Socio-cultural factors surrounding mental distress during the perinatal period in Zambia: a qualitative investigation.

BACKGROUND: The presence of mental distress during pregnancy and after childbirth imposes detrimental developmental and health consequences for families in all nations. In Zambia, the Ministry of Health (MoH) has proposed a more comprehensive approach towards mental health care, recognizing the importance of the mental health of women during the perinatal period. AIM: The study explores factors contributing to mental distress during the perinatal period of motherhood in Zambia. METHODS: A qualitative study was conducted in Lusaka, Zambia with nineteen focus groups comprising 149 women and men from primary health facilities and schools respectively. FINDINGS: There are high levels of mental distress in four domains: worry about HIV status and testing; uncertainty about survival from childbirth; lack of social support; and vulnerability/oppression. CONCLUSION: Identifying mental distress and prompt referral for interventions is critical to improving the mental health of the mother and prevent the effects of mental distress on the baby. RECOMMENDATION: Strategies should be put in place to ensure pregnant women are screened for possible perinatal mental health problems during their visit to antenatal clinic and referral made to qualified mental health professionals. In addition further research is recommended in order to facilitate evidence based mental health policy formulation and implementation in Zambia

Brachial Artery Constriction during Brachial Artery Reactivity Testing Predicts Major Adverse Clinical Outcomes in Women with Suspected Myocardial Ischemia: Results from the NHLBI-Sponsored Women's Ischemia Syndrome Evaluation (WISE) Study

Background:Limited brachial artery (BA) flow-mediated dilation during brachial artery reactivity testing (BART) has been linked to increased cardiovascular risk. We report on the phenomenon of BA constriction (BAC) following hyperemia.Objectives:To determine whether BAC predicts adverse CV outcomes and/or mortality in the women's ischemic Syndrome Evaluation Study (WISE). Further, as a secondary objective we sought to determine the risk factors associated with BAC.Methods:We performed BART on 377 women with chest pain referred for coronary angiography and followed for a median of 9.5 years. Forearm ischemia was induced with 4 minutes occlusion by a cuff placed distal to the BA and inflated to 40mm Hg > systolic pressure. BAC was defined as >4.8% artery constriction following release of the cuff. The main outcome was major adverse events (MACE) including all-cause mortality, non-fatal MI, non-fatal stroke, or hospitalization for heart failure.Results:BA diameter change ranged from -20.6% to +44.9%, and 41 (11%) women experienced BAC. Obstructive CAD and traditional CAD risk factors were not predictive of BAC. Overall, 39% of women with BAC experienced MACE vs. 22% without BAC (p=0.004). In multivariate Cox proportional hazards regression, BAC was a significant independent predictor of MACE (p=0.018) when adjusting for obstructive CAD and traditional risk factors.Conclusions:BAC predicts almost double the risk for major adverse events compared to patients without BAC. This risk was not accounted for by CAD or traditional risk factors. The novel risk marker of BAC requires further investigation in women. © 2013 Sedlak et al

Radial distribution of RNA genome packaged inside spherical viruses

The problem of RNA genomes packaged inside spherical viruses is studied. The viral capsid is modeled as a hollowed sphere. The attraction between RNA molecules and the inner viral capsid is assumed to be non-specific and occurs at the inner capsid surface only. For small capsid attraction, it is found that monomer concentration of RNA molecules is maximum at the center of the capsid to maximize their configurational entropy. For stronger capsid attraction, RNA concentration peaks at some distance near the capsid. In the latter case, the competition between the branching of RNA secondary struture and its adsorption to the inner capsid results in the formation of a dense layer of RNA near capsid surface. The layer thickness is a slowly varying (logarithmic) function of the capsid inner radius. Consequently, for immediate strength of RNA-capsid interaction, the amount of RNA packaged inside a virus is proportional to the capsid {\em area} (or the number of proteins) instead of its volume. The numerical profiles describe reasonably well the experimentally observed RNA nucleotide concentration profiles of various viruses.Comment: 5 pages, 2 figures. Abstract, introduction rewritten. Comparison to actual virus profiles added. Submitted to PR

Trust economics feasibility study

We believe that enterprises and other organisations currently lack sophisticated methods and tools to determine if and how IT changes should be introduced in an organisation, such that objective, measurable goals are met. This is especially true when dealing with security-related IT decisions. We report on a feasibility study, Trust Economics, conducted to demonstrate that such methodology can be developed. Assuming a deep understanding of the IT involved, the main components of our trust economics approach are: (i) assess the economic or financial impact of IT security solutions; (ii) determine how humans interact with or respond to IT security solutions; (iii) based on above, use probabilistic and stochastic modelling tools to analyse the consequences of IT security decisions. In the feasibility study we apply the trust economics methodology to address how enterprises should protect themselves against accidental or malicious misuse of USB memory sticks, an acute problem in many industries

Nutritional, pasting and sensory properties of a weaning food from rice (Oryza sativa), soybeans (Glycine Max) and kent Mango (Mangifera indica) flour blends

The effective use of readily available and inexpensive sources of protein and micronutrients has become a major focus of research in recent years. This study sought to provide a nutritionally adequate and culturally acceptable weaning food for infants, as well as tap the potential of broken rice fraction as an alternative use for weaning formulation in Ghana. Flour from broken rice fractions in combination with soybeans and dried mangoes were used to develop four weaning formulations. Rice-Soy Mango (RSM) was prepared with 75% rice flour, 25% soybeans flours and 0% mango flour (RSM-0), and used as control; RSM-5 was prepared with 70% rice flour, 25% soybeans flours and 5% mango flour; RSM-10 was prepared with 65% rice flour, 25% soybeans flours and 10% mango flour while RSM-15 was prepared with 60% rice flour, 25% soybeans flours and 15% mango flour. The products were evaluated for their nutritional composition, sensory characteristics and pasting properties. All the three newly formulated rice-mango weaning food met the Estimated Average Requirement (EAR) for energy (393.71-403.25 KCal/100 g), protein (10.7-15.24 g/100 g), carbohydrates (68.44-73.87g/100 g), zinc (8.67-10.84 mg/d and vitamin C (13.96-17.79 mg/100 g) levels but not for iron (3.99-7.61 mg/100 g), fat (6.22-7.61 g/100 g) and calcium (87.2-111.7 mg/100 g). The beta-carotene levels ranged from 74.8 to 346.6 μg/100 g and showed significant differences. The pasting profile for the blends with low amounts of mango (RSM-5 and RSM-10) had a similar profile as the control (RSM-0), while RSM-15 had a lower profile. Among the three newly formulated blends, RSM-10 had the highest peak viscosity (74.0 BU) and highest final viscosity of 107 BU. The RSM-5, RSM-10 and RSM-15 were all lighter than RSM-0, albeit not significant. Increasing the content of mango resulted in the flour blend becoming more yellow. Even though the sensory quality of RSM-5 was the most preferred, there was no significant difference (p>0.05) observed between the sensory quality of all the three newly formulated products (RSM-5, RSM-10, RSM-15). The RSM-10 showed great potential and may be recommended and adopted for promotion within Ghanaian households based on its high nutritional and good sensory qualities.Key words: Weaning, Broken Rice, Mangoes, Pasting, Sensory, Vitamin A, Iron, Childre

The Shape of LITTLE THINGS Dwarf Galaxies DDO 46 and DDO 168: Understanding the stellar and gas kinematics

We present the stellar and gas kinematics of DDO 46 and DDO 168 from the LITTLE THINGS survey and determine their respective Vmax/sigma_z,0 values. We used the KPNO's 4-meter telescope with the Echelle spectrograph as a long-slit spectrograph. We acquired spectra of DDO 168 along four position angles by placing the slit over the morphological major and minor axes and two intermediate position angles. However, due to poor weather conditions during our observing run for DDO 46, we were able to extract only one useful data point from the morphological major axis. We determined a central stellar velocity dispersion perpendicular to the disk, sigma_z,0, of 13.5+/-8 km/s for DDO 46 and of 10.7+/-2.9 km/s for DDO 168. We then derived the maximum rotation speed in both galaxies using the LITTLE THINGS HI data. We separated bulk motions from non-circular motions using a double Gaussian decomposition technique and applied a tilted-ring model to the bulk velocity field. We corrected the observed HI rotation speeds for asymmetric drift and found a maximum velocity, Vmax, of 77.4 +/- 3.7 and 67.4 +/- 4.0 km/s for DDO 46 and DDO 168, respectively. Thus, we derived a kinematic measure, Vmax/sigma_z,0, of 5.7 +/- 0.6 for DDO 46 and 6.3 +/- 0.3 for DDO 168. Comparing these values to ones determined for spiral galaxies, we find that DDO 46 and DDO 168 have Vmax/sigma_z,0 values indicative of thin disks, which is in contrast to minor-to-major axis ratio studies

Neuroarthropathy in diabetes: pathogenesis of Charcot arthropathy.

Charcot neuroarthropathy is a rare but serious complication of diabetes, causing progressive destruction of the bones and joints of the foot leading to deformity, altered biomechanics and an increased risk of ulceration. Management is complicated by a lack of consensus on diagnostic criteria and an incomplete understanding of the pathogenesis. In this review, we consider recent insights into the development of Charcot neuroarthropathy. It is likely to be dependent on several interrelated factors which may include a genetic pre-disposition in combination with diabetic neuropathy. This leads to decreased neuropeptides (nitric oxide and calcitonin gene-related peptide), which may affect the normal coupling of bone formation and resorption, and increased levels of Receptor activator of nuclear factor kappa-B ligand, potentiating osteoclastogenesis. Repetitive unrecognized trauma due to neuropathy increases levels of pro-inflammatory cytokines (interleukin-1β, interleukin-6, tumour necrosis factor α) which could also contribute to increased bone resorption, in combination with a pre-inflammatory state, with increased autoimmune reactivity and a profile of monocytes primed to transform into osteoclasts - cluster of differentiation 14 (CD14). Increased blood glucose and loss of circulating Receptor for Advanced Glycation End-Products (AGLEPs), leading to increased non-enzymatic glycation of collagen and accumulation of AGLEPs in the tissues of the foot, may also contribute to the pathological process. An understanding of the relative contributions of each of these mechanisms and a final common pathway for the development of Charcot neuroarthropathy are still lacking. Cite this article: S. E. Johnson-Lynn, A. W. McCaskie, A. P. Coll, A. H. N. Robinson. Neuroarthropathy in diabetes: pathogenesis of Charcot arthropathy. Bone Joint Res 2018;7:373-378. DOI: 10.1302/2046-3758.75.BJR-2017-0334.R1

Defining the qualitative elements of Aichi Biodiversity Target 11 with regard to the marine and coastal environment in order to strengthen global efforts for marine biodiversity conservation outlined in the United Nations Sustainable Development Goal 14

The Convention on Biological Diversity (CBD) Aichi Target 11 states that, “by 2020, at least 17 per cent of terrestrial and inland water, and 10 per cent of coastal and marine areas, especially areas of particular importance for biodiversity and ecosystem services, are conserved through effectively and equitably managed, ecologically representative and well-connected systems of protected areas and other effective area-based conservation measures, and integrated into the wider landscapes and seascapes”. There has been rapid progress to meet the quantitative goal (the 10% target). However, the qualitative aspects of Aichi target 11 are less well described. The United Nations Sustainable Development Goal (SDG) 14 to “conserve and sustainably use the oceans, seas and marine resources for sustainable development” reaffirms the quantitative element of Aichi target 11, and, through the described sub-targets, places further emphasis on the economic and social context of global development. The complexity of the language from Aichi target 11 is not mirrored in SDG 14, leading to a potential scenario where the knowledge and progress towards Aichi Target 11 will be diluted as the focus shifts to the SDGs. This paper presents current knowledge and implementation of the qualitative elements of Aichi Target 11 and highlights gaps in knowledge. We conclude that the progress made so far on describing and implementing the qualitative goals of Aichi Target 11 should be integrated into SDG 14 in order to strengthen global efforts for marine biodiversity conservation and support the broader vision for sustainable development that will “transform our world”

The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis

Objectives: To examine the effect that health professional (HP) advice to lose weight has on overweight and obese adults ’ motivation to lose weight and attempts to lose weight. Design: Cross-sectional survey. Setting: Great Britain. Participants: 810 overweight or obese (body mass index ≥ 25 kg/m 2 ) adults. Main outcome measures: Participants were asked if they had ever received HP advice to lose weight and reported their desire to weigh less (ideal weight ≤ 95% of current weight) and whether they were attempting to lose weight. Results: Only 17% of overweight and 42% of obese respondents recalled ever having received HP advice to lose weight. HP advice was associated with wanting to weigh less (89% vs 61% among those not receiving advice) and attempting to lose weight (68% vs 37%). In multivariable analyses, HP advice to lose weight was associated with increased odds of wanting to weigh less (OR=3.71, 95% CI 2.10 to 6.55) and attempting to lose weight (OR=3.53, 95% CI 2.44 to 5.10) independent of demographic characteristics and weight status. Conclusions: HP advice to lose weight appears to increase motivation to lose weight and weight loss behaviour, but only a minority of overweight or obese adults receive such advice. Better training for HPs in delivering brief weight counselling could offer an opportunity to improve obese patients ’ motivation to lose weight