BackgroundIn the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study examines caste-based inequalities in households' out-of-pocket health expenditure in the south Indian state of Kerala and provides evidence on the consequent financial burden inflicted upon households in different caste groups.MethodsUsing data from a 2003-2004 panel survey in Kottathara Panchayat that collected detailed information on health care consumption from 543 households, we analysed inequality in per capita out-of-pocket health expenditure across castes by considering households' health care needs and types of care utilised. We used multivariate regression to measure the caste-based inequality in health expenditure. To assess health expenditure burden, we analysed households incurring high health expenses and their sources of finance for meeting health expenses.ResultsThe per capita health expenditures reported by four caste groups accord with their status in the caste hierarchy. This was confirmed by multivariate analysis after controlling for health care needs and influential confounders. Households with high health care needs are more disadvantaged in terms of spending on health care. Households with high health care needs are generally at higher risk of spending heavily on health care. Hospitalisation expenditure was found to have the most impoverishing impacts, especially on backward caste households.ConclusionCaste-based inequality in household health expenditure reflects unequal access to quality health care by different caste groups. Households with high health care needs and chronic health care needs are most affected by this inequality. Households in the most marginalised castes and with high health care need require protection against impoverishing health expenditures. Special emphasis must be given to funding hospitalisation, as this expenditure puts households most at risk in terms of mobilising monetary resources. However, designing protection instruments requires deeper understanding of how the uncovered financial burden of out-patient and hospitalisation expenditure creates negative consequences and of the relative magnitude of this burden on households.
Advancement in self-powered portable and wearable electronics mostly depends on the realization of an efficient human activity-based energy harvester and electronic skin (e-skin)-mimicking tactile mechanosensing property of natural human skin. A human activity-based energy harvester can supply power to flexible, potable, electronics equipment associated with the human body, whereas a tactile e-skin mechanosensor can precisely detect static and dynamic pressure stimuli. Here, we report development of a NiO@ SiO 2 /PVDF nanocomposite, a facile piezoelectric material possessing superior flexibility that is light in weight and has low cost, which is an excellent choice for the next generation mechanical energy harvester and tactile e-skin sensors. The fabricated piezoelectric nanogenerator (PNG) comprising nanocomposites shows very promising output under application of the biomechanical force on it. PNG15 exhibits high output voltage (53 V), adequate current density (∼0.3 μA/cm 2 ), high power density (685 W/m 3 ), and superior conversion efficiency (13.86%). Gentle human finger imparting onto the PNG produces enough electric power to directly illuminate as many as 85 numbers of commercial LEDs and charge a 2.2 μF capacitor up to 22 V within 450 s. The nanogenerator is successfully exploited to generate electrical power by converting mechanical energy from different human activities. We also demonstrate the high mechanosensing capability of a thin, flexible e-skin sensor based on NiO@SiO 2 /PVDF nanocomposites. Because of the high sensitivity, the fabricated e-skin sensor can detect precisely the spatiotemporal distribution of pressure stimuli in static and dynamic conditions. The e-skin sensor is capable of sensing very low level pressure stimuli with a short response time. The promising role of e-skin in real time healthcare monitoring is assessed where a hand-data glove attached with self-powered e-skin sensors can distinguish movements of different fingers. The spatial distribution of pressure stimuli is also resolved by a sensing matrix containing e-skin sensors as pixels. Moreover the operation mechanical stability of the composites is very high which enables this composite to be used in e-skin sensor and energy harvester applications. Our work verifies the scope of NiO@SiO 2 /PVDF nanocomposites in nanogenerators and e-skin applications which are essential components in the field of wearable self-powered electronics, healthcare monitoring, and artificial intelligence attached to a human body.
The influence of copper oxide nanoparticles on the polymorphism of PVDF is systematically investigated. Strong interfacial interactions between the negative nanoparticle surface and positive –CH2 dipoles of PVDF enhance the electroactive β-phase.
Poly(vinylidene fluoride) (PVDF) nanocomposites are recently gaining importance due to their unique dielectric and electroactive responses. In this study, GeO2 nanoparticles/PVDF and SiO2 nanoparticles/PVDF nanocomposite films were prepared by a simple solution casting technique. The surface morphology and structural properties of the as-prepared films were studied by X-ray diffraction, scanning electron microscopy, and FT-IR spectroscopy techniques. The studies reveal that the incorporation of GeO2 or SiO2 nanoparticles leads to an enhancement in the electroactive β phase fraction of PVDF due to the strong interactions between the negatively charged nanoparticle surface and polymer. Analysis of the thermal properties of the as-prepared samples also supports the increment of the β phase fraction in PVDF. Variation of dielectric constant, dielectric loss, and ac conductivity with frequency and loading fraction of the nanoparticles were also studied for all the as-prepared films. Dielectric constant of the nanocomposite films increases with increasing nanofiller concentration in PVDF. 15 mass% SiO2-loaded PVDF film shows the highest dielectric constant, which can be attributed to the smaller size of SiO2 nanoparticles and the homogeneous and discrete dispersion of SiO2 nanoparticles in PVDF matrix.
In our Letter, we estimated that the transition from the conventional partially spin polarized 4=11 fractional quantum Hall state to the unconventional fully spin polarized 4=11 state occurs at κ ≈ 0.025, where κ is the Zeeman splitting measured in units of e 2 =ϵl, with l being the magnetic length and ϵ the dielectric constant of the host semiconductor. This led us to conclude that the 4=11 state observed by Pan et al.[1] at B ¼ 11.25 T, which corresponds to κ ¼ 0.019, is partially spin polarized. However, upon tilting, this experiment observed no transition up to κ ¼ 0.028, indicating that, for the parameters of this experiment, the critical value of κ lies outside the region 0.019-0.028. This implies that the corrections due to finite thickness, Landau level mixing, and disorder are larger than we had expected, and will need to be evaluated more accurately to predict the critical value of κ for a given experimental system.The above issue does not affect the principal result of our Letter, namely the unconventional nature of the fully spin polarized fractional quantum Hall effect at 4=11 and 5=13. Our estimation of the critical value of κ also remains applicable in the limit of zero width, no Landau level mixing, and no disorder.
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