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Malaria infection is a major cause of morbidity and mortality in tropical countries, and particularly in Mozambique. Recently substantial resources have been used to reduce the burden of malaria in Mozambique. These include the distribution of insecticide treated bed-nets, indoor residual insecticide spraying, access to artemisinin-based combination treatment (ACT), and intermittent preventive treatment of pregnant women with sulfadoxine-pyrimetamine (SP-IPTp). The most important benefit of SP-IPTp in malaria endemic areas has been the increase in birth weight, thus increasing the probability of child survival. The SP-IPTp policy was based on evidence of its effectiveness in areas of high intensity malaria transmission. The effect of SP-IPTp has been less evident in the presence of high coverage with insecticide treated bed-nets. It is not know whether reducing the risk of malaria through effective vector control using indoor residual insecticide spraying and large-scale deployment of ACTs has a similar effect in reducing the impact of SP-IPTp on birth weight. At the same time, increasing resistance of SP could be compromising the effect of SP-IPTp on birth weight, as could co-infection with HIV. The aim of this study was to determine if the effect of SP-IPTp on reduction in risk of low birth weight is modified by Plasmodium falciparum malaria prevalence. This retrospective antenatal record review, analyzed 20867 antenatal records from 2005 to 2007 from public health facilities in Maputo and Gaza provinces, southern Mozambique. One or two doses of SP-IPTp does not have any effect on reducing the risk of low birth weight, while women who had at least three doses of SP-IPTp had a 15% lower risk of their babies being born with low birth weigh compared with fewer doses, (OR=0.85; 95% CI 0.73 – 1.00; p=0.053). The risk of babies being born with low birth weight was reduced by 28% when both malaria prevalence and dhfr / dhps mutation prevalence are low, (OR=0.72; 95% CI 0.51 – 1.00), but this effect was no longer significant with higher malaria prevalence and or mutation prevalence. SP-IPTp has an effect on reducing low birth weight with three or more doses, and in areas where malaria prevalence and mutation prevalence are low.  Copyright / Dissertation (MSc)--University of Pretoria, 2013. / Clinical Epidemiology / unrestricted

Submitted by Deivid Ferreira Da Silva (deividferreira@yahoo.com.br) on 2018-10-03T04:44:50Z No. of bitstreams: 1 Doutorado Deivid Ferreira da Silva.pdf: 10141229 bytes, checksum: 7567992adf30e9e3b21fc1984e079772 (MD5) / Approved for entry into archive by Pamella Benevides Gonçalves null (pamella@feg.unesp.br) on 2018-10-05T12:48:01Z (GMT) No. of bitstreams: 1 silva_df_dr_guara.pdf: 10141229 bytes, checksum: 7567992adf30e9e3b21fc1984e079772 (MD5) / Made available in DSpace on 2018-10-05T12:48:01Z (GMT). No. of bitstreams: 1 silva_df_dr_guara.pdf: 10141229 bytes, checksum: 7567992adf30e9e3b21fc1984e079772 (MD5) Previous issue date: 2018-07-27 / O objetivo deste trabalho é avaliar e comparar a resistência mecânica da união de aços dissimilares, o aço Maraging 300 com o aço 300M-ESR pelos processos de soldagens autógenas a Plasma (Plasma Arc Welding – PAW) e a Laser (Laser Beam Welding – LBW). As juntas foram submetidas à avaliação da resistência mecânica através de ensaios de tração e de dureza Vickers (HV) no cordão de solda e zona termicamente afetada. Foram também realizadas análises químicas e metalográficas das juntas soldadas, correlacionando a microestrutura com as propriedades observadas. Em ambos os processos foram aplicados tratamentos térmicos antes e após as soldagens, com o objetivo de endurecer os materiais e procurando aproximar a dureza de ambos os aços e da zona fundida (ZF) e zona termicamente afetada pelo calor (ZTA). Foram realizados vários testes com tempos e temperaturas para se definir quais eram os melhores tratamentos térmicos adotados para a equalização das propriedades mecânicas. Os tratamentos térmicos aplicados após a solda mostraram-se convenientes para o nivelamento dos valores das durezas, somente exibindo poucas perdas nas ZTAs dos aços Maraging. Com a aplicação destes tratamentos também foi possível notar uma equalização nas resistências à tração, em torno de 1300 MPa e aumentos consideráveis das mesmas, comparado com a mesma condição sem tratamento. As soldas mostraram-se eficientes para a união das chapas, porém, em algumas situações da soldagem a Laser, apresentou pequenas falhas, presença de poros, nos cordões das soldas, com isso contribuindo para a diminuição do limite da resistência à tração. / The objective of this work is to evaluate and compare the mechanical strength of welded joints made of the dissimilar steels such as Maraging 300 steel with 300M-ESR steel by the autogenous Plasma Arc Welding (PAW) and Laser welding process (LBW). The joints were submitted to the mechanical strength evaluation by tensile test and hardness Vickers (HV) at the weld bead and thermally affected zone. Chemical analysis and metallographic analysis of the welded joints were also performed, correlating the microstructure observed with the properties. In both processes, heat treatments were applied before and after welding, with the objective of at harden the materials and seeking to approximate the hardness of both steels and the fusion zone and heat affected zone. Several tests were carried using different times and temperatures to determine which ones were the best heat treatments to be adopted aiming the equalization of mechanical properties. The heat treatments applied after welding proved to be convenient for the leveling of the hardness values, only showing few losses in the HAZs of the Maraging steels. Applying of these treatments, it was also possible to note the equalization of tensile strengths, around 1300 MPa and considerable increases of the same, compared to the same condition without treatment. The welds showed to be efficient for the joining of the plates, however, in some situations the Laser welding presented small flaws, such as presence of pores, in the weld beads, causing to the reduction of the tensile strength limit.

<p>In a Manila hospital, 204 mothers were randomized into three groups: two intervention groups receiving home-based counseling visits, one of them (n=68) by counselors trained to use a locally developed, two-tiered program of breastfeeding counseling, and the other by counselors trained in general childcare (n=67), were compared with a control group of mothers (n=69) who did not receive any counseling. All infants were scheduled for seven visits to the hospital for follow-up. During hospital visits, maternal and infant body measurements were made and an independent interviewer asked the mothers individually to recall how the infant had been fed. One study physician, blind to participant groups, was consulted at all scheduled and unscheduled infant visits.</p><p>At six months, 44% of the breastfeeding-counseled mothers, 7% of the childcare-counseled mothers and none of the mothers in the control group were exclusively breastfeeding. Twenty- four mothers breastfed exclusively during the first six months, of whom 22 received breastfeeding counseling and 2 had no breastfeeding counseling. Among 24 infants who were exclusively breastfed from birth to six months there were no episodes of diarrhea. All infants had gained in weight, length and head circumference. Mean maternal weight loss at six months was similar whether her breastfeeding was exclusive or partial.</p><p>The reasons why mothers without breastfeeding counseling introduced non-breast milk feeding before six months reflected lack of knowledge and support. Breastfeeding support during the first six months focusing on how to prevent and solve breastfeeding problems, particularly during the first two weeks, will enable mothers to choose to breastfeed exclusively up to six months. </p><p>This study has provided fundamental evidence of successful intervention by breastfeeding counseling to achieve six months of exclusive breastfeeding among term, low-birthweight infants. The locally developed training program in breastfeeding counseling, which successfully prepared volunteers to counsel mothers at home, could be incorporated into primary health care in the Philippines. Mothers who received breastfeeding counseling appreciated how this helped them to achieve their breastfeeding goals for the first six months. Improved breastfeeding practices as a result of breastfeeding counseling provided infants with protection from diarrhea and respiratory infections, contributing to their health and development.</p>

In a Manila hospital, 204 mothers were randomized into three groups: two intervention groups receiving home-based counseling visits, one of them (n=68) by counselors trained to use a locally developed, two-tiered program of breastfeeding counseling, and the other by counselors trained in general childcare (n=67), were compared with a control group of mothers (n=69) who did not receive any counseling. All infants were scheduled for seven visits to the hospital for follow-up. During hospital visits, maternal and infant body measurements were made and an independent interviewer asked the mothers individually to recall how the infant had been fed. One study physician, blind to participant groups, was consulted at all scheduled and unscheduled infant visits. At six months, 44% of the breastfeeding-counseled mothers, 7% of the childcare-counseled mothers and none of the mothers in the control group were exclusively breastfeeding. Twenty- four mothers breastfed exclusively during the first six months, of whom 22 received breastfeeding counseling and 2 had no breastfeeding counseling. Among 24 infants who were exclusively breastfed from birth to six months there were no episodes of diarrhea. All infants had gained in weight, length and head circumference. Mean maternal weight loss at six months was similar whether her breastfeeding was exclusive or partial. The reasons why mothers without breastfeeding counseling introduced non-breast milk feeding before six months reflected lack of knowledge and support. Breastfeeding support during the first six months focusing on how to prevent and solve breastfeeding problems, particularly during the first two weeks, will enable mothers to choose to breastfeed exclusively up to six months. This study has provided fundamental evidence of successful intervention by breastfeeding counseling to achieve six months of exclusive breastfeeding among term, low-birthweight infants. The locally developed training program in breastfeeding counseling, which successfully prepared volunteers to counsel mothers at home, could be incorporated into primary health care in the Philippines. Mothers who received breastfeeding counseling appreciated how this helped them to achieve their breastfeeding goals for the first six months. Improved breastfeeding practices as a result of breastfeeding counseling provided infants with protection from diarrhea and respiratory infections, contributing to their health and development.

De nos jours, les politiques environnementales sont devenues plus strictes envers l’industrie automobile pour réduire les émissions de CO2, donc les structures légères utilisant des matériaux de haute résistance sont d’un grand intérêt. Deux modèles différents EF, à savoir "Solid Refine Model" (SRM) et "Shell Coarse Model " (SCM) ont été développés et sont utilisés comme modèles standard par Faurecia Automotive Seating (Caligny). Le SRM est capable de prédire avec précision le comportement de soudage local, mais malheureusement, en raison de son coût de calcul élevé, le SRM n’est pas adapté à une modélisation de si`ge de voiture complète. D’autre part, le SCM est efficace sur le plan numérique, mais il ne peut pas prédire le comportement de la ligne de soudure. L’objectif de la présente thèse est de développer un modèle EF multi-matèriel dans le logiciel commercial Ls-dyna, qui améliorera le SCM pour permettre une prédiction précise du comportement de la ligne de soudure jusqu’à l’échec avec un coût de calcul raisonnable. Le modèle FE quadrilatère standard est développé et enrichie à l’aide d’une méthode récemment développée appelée "Interpolation Covers Method" (ICM) pour capturer les gradients de la solution avec précision sans raffinement de maillage. Un modèle de matériau élasto-plastique est développé dans le logiciel commercial Ls-dyna qui prend en compte deux matériaux différents à savoir BM et HAZ dans un seul élément de coque. Le modèle généralisé d’endommagement dépendant de l’état de contrainte a été implémenté comme UMAT dans le logiciel commercial Ls-dyna pour prédire l’échec de la ligne de soudure dans SCM. Les différents développements ont permis au SCM de prédire avec précision le comportement complexe de la ligne soudée jusqu’à l’échec, à faible coût de calcul compatible avec les besoins industriels. / Nowadays environmental policies have become more strict towards the automotive industry to reduce the CO2 emission, therefore lightweight structures using high strength materials have become of great interest. Two different FE models namely “Solid Refine Model” (SRM) and “Shell Coarse Model” (SCM) have been developed and are being used as standard models by Faurecia Automotive Seating (Caligny). The SRM is capable to predict accurately the local welding behavior but unfortunately, due to its high computational cost, the SRM is not suitable for a full car seat modeling. On the other hand, the SCM is computationally efficient but it cannot predict the weld line behaviour. The aim of the present thesis is to develop a multimaterial FE model within the Ls-dyna commercial software, which will enhance the SCM to allow the accurate prediction of weld line behavior until failure with a reasonable computational cost. The standard quadrilateral shell FE is developed and enriched using a recently developed method called the “Interpolation Covers Method” (ICM) to capture the solution gradients accurately without mesh refinement. An elasto-plastic material model is developed within Ls-dyna commercial software which takes into account two different materials namely BM and HAZ inside a single shell element. The Generalized Incremental Stress State dependent damage Model has been implemented as a UMAT within Ls-dyna commercial software to predict the weld line failure in SCM. The different developments have allowed the SCM to become able to predict the complex behavior of the welded line accurately until failure, at low computational cost compatible with the industrial needs.

This research investigation explores the feasibility of implementing a laser welded sandwich steel panel bridge deck system as a viable alternative to standardized reinforced concrete bridge decks. Generally used in naval ship building applications, steel sandwich panels possess attractive characteristics towards the integration with bridge infrastructure such as service life in excess of 100 plus years, dead load reduction, rapid construction, decreased closure time, and automated mass production. The lack of fatigue data for the laser "stake" welds used to create the enclosed sandwich panel geometry raised concerns with respect to fatigue life. The primary focus of this study was to determine whether or not infinite fatigue life was possible. Two different laser welding technologies were investigated, Laser Beam Welding (LBW) and Hybrid-Laser Arc Welding (HLAW). Test specimens were fabricated and tested in order to examine fatigue resistance based on a localized load effect between adjacent core stiffeners. Finite element models were used to obtain the stress range for each individual test due to complex geometry and partially restrained boundary conditions. In order to assess the fatigue performance of the overall deck system, additional finite element models were created to study the local and global behavior of different sandwich panel configurations. As a whole the investigation yielded promising results. Infinite fatigue life is achievable due to outstanding fatigue performance. The HLAW stake welds demonstrated superior fatigue resistance in comparison to the LBW process. Localized load effects can be minimized through the modification of different panel parameters. Pushing forward, full scale testing is essential to the future employment of this innovative bridge deck system. / Master of Science

Проведен обзор развития рынка строительства загородной недвижимости в целом и коттеджных поселков в частности в МО «город Екатеринбург». Выполнен анализ распределение коттеджных поселков в зависимости от направления движения по основным автодорогам и удаленности от г. Екатеринбурга. Рассмотрены варианты организации локальных канализационных систем в коттеджных поселках и частных домовладений, обозначены проблемы, связанные с утилизацией жидких бытовых отходов от населенных пунктов, где отсутствуют централизованные канализационные сети, и неканализованных частных домовладений. Отражена основная информация о деятельности МУП «Водоканал», в том числе общая характеристика, анализ финансового состояния предприятия. Проведен анализ и выявлены основные тенденции, связанные с образованием хозяйственно-бытовых стоков в пригородных поселках, где отсутствует централизованная система канализации. Рассмотрено понятие жидких бытовых отходов (ЖБО) и дана классификация отходов по классам опасности, дана экономическая оценка и проведено экономическое обоснование строительства сливных станций по приему ЖБО. Рассмотрены инструменты для реализации предложенного проекта. / A review of the development of the market for the construction of suburban real estate in general and cottage villages in particular in the city of Yekaterinburg was carried out. The analysis of the distribution of cottage villages was carried out depending on the direction of traffic on the main roads and the distance from the city of Yekaterinburg. Options for organization of local sewage systems in cottage villages and private households are considered, problems associated with the disposal of liquid domestic waste from settlements where there are no centralized sewage networks and non-analyzed private households are outlined. The main information on the activities of Municipal Unitary Enterprise Vodokanal is reflected, including the general characteristics, analysis of the financial condition of the enterprise. The main trends related to the formation of domestic wastewater in suburban villages, where there is no centralized sewage system, were analyzed and revealed. The concept of liquid household waste (LWR) was considered and the classification of waste by hazard classes was given, economic assessment was given and economic justification for the construction of drain stations for the reception of LWR was carried out. The tools for implementation of the proposed project are considered.

Cricket umpiring is demanding. In today’s world where so much technology is available to television viewers, they expect perfect umpiring, forgetting that what they see on their television screens is not available to the umpires standing in the middle of the field making the decisions. This study aimed to examine cricket umpires on-field decisions during the 2007 ICC Cricket World Cup. Examining leg before wicket (LBW) and caught behind decisions, in particular. The researcher made use of a notational analysis program known as Umpirestat to collect the necessary data on each umpire. The umpires were examined in two groups Elite and International umpires (groupings defined by the ICC) and were compared to a base line in the form of Hawk-Eye for LBW decisions and TV replays for caught behind decisions. The umpire groups were compared to each other and then to the base line, an individual umpire comparison was then done within each grouping. The data was statistically analysed using percentages, chi squared and modelling for the Elite Umpires. For LBW decisions there was a difference of 2.02% between Elite and International umpires, showing a similarity between the two groups. The difference between Elite Umpires and Hawk-Eye was 18.83% and between International umpires and Hawk-Eye was 16.81%, showing difference between the three groups. It was found that there was a difference of 3.63% for caught behind decisions between Elite and International umpires, showing a similarity between the two groups. The difference between Elite Umpires and TV replays was 2.99% and between International umpires and TV replays there was 0.64%, showing similarities between the three groups. In conclusion, for LBW appeals there is a similarity between Elite and International umpire groupings however a difference exists between Hawk-Eye and both groupings of umpires. For the individual umpires LBW comparison the following was seen for the International umpires; no real conclusions could be drawn due to limited amounts of data collected on them. However, variances in individual performances were seen within the International umpire grouping. For Elite Umpires, it is clearly seen in the model that the umpires expected number of dismissals got closer together and almost group together at around four appeals. This indicates a strong consensus amongst umpires when dealing with four, five and six appeals during a match. This consensus is more pronounced for four and five appeals. In conclusion, for caught behind appeals there is a similarity between Elite and International umpires as well as a similarity between replays and both groups of umpires. For the individual umpires caught behind comparison the following was seen for the International umpires; as with the LBW results there was limited amount of data available for the caught behind results. Thus no real conclusions could be drawn for International umpire caught behind decisions, although when examining the percentage data, differences can be seen. For the individual umpires caught behind comparison the following was seen for the Elite Umpires, no consensus is seen between the umpires - they all appear to have different expected dismissals to one another. Copyright / Dissertation (MA)--University of Pretoria, 2010. / Biokinetics, Sport and Leisure Sciences / unrestricted

Advances in neonatology have led to increased numbers of high-risk neonates surviving and intensified interest in the developmental outcomes of this population. In the South African context prematurity and low birth weight are the most common causes of death in the perinatal period and the same risk factors that contribute to infant mortality also contribute to the surviving infants’ increased risk for developmental delays. As a result of the interacting biological and environmental risk factors of prematurity, low birth weight, poverty and HIV and AIDS in the South African context Kangaroo Mother Care (KMC) has been developed as best practice to promote infant survival and to facilitate mother-infant attachment. Mother-infant attachment may lead to synchronous interaction patterns between the mother and infant which forms the basis of early communication development. Early communication intervention (ECI) services are recommended as early as possible as high-risk infants are especially at risk for feeding difficulties and communication developmental delays. It is, however, not clear what the content of an ECI programme should be and how it should be implemented according to the changing communication and feeding developmental needs of the infant while receiving KMC. There appears to be a dearth of research on the earliest stages of communication development in high-risk neonates, which should form the foundation of such a programme. A descriptive survey was conducted to describe the development of 25 high-risk infants and their mothers’ changing needs from admission to discharge from a KMC unit. Each participant and mother dyad was followed up over an average of 11 days of data collection with three to four data collection sessions. Data was collected by means of direct observation during routine care-giving activities. The different developmental subsystems of the participants’ feeding, communication, neuro-behavioural organization and mother-neonate interaction were described. The results demonstrated that subtle, but definite changes could be observed in the participants’ development. Development in all the different areas occurred over time as the participants progressed through the three developmental states of the in-turned state, coming-out state and reciprocity state. As the participants progressed during the 11 days of data collection and were increasingly able to attend to their environment, they also developed the ability to regulate and organize their own behaviour in order to develop more complex communication, feeding and interaction skills with their mothers. The functioning of the participants’ sensory systems developed in a specific order namely tactile, auditory and then visual. Although the participants developed consistently throughout their stay in the KMC unit, mother-neonate interaction never reached optimal levels. The importance of an individualized training programme for each mother is reflected in the finding that the neonate’s developmental level and progress needs to be considered when implementing the ECI programme. The need for speech-language therapy involvement in KMC is emphasized in the light of a shortage of practicing speech-language therapists in South Africa. It is therefore imperative that the prevention of communication delays and feeding difficulties in high-risk neonates as well as parent training assume priority. / Dissertation (MCommunication Pathology)--University of Pretoria, 2008. / Speech-Language Pathology and Audiology / unrestricted