602 research outputs found

    Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

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    To assess maternal health care service utilisation and associated factors in Somali pastoral communities of eastern Ethiopia.; Community-based cross-sectional study complemented by qualitative assessments in Adadle district, Somali region, eastern Ethiopia, among 450 women in six kebeles from August to September 2016. Logistic regression was used to assess factors associated with antenatal care use and skilled delivery care use, controlling for confounders.; About 27% [95%CI 22.8-31.2%] of women used antenatal care, and 22.6% [95%CI 18.7-26.5%] received skilled delivery service. None of the respondents reported post-natal care. About 43% reported that they had no knowledge of antenatal care, and 46% did not perceive delivery at a health facility as important. Pastoral lifestyle, husband's educational status, women's attitude towards health care service and financial support from the husband were significantly associated with antenatal care utilisation. Health professionals' attitudes, perceptions of institutional delivery, antenatal care utilisation and information about exemptions from maternal health care fees were associated with skilled delivery service utilisation.; Improving community awareness of antenatal care, employing female health professionals and culturally adapted guidelines could improve skilled delivery utilisation. In a patriarchal society, involving male partners in all maternal health issues is essential to increase use of maternal health services and to decrease maternal mortality

    The Role of Dwarf Galaxies in Building Large Stellar Halos

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    The hierarchical theory of galaxy formation rests on the idea that smaller galactic structures merge to form the galaxies that we see today. The past decade has provided remarkable observational support for this scenario, driven in part by advances in spectroscopic instrumentation. Multi-object spectroscopy enabled the discovery of kinematically cold substructures around the Milky Way and M31 that are likely the debris of disrupting satellites. Improvements in high-resolution spectroscopy have produced key evidence that the abundance patterns of the Milky Way halo and its dwarf satellites can be explained by Galactic chemical evolution models based on hierarchical assembly. These breakthroughs have depended almost entirely on observations of nearby stars in the Milky Way and luminous red giant stars in M31 and Local Group dwarf satellites. In the next decade, extremely large telescopes will allow observations far down the luminosity function in the known dwarf galaxies, and they will enable observations of individual stars far out in the Galactic halo. The chemical abundance census now available for the Milky Way will become possible for our nearest neighbor, M31. Velocity dispersion measurements now available in M31 will become possible for systems beyond the Local Group such as Sculptor and M81 Group galaxies. Detailed studies of a greater number of individual stars in a greater number of spiral galaxies and their satellites will test hierarchical assembly in new ways because dynamical and chemical evolution models predict different outcomes for halos of different masses in different environments.Comment: Astro2010 Decadal Survey White Paper, 8 page

    The Via Lactea INCITE Simulation: Galactic Dark Matter Substructure at High Resolution

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    It is a clear unique prediction of the cold dark matter paradigm of cosmological structure formation that galaxies form hierarchically and are embedded in massive, extended dark halos teeming with self-bound substructure or "subhalos". The amount and spatial distribution of subhalos around their host provide unique information and clues on the galaxy assembly process and the nature of the dark matter. Here we present results from the Via Lactea INCITE simulation, a one billion particle, one million cpu-hour simulation of the formation and evolution of a Galactic dark matter halo and its substructure population.Comment: 10 pages, Proceedings of the SciDAC 2008 conference, (Seattle, July 13-17, 2008

    The detection of sub-solar mass dark matter halos

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    Dark matter halos of sub-solar mass are the first bound objects to form in cold dark matter theories. In this article, I discuss the present understanding of "microhalos'', their role in structure formation, and the implications of their potential presence, in the interpretation of dark matter experiments.Comment: 18 pages, 7 figures. Invited contribution to NJP Focus Issue on "Dark Matter and Particle Physics

    Gender differences in the association between life history of body silhouettes and asthma incidence : results from the SAPALDIA cohort study

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    Background: The association of obesity and asthma has been described in children and adults. However, whether a different life course of weight in men and women may explain gender differences in asthma incidence, has not been addressed. Objectives: Using data from the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults, we investigated the role of overweight/obesity as measured by body silhouettes at different life stages in men and women for asthma incidence. Methods: Our analysis included 5417 subjects who were asthma free at age 8, followed up to 2011, and had complete covariate information. The main predictor of interest was self-reported body silhouettes at age 8, menarche, 30, 45, menopause, and 60, and additionally changes in body silhouette number across these different time points. Asthma incidence was defined as newly reported doctor-diagnosed asthma after the body silhouette time point. Asthma incidence and its association with body silhouettes was analysed using sex stratified logistic regression, adjusting for age, atopy, urbanity, smoking, parental asthma, education and study area. Results: Men at age 60 had an increased risk of asthma incidence per unit increase in body silhouette number (OR 1.93, 95% CI 1.13–3.30). This association was stronger in women at age 60 (OR 2.78, 95% CI 1.49–5.18) and observed also at menopause (OR 1.35, 95% CI 1.03–1.78), as well as per unit change in body silhouette number between age 45 – menopause (OR 1.74, 95% CI 1.15–2.63). Conclusion: In this longitudinal study, the risk of incident asthma increased in men and women with a larger body silhouette in late adulthood. In women, this risk appeared present between age 45 and menopause. At age 60, both men and women were at higher risk of asthma incidence per unit increase in body silhouette, the risk being more pronounced in women. The age-related increase of obesity may underlie gender differences in asthma incidence at higher ages

    Re-establishing glacier monitoring in Kyrgyzstan and Uzbekistan, Central Asia

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    Glacier mass loss is among the clearest indicators of atmospheric warming. The observation of these changes is one of the major objectives of the international climate monitoring strategy developed by the Global Climate Observing System (GCOS). Long-term glacier mass balance measurements are furthermore the basis for calibrating and validating models simulating future runoff of glacierised catchments. This is essential for Central Asia, which is one of the driest continental regions of the Northern Hemisphere. In the highly populated regions, water shortage due to decreased glacierisation potentially leads to pronounced political instability, drastic ecological changes and endangered food security. As a consequence of the collapse of the former Soviet Union, however, many valuable glacier monitoring sites in the Tien Shan and Pamir Mountains were abandoned. In recent years, multinational actors have re-established a set of important in situ measuring sites to continue the invaluable long-term data series. This paper introduces the applied monitoring strategy for selected glaciers in the Kyrgyz and Uzbek Tien Shan and Pamir, highlights the existing and the new measurements on these glaciers, and presents an example for how the old and new data can be combined to establish multi-decadal mass balance time series. This is crucial for understanding the impact of climate change on glaciers in this region

    N-body simulations of gravitational dynamics

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    We describe the astrophysical and numerical basis of N-body simulations, both of collisional stellar systems (dense star clusters and galactic centres) and collisionless stellar dynamics (galaxies and large-scale structure). We explain and discuss the state-of-the-art algorithms used for these quite different regimes, attempt to give a fair critique, and point out possible directions of future improvement and development. We briefly touch upon the history of N-body simulations and their most important results.Comment: invited review (28 pages), to appear in European Physics Journal Plu

    Spatio-Temporal Characteristics of Global Warming in the Tibetan Plateau during the Last 50 Years Based on a Generalised Temperature Zone - Elevation Model

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    Temperature is one of the primary factors influencing the climate and ecosystem, and examining its change and fluctuation could elucidate the formation of novel climate patterns and trends. In this study, we constructed a generalised temperature zone elevation model (GTEM) to assess the trends of climate change and temporal-spatial differences in the Tibetan Plateau (TP) using the annual and monthly mean temperatures from 1961-2010 at 144 meteorological stations in and near the TP. The results showed the following: (1) The TP has undergone robust warming over the study period, and the warming rate was 0.318°C/decade. The warming has accelerated during recent decades, especially in the last 20 years, and the warming has been most significant in the winter months, followed by the spring, autumn and summer seasons. (2) Spatially, the zones that became significantly smaller were the temperature zones of -6°C and -4°C, and these have decreased 499.44 and 454.26 thousand sq km from 1961 to 2010 at average rates of 25.1% and 11.7%, respectively, over every 5-year interval. These quickly shrinking zones were located in the northwestern and central TP. (3) The elevation dependency of climate warming existed in the TP during 1961-2010, but this tendency has gradually been weakening due to more rapid warming at lower elevations than in the middle and upper elevations of the TP during 1991-2010. The higher regions and some low altitude valleys of the TP were the most significantly warming regions under the same categorizing criteria. Experimental evidence shows that the GTEM is an effective method to analyse climate changes in high altitude mountainous regions

    Perceived annoyance and asthmatic symptoms in relation to vehicle exhaust levels outside home: a cross-sectional study

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    which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: Exhaust emissions from vehicles is a well known problem with both epidemiological and experimental studies showing increasing adverse health effects with elevating levels. Many of the studies concerning vehicle exhausts and health are focused on health outcomes where the proportion attributed to exhaust is low, while there is less information on early and more frequent subjective indicators of adverse effects. Methods: The primary aim of this study was to study perceived annoyance in relation to vehicle exhaust concentrations using modelled levels of nitrogen dioxide outside the home as an indicator with high spatial resolution. Almost 2800 persons in a random sample from three Swedish cities (Umea, Uppsala and Gothenburg) responded to our questionnaire. Questions were asked to determine the degree of annoyance related to vehicle exhausts and also the prevalence of irritating and asthmatic symptoms. Exposure was described for each participants home address by meteorological dispersion models with a 50 meter resolution. Results: We found a significant increase of peoples ' self-assessed annoyance with rising levels of NO2. The odds of being very annoyed by vehicle exhausts increased by 14 % per 1 µg/m3 increas
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