Reproductive Health And Gender-Based Violence In Syrian Refugee Women

Background: The current conflict and humanitarian crisis in Syria continues to displace thousands of Syrians to neighboring countries, including Lebanon. There is a lack of information available to provide adequate health and related services to this displaced population, particularly women and adolescent girls, who comprise the majority of registered refugees. Methods: We conducted a rapid needs assessment from June-August 2012 in Lebanon by administering a cross-sectional survey in six health clinics and conducting three focus group discussions. Information was collected on reproductive and general health status and needs of displaced Syrian women, including exposure to violence and help-seeking behaviors. Results: We interviewed 452 displaced Syrian women ages 18-45 who had been in Lebanon for an average of 5.1 (± 3.7) months. Additionally, 29 women participated in three focus group discussions. Reported gynecologic conditions were common, including: menstrual irregularity, 54%; severe pelvic pain, 52%; and vaginal infections, 53%. Of our sample, 74 were pregnant at some point during the conflict, 40% of the currently pregnant had experienced pregnancy complications, and 37% of those who completed their pregnancies experienced delivery or abortion complications. The prevalence of adverse birth outcomes were: low birth weight, 12%; preterm delivery, 27%; and infant mortality, 3%. Of the entire sample, 31% experienced violence and 3% experienced sexual violence from armed people. Of those exposed to violence, 28% reported physical injury and 71% reported psychological difficulties. The majority of those exposed to violence did not seek medical care (65%). In multivariate models, exposure to violence was associated with menstrual irregularity (p=0.002), severe pelvic pain (p=0.005), and vaginal infections (p=0.002). In focus groups, participants revealed lack of access to basic services (including reproductive health care), high levels of stress in the home, and cases of intimate partner violence. Conclusions: This study contributes to a better understanding of health needs among conflict-affected women. High occurrence of pregnancy-related complications and gynecologic conditions, in addition to barriers to accessing care, indicate a need for better targeting of reproductive health services. The association between violence and reproductive health indicates a need for GBV-related and psychosocial services alongside standard reproductive healthcare

Dependence of transuranic content in spent fuel on fuel burnup

Thesis (S.B.)--Massachusetts Institute of Technology, Dept. of Nuclear Science and Engineering, 2007.Includes bibliographical references (p. 33).As the increasing demand for nuclear energy results in larger spent fuel volume, implementation of longer fuel cycles incorporating higher burnup are becoming common. Understanding the effect of higher burnup on the spent fuel composition and radioactive properties is essential to ensure that spent fuel receives proper cooling in storage before it is sent to a disposal site or proper treatment and reprocessing if its useful content is to be extracted prior to disposal. Using CASMO-4, a standard Westinghouse 4-loop pressurized water reactor model was created and simulated with a three batch fuel cycle. U-235 enrichment was adjusted to achieve fuel burnups of 30, 50, 70 and 100 MWD per kg of initial uranium. These burnups demanded reload enrichments of 3.15%, 4.63%, 6.26% and 9.01% U-235 w/o respectively. The resultant spent fuel transuranic isotopic compositions were then provided as input into ORIGEN to study the decay behavior of the spent fuel. It was found that when burnup increased from 30 MWD/kg to 100 MWD/kg, the activity more than doubled due to the decreased Pu-241 content and the increased Np-239 presence. More importantly, the activity per MWD significantly decreased despite absolute increases in unit mass. The net result is that the half-life of high burnup fuels is greatly increased in comparison to low burnup fuels for the first decade of life. Beginning from day 14 after shutdown and until 10 years later, the 100 MWD/kg fuel has a half-life of 129 days while the 30 MWD/kg spent fuel has a half life of 5 days. Previous work has suggested that different trends dominate decay behavior from years 10 to 100 years following discharge.by Drew A. Reese.S.B

Racial and Ethnic Disparities in Teenage Pregnancy: Perspectives from Teens and Community Members in Connecticut

BACKGROUND: Teenage pregnancy has negative consequences for mother and baby, for example, high school drop out and low birth weight, respectively. Overall, Connecticut (CT) has one of the lowest teen pregnancy rates in the United States. However, a great disparity exists between whites and other ethnicities. Black teens are 4 – 5 times as likely to give birth than their white counterparts and Latino teens are 8 times as likely to give birth as white teens. Planned Parenthood of Southern New England (PPSNE) has identified this disparity and seeks the assistance of our research team in developing targets and programming to prevent teen pregnancies. METHODS: Teen focus groups and key informant interviews were used to examine barriers to teen birth reduction among ethnic minorities in three cities (Hartford, New London, and New Haven, CT). We develop ed an action plan for PPSNE that identifies potential barriers to preventing teenage pregnancy, identifies potential community partnerships , and includes population attributable risk estimation s to demonstrate potential decreases in teen pregnancy by race/ethnicity. RESULTS: Three focus group sessions were completed with a total of 22 adolescent participants (14 females and 8 males) between the ages of 15 and 21. Focus group respondents attributed teen pregnancy to desire for pregnancy, perceived invincibility, lack of knowledge/sexual education and family precedent. The teens indicated that a more substantial presence from peer educators and improved sex education in schools could have an impact on reducing teen pregnancy in minorities. Two key informant interviews with community organization staff members revealed overlapping themes of inadequate education, inadequate support to stay in school, and lack of support for pregnancy prevention programs. Overall, respondents had positive perceptions of Planned Parenthood. IMPLICATIONS: Results from this research will provide information to PPSNE regarding the necessary steps to design programs aimed at reducing disparities in teen birth rates in Connecticut. By focusing on Black and Latino teens, we hope to facilitate the development of culturally competent initiatives that result in the elimination of disparities surrounding teen births. Partnership development between PPSNE and community organizations can foster successful and sustainable programs in our populations of interest.https://elischolar.library.yale.edu/ysph_pbchrr/1038/thumbnail.jp

Adapting Dietary Guidelines to Client-Centered Preferences at the Downtown Evening Soup Kitchen (DESK)

The Downtown Evening Soup Kitchen (DESK) in New Haven, Connecticut exists to serve individuals who are food insecure, through the provision of meals. A majority of DESK’s food is sourced through donations and federal programs. A significant portion of these donations are from Yale University Dining, where trays of food from the dining hall are delivered multiple times a week. Connecticut faces a 6.4 percent prevalence of households with low food security, exceeding the 5.2 percent national average (Coleman-Jensen, 2017). Meals served at soup kitchens tend to contain high levels of fat and low levels of fiber, vitamins, and minerals (Lyles et al., 2013; Sisson, 2011), contributing to malnutrition, obesity, high blood pressure, and many other chronic conditions (Sisson, 2011). Currently, there are no national guidelines to regulate the nutrition of meals served specifically at these institutions, allowing for the continued distribution of meals with insufficient nutritional value (Koh et al., 2015; Kourgialis et al., 2001). The objectives of this study were as follows: Conduct a nutritional assessment of the dinners served by DESK, establish effective principles for the DESK menu based on the 2015-2020 Dietary Guidelines for Americans, and incorporate client food preferences in menu adaptations.https://elischolar.library.yale.edu/ysph_pbchrr/1018/thumbnail.jp

SDSS-IV MaNGA: Excavating the fossil record of stellar populations in spiral galaxies

We perform a “fossil record” analysis for ≈800 low-redshift spiral galaxies, using STARLIGHT applied to integral field spectroscopic observations from the SDSS-IV MaNGA survey to obtain fully spatially-resolved high-resolution star formation histories (SFHs). From the SFHs, we are able to build maps indicating the present-day distribution of stellar populations of different ages in each galaxy. We find small negative mean age gradients in most spiral galaxies, especially at high stellar mass, which reflects the formation times of stellar populations at different galactocentric radii. We show that the youngest (109.5 years), again with a strong dependence on stellar mass. By interpreting the radial profiles of “time slices” as indicative of the size of the galaxy at the time those populations had formed, we are able to trace the simultaneous growth in mass and size of the spiral galaxies over the last 10 Gyr. Despite finding that the evolution of the measured light-weighted radius is consistent with inside-out growth in the majority of spiral galaxies, the evolution of an equivalent mass-weighted radius has changed little over the same time period. Since radial migration effects are likely to be small, we conclude that the growth of disks in spiral galaxies has occurred predominantly through an inside-out mode (with the effect greatest in high-mass galaxies), but this has not had anywhere near as much impact on the distribution of mass within spiral galaxies

A Community-Based School Nutrition Intervention Improves Diet Diversity and School Attendance in Palestinian Refugee Schoolchildren in Lebanon.

BACKGROUND: School feeding programs have the potential to supply children with healthy school food, alleviate short-term hunger, and improve children's educational outcomes. OBJECTIVES: We linked community kitchens to a subsidized school snack intervention and assessed the impact of this intervention on nutritional (diet diversity, hemoglobin, and anthropometry) and educational (attendance and academic performance) outcomes of Palestinian refugee schoolchildren. METHODS: We collected data from 1362 students (aged 5-15 y) and their parents at baseline, and at an 8-mo follow-up in 2 control and 2 intervention schools. We conducted linear, logistic, and negative binomial regression analyses to assess changes in outcomes of children participating in the intervention schools compared with children in control schools (intention-to-treat). We also assessed the impact of the snack intervention in children who participated ≥50% of the time (HP, high-participation) compared with those who participated <50% (LP, low-participation), or who only received nutrition education (control) (per protocol). All the analyses were adjusted for child age and gender, maternal education, household expenditure, and school-level clustering effect. RESULTS: At endline, there were 648 children in the control group, and within the intervention group, 260 children were LP and 454 were HP. There was a significantly greater increase in overall diet diversity score and dairy consumption in the HP group compared with controls. Both LP and HP groups were more likely to consume proteins, and less likely to consume desserts than controls. Furthermore, the HP group had a significant increase in hemoglobin, and both LP and HP groups had a significant decrease in school absenteeism compared with controls. CONCLUSIONS: This community-based school nutrition intervention had a positive impact on diet diversity, hemoglobin, and school attendance of children

The 16th Data Release of the Sloan Digital Sky Surveys: First Release from the APOGEE-2 Southern Survey and Full Release of eBOSS Spectra

This paper documents the 16th data release (DR16) from the Sloan Digital Sky Surveys (SDSS), the fourth and penultimate from the fourth phase (SDSS-IV). This is the first release of data from the Southern Hemisphere survey of the Apache Point Observatory Galactic Evolution Experiment 2 (APOGEE-2); new data from APOGEE-2 North are also included. DR16 is also notable as the final data release for the main cosmological program of the Extended Baryon Oscillation Spectroscopic Survey (eBOSS), and all raw and reduced spectra from that project are released here. DR16 also includes all the data from the Time Domain Spectroscopic Survey and new data from the SPectroscopic IDentification of ERosita Survey programs, both of which were co-observed on eBOSS plates. DR16 has no new data from the Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey (or the MaNGA Stellar Library "MaStar"). We also preview future SDSS-V operations (due to start in 2020), and summarize plans for the final SDSS-IV data release (DR17)

The 16th Data Release of the Sloan Digital Sky Surveys: First Release from the APOGEE-2 Southern Survey and Full Release of eBOSS Spectra

This paper documents the 16th data release (DR16) from the Sloan Digital Sky Surveys (SDSS), the fourth and penultimate from the fourth phase (SDSS-IV). This is the first release of data from the Southern Hemisphere survey of the Apache Point Observatory Galactic Evolution Experiment 2 (APOGEE-2); new data from APOGEE-2 North are also included. DR16 is also notable as the final data release for the main cosmological program of the Extended Baryon Oscillation Spectroscopic Survey (eBOSS), and all raw and reduced spectra from that project are released here. DR16 also includes all the data from the Time Domain Spectroscopic Survey and new data from the SPectroscopic IDentification of ERosita Survey programs, both of which were co-observed on eBOSS plates. DR16 has no new data from the Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey (or the MaNGA Stellar Library "MaStar"). We also preview future SDSS-V operations (due to start in 2020), and summarize plans for the final SDSS-IV data release (DR17)

The 16th Data Release of the Sloan Digital Sky Surveys : First Release from the APOGEE-2 Southern Survey and Full Release of eBOSS Spectra

This paper documents the 16th data release (DR16) from the Sloan Digital Sky Surveys (SDSS), the fourth and penultimate from the fourth phase (SDSS-IV). This is the first release of data from the Southern Hemisphere survey of the Apache Point Observatory Galactic Evolution Experiment 2 (APOGEE-2); new data from APOGEE-2 North are also included. DR16 is also notable as the final data release for the main cosmological program of the Extended Baryon Oscillation Spectroscopic Survey (eBOSS), and all raw and reduced spectra from that project are released here. DR16 also includes all the data from the Time Domain Spectroscopic Survey and new data from the SPectroscopic IDentification of ERosita Survey programs, both of which were co-observed on eBOSS plates. DR16 has no new data from the Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey (or the MaNGA Stellar Library "MaStar"). We also preview future SDSS-V operations (due to start in 2020), and summarize plans for the final SDSS-IV data release (DR17).Peer reviewe

The Fifteenth Data Release of the Sloan Digital Sky Surveys: First Release of MaNGA-derived Quantities, Data Visualization Tools, and Stellar Library

Twenty years have passed since first light for the Sloan Digital Sky Survey (SDSS). Here, we release data taken by the fourth phase of SDSS (SDSS-IV) across its first three years of operation (2014 July–2017 July). This is the third data release for SDSS-IV, and the 15th from SDSS (Data Release Fifteen; DR15). New data come from MaNGA—we release 4824 data cubes, as well as the first stellar spectra in the MaNGA Stellar Library (MaStar), the first set of survey-supported analysis products (e.g., stellar and gas kinematics, emission-line and other maps) from the MaNGA Data Analysis Pipeline, and a new data visualization and access tool we call "Marvin." The next data release, DR16, will include new data from both APOGEE-2 and eBOSS; those surveys release no new data here, but we document updates and corrections to their data processing pipelines. The release is cumulative; it also includes the most recent reductions and calibrations of all data taken by SDSS since first light. In this paper, we describe the location and format of the data and tools and cite technical references describing how it was obtained and processed. The SDSS website (www.sdss.org) has also been updated, providing links to data downloads, tutorials, and examples of data use. Although SDSS-IV will continue to collect astronomical data until 2020, and will be followed by SDSS-V (2020–2025), we end this paper by describing plans to ensure the sustainability of the SDSS data archive for many years beyond the collection of data