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Caregivers are integral to health and social care systems in South Asian countries yet are themselves at higher risk of mental illness. Interventions to support caregiver mental health developed in high-income contexts may be contextually inappropriate in the Global South. In this mixed-methods study, we evaluated the implementation and scaling of a locally developed mental health group intervention for caregivers and others in Uttarakhand, India. We describe factors influencing implementation using the updated Consolidated Framework for Implementation Research, and selected implementation outcomes. Key influencing factors we found in common with other programs included: an intervention that was relevant and adaptable; family support and stigma operating in the outer setting; training and support for lay health worker providers, shared goals, and relationships with the community and the process of engaging with organisational leaders and service users within the inner setting. We identified further factors including the group delivery format, competing responsibilities for caregivers and opportunities associated with the partnership delivery model as influencing outcomes. Implementation successfully reached target communities however attrition of 20% of participants highlights the potential for improving outcomes by harnessing enablers and addressing barriers. Findings will inform others implementing group mental health and caregiver interventions in South Asia.
Ethiopia recently scaled up the implementation of a school feeding programme (SFP). Yet, evidence on the impact of such programmes on academic outcomes remains inconclusive. We evaluated the effect of the SFP on class absenteeism and academic performance of primary school students (grade 5–8) in Sidama zone, Southern Ethiopia.
Design:
This prospective cohort study enrolled SFP-beneficiary (n 240) and non-beneficiary (n 240) children 10–14 years of age from sixteen public schools and followed them for an academic year. School absenteeism was measured as the number of days children were absent from school in the year. Academic performance was defined based on the average academic score of the students for ten subjects they attended in the year. Data were analysed using multivariable mixed effects negative binomial and linear regression models.
Setting:
Food insecure districts in Sidama zone, Southern Ethiopia.
Participants:
SFP-beneficiary and non-beneficiary children 10–14 years of age.
Results:
The mean (sd) number of days children were absent from school was 4·0 (sd 1·5) and 9·3 (sd 6·0), among SFP beneficiaries and non-beneficiaries, respectively. Students not covered by the SFP were two times more likely to miss classes (adjusted rate ratio = 2·30; 95 % CI 2·03, 2·61). Pertaining to academic performance, a significant but small 2·40 (95 % CI 0·69, 4·12) percentage point mean difference was observed in favour of SFP beneficiaries. Likewise, the risk of school dropout was six times higher among non-beneficiaries (adjusted rate ratio = 6·04; 95 % CI 1·61, 22·68).
Conclusions:
SFP promotes multiple academic outcomes among socio-economically disadvantaged children.
The extent of diagenesis in Lower Jurassic shoreline sandstones of the Beatrice oilfield was controlled primarily by their detrital clay content. Sandstones rich in detrital clay had low depositional permeabilities; these show preservation of detrital feldspars to the present day and have no extensive diagenetic quartz overgrowths. Sandstones poor in detrital clay had high permeabilities and show large quartz overgrowths as part of a normal sub-arkosic diagenetic sequence. Such quartz occurs preferentially below, but not above, impermeable mudstones. These low- and high-permeability features suggest that pore-fluid flow was important during diagenesis. Fluid inclusions trapped in diagenetic quartz overgrowths formed between 68° and 94°C. This silica was probably supplied in solution from the temperature-driven illitization of smectitic clays surrounding these sandstones deeper in the basin. Fluid volumes from clay dewatering, from mechanical compaction, or from influx of overlying seawater were too small to transport diagenetic silica volumes. Silica-rich fluids were probably transported up-dip by convective cells within the sandstones and authigenic quartz precipitated as these fluids cooled. This episode of quartz diagenesis could have been completed within 1·6 × 106 yr if fluid velocities were 3·1 m/yr. Similar convective fluid flows could have transported the fluids responsible for secondary porosity development and the hydrocarbons expelled from mudstones later in the basin burial history.
Helminth infections have large negative impacts on production efficiency in ruminant farming systems worldwide, and their effective management is essential if livestock production is to increase to meet future human needs for dietary protein. The control of helminths relies heavily on routine use of chemotherapeutics, but this approach is unsustainable as resistance to anthelmintic drugs is widespread and increasing. At the same time, infection patterns are being altered by changes in climate, land-use and farming practices. Future farms will need to adopt more efficient, robust and sustainable control methods, integrating ongoing scientific advances. Here, we present a vision of helminth control in farmed ruminants by 2030, bringing to bear progress in: (1) diagnostic tools, (2) innovative control approaches based on vaccines and selective breeding, (3) anthelmintics, by sustainable use of existing products and potentially new compounds, and (4) rational integration of future control practices. In this review, we identify the technical advances that we believe will place new tools in the hands of animal health decision makers in 2030, to enhance their options for control and allow them to achieve a more integrated and sustainable approach to helminth control in support of animal welfare and production.
Frame analysis problems in general involve the determination of the values of three redundancies, which can become somewhat laborious. By applying the redundancies at the elastic centre of the frame the amount of work is much reduced and the solving of simultaneous equations is avoided. The method does not seem to be very widely used and it is considered that this may be due partly to the way in which the proof has usually been presented. The following proof is given in the hope that it may assist in clarifying the method.
The determination of shear distributions for multi-cell sections can conveniently be considered as two separate problems.
(i) the shear flow arising from a pure torsional couple applied in the plane of the section, and
(ii) the shear flow arising from a resultant shear force acting on the section so as to produce no resultant twist per unit length of that section, i.e. through the shear centre of that section.
Both problems involve finding the value of one unknown shear flow for each cell, so that in multi-cell construction a set of simultaneous equations is obtained, which must be solved to obtain the shear pattern.
The solution of problem (i) by successive numerical approximations has been dealt with completely by Benscoter. The present paper gives a method for problem (ii).
The usefulness of the method becomes more apparent with increasing numbers of spar webs as may be envisaged for future wing sections of small thickness chord ratios. It is analogous in the procedure used to the Hardy Cross moment distribution method for continuous beams, and has similar advantages. An approximate solution of any required degree of accuracy is quickly obtainable at the design stage and the method is readily adaptable for use by a computer with no knowledge of the structural or mathematical theory involved.
This volume is an international compilation for biotechnologists of data on the location and use of filamentous fungi. The volume provides details of the location and scope of major culture collections around the world holding fungi; information on how to access their data, administration and safety, identification, culture and media recipes, preservation, patents, specialist services and international organization. The authors are international authorities who have combined with the resource centres to provide a source book for mycologists in industry, research establishments and universities.
Das, Kamp and Sluijter have proposed equations describing three-dimensional electron inertia Alfvén waves for which the characteristic length scales in directions parallel and perpendicular to the ambient magnetic field are of the same order. Planar, obliquely propagating soliton solutions of these equations are known to be linearly unstable. Numerical simulations reveal the nonlinear phase of the evolution of these solitons: a transition from flat to cylindrical solitons is observed, followed by breaking-up into three-dimensional localized cavities. The final stage corresponds to wave breaking; no final stable structure is achieved within the model.
By
R. D. Pathak, University of the South Pacific,
Z. Husain, United Arab Emirates University,
Sushil, Indian Institute of Technology, Delhi,
Danny Samson, University of Melbourne
This case is of the partnership and the technology transfer between a leading Japanese company (Honda) with leading edge automotive technology, and an Indian company (Hero Motors) with a sound domestic market share and solid local reputation. Each had the potential to add significant value to the other, conditional upon their core value systems being compatible. One company, Hero, had the local market presence and the other Honda, had the right technology, in other markets.
The key question is how to make optimal use, in terms of value creation, of technological leadership, in a foreign market that is relatively less sophisticated than that of the technology source. Such matters are strategic issues, not tactical for both the international source and the local host company. The degree to which the technology is appropriate is measured in both technical terms, and most importantly in business, market and financial terms. Strategic technology management for stakeholders engaged in a major international technology transfer refers to the decisions of resource-base, design, technical specifications, organisational arrangements and fees, incentives, financials and contracts, marketing, manufacturing, branding and supply chain, and finally, leadership and cultural and philosophical fit of those stakeholders.
In the early 1980s the Indian economy was opening up and foreign companies and technologies were allowed to come into the sectors of strategic importance. Many automobile manufacturing firms were finding their way to the Indian market.
Anthelmintic resistance is a serious problem in veterinary medicine and appears to be developing in some helminths of importance to human health. Anthelmintic drugs remain the principal means of control of helminth infections in animals and humans and the continued dependence on these pharmaceuticals will continue to impose selection pressure for resistance development. Our ability to detect anthelmintic resistance before control breaks down and to monitor the spread of anthelmintic resistance is quite limited. We are currently dependent on biological methods which are not sufficiently sensitive to detect low levels of drug resistance and are particularly difficult to perform on helminth parasites of humans. There is a serious need for new molecular markers for detecting and monitoring for anthelmintic resistance. The problem of anthelmintic resistance is already very serious in nematode parasites of livestock. In addition, there should be great concern about possible anthelmintic resistance development and the lack of tools and efforts for monitoring it as part of the major worldwide programmes to control helminth parasites in people. An international Consortium has been formed to develop Anthelmintic Resistance Single nucleotide polymorphism markers (CARS). Discussions within the Consortium have addressed the need for such markers, the current state of knowledge about them, possible mechanisms of anthelmintic resistance and approaches and constraints to the development of markers. Summaries of the state of the art in these areas are presented in a series of papers in this Special Issue of Parasitology.
Objectives: To estimate the incidence of, and profile the spread of, congenital cardiac defects, and to assess the accuracy of the echocardiographic diagnosis as performed by a neonatologist. Design: Hospital-based study. Methods: All neonates meeting our criterions, specifically those with a persistent murmur 48 hours after birth, underwent an echocardiographic examination to exclude an underlying congenital cardiac defect. All scans performed by the neonatologist were videotaped and reviewed by a paediatric cardiologist. We assessed concordance according to inter-rater agreement. Results: Out of 11,085 live births, there were 83 infants with a congenital cardiac defect, giving an incidence of 7.49 per 1000 live births, with 95% confidence interval from 5.88 to 9.09. Of the infants with a murmur persisting at or greater than 48 hours after birth, who had a median age of 4.5 days, 75% had a congenital heart defect, with ventricular septal defect being the commonest, encountered in 56.7% of cases. Concordance between the neonatologist and the cardiologist was good, with Cohen's Kappa coefficient being calculated at 0.68, and 95% confidence interval from 0.51 to 0.85. Conclusion: The incidence of congenital cardiac malformations as determined in our hospital-based study in the United Arab Emirates is similar to that described in the Gulf region and worldwide. A persistent murmur at or greater than 48 hours after birth is strongly suggestive of an underlying congenital cardiac malformation. Our experience shows that a neonatologist appropriately trained in echocardiography can perform as well as a paediatric cardiologist. Where specialist resources are limited, this allows for early diagnosis, earlier referral if necessary, and early institution of appropriate therapy.
We have developed a hybrid magnetohydrodynamics (MHD) –kinetic box model valid for standing shear Alfvén waves using the cold plasma MHD equations coupled to a system of kinetic electrons. The guiding centre equations are used for the motion of the electrons and the system is closed via an expression for the field-aligned electric field in terms of the perpendicular electric field and moments of the electron distribution function. The perpendicular electric fields are derived from the ideal MHD approximation. We outline the basic model equations and method of solution. Simulations are then presented comparing the hybrid model results with a cold plasma MHD model. Landau damping is shown to heavily damp the standing shear Alfvén wave in the hybrid simulations when $v_{th} \ge V_{A}$. The damping rate is shown to be in good agreement with the theoretical rate calculated for the model parameters.
A simple method of estimating changes in biologically active soil carbon (C) could help evaluate soil quality impacts of alternative management practices. Most reports of permanganate for active C determination use highly concentrated solutions (0.333 M) that are difficult to work with and tend to react with a large fraction of soil C that is not well distinguished from total organic C. We report on a highly simplified method in which dilute, slightly alkaline KMnO4 reacts with the most readily oxidizable (active) forms of soil C, converting Mn(VII) to Mn(II), and proportionally lowering absorbance of 550 nm light. The amount of soil C that reacted increased with concentration of KMnO4 used (0.01 to 0.1 M), degree of soil drying (moist fresh soil to air-dried for 24 hour) and time of shaking (1–15 minutes). Shaking of air-diy soil in a 0.02 M KMnO4 solution for 2 minutes produced consistent and management-sensitive results, both in the laboratory and with a field kit that used a hand-held colorimeter. Addition of 0.1 M. CaCl2 to the permanganate reagent enhanced settling of the soil after shaking, eliminating the need for centrifugaron in the field kit. Results from the laboratory and field-kit protocols were nearly identical (R2 = 0.98), as were those from an inter-laboratory sample exchange (R2 = 0.91). The active soil C measured by the new procedure was more sensitive to management effects than total organic C, and more closely related to biologically mediated soil properties, such as respiration, microbial biomass and aggregation, than several other measures of soil organic C.
Tea (Camellia sinensis) clones (PC113 and SFS204) sensitive to very dry air and clones (PC114 and SFS150) that are tolerant, were studied at two tea estates (Tshivhase and Grenshoek) in the Northern Province of the Republic of South Africa. Among the morphological leaf traits studied, stomatal density, pore diameter and pore depth were not linked consistently to stress tolerance. Cuticle thickness was not a good indicator of stress tolerance because genetic differences between clones were confounded by the clonal response of wax production to stress. In contrast, measured leaf conductance to water vapour transport was larger and leaf water potential was lower in sensitive clones, but only with more severe atmospheric stress (Grenshoek). Also the ratio of the calculated maximum stomatal conductance in old and young leaves was higher in sensitive clones, suggesting that the loss of a larger fraction of the total stem flow by old leaves enhanced the stress experienced by the young leaves. However, this indicator was valid only under the more stressful microclimate of Grenshoek. The results indicate that even promising criteria for stress tolerance should be tested by exposure to stress during selection.