The effect of a multi-component intervention on disrespect and abuse during childbirth in Kenya

Background Disrespect and abuse (D & A) during labor and delivery are important issues correlated with human rights, equity, and public health that also affect women’s decisions to deliver in facilities, which provide appropriate management of maternal and neonatal complications. Little is known about interventions aimed at lowering the frequency of disrespectful and abusive behaviors. Methods Between 2011 and 2014, a pre-and-post study measured D & A levels in a three-tiered intervention at 13 facilities in Kenya under the Heshima project. The intervention involved working with policymakers to encourage greater focus on D & A, training providers on respectful maternity care, and strengthening linkages between the facility and community for accountability and governance. At participating facilities, postpartum women were approached at discharge and asked to participate in the study; those who consented were administered a questionnaire on D & A in general as well as six typologies, including physical and verbal abuse, violations of confidentiality and privacy, detainment for non-payment, and abandonment. Observation of provider-patient interaction during labor was also conducted in the same facilities. In both exit interview and observational studies, multivariate analyses of risk factors for D & A controlled for differences in socio-demographic and facility characteristics between baseline and endline surveys. Results Overall D & A decreased from 20–13 % (p < 0.004) and among four of the six typologies D & A decreased from 40–50 %. Night shift deliveries were associated with greater verbal and physical abuse. Patient and infant detainment declined dramatically from 8.0–0.8 %, though this was partially attributable to the 2013 national free delivery care policy. Conclusion Although a number of contextual factors may have influenced these findings, the magnitude and consistency of the observed decreases suggest that the multi-component intervention may have the potential to reduce the frequency of D & A. Greater efforts are needed to develop stronger evaluation methods for assessing D & A in other settings

Growth and Condition of American Alligators (Alligator mississippiensis) in an Inland Wetland of East Texas (Abstract)

Since removal from the endangered species list, Alligator mississippi-ensis (American Alligator) populations have recovered to allow regulated harvest throughout most of their range. However, harvest/population management is com- plicated since alligators are long-lived, reach sexual maturity at a minimum size rather than age, and experience differential growth rates depending on geographic location, growing season length, local environmental conditions, habitat, and population density. To date, few data exist on age, sex, growth, and size structure of inland alligator populations. In this study, alligator growth rate and condition were quantified through an intensive mark-recapture study conducted at Angelina-Neches/Dam B Wildlife Management Area. Between May 2003 and October 2004, 279 alligators ranging in size from 29.7 cm to 348.0 cm (total length [TL]) were captured, and 48 subadult alligators were recaptured (\u3c125 cm TL). As recaptured individuals were biased towards smaller individuals, recaptured subadult alligators were divided into two size classes: size class 1 (\u3c50 cm) and size class 2 (50–125 cm). Mean growth rates for size class 1 were 32.4 cm/year and for size class 2 were 27.6 cm/year. For both size classes, mean body condition was 1.8. Overall, subadult alligators within our inland study area exhibited faster growth rates and lower body condition than most other populations studied throughout their range

Binge Eating Disorder Mediates Links between Symptoms of Depression and Anxiety and Caloric Intake in Obese Women

Despite considerable comorbidity between mood disorders, binge eating disorder (BED), and obesity, the underlying mechanisms remain unresolved. Therefore, the purpose of this study was to examine models by which internalizing behaviors of depression and anxiety influence food intake in overweight/obese women. Thirty-two women (15 BED, 17 controls) participated in a laboratory eating-episode and completed questionnaires assessing symptoms of anxiety and depression. Path analysis was used to test mediation and moderation models to determine the mechanisms by which internalizing symptoms influenced kilocalorie (kcal) intake. The BED group endorsed significantly more symptoms of depression (10.1 versus 4.8, P=0.005 ) and anxiety (8.5 versus 2.7, P=0.003). Linear regression indicated that BED diagnosis and internalizing symptoms accounted for 30% of the variance in kcal intake. Results from path analysis suggested that BED mediates the influence of internalizing symptoms on total kcal intake. The associations between internalizing symptoms and food intake are best described as operating indirectly through a BED diagnosis. This suggests that symptoms of depression and anxiety influence whether one engages in binge eating, which influences kcal intake. Greater understanding of the mechanisms underlying the associations between mood, binge eating, and food intake will facilitate the development of more effective prevention and treatment strategies for both BED and obesity

Submicrosecond comparison of international clock synchronization by VLBI and the NTS satellite

The intercontinental clock synchronization capabilities of Very Long Baseline Interferometry (VLBI) and the Navigation Technology Satellite (NTS) were compared using both methods to synchronize the Cesium clocks at the NASA Deep Space Net complexes at Madrid, Spain and Goldstone, California. Verification of the accuracy of both systems was examined. The VLBI experiments used the Wideband VLBI Data Acquisition System developed at the NASA Jet Propulsion Laboratory. The NTS Satellites were designed and built by the Naval Research Laboratory used with NTS Timing Receivers developed by the Goddard Space Flight Center. The two methods agreed at about the one-half microsecond level

First high-resolution look at the quiet Sun with ALMA at 3 mm

We present an overview of high resolution quiet Sun observations, from disk center to the limb, obtained with the Atacama Large mm and sub-mm Array (ALMA) at 3 mm. Seven quiet Sun regions were observed with resolution of up to 2.5" by 4.5". We produced both average and snapshot images by self-calibrating the ALMA visibilities and combining the interferometric images with full disk solar images. The images show well the chromospheric network, which, based on the unique segregation method we used, is brighter than the average over the fields of view of the observed regions by $\sim 305$ K while the intranetwork is less bright by $\sim 280$ K, with a slight decrease of the network/intranetwork contrast toward the limb. At 3 mm the network is very similar to the 1600 \AA\ images, with somewhat larger size. We detected for the first time spicular structures, rising up to 15" above the limb with a width down to the image resolution and brightness temperature of $\sim$ 1800 K above the local background. No trace of spicules, either in emission or absorption, was found on the disk. Our results highlight ALMA's potential for the study of the quiet chromosphere.Comment: Astronomy and Astrophysics (Letters), in pres

CDRA-4EU Testing to Assess Increased Number of ISS Crew

The International Space Station (ISS) program is investigating methods to increase carbon dioxide (CO2) removal on ISS in order to support an increased number of astronauts at a future date. The Carbon Dioxide Removal Assembly - Engineering Unit (CDRA-4EU) system at NASA Marshall Space Flight Center (MSFC) was tested at maximum fan settings to evaluate CO2 removal rate and power consumption at those settings