An assessment of knowledge, attitudes and behaviour regarding the human papillomavirus

OBJECTIVES

This report is based on a study conducted in February 2010 that assessed the knowledge and attitudes toward cervical cancer and human papillomavirus (HPV) in Grenada which has a high incidence of cervical cancer.

METHODS

The participants were 71 students at the St George's University. There were 58 females and 13 males who participated in the study, a ratio of 4.5:1. Participants were asked to complete a survey on their knowledge and attitudes about HPV cervical cancer and the associated risk factors. Other evaluations of their levels of risk and Pap smear practices were also assessed.

RESULTS

The data reflected low knowledge and infrequent screening practices, from a public health perspective, when compared with developed countries. The data showed a significant deficit in knowledge of both males and females. Almost 95% of the women surveyed were able to correctly identify the purpose of a Pap smear as compared to 69.2% of the men surveyed. When the participants were asked what was the cause of cervical cancer 63.8% of women and 53.8% of males were correctly able to identify the HPV.

CONCLUSIONS

Enhanced educational programmes are needed to reduce the burden of cervical cancer that exists in Grenada.

Generation of Monodisperse Protein Nanoparticles by Electrospray Drying

The feasibility of producing relatively monodisperse and biologically active protein particles by electrospray drying is demonstrated. The process entails dissolving dry powder in an electrosprayable solution. The solution is then dispersed and, after solvent evaporation, dry residues can be collected on suitable deposition substrates. The process was demonstrated in the case of insulin. Particles were sized visually, using a scanning electron microscope (SEM), and aerodynamically, using an inertial impactor. When electrosprays of nearly saturated solutions were operated in the stable cone-jet mode, impactor data showed that the particle average aerodynamic diameter ranged from about 88 to 110 nm in diameter and the distributions were quasi-monodisperse with relative standard deviation estimated at approximately 10%. SEM observations for the same conditions showed average particle dimensions ranging from 98 to 117 nm, with predominantly doughnut shapes. Smaller particles can be generated by decreasing the insulin concentration and/or by spraying smaller liquid flow rates. The biological activity of the electrospray-processed insulin samples was confirmed by comparing binding properties on insulin receptors against a control sample. Although the maximum production rate for monodisperse insulin nanoparticles from a single cone-jet is low, at about 0.23 mg/hour, overall production can be increased by multiplexing the device with microfabrication techniques.

Time budgets of lactating dairy cattle in commercial freestall herds

The aim of this study was to examine the time budgets of 205 lactating dairy cows housed in 16 freestall barns in Wisconsin and to determine the relationships between components of the time budget and herd- and cow-level fixed effects using mixed models. Using continuous video surveillance, time lying in the stall, time standing in the stall, time standing in the alleys (including drinking), time feeding, and time milking (time out of the pen for milking and transit) during a 24-h period were measured for each cow. In addition, the number of lying bouts and the mean duration of each lying bout per 24-h period were determined. Time milking varied between cows from 0.5 to 6.0 h/d, with a mean ± standard deviation of 2.7 ± 1.1h/d. Time milking was influenced significantly by pen stocking density, and time milking negatively affected time feeding, time lying, and time in the alley, but not time standing in the stall. Locomotion score, either directly or through an interaction with stall base type (a rubber crumb-filled mattress, MAT, or sand bedding, SAND), influenced pen activity. Lame cows spent less time feeding, less time in the alleys, and more time standing in the stalls in MAT herds, but not in SAND herds. The effect of lameness on lying time is complex and dependent on the time available for rest and differences in resting behavior observed between cows in MAT and SAND herds. In MAT herds, rest was characterized by a larger number of lying bouts of shorter duration than in SAND herds (mean = 14.4; confidence interval, CI: 12.4 to 16.5 vs. mean = 10.2; CI: 8.2 to 12.2 bouts per d, and mean = 1.0; CI: 0.9 to 1.1 vs. mean = 1.3, CI: 1.2 to 1.4h bout duration for MAT and SAND herds, respectively). Lameness was associated with an increase in time standing in the stall and a reduction in the mean (CI) number of lying bouts per day from 13.2 (CI: 12.3 to 14.1) bouts/d for nonlame cows to 10.9 (CI: 9.30 to 12.8) bouts/d for moderately lame cows, and an overall reduction in lying time in MAT herds compared with SAND herds (11.5; CI: 10.0 to 13.0 vs. 12.7; CI: 11.0 to 14.3h/d, respectively). These results show that time out of the pen milking, stall base type, and lameness significantly affect time budgets of cows housed in freestall facilities.

Sub-maximal and maximal Yo-Yo intermittent endurance test level 2: heart rate response, reproducibility and application to elite soccer

The aims of this study were to (1) determine the reproducibility of sub-maximal and maximal versions of the Yo-Yo intermittent endurance test level 2 (Yo-Yo IE2 test), (2) assess the relationship between the Yo-Yo IE2 test and match performance and (3) quantify the sensitivity of the Yo-Yo IE2 test to detect test-retest changes and discriminate between performance for different playing standards and positions in elite soccer. Elite (n = 148) and sub-elite male (n = 14) soccer players carried out the Yo-Yo IE2 test on several occasions over consecutive seasons. Test-retest coefficient of variation (CV) in Yo-Yo IE2 test performance and heart rate after 6 min were 3.9% (n = 37) and 1.4% (n = 32), respectively. Elite male senior and youth U19 players Yo-Yo IE2 performances were better (P < 0.01) than elite youth U16s and sub-elite players (2,603 ± 451 and 2,534 ± 549 vs. 1,855 ± 535 vs. 1,749 ± 382 m). The intra- and inter-season CV for Yo-Yo IE2 test performance were 4.2 and 5.6%, respectively. A correlation was observed (P < 0.05) between Yo-Yo IE2 test performance and the total (r = 0.74) and high-intensity (r = 0.58) running distance covered in a match. A correlation was also evident (P < 0.01) between Yo-Yo IE2 test heart rate after 6 min expressed in percentage of maximal heart rate and the peak values for high-intensity running performed by midfielders in 5-min (r = -0.71), 15-min (r = -0.75) and 45-min periods (r = -0.77). The present data demonstrate that the Yo-Yo IE2 test is reproducible and can be used to determine the capacity of elite soccer players to perform intense intermittent exercise. Furthermore, the Yo-Yo IE2 test was shown to be a sensitive tool that not only relates to match performance but can also differentiate between intermittent exercise performance of players in various standards, stages of the season and playing positions.

HIV/AIDS: perceptions of the Grenadian faith-based community

OBJECTIVE

This exploratory study conducted in 2008 aimed at gathering the views and opinions of leaders of the faith-based community (FBC) in Grenada about the increased incidence of HIV/AIDS in the Caribbean region including their beliefs and attitudes towards persons living with HIV/AIDS (PLHIV/AIDS).

DESIGN AND METHODS

The study followed a cross-sectional design and used a qualitative approach. Telephone surveys were conducted with all faith-based organizations and semi-structured interviews done with key leaders representing the faith-based community in Grenada.

RESULTS

Findings showed that perceptions of HIV/AIDS are embedded in a socio-political-cultural context where many risk behaviours and factors intertwine in complex ways. Religious beliefs are based on love, compassion and acceptance. The most prominent risk behaviours associated with the spread of HIV/AIDS identified by leaders are homosexuality, prostitution, promiscuity and substance abuse which are in direct contradiction to their beliefs and teachings. Leaders felt that these risk behaviours were exacerbated by changes in family structure and the absence of a common moral discourse shared by all sectors of society.

CONCLUSION

The faith-based community has a significant presence across Grenada and it can be an effective partner in helping communities understand and prevent HIV/AIDS and overcome the stigma and discrimination associated with this disease. Training and effective strategies are needed to engage them in the national response to HIV/AIDS without threatening their ideologies and practices.

A semi-automatic method for positioning a femoral bone reconstruction for strict view generation

In this paper we present a semi-automatic method for femoral bone positioning after 3D image reconstruction from Computed Tomography images. This serves as grounding for the definition of strict axial, longitudinal and anterior-posterior views, overcoming the problem of patient positioning biases in 2D femoral bone measuring methods. After the bone reconstruction is aligned to a standard reference frame, new tomographic slices can be generated, on which unbiased measures may be taken. This could allow not only accurate inter-patient comparisons but also intra-patient comparisons, i.e., comparisons of images of the same patient taken at different times. This method could enable medical doctors to diagnose and follow up several bone deformities more easily.

Production of biomass and beta-D-galactosidase by Candida pseudotropicalis grown in continuous culture on whey

The production of biomass and beta-D-galactosidase by the lactose-utilizing yeast Candida pseudotropicalis NCYC 744 in whey medium was studied. Apparent optimization of growth conditions and medium was done in continuous culture. Optimal pH and temperature were 2.6 and 36-38 degrees C, respectively, Limitations in Cu, Zn, and possibly Mn were detected in deproteinized whey medium. Additions of tryptophan stimulated growth of the yeast. Under optimal conditions in medium supplemented with excess tryptophan, Cu, Zn, and Mn the maximum values obtained: yeast concentration, 4.6 g/L; yeast productivity, 1.4 g/L h (at D = 0.35 h(-1)); enzyme volumetric productivity, 2100 U/L h (at D = 0.25 h(-1)); maintenance coefficient, 5-10 mg lactose/g cell h; saturation constant (K(s)) for lactose, 4.76mM; maximum specific growth rate, (mu(max)), 0.47 h(-1). No significant increase in specific enzyme activity (U/mg cell) was observed after medium optimization evidencing the importance of regulatory controls in enzyme synthesis.

The centrality of community dynamics in the socio-economic recovery of devastated communities

OBJECTIVE

To assess and explore the health and socio-economic outcomes of Jubilee, a community on the Caribbean island of Grenada hit by Hurricane Ivan in 2004 and to identify remaining barriers to recovery.

METHODS

The assessment consisted of a mixed methods approach employing observations, household surveys, in-depth interviews and focus groups.

RESULTS

Eighty-five per cent of the residents live in a single-family home type dwelling which is occupied by multiple families. Twenty-seven per cent of the respondents depended on a river or stream for water and 83% utilized an outdoor pit latrine. Construction accounted for 28% of the employment while 16% reported having no occupation. Public and private transportation was limited and 48% of the residents lived on less than one United States of America (US) dollar per day. Access to healthcare was reported by 89% and the prevalence of diabetes and hypertension was identified by 13% and 30% of the residents respectively. Social fragmentation within the community represents a barrier that keeps the community from developing common goals leading to full economic recovery.

CONCLUSION

Jubilee has not fully recovered from the effects of Hurricane Ivan, but progress has been made in the reconstruction effort. These efforts have addressed the most immediate and basic needs of the community, mainly utility service infrastructure and home repairs. However issues related to the community's economic recovery are still unresolved.