Repeatability And Validity Of IUATLD Respiratory Questionnaire Responses As A Measure Of Asthma In An Ethiopian Population

EAMJ Dec. Repeatability.indd Objective: To assess the repeatability and validity of the IUATLD respiratory symptoms questionnaire in relation to exercise-induced bronchoconstriction or bronchodilator responses in a community in southern Ethiopia.Design: A case-control study.Setting: Rural and small town setting in southern Ethiopia, April to May 2006.Subjects: Two hundred and forty seven adults and children who previously reported wheeze in the past year, and 174 who did not.Interventions: Administered IUATLD bronchial symptoms questionnaire; standardised free-running exercise test or (for those with airflow obstruction) assessment of bronchodilator response to inhaled salbutamol.Results: Kappa values for four-week repeatability for the wheeze and asthma questions were 0.61 (95% CI 0.52 to 0.70) and 0.75 (0.63 to 0.87), respectively. Of the 58 people who reported wheeze in 2003 and in April 2006, only five had a positive exercise test or bronchodilator challenge (Positive Predictive Value (PPV) 0.09, 95% CI 0.01 to 0.22). Of the 12 who reported asthma in 2003 and April 2006, three had a positive result to either to exercise test or bronchodilator challenge test (PPV 0.25, 95% CI 0.05 to 0.50).Conclusion: Our findings suggest that self-reported wheeze and asthma have good short-term repeatability, but do not closely reflect exercise-induced bronchospasm or bronchodilator responsiveness. The validity of questionnaire methods of studying asthma epidemiology in developing countries needs further investigation

Euler diagrams through the looking glass: From extent to intent

Extension and intension are two ways of indicating the fundamental meaning of a concept. The extent of a concept, C, is the set of objects which correspond to C whereas the intent of C is the collection of attributes that characterise it. Thus, intension denotes the set of objects corresponding to C without naming them individually. Mathematicians switch comfortably between these perspectives but the majority of logical diagrams deal exclusively in extension. Euler diagrams indicate sets using curves to depict their extent in a way that intuitively matches the relations between the sets. What happens when we use spatial diagrams to depict intension? What can we infer about the intension of a concept given its extension, and vice versa? We present the first steps towards addressing these questions by defining extensional and intensional Euler diagrams and translations between the two perspectives. We show that translation in either direction leads to a loss of information, yet preserves important semantic properties. To conclude, we explain how we expect further exploration of the relationship between the two perspectives could shed light on connections between diagrams, extension, intension, and well-matchedness

Testing Rotational Mixing Predictions with New Boron Abundances in Main Sequence B-type Stars

(Abridged) New boron abundances for seven main-sequence B-type stars are determined from HST STIS spectroscopy around the BIII 2066A line. Boron abundances provide a unique and critical test of stellar evolution models that include rotational mixing since boron is destroyed in the surface layers of stars through shallow mixing long before other elements are mixed from the stellar interior through deep mixing. Boron abundances range from 12+log(B/H) = 1.0 to 2.2. The boron abundances are compared to the published values of their stellar nitrogen abundances (all have 12+log(N/H) < 7.8, i.e., they do not show significant CNO-mixing) and to their host cluster ages (4 to 16 Myr) to investigate the predictions from models of massive star evolution with rotational mixing effects (Heger & Langer 2000). Only three stars (out of 34) deviate from the model predictions, including HD36591, HD205021, and HD30836. These three stars suggest that rotational mixing could be more efficient than currently modelled at the highest rotation rates.Comment: 10 figures, 7 tables; accepted for publication in the Astrophysical Journa

Boron Abundances in Main Sequence B-type Stars: A Test of Rotational Depletion during Main Sequence Evolution

Boron abundances have been derived for seven main sequence B-type stars from HST STIS spectra around the B III 2066 A line. In two stars, boron appears to be undepleted with respect to the presumed initial abundance. In one star, boron is detectable but it is clearly depleted. In the other four stars, boron is undetectable implying depletions of 1 to 2 dex. Three of these four stars are nitrogen enriched, but the fourth shows no enrichment of nitrogen. Only rotationally induced mixing predicts that boron depletions are unaccompanied by nitrogen enrichments. The inferred rate of boron depletion from our observations is in good agreement with these predictions. Other boron-depleted nitrogen-normal stars are identified from the literature. Also, several boron-depleted nitrogen-rich stars are identified, and while all fall on the boron-nitrogen trend predicted by rotationally-induced mixing, a majority have nitrogen enrichments that are not uniquely explained by rotation. The spectra have also been used to determine iron-group (Cr, Mn, Fe, and Ni) abundances. The seven B-type stars have near solar iron-group abundances, as expected for young stars in the solar neighborhood. We have also analysed the halo B-type star, PG0832+676. We find [Fe/H] = -0.88 +/- 0.10, and the absence of the B III line gives the upper limit [B/H]<2.5. These and other published abundances are used to infer the star's evolutionary status as a post-AGB star.Comment: 31 pages, 14 figures. accepted to Ap

Use and misuse of aspirin in rural Ethiopia

Objectives: To investigate ability to distinguish simple analgesics, to document misconceptions about aspirin use, and to identify strategies to diminish potentially harmful aspirin use in Ethiopia. Design: Qualitative study (eight focus group discussions) used to inform cross-sectional survey. Setting: Butajira, a small town in southern Ethiopia, and surrounding rural areas. Participants: Purposively selected informants for focus groups; random sample of urban and rural residents for cross-sectional survey. Main outcome measures: Ability to distinguish aspirin from paracetamol; proportion using aspirin; proportion aware of common risks of aspirin. Results: Questionnaires were completed by 204 of the 250 residents sampled (82% response). Three-quarters of survey participants knew the difference between aspirin and paracetamol. Aspirin was used by 7.3% of respondents, and was mainly taken for headache and fever. In focus group discussions there was a suggestion that aspirin was considered particularly useful for children. There was very low awareness of the risks of using aspirin in children (2.5% unprompted, 18.6% prompted) or in people with asthma (1% unprompted, 5.9% prompted). Aspirin is cheap and widely available in urban and rural areas.Conclusion: Awareness of the risks of aspirin use by children and in asthma is extremely low in this rural Ethiopian setting. Medications are purchased with minimal packaging by a population with low literacy. Drug dispensers and vendors must be trained to convey simple verbal warnings about aspirin use. East African Medical Journal Vol. 83(1) 2006: 31-3

Dynamics of nonequilibrium quasiparticles in a double superconducting tunnel junction detector

We study a class of superconductive radiation detectors in which the absorption of energy occurs in a long superconductive strip while the redout stage is provided by superconductive tunnel junctions positioned at the two ends of the strip. Such a device is capable both of imaging and energy resolution. In the established current scheme, well studied from the theoretical and experimental point of view, a fundamental ingredient is considered the presence of traps, or regions adjacent to the junctions made of a superconducting material of lower gap. We reconsider the problem by investigating the dynamics of the radiation induced excess quasiparticles in a simpler device, i.e. one without traps. The nonequilibrium excess quasiparticles can be seen to obey a diffusion equation whose coefficients are discontinuous functions of the position. Based on the analytical solution to this equation, we follow the dynamics of the quasiparticles in the device, predict the signal formation of the detector and discuss the potentiality offered by this configuration.Comment: 16 pages, 5 figures Submitted to Superconducting Science and Technolog