1,185 research outputs found

    Post-harvest handling practices and associated food losses and limitations in the sweetpotato value chain of southern Ethiopia

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    Household food insecurity is a chronic problem in Ethiopia; the situation is being exacerbated by high population growth rates and recurring droughts in the country. The interest to address post-harvest value chain (VC) constraints leading to food losses has increased significantly to provide adequate nutrition to the growing population. In this study, mapping of sweetpotato VC not only quantifies the degree of losses but establish links between distinct VC constraints and respective food losses and limitations. Harvest and handling at farm level and shelf life issues at distribution were identified as vulnerable hot-spots of the sweetpotato food losses. Apart from physical and biological factors, demand and supply mismatch during the main harvest season at the wet markets leads to food (up to 25%) and economic losses (33–75%) followed by deficiencies in the lean season. A multi-stakeholder cooperation is required to mitigate food losses, which can have a high impact on the nutritional and financial status of the producers, market operators, and the consumers

    Cardiac conditions in pregnancy and the role of midwives: A discussion paper

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    Aim This paper provides an overview of the two broad categories of cardiac conditions observed in pregnancy (congenital and acquired). It also identifies the midwives' role in the childbirth continuum and includes assessment, track and trigger systems and management during labour and delivery. Design Discussion paper. Methods Data were collected by reviewing international evidence and by searching computerized databases. Results Research has identified that women with associated risk factors of a cardiac condition who delay pregnancy have an increased risk of experiencing cardiovascular complications in pregnancy with poorer outcomes. The Three Ps in a Pod clinical initiative in the United Kingdom highlights working as a team in multidisciplinary programmes to improve mothers' care and save lives. Midwives play a key role during pregnancy and need to be appraised in relation to cardiovascular disease observed in pregnancy, its potential risks and anticipated problems and within the continuum of care.Sandra Millington, Judith Magarey, Gustaaf A. Dekker, Robyn A. Clar

    Adherence to clinical practice guidelines for South Australian pregnant women with cardiac conditions between 2003 and 2013

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    Background For pregnant women with a known cardiac condition or those who develop cardiac disease during pregnancy, there is an increased risk of complications during pregnancy, to both mother and foetus. To reduce this risk, best practice guidelines have been developed and available in South Australia for several years. Measuring clinical practice against the guideline recommendations verifies real-life practice and an essential part of any clinical practice quality improvement project by identifying gaps. This study is the first report on adherence to statewide perinatal guidelines for these women in South Australia. Objectives To evaluate adherence to evidence-based clinical practice perinatal guidelines To identify predictors of adherence. Make comparisons across three practice settings examined. Design A retrospective cross-sectional observational design that analysed data from medical records. Setting Three SA Health public metropolitan, university-affiliated teaching hospitals with an obstetric service within a ten-year timeframe (2003–2013). Participants 271 admissions of women who were categorised as ‘pre-existent’ or ‘newly acquired’ cardiac condition during their pregnancy. Outcome measures Adherence to guidelines was measured using a purposefully designed scoring system across the three sites. The researcher chose a minimum acceptable score of 17 applicable to the ‘newly acquired’ group and 35 for the ‘pre-existent’ group. Results Overall adherence to the perinatal guidelines for the combined groups (n = 271) reported a mean score of 16.3, SD ± 6.7, with a median score of 17. Women in the ‘newly acquired’ group scored less compared to women in the ‘pre-existent’ group (Estimate -2.3, CI -3.9,-0.7). Variance in adherence was observed across the three hospitals (P value <0.0001). The most significant predictor of adherence to guidelines was pre-pregnancy cardiac consultation which increased the likelihood of preconception care by Odds ratio 18.5 (95%, CI 2, 168). Similarly, compliance with mental health screening was associated with improved adherence to antenatal assessments (OR: 11.3(95% CI 4.7, 27.3). Conclusion There was overall suboptimal adherence to the statewide guidelines for women with cardiac conditions in pregnancy. The variance in the level of adherence across the three hospitals correlated with the exposure to higher acuity cases, and that appropriate up- referral to a higher acuity hospital was intrinsically linked to better adherence. Recommendations include preconception counselling, and to ensure that all health practitioners have the skills, sufficient training and time to complete a comprehensive initial antenatal assessment Trial registration ACTRN12617000417381Sandra Millington, Margaret Arstall, Gustaaf Dekker, Judith Magarey, Robyn Clar

    Electromagnetic absorption of a pinned Wigner crystal at finite temperatures

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    We investigate the microwave absorption of a pinned, two-dimensional Wigner crystal in a strong magnetic field at finite temperatures. Using a model of a uniform commensurate pinning potential, we analyze thermal broadening of the electromagnetic absorption resonance. Surprisingly, we find that the pinning resonance peak should remain sharp even when the temperature is comparable or greater than the peak frequency. This result agrees qualitatively with recent experimental observations of the ac conductivity in two-dimensional hole systems in a magnetically induced insulating state. It is shown, in analogy with Kohn's theorem, that the electron-electron interaction does not affect the response of a harmonically pinned Wigner crystal to a spatially uniform external field at any temperature. We thus focus on anharmonicity in the pinning potential as a source of broadening. Using a 1/N expansion technique, we show that the broadening is introduced through the self-energy corrections to the magnetophonon Green's functions.Comment: 21 pages, 9 eps figure

    Biological anthropology in the Indo-Pacific Region: New approaches to age-old questions

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    Biological anthropological research, the study of both modern and past humans, is a burgeoning field in the Indo-Pacific region. It is becoming increasingly apparent that the unique environments of the Indo-Pacific have resulted in an archaeological record that does not necessarily align with those in the northern hemisphere. New, regionally-specific archaeological models are being developed, and biological anthropological research has an important role to play in establishing past human experience within these models. In the Indo-Pacific, research using ancient and modern human tissues is adding insight into global processes of prehistoric settlement and migrations, subsistence change and human biosocial adaptation. This review synthesises current themes in biological anthropology in this region. It highlights the diverse methods and approaches used by biological anthropologists to address globally-relevant archaeological questions. In recent decades a collaborative approach between archaeologists, biological anthropologists and local communities has become the norm in the region. The many positive outcomes of this multi-disciplinary approach are highlighted here through the use of regionally-specific case studies. This review ultimately aims to stimulate further collaborations between archaeologists, biological anthropologists and the communities in the region, and demonstrate how the evidence from Indo-Pacific research may be relevant to global archaeological models

    Multilayered feed forward Artificial Neural Network model to predict the average summer-monsoon rainfall in India

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    In the present research, possibility of predicting average summer-monsoon rainfall over India has been analyzed through Artificial Neural Network models. In formulating the Artificial Neural Network based predictive model, three layered networks have been constructed with sigmoid non-linearity. The models under study are different in the number of hidden neurons. After a thorough training and test procedure, neural net with three nodes in the hidden layer is found to be the best predictive model.Comment: 19 pages, 1 table, 3 figure

    Clinical risk factors of colorectal cancer in patients with serrated polyposis syndrome: A multicentre cohort analysis

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    Objective Serrated polyposis syndrome (SPS) is accompanied by an increased risk of colorectal cancer (CRC). Patients fulfilling the clinical criteria, as defined by the WHO, have a wide variation in CRC risk. We aimed to assess risk factors for CRC in a large cohort of patients with SPS and to evaluate the risk of CRC during surveillance. Design In this retrospective cohort analysis, all patients with SPS from seven centres in the Netherlands and two in the UK were enrolled. WHO criteria were used to diagnose SPS. Patients who only fulfilled WHO criterion-2, with IBD and/or a known hereditary CRC syndrome were excluded. Results In total, 434 patients with SPS were included for analysis; 127 (29.3%) were diagnosed with CRC. In a per-patient analysis =1 serrated polyp (SP) with dysplasia (OR 2.07; 95% CI 1.28 to 3.33), =1 advanced adenoma (OR 2.30; 95% CI 1.47 to 3.67) and the fulfilment of both WHO criteria 1 and 3 (OR 1.60; 95% CI 1.04 to 2.51) were associated with CRC, while a history of smoking was inversely associated with CRC (OR 0.36; 95% CI 0.23 to 0.56). Overall, 260 patients underwent surveillance after clearing of all relevant lesions, during which two patients were diagnosed with CRC, corresponding to 1.9 events/1000 person-years surveillance (95% CI 0.3 to 6.4). Conclusion The presence of SPs containing dysplasia, advanced adenomas and/or combined WHO criteria 1 and 3 phenotype is associated with CRC in patients with SPS. Patients with a history of smoking show a lower risk of CRC, possibly due to a different pathogenesis of disease. The risk of developing CRC during surveillance is lower than previously reported in literature, which may reflect a more mature multicentre cohort with less selection bias

    Application of information entropy to nuclei

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    Shannon's information entropies in position- and momentum- space and their sum SS are calculated for various ss-pp and ss-dd shell nuclei using a correlated one-body density matrix depending on the harmonic oscillator size b0b_0 and the short range correlation parameter yy which originates from a Jastrow correlation function. It is found that the information entropy sum for a nucleus depends only on the correlation parameter yy through the simple relation S=s0A+s1Ay−λsAS= s_{0A} + s_{1A} y^{-\lambda_{sA}}, where s0As_{0A}, s1As_{1A} and λsA\lambda_{sA} depend on the mass number AA. A similar approximate expression is also valid for the root mean square radius of the nucleus as function of yy leading to an approximate expression which connects SS with the root mean square radius. Finally, we propose a method to determine the correlation parameter from the above property of SS as well as the linear dependence of SS on the logarithm of the number of nucleons.Comment: 10 pages, 10 EPS figures, RevTeX, Phys.Rev.C accepted for publicatio
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