Military Aspects of Mongolian Geopolitics

Mongolian Journal of International Affairs Vol.2 1995: 51-5

Can integrated agriculture - nutrition programs change gender norms on land and asset ownership? Evidence from Burkina Faso.

There is a high degree of interest in the potential for agricultural programs to be designed and implemented to achieve health and nutrition objectives. Policymakers have often looked to the experience of civil society organizations in designing and implementing such programs, particularly in different social and cultural contexts. For the past 20 years, Helen Keller International (HKI) has implemented homestead food production programs in Asia and recently has started to adapt and implement these programs in Africa south of the Sahara. The goal of these programs is to improve the nutritional status of and young children through a number of production and nutrition interventions. These interventions are targeted to mothers under the presumption that increasing women’s access to and control over productive assets and enhancing women’s human capital to improve production and health and nutrition care practices will translate into improved nutritional status for their children. However, there is very little evidence documenting the ways in which HKI’s homestead food production programs influence women’s access to and control over productive assets and enhance women’s human capital in ways that may improve nutritional outcomes. This paper uses a mixed-methods approach to analyze the impact of HKI’s Enhanced-Homestead Food Production pilot program in Burkina Faso on women’s and men’s assets and on norms regarding ownership, use, and control of those assets. Even though men continue to own and control most land and specific assets in the study area, women’s control over and ownership of assets has started to change, both in terms of quantifiable changes as well as changes in people’s perceptions and opinions about who can own and control certain assets. The paper also discusses the implications of such changes for program sustainability

An integrated agriculture - nutrition program in Burkina Faso can change gender norms on land and asset ownership.

Helen Keller International (HKI) carried out a two-year Enhanced-Homestead Food Production (E-HFP) pilot program (2010–2012) in Gourma Province in eastern Burkina Faso. The program’s goal was to improve women’s and children’s nutrition and health outcomes through production and nutrition interventions. One way in which the program sought to improve its production and nutrition out-comes was by directly increasing women’s access to and control over productive assets. To accomplish this objective, HKI trained women and gave them inputs for raising small animals and growing nutrient-rich foods, as well as health-and nutrition -related education delivered through a behavior change communication (BCC) strategy (Dillon et al. 2012). HKI partnered with the Gender, Agriculture, and Assets Project (GAAP) to measure the impact of the program’s interventions on men’s and women’s accumulation, ownership, and control over productive assets, and to assess changes in norms and perceptions regarding the ownership, use, and control over these assets

The Role of Palliative Surgery for Malignant Bowel Obstruction and Perforation in Advanced Microsatellite Instability-High Colorectal Carcinoma in the Era of Immunotherapy: Case Report.

The role of palliative surgery in the management of acute complications in patients with disseminated malignancy remains controversial given the complexity of assessing acute surgical risk and long-term oncologic outcome. With the emergence of checkpoint blockade immunotherapy, there appears to be an increasing role for historically palliative procedures as a bridge to systemic immunotherapy. This is especially evident in advanced microsatellite instability-high (MSI-H) colorectal cancer where malignant obstruction and fistula formation are more common and where immunotherapy with checkpoint blockade (anti-PD-1/PD-L1, anti-CTLA-4) has a high response rate with potential for favorable oncologic outcomes. We present a series of three patients with MSI-H metastatic colorectal cancer complicated by malignant bowel obstruction and fistula formation, who having progressed on standard chemotherapy, underwent palliative intervention as a bridge to immune checkpoint blockade with durable and clinically meaningful anti-cancer responses. These cases highlight the need to re-evaluate the role of historically palliative operations in the setting of disease progression for immunotherapy-responsive tumors

Exercise and Lifestyle Therapy Improves Weight Maintenance in Young People With Psychosis: A Service Evaluation

INTRODUCTION Young people with psychosis typically have higher rates of premature cardiovascular disease and metabolic disorders compared to non-psychotic peers. This has been primarily due to a sedentary lifestyle, poor diet composition, misuse of harmful substances and higher rates of obesity and smoking. When prescribed obesogenic antipsychotic medication, a weight gain of >12 kg within 2 years is typical. PURPOSE: To examine the benefits of a 12 wk exercise and lifestyle intervention entitled ‘Supporting Health and Promoting Exercise’ (SHAPE) for young people recently diagnosed with psychosis. METHODS Participants (n=26; 8 females; mean age 27.7 ± 5.1) engaged in weekly 45’ education sessions on healthy lifestyle behaviors, including: managing anxiety and depression, mindfulness and relaxation training, substance misuse, smoking cessation, healthy eating and nutritional advice, dental and sexual health care. This was followed by a 45’ exercise session including activities such as circuit and resistance training, yoga, and badminton, led by qualified exercise instructors. Anthropometric data were measured at baseline, 12 wk and 12 month post-intervention. Lifestyle behaviors and clinical measurements, including resting heart rate, blood pressure, total cholesterol, triglycerides, HbA1c and prolactin, were assessed at baseline and 12 months post-intervention as part of their routine clinical care plan. Significant differences over time were assessed using Paired Sample t-tests. RESULTS SHAPE participants (n=26) presented with first episode psychosis (n=11), schizophrenia (n=11), bipolar disorder (n=2), at risk mental state (n=1), and persistent delusion disorder (n=1) of which 52% were prescribed highly obesogenic antipsychotic medications (Clozapine and Olanzepine). Mean baseline data suggests participants were at an increased health risk due to elevated values in mean BMI (70% were overweight or obese), waist circumference, resting heart rate, and triglycerides (see Table 1 & 2). Over 50% reported smoking daily and 85% had elevated resting blood pressure (>120/80 mm Hg). At 12 wk post-intervention, no changes were observed in mean BMI or waist circumference (see Table 1); 19 participants either maintained (mean 0.5 kg: range ± 2 kg) or decreased (mean -5.7 kg: range 2-7 kg) weight; 7 participants increased weight (mean 4.9 kg: range 2.0-9.6 kg). At 12 month post-intervention (n=16), no change was evident in mean BMI, waist circumference, or any other clinical variable (see Table 2). Positive impacts on lifestyle behaviors included 7 participants eating ~400g of fruit/vegetables daily, 2 ceased substance use, 2 ceased alcohol use, 4 ceased smoking and 5 were less sedentary. CONCLUSION At the start of the programme, participants were already at an increased risk for cardiometabolic disorders. Findings suggest that SHAPE supported young people with psychosis to: -attenuate their physical health risk following a 12 wk exercise and lifestyle intervention which were sustained at 12 months follow up. -make positive lifestyle behavior changes leading to sustained improvements in weight maintenance and physical health

Characterizing Debris in the Infrared with UKIRT

The United Kingdom Infrared Telescope (UKIRT) has been a major asset for the NASA Orbital Debris Program Office (OPDO) since March, 2014. With the UKIRT current contract coming to an end at the finish of FY15, there is a golden opportunity for this community to fund and gain access to UKIRT as an SSA asset through HCAR (Hawaii Center for Astronautics Research). UKIRT is the only telescope on Mauna Kea dedicated to infrared bands. Spectral coverage ranges from the near- (0.8-5m) to the mid- to far-infrared (8-25 micrometer) regime. To date, debris observations have been collected with three instruments. Near-Infrared photometry with ZYJHK filters has been obtained with the Wide Field Camera (WFCam). Near-Infrared (1-2.5 micrometer) spectra are the focus of observations taken with the UKIRT Imager SpecTrometer (UIST). And Michelle (Mid Infrared escCHELLE) is a thermal imager-spectrometer designed for the 8-25 micrometer regime. With 35% of the telescope time allocated to ODPO, a very steady stream of data has been collected on a variety of debris targets using all the above instrumentation. Initial results from WFCam were discussed at AMOS and NISOI including analyses on IDCSPs, the MSG cooler and baffle covers. The cylindrical HS-376 buses were the focus of recent WFCam runs. Summary analyses of these works will be presented. Focus will be given to initial results of the data collected with the Cassegrain instruments, UIST and Michelle. UIST spectra were collected in September 2014, March and April 2015. Targets included a suite of HS-376 buses, well suited to investigate the signatures of blue solar panels; several dead satellites with solar array wings; Titan 3C transtage debris; the CTA Array cover, and others. In addition, Michelle mid-IR photometry was collected on a select few objects during the April 2015 run. Using WFCam, UIST and Michelle the Lockheed Martin has been observing operational satellites in the near- mid and far-infrared regime in an attempt to understand the health and status of several satellites that are based on the Lockheed Martin A2100 bus. The potential insights into debris characterization using this range of assets, and early analyses will be discussed, as well as the opportunities possible for utilizing UKIRT as an SSA asset

Triggering events with GPUs at ATLAS

The growing complexity of events produced in LHC collisions demands increasing computing power both for the online selection and for the offline reconstruction of events. In recent years there have been significant advances in the performance of Graphics Processing Units (GPUs) both in terms of increased compute power and reduced power consumption that make GPUs extremely attractive for use in a complex particle physics experiments such as ATLAS. A small scale prototype of the full ATLAS High Level Trigger has been implemented that exploits reconstruction algorithms optimized for this new massively parallel paradigm. We discuss the integration procedure followed for this prototype and present the performance achieved and the prospects for the future.Peer Reviewe