Promoting Sickle Cell Trait Awareness and Education: A Typology of Interventions in the United States to Inform Ongoing Efforts to Patients and Providers

Research Background: Sickle cell trait has no treatment or cure and predominantly affects people who are Black, but can affect anyone of any race or ethnicity. While commonly incorrectly considered benign by providers and the public, people with a sickle cell trait experience life-threatening outcomes that are exacerbated by extreme conditions. There is a severe lack of awareness and understanding of sickle cell trait and the associated health complications among sickle cell trait carriers and healthcare providers. Purpose/Aim: Interventions that aim to improve awareness of sickle cell trait differ in approaches and are not well documented in the literature. This typology aims to highlight current efforts to inform targeted interventions that raise awareness through consistent messaging, educate people and providers on sickle cell trait and the related health complications, and support the design and implementation of comprehensive sickle cell trait awareness initiatives. Methods: We conducted a scoping review of United States-based sickle cell trait interventions and performed a content analysis to identify the categories and characteristics of these efforts. We then organized the results into a typology according to established protocols. Results: Among 164 interventions, twenty-five (15%) met the typology inclusion criteria described above and were grouped into categories: Seven of twenty-five interventions were Educational Interventions (28%), three of twenty-five interventions (12%) were Combined Screening and Educational-Based Interventions, eight of twenty-five interventions (32%) were Policy and Guideline-Based Intervention, and six of twenty-five interventions (24%) were Sickle Cell Trait Organization-Led Interventions. Conclusions: There is a lack of consistency in messaging across interventions whether delivered by credible healthcare institutions or national organizations, which can result in lack of education and awareness and confusion around sickle cell trait. Categorizing interventions through a typology allows clarity and informs consistency in messaging, which should be at the forefront of future sickle cell trait efforts.

Typology and Agroecology of Agroecosystems in Vegetation Dynamics in the Ecotones of the Mbam and Inoubou

Agroforestry systems strongly characterize the Cameroonian agrarian landscape. Agroforests are among those structuring the ecotones of Mbam and Inoubou in the Central Cameroon region. Numerous works on agroecosystems of Central and South Cameroon, few have come out contribution of the structure of these traditional systems in the dynamics of the vegetation of these forest-savannah ecotones. The present contribution has the overall objective of demonstrating the structural efficiency of agroforests the dynamics of ecotone vegetation, but also in the conservation of biodiversity. To do this, a participatory analysis was carried out with 56 farmers distributed in the five villages of Makénéné. Botanical inventories supplemented socio-economic household surveys. The data collected was subjected to various analyzes (univariate test, analysis of variance, multivariate test, PCA, CAH). The results reveal that 55.2% of agroforests are less than 15 years old and those with an area greater than 1500 m2 predominate (33%). They are mainly young with generally small surface areas. The horizontal structure reveals that the largest diameter classes are those of [20 - 30 cm[ and [10 - 20 cm[ with a very low rate of basal area. Agroforests with trees over 10 m high are dominant in five villages of Makénéné. Two types of structural profiles characterize the agroforestry flora of the area, namely intensive pluristratified home gardens on savannah and intensive pluristratified agroforests under forest-savannah transition vegetation. Principal Component Analysis (PCA) and Ascending Hierarchical Clustering (HAC) show three Agroforest Clusters each. The PCA distribution reveals that woody biomass (Y) is strongly correlated with tree diameter (DBH) and significantly with height (Cluster 2). The age (AAG) (Cluster 1) of these agroforests, on the other hand, remains independent of the density (DST) of these trees (Cluster 3). The agroforests in the Nyokon, Carrière and Mocksud villages are the most effective in terms of conserving woody diversity while the agroforests of the Kinding ndé and Nyokon villages are more efficient in the reforestation processes. These results could be considered as effective and quantifiable tools for the certification of numerous cash crops such as cocoa and coffee, which will make it possible to valorize this local knowledge in terms of scientific and in the development of various programs and writing of technical notes.

Skin color of Chinese women across different regions of China:An analysis based on both individual typology angle and hue angle

Skin color is considered an important beauty standard for women in China.The typical tool for skin color measurement,individual typology angle(ITA),was developed based on Caucasian skin features.The ITA effectively measures the brightness of facial skin,which is traditionally associated with beauty in Caucasian women.However,in Chinese women,whiteness is not the only determinant of skin esthetics,and other elements such as“yellowness”and“redness”are also important considerations.Thus,the hue angle system was developed based on the skin features of Chinese women,whose skin is typically on the“yellow-red”spectrum.Studies examining the skin color of Chinese women based on both the ITA and hue angle should be carried out.The skin colors of 4500 women aged 18–45 years across five different regions of China were measured using both the ITA and hue angle systems.The relationship of the“red pigment and melanin content”with the“brightness and redness of skin color”was also examined.Further,the different skin types of women across different regions were identified.Measurements based on the ITA system reveal a saddle-shaped distribution of skin brightness among Chinese women across five different regions,with skin brightness being high in the eastwest regions and low in the north-south regions.The ITA and hab values are not consistent in individual women,and thus,both need to be considered when evaluating skin color.Additionally,no correlation between the skin’s red pigment and melanin content and the skin’s ITA and hab values is identified.This study provides skin color data based on both the ITA and hue angle systems.The findings show that skin ITA/hab values cannot simply be explained by the red pigment/melanin content of the skin.Given the distribution of skin types across different regions of China,whitening ingredients causing little to no irritation should be used to formulate whitening cosmetics.

Typology-based Vitality Promotion of Urban Waterfront Public Space in the Three Gorges Reservoir

Revitalization of waterfront-a precious resource of city has gradually become popular worldwide. Cities around the Three Gorges Reservoir grow and proper for the Yangtze River,thus waterfront in these cities has been long ignored or faced with "constructive destruction" with the city development. This paper divided urban waterfront public spaces around the Three Gorges into 3 kinds of spaces,namely point,line and surface,from the perspective of typology,and put forward strategies such as functional renovation,and improvement of spatial scale from the perspectives of land use and traffic,to enhance the vitality of waterfront public space.

The Arithmetic of Natural Language:Toward a typology of numeral systems

Numeral systems in natural languages show astonishing variety,though with very strong unifying tendencies that are increasing as many indigenous numeral systems disappear through language contact and globalization.Most numeral systems make use of a base,typically 10,less commonly 20,followed by a wide range of other possibilities.Higher numerals are formed from primitive lower numerals by applying the processes of addition and multiplication,in many languages also exponentiation;sometimes,however,numerals are formed from a higher numeral,using subtraction or division.Numerous complexities and idiosyncrasies are discussed,as are numeral systems that fall outside this general characterization,such as restricted numeral systems with no internal arithmetic structure,and some New Guinea extended body-part counting systems.

Ecological and chorological typology as applied to Palaearctic cicadina-faunas (Hemiptera:Cicadidae:Cicadina) in Russian studies

Typology of both ecological （thermo-, hygro-, phytobiotic, biomorphological, etc.） and chorological （zonal, sectoral, regional, etc.） categories as applied to specific Cicadina faunas of Palaearctic is reviewed.

Qualitative Assessment and Typology of the Water Resource Used for the Production of Drinking Water in Duékoué, Western Côte d’Ivoire

The objective of this study was to evaluate the typology of water through physicochemical and bacteriological characterization with the aim of highlighting its vulnerability as a drinking water resource. The methodology adopted was to evaluate the level of pollution by monitoring the spatiotemporal variation of the water pollution indicator levels of Lake Dohou. The sampling frequency is monthly for one year, from November 2017 to October 2018, in order to obtain a fairly representative image of water quality and its seasonal evolution in eight (8) well-defined stations. The parameters were determined using the standard methods defined by the French Association for Standardization (AFNOR). This study shows that the waters are acidic, with an average pH of 5.81 and a low electrical conductivity of between 42.67 ± 4.30 and 59.62 ± 21.84 μS.cm-1. At all stations, seasonal mean water transparencies are low (<1 m). It is also noted that 99.7% of the water samples collected had total nitrogen (TN) levels above the limit of 4 mg.L-1. All of the lake’s waters have non-compliant BOD5 (2.L-1) for raw water intended for the production of drinking water. Sites D6 and D7 have COD/BOD5 ratio greater than 3, which indicates the presence of non-biodegradable organic matter in these areas. Total coliforms, Escherichia coli and Enterococci were present in 100% (28/28) water samples at concentrations ranging from 2300 to 173,000 CFU/100 mL, from 100 to 1650 CFU/100 mL and from 20 to 1140 CFU 1/100 mL respectively. For Salmonella pathogens, they were detected in 50% of the dry season samples and in 100% of the rainy season samples. This almost permanent presence of this pathogenic germ denotes a poor quality of water with reference to this parameter. The presence of total coliform and other microbial contaminants suggests that supplied water is highly contaminated with pathogens and great reservoirs for them. Principal component analysis (PCA) of the physicochemical data set allowed defining three different classes of water on the Dohou Lake. Outside the upstream zone (D6 and D8), water could continue to be used for the production of drinking water.

Relevance of Linguistic Typology to Formal Theory：Minim alist Inquiry and Word Order

This article argues that the theoretical desiderata of Minimalist Program (MP)will actually necessitate, or even force, a high level of sensitivity to cross-linguistic structural variation, at least higher than has been the case in Principles and Parameters Theory. Moreover, this heightened sensitivity to cross-linguistic variation is likely to call into question two fundamental assumptions in Generative Grammar (GG), namely the distinction between competence and performance as well as the objection to the inclusion of performance in linguistic theory. By drawing on word order and, to a lesser extent, case marking (also related ultimately to linearization) for purposes of illustration, the article will explain how GG, as reconfigured in MP, needs Linguistic Typology more than ever, as MP theorists are becoming increasingly aware of the relevance of cross-linguistic variation to their minimalist inquiry. Furthermore, functional motivations or explanations (e.g.performance), typically utilized in LT, are likely to resonate well with the minimalist focus on so-called interface conditions.

Epidemiological Studies on the Relationship between PTSD Symptoms and Circadian Typology and Mental/Sleep Health of Young People Who Suffered a Natural Disaster, Great Hanshin-Awaji Earthquake

This study aims, first, to determine the relationship between Post Traumatic Stress Disorder (PTSD) and current circadian typology and sleep habits of adults who experienced the Great Hanshin-Awaji Earthquake in their childhood in January 1995. An integrated questionnaire was administered to 275 university students (females: 173, males: 93, unknown: 9) aged 19 - 37 (mean age: 21.9 years) in Hyogo Prefecture, Japan. The questionnaire consisted of basic questions about attributes, questions on sleep habits and sleep quality (Monroe’s sleep quality index), the Torsvall-?kerstedt Diurnal Type Scale and the Impact of Event Scale-Revised (IES-R) to obtain PTSD scores. Participants who scored 25 or more in the IES-R were placed in a high-traumatic group (HTG) and those who scored less than 25 were placed in a low-traumatic group (LTG). HTG participants exhibited significantly worse sleep quality than LTG participants (p < 0.001). Although there was no significant difference in sleep latency (p > 0.05), HTG participants woke more frequently during sleep (p < 0.001) and had more difficulty falling asleep (p = 0.001) than LHG participants. Significantly more LTG participants fell asleep easily and slept deeply than HTG participants (p = 0.005, p = 0.011). Only among females, HTG participants were more evening-typed than LTG participants (p = 0.035). These results suggest that people who suffered a disaster in childhood and currently have PTSD have difficulty achieving high sleep quality. Evening-type lifestyles may reinforce the symptoms of PTSD. The study aims, second, to examine the effects of intervention for one month using a leaflet to promote the morning-typed life for persons who suffered natural disaster entitled “Go to bed early, Get up early and Do not forget to have a breakfast for getting three benefits!”. Only one person was over the cutoff point (between 24 and 25) before intervention. This high-traumatic person’s comprehensive sleep health tended to be improved through the intervention (p = 0.052). Such intervention to improve their quality of sleep and promote a morning-typed lifestyle may be an effective way to reduce PTSD symptoms.

Corruption Typology： A Review of Literature

Corruption is increasingly becoming a global phenomenon virtually affecting every part of the world. The effects have been very devastating particularly in the developing nations, by which to a large extent public service functions thrive in an environment heavily characterized by corruption. This paper reviews the relevant and related literature on corruption and then proposes a classification of the type of corruption based on the review.

The Dynamics of Suspended Particulate Matter in the Oued Nachef(Tafna Basin,Algeria):Typology of Flood Events and Contribution to Sediment Transport

This article focuses on the study of sediment transport during flood events in the Oued Nachef watershed that feeds the Mefrouche dam.To understand the sediment dynamics in this watershed,ANRH data on instantaneous water discharges and the respective concentrations of suspended particulate matter were used.This enabled the selection of some of the largest flood events over a 24-year period in order to establish the log-log relationships between sediment load(concentration and flux)and water discharge.However,the discharge-concentration relationships revealed hysteresis phenomena that enabled a flood typology to be established and classified into seven categories,thus showing very different transfer dynamics in relation to flood events.The results showed that Category 6 floods presenting hysteresis in the form of a figure of eight exported almost 44%of the suspended particulate matter load while representing just 29%of the flow discharge.

Political Reasoning and the Typology of Arguments in the Context of Political Philosophy

The main purpose of this article is to present the initial phase of the project in the field of argumentation theory and political philosophy. Project concerns studies of different types of rationality in the context of the argumentation. Background consideration is the problem of incommensurability and incompatibility types of rationality in political and ideological disputes. The first step is the establishment of a category of argumentative potential as a criterion for the typology of argument, which will build a map of argumentation, which will provide a starting point for a discussion. Apart from demonstrating the disproportion of discourses, the conclusion of the argument is to prove the local character of rationality.

Belgian Emrepreneurs＇ Motivations： Proposition of a Typology

The aim of this paper is to perform a typology of Belgian entrepreneurs based on their motivations and to determine whether they are ＂motivated＂ or ＂forced＂ to create their firms. The authors used the methodology of the principal component analysis followed by an algorithm of classification to categorize groups of entrepreneurs. These groups were characterized by qualitative and quantitative variables. If the quantitative data were extracted from the firms＇ financial report and financial statements, the qualitative data were collected by means of a survey of Belgian entrepreneurs. The empirical study, made from a sample of 94 firms （representative of 10,728 firms）, confirms that the main motivations of Belgian entrepreneurs are positive （the need for autonomy, achievement, power, etc.） and are the same as in the literature. The study identifies five groups of entrepreneurs from the most highly-motivated one （46.81% of the entrepreneurs） to the ones （3.19%） who are forced into the entrepreneurship.

Typology and Risk Factors of Public Road Accidents in Kinshasa with Its Two Peripheral Areas (Mongata and Kasangulu) from March to May 2017

Introduction: Road traffic put people at risks and needs health education to avoid accidents and deaths. This article aimed to build up a typology of public road accidents (public road accidents) and risk factors associated with in the provincial city of Kinshasa and its peripheral cities (Kasangulu and Mongata), to identify the profiles of the vehicles and people involved in these public road accidents. Method: We conducted a prospective eco-analytical study on a stratified random sample whose size was determined by the Fischer formula. Results: Overall, from March to May 2017, we witnessed an incidence of public road accidents cases ranging from 139 public road accidents cases in the city province of Kinshasa and its two peripheral areas: road axes of high concentration: Rte Blvd Lumumba-Airport;Rte Poids Lourd-Pont Matete, the axes of medium concentration: Rte N21-IMBU, Rte Blvd 30 juin-socimat;Rte Matadi-Kasangulu toll;Rte Université-Intendance, Rte By Pass-triangle Maman Mobutu-Kintambo (Rte-Matadi)-Toll/lère virage-Triangle Maman Mobutu and those of low concentration were: Rte du tourisme/Mimoza-Mbudi;Rte Matadi-Terrain Siwabanza. Conclusion: In these areas, public road accidents are a real public health problem that deserves sustained attention from all and especially from decision makers. Interventions must concern the HVE accident complex.

Questionnaire and Intervention Study on Effects of Drinking Cows’ Milk at Breakfast on the Circadian Typology and Mental Health of Japanese Infants Aged 1 - 6 Years

This study examines relationship between drinking cows’ milk at breakfast and several mental and physical characteristics (the diurnal type, sleep habits and mental condition as anger, out of control of emotion, irritation and depression) of Japanese small children aged 1 - 6 years old. A questionnaire study and an intervention one were performed in this study. An integrated questionnaire was administered, in July 2014 to 1112 participants attending one of 10 nursery school and 1 kindergarten located in Kochi (33&deg;N, 133&deg;E), Japan, and 582 parents (mostly mothers) which answered it instead of children (rate of answer: 51.9%). Intervention was done to 111 children attending the kindergarten. Seventy six parents answered the questionnaire which was administered 3 months after the intervention days of 21 (rate of answer: 51.9%). There are two contents of intervention, one is the distribution of cows’ milk for 21 days to be drunk at breakfast and another is the distribution of leaflet entitled “Go to bed early! Get up early! and Take nutritionally rich breakfast and cows’ milk!” just before the intervention. Just before the intervention, letter was distributed to 111 parents who were asked for their children to follow the contents of the leaflet and drink the cows’ milk distributed every day for the 21 days. Small children who drink cows’ milk at breakfast more than once per week and take nutritionally rich breakfast more than 4 times per week are more morning-typed than the other three groups in which children fit into one or none of the two issues of taking morning cows’ milk and rich breakfast (p p = 0.004). Also there was positive correlation between the implementation value for the 21 days and the diurnal type score 3 months later (r = 0.301, p = 0.018). Drinking cows’ milk at breakfast seems to be effective for small children to become more morning-typed through two sets of syntheses from tryptophan via serotonin into melatonin in the evening.

An Essay to Searle's Typology of Speech Acts

With knowing how to make sounds with the vibration of vocals,humans are not just intending to make meaningless noi-ses,but also to communicate with each other thus they make 'languages'.For example,if a girl accepts a boy's invitation to a con-cert,she will reply him in a basic way with'I will see you in front of the theatre by 7pm tomorrow!'.After the amazing concert,the girl may express the feeling with'What a wonderful concert!Thank you for inviting me this time! '.Then she wants to invite him for a movie next time,so she asks'Do you want to watch this movie next week with me? '.They may create more simple but significant sentences like these to communicate with each other for the basic requests,invitations or expressions to improve their relationship.The communications in the example are the main topic for my following essay,which is to discuss the basic pragmatic way of people com-municating with each other and the significance of the theory of speech acts profound by an American Philosopher John R.Searle.

Typology of Local Construction Materials from the Adamawa and North-West Regions of Cameroon

This article summarizes the different local construction materials observed in two regions of Cameroon (Adamawa and North-West). These raw materials were mapped and evaluated using various methods of investigation (spatial distribution, estimation of reserves, development of a database compatible with geo-referenced maps). The results obtained show three types of local construction materials (vegetal, pedological and geological) with quantitative estimation or distribution. Vegetal local materials include herbaceous savanna with strong dominance of straw in Adamawa region than the North West region. Pedological local construction materials include lateritic soils (ferruginous or clayey), harplan, sandy clay and sandy clay soil while geological local construction materials include volcanic, plutonic and metamorphic rocks. Many sites of these geological materials are suitable for the rock quarry plant. Adamawa region also contains sedimentary rocks constituted by metamorphic conglomerate and sandstones. Two main types of residential homes are constructed with these local construction materials in these regions of Cameroon. These include huts and houses.

Application of Text Typology Theory in Aviation English Translation

In the late 1970s,with the development of functionalist theory,an introduction of the specific functional text-type model theory was put forward.A communicative purpose of translation was proposed,changing the consideration of lower linguistic levels.This paper expounds on the theory and the translation strategies of Text Typology and discusses the translation of the principles of fighter aerial combat.The author applies the method of communicative translation and takes some specific translation methods to analyze avionics aerial combat.

A typology of clustered housing for older adults towards opportunities for social interaction:A case study of Dutch social housing

Dutch housing associations are dealing with a growing number of tenants who are ageing in place.Meanwhile,there is a lack of suitable housing that meets the(social)needs of this target group.Clustered housing,which offers a socio-spatial context that facilitates encounters between residents,is considered a promising housing concept to(partly)fill this gap.However,clustered housing is a broad concept consisting of a variety of housing types that differ from each other in the extent to which people“live together”.Still little is known about which types of clustered housing can be distinguished in relation to the potential for social interaction.Therefore,in this article we distinguish between types of clustered housing based on social,organizational,and spatial building characteristics.We have mapped these characteristics by combining real estate data of housing association Woonzorg Nederland with survey data collected among their building managers.Based on this dataset,an explorative cluster analysis was performed,resulting in four types of clustered housing.Finally,further exploration of the data shows that,from the perspective of building managers,residents of certain types of clustered housing interact more often and feel more connected with each other than residents of non-clustered housing types.

Innovation:A state-of-the-art review and typology

Innovation is often an object of study in economics and management.However,the social and behavioral aspects of innovation acceptance are as important as the economics of product development.A significant portion of the literature considers innovation as a change in the way social actions are conducted,entailing a wide range of social,economic,behavioral,and institutional changes.Various approaches have given rise to the need for a typology.Sundbo(1998)divided innovation into three groups depending on the aspects of the phenomenon:theory of entrepreneurship,technological and social aspects,and strategic aspects.Adopting Sundbo's conceptual framework,this study supplemented and developed it based on recent literature that appeared after 1998.Moreover,this study added new directions at the second level of decomposition and the relationships between different aspects of innovation.In particular,this study analyzed phenomena such as open innovation,agile innovation,and“helix”models.Thus,this study developed a novel typology of innovation that expands the theoretical knowledge in this field.Based on these findings,this study proposed promising areas for future innovation studies.