Socio-Cultural Factors Influencing Uptake of Skilled Childbirth Services Among Women in Kaiti Division, Makueni District (Kenya)

Each year, over 500,000 women die from the complications of pregnancy and child birth, almost all of them in the developing countries. This trend can be addressed by increasing the rates of skilled care during childbirth. This study therefore sought to establish the socio-cultural factors influencing uptake of skilled childbirth care which has remained low in Kaiti Division. The researchers applied a descriptive cross-sectional study design which involved women of childbearing age (15-49 years). The study was conducted in March 2010 and had a sample size of 246 women which was randomly selected from the estimated target population of 12,077. The researchers applied both quantitative and qualitative approaches. The tests of significance employed included Fisher's exact test, chi-square, test and logistic regression. The study established that the proportion of women attended to by the skilled attendant within various age cohorts was higher (58.9%) amongst the youth/adolescent (15-24 years) (P-value = 0.091> 0.05, c2 10.915 df 6).). Skilled attendance declined among the grand-multiparas (para4 and above) from 7.7% in Para 4-5 to 2% in Para 6+ (P-value = .000<0.05, c2 34.888 df 3; Para 1(p =0.000, OR 28.391), Para 2-3 (p =0.000, OR 7.564), Para 4-5(p=0.030, OR 3.493) Further findings indicated that the principal decision maker (46.7%) on type of assistant in the last delivery was the woman (P-value = 0.000 <0.05, c2 56.076 df 5). However, the husband was the leading (39.5%) decision maker in use of a skilled assistant in the last delivery (p=0.000, OR 15.667). More than two thirds (70.7%) of the respondents who performed a ceremony prayed for safe delivery in their last delivery. The study concluded that women's parity, decision making and religion were significant in use of skilled childbirth services

When each continuous operator is regular, II

The following theorem is essentially due to L.~Kantorovich and B. Vulikh and it describes one of the most important classes of Banach lattices between which each continuous operator is regular. {\bf Theorem 1.1.} {\sl Let $E$ be an arbitrary L-space and $F$ be an arbitrary Banach lattice with Levi norm. Then ${\cal L}(E,F)={\cal L}^r(E,F),\ (\star)$ that is, every continuous operator from $E$ to $F$ is regular.} In spite of the importance of this theorem it has not yet been determined to what extent the Levi condition is essential for the validity of equality $(\star)$. Our main aim in this work is to prove a converse to this theorem by showing that for a Dedekind complete $F$ the Levi condition is necessary for the validity of $(\star)$. As a sample of other results we mention the following. {\bf Theorem~3.6.} {\sl For a Banach lattice $F$ the following are equivalent: {\rm (a)} $F$ is Dedekind complete; {\rm (b)} For all Banach lattices $E$, the space ${\cal L}^r(E,F)$ is a Dedekind complete vector lattice; {\rm (c)} For all L-spaces $E$, the space ${\cal L}^r(E,F)$ is a vector lattice.

Job Satisfaction Among the Nurses of Makueni District Hospital, Kenya

The purpose of the study was to evaluate the level of job satisfaction among the nurses of Makueni District Hospital. This was necessitated by the high nurse staff turnover from the facility and a myriad of complains from various departments. The study was a cross sectional descriptive survey involving about 50 nurses that was carried out between 15 and 19th July 2013. The study employed mixed method approach. Tests of significance were through use of Chi-square, Fishers exact test and logistic regression. The key results were that overall job satisfaction was low (36%). There were significant relationships between job satisfaction and cordial relationship with the nurse manager (c2 12.131 df 4 p=0.016<0.05. Logistic regression p=0.018<0.05). The plans to quit the hospital and work elsewhere indicates a relationship with job satisfaction (c2 12.749 df 4 p=0.013<0.05). The findings of this study suggest that there is no enabling working environment for the nurses and this could be a barrier to service delivery in the Hospital. These findings suggest that the Nurse Managers should build up effective relationship with the staff and other departments and should identify negative working conditions which affect staff and appropriately delegate authority to them

Electromagnetic Gauge Invariance of the Cloudy Bag Model

We examine the question of the gauge invariance of electromagnetic form factors calculated within the cloudy bag model. One of the assumptions of the model is that electromagnetic form factors are most accurately evaluated in the Breit frame. This feature is used to show that gauge invariance is respected in this frame.Comment: 8 pages, RevTex, 1 figure, to be published in Phys. Rev.

Study of Lattice QCD Form Factors Using the Extended Gari-Krumpelmann Model

We explore the suitability of a modern vector meson dominance (VMD) model as a method for chiral extrapolation of nucleon electromagnetic form factor simulations in lattice QCD. It is found that the VMD fits to experimental data can be readily generalized to describe the lattice simulations. However, the converse is not true. That is, the VMD form is unsuitable as a method of extrapolation of lattice simulations at large quark mass to the physical regime.Comment: 14 pages, 5 figure

Impact of Argument Type and Concerns in Argumentation with a Chatbot

Conversational agents, also known as chatbots, are versatile tools that have the potential of being used in dialogical argumentation. They could possibly be deployed in tasks such as persuasion for behaviour change (e.g. persuading people to eat more fruit, to take regular exercise, etc.) However, to achieve this, there is a need to develop methods for acquiring appropriate arguments and counterargument that reflect both sides of the discussion. For instance, to persuade someone to do regular exercise, the chatbot needs to know counterarguments that the user might have for not doing exercise. To address this need, we present methods for acquiring arguments and counterarguments, and importantly, meta-level information that can be useful for deciding when arguments can be used during an argumentation dialogue. We evaluate these methods in studies with participants and show how harnessing these methods in a chatbot can make it more persuasive

Comparison of Nucleon Form Factors from Lattice QCD Against the Light Front Cloudy Bag Model and Extrapolation to the Physical Mass Regime

We explore the possibility of extrapolating state of the art lattice QCD calculations of nucleon form factors to the physical regime. We find that the lattice results can be reproduced using the Light Front Cloudy Bag Model by letting its parameters be analytic functions of the quark mass. We then use the model to extend the lattice calculations to large values of Q^{2} of interest to current and planned experiments. These functions are also used to define extrapolations to the physical value of the pion mass, thereby allowing us to study how the predicted zero in G_{E}(Q^{2})/G_{M}(Q^{2}) varies as a function of quark mass.Comment: 31 pages, 22 figure

A survey of factors influencing career preference in new-entrant and exiting medical students from four UK medical schools

Our thanks to Professor Gillian Needham and Dr Murray Lough for their encouragement and support, and their comments on an earlier draft of this manuscript. Our thanks also to NHS Education for Scotland [NES] for funding, and the Scottish Medical Deans Education Group [SMDEG] for supporting this project. We are grateful to all the students who gave their time to complete the survey questionnaire and to those who helped organise and carry out data collection.Peer reviewedPublisher PD

Interplay of Spin and Orbital Angular Momentum in the Proton

We derive the consequences of the Myhrer-Thomas explanation of the proton spin problem for the distribution of orbital angular momentum on the valence and sea quarks. After QCD evolution these results are found to be in very good agreement with both recent lattice QCD calculations and the experimental constraints from Hermes and JLab