Should health professionals screen women for domestic violence? : systematic review

Objective To assess the evidence for the acceptability and effectiveness of screening women for domestic violence in healthcare settings. Design Systematic review of published quantitative studies. Search strategy Three electronic databases (Medline, Embase, and CINAHL) were searched for articles published in the English language up to February 2001. Included studies Surveys that elicited the attitudes of women and health professionals on the screening of women in health settings; comparative studies conducted in healthcare settings that measured rates of identification of domestic violence in the presence and absence of screening; studies measuring outcomes of interventions for women identified in health settings who experience abuse from a male partner or ex­partner compared with abused women not receiving an intervention. Results 20 papers met the inclusion criteria. In four surveys, 43­85% of women respondents found screening in healthcare settings acceptable. Two surveys of health professionals' views found that two thirds of physicians and almost half of emergency department nurses were not in favour of screening. In nine studies of screening compared with no screening, most detected a greater proportion of abused women identified by healthcare professionals. Six studies of interventions used weak study designs and gave inconsistent results. Other than increased referral to outside agencies, little evidence exists for changes in important outcomes such as decreased exposure to violence. No studies measured quality of life, mental health outcomes, or potential harm to women from screening programmes. Conclusion Although domestic violence is a common problem with major health consequences for women, implementation of screening programmes in healthcare settings cannot be justified. Evidence of the benefit of specific interventions and lack of harm from screening is needed

Generators of simple Lie algebras in arbitrary characteristics

In this paper we study the minimal number of generators for simple Lie algebras in characteristic 0 or p > 3. We show that any such algebra can be generated by 2 elements. We also examine the 'one and a half generation' property, i.e. when every non-zero element can be completed to a generating pair. We show that classical simple algebras have this property, and that the only simple Cartan type algebras of type W which have this property are the Zassenhaus algebras.Comment: 26 pages, final version, to appear in Math. Z. Main improvements and corrections in Section 4.

Intrapersonal and Interpersonal Correlates of Condom Use among Young Adults from Continuation High Schools

Background and Purpose: Youth from continuation high schools (CHS) exhibit riskier sexual behaviors than other high school youth, yet the associations between intrapersonal and interpersonal constructs and condom-using behavior are not fully understood within this population. It is unknown which of these variables may be more strongly associated with condom use. This study explored the effects of parentadolescent communication, perceived HIV susceptibility, condom use peer norms, and condom use selfefficacy on lifetime and recent condom use and the potential moderating effects by gender and Latino ethnicity. Methods: A non-experimental study was conducted with 111 CHS young adults in Southern California who previously participated in a substance abuse prevention intervention. Ordinal logistic regression models assessed the associations between each construct and condom use and included interaction terms by gender and Latino ethnicity. Results: Parent-adolescent communication during adolescence and within the past 6 months as well as peer norms that support condom use were significantly associated with lifetime and recent condom use. Perceived HIV risk and condom use selfefficacy showed no effect. Relationships were not moderated by gender or Latino ethnicity. Conclusion: Findings highlight the salutary influence of parents and peers on personal condom use. Future research should explore intrapersonal factors that may motivate consistent condom use

Forecasting yields, prices and net returns for main cereal crops in Tanzania as probability distributions: A multivariate empirical (MVE) approach

Maize (Zea mays L.), sorghum (Sorghum bicolor L. Moench) and rice (Oryza sativa) are essential staple crops to the livelihoods of many Tanzanians. But the future productivity of these crops is highly uncertain due to many factors including overdependence on rain-fed, poor agricultural practices and climate change and variability. Despite the multiple risks and constraints, it is vital to highlight the pathways of cereal production in the country. Understanding the pathways of cereals helps to inform policymakers, so they can make better decisions to improve the viability of the sector and its potential to increase food production and income for the majority population. In this study, we employ a Monte Carlo simulation approach to develop a multivariate empirical (MVE) distribution model to simulate stochastic variables for main cereal crops in Tanzania. Eleven years (2008–2018) of yields and prices data for maize, sorghum and rice were used in the model to simulate and forecast yields and prices in Dodoma and Morogoro regions of Tanzania for a seven-year period, from 2019 to 2025. Dodoma and Morogoro regions represent semi-arid and sub-humid agro-ecological zones, respectively. The simulated yields and prices were used with total costs and total area harvested for each crop to calculate the probable net present value (NPV) for each agro-ecological zone. The results on crop yield show a slightly increasing trend for all three crops in Dodoma region. Likewise, rice yield is expected to marginally increase in Morogoro with a decreasing trend for maize and sorghum, meanwhile, the prices for the three crops all are projected to increase for the two regions. Generally, the results on economic feasibility in terms of NPV revealed a high probability of success for all the crops in Dodoma despite a higher relative risk for rice. The results in Morogoro presented a high probability of success for rice and sorghum with maize indicating the highest relative risk, and a 2.41% probability of negative NPV. This study helps to better understand the outlook of the main cereal crop sub-sectors in two agro-ecological zones of Tanzania over the next seven years. With high dependence on rain-fed agriculture, production of main cereals in Tanzania are likely to face a high degree of risk and uncertainty threatening livelihoods, incomes and foo

Higher-Order Corrections to Instantons

The energy levels of the double-well potential receive, beyond perturbation theory, contributions which are non-analytic in the coupling strength; these are related to instanton effects. For example, the separation between the energies of odd- and even-parity states is given at leading order by the one-instanton contribution. However to determine the energies more accurately multi-instanton configurations have also to be taken into account. We investigate here the two-instanton contributions. First we calculate analytically higher-order corrections to multi-instanton effects. We then verify that the difference betweeen numerically determined energy eigenvalues, and the generalized Borel sum of the perturbation series can be described to very high accuracy by two-instanton contributions. We also calculate higher-order corrections to the leading factorial growth of the perturbative coefficients and show that these are consistent with analytic results for the two-instanton effect and with exact data for the first 200 perturbative coefficients.Comment: 7 pages, LaTe

Low Friction Flows of Liquids at Nanopatterned Interfaces

With the recent important development of microfluidic systems, miniaturization of flow devices has become a real challenge. Microchannels, however, are characterized by a large surface to volume ratio, so that surface properties strongly affect flow resistance in submicrometric devices. We present here results showing that the concerted effect of wetting . properties and surface roughness may considerably reduce friction of the fluid past the boundaries. The slippage of the fluid at the channel boundaries is shown to be drastically increased by using surfaces that are patterned at the nanometer scale. This effect occurs in the regime where the surface pattern is partially dewetted, in the spirit of the 'superhydrophobic' effects that have been recently discovered at the macroscopic scales. Our results show for the first time that, in contrast to the common belief, surface friction may be reduced by surface roughness. They also open the possibility of a controlled realization of the 'nanobubbles' that have long been suspected to play a role in interfacial slippag

Near-infrared reflectance spectroscopy for predicting the phospholipid fraction and the total fatty acid composition of freeze-dried beef

Peer reviewe

Near-Infrared Reflectance Spectroscopy for Predicting the Phospholipid Fraction and the Total Fatty Acid Composition of Freeze-Dried Beef

Research on fatty acids (FA) is important because their intake is related to human health. NIRS can be a useful tool to estimate the FA of beef but due to the high moisture and the high absorbance of water makes it difficult to calibrate the analyses. This work evaluated near-infrared reflectance spectroscopy as a tool to assess the total fatty acid composition and the phospholipid fraction of fatty acids of beef using freeze-dried meat. An average of 22 unrelated pure breed young bulls from 15 European breeds were reared on a common concentrate-based diet. A total of 332 longissimus thoracis steaks were analysed for fatty acid composition and a freeze-dried sample was subjected to near-infrared spectral analysis. 220 samples (67%) were used as a calibration set with the remaining 110 (33%) being used for validation of the models obtained. There was a large variation in the total FA concentration across the animals giving a good data set for the analysis and whilst the coefficient of variation was nearly 68% for the monounsaturated FA it was only 27% for the polyunsaturated fatty acids (PUFA). PLS method was used to develop the prediction models. The models for the phospholipid fraction had a low R2p and high standard error, while models for neutral lipid had the best performance, in general. It was not possible to obtain a good prediction of many individual PUFA concentrations being present at low concentrations and less variable than other FA. The best models were developed for Total FA, saturated FA, 9c18:1 and 16:1 with R2p greater than 0.76. This study indicates that NIRS is a feasible and useful tool for screening purposes and it has the potential to predict most of the FA of freeze-dried beef

Near-Infrared Reflectance Spectroscopy for Predicting the Phospholipid Fraction and the Total Fatty Acid Composition of Freeze-Dried Beef

Research on fatty acids (FA) is important because their intake is related to human health. NIRS can be a useful tool to estimate the FA of beef but due to the high moisture and the high absorbance of water makes it difficult to calibrate the analyses. This work evaluated near-infrared reflectance spectroscopy as a tool to assess the total fatty acid composition and the phospholipid fraction of fatty acids of beef using freeze-dried meat. An average of 22 unrelated pure breed young bulls from 15 European breeds were reared on a common concentrate-based diet. A total of 332 longissimus thoracis steaks were analysed for fatty acid composition and a freeze-dried sample was subjected to near-infrared spectral analysis. 220 samples (67%) were used as a calibration set with the remaining 110 (33%) being used for validation of the models obtained. There was a large variation in the total FA concentration across the animals giving a good data set for the analysis and whilst the coefficient of variation was nearly 68% for the monounsaturated FA it was only 27% for the polyunsaturated fatty acids (PUFA). PLS method was used to develop the prediction models. The models for the phospholipid fraction had a low R2p and high standard error, while models for neutral lipid had the best performance, in general. It was not possible to obtain a good prediction of many individual PUFA concentrations being present at low concentrations and less variable than other FA. The best models were developed for Total FA, saturated FA, 9c18:1 and 16:1 with R2p greater than 0.76. This study indicates that NIRS is a feasible and useful tool for screening purposes and it has the potential to predict most of the FA of freeze-dried beef

He II λ\lambda4686 emission from the massive binary system in η\eta Car: constraints to the orbital elements and the nature of the periodic minima

{\eta} Carinae is an extremely massive binary system in which rapid spectrum variations occur near periastron. Most notably, near periastron the He II $\lambda 4686$ line increases rapidly in strength, drops to a minimum value, then increases briefly before fading away. To understand this behavior, we conducted an intense spectroscopic monitoring of the He II $\lambda 4686$ emission line across the 2014.6 periastron passage using ground- and space-based telescopes. Comparison with previous data confirmed the overall repeatability of EW(He II $\lambda 4686$), the line radial velocities, and the timing of the minimum, though the strongest peak was systematically larger in 2014 than in 2009 by 26%. The EW(He II $\lambda 4686$) variations, combined with other measurements, yield an orbital period $2022.7\pm0.3$ d. The observed variability of the EW(He II $\lambda 4686$) was reproduced by a model in which the line flux primarily arises at the apex of the wind-wind collision and scales inversely with the square of the stellar separation, if we account for the excess emission as the companion star plunges into the hot inner layers of the primary's atmosphere, and including absorption from the disturbed primary wind between the source and the observer. This model constrains the orbital inclination to $135^\circ$-$153^\circ$, and the longitude of periastron to $234^\circ$-$252^\circ$. It also suggests that periastron passage occurred on $T_0 = 2456874.4\pm1.3$ d. Our model also reproduced EW(He II $\lambda 4686$) variations from a polar view of the primary star as determined from the observed He II $\lambda 4686$ emission scattered off the Homunculus nebula.Comment: The article contains 23 pages and 17 figures. It has been accepted for publication in Ap