Male Partners Involvement in Spousal Contraceptive Use: A Perspective of a Contemporary African Setting

Background: Contraceptive use by women is one of the tools used for promoting family health and slowing population growth. Evidence has suggested that contraceptive use in Nigeria is below acceptable levels in spite of the fact that family planning services are readily available, accessible and affordable. The involvement and participation of males in spousal contraceptive use is seen as the driver to achieving better reproductive outcomes. Hence, this study aimed to determine the level of male involvement in spousal contraceptive use so as to provide evidence based and people oriented information on the available male partner support system for contraceptive use and factors influence it.Methodology: This was a cross sectional study conducted among 80 male partners between April and May, 2017 using quantitative method of data collection and SPSS version 20 was used for data analysis.nbsp Crude and adjusted odds ratios as well asnbsp 95% confidence interval were used in this study with a p-value of le 0.05 considered statistically significant.Results: The mean age of the respondents in the study was 40.0 plusmn 10 years with only 13 (16.3%) of the respondents adjudged as being involved in their spousal contraceptive use. Currently use of male contraceptive method was found to significantly influence involvement in spousal contraceptive use (AOR = 7.1 95% CI = 2.1092 ndash 10.5818 P = 0.015). Conclusion: This study has demonstrated a low level of male involvement in spousal contraceptive use hence, relevant male educational intervention on contraception is required

Selected Topics in High Energy Semi-Exclusive Electro-Nuclear Reactions

We review the present status of the theory of high energy reactions with semi-exclusive nucleon electro-production from nuclear targets. We demonstrate how the increase of transferred energies in these reactions opens a complete new window in studying the microscopic nuclear structure at small distances. The simplifications in theoretical descriptions associated with the increase of the energies are discussed. The theoretical framework for calculation of high energy nuclear reactions based on the effective Feynman diagram rules is described in details. The result of this approach is the generalized eikonal approximation (GEA), which is reduced to Glauber approximation when nucleon recoil is neglected. The method of GEA is demonstrated in the calculation of high energy electro-disintegration of the deuteron and A=3 targets. Subsequently we generalize the obtained formulae for A>3 nuclei. The relation of GEA to the Glauber theory is analyzed. Then based on the GEA framework we discuss some of the phenomena which can be studied in exclusive reactions, these are: nuclear transparency and short-range correlations in nuclei. We illustrate how light-cone dynamics of high-energy scattering emerge naturally in high energy electro-nuclear reactions.Comment: LaTex file with 51 pages and 23 eps figure

Helicobacter Pylori Infection in Pediatric Patients Living in Europe: Results of the EuroPedHP Registry 2013 to 2016

Objectives: The aim of the study was to assess clinical presentation, endoscopic findings, antibiotic susceptibility and treatment success of Helicobacter pylori (H. pylori) infected pediatric patients. Methods: Between 2013 and 2016, 23 pediatric hospitals from 17 countries prospectively submitted data on consecutive H. pylori-infected (culture positive) patients to the EuroPedHP-Registry. Results: Of 1333 patients recruited (55.1% girls, median age 12.6 years), 1168 (87.6%) were therapy naïve (group A) and 165 (12.4%) had failed treatment (group B). Patients resided in North/Western (29.6%), Southern (34.1%) and Eastern Europe (23.0%), or Israel/Turkey (13.4%). Main indications for endoscopy were abdominal pain or dyspepsia (81.2%, 1078/1328). Antral nodularity was reported in 77.8% (1031/1326) of patients, gastric or duodenal ulcers and erosions in 5.1% and 12.8%, respectively. Primary resistance to clarithromycin (CLA) and metronidazole (MET) occurred in 25% and 21%, respectively, and increased after failed therapy. Bacterial strains were fully susceptible in 60.5% of group A, but in only 27.4% of group B. Primary CLA resistance was higher in Southern and Eastern Europe (adjusted odds ratio [ORadj] = 3.44, 95% confidence interval [CI] 2.22-5.32, P < 0.001 and 2.62, 95% CI: 1.63-4.22, P < 0.001, respectively) compared with Northern/Western Europe. Children born outside Europe showed higher primary MET resistance (ORadj = 3.81, 95% CI: 2.25-6.45, P < 0.001). Treatment success in group A reached only 79.8% (568/712) with 7 to 14 days triple therapy tailored to antibiotic susceptibility. Conclusions: Peptic ulcers are rare in dyspeptic H. pylori-infected children. Primary resistance to CLA and MET is markedly dependent on geographical regions of birth and residence. The ongoing survey will show whether implementation of the updated ESPGHAN/NASPGHAN guidelines will improve the eradication success.info:eu-repo/semantics/publishedVersio