393 research outputs found
Fragmentation and systematics of the Pygmy Dipole Resonance in the stable N=82 isotones
The low-lying electric dipole (E1) strength in the semi-magic nucleus 136Xe
has been measured which finalizes the systematic survey to investigate the
so-called pygmy dipole resonance (PDR) in all stable even N=82 isotones with
the method of nuclear resonance fluorescence using real photons in the entrance
channel. In all cases, a fragmented resonance-like structure of E1 strength is
observed in the energy region 5 MeV to 8 MeV. An analysis of the fragmentation
of the strength reveals that the degree of fragmentation decreases towards the
proton-deficient isotones while the total integrated strength increases
indicating a dependence of the total strength on the neutron-to-proton ratio.
The experimental results are compared to microscopic calculations within the
quasi-particle phonon model (QPM). The calculation includes complex
configurations of up to three phonons and is able to reproduce also the
fragmentation of the E1 strength which allows to draw conclusions on the
damping of the PDR. Calculations and experimental data are in good agreement in
the degree of fragmentation and also in the integrated strength if the
sensitivity limit of the experiments is taken into account
Comparing the Job Satisfaction and Intention to Leave of Different Categories of Health Workers in Tanzania, Malawi, and South Africa.
Job satisfaction is an important determinant of health worker motivation, retention, and performance, all of which are critical to improving the functioning of health systems in low- and middle-income countries. A number of small-scale surveys have measured the job satisfaction and intention to leave of individual health worker cadres in different settings, but there are few multi-country and multi-cadre comparative studies. The objective of this study was to compare the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. We undertook a cross-sectional survey of a stratified cluster sample of 2,220 health workers, 564 from Tanzania, 939 from Malawi, and 717 from South Africa. Participants completed a self-administered questionnaire, which included demographic information, a 10-item job satisfaction scale, and one question on intention to leave. Multiple regression was used to identify significant predictors of job satisfaction and intention to leave. There were statistically significant differences in job satisfaction and intention to leave between the three countries. Approximately 52.1% of health workers in South Africa were satisfied with their jobs compared to 71% from Malawi and 82.6% from Tanzania (χ2=140.3, p<0.001). 18.8% of health workers in Tanzania and 26.5% in Malawi indicated that they were actively seeking employment elsewhere, compared to 41.4% in South Africa (χ2=83.5, p<0.001). The country differences were confirmed by multiple regression. The study also confirmed that job satisfaction is statistically related to intention to leave. We have shown differences in the levels of job satisfaction and intention to leave between different groups of health workers from Tanzania, Malawi, and South Africa. Our results caution against generalising about the effectiveness of interventions in different contexts and highlight the need for less standardised and more targeted HRH strategies than has been practised to date
The electric dipole response of Se above 4 MeV
The dipole response of Se in the energy range 4 to 9 MeV has been
analyzed using a polarized photon scattering
technique, performed at the High Intensity -Ray Source facility, to
complement previous work performed using unpolarized photons. The results of
this work offer both an enhanced sensitivity scan of the dipole response and an
unambiguous determination of the parities of the observed J=1 states. The
dipole response is found to be dominated by excitations, and can
reasonably be attributed to a pygmy dipole resonance. Evidence is presented to
suggest that a significant amount of directly unobserved excitation strength is
present in the region, due to unobserved branching transitions in the decays of
resonantly excited states. The dipole response of the region is underestimated
when considering only ground state decay branches. We investigate the electric
dipole response theoretically, performing calculations in a 3D cartesian-basis
time-dependent Skyrme-Hartree-Fock framework.Comment: 20 pages, 18 figures, to be submitted to PR
Molecular characterisation of echinococcus granulosus species/strains in human infections from Turkana, Kenya
Background: Cystic echinococcosis (CE) or hydatid disease is a neglected, economically important zoonotic disease endemic in pastoralist communities, in particular the Turkana community of Kenya. It is caused by the larval stage of the highly diverse species complex of Echinococcus granulosus sensu lato (s.l). The situation on the genetic diversity in humans in Kenya is not well established.Objective: To characterise Echinococcus granulosus (s.l) species/strains isolated from humans undergoing surgery in Turkana, Kenya.Design: A Cross sectional study.Setting: The Kakuma Mission Hospital and Centre for Microbiology Research, Kenya Medical Research InstituteSubjects: Eighty (80) parasite samples from 26 subjects were analysed by Polymerase chain reaction – Restriction fragment length polymorphism (PCR-RFLP) targeting the nad 1 gene for molecular characterizationResults: Two different genotypes of E. granulosus were identified from the samples analysed: E. granulosus sensu stricto (G1-G3) 85% of the samples analysed and E. canadensis G6/7 (15%). Most of the hydatid cysts (35%) were isolated from the liver. Other sites where cysts were isolated from include: kidney, abdomen, omentum, retroperitonium and the submandibular. Majority of cysts presented as CE1 (50%) and CE3B (42%) images according to WHO ultrasound classification. Both males and females were infected with E. granulosus s.s but only the females showed infection with E. canadensis G6/7. Chi-square test revealed significant difference between age of individuals and cysts classification by ultrasound. In addition, there was an association between cyst presentation (single or multiple) and genotype whereby all the E. canadensis G6/7 cases presented as single cysts in the infected persons.Conclusion: This study corroborates previous reports that E. canadensis G6/7 strain is present in Turkana, a place where initially only E. granulosus s.s (G1-G3) was known to be present and that E. granulosis (G1-G3) remains the most widespread genotype infecting humans in the Turkana community
Post-treatment follow-up study of abdominal cystic echinococcosis in Tibetan communities of northwest Sichuan Province, China
Background: Human cystic echinococcosis (CE), caused by the larval stage of Echinococcus granulosus, with the liver as the
most frequently affected organ, is known to be highly endemic in Tibetan communities of northwest Sichuan Province.
Antiparasitic treatment with albendazole remains the primary choice for the great majority of patients in this resource-poor
remote area, though surgery is the most common approach for CE therapy that has the potential to remove cysts and lead
to complete cure. The current prospective study aimed to assess the effectiveness of community based use of cyclic
albendazole treatment in Tibetan CE cases, and concurrently monitor the changes of serum specific antibody levels during
treatment.
Methodology/Principal Findings: Ultrasonography was applied for diagnosis and follow-up of CE cases after cyclic
albendazole treatment in Tibetan communities of Sichuan Province during 2006 to 2008, and serum specific IgG antibody
levels against Echinococcus granulosus recombinant antigen B in ELISA was concurrently monitored in these cases. A total of
196 CE cases were identified by ultrasound, of which 37 (18.9%) showed evidence of spontaneous healing/involution of
hepatic cyst(s) with CE4 or CE5 presentations. Of 49 enrolled CE cases for treatment follow-up, 32.7% (16) were considered
to be cured based on B-ultrasound after 6 months to 30 months regular albendazole treatment, 49.0% (24) were improved,
14.3% (7) remained unchanged, and 4.1% (2) became aggravated. In general, patients with CE2 type cysts (daughter cysts
present) needed a longer treatment course for cure (26.4 months), compared to cases with CE1 (univesicular cysts) (20.4
months) or CE3 type (detached cyst membrane or partial degeneration of daughter cysts) (9 months). In addition, the
curative duration was longer in patients with large (.10 cm) cysts (22.3 months), compared to cases with medium (5–
10 cm) cysts (17.3 months) or patients with small (,5 cm) cysts (6 months). At diagnosis, seven (53.8%) of 13 cases with CE1
type cysts without any previous intervention showed negative specific IgG antibody response to E. granulosus recombinant
antigen B (rAgB). However, following 3 months to 18 months albendazole therapy, six of these 7 initially seronegative CE1
cases sero-converted to be specific IgG antibody positive, and concurrently ultrasound scan showed that cysts changed to
CE3a from CE1 type in all the six CE cases. Two major profiles of serum specific IgG antibody dynamics during albendazole
treatment were apparent in CE cases: (i) presenting as initial elevation followed by subsequent decline, or (ii) a persistent
decline. Despite a decline, however, specific antibody levels remained positive in most improved or cured CE cases.
Conclusions: This was the first attempt to follow up community-screened cystic echinococcosis patients after albendazole
therapy using ultrasonography and serology in an endemic Tibetan region. Cyclic albendazole treatment proved to be
effective in the great majority of CE cases in this resource-poor area, but periodic abdominal ultrasound examination was
necessary to guide appropriate treatment. Oral albendazole for over 18 months was more likely to result in CE cure. Poor
drug compliance resulted in less good outcomes. Serology with recombinant antigen B could provide additional limited
information about the effectiveness of albendazole in CE cases. Post-treatment positive specific IgG antibody
seroconversion, in initially seronegative, CE1 patients was considered a good indication for positive therapeutic efficacy
of albendazole
Dipole Strength Distributions from HIGS Experiments
A series of photon scattering experiments has been performed on the double-beta decay partners 76Ge and 76Se, in order to investigate their dipole response up to the neutron separation threshold. Gamma-ray beams from bremsstrahlung at the S-DALINAC and from Compton-backscattering at HIGS have been used to measure absolute cross sections and parities of dipole excited states, respectively. The HIGS data allows for indirect measurement of averaged branching ratios, which leads to significant corrections in the observed excitation cross sections. Results are compared to statistical calculations, to test photon strength functions and the Axel-Brink hypothesi
Measuring supply-side service disruption: a systematic review of the methods for measuring disruption in the context of maternal and newborn health services in low and middle-income settings.
OBJECTIVES: During the COVID-19 pandemic, most essential services experienced some level of disruption. Disruption in LMICs was more severe than in HICs. Early reports suggested that services for maternal and newborn health were disproportionately affected, raising concerns about health equity. Most disruption indicators measure demand-side disruption, or they conflate demand-side and supply-side disruption. There is currently no published guidance on measuring supply-side disruption. The primary objective of this review was to identify methods and approaches used to measure supply-side service disruptions to maternal and newborn health services in the context of COVID-19. DESIGN: We carried out a systematic review and have created a typology of measurement methods and approaches using narrative synthesis. DATA SOURCES: We searched MEDLINE, EMBASE and Global Health in January 2023. We also searched the grey literature. ELIGIBILITY CRITERIA: We included empirical studies describing the measurement of supply-side service disruption of maternal and newborn health services in LMICs in the context of COVID-19. DATA EXTRACTION AND SYNTHESIS: We extracted the aim, method(s), setting, and study outcome(s) from included studies. We synthesised findings by type of measure (ie, provision or quality of services) and methodological approach (ie, qualitative or quantitative). RESULTS: We identified 28 studies describing 5 approaches to measuring supply-side disruption: (1) cross-sectional surveys of the nature and experience of supply-side disruption, (2) surveys to measure temporal changes in service provision or quality, (3) surveys to create composite disruption scores, (4) surveys of service users to measure receipt of services, and (5) clinical observation of the provision and quality of services. CONCLUSION: Our review identified methods and approaches for measuring supply-side service disruption of maternal and newborn health services. These indicators provide important information about the causes and extent of supply-side disruption and provide a useful starting point for developing specific guidance on the measurement of service disruption in LMICs
The high-efficiency {\gamma}-ray spectroscopy setup {\gamma}3 at HI{\gamma}S
The existing Nuclear Resonance Fluorescence (NRF) setup at the HI{\gamma}S
facility at the Triangle Universities Nuclear Laboratory at Duke University has
been extended in order to perform {\gamma}-{\gamma} coincidence experiments.
The new setup combines large volume LaBr3:Ce detectors and high resolution HPGe
detectors in a very close geometry to offer high efficiency, high energy
resolution as well as high count rate capabilities at the same time. The
combination of a highly efficient {\gamma}-ray spectroscopy setup with the
mono-energetic high-intensity photon beam of HI{\gamma}S provides a worldwide
unique experimental facility to investigate the {\gamma}-decay pattern of
dipole excitations in atomic nuclei. The performance of the new setup has been
assessed by studying the nucleus \sulfur at 8.125 MeV beam energy. The
{\gamma}-decay branching ratio from the level at 8125.4 keV to the first
excited state was determined to 15.7(3)%.Comment: 9 pages, 11 figure
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