Contraceptive decisions and HIV/AIDS concerns among married couples in Malawi

This study investigates current contraceptive use among Malawi couples. The data examined are from the 2001 Malawi Diffusion and Ideational Change Project (MDICP). The aim of the study is to explore whether contraceptive use among married couples is affected by the couple's concerns about HIV/AIDS and couple's age difference. Contraceptive use was found to be associated with the couple's HIV concern and family planning goals. There is no significant association between spousal age difference and contraceptive use. The findings are important for future work on the connection of marital concerns about HIV/AIDS with contraceptive behaviours, especially the use of condoms, and for informing HIV preventive strategies in marriage.     

The preference for an additional child among married women in Seoul, Korea

South Korea reported a total fertility rate (TFR) of 1.08 in 2005. This is the lowest level of all nations in the Organisation for Economic Co-operation and Development (OECD). Recently, the decline in the fertility rate has been a dominant phenomenon in Korea's major cities. This study investigated the relationship between social environmental factors and fertility intentions for married women in Seoul, the capital of Korea, using a sample of 2211 married women who responded to the Seoul Citizens Health and Social Indicators Survey, 2005. Here, the effects of selected social environmental characteristics on fertility intentions are explored using multivariate logistic regression models. The relationships among a woman's age, number of living children, job type, housing type, and social group participation were strong indicators of the intention to have additional children. Younger women living with fewer children generally have a higher intention to have additional children. Among women's job types, blue-collar workers have a lower preference for additional children than white-collar workers and housewives. Married women participating in social groups have a lower preference for additional children than non-participants. Women's participation in social activities appears to have various benefits, both individually and socially. However, whereas women's participation in economic activities has been linked to questions of fertility in previous studies, the relationship between fertility and social activities has been downplayed. Women's participation in social activities has increased over the past several decades, and the trend continues to grow. Therefore, women's participation in social activities must be accepted as the status quo, and compatibility between women's participation in social activities and childrearing needs to be increased. Consequently, a strong foundation for a fertility-friendly environment is needed, focusing on blue-collar workers and participation in social activities by married women.     

Bacterial vaginosis among a group of married Jordanian women: occurrence and laboratory diagnosis

A total of 310 vaginal swabs collected from a group of married Jordanian women complaining of vaginal discharge were examined for bacterial vaginosis. The scoring system of Nugent for the interpretation of Gram staining was employed. This system revealed the presence of the condition in 29.7% of patients. Results obtained using the scoring system correlated significantly with the detection of clue cells and the scarcity of white blood cells in the vaginal discharge. An inverse relationship was found between bacterial vaginosis and Lactobacillus morphotypes determined by Gram staining. No definite relationship was detected between bacterial vaginosis and the recovery of Gardnerella vaginalis by culture as this organism was isolated from swabs which according to the Nugent criterion were negative for bacterial vaginosis. Bacterial vaginosis among the women investigated was more prevalent than vaginitis caused by Trichomonas vaginalis or yeasts.     

Wild Turkey (Meleagris gallopavo) association to roads: implications for distance sampling

Road-based distance sampling is a common technique used to estimate the density of many wildlife species but potential biases exist unless the target population is randomly distributed around roads. Our objective was to determine if and when Rio Grande wild turkeys (Meleagris gallopavo intermedia; RGWT) were randomly distributed around roads to identify time periods in which road-based surveys would be most appropriate. We used triangulated locations obtained from radiotelemetry of RGWTs in the Edwards Plateau (2001?C2003), Rolling Plains (2000?C2006), and South Texas (2003?C2006) ecoregions. Using a geographic information system, we conducted a use and availability analysis by sex, season, and time of day for each ecoregion to determine RGWT use of areas near roads (<200 m). We found the most appropriate time to conduct road-based distance sampling was from 1 December to 15 March during morning or afternoon. Our results suggested road-based surveys conducted during these periods should yield generally unbiased results in the Rolling Plains and Edwards Plateau ecoregions. We recommend researchers and managers investigate animal distributions around roads before implementing road-based monitoring programs for other wildlife species.     

Prevalence of pulmonary tuberculosis (PTB) among people living with HIV/AIDS (PLWHA) in Keffi and its environs

Coinfection with HIV and Mycobacterium tuberculosis is known to be a lethal combination especially with its attendant mortality and morbidity. The need to have a baseline data in an environment like Keffi with a HIV/AIDS prevalence of 38.6% necessitated this study. Three hundred and ninety people living with HIV/AIDS (PLWHA) were screened for pulmonary tuberculosis. Results of this study showed 16.7% prevalence of coinfection in the population. Gender-related prevalence of coinfection was 19.4% and 14.4% among males and females respectively (P>0.05). Age-related prevalence of coinfection was least among respondents of age below 20 years (13.3%) and highest among those of age above 40 years (20.2%) (P>0.05). Even though statistically insignificant by both parameters, these findings are of public health significance. There is therefore an urgent need for immediate intervention to allow for early TB diagnosis, institution of anti-TB treatment and provision of prophylaxis against TB among TB-negative PLWHA.     

Amniocentesis use and risk awareness: Comparison of knowledge and beliefs among older Gravida

Abstract

A secondary analysis of public‐health survey data collected from 298 women, age 40 or older, delivering a live‐bom child in Michigan distinguished four respondent groups: those exposed to medical advice about amniocentesis and their decision about the procedure (Medically‐informed Tested vs. Medically‐informed Untested) and those unexposed to medical advice who reported being either aware or unaware of the procedure (Medically‐uninformed Aware vs. Medically‐uninformed Unaware). The two medically‐informed groups differed in their estimates of risk for Down syndrome (DS), risk of test injury to the fetus, and aversion to the risk of birth defects. A regression analysis determined that perceived risk for DS due to maternal age best distinguished between the two groups. The tested women differed from the other three groups on several sociodemographic variables. The discussion draws from the Health Belief Model to identify strategies for creating a risk awareness in the target population.     

Linguistic capital: Language as a socio-economic resource among Kurdish and Arabic women in Turkey

Data from the 1998 Turkish Demographic and Health Survey are used to gain insight into the characteristics of the non-Turkish speaking individuals in Turkey and in the socio-economic consequences of not speaking Turkish for them. The very large majority of non-Turkish speaking individuals turn out to be Kurdish and Arabic women, living in East Turkey and in the countryside. The data indicate that of the married women aged 15–49 in Turkey, about 4 per cent, or one in 25, is not able to speak Turkish. More than 90 per cent of these women has not finished primary education. Regarding their social background, our results suggest that they were more under the influence of traditional cultural values, that their access to the public domain was limited, and that they were more heavily controlled by their family. Regarding the consequences of not speaking Turkish, we found the non-Turkish speaking women to be less employed in the formal economy, to have husbands with lower educational levels and occupations and to have lower family incomes. This result is in line with the predictions of linguistic capital theory.     

Geomorphometric differences among four species of Microtus in Turkey (Mammalia: Rodentia)

In order to determine the phenotypic associations of four morphologically similar species of Microtus occurring in Turkey, we applied landmark-based shape analysis. The skulls of Microtus anatolicus, M. dogramacii, M. guentheri and M. levis (= M. rossiaemeridionalis) were found to differ significantly in terms of both size and shape. M. guentheri had the biggest skull, while M. levis had the smallest. Sexual dimorphism was found in the shape of the skull in M. dogramacii and M. levis. The tympanic bulla area is enlarged in M. anatolicus compared to the other species. Mahalanobis distances (the distance between a point and the group mean, taking into account the within-group covariance-variance matrix) confirm the distinction of the arvalis group (M. levis) and socialis group (Microtus anatolicus, M. dogramacii, M. guentheri).     

Assessing the utilization of maternal and child health care among married adolescent women: evidence from India

This study explores the prevalence and factors associated with the utilization of maternal and child health care services among married adolescent women in India using the third round of the National Family Health Survey (2005-06). The findings suggest that the utilization of maternal and child health care services among adolescent women is far from satisfactory in India. A little over 10% of adolescent women utilized antenatal care, about 50% utilized safe delivery services and about 41% of the children of adolescent women received full immunization. Large differences by urban-rural residence, educational attainment, religion, economic status and region were evident. Both gross effect and fixed effect binary logit models yielded statistically significant socioeconomic and demographic factors. Women's education, wealth quintile and region are the most important determinants for the utilization of maternal and child health care services. Health care programmes should focus more on educating adolescents, providing financial support, creating awareness and counselling households with married adolescent women. Moreover, there should be substantial financial assistance for the provision of delivery and child care for married women below the age of 19 years.     

A new early Frasnian (Late Devonian) foraminifer from eastern Taurides (Turkey): Evolutionary and paleobiogeographic implications

A complete Devonian sequence is well exposed in the eastern Taurides, forming more than 1000 m-thick succession of carbonate and siliciclastic sediments. The carbonate succession, stratigraphically ranging from Middle Devonian to early Late Devonian and mostly comprising limestones, dolomitic limestones and reefal limestones, contains abundant and diverse assemblages of foraminifers, corals, stromatoporoids, calcareous algae, bivalves, brachiopods, ostracods, and conodonts. The limestone samples collected from a more closely sampled stratigraphic section have been investigated for their foraminiferal content. The micropalaeontological analyses carried out on these samples have revealed the presence of an early Frasnian foraminiferal assemblage including predominantly unilocular parathuramminid species and multilocular forms of the genera Nanicella, Paratikhinella and Semitextularia? and further indicated the presence of a new genus and a new species Halevikia deveciae n. gen. n. sp. which appears as an important phylogenetic and stratigraphic transitional taxon between the families Baituganellidae n. fam. and Tournayellinidae, the phylogenetic potentiality of which during the Late Devonian is currently probably underestimated.     

The prevention of HIV/AIDS among injection drug abusers and women in the sex business in the city of Kharkiv

A steady increase of the number of persons with drug addiction has been noted both on Kharkov and Kharkov Province. Since 1996 a considerable number of HIV-infected persons has been detected among injecting drug users (80-82% of them infected parenterally). Rapid evaluation, carried out in 1997 within the project "Harm Reduction", served as the basis for the creation of the Charity Fund "Scarlet Ribbon" collaborating with the UNAIDS Representation in the Ukraine and other international organizations. The information and educational activity of the Fund among injecting drug users is presented. The necessity of organizing additional stationary and mobile exchange stations of the syringe is pointed out.     

Fertility among HIV-infected Indian women: the biological effect and its implications

In India, nearly one million women of childbearing age are infected with HIV. This study sought to examine the biological effect of HIV on the fertility of HIV-infected Indian women. This is relevant for the provision of pregnancy-related counselling and care to the infected women, and for estimating the HIV prevalence among women and children. The study used retrospectively collected data from the National Family Health Survey (2005-2006) and applied a matched case control study design to compare the effect of HIV on conception, pregnancy rates and pregnancy outcomes among HIV-infected (N=69) and HIV-non-infected (N=345) women, both unaware of their HIV status. Pregnancy rates and pregnancy outcomes were compared through non-parametric statistical tests, whereas the effect of HIV on fecundity was studied by analysing the interval between last two pregnancies using Cox regression. The pregnancy rate was observed to be lower among HIV-infected than HIV-non-infected women (RR=0.77). The difference, however, was not statistically significant (p=0.064). There was also no statistically significant difference in the interval between last two pregnancies (p=0.898). Significantly higher number of pregnancies among HIV-infected women resulted in termination because of miscarriage or stillbirths (p=0.004). Therefore, while providing clinical care and counselling to infected women, the possibility of adverse pregnancy outcomes should be considered. Due to the higher rate of adverse pregnancy outcomes, attendance of HIV-infected women at antenatal clinics might be greater, which could lead to overestimation of HIV prevalence derived from antenatal care surveillance sites.     

Mode coupling in living systems: implications for biology and medicine

Complex systems, and in particular biological ones, are characterized by large numbers of oscillations of widely differing frequencies. Various prejudices tend to lead to the assumption that such oscillators should generically be very weakly interacting. This paper reviews the basic ideas of linearity and nonlinearity as seen by a physicist, but with a view to biological systems. In particular, it is argued that large couplings between different oscillators of disparate frequencies are common, being present even in rather simple systems which are well-known in physics, although this issue is often glossed over. This suggests new experiments and investigations, as well as new approaches to therapies and human-environment interactions which, without the concepts described here, may otherwise seem unlikely to be interesting. The style of the paper is conversational with a minimum of mathematics, and no attempt at a complete list of references.     

Determinants of coital frequency among married women in Central African Republic: the role of female genital cutting

This paper examines determinants of one aspect of sexual behaviour--coital frequency--among 2,188 married women in the Central African Republic using a secondary analysis of data from the Demographic and Health Survey of 1994-95. Female genital cutting (or circumcision) is practised in the Central African Republic and self-reported circumcision status was included in the questionnaire enabling it to be examined as a possible determinant of coital frequency. Multiple logistic regression was used to find a subset of factors independently associated with coital frequency. Decreased coital frequency was found in those who had longer duration of marriage, those who were not the most recent wife in a polygamous marriage and those who had more surviving children. Coital frequency was higher in more educated women and those not contracepting because they wanted to get pregnant. After adjusting for confounders no association between female genital cutting and coital frequency was found. The extent to which women can control coital frequency in this culture is not known and fertility desires may override any negative effects of circumcision on sexual pleasure. It was therefore not possible to draw conclusions about how female genital cutting affects a woman's desire for sexual intercourse and consequently there is a need to develop research methods further to investigate this question.     

Increasing coverage of insecticide-treated nets in rural Nigeria: implications of consumer knowledge, preferences and expenditures for malaria prevention

Background

The coverage of insecticide-treated nets (ITNs) remains low despite existing distribution strategies, hence, it was important to assess consumers' preferences for distribution of ITNs, as well as their perceptions and expenditures for malaria prevention and to examine the implications for scaling-up ITNs in rural Nigeria.

Methods

Nine focus group discussions (FGDs) and questionnaires to 798 respondents from three malaria hyper-endemic villages from Enugu state, south-east Nigeria were the study tools.

Results

There was a broad spectrum of malaria preventive tools being used by people. The average monthly expenditure on malaria prevention per household was 55.55 Naira ($0.4). More than 80% of the respondent had never purchased any form of untreated mosquito net. People mostly preferred centralized community-based sales of the ITNS, with instalment payments.

Conclusion

People were knowledgeable about malaria and the beneficial effects of using nets to protect themselves from the disease. The mostly preferred community-based distribution of ITNs implies that the strategy is a potential untapped additional channel for scaling-up ITNs in Nigeria and possibly other parts of sub-Saharan Africa.     

Middle-late Asselian (Early Permian) fusulinid fauna from the post-Variscan cover in NW Anatolia (Turkey): Biostratigraphy and geological implications

The earliest autochthonous cover of the Variscan basement of the Sakarya Composite Terrane (SCT) in NW Anatolia is represented by basal conglomerates and limestones. The microfacies types of the limestones in ascending order are: (1) bioclastic grainstone/packstone, (2) fusulinid grainstone/packstone, (3) smaller foraminiferal grainstone/packstone, (4) Anthracoporella (dasycladale) grainstone/packstone, and (5) wackestones. Twenty-three species assignable to 15 genera of fusulinids were recovered from the studied materials of the Kadirler section; Quasifusulinaguvenci nov. sp. and Pseudoschwagerinabeedeimagna nov. subsp. are created. Rugosofusulinids, sphaeroschwagerinids, pseudoschwagerinids, occidentoschwagerinids, pseudochusenellids, quasifusulinids, rugosochusenellids and paraschwagerinids are the main faunal elements of the succession, which shows two distinct faunal intervals. Eoschubertella, Schubertella, Biwaella?, Rugosofusulinastabilis group, and Pseudochusenella correspond to the first interval at the base; the second interval is characterized by the species of Sphaeroschwagerina, Pseudoschwagerina,Occidentoschwagerina, the Rugosofusulinalatispiralis group, and diverse quasifusulinids. A biostratigraphic correlation shows that the Kadirler section in the SCT in NW Anatolia shares many common species with Central Asia in the East but especially with the Carnic Alps and Karavanke Mountains in the West. The new data suggest that the close faunal relationship in the Late Carboniferous between eastern Alps, Ural Mountains, NW Turkey and Central Asia also continued during the Asselian.     

Alcohol,tobacco and cannabis use among Nova Scotia adolescents: implications for prevention and harm reduction

OBJECTIVE: To characterize adolescent drug use in terms of a risk continuum and to explore the rationale for harm reduction as a potential approach for school-based drug prevention. DESIGN: Self-reported surveys, in 1991 and 1996, of adolescent students concerning their use of drugs, especially alcohol, tobacco and cannabis, and the harmful consequences of such use. SETTING: Nova Scotia. PARTICIPANTS: A total of 3452 (in 1991) and 3790 (in 1996) junior and high school students in randomly selected classes in the public school system. OUTCOME MEASURES: Prevalence of drug use and patterns of multiple drug use and of alcohol- and drug-related problems; independent risk factors for multiple drug use. The risk continuum for the response to alcohol problems was used as a policy framework. RESULTS: The prevalence of cigarette smoking and the use of hallucinogens and stimulants was markedly higher in 1996 than in 1991. Over one-fifth (21.9%) of the students reported multiple drug use of alcohol and tobacco and cannabis in the 12 months before the 1996 survey. The 3 main subgroups--nonusers, users of alcohol only and users of multiple drugs--had distinct patterns of use, numbers of problems and risk factors. In all, 27.1% of the students had experienced at least 1 alcohol-related problem and 6% had experienced at least 1 drug-related problem in the 12 months before the 1996 survey. CONCLUSION: There is a need for integrated school- and community-based drug prevention programs, with goals, strategies and outcome measures capturing the full spectrum of patterns of use and levels of risk among subgroups of the adolescent student population.     

Explanatory models of major depression and implications for help-seeking among immigrant Chinese-American women

This study explores the explanatory models of major depression in a group of 40 recently immigrated Chinese-American women, and demonstrates the significant relationship between problem conceptualization and help-seeking behavior. Respondents are presented a vignette depicting major depression, from which they are asked to conceptualize the problem described and answer questions regarding its cause, impact and potential sources for help-seeking. Those who provide a psychological conceptualization are likely not to suggest professional services, but to turn to themselves and family and friends for assistance. On the other hand, those who hold a physical conceptualization are likely to seek out medical services. Implications for effective mental health service delivery to this population are discussed.     

Fetal and neonatal exposure to AZT and low-protein diet affects glucose homeostasis: a model with implications for AIDS prevention

Zidovudine (AZT) lowers the perinatal transmission of HIV but can impair mitochondrial function by depleting mitochondrial DNA (mtDNA). AZT therapy and perinatal nutritional deprivation affect the body fat distribution, which influences glucose tolerance. We sought to model intrauterine exposure to AZT in humans to determine whether it interacts with low-protein diet (LPD) to impact on birth weight and glucose homeostasis in the offspring. Pregnant dams and their offspring were given AZT, an LPD, or AZT and an LPD (LPD + AZT). AZT reduced mtDNA copy number in liver and birth weight in the offspring and increased their fasting glucose and insulin (P = 0.021, 0.03, 0.001, and 0.011 respectively) at 6-8 wk of age. LPD decreased litter size and birth weight (P = 0.01 and 0.012). In the LPD + AZT group, birth weight and litter size were reduced compared with untreated controls, and fasting blood glucose and insulin were raised. There was a significant interaction between LPD and AZT on fasting insulin levels (P = 0.025). Islet size was not significantly affected, but the mean beta-cell area/islet was reduced in the LPD + AZT group compared with controls (P < 0.05). Early exposure to AZT interacts with LPD to impair fetal development in this model. This combination appeared to impair the supply of insulin and, hence, glucose homeostasis, perhaps as a result of impaired mitochondrial function. Although it is not certain that this can be extrapolated to humans, maternal nutritional deprivation combined with AIDS therapy could influence both birth weight and onset of diabetes.     

Norovirus-host interaction: implications for disease control and prevention

Noroviruses (NVs) are a major cause of acute gastroenteritis epidemics in both developing and developed countries and affect people of all ages. Three main human histo-blood group antigens (HBGAs) - the ABO, Lewis and secretor families - are involved in NV recognition and eight strain-specific receptor-binding patterns in two major binding groups have been described. The receptor-binding interface is located at the outermost surface of the P domain of the viral capsid. Each interface contains two major binding sites and each site interacts with a carbohydrate side-chain of the HBGAs via multiple hydrogen bonds. Soluble HBGAs in human milk are able to block binding of NV to HBGA receptors, suggesting a potential decoy receptor for the protection of infants from NV infection. Phylogenetic analysis has revealed limited genetic relatedness among NVs with similar receptor-binding patterns. This review summarises and discusses recent advances and highlights implications for future studies in the control and prevention of NV gastroenteritis.