Female genital mutilation among Iraqi Kurdish women: a cross-sectional study from Erbil city

BACKGROUND: Iraqi Kurdistan region is one of the areas where female genital mutilation is reportedly widely practiced but inadequately studied. The aim of this study was to determine (i) the prevalence of female genital mutilation among Muslim Kurdish women in Erbil city, (ii) the patterns and types of female genital mutilation, (iii) the factors associated with this practice and (iv) women’s knowledge and attitudes towards this practice. METHODS: A cross-sectional study was conducted in the primary health care centers and the Maternity Teaching Hospital in Erbil city, involving 1987 women aged 15–49 years. Data were obtained about female genital mutilation status and knowledge and perception towards this practice. The participants were clinically examined to verify the self-reported female genital mutilation status. RESULTS: The self-reported prevalence of female genital mutilation was 70.3%, while it was 58.6% according to clinical examination of the women’s genitalia. The most common type of female genital mutilation was type I (99.6%) and the most common age at which mutilation was performed was 4–7 years (60.2%). This practice was mostly performed by traditional birth attendants (72.5%). Only 6.4% of mutilated women reported having complications after mutilation, most commonly bleeding (3.6%). The practice was more reported among housewives (OR = 3.3), those women whose mothers were mutilated (OR = 15.1) or with unknown mutilation status (OR = 7.3) and those women whose fathers were illiterate (OR = 1.4) or could only read and write (OR = 1.6). The common reasons for practicing female genital mutilation were cultural tradition (46.7%) and dictate of religion (38.9%). Only 30% of the participants were aware about the health consequences of female genital mutilation. More than one third (36.6%) of the women support the practice and 34.5% have intention to mutilate their daughters. CONCLUSIONS: Prevalence of female genital mutilation among Muslim Kurdish women in Erbil city is very high; although, most cases are of type I. There is clear lack of knowledge about the health consequences of female genital mutilation and a relatively important segment of women support this practice. Custom or tradition and dictate of religion are the main reasons for this practice that need further in-depth exploration

Spatially-resolved Thermal Continuum Absorption against the Supernova Remnant W49B

We present sub-arcminute resolution imaging of the Galactic supernova remnant W49B at 74 MHz (25") and 327 MHz (6"), the former being the lowest frequency at which the source has been resolved. While the 327 MHz image shows a shell-like morphology similar to that seen at higher frequencies, the 74 MHz image is considerably different, with the southwest region of the remnant almost completely attenuated. The implied 74 MHz optical depth (~ 1.6) is much higher than the intrinsic absorption levels seen inside two other relatively young remnants, Cas A and the Crab Nebula, nor are natural variations in the relativistic electron energy spectra expected at such levels. The geometry of the absorption is also inconsistent with intrinsic absorption. We attribute the absorption to extrinsic free-free absorption by a intervening cloud of thermal electrons. Its presence has already been inferred from the low-frequency turnover in the integrated continuum spectrum and from the detection of radio recombination lines toward the remnant. Our observations confirm the basic conclusions of those measurements, and our observations have resolved the absorber into a complex of classical HII regions surrounded either partially or fully by low-density HII gas. We identify this low-density gas as an extended HII region envelope (EHE), whose statistical properties were inferred from low resolution meter- and centimeter-wavelength recombination line observations. Comparison of our radio images with HI and H_2CO observations show that the intervening thermal gas is likely associated with neutral and molecular material as well.Comment: 18 pages, LaTeX with AASTeX-5, 5 figures in 7 PostScript files; accepted for publication in the Ap

The influence of community on Transient evoked otoacoustic emissions (TEOAEs) in Iraqi subjects with normal hearing.

Background: The purpose of this study was to compare the parametric measurements of transient otoacoustic (TEOAEs) in normal hearing subjects between two clinical centers in Iraq and to examine the community effect on TEOAEs characteristics. Patients and Methods: Transient otoacoustic emission (TEOAEs) were obtained from eighty subjects (160 ears)-males and females aged (10-20 years), with Forty (40) subjects in Baghdad audiology center and forty subjects in Sulaimania audiology center (North of Iraq)[ Kurdistan-Iraq], in standard, non-linear “Fast Screen” mode. Hearing thresholds, tympanometric, and TEOAE-parameters were recorded between two clinical center groups. Results: The cross correlation (wave reproducibility) was constant between two groups. The mean Signal to noise ratio (SNRs) for all (160 ears) were well above 3 dB at frequencies 1K, 2K, 3K, 4K and 5 KHz. The Sulaimania –subjects group showed the lowest SNR in low frequency (1 KHz) and middle frequency (3 KHz) than the Baghdad-subjects group. No statistical difference was observed in other frequency bands, and in overall mean SNRs between two groups. Conclusions: The observed differences of SNRs at low and middle frequency bands are most likely related to differences in ear canal volume and/or to differences in cochlear mechanisms. The values obtained in the present study can be used as normative data for screening and diagnostic purposes in Iraqi subjects aged (10-20 years)

An Early and Comprehensive Millimetre and Centimetre Wave and X-ray Study of SN 2011dh: a Non-Equipartition Blast Wave Expanding into a Massive Stellar Wind

Only a handful of supernovae (SNe) have been studied in multiwavelengths from the radio to X-rays, starting a few days after the explosion. The early detection and classification of the nearby Type IIb SN 2011dh/PTF 11eon in M51 provides a unique opportunity to conduct such observations. We present detailed data obtained at one of the youngest phase ever of a core-collapse SN (days 3–12 after the explosion) in the radio, millimetre and X-rays; when combined with optical data, this allows us to explore the early evolution of the SN blast wave and its surroundings. Our analysis shows that the expanding SN shock wave does not exhibit equipartition (ϵe/ϵB ∼ 1000), and is expanding into circumstellar material that is consistent with a density profile falling like R−2. Within modelling uncertainties we find an average velocity of the fast parts of the ejecta of 15 000 ± 1800 km s−1, contrary to previous analysis. This velocity places SN 2011dh in an intermediate blast wave regime between the previously defined compact and extended SN Type IIb subtypes. Our results highlight the importance of early (∼1 d) high-frequency observations of future events. Moreover, we show the importance of combined radio/X-ray observations for determining the microphysics ratio ϵe/ϵB

High-Resolution, Wide-Field Imaging of the Galactic Center Region at 330 MHz

We present a wide field, sub-arcminute resolution VLA image of the Galactic Center region at 330 MHz. With a resolution of ~ 7" X 12" and an RMS noise of 1.6 mJy/beam, this image represents a significant increase in resolution and sensitivity over the previously published VLA image at this frequency. The improved sensitivity has more than tripled the census of small diameter sources in the region, has resulted in the detection of two new Non Thermal Filaments (NTFs), 18 NTF candidates, 30 pulsar candidates, reveals previously known extended sources in greater detail, and has resulted in the first detection of Sagittarius A* in this frequency range. A version of this paper containing full resolution images may be found at http://lwa.nrl.navy.mil/nord/AAAB.pdf.Comment: Astronomical Journal, Accepted 62 Pages, 21 Figure

Using Q-methodology to explore people's health seeking behavior and perception of the quality of primary care services.

BACKGROUND: Information on health seeking behavior and beneficiaries' perception of the quality of primary care can help policy makers to set strategies to improve health system. With scarcity of research on this particular field in Iraqi Kurdistan region, we sought to explore the patterns of health seeking behavior and perception of the quality of primary care services of a sample of population. METHODS: This explorative study was carried out in Erbil governorate, Iraq. Data were collected using the novel approach of Q-methodology for eliciting subjective viewpoints and identifying shared patterns among individuals. Forty persons representing different demographic and socioeconomic groups and living in different areas of Erbil governorate sorted 50 statements reflecting different aspects of health-seeking behavior and primary care services into a distribution on a scale of nine from "disagree most" to "agree most". By-person factor analysis through centroid factor extraction and varimax rotation of factors were used to derive latent viewpoints. RESULTS: Four distinct patterns of health seeking behavior and viewpoints toward the primary care services were identified. People in factor 1 are extremely critical of the services at primary health care centers and are regular users of the private health sector. People in factor 2 positively recognize the services at primary health care centers but mainly turn to inappropriate health seeking behavior. People in factor 3 have satisfaction with the services at primary health care centers with minimal use of these services, but mainly turn to the private sector. People in factor 4 are slightly satisfied with the services at primary health care centers but mainly rely on these services. CONCLUSIONS: This study highlighted the typical characterizations that were associated with each uncovered factor. Informing on the beneficiaries' concerns about the primary care services can help to improve the system through further exploring the issues raised by the respondents and directing particular action on these issues. The characterizing and distinguishing statements can be used as a set of questions to conduct community-based survey on this important aspect of health services

Water Infiltration Characteristics for Artificial Lake in Bahr Al-Najaf

Al-Najaf is one of the important cities in Iraq due to its high spiritual and religious reputation that attracts Moslems from different parts of the world to visit the holy shrine of Al-Imam Ali (peace be upon him). The city of Al-Najaf and particularly Bahr Al-Najaf area, is expecting a number of large scale construction activities, among these development activities are the planning of a new tourist city called Sayf Thulfiqar city. Sayf Thulfiqar city is planned to be the largest tourist city in Iraq. The area of the proposed tourist city is about 63 hectares, consists of an artificial lake 1000m long surrounded by twelve towers and a number of small dwellings. This lake is considered as a big challenge in planning, construction, and sustainability. The challenging points primarily are the sources of water required to fill the lake, infiltration characteristics of the soil at site, weather conditions, etc.The present paper focuses on investigating the rate of water infiltration through the base and side walls of a pit with dimensions 3m by 3m and 0.5m in depth excavated and filled with water in the location of artificial lake. The process of filling was repeated several times with full observation and continuous field measurements. The results revealed some useful characteristics and correlations regarding the infiltration of water of artificial lake in Bahr Al-Najaf

105110^{51} Ergs: The Evolution of Shell Supernova Remnants

This paper reports on a workshop hosted by the University of Minnesota, March 23-26, 1997. It addressed fundamental dynamical issues associated with the evolution of shell supernova remnants and the relationships between supernova remnants and their environments. The workshop considered, in addition to classical shell SNRs, dynamical issues involving X-ray filled composite remnants and pulsar driven shells, such as that in the Crab Nebula. Approximately 75 participants with wide ranging interests attended the workshop. An even larger community helped through extensive on-line debates prior to the meeting. Each of the several sessions, organized mostly around chronological labels, also addressed some underlying, general physical themes: How are SNR dynamics and structures modified by the character of the CSM and the ISM and vice versa? How are magnetic fields generated in SNRs and how do magnetic fields influence SNRs? Where and how are cosmic-rays (electrons and ions) produced in SNRs and how does their presence influence or reveal SNR dynamics? How does SNR blast energy partition into various components over time and what controls conversion between components? In lieu of a proceedings volume, we present here a synopsis of the workshop in the form of brief summaries of the workshop sessions. The sharpest impressions from the workshop were the crucial and under-appreciated roles that environments have on SNR appearance and dynamics and the critical need for broad-based studies to understand these beautiful, but enigmatic objects. \\Comment: 54 pages text, no figures, Latex (aasms4.sty). submitted to the PAS

Detection of Sagittarius A* at 330 MHz with the Very Large Array

We report the detection of Sagittarius A*, the radio source associated with our Galaxy's central massive black hole, at 330 MHz with the Very Large Array. Implications for the spectrum and emission processes of Sagittarius A* are discussed and several hypothetical geometries of the central region are considered.Comment: Astrophysical Journal Letters, Accepte