Household decision-making about delivery in health facilities: evidence from Tanzania.

This study investigated how partners' perceptions of the healthcare system influence decisions about delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu district, Tanzania, to identify women who had given birth in the last five years and their partners. Of 826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors associated with delivery in a health facility were agreement of partners on the importance of delivering in a health facility and agreement that skills of doctors are better than those of traditional birth attendants. When partners disagreed, the opinion of the woman was more influential in determining delivery-location. Agreement of partners regarding perceptions about the healthcare system appeared to be an important driver of decisions about delivery-location. These findings suggest that both partners should be included in the decision-making process regarding delivery to raise rates of delivery at facility

Possible Detection of OVI from the LMC Superbubble N70

We present FUSE observations toward four stars in the LMC superbubble N70 and compare these spectra to those of four comparison targets located in nearby field and diffuse regions. The N70 sight lines show OVI 1032 absorption that is consistently stronger than the comparison sight lines by ~60%. We attribute the excess column density (logN_OVI=14.03 cm^-2) to hot gas within N70, potentially the first detection of OVI associated with a superbubble. In a survey of 12 LMC sight lines, Howk et al. (2002a) concluded that there was no correlation between ISM morphology and N_OVI. We present a reanalysis of their measurements combined with our own and find a clear difference between the superbubble and field samples. The five superbubbles probed to date with FUSE show a consistently higher mean N_OVI than the 12 non-superbubble sight lines, though both samples show equivalent scatter from halo variability. Possible ionization mechanisms for N70 are discussed, and we conclude that the observed OVI could be the product of thermal conduction at the interface between the hot, X-ray emitting gas inside the superbubble and the cooler, photoionized material making up the shell seen prominently in Halpha. We calculate the total hydrogen density n_H implied by our OVI measurements and find a value consistent with expectations. Finally, we discuss emission-line observations of OVI from N70.Comment: 9 pages in emulateapj style. Accepted to Ap

Transitions in climate and energy discourse between Hurricanes Katrina and Sandy

Although climate change and energy are intricately linked, their explicit connection is not always prominent in public discourse and the media. Disruptive extreme weather events, including hurricanes, focus public attention in new and different ways offering a unique window of opportunity to analyze how a focusing event influences public discourse. Media coverage of extreme weather events simultaneously shapes and reflects public discourse on climate issues. Here, we analyze climate and energy newspaper coverage of Hurricanes Katrina (2005) and Sandy (2012) using topic models, mathematical techniques used to discover abstract topics within a set of documents. Our results demonstrate that post-Katrina media coverage does not contain a climate change topic, and the energy topic is limited to discussion of energy prices, markets, and the economy with almost no explicit linkages made between energy and climate change. In contrast, post-Sandy media coverage does contain a prominent climate change topic, a distinct energy topic, as well as integrated representation of climate change and energy, indicating a shift in climate and energy reporting between Hurricane Katrina and Hurricane Sandy

The sociospatial factors of death: Analyzing effects of geospatially-distributed variables in a Bayesian mortality model for Hong Kong

Human mortality is in part a function of multiple socioeconomic factors that differ both spatially and temporally. Adjusting for other covariates, the human lifespan is positively associated with household wealth. However, the extent to which mortality in a geographical region is a function of socioeconomic factors in both that region and its neighbors is unclear. There is also little information on the temporal components of this relationship. Using the districts of Hong Kong over multiple census years as a case study, we demonstrate that there are differences in how wealth indicator variables are associated with longevity in (a) areas that are affluent but neighbored by socially deprived districts versus (b) wealthy areas surrounded by similarly wealthy districts. We also show that the inclusion of spatially-distributed variables reduces uncertainty in mortality rate predictions in each census year when compared with a baseline model. Our results suggest that geographic mortality models should incorporate nonlocal information (e.g., spatial neighbors) to lower the variance of their mortality estimates, and point to a more in-depth analysis of sociospatial spillover effects on mortality rates.Comment: 26 pages (15 main, 11 appendix), 22 figures (6 main, 11 appendix), 2 table

Tracing baryons in the warm-hot intergalactic medium with broad Ly alpha absorption

We discuss physical properties and baryonic content of broad Ly alpha absorbers (BLAs) at low redshift. These absorption systems, recently discovered in high-resolution, high-signal to noise quasar absorption line spectra, possibly trace the warm-hot intergalactic medium (WHIM) in the temperature range between 10^5 and 10^6 K. To extend previous BLA measurements we have analyzed STIS data of the two quasars H 1821+643 and PG 0953+415 and have identified 13 BLA candidates along a total (unblocked) redshift path of dz=0.440. Combining our measurements with previous results for the lines of sight toward PG 1259+593 and PG 1116+215, the resulting new BLA sample consists of 20 reliably detected systems as well as 29 additional tentative cases, implying a BLA number density of dN/dz=22-53. We estimate that the contribution of BLAs to the baryon density at z=0 is Omega_b(BLA)>0.0027 h_70^-1 for absorbers with log (N/b)>11.3. This number indicates that WHIM broad Ly alpha absorbers contain a substantial fraction of the baryons in the local Universe. (Abridged abstract)Comment: 17 pages, 7 figures; Accepted for publication in A&