Zimbabwean diabetics' beliefs about health and illness: an interview study

<p>Abstract</p> <p>Background</p> <p>Diabetes mellitus (DM) is increasing globally, with the greatest increase in Africa and Asia. In Zimbabwe a threefold increase was shown in the 1990s. Health-related behaviour is important in maintaining health and is determined by individual beliefs about health and illness but has seen little study. The purpose of the study was to explore beliefs about health and illness that might affect self-care practice and health care seeking behaviour in persons diagnosed with DM, living in Zimbabwe.</p> <p>Methods</p> <p>Exploratory study. Consecutive sample from a diabetes clinic at a central hospital. Semi-structured interviews were held with 21 persons aged 19-65 years. Data were analysed using qualitative content analysis.</p> <p>Results</p> <p>Health was described as freedom from disease and well-being, and individual factors such as compliance with advice received and drugs were considered important to promote health. A mixture of causes of DM, predominantly individual factors such as heredity, overweight and wrong diet in combination with supernatural factors such as fate, punishment from God and witchcraft were mentioned. Most respondents did not recognize the symptoms of DM when falling ill but related the problems to other diseases, e.g. HIV, malaria etc. Limited knowledge about DM and the body was indicated. Poor economy was mentioned as harmful to health and a consequence of DM because the need to buy expensive drugs, food and attend check-ups. Self-care was used to a limited extent but if used, a combination of individual measures, household remedies or herbs and religious acts such as prayers and holy water were frequently used, and in some cases health care professionals were consulted.</p> <p>Conclusions</p> <p>Limited knowledge about DM, based on beliefs about health and illness including biomedical and traditional explanations related to the influence of supernatural forces, e.g. fate, God etc., were found, which affected patients' self-care and care-seeking behaviour. Strained economy was stated to be a factor of the utmost importance affecting the management of DM and thus health. To develop cost-effective and optimal diabetes care in a country with limited resources, not only educational efforts based on individual beliefs are needed but also considering systemic and structural conditions in order to promote health and to prevent costly consequences of DM.</p

HST FOC spectroscopy of the NLR of NGC 4151. I. Gas kinematics

We present the results from a detailed kinematic analysis of both ground-based, and Hubble Space Telescope/Faint Object Camera long-slit spectroscopy at sub-arcsec spatial resolution, of the narrow-line region of NGC 4151. In agreement with previous work, the extended emission gas (R > 4") is found to be in normal rotation in the galactic plane, a behaviour that we were able to trace even across the nuclear region, where the gas is strongly disturbed by the interaction with the radio jet, and connects smoothly with the large scale rotation defined by the neutral gas emission. The HST data, at 0.029" spatial resolution, allow us for the first time to truly isolate the kinematic behaviour of the individual clouds in the inner narrow-line region. We find that, underlying the perturbations introduced by the radio ejecta, the general velocity field can still be well represented by planar rotation down to a radius of ~ 0.5" (30 pc), distance at which the rotation curve has its turnover. The most striking result that emerges from our analysis is that the galaxy potential derived fitting the rotation curve changes from a "dark halo" at the ENLR distances to dominated by the central mass concentration in the NLR, with an almost Keplerian fall-off in the 1"< R < 4" interval. The observed velocity of the gas at 0.5" implies a mass of M ~ 10E9 M(sol) within the inner 60 pc. The presence of a turnover in the rotation curve indicates that this central mass concentration is extended. The first measured velocity point (outside the region saturated by the nucleus) would imply an enclosed mass of ~ 5E7 M(sol) within R ~ 0.15" (10 pc) which represents an upper limit to any nuclear point mass.Comment: 30 pages (aaspp4.sty), 14 figures. Fig. 1, 2 and 4 available by anonymous FTP at 143.54.2.51 (cd /pub/winge) as GIF files; or upon request to [email protected]. Accepted for publication in the Astrophysical Journal (part 1

Resonant Soft X-Ray Contrast Variation Methods as Composition-Specific Probes of Thin Polymer Film Structure

We have developed complementary soft x-ray scattering and reflectometry techniques that allow for the morphological analysis of thin polymer films without resorting to chemical modification or isotopic 2 labeling. With these techniques, we achieve significant, x-ray energy-dependent contrast between carbon atoms in different chemical environments using soft x-ray resonance at the carbon edge. Because carbon-containing samples absorb strongly in this region, the scattering length density depends on both the real and imaginary parts of the atomic scattering factors. Using a model polymer film of poly(styrene-b-methyl methacrylate), we show that the soft x-ray reflectivity data is much more sensitive to these atomic scattering factors than the soft x-ray scattering data. Nevertheless, fits to both types of data yield useful morphological details on the polymer?slamellar structure that are consistent with each other and with literature values

Computational Cancer Biology: An Evolutionary Perspective

ISSN:1553-734XISSN:1553-735

Mean Diffusional Kurtosis in Patients with Glioma: Initial Results with a Fast Imaging Method in a Clinical Setting

ABSTRACT BACKGROUND AND PURPOSE: Diffusional kurtosis imaging is an MR imaging technique that provides microstructural information in biologic systems. Its application in clinical studies, however, is hampered by long acquisition and postprocessing times. We evaluated a new and fast (2 minutes 46 seconds) diffusional kurtosis imaging method with regard to glioma grading, compared it with conventional diffusional kurtosis imaging, and compared the diagnostic accuracy of fast mean kurtosis (MKЈ) to that of the widely used mean diffusivity

Protein profiling in hepatocellular carcinoma by label-free quantitative proteomics in two west african populations.

Background Hepatocellular Carcinoma is the third most common cause of cancer related death worldwide, often diagnosed by measuring serum AFP; a poor performance stand-alone biomarker. With the aim of improving on this, our study focuses on plasma proteins identified by Mass Spectrometry in order to investigate and validate differences seen in the respective proteomes of controls and subjects with LC and HCC. Methods Mass Spectrometry analysis using liquid chromatography electro spray ionization quadrupole time-of-flight was conducted on 339 subjects using a pooled expression profiling approach. ELISA assays were performed on four significantly differentially expressed proteins to validate their expression profiles in subjects from the Gambia and a pilot group from Nigeria. Results from this were collated for statistical multiplexing using logistic regression analysis. Results Twenty-six proteins were identified as differentially expressed between the three subject groups. Direct measurements of four; hemopexin, alpha-1-antitrypsin, apolipoprotein A1 and complement component 3 confirmed their change in abundance in LC and HCC versus control patients. These trends were independently replicated in the pilot validation subjects from Nigeria. The statistical multiplexing of these proteins demonstrated performance comparable to or greater than ALT in identifying liver cirrhosis or carcinogenesis. This exercise also proposed preliminary cut offs with achievable sensitivity, specificity and AUC statistics greater than reported AFP averages. Conclusions The validated changes of expression in these proteins have the potential for development into high-performance tests usable in the diagnosis and or monitoring of HCC and LC patients. The identification of sustained expression trends strengthens the suggestion of these four proteins as worthy candidates for further investigation in the context of liver disease. The statistical combinations also provide a novel inroad of analyses able to propose definitive cut-offs and combinations for evaluation of performance

Molecular Hydrogen Excitation around Active Galactic Nuclei

We report R~3000 VLT ISAAC K-band spectroscopy of the nuclei (i.e. central 100-300pc) of 9 galaxies hosting an active galactic nucleus. For 5 of these we also present spectra of the circumnuclear region out to 1kpc. We have measured a number of H_2 lines in the v=1-0, 2-1, and 3-2 vibrational transitions, as well as the Br_gamma and HeI recombination lines, and the NaI stellar absorption. Although only 3 of the galaxies are classified as Seyfert 1s in the literature, broad Br_gamma (FWHM 1000kms) is seen in 7 of the objects. The v=1-0 emission appears thermalised at T~1000K. However, the v=2-1 and 3-2 emission show evidence of being radiatively excited by far-UV photons. The PDR models that fit the data best are, as for the ultraluminous infrared galaxies in Davies et al. (2003), those for which the H_2 emission arises in dense clouds illuminated by intense FUV radiation. The NaI stellar absorption is clearly seen in 6 of the nuclear spectra, indicating the presence of a significant population of late type stars. It is possible that these stars are a result of the same episode of star formation that gave rise to the stars heating the PDRs. It seems unlikely that the AGN is the dominant source of excitation for the near infrared H_2 emission: in two nuclei H_2 was not detected at all, and in general we find no evidence of suppression of the 2-1S(3) line, which may occur in X-ray irradiated gas. Our data do not reveal any significant difference between the nuclear and circumnuclear line ratios, suggesting that the physical conditions of the dominant excitation mechanism are similar both near the AGN and in the larger scale environment around it, and that star formation is an important process even in the central 100pc acround AGN.Comment: accepted for publication in ApJ (32 pages, 12 figures

In vitro-differentiated neural cell cultures progress towards donor-identical brain tissue

Multiple research groups have observed neuropathological phenotypes and molecular symptoms in vitro using induced pluripotent stem cell (iPSC)-derived neural cell cultures (i.e. patient-specific neurons and glia). However, the global differences/similarities that may exist between in vitro neural cells and their tissue-derived counterparts remain largely unknown. In this study, we compared temporal series of iPSC-derived in vitro neural cell cultures to endogenous brain tissue from the same autopsy donor. Specifically, we utilized RNA sequencing (RNA-Seq) to evaluate the transcriptional progression of in vitro-differentiated neural cells (over a timecourse of 0, 35, 70, 105 and 140 days), and compared this with donor-identical temporal lobe tissue. We observed in vitro progression towards the reference brain tissue, and the following three results support this conclusion: (i) there was a significant increasing monotonic correlation between the days of our timecourse and the number of actively transcribed protein-coding genes and long intergenic non-coding RNAs (lincRNAs) (P &lt; 0.05), consistent with the transcriptional complexity of the brain; (ii) there was an increase in CpG methylation after neural differentiation that resembled the epigenomic signature of the endogenous tissue; and (iii) there was a significant decreasing monotonic correlation between the days of our timecourse and the percent of in vitro to brain-tissue differences (P &lt; 0.05) for tissue-specific protein-coding genes and all putative lincRNAs. Taken together, these results are consistent with in vitro neural development and physiological progression occurring predominantly by transcriptional activation of downregulated genes rather than deactivation of upregulated genes