Demographic variation in nutrition knowledge in England

This paper describes a nutrition knowledge survey carried out on a cross-section of the adult population of England (n = 1040), looking at knowledge relating to current dietary recommendations, sources of nutrients, healthy food choices and diet-disease links. Serious gaps in knowledge about even the basic recommendations were discovered, and there was much confusion over the relationship between diet and disease. Significant differences in knowledge between socio-demographic groups were found, with men having poorer knowledge than women, and knowledge declining with lower educational level and socio-economic status. Possible reasons for these differences and implications for public education campaigns and socio-economic inequalities in health are discussed

Recall of physical activity advice was associated with higher levels of physical activity in colorectal cancer patients.

The present study tested the hypothesis that recall of receiving physical activity (PA) advice would be associated with higher levels of PA in patients with a diagnosis of colorectal cancer (CRC)

Help seeking for cancer 'alarm' symptoms: a qualitative interview study of primary care patients in the UK.

Delay in help seeking for cancer 'alarm' symptoms has been identified as a contributor to delayed diagnosis

Deriving AGN properties from radio CP and LP

We report multi-frequency circular polarization measurements for the radio source 0056-00 taken at the Effelsberg 100-m radiotelescope. The data reduction is based on a new calibration procedure that allows the contemporary measurement of the four Stokes parameters with single-dish radiotelescopesComment: 2 pages, Proceeding of "IAU Symposium No.259. Cosmic Magnetic Fields from planets, to stars and galaxies

Awareness of human papillomavirus among women attending a well woman clinic

Objectives: To assess the level and accuracy of public understanding of human papillomavirus (HPV) in the United Kingdom.Methods: Women attending a well woman clinic were asked to complete a questionnaire assessing HPV awareness and specific knowledge about the virus.Results: Questionnaires were completed by 1032 women, of whom 30% had heard of HPV. Older women, non-smokers, and those with a history of candida, genital warts, or an abnormal smear result were more likely to have heard of HPV. Even among those who had heard of HPV, knowledge was generally poor, and fewer than half were aware of the link with cervical cancer. There was also confusion about whether condoms or oral contraceptives could protect against HPV infection.Conclusions: In this relatively well educated sample, awareness and knowledge of HPV were poor. Public education is urgently needed so that women participating in cervical cancer screening are fully informed about the meaning of their results, especially if HPV testing is soon to be introduced

Testing positive for human papillomavirus in routine cervical screening: examination of psychosocial impact

Objective To examine the psychosocial impact of testing positive for high risk human papillomavirus (HPV) among women attending primary cervical screening.Design Cross sectional survey.Measures were taken at baseline and one week after the receipt of HPV and cytology screening results.Setting Well women's clinic in London, UK.Population or Sample Four hundred and twenty-eight women aged 20-64 years.Methods Postal questionnaire survey.Main outcome measures Psychosocial and psychosexual outcomes were anxiety, distress and feelings about current, past and future sexual relationships.Results Women with normal cytology who tested positive for HPV (HPVdivided by) were significantly more anxious and distressed than women who were negative (HPV-) using both a state anxiety measure [F(1,267)=29, P<0.0001] and a screening specific measure of psychological distress [F(1,267)=69, P<0.0001]. Women with an abnormal or unsatisfactory smear result, who tested HPV,. were significantly more distressed than HPV- women with the same smear result [F(1,267)=8.8, P=0.002], but there was no significant difference in state anxiety. Irrespective of cytology result, HPV women reported feeling significantly worse about their sexual relationships. Approximately one-third of women who tested positive reported feeling worse about past and future sexual relationships compared with less than 2% of HPV- women.Conclusion The findings suggest that testing positive for HPV may have an adverse psychosocial impact, with increased anxiety., distress and concern about sexual relationships. Psychosocial outcomes of HPV testing need further investigation and must be considered alongside clinical and economic decisions to include HPV testing in routine cervical screening

Attitudes to self-sampling for HPV among Indian, Pakistani, African-Caribbean and white British women in Manchester, UK

Objective: To examine attitudes to self-sampling for human papillomavirus (HPV) testing among women from contrasting ethnic groups.Setting: Manchester, UK.Methods: Two hundred women of Indian, Pakistani, African-Caribbean and white British origin were recruited from social and community groups to participate in a questionnaire survey. The questionnaire included items on attitudes to self-sampling and intention to use the test.Results: Willingness to try to use the test was high, and women did not foresee religious or cultural barriers to self-sampling; however, a large proportion of women were concerned about doing the test properly. This concern was greatest in the Indian and African-Caribbean groups.Conclusions: Although women's willingness to try self-sampling for HPV is encouraging, worries about carrying out the procedure correctly must be addressed if women are to feel confident about the results of self-sampling methods and reassured by a negative result

Acceptability of unsupervised HPV self-sampling using written instructions

Objectives The study measured the acceptability of self-sampling for human papillomavirus (HPV) testing in the context of cervical cancer screening. Women carried out self-sampling unsupervised, using a written instruction sheet.Setting Participants were women attending either a family planning clinic or a primary care trust for routine cervical screening.Methods Women (n=902) carried out self-sampling for HPV testing and then a clinician did a routine cervical smear and HPV test. Immediately after having the two tests, participants completed a measure of acceptability for both tests, and answered questions about ease of using the instruction sheet and willingness to use self-sampling in the future.Results The majority of women found self-sampling more acceptable than the clinician-administered test, but there was a lack of confidence that the test had been done correctly. Significant demographic differences in attitudes were found, with married women having more favourable attitudes towards self-sampling than single women, and Asian women having more negative attitudes than women in other ethnic groups. Intention to use self-sampling in the future was very high across all demographic groups.Conclusion Self-sampling for HPV testing was highly acceptable in this large and demographically diverse sample, and women were able to carry out the test alone, using simple written instructions. Consistent with previous studies, women were concerned about doing the test properly and this issue will need to be addressed if self-sampling is introduced. More work is needed to see whether the demographic differences we found are robust and to identify reasons for lower acceptability among single women and those from Asian background

Concurrent 43 and 86 GHz Very Long Baseline Polarimetry of 3C273

We present sub-milliarcsecond resolution total intensity and linear polarization VLBI images of 3C273, using concurrent 43 and 86 GHz data taken with the Very Long Baseline Array in May 2002. The structure seen in the innermost jet suggest that we have fortuitously caught the jet in the act of changing direction. The polarization images confirm that the core is unpolarized (fractional polarization m < 1 %) at 86 GHz, but also show well ordered magnetic fields (m ~ 15 %) in the inner jet, at a projected distance of 2.3 pc from the core. In this strongly polarized region, the rotation measure changes across the jet by 4.2 x 10^{4} rad m^{-2} over an angular width of about 0.3 milliarcseconds. If the lack of polarization in the core is also attributed to a Faraday screen, then a rotation measure dispersion > 5.2 x 10^{4} rad m^{-2} must be present in or in front of that region. These are among the highest rotation measures reported so far in the nucleus of any active galaxy or quasar, and must occur outside (but probably close to) the radio emitting region. The transverse rotation measure gradient is in the same sense as that observed by Asada et al and by Zavala and Taylor at greater core distances. The magnitude of the transverse gradient decreases rapidly with distance down the jet, and appears to be variable.Comment: 4 pages, LaTeX, 3 postscript figures, submitted to Astrophysical Journal Letter

Resistive jet simulations extending radially self-similar magnetohydrodynamic models

Numerical simulations with self-similar initial and boundary conditions provide a link between theoretical and numerical investigations of jet dynamics. We perform axisymmetric resistive magnetohydrodynamic (MHD) simulations for a generalised solution of the Blandford & Payne type, and compare them with the corresponding analytical and numerical ideal-MHD solutions. We disentangle the effects of the numerical and physical diffusivity. The latter could occur in outflows above an accretion disk, being transferred from the underlying disk into the disk corona by MHD turbulence (anomalous turbulent diffusivity), or as a result of ambipolar diffusion in partially ionized flows. We conclude that while the classical magnetic Reynolds number $R_{\rm m}$ measures the importance of resistive effects in the induction equation, a new introduced number, \rbeta=(\beta/2)R_{\rm m} with $\beta$ the plasma beta, measures the importance of the resistive effects in the energy equation. Thus, in magnetised jets with $\beta<2$, when \rbeta \la 1 resistive effects are non-negligible and affect mostly the energy equation. The presented simulations indeed show that for a range of magnetic diffusivities corresponding to \rbeta \ga 1 the flow remains close to the ideal-MHD self-similar solution.Comment: Accepted for publication in MNRA