of practice informed the analysis of data emerging from a longitudinal case study and empirical insights are offered into how students with non-traditional academic backgrounds experienced and negotiated the demands of studying in one of the UK’s research-intensive universities. A new conceptual framework identifies academic, linguistic, social and professionally-oriented capital as underpinning the logic of practice of this sub-field of higher education, and their influence on the positional tendencies and trajectories of the students operating within it are highlighted