Women's autonomy, education and birth intervals in India: visiting the less familiar

Using data from the third National Family Health Survey (NFHS-3) on currently married fecund women who have had at least one birth during 2001–2002 and Cox-proportional hazard models, this study examines the less researched association between women's autonomy and birth-to-conception intervals in India. It also examines whether women's autonomy mediates or moderates the relationship between education and birth-to-conception interval. Our results indicate that after adjusting for demographic and socioeconomic factors, women's autonomy was a significant predictor of birth-to-conception intervals, with higher autonomy positively associated with larger birth-to-conception intervals. Education of women was also independently associated with longer birth-to-conception intervals. However, this study did not provide any support to the general perception that women's autonomy mediates the association between women's education and birth-to-conception interval. Women's autonomy rather than being a mediator acted as a moderator in this association. Policy measures to increase the spacing between births should emphasise not only improving the education of women but also their autonomy.

A cluster analytic approach to identifying predictors and moderators of psychosocial treatment for bipolar depression: results from STEP-BD

Background We sought to address how predictors and moderators of psychotherapy for bipolar depression - identified individually in prior analyses - can inform the development of a metric for prospectively classifying treatment outcome in intensive psychotherapy (IP) versus collaborative care (CC) adjunctive to pharmacotherapy in the Systematic Treatment Enhancement Program (STEP-BD) study. Methods We conducted post-hoc analyses on 135 STEP-BD participants using cluster analysis to identify subsets of participants with similar clinical profiles and investigated this combined metric as a moderator and predictor of response to IP. We used agglomerative hierarchical cluster analyses and k-means clustering to determine the content of the clinical profiles. Logistic regression and Cox proportional hazard models were used to evaluate whether the resulting clusters predicted or moderated likelihood of recovery or time until recovery. Results The cluster analysis yielded a two-cluster solution: 1) "less-recurrent/severe" and 2) "chronic/recurrent." Rates of recovery in IP were similar for less-recurrent/severe and chronic/recurrent participants. Less-recurrent/severe patients were more likely than chronic/recurrent patients to achieve recovery in CC (p=.040, OR=4.56). IP yielded a faster recovery for chronic/recurrent participants, whereas CC led to recovery sooner in the less-recurrent/severe cluster (p=.034, OR=2.62). Limitations Cluster analyses require list-wise deletion of cases with missing data so we were unable to conduct analyses on all STEP-BD participants. Conclusions A well-powered, parametric approach can distinguish patients based on illness history and provide clinicians with symptom profiles of patients that confer differential prognosis in CC vs. IP.

The hazards of starting and quitting smoking: some Australian evidence

The empirical analysis employs individual level data from the Australian Health Survey combined with retrospective data on tobacco price matched to the age at which the individual started and quit smoking. Split-population hazard models are estimated for both starting and quitting smoking. The analysis suggests price plays a significant role in the decision to start smoking but not in the decision to quit. Further sensitivity analysis of different age groups and an alternative data source, questions the robustness of the significant role of price in the smoking initiation decision. From a policy perspective, the results indicate that increases in tobacco taxation can be an important instrument in reducing the incidence of smoking, but should be combined with other mechanisms such as mandating smoke-free environments and antismoking education. Our results strongly support the targeting of antismoking campaigns towards teenagers.

Ecophysiology of avian migration in the face of current global hazards

Long-distance migratory birds are often considered extreme athletes, possessing a range of traits that approach the physiological limits of vertebrate design. In addition, their movements must be carefully timed to ensure that they obtain resources of sufficient quantity and quality to satisfy their high-energy needs. Migratory birds may therefore be particularly vulnerable to global change processes that are projected to alter the quality and quantity of resource availability. Because long-distance flight requires high and sustained aerobic capacity, even minor decreases in vitality can have large negative consequences for migrants. In the light of this, we assess how current global change processes may affect the ability of birds to meet the physiological demands of migration, and suggest areas where avian physiologists may help to identify potential hazards. Predicting the consequences of global change scenarios on migrant species requires (i) reconciliation of empirical and theoretical studies of avian flight physiology; (ii) an understanding of the effects of food quality, toxicants and disease on migrant performance; and (iii) mechanistic models that integrate abiotic and biotic factors to predict migratory behaviour. Critically, a multi-dimensional concept of vitality would greatly facilitate evaluation of the impact of various global change processes on the population dynamics of migratory birds.

Flood forecasting in large rivers with data-driven models

Results from the application of adaptive neuro-fuzzy inference system (ANFIS) to forecast water levels at 3 stations along the mainstream of the Lower Mekong River are reported in this paper. The study investigated the effects of including water levels from upstream stations and tributaries, and rainfall as inputs to ANFIS models developed for the 3 stations. When upstream water levels in the mainstream were used as input, improvements to forecasts were realized only when the water levels from 1 or at most 2 upstream stations were included. This is because when there are significant contributions of flow from the tributaries, the correlation between the water levels in the upstream stations and stations of interest decreases, limiting the effectiveness of including water levels from upstream stations as inputs. In addition, only improvements at short lead times were achieved. Including the water level from the tributaries did not significantly improve forecast results. This is attributed mainly to the fact that the flow contributions represented by the tributaries may not be significant enough, given that there could be large volume of flow discharging directly from the catchments which are ungauged, into the mainstream. The largest improvement for 1-day forecasts was obtained for Kratie station where lateral flow contribution was 17 %, the highest for the 3 stations considered. The inclusion of rainfall as input resulted in significant improvements to long-term forecasts. For Thakhek, where rainfall is most significant, the persistence index and coefficient of efficiency for 5-lead-day forecasts improved from 0.17 to 0.44 and 0.89 to 0.93, respectively, whereas the root mean square error decreased from 0.83 to 0.69 m.

Prediction of non-proportional cyclic hardening and multiaxial fatigue life for FCC and BCC metals under constant amplitude of strain cycling

The fatigue lives are reduced accompanying an additional cyclic hardening under strain controlled non-proportional cyclic loading in which principal directions of stress and strain are altered within a cycle. This study predicts non-proportional cyclic hardening and multiaxial fatigue life for several BCC and FCC metals under constant amplitude strain cycling. A novel procedure to determine non-proportional cyclic hardening form uniaxial tensile properties has discussed in this study. Standard plastic strain energy density based fatigue criteria with considering the non-proportional cyclic hardening effect successfully predicts multiaxial fatigue lives. The predictions of non-proportional cyclic hardening and multiaxial fatigue life through models are validated by experimental results of various BCC and FCC metals which are collected from literatures.