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Sample records for freetown sierra leone

  1. Genotypic anomaly in ebola virus strains circulating in magazine wharf Area, Freetown, Sierra Leone, 2015

    S.L. Smits (Saskia); S.D. Pas (Suzan); C.B.E.M. Reusken (Chantal); B.L. Haagmans (Bart); P. Pertile; C. Cancedda; K. Dierberg; I. Wurie; A. Kamara; D. Kargbo; S.L. Caddy; A. Arias; L. Thorne; J. Lu; U. Jah; I. Goodfellow; M.P.G. Koopmans D.V.M. (Marion)

    2015-01-01

    textabstractThe Magazine Wharf area, Freetown, Sierra Leone was a focus of ongoing Ebola virus transmission from late June 2015. Viral genomes linked to this area contain a series of 13 T to C substitutions in a 150 base pair intergenic region downstream of viral protein 40 open reading frame,

  2. Herbal medicine use among hypertensive patients attending public and private health facilities in Freetown Sierra Leone.

    James, Peter Bai; Kamara, Halimatu; Bah, Abdulai Jawo; Steel, Amie; Wardle, Jon

    2018-05-01

    This study aimed to determine the prevalence, determinants and pattern of herbal medicine use among hypertensive patients in Freetown. We conducted a cross-sectional study among hypertensive patients attending public and private health facilities in Freetown, Sierra Leone between August and October 2016. We analyzed the data using SPSS version 24. We used Chi-square, Fisher exact two-tailed test and regression analysis for data analysis. A p-value less than 0.05 was considered statistically significant. Out of 260 study participants, over half (n = 148, 56.9%) reported using herbal medicine for the treatment of hypertension alone or together with comorbid condition(s). The most commonly used herbal medicine among users were honey (n = 89, 33.3%), moringa (n = 80, 30.0%) and garlic (n = 73, 27.3%). No significant difference existed between users and non-users of herbal medicine with regards to socio-demographic and health-related factors. The majority (n = 241, 92.7%) of respondents considered herbal medicine beneficial if it was recommended by a healthcare provider yet 85.1% (n = 126) did not disclose their herbal medicine use to their health care provider. There is a high use of herbal medicines among hypertensive patients in Freetown, Sierra Leone. It is essential for healthcare providers to take heed of the findings of this study and routinely ask their patients about their herbal medicine use status. Such practice will provide the opportunity to discuss the benefits and risks of herbal medicine use with the aim of maximizing patient desired therapeutic outcomes. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Mapping deforestation and urban expansion in Freetown, Sierra Leone, from pre- to post-war economic recovery.

    Mansaray, Lamin R; Huang, Jingfeng; Kamara, Alimamy A

    2016-08-01

    Freetown, the capital of Sierra Leone has experienced vast land-cover changes over the past three decades. In Sierra Leone, however, availability of updated land-cover data is still a problem even for environmental managers. This study was therefore, conducted to provide up-to-date land-cover data for Freetown. Multi-temporal Landsat data at 1986, 2001, and 2015 were obtained, and a maximum likelihood supervised classification was employed. Eight land-cover classes or categories were recognized as follows: water, wetland, built-up, dense forest, sparse forest, grassland, barren, and mangrove. Land-cover changes were mapped via post-classification change detection. The persistence, gain, and loss of each land-cover class, and selected land conversions were also quantified. An overall classification accuracy of 87.3 % and a Kappa statistic of 0.85 were obtained for the 2015 map. From 1986 to 2015, water, built-up, grassland, and barren had net gains, whereas forests, wetlands, and mangrove had net loses. Conversion analyses among forests, grassland, and built-up show that built-up had targeted grassland and avoided forests. This study also revealed that, the overall land-cover change at 2001-2015 was higher (28.5 %) than that recorded at 1986-2001 (20.9 %). This is attributable to the population increase in Freetown and the high economic growth and infrastructural development recorded countrywide after the civil war. In view of the rapid land-cover change and its associated environmental impacts, this study recommends the enactment of policies that would strike a balance between urbanization and environmental sustainability in Freetown.

  4. Reductions in inpatient mortality following interventions to improve emergency hospital care in Freetown, Sierra Leone.

    Matthew Clark

    Full Text Available BACKGROUND: The demand for high quality hospital care for children in low resource countries is not being met. This paper describes a number of strategies to improve emergency care at a children's hospital and evaluates the impact of these on inpatient mortality. In addition, the cost-effectiveness of improving emergency care is estimated. METHODS AND FINDINGS: A team of local and international staff developed a plan to improve emergency care for children arriving at The Ola During Children's Hospital, Freetown, Sierra Leone. Following focus group discussions, five priority areas were identified to improve emergency care; staff training, hospital layout, staff allocation, medical equipment, and medical record keeping. A team of international volunteers worked with local staff for six months to design and implement improvements in these five priority areas. The improvements were evaluated collectively rather than individually. Before the intervention, the inpatient mortality rate was 12.4%. After the intervention this improved to 5.9%. The relative risk of dying was 47% (95% CI 0.369-0.607 lower after the intervention. The estimated number of lives saved in the first two months after the intervention was 103. The total cost of the intervention was USD 29 714, the estimated cost per death averted was USD 148. There are two main limitation of the study. Firstly, the brevity of the study and secondly, the assumed homogeneity of the clinical cases that presented to the hospital before and after the intervention. CONCLUSIONS: This study demonstarted a signficant reductuion in inpatient mortality rate after an intervention to improve emergency hospital care If the findings of this paper could be reproduced in a larger more rigorous study, improving the quality of care in hospitals would be a very cost effective strategy to save children's lives in low resource settings.

  5. Clinical presentations and outcomes of patients with Ebola virus disease in Freetown, Sierra Leone.

    Ji, Ying-Jie; Duan, Xue-Zhang; Gao, Xu-Dong; Li, Lei; Li, Chen; Ji, Dong; Li, Wen-Gang; Wang, Li-Fu; Meng, Yu-Hua; Yang, Xiao; Ling, Bin-Fang; Song, Xue-Ai; Gu, Mei-Lei; Jiang, Tao; Koroma, She-Ku M; Bangalie, James; Duan, Hui-Juan

    2016-11-03

    Clinical and laboratory data were collected and analysed from patients with Ebola virus disease (EVD) in Jui Government Hospital in Freetown, Sierra Leone, where patients with EVD were received and/or treated from October 1, 2014 to March 21, 2015 during the West Africa EVD outbreak. The study admitted 285 patients with confirmed EVD and followed them up till the endpoint (recovery or death). EVD was confirmed by quantitative RT-PCR assays detecting blood Ebola virus (EBOV). Among the 285 lab-confirmed EVD cases in Jui Government Hospital, 146 recovered and 139 died, with an overall survival rate of 51.23 %. Patients under the age of 6 years had a lower survival rate (37.50 %). Most non-survivors (79.86 %) died within 7 days after admission and the mean hospitalization time for non-survivors was 5.56 ± 6.11 days. More than half survivors (63.69 %) turned blood EBOV negative within 3 weeks after admission and the mean hospitalization time for survivors was 20.38 ± 7.58 days. High blood viral load (≥10 6 copies/ml) was found to be predictive of the non-survival outcome as indicated by the Receiver Operating Characteristic (ROC) curve analysis. The probability of patients' survival was less than 15 % when blood viral load was greater than 10 6 copies/ml. Multivariate analyses showed that blood viral load (P = 0.005), confusion (P = 0.010), abdominal pain (P = 0.003), conjunctivitis (P = 0.035), and vomiting (P = 0.004) were factors independently associated with the outcomes of EVD patients. Most death occurred within 1 week after admission, and patients at the age of 6 or younger had a lower survival rate. Most surviving patients turned blood EBOV negative within 1-4 weeks after admission. Factors such as high blood viral load, confusion, abdominal pain, vomiting and conjunctivitis were associated with poor prognosis for EVD patients.

  6. Socio-Ecological Factors Affecting Pregnant Women's Anemia Status in Freetown, Sierra Leone

    M'Cormack, Fredanna; Drolet, Judy

    2012-01-01

    Background: Sierra Leone has high maternal mortality. Socio-ecological factors are considered contributing factors to this high mortality. Anemia is considered to be a direct cause of 4% of maternal deaths and an indirect cause of 20-40% of maternal deaths. Purpose: The current study explores socio-ecological contributing factors to the anemia…

  7. Microbiological and Chemical Quality of Packaged Sachet Water and Household Stored Drinking Water in Freetown, Sierra Leone.

    Fisher, Michael B; Williams, Ashley R; Jalloh, Mohamed F; Saquee, George; Bain, Robert E S; Bartram, Jamie K

    2015-01-01

    Packaged drinking water (PW) sold in bottles and plastic bags/sachets is widely consumed in low- and middle-income countries (LMICs), and many urban users in sub-Saharan Africa (SSA) rely on packaged sachet water (PSW) as their primary source of water for consumption. However, few rigorous studies have investigated PSW quality in SSA, and none have compared PSW to stored household water for consumption (HWC). A clearer understanding of PSW quality in the context of alternative sources is needed to inform policy and regulation. As elsewhere in SSA, PSW is widely consumed in Sierra Leone, but government oversight is nearly nonexistent. This study examined the microbiological and chemical quality of a representative sample of PSW products in Freetown, Sierra Leone at packaged water manufacturing facilities (PWMFs) and at points of sale (POSs). Samples of HWC were also analyzed for comparison. The study did not find evidence of serious chemical contamination among the parameters studied. However, 19% of 45 PSW products sampled at the PWMF contained detectable Escherichia coli (EC), although only two samples exceeded 10 CFU/100 mL. Concentrations of total coliforms (TC) in PSW (but not EC) increased along the supply chain. Samples of HWC from 60 households in Freetown were significantly more likely to contain EC and TC than PSW at the point of production (p<0.01), and had significantly higher concentrations of both bacterial indicators (p<0.01). These results highlight the need for additional PSW regulation and surveillance, while demonstrating the need to prioritize the safety of HWC. At present, PSW may be the least unsafe option for many households.

  8. Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown, Sierra Leone

    Taidy-Leigh, Lexina; Bah, Abdulai Jawo; Kanu, Joseph Sam; Kangbai, Jia Bainga; Sevalie, Stephen

    2018-01-01

    In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p = 0.011), primary education (AOR: 6.23, CL: 2.02–19.23, p = 0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p = 0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p = 0.024) were more likely to use herbal medicines. Friends and family (n = 57, 96.7%) were the main influencers of herbal medicine use. Only (n = 12) 19.7% of users disclosed their status to their healthcare provider. Over half (n = 32, 52.5%) could not remember the name of the herb they used. Luffa acutangula (n = 29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use. PMID:29849738

  9. Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown, Sierra Leone.

    James, Peter Bai; Taidy-Leigh, Lexina; Bah, Abdulai Jawo; Kanu, Joseph Sam; Kangbai, Jia Bainga; Sevalie, Stephen

    2018-01-01

    In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38-11.76, p = 0.011), primary education (AOR: 6.23, CL: 2.02-19.23, p = 0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10-192.28, p = 0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13-5.83, p = 0.024) were more likely to use herbal medicines. Friends and family ( n = 57, 96.7%) were the main influencers of herbal medicine use. Only ( n = 12) 19.7% of users disclosed their status to their healthcare provider. Over half ( n = 32, 52.5%) could not remember the name of the herb they used . Luffa acutangula ( n = 29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.

  10. Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown, Sierra Leone

    Peter Bai James

    2018-01-01

    Full Text Available In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p=0.011, primary education (AOR: 6.23, CL: 2.02–19.23, p=0.001 and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p=0.009 as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p=0.024 were more likely to use herbal medicines. Friends and family (n=57, 96.7% were the main influencers of herbal medicine use. Only (n=12 19.7% of users disclosed their status to their healthcare provider. Over half (n=32, 52.5% could not remember the name of the herb they used. Luffa acutangula (n=29, 100% was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.

  11. C14–22 n-Alkanes in Soil from the Freetown Layered Intrusion, Sierra Leone: Products of Pt Catalytic Breakdown of Natural Longer Chain n-Alkanes?

    John F. W. Bowles

    2018-03-01

    Full Text Available Soil above a platinum-group element (PGE-bearing horizon within the Freetown Layered Intrusion, Sierra Leone, contains anomalous concentrations of n-alkanes (CnH2n+2 in the range C14 to C22 not readily attributable to an algal or lacustrine origin. Longer chain n-alkanes (C23 to C31 in the soil were derived from the breakdown of leaf litter beneath the closed canopy humid tropical forest. Spontaneous breakdown of the longer chain n-alkanes to form C14–22 n-alkanes without biogenic or abiogenic catalysts is unlikely as the n-alkanes are stable. In the Freetown soil, the catalytic properties of the PGE (Pt in particular may lower the temperature at which oxidation of the longer chain n-alkanes can occur. Reaction between these n-alkanes and Pt species, such as Pt2+(H2O2(OH2 and Pt4+(H2O2(OH4 can bend and twist the alkanes, and significantly lower the Heat of Formation. Microbial catalysis is a possibility. Since a direct organic geochemical source of the lighter n-alkanes has not yet been identified, this paper explores the theoretical potential for abiogenic Pt species catalysis as a mechanism of breakdown of the longer n-alkanes to form C14–22 alkanes. This novel mechanism could offer additional evidence for the presence of the PGE in solution, as predicted by soil geochemistry.

  12. Assessing unmet anaesthesia need in Sierra Leone: a secondary ...

    Department of Surgery, Connaught Hospital Freetown, Sierra Leone. 3. Department of .... need, is a key part of planning for increasing surgical capacity. Limitations. As noted by Groen et al24 this data .... Emergency and surgery services of ...

  13. Sierra Leone Journal of Biomedical Research

    MHRL

    Sierra Leone Journal of Biomedical Research. (A publication of the College of Medicine and Allied Health Sciences, University of Sierra Leone). ©Sierra Leone Journal .... was used to. She seemed to have had a change of mind after ingesting.

  14. Global solar radiation in Sierra Leone (West Africa)

    Massaquoi, J.G.M.

    1987-09-01

    A correlation equation of the Angstrom type has been developed to predict the monthly average daily global solar irradiation incident on a horizontal surface in Freetown, Sierra Leone. Measurements of the global insolation have been compared with those predicted using the equation. A good agreement (greater than 95% in most cases) was observed between the measured values and the predicted ones. (author). 15 refs, 2 tabs

  15. African Journals Online: Sierra Leone

    Sierra Leone Journal of Biomedical Research. The Sierra Leone Journal of Biomedical Research publishes papers in all fields of Medicine and Allied Health Sciences including Basic Medical Sciences, Clinical Sciences, Dental Sciences, Behavioural Sciences, Biomedical Engineering, Molecular Biology, Pharmaceutical ...

  16. Novel Retinal Lesion in Ebola Survivors, Sierra Leone, 2016.

    Steptoe, Paul J; Scott, Janet T; Baxter, Julia M; Parkes, Craig K; Dwivedi, Rahul; Czanner, Gabriela; Vandy, Matthew J; Momorie, Fayiah; Fornah, Alimamy D; Komba, Patrick; Richards, Jade; Sahr, Foday; Beare, Nicholas A V; Semple, Malcolm G

    2017-07-01

    We conducted a case-control study in Freetown, Sierra Leone, to investigate ocular signs in Ebola virus disease (EVD) survivors. A total of 82 EVD survivors with ocular symptoms and 105 controls from asymptomatic civilian and military personnel and symptomatic eye clinic attendees underwent ophthalmic examination, including widefield retinal imaging. Snellen visual acuity was Ebola virus, permitting cataract surgery. A novel retinal lesion following the anatomic distribution of the optic nerve axons occurred in 14.6% (97.5% CI 7.1%-25.6%) of EVD survivors and no controls, suggesting neuronal transmission as a route of ocular entry.

  17. Lower Limb Amputation at the 34 Military Hospital in Freetown ...

    Lower Limb Amputation at the 34 Military Hospital in Freetown, Sierra Leone: Causes and Indications. Paul F. Nabieu, Thomas A. Massaquoi, S. D. Massaquoi, G Luseni, B. Idris, T. B. Kamara, M. L. Baryoh ...

  18. Reading Comprehension Instruction Practices in Sierra Leone

    Hersbach, S.; Denessen, E.J.P.G.; Droop, W.

    2014-01-01

    Aim: In this study an attempt was made to give insight in the way reading comprehension is taught in Sierra Leone. Attention was paid to the didactical strategies and the materials used during reading comprehension instruction. Methodology: Primary school teachers in Sierra Leone (N=43) were

  19. South African Ebola diagnostic response in Sierra Leone: A modular high biosafety field laboratory.

    Janusz T Paweska

    2017-06-01

    Full Text Available In August 2014, the National Institute for Communicable Diseases (NICD in South Africa established a modular high-biosafety field Ebola diagnostic laboratory (SA FEDL near Freetown, Sierra Leone in response to the rapidly increasing number of Ebola virus disease (EVD cases.The SA FEDL operated in the Western Area of Sierra Leone, which remained a "hotspot" of the EVD epidemic for months. The FEDL was the only diagnostic capacity available to respond to the overwhelming demand for rapid EVD laboratory diagnosis for several weeks in the initial stages of the EVD crisis in the capital of Sierra Leone. Furthermore, the NICD set out to establish local capacity amongst Sierra Leonean nationals in all aspects of the FEDL functions from the outset. This led to the successful hand-over of the FEDL to the Sierra Leone Ministry of Health and Sanitation in March 2015. Between 25 August 2014 and 22 June 2016, the laboratory tested 11,250 specimens mostly from the Western Urban and Western Rural regions of Sierra Leone, of which 2,379 (21.14% tested positive for Ebola virus RNA.The bio-safety standards and the portability of the SA FEDL, offered a cost-effective and practical alternative for the rapid deployment of a field-operated high biocontainment facility. The SA FEDL teams demonstrated that it is highly beneficial to train the national staff in the course of formidable disease outbreak and accomplished their full integration into all operational and diagnostic aspects of the laboratory. This initiative contributed to the international efforts in bringing the EVD outbreak under control in Sierra Leone, as well as capacitating local African scientists and technologists to respond to diagnostic needs that might be required in future outbreaks of highly contagious pathogens.

  20. South African Ebola diagnostic response in Sierra Leone: A modular high biosafety field laboratory.

    Paweska, Janusz T; Jansen van Vuren, Petrus; Meier, Gunther H; le Roux, Chantel; Conteh, Ousman S; Kemp, Alan; Fourie, Cardia; Naidoo, Prabha; Naicker, Serisha; Ohaebosim, Phumza; Storm, Nadia; Hellferscee, Orienka; Ming Sun, Lisa K; Mogodi, Busisiwe; Prabdial-Sing, Nishi; du Plessis, Desiree; Greyling, Deidre; Loubser, Shayne; Goosen, Mark; McCulloch, Stewart D; Scott, Terence P; Moerdyk, Alexandra; Dlamini, Wesley; Konneh, Kelfala; Kamara, Idrissa L; Sowa, Dauda; Sorie, Samuel; Kargbo, Brima; Madhi, Shabir A

    2017-06-01

    In August 2014, the National Institute for Communicable Diseases (NICD) in South Africa established a modular high-biosafety field Ebola diagnostic laboratory (SA FEDL) near Freetown, Sierra Leone in response to the rapidly increasing number of Ebola virus disease (EVD) cases. The SA FEDL operated in the Western Area of Sierra Leone, which remained a "hotspot" of the EVD epidemic for months. The FEDL was the only diagnostic capacity available to respond to the overwhelming demand for rapid EVD laboratory diagnosis for several weeks in the initial stages of the EVD crisis in the capital of Sierra Leone. Furthermore, the NICD set out to establish local capacity amongst Sierra Leonean nationals in all aspects of the FEDL functions from the outset. This led to the successful hand-over of the FEDL to the Sierra Leone Ministry of Health and Sanitation in March 2015. Between 25 August 2014 and 22 June 2016, the laboratory tested 11,250 specimens mostly from the Western Urban and Western Rural regions of Sierra Leone, of which 2,379 (21.14%) tested positive for Ebola virus RNA. The bio-safety standards and the portability of the SA FEDL, offered a cost-effective and practical alternative for the rapid deployment of a field-operated high biocontainment facility. The SA FEDL teams demonstrated that it is highly beneficial to train the national staff in the course of formidable disease outbreak and accomplished their full integration into all operational and diagnostic aspects of the laboratory. This initiative contributed to the international efforts in bringing the EVD outbreak under control in Sierra Leone, as well as capacitating local African scientists and technologists to respond to diagnostic needs that might be required in future outbreaks of highly contagious pathogens.

  1. The Special Court for Sierra Leone

    Damgaard, Ciara Therése

    2004-01-01

    The focus of this article is the Special Court for Sierra Leone and the extent to which it can be said that the Special Court has already challenged, or will, in the future, challenge the tradition of impunity for gender-based crimes. In this regard, an analysis is undertaken of the Special Court......'s Statute, Rules of Procedure and Evidence and practice to date, in order to determine its treatment of gender-based crimes and whether it can be said that the Special Court for Sierra Leone challenges the tradition of impunity for gender-based crimes. Udgivelsesdato: december 2004...

  2. Knowledge of breast cancer in women in Sierra Leone

    JHEE Shepherd

    2006-09-01

    Full Text Available Breast cancer has been described as one of the life-threatening diseases affecting women and is a major problem in women’s health issues. The unrecorded number of cases of breast lumps and breast cancer observed in women in Sierra Leone prompted the researcher to organize a “Breast Week” during which 1 200 women were educated on breast cancer and the importance of breast health. This research is a follow up of the “Breast Week” which was organized in Freetown, Sierra Leone The specific objective of this study was to assess whether the knowledge and teachings given to the women who participated in this project was fully understood. A sample size of 120 women (10% who participated in the “Breast Week” was obtained through systematic sampling. A quantitative approach was adopted and a structured interview schedule guided the data collection process. The data were processed through use of SPSS and Microsoft Excel. Texts from open ended questions were categorized and frequency counts were applied to the data. It was found that the majority (96.6% of the women had some knowledge of breast cancer. They linked breast cancer to the signs and symptoms associated with it and were able to describe the disease as one that kills women if not promptly detected and/or treated appropriately. Findings indicate that the majority of the women are aware of the dangers of the disease and had knowledge of someone who had died of breast cancer (59.2%. An assessment of the effectiveness of knowledge on breast cancer showed that these women could identify breast cancer as a disease that affects women and may cause death if not detected on time.

  3. Explaining Violence in Sierra Leone's Civil War

    Explaining the violence of civil war is never a simple task for the scholar. In the case of the Sierra Leone, paradoxically, the task has in some ways been rendered more difficult by the sheer variety of compelling scholarship on the question. This paper seeks to identify the most useful of the explanations offered thus far, and ...

  4. Rebellion and Agrarian Tensions in Sierra Leone

    Peters, K.; Richards, P.

    2011-01-01

    This paper assesses the extent to which customary governance in Sierra Leone can be held responsible for an increasingly unstable two-class agrarian society. A case is made for regarding the civil war (1991–2002) as being an eruption of long-term, entrenched agrarian tensions exacerbated by chiefly

  5. Sierra Leone Journal of Biomedical Research: Submissions

    AFRICAN JOURNALS ONLINE (AJOL) · Journals · Advanced Search · USING ... Sierra Leone Journal of Biomedical Research (SLJBR) publishes papers in all ... An original article should give sufficient detail of experimental procedures for .... For references cited in a paper which has been accepted for publication but not ...

  6. Rice genetic resources in postwar Sierra Leone

    Chakanda, R.T.M.

    2009-01-01

    This research presents the effect of the 10-year long civil war in Sierra Leone on rice genetic resources, using farmers and their seed systems in three selected districts as reference points. The war disrupted all forms of production and development in the country and like other sectors of the

  7. Sierra Leone Journal of Biomedical Research

    The Sierra Leone Journal of Biomedical Research publishes papers in all fields of Medicine and Allied Health Sciences including Basic Medical Sciences, Clinical Sciences, Dental Sciences, Behavioural Sciences, Biomedical Engineering, Molecular Biology, Pharmaceutical Sciences, Biotechnology in relation to Medicine, ...

  8. Projected treatment capacity needs in sierra leone.

    White, Richard A; MacDonald, Emily; de Blasio, Birgitte Freiesleben; Nygård, Karin; Vold, Line; Røttingen, John-Arne

    2015-01-30

    The ongoing outbreak of Ebola Virus Disease in West Africa requires immediate and sustained input from the international community in order to curb transmission. The CDC has produced a model that indicates that to end the outbreak by pushing the reproductive number below one, 25% of the patients must be placed in an Ebola Treatment Unit (ETC) and 45% must be isolated in community settings in which risk of disease transmission is reduced and safe burials are provided. In order to provide firmer targets for the international response in Sierra Leone, we estimated the national and international personnel and treatment capacity that may be required to reach these percentages. We developed a compartmental SEIR model that was fitted to WHO data and local data allowing the reproductive number to change every 8 weeks to forecast the progression of the EVD epidemic in Sierra Leone. We used the previously estimated 2.5x correction factor estimated by the CDC to correct for underreporting. Number of personnel required to provide treatment for the predicted number of cases was estimated using UNMEER and UN OCHA requests for resources required to meet the CDC target of 70% isolation. As of today (2014-12-04), we estimate that there are 810 (95% CI=646 to 973) EVD active cases in treatment, with an additional 3751 (95% CI=2778 to 4723) EVD cases unreported and untreated. To reach the CDC targets today, we need 1140 (95% CI=894 to 1387) cases in ETCs and 2052 (95% CI=1608 to 2496) at home or in a community setting with a reduced risk for disease transmission. In 28 days (2015-01-01), we will need 1309 (95% CI=804 to 1814) EVD cases in ETCs and 2356 (95% CI=1447 to 3266) EVD cases at reduced risk of transmission. If the current transmission rate is not reduced, up to 3183 personnel in total will be required in 56 days (2015-01-29) to operate ETCs according to our model. The current outbreak will require massive input from the international community in order to curb the

  9. Sierra Leone Journal of Biomedical Research Original Article

    User

    university hospital in southern Sierra Leone, a total of 66 (4.71±2.52) victims reported having been bitten by snakes in 11 ... social, economic, psychological and health impacts of snakebite ..... Epidemiological profile of snakebite cases from.

  10. Sierra Leone Journal of Biomedical Research Original Article

    User

    A publication of the College of Medicine and Allied Health Sciences, University of Sierra Leone ... disability associated with venomous snakebites result in lasting .... 1Mean ± Standard Error. 95% Confidence Limit. Community. Self. Reported.

  11. British Military Intervention into Sierra Leone: A Case Study

    Roberson, Walter G

    2007-01-01

    .... The successful British intervention led to the defeat of the Revolutionary United Front (RUF) and final peace accords, restored order to a failed state, and allowed the democratic restoration of the government of Sierra Leone...

  12. Sierra Leone Journal of Biomedical Research Case Study

    Zackary Suleiman

    A publication of the College of Medicine and Allied Health Sciences, University of Sierra Leone ... Case Study ... Peri-operative management of patients with significant cardio-respiratory disease ... contribute to patient safety by preventing any.

  13. In the midst of a 'perfect storm': Unpacking the causes and consequences of Ebola-related stigma for children orphaned by Ebola in Sierra Leone

    Denis-Ramirez, Elise; Holmegaard Sørensen, Katrine; Skovdal, Morten

    2017-01-01

    The West African Ebola virus epidemic resulted in the deaths of more than 11,000 people and caused significant social disruption. Little is known about how the world's worst Ebola outbreak has affected the thousands of children left orphaned as their parents or caregivers succumbed to the virus....... Given the infectious nature of Ebola, and numerous anecdotal accounts of stigmatisation, we set out to examine children's social representations of peers orphaned by Ebola, unpacking the causes and consequences of Ebola-related stigma. The study was conducted in 2015 in Freetown, Sierra Leone. Data...

  14. Ebola Surveillance - Guinea, Liberia, and Sierra Leone.

    McNamara, Lucy A; Schafer, Ilana J; Nolen, Leisha D; Gorina, Yelena; Redd, John T; Lo, Terrence; Ervin, Elizabeth; Henao, Olga; Dahl, Benjamin A; Morgan, Oliver; Hersey, Sara; Knust, Barbara

    2016-07-08

    Developing a surveillance system during a public health emergency is always challenging but is especially so in countries with limited public health infrastructure. Surveillance for Ebola virus disease (Ebola) in the West African countries heavily affected by Ebola (Guinea, Liberia, and Sierra Leone) faced numerous impediments, including insufficient numbers of trained staff, community reticence to report cases and contacts, limited information technology resources, limited telephone and Internet service, and overwhelming numbers of infected persons. Through the work of CDC and numerous partners, including the countries' ministries of health, the World Health Organization, and other government and nongovernment organizations, functional Ebola surveillance was established and maintained in these countries. CDC staff were heavily involved in implementing case-based surveillance systems, sustaining case surveillance and contact tracing, and interpreting surveillance data. In addition to helping the ministries of health and other partners understand and manage the epidemic, CDC's activities strengthened epidemiologic and data management capacity to improve routine surveillance in the countries affected, even after the Ebola epidemic ended, and enhanced local capacity to respond quickly to future public health emergencies. However, the many obstacles overcome during development of these Ebola surveillance systems highlight the need to have strong public health, surveillance, and information technology infrastructure in place before a public health emergency occurs. Intense, long-term focus on strengthening public health surveillance systems in developing countries, as described in the Global Health Security Agenda, is needed.The activities summarized in this report would not have been possible without collaboration with many U.S and international partners (http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/partners.html).

  15. Indigenous knowledge in cattle breeding in Sierra Leone | Abdul ...

    This study was conducted in order to document and preserve valuable indigenous knowledge in cattle breeding and production under traditional cattle production system in Sierra Leone. Data were collected from thirty (30) cattle farms from three locations: Gbindi (16 farms), Sackelereh (7 farms), and Flamansa (7 farms) in ...

  16. Young Women's Political Participation in Post-War Sierra Leone ...

    The end of the civil war in Sierra Leone in 2002 was facilitated in many ways by women through women's pro-democracy movements. These movements will continue to be pivotal in the gradual strengthening of democratic governance structures. Irrespective of the immense barriers that they face, women of all ages have ...

  17. Sierra Leone Journal of Biomedical Research Original Article

    User

    recommendations to the health sector of Sierra Leone for it prevention. This retrospective .... pressure. 27% of the population is exposed to 3 to. 5 of these risk factors. According to .... Many studies have identified foot ulcer as the most common ...

  18. Military Interventions in Sierra Leone: Lessons from a Failed State

    Woods, Larry J; Reese, Timothy R

    2008-01-01

    This study by Larry J. Woods and Colonel Timothy R. Reese analyzes the massive turmoil afflicting the nation of Sierra Leone, 1993-2002, and the efforts by a variety of outside forces to bring lasting stability to that small country...

  19. Health complications of female genital mutilation in Sierra Leone

    Bjälkander O

    2012-07-01

    Full Text Available Owolabi Bjälkander,1 Laurel Bangura,2 Bailah Leigh,3 Vanja Berggren,1 Staffan Bergström,1 Lars Almroth11Division of Global Health, Department of Public Health, Karolinska Institutet, Stockholm, Sweden; 2Inter Africa Committee, Sierra Leone; 3Department of Community Health, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra LeoneAbstract: Sierra Leone has one of the highest rates of female genital mutilation (FGM in the world, and yet little is known about the health consequences of the practice.Purpose: To explore whether and what kind of FGM-related health complications girls and women in Sierra Leone experience, and to elucidate their health care-seeking behaviors.Patients and methods: A feasibility study was conducted to test and refine questionnaires and methods used for this study. Thereafter, a cross-section of girls and women (n = 258 attending antenatal care and Well Women Clinics in Bo Town, Bo District, in the southern region and in Makeni Town, Bombali District, in the northern region of Sierra Leone were randomly selected. Participants answered interview-administrated pretested structured questionnaires with open-ended-questions, administrated by trained female personnel.Results: All respondents had undergone FGM, most between 10 and 14 years of age. Complications were reported by 218 respondents (84.5%, the most common ones being excessive bleeding, delay in or incomplete healing, and tenderness. Fever was significantly more often reported by girls who had undergone FGM before 10 years of age compared with those who had undergone the procedure later. Out of those who reported complications, 187 (85.8% sought treatment, with 89 of them visiting a traditional healer, 75 a Sowei (traditional circumciser, and 16 a health professional.Conclusion: The high prevalence rate of FGM and the proportion of medical complications show that FGM is a matter for public health concern in Sierra Leone. Girls who

  20. Lassa fever in post-conflict sierra leone.

    Jeffrey G Shaffer

    2014-03-01

    Full Text Available Lassa fever (LF, an often-fatal hemorrhagic disease caused by Lassa virus (LASV, is a major public health threat in West Africa. When the violent civil conflict in Sierra Leone (1991 to 2002 ended, an international consortium assisted in restoration of the LF program at Kenema Government Hospital (KGH in an area with the world's highest incidence of the disease.Clinical and laboratory records of patients presenting to the KGH Lassa Ward in the post-conflict period were organized electronically. Recombinant antigen-based LF immunoassays were used to assess LASV antigenemia and LASV-specific antibodies in patients who met criteria for suspected LF. KGH has been reestablished as a center for LF treatment and research, with over 500 suspected cases now presenting yearly. Higher case fatality rates (CFRs in LF patients were observed compared to studies conducted prior to the civil conflict. Different criteria for defining LF stages and differences in sensitivity of assays likely account for these differences. The highest incidence of LF in Sierra Leone was observed during the dry season. LF cases were observed in ten of Sierra Leone's thirteen districts, with numerous cases from outside the traditional endemic zone. Deaths in patients presenting with LASV antigenemia were skewed towards individuals less than 29 years of age. Women self-reporting as pregnant were significantly overrepresented among LASV antigenemic patients. The CFR of ribavirin-treated patients presenting early in acute infection was lower than in untreated subjects.Lassa fever remains a major public health threat in Sierra Leone. Outreach activities should expand because LF may be more widespread in Sierra Leone than previously recognized. Enhanced case finding to ensure rapid diagnosis and treatment is imperative to reduce mortality. Even with ribavirin treatment, there was a high rate of fatalities underscoring the need to develop more effective and/or supplemental treatments for

  1. Good laboratory practices guarantee biosafety in the Sierra Leone-China friendship biosafety laboratory

    Wang, Qin; Zhou, Wei-Min; Zhang, Yong; Wang, Huan-Yu; Du, Hai-Jun; Nie, Kai; Song, Jing-Dong; Xiao, Kang; Lei, Wen-Wen; Guo, Jian-Qiang; Wei, He-Jiang; Cai, Kun; Wang, Yan-Hai; Wu, Jiang; Kamara, Gerard

    2016-01-01

    Background The outbreak of Ebola virus disease (EVD) in West Africa between 2014 and 2015 was the largest EDV epidemic since the identification of Ebola virus (EBOV) in 1976, and the countries most strongly affected were Sierra Leone, Guinea, and Liberia. Findings The Sierra Leone-China Friendship Biological Safety Laboratory (SLE-CHN Biosafety Lab), a fixed Biosafety Level 3 laboratory in the capital city of Sierra Leone, was established by the Chinese government and has been active in EBOV ...

  2. Hydrographic and chemical observations in the Sierra Leone River estuary

    Koske, P.H.; Weiler, K.

    1979-01-01

    Hydrographic and chemical observations in the Sierra Leone River estuary are reported, a West-African river in the tropics. Because of the typical change between rainy season in the sommer months and dry season in winter time the research work has been adapted to these semi-annual changes. The collected data and results are given and discussed under this aspect of the seasonal fluctuations. (orig.) [de

  3. Seroprevalence of Ebola virus infection in Bombali District, Sierra Leone

    Nadege Goumkwa Mafopa

    2017-12-01

    Full Text Available A serosurvey of anti-Ebola Zaire virus nucleoprotein IgG prevalence was carried out among Ebola virus disease survivors and their Community Contacts in Bombali District, Sierra Leone. Our data suggest that the specie of Ebola virus (Zaire responsible of the 2013-2016 epidemic in West Africa may cause mild or asymptomatic infection in a proportion of cases, possibly due to an efficient immune response.

  4. No Evidence for Lymphatic Filariasis Transmission in Big Cities Affected by Conflict Related Rural-Urban Migration in Sierra Leone and Liberia

    de Souza, Dziedzom K.; Sesay, Santigie; Moore, Marnijina G.; Ansumana, Rashid; Narh, Charles A.; Kollie, Karsor; Rebollo, Maria P.; Koudou, Benjamin G.; Koroma, Joseph B.; Bolay, Fatorma K.; Boakye, Daniel A.; Bockarie, Moses J.

    2014-01-01

    Background In West Africa, the principal vectors of lymphatic filariasis (LF) are Anopheles species with Culex species playing only a minor role in transmission, if any. Being a predominantly rural disease, the question remains whether conflict-related migration of rural populations into urban areas would be sufficient for active transmission of the parasite. Methodology/Principal Findings We examined LF transmission in urban areas in post-conflict Sierra Leone and Liberia that experienced significant rural-urban migration. Mosquitoes from Freetown and Monrovia, were analyzed for infection with Wuchereria bancrofti. We also undertook a transmission assessment survey (TAS) in Bo and Pujehun districts in Sierra Leone. The majority of the mosquitoes collected were Culex species, while Anopheles species were present in low numbers. The mosquitoes were analyzed in pools, with a maximum of 20 mosquitoes per pool. In both countries, a total of 1731 An. gambiae and 14342 Culex were analyzed for W. bancrofti, using the PCR. Two pools of Culex mosquitoes and 1 pool of An. gambiae were found infected from one community in Freetown. Pool screening analysis indicated a maximum likelihood of infection of 0.004 (95% CI of 0.00012–0.021) and 0.015 (95% CI of 0.0018–0.052) for the An. gambiae and Culex respectively. The results indicate that An. gambiae is present in low numbers, with a microfilaria prevalence breaking threshold value not sufficient to maintain transmission. The results of the TAS in Bo and Pujehun also indicated an antigen prevalence of 0.19% and 0.67% in children, respectively. This is well below the recommended 2% level for stopping MDA in Anopheles transmission areas, according to WHO guidelines. Conclusions We found no evidence for active transmission of LF in cities, where internally displaced persons from rural areas lived for many years during the more than 10 years conflict in Sierra Leone and Liberia. PMID:24516686

  5. Reducing CO2 emissions in Sierra Leone and Ghana

    Davidson, O.

    1991-01-01

    With soring population growth rates and minimal economic growth, the nations of Africa are afflicted with innumerable problems. Why then should Africa's developing countries worry about CO 2 emissions? First, because agricultural activities form the backbone of most African economies; thus, these nations may be particularly vulnerable to the negative impacts of climate change. Second, acting to reduce carbon emissions will bring about more efficient energy use. All of Africa could benefit from the improved use of energy. Finally, the accumulation of CO 2 in the atmosphere is a global problem with individual solutions; in order to reduce international emissions, all countries, including those in Africa, must contribute. Typical of many African countries, Ghana and Sierra Leone have among the lowest levels of energy demand per capita across the globe. primary energy demand per capita in these two West African nations equals about one quarter of the world's average and about one twentieth of the US average. This work summarizes the results of two long-term energy use and carbon emissions scenarios for Sierra Leone and Ghana. In the high emissions (HE) scenario for 2025, policy changes focused on galvanizing economic growth lead to significant increases in energy use and carbon emissions in Ghana and Sierra Leone between 1985 and 2025. In the low emissions (LE) scenario, the implementation of policies aimed specifically at curtailing CO 2 emissions significantly limits the increase in carbon in both nations by 2025

  6. Curriculum Diversification Re-examined--A Case Study of Sierra Leone.

    Wright, Cream A. H.

    This paper deals with a case study of secondary curriculum diversification as a vocationalization strategy in Sierra Leone. It explores diversification issues from four crucial standpoints that are distinct but highly interrelated. First, diversification is dealt with as a policy that was adopted and actively pursued by Sierra Leone for over a…

  7. Assessment of Anemia Knowledge, Attitudes and Behaviors among Pregnant Women in Sierra Leone

    M'Cormack, Fredanna A. D.; Drolet, Judy C.

    2012-01-01

    Introduction: Iron deficiency anemia prevalence of pregnant Sierra Leone women currently is reported to be 59.7%. Anemia is considered to be a direct cause of 3-7% of maternal deaths and an indirect cause of 20-40% of maternal deaths. This study explores knowledge, attitudes, and behaviors of urban pregnant Sierra Leone women regarding anemia.…

  8. Implementation of Safeguards and Non-Proliferation in Sierra Leone

    George, M.

    2015-01-01

    Sierra Leone under the Comprehensive Safeguards Agreements (CSAs) has enacted the Nuclear Safety and Radiation Protection (NSRP) Act 2012 and has given numerous powers to the Authority to implement the above mentioned act fully. The NSRP Act 2012 established the Nuclear Safety and Radiation Protection Authority which among other things to regulate, control and supervise the acquisition, importation, exportation, use, transportation and disposal of radioactive sources and devices emitting Ionizing Radiation. The Authority is bounded by law to cooperate with the International Atomic Energy Agency in the application of Safeguards Agreement and any protocol thereto between Sierra Leone and the International Atomic Energy Agency including conducting inspections and providing any assistance or information required by designated IAEA inspectors in the fulfillment of their responsibilities pursuant to Section 5, Subsection 2, Article xvi of the NSRP Act 2012. The Authority is also granted powers to adopt all necessary measures including a system of licensing to control the export, re-export, transit and transhipment of any nuclear material, equipment or technology in order to protect the safety and security of Sierra Leone. The Regulatory Authority has established departments for the control of nuclear materials: One of which is The Regulatory Control Department; responsible for Inspections, Authorization and Enforcement actions for all radiation sources and nuclear materials. The Authority has been conducting inspections regularly on various facilities ranging from medical radiation generating equipment to industrial radiography sources. The methodology to be used is the issuance of the standard IAEA checklist which is consistent with the Regulatory Authority’s documents for inspection of sources and is in line with the General Safety Requirements(GSR)Part III. The expected outcomes would be increasing training of regulatory authority’s staff, the procurement of

  9. WASH activities at two Ebola treatment units in Sierra Leone.

    Michaela Mallow

    Full Text Available The 2014 outbreak of Ebola virus disease (EVD in West Africa was the largest in history. Starting in September 2014, International Medical Corps (IMC operated five Ebola treatment units (ETUs in Sierra Leone and Liberia. This paper explores how future infectious disease outbreak facilities in resource-limited settings can be planned, organized, and managed by analyzing data collected on water, sanitation, and hygiene (WASH and infection prevention control (IPC protocols.We conducted a retrospective cohort study by analyzing WASH/IPC activity data routinely recorded on paper forms or white boards at ETUs during the outbreak and later merged into a database from two IMC-run ETUs in Sierra Leone between December 2014 and December 2015.The IMC WASH/IPC database contains data from over 369 days. Our results highlight parameters key to designing and maintaining an ETU. High concentration chlorine solution usage was highly correlated with both daily patient occupancy and high-risk zone staff entries; low concentration chlorine usage was less well explained by these measures. There is high demand for laundering and disinfecting of personal protective equipment (PPE on a daily basis and approximately 1 (0-4 piece of PPE is damaged each day.Lack of standardization in the type and format of data collected at ETUs made constructing the WASH/IPC database difficult. However, the data presented here may help inform humanitarian response operations in future epidemics.

  10. Home birth and hospital birth trends in Bo, Sierra Leone.

    Jacobsen, Kathryn H; Abdirahman, Hafsa A; Ansumana, Rashid; Bockarie, Alfred S; Bangura, Umaru; Jimmy, David Henry; Malanoski, Anthony P; Sundufu, Abu James; Stenger, David A

    2012-06-01

    As of April 2010, all maternity care at government healthcare facilities in Sierra Leone is provided at no cost to patients. In late 2010, we conducted a community health census of 18 sections of the city of Bo (selected via randomized cluster sampling from 68 total sections). Among the 3421 women with a history of pregnancy who participated in the study, older women most often reported having a history of both home and hospital deliveries, while younger women showed a preference for hospital births. The proportion of lastborn children delivered at a healthcare facility increased from 71.8% of offspring 10-14 years old to 81.1% of those one to nine years old and 87.3% of infants born after April 2010. These findings suggest that the new maternal healthcare initiative has accelerated an existing trend toward a preference for healthcare facility births, at least in some urban parts of Sierra Leone. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

  11. Development of a Pediatric Ebola Predictive Score, Sierra Leone1

    Wing, Kevin; Naveed, Asad; Gbessay, Musa; Ross, J.C.G.; Checchi, Francesco; Youkee, Daniel; Jalloh, Mohamed Boie; Baion, David E.; Mustapha, Ayeshatu; Jah, Hawanatu; Lako, Sandra; Oza, Shefali; Boufkhed, Sabah; Feury, Reynold; Bielicki, Julia; Williamson, Elizabeth; Gibb, Diana M.; Klein, Nigel; Sahr, Foday; Yeung, Shunmay

    2018-01-01

    We compared children who were positive for Ebola virus disease (EVD) with those who were negative to derive a pediatric EVD predictor (PEP) score. We collected data on all children <13 years of age admitted to 11 Ebola holding units in Sierra Leone during August 2014–March 2015 and performed multivariable logistic regression. Among 1,054 children, 309 (29%) were EVD positive and 697 (66%) EVD negative, with 48 (5%) missing. Contact history, conjunctivitis, and age were the strongest positive predictors for EVD. The PEP score had an area under receiver operating characteristics curve of 0.80. A PEP score of 7/10 was 92% specific and 44% sensitive; 3/10 was 30% specific, 94% sensitive. The PEP score could correctly classify 79%–90% of children and could be used to facilitate triage into risk categories, depending on the sensitivity or specificity required. PMID:29350145

  12. Ebola Virus Disease in Children, Sierra Leone, 2014–2015

    Naveed, Asad; Wing, Kevin; Gbessay, Musa; Ross, J.C.G.; Checchi, Francesco; Youkee, Daniel; Jalloh, Mohammed Boie; Baion, David; Mustapha, Ayeshatu; Jah, Hawanatu; Lako, Sandra; Oza, Shefali; Boufkhed, Sabah; Feury, Reynold; Bielicki, Julia A.; Gibb, Diana M.; Klein, Nigel; Sahr, Foday; Yeung, Shunmay

    2016-01-01

    Little is known about potentially modifiable factors in Ebola virus disease in children. We undertook a retrospective cohort study of children <13 years old admitted to 11 Ebola holding units in the Western Area, Sierra Leone, during 2014–2015 to identify factors affecting outcome. Primary outcome was death or discharge after transfer to Ebola treatment centers. All 309 Ebola virus–positive children 2 days–12 years old were included; outcomes were available for 282 (91%). Case-fatality was 57%, and 55% of deaths occurred in Ebola holding units. Blood test results showed hypoglycemia and hepatic/renal dysfunction. Death occurred swiftly (median 3 days after admission) and was associated with younger age and diarrhea. Despite triangulation of information from multiple sources, data availability was limited, and we identified no modifiable factors substantially affecting death. In future Ebola virus disease epidemics, robust, rapid data collection is vital to determine effectiveness of interventions for children. PMID:27649367

  13. Rebuilding after emergency: Revamping agricultural research in Sierra Leone after civil war

    Asenso-Okyere, Kwadwo; Workneh, Sindu; Rhodes, Edward; Sutherland, John

    2009-01-01

    "The civil war in Sierra Leone, caused by a mix of political, social, and economic factors, had a huge impact on the overall economy in general and on the performance of the agricultural sector in particular. The agricultural research system of Sierra Leone was severely affected by the civil war. Research infrastructure was destroyed, laboratories were damaged and abandoned, and well-trained researchers and scientists fled from the country. With the cessation of hostilities in 2002, the gover...

  14. DISCOnnections : popular music audiences in Free Town, Sierra Leone

    Stasik, M.

    2012-01-01

    This book offèrs an intriguing ac'co'unt of the co"mple"x and often contradictory relations between music and society in Freetown's past and present. Blending anthropological thought with ethnographic and historical research, it explores the conjunctures of music practices and social affiliations

  15. A biomass energy flow chart for Sierra Leone

    Amoo-Gottfried, K.; Hall, D.O.

    1999-01-01

    Terrestrial above-ground biomass production and utilisation in Sierra Leone was analysed for the years 1984/5 to 1990/1. The total production of biomass energy was estimated at an annual average of 131 PJ (39% from agriculture, 51% from forestry and 10% from livestock). Of the 117 PJ produced from agricultural and forestry operations, 37 PJ was harvested as firewood and burnt (10.9 GJ or 0.72 t wood per capita per year, supplying 80% of the country's energy), 12 PJ was harvested for food, 66 PJ was unutilised crop and forestry residues, 3 PJ was harvested crop residues for use directly as fuel, and 2 PJ was harvested and used for industrial purposes and not for fuel. Livestock produced wastes with an energy content of 13 PJ of which only 0.1 PJ was collected and used for fuel. Thus 54 PJ (41%) of the 131 PJ of biomass energy produced annually was actually utilised while 49 PJ remained as unused agricultural residues and dung, and a further 27 PJ was unused forestry residues. The total amount of biomass (fuelwood, residues and dung) used directly to provide energy, mostly in households, was estimated at 40 PJ (11.8 GJ per capita per year of 0.79 t fuelwood equivalent). Direct biomass energy utilisation in agroindustry (0.4 PJ) was negligible in comparison. Two assessments of Sierra Leone's biomass standing stock and MAI (mean annual increment) were examined in order to assess the sustainability of various biomass use scenarios. Large differences were found between the MAI of the two assessments, making it difficult to predict sustainability of biomass production and use. The estimation of total standing stock varied between 227 and 366 Mt and the estimation of MAI varied between 15 and 70 Mt. Analysis of the availability and use of the biomass resource is crucial if biomass energy is to be used on a sustainable basis. A software package has been developed and is available to draft biomass flow charts but further work is needed to incorporate social and economic

  16. Filling the gap 115 years after Ronald Ross: the distribution of the Anopheles coluzzii and Anopheles gambiae s.s from Freetown and Monrovia, West Africa.

    Dziedzom K de Souza

    Full Text Available It was in Freetown, Sierra Leone, that the malaria mosquito Anopheles coastalis, now known as Anopheles gambiae, was first discovered as the vector of malaria, in 1899. That discovery led to a pioneering vector research in Sierra Leone and neighbouring Liberia, where mosquito species were extensively characterized. Unfortunately, the decade long civil conflicts of the 1990s, in both countries, resulted in a stagnation of the once vibrant research on disease vectors. This paper attempts to fill in some of the gaps on what is now known of the distribution of the sibling species of the An. gambiae complex, and especially the An. coluzzii and An. gambiae s.s, formerly known as the An. gambiae molecular M and S forms respectively, in the cities of Freetown and Monrovia.

  17. A Self-Assessment of the Effectiveness to Control Radiation Sources in Sierra Leone

    Bun-Tejan, Umaru Remilekun [KAIST, Daejeon (Korea, Republic of); Lee, Byung Soo [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2016-10-15

    There is an urgent need to effectively control sources of ionizing radiation. Sources of ionizing radiation pose serious occupational, public health, and environmental consequences, if not properly controlled. The government of Sierra Leone knows the importance of controlling these sources of ionizing radiation and of establishing an independent Nuclear Safety Infrastructure. Sierra Leone has no nuclear facilities but, it is rapidly developing its infrastructure in order to obtain nuclear technology. However, the regulatory effectiveness in controlling radiation risk is essential for the International Atomic Energy Agency to allow the transfer of nuclear technology. For this reason, this study will evaluate the status of the regulatory authority in Sierra Leone to control radiation risk. The International Atomic Energy Agency (IAEA) review mission to Sierra Leone found that the RPBA did not give sufficient enforcement powers to the Board Secretariat. The research evaluated the status of the regulatory authority of Sierra Leone. The status of the regulatory authority was evaluated against several parameters including management systems, regulatory processes, authorization, inspection, and enforcement. The ability to effectively control ionizing radiation sources depends on the status of the regulatory body. The Integrated Regulatory Review Service Report on Sierra Leone led us to infer that there is a need for the regulatory authority to rapidly improve its ability to control ionizing radiation sources in the country. The findings however, revealed that the overall strengths of the regulatory body in Sierra Leone slightly outnumber the weaknesses. Management systems have a ratio of 0.85:1 of strengths to weaknesses. This ratio makes management systems the weakest parameter evaluated. Thus there is need for stronger collaboration between management staff. The Regulatory processes have a ratio of 1.3:1, authorizations have a ratio of 4.3:1, inspections have ratio of 2

  18. A Self-Assessment of the Effectiveness to Control Radiation Sources in Sierra Leone

    Bun-Tejan, Umaru Remilekun; Lee, Byung Soo

    2016-01-01

    There is an urgent need to effectively control sources of ionizing radiation. Sources of ionizing radiation pose serious occupational, public health, and environmental consequences, if not properly controlled. The government of Sierra Leone knows the importance of controlling these sources of ionizing radiation and of establishing an independent Nuclear Safety Infrastructure. Sierra Leone has no nuclear facilities but, it is rapidly developing its infrastructure in order to obtain nuclear technology. However, the regulatory effectiveness in controlling radiation risk is essential for the International Atomic Energy Agency to allow the transfer of nuclear technology. For this reason, this study will evaluate the status of the regulatory authority in Sierra Leone to control radiation risk. The International Atomic Energy Agency (IAEA) review mission to Sierra Leone found that the RPBA did not give sufficient enforcement powers to the Board Secretariat. The research evaluated the status of the regulatory authority of Sierra Leone. The status of the regulatory authority was evaluated against several parameters including management systems, regulatory processes, authorization, inspection, and enforcement. The ability to effectively control ionizing radiation sources depends on the status of the regulatory body. The Integrated Regulatory Review Service Report on Sierra Leone led us to infer that there is a need for the regulatory authority to rapidly improve its ability to control ionizing radiation sources in the country. The findings however, revealed that the overall strengths of the regulatory body in Sierra Leone slightly outnumber the weaknesses. Management systems have a ratio of 0.85:1 of strengths to weaknesses. This ratio makes management systems the weakest parameter evaluated. Thus there is need for stronger collaboration between management staff. The Regulatory processes have a ratio of 1.3:1, authorizations have a ratio of 4.3:1, inspections have ratio of 2

  19. Improving outcomes for caregivers through treatment of young people affected by war: a randomized controlled trial in Sierra Leone.

    McBain, Ryan K; Salhi, Carmel; Hann, Katrina; Kellie, Jim; Kamara, Alimamy; Salomon, Joshua A; Kim, Jane J; Betancourt, Theresa S

    2015-12-01

    To measure the benefits to household caregivers of a psychotherapeutic intervention for adolescents and young adults living in a war-affected area. Between July 2012 and July 2013, we carried out a randomized controlled trial of the Youth Readiness Intervention--a cognitive-behavioural intervention for war-affected young people who exhibit depressive and anxiety symptoms and conduct problems--in Freetown, Sierra Leone. Overall, 436 participants aged 15-24 years were randomized to receive the intervention (n = 222) or care as usual (n = 214). Household caregivers for the participants in the intervention arm (n = 101) or control arm (n = 103) were interviewed during a baseline survey and again, if available (n = 155), 12 weeks later in a follow-up survey. We used a burden assessment scale to evaluate the burden of care placed on caregivers in terms of emotional distress and functional impairment. The caregivers' mental health--i.e. internalizing, externalizing and prosocial behaviour--was evaluated using the Oxford Measure of Psychosocial Adjustment. Difference-in-differences multiple regression analyses were used, within an intention-to-treat framework, to estimate the treatment effects. Compared with the caregivers of participants of the control group, the caregivers of participants of the intervention group reported greater reductions in emotional distress (scale difference: 0.252; 95% confidence interval, CI: 0.026-0.4782) and greater improvements in prosocial behaviour (scale difference: 0.249; 95% CI: 0.012-0.486) between the two surveys. A psychotherapeutic intervention for war-affected young people can improve the mental health of their caregivers.

  20. Sierra Leone Journal of Biomedical Research - Vol 5, No 1 (2013)

    Assessment of the Therapeutic Efficacy of Two Artemisinin-Based Combinations in the Treatment of Uncomplicated Falciparum Malaria among Children Under ... The Use of Mobile Electronic Devices for Public Health Data Collection and Syndromic Surveillance at the Republic Of Sierra Leone Armed Forces · EMAIL FREE ...

  1. Child mental health in Sierra Leone : A survey and exploratory qualitative study

    Yoder, H.N.C.; Tol, W.A.; Reis, R.; de Jong, J.T.V.M.

    2016-01-01

    Background This study complements the growing amount of research on the psychosocial impact of war on children in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help-seeking behaviour and stigma. Methods The study combined: (1) a nationwide

  2. Training for Innovation: Capacity-Building in Agricultural Research in Post-War Sierra Leone

    Gboku, Matthew L. S.; Bebeley, Jenneh F.

    2016-01-01

    This paper examines how the Sierra Leone Agricultural Research Institute (SLARI) used training and development to build capacity for innovation in agricultural research following the country's civil war which ended in 2002. The Institute's training for innovation addressed different agricultural product value chains (APVCs) within the framework of…

  3. The Role of Religion During and After the Civil War in Sierra Leone ...

    Civil wars in Africa are renowned for their strong religious elements, with religion being used for different purposes and in different capacities. Sierra Leone's civil war (1991-2002), known also as the “rebel war,” had significant religious dimensions. The warring factions used religion for their gain. Beyond that, Muslim and ...

  4. Reconstruction versus Transformation: Post-War Education and the Struggle for Gender Equity in Sierra Leone

    Maclure, Richard; Denov, Myriam

    2009-01-01

    In post-war contexts, education is widely regarded as essential not only for civic reconciliation, but also as a key force for gender equity. In Sierra Leone, however, despite enhanced educational opportunities for girls, much of the emphasis on post-war educational reconstruction is unlikely to rectify gender inequities that remain entrenched…

  5. commercial drinking water quality and safety in bo city, sierra leone

    Sierra Leone Journal of Biomedical Research ... These include 6 water sources and the production facilities for 10 brands of machine-filled factory-produced water sachets as well as the 10 sources and finished samples for ... Workers at all of these facilities were also interviewed about their knowledge and practices.

  6. The Violence of Peace and the Role of Education: Insights from Sierra Leone

    Novelli, Mario; Higgins, Sean

    2017-01-01

    Research on peacebuilding has mushroomed over the last decade and there is a growing interest in the role of education in supporting peacebuilding processes. This paper engages with these debates, UN peacebuilding activities and the location of education initiatives therein, through a case study of Sierra Leone. In the first part, we explore the…

  7. School Persistence in the Wake of War: Wartime Experiences, Reintegration Supports, and Dropout in Sierra Leone

    Zuilkowski, Stephanie Simmons; Betancourt, Theresa S.

    2014-01-01

    This article examines the relationship of wartime experience and reintegration supports to students' risk of school dropout. It draws on longitudinal, mixed-methods data collected among children and youth in Sierra Leone from 2002 through 2008. The study finds that family financial support and perceived social support are positively associated…

  8. Learning Curve Characteristics for Caesarean Section Among Associate Clinicians : A Prospective Study from Sierra Leone

    Waalewijn, B.P.; van Duinen, A.; Koroma, A. P.; Rijken, M. J.; Elhassein, M.; Bolkan, H. A.

    2017-01-01

    Background: In response to the high maternal mortality ratio, Sierra Leone has adopted an associate clinician postgraduate surgical task-sharing training programme. Little is known about learning curve characteristics for caesarean sections among associate clinicians. The aim of this study is to

  9. Converts to human rights? Popular debate about war and justice in rural central Sierra Leone

    Archibald, S.; Richards, P.

    2002-01-01

    Internationally, war in Sierra Leone (1991-2002) is regarded as an instance of violent conflict driven by economic factors (attempts to control the mining of alluvial diamonds). Fieldwork (2000-01) in rural areas recovering from war suggests a very different picture. War victims and combatants from

  10. Management of rice seed during insurgency : a case study in Sierra Leone

    Mokuwa, G.A.

    2015-01-01

    Keywords: Technography, Oryza glaberrima, Oryza sativa, farmer hybrids, sub-optimal agriculture, farmer adaptive management, plant genetic resources, peace and extreme (wartime) conditions, local seed channels, selection for robustness, Sierra Leone, West Africa.

  11. Empowering Women through Education: Evidence from Sierra Leone. NBER Working Paper No. 18016

    Mocan, Naci H.; Cannonier, Colin

    2012-01-01

    We use data from Sierra Leone where a substantial education program provided increased access to education for primary-school age children but did not benefit children who were older. We exploit the variation in access to the program generated by date of birth and the variation in resources between various districts of the country. We find that…

  12. Scaling up family planning in Sierra Leone: A prospective cost-benefit analysis.

    Keen, Sarah; Begum, Hashina; Friedman, Howard S; James, Chris D

    2017-12-01

    Family planning is commonly regarded as a highly cost-effective health intervention with wider social and economic benefits. Yet use of family planning services in Sierra Leone is currently low and 25.0% of married women have an unmet need for contraception. This study aims to estimate the costs and benefits of scaling up family planning in Sierra Leone. Using the OneHealth Tool, two scenarios of scaling up family planning coverage to currently married women in Sierra Leone over 2013-2035 were assessed and compared to a 'no-change' counterfactual. Our costing included direct costs of drugs, supplies and personnel time, programme costs and a share of health facility overhead costs. To monetise the benefits, we projected the cost savings of the government providing five essential social services - primary education, child immunisation, malaria prevention, maternal health services and improved drinking water - in the scale-up scenarios compared to the counterfactual. The total population, estimated at 6.1 million in 2013, is projected to reach 8.3 million by 2035 in the high scenario compared to a counterfactual of 9.6 million. We estimate that by 2035, there will be 1400 fewer maternal deaths and 700 fewer infant deaths in the high scenario compared to the counterfactual. Our modelling suggests that total costs of the family planning programme in Sierra Leone will increase from US$4.2 million in 2013 to US$10.6 million a year by 2035 in the high scenario. For every dollar spent on family planning, Sierra Leone is estimated to save US$2.10 in expenditure on the five selected social sector services over the period. There is a strong investment case for scaling up family planning services in Sierra Leone. The ambitious scale-up scenarios have historical precedent in other sub-Saharan African countries, but the extent to which they will be achieved depends on a commitment from both the government and donors to strengthening Sierra Leone's health system post-Ebola.

  13. Macroeconomic costs of the unmet burden of surgical disease in Sierra Leone: a retrospective economic analysis.

    Grimes, Caris E; Quaife, Matthew; Kamara, Thaim B; Lavy, Christopher B D; Leather, Andy J M; Bolkan, Håkon A

    2018-03-14

    The Lancet Commission on Global Surgery estimated that low/middle-income countries will lose an estimated cumulative loss of US$12.3 trillion from gross domestic product (GDP) due to the unmet burden of surgical disease. However, no country-specific data currently exist. We aimed to estimate the costs to the Sierra Leone economy from death and disability which may have been averted by surgical care. We used estimates of total, met and unmet need from two main sources-a cluster randomised, cross-sectional, countrywide survey and a retrospective, nationwide study on surgery in Sierra Leone. We calculated estimated disability-adjusted life years from morbidity and mortality for the estimated unmet burden and modelled the likely economic impact using three different methods-gross national income per capita, lifetime earnings foregone and value of a statistical life. In 2012, estimated, discounted lifetime losses to the Sierra Leone economy from the unmet burden of surgical disease was between US$1.1 and US$3.8 billion, depending on the economic method used. These lifetime losses equate to between 23% and 100% of the annual GDP for Sierra Leone. 80% of economic losses were due to mortality. The incremental losses averted by scale up of surgical provision to the Lancet Commission target of 80% were calculated to be between US$360 million and US$2.9 billion. There is a large economic loss from the unmet need for surgical care in Sierra Leone. There is an immediate need for massive investment to counteract ongoing economic losses. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  14. Quality improvement in emergency service delivery: Assessment of knowledge and skills amongst emergency nurses at Connaught Hospital, Sierra Leone

    Hedda Bøe Nyhus

    2017-09-01

    Conclusion: This study has identified key aspects of emergency nursing speciality training to be developed through theoretical and skill-based education provided by the nursing schools and hospital clinical facilities in Sierra Leone.

  15. Landsat-Derived Estimates of Mangrove Extents in the Sierra Leone Coastal Landscape Complex during 1990-2016.

    Mondal, Pinki; Trzaska, Sylwia; de Sherbinin, Alex

    2017-12-21

    This study provides the first assessment of decadal changes in mangrove extents in Sierra Leone. While significant advances have been made in mangrove mapping using remote sensing, no study has documented long-term changes in mangrove extents in Sierra Leone-one of the most vulnerable countries in West Africa. Such understanding is critical for devising regional management strategies that can support local livelihoods. We utilize multi-date Landsat data and cloud computational techniques to quantify spatiotemporal changes in land cover, with focus on mangrove ecosystems, for 1990-2016 along the coast of Sierra Leone. We specifically focus on four estuaries-Scarcies, Sierra Leone, Yawri Bay, and Sherbro. We relied on the k-means approach for an unsupervised classification, and validated the classified map from 2016 using ground truth data collected from Sentinel-2 and high-resolution images and during field research (accuracy: 95%). Our findings indicate that the Scarcies river estuary witnessed the greatest mangrove loss since 1990 (45%), while the Sierra Leone river estuary experienced mangrove gain over the last 26 years (22%). Overall, the Sierra Leone coast lost 25% of its mangroves between 1990 and 2016, with the lowest coverage in 2000, during the period of civil war (1991-2002). However, natural mangrove dynamics, as supported by field observations, indicate the potential for regeneration and sustainability under carefully constructed management strategies.

  16. Innovation diffusion and development in a Third World setting: the cooperative movement in Sierra Leone

    Brown, L.A. (Ohio State Univ., Columbus); Schneider, R.; Harvey, M.E.; Riddell, J.B.

    1979-09-01

    The interface between innovation diffusion and economic development and social change in Third World settings is investigated. The paper first presents a conceptual framework linking diffusion processes and development and then exemplifies a portion of that framework by examining the diffusion of agricultural cooperatives in Sierra Leone from 1948 through 1967. Attention is then turned to elements of the historical development of a cooperative movement in Sierra Leone which are important for understanding the processes underlying that diffusion. The temporal and spatial patterns of diffusion are discussed and the statistical analyses that assess (1) which variables provide a basis for distinguishing political units with cooperatives from those without, and (2) which variables account for the differences in the time at which cooperatives were established are examined. The findings are integrated with the theory presented. 41 references.

  17. Measuring work engagement among community health workers in Sierra Leone: Validating the Utrecht Work Engagement Scale

    Vallières, Frédérique; McAuliffe, Eilish; Hyland, Philip; Galligan, Marie; Ghee, Annette

    2017-01-01

    This study examines the concept of volunteer work engagement in a sample of 334 community health workers in Bonthe District, Sierra Leone. Structural equation modelling was used to validate both the 9-item and the 17-item Utrecht Work Engagement Scale (UWES-9 and UWES-17, respectively). Results assessing the UWES-17 invalidated the three-factor structure within this cohort of community health workers, as high correlations were found between latent factors. Findings for the validity of the UWE...

  18. Distance, accessibility and costs. Decision-making during childbirth in rural Sierra Leone: A qualitative study.

    Laura Treacy

    Full Text Available Sierra Leone has one of the highest maternal mortality ratios in the world. Efforts to reduce maternal mortality have included initiatives to encourage more women to deliver at health facilities. Despite the introduction of the free health care initiative for pregnant women, many women still continue to deliver at home, with few having access to a skilled birth attendant. In addition, inequalities between rural and urban areas in accessing and utilising health facilities persist. Further insight into how and why women make decisions around childbirth will help guide future plans and initiatives in improving maternal health in Sierra Leone. The objective of this study was to explore the perceptions and decision-making processes of women and their communities during childbirth in rural Sierra Leone.Data were collected through seven focus group discussions and 22 in-depth interviews with recently pregnant women and their community members in two rural villages. Data were analysed using systematic text condensation. Findings revealed that decision-making processes during childbirth are dynamic, intricate and need to be understood within the broader social context that they take place. Factors such as distance and lack of transport, perceived negative behaviour of hospital staff, direct and indirect financial obstacles, as well as the position of women in society all interact and influence how and what decisions are made.Pregnant women face multiple interacting vulnerabilities that influence their healthcare-seeking decisions during pregnancy and childbirth. Future initiatives to improve access and utilisation of safe healthcare services for pregnant women need to be based on adequate knowledge of structural constraints and health inequities that affect women in rural Sierra Leone.

  19. Improving access to surgery in a developing country: experience from a surgical collaboration in Sierra Leone.

    Kushner, Adam L; Kamara, Thaim B; Groen, Reinou S; Fadlu-Deen, Betsy D; Doah, Kisito S; Kingham, T Peter

    2010-01-01

    Although surgery is increasingly recognized as an essential component of primary health care, there has been little documentation of surgical programs in low- and middle-income countries. Surgeons OverSeas (SOS) is a New York-based organization with a mission to save lives in developing countries by improving surgical care. This article highlights the surgical program in Sierra Leone as a possible model to improve access to surgery. An SOS team conducted a needs assessment of surgical capacity in Sierra Leone in February 2008. Interventions were then developed and programs were implemented. A follow-up assessment was conducted in December 2009, which included interviews of key Sierra Leone hospital personnel and a review of operating room log books. Based on an initial needs assessment, a program was developed that included training, salary support, and the provision of surgical supplies and equipment. Two 3-day workshops were conducted for a total of 44 health workers, salary support given to over 100 staff, and 2 containers of supplies and equipment were donated. Access to surgery, as measured by the number of major operations at Connaught Hospital, increased from 460 cases in 2007 to 768 cases in 2009. The SOS program in Sierra Leone highlights a method for improving access to surgery that incorporates an initial needs assessment with minimal external support and local staff collaboration. The program functions as a catalyst by providing training, salary support, and supplies. The beneficial results of the program can then be used to advocate for additional resources for surgery from policy makers. This model could be beneficial in other resource-poor countries in which improved access to surgery is desired. Copyright 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  20. Good laboratory practices guarantee biosafety in the Sierra Leone-China friendship biosafety laboratory.

    Wang, Qin; Zhou, Wei-Min; Zhang, Yong; Wang, Huan-Yu; Du, Hai-Jun; Nie, Kai; Song, Jing-Dong; Xiao, Kang; Lei, Wen-Wen; Guo, Jian-Qiang; Wei, He-Jiang; Cai, Kun; Wang, Yan-Hai; Wu, Jiang; Kamara, Gerard; Kamara, Idrissa; Wei, Qiang; Liang, Mi-Fang; Wu, Gui-Zhen; Dong, Xiao-Ping

    2016-06-23

    The outbreak of Ebola virus disease (EVD) in West Africa between 2014 and 2015 was the largest EDV epidemic since the identification of Ebola virus (EBOV) in 1976, and the countries most strongly affected were Sierra Leone, Guinea, and Liberia. The Sierra Leone-China Friendship Biological Safety Laboratory (SLE-CHN Biosafety Lab), a fixed Biosafety Level 3 laboratory in the capital city of Sierra Leone, was established by the Chinese government and has been active in EBOV detection since 11 March 2015. Complete management and program documents were created for the SLE-CHN Biosafety Lab, and it was divided into four zones (the green, yellow, brown, and red zones) based on the risk assessment. Different types of safe and appropriate personnel protection equipment (PPE) are used in different zones of the laboratory, and it fully meets the Biosafety Level 3 laboratory standards of the World Health Organization. Good preparedness, comprehensive risk assessment and operation documents, appropriate PPE, effective monitoring and intensive training, together with well-designed and reasonable laboratory sectioning are essential for guaranteeing biosafety.

  1. Experiences of providing prosthetic and orthotic services in Sierra Leone--the local staff's perspective.

    Magnusson, Lina; Ahlström, Gerd

    2012-01-01

    In Sierra Leone, West Africa, there are many people with disabilities in need of rehabilitation services after a long civil war. The aim of this qualitative study was to explore the experiences of prosthetic and orthotic service delivery in Sierra Leone from the local staff's perspective. Fifteen prosthetic and orthotic technicians working at all the rehabilitation centres providing prosthetic and orthotic services in Sierra Leone were interviewed. The interviews were transcribed and subjected to latent content analysis. One main theme emerged: sense of inability to deliver high-quality prosthetic and orthotic services. This main theme was generated from eight sub-themes: Desire for professional development; appraisals of work satisfaction and norms; patients neglected by family; limited access to the prosthetic and orthotic services available; problems with materials and machines; low public awareness concerning disabilities; marginalisation in society and low priority on the part of government. The findings illustrated traditional beliefs about the causes of disability and that the public's attitude needs to change to include and value people with disabilities. Support from international organisations was considered necessary as well as educating more prosthetic and orthotic staff to a higher level.

  2. Mental health care during the Ebola virus disease outbreak in Sierra Leone.

    Kamara, Stania; Walder, Anna; Duncan, Jennifer; Kabbedijk, Antoinet; Hughes, Peter; Muana, Andrew

    2017-12-01

    Reported levels of mental health and psychosocial problems rose during the 2014-2015 Ebola virus disease outbreak in Sierra Leone. As part of the emergency response, existing plans to create mental health units within the existing hospital framework were brought forward. A nurse-led mental health and psychosocial support service, with an inpatient liaison service and an outpatient clinic, was set up at the largest government hospital in the country. One mental health nurse trained general nurses in psychological first aid, case identification and referral pathways. Health-care staff attended mental well-being workshops on coping with stigma and stress. Mental health service provision in Sierra Leone is poor, with one specialist psychiatric hospital to serve the population of 7 million. From March 2015 to February 2016, 143 patients were seen at the clinic; 20 had survived or had relatives affected by Ebola virus disease. Half the patients (71) had mild distress or depression, anxiety disorders and grief or social problems, while 30 patients presented with psychosis requiring medication. Fourteen non-specialist nurses received mental health awareness training. Over 100 physicians, nurses and auxiliary staff participated in well-being workshops. A nurse-led approach within a non-specialist setting was a successful model for delivering mental health and psychosocial support services during the Ebola outbreak in Sierra Leone. Strong leadership and partnerships were essential for establishing a successful service. Lack of affordable psychotropic medications, limited human resources and weak social welfare structures remain challenges.

  3. Sierra Leone Journal of Biomedical Research Original Article

    User

    A publication of the College of Medicine and Allied Health Sciences, University of Sierra ... TESTING (VCT) FOR HIV AMONG NURSING STUDENTS IN ZAMBIA ... All students were aware of where to go for VCT, and 80% .... attitudes that assure patients that they will be .... them better practitioners, but their awareness of.

  4. Viraemia and Ebola virus secretion in survivors of Ebola virus disease in Sierra Leone: a cross-sectional cohort study.

    Green, Edward; Hunt, Luke; Ross, J C Gareth; Nissen, Nina Marie; Curran, Tanya; Badhan, Anjna; Sutherland, Katherine A; Richards, Jade; Lee, James S; Allen, Samuel H; Laird, Steven; Blackman, Mandy; Collacott, Ian; Parker, Paul A; Walbridge, Andrew; Phillips, Rebecca; Sellu, Sia Jammie; Dama, Agnes; Sheriff, Alpha Karim; Zombo, Joseph; Ngegba, Doris; Wurie, Alieh H; Checchi, Francesco; Brooks, Timothy J

    2016-09-01

    In survivors of Ebola virus disease, clinical sequelae including uveitis, arthralgia, and fatigue are common and necessitate systematic follow-up. However, the infection risk to health-care providers is poorly defined. Here we report Ebola virus RT-PCR data for body site and fluid samples from a large cohort of Ebola virus survivors at clinic follow-up. In this cross-sectional cohort study, consecutive survivors of Ebola virus disease attending Kerry Town survivor clinic (Freetown, Sierra Leone), who had been discharged from the Kerry Town Ebola treatment unit, were invited to participate. We collected and tested axillary, blood, conjunctival, forehead, mouth, rectal, semen, urine, and vaginal specimens for presence of Ebola virus using RT-PCR. We regarded samples to be positive for Ebola virus disease if the cycle threshold was 40 or lower. We collected demographic data from survivors of their age, sex, time since discharge from the treatment unit, and length of acute admission in the Ebola treatment unit using anonymised standard forms. Between April 2, and June 16, 2015, of 151 survivors of Ebola virus disease invited to participate, 112 (74%) provided consent. The median age of participants was 21·5 years (IQR 14-31·5) with 34 (30%) participants younger than 16 years. 50 (45%) of 112 participants were male. We tested a total of 555 specimens: 103 from the axilla, 93 from blood, 92 from conjunctiva, 54 from forehead, 105 from mouth, 17 from the rectum, one from semen, 69 from urine, and 21 from the vagina. The median time from Ebola treatment unit discharge to specimen collection was 142 days (IQR 127-159). 15 participants had a total of 74 swabs taken less than 100 days from discharge. The semen sample from one participant tested positive for Ebola virus at 114 days after discharge from the treatment unit; specimens taken from the axilla, blood, conjunctiva, forehead, mouth, rectum, and urine of the same participant tested negative. All specimens from the

  5. Clinical illness and outcomes in patients with Ebola in Sierra Leone.

    Schieffelin, John S; Shaffer, Jeffrey G; Goba, Augustine; Gbakie, Michael; Gire, Stephen K; Colubri, Andres; Sealfon, Rachel S G; Kanneh, Lansana; Moigboi, Alex; Momoh, Mambu; Fullah, Mohammed; Moses, Lina M; Brown, Bethany L; Andersen, Kristian G; Winnicki, Sarah; Schaffner, Stephen F; Park, Daniel J; Yozwiak, Nathan L; Jiang, Pan-Pan; Kargbo, David; Jalloh, Simbirie; Fonnie, Mbalu; Sinnah, Vandi; French, Issa; Kovoma, Alice; Kamara, Fatima K; Tucker, Veronica; Konuwa, Edwin; Sellu, Josephine; Mustapha, Ibrahim; Foday, Momoh; Yillah, Mohamed; Kanneh, Franklyn; Saffa, Sidiki; Massally, James L B; Boisen, Matt L; Branco, Luis M; Vandi, Mohamed A; Grant, Donald S; Happi, Christian; Gevao, Sahr M; Fletcher, Thomas E; Fowler, Robert A; Bausch, Daniel G; Sabeti, Pardis C; Khan, S Humarr; Garry, Robert F

    2014-11-27

    Limited clinical and laboratory data are available on patients with Ebola virus disease (EVD). The Kenema Government Hospital in Sierra Leone, which had an existing infrastructure for research regarding viral hemorrhagic fever, has received and cared for patients with EVD since the beginning of the outbreak in Sierra Leone in May 2014. We reviewed available epidemiologic, clinical, and laboratory records of patients in whom EVD was diagnosed between May 25 and June 18, 2014. We used quantitative reverse-transcriptase-polymerase-chain-reaction assays to assess the load of Ebola virus (EBOV, Zaire species) in a subgroup of patients. Of 106 patients in whom EVD was diagnosed, 87 had a known outcome, and 44 had detailed clinical information available. The incubation period was estimated to be 6 to 12 days, and the case fatality rate was 74%. Common findings at presentation included fever (in 89% of the patients), headache (in 80%), weakness (in 66%), dizziness (in 60%), diarrhea (in 51%), abdominal pain (in 40%), and vomiting (in 34%). Clinical and laboratory factors at presentation that were associated with a fatal outcome included fever, weakness, dizziness, diarrhea, and elevated levels of blood urea nitrogen, aspartate aminotransferase, and creatinine. Exploratory analyses indicated that patients under the age of 21 years had a lower case fatality rate than those over the age of 45 years (57% vs. 94%, P=0.03), and patients presenting with fewer than 100,000 EBOV copies per milliliter had a lower case fatality rate than those with 10 million EBOV copies per milliliter or more (33% vs. 94%, P=0.003). Bleeding occurred in only 1 patient. The incubation period and case fatality rate among patients with EVD in Sierra Leone are similar to those observed elsewhere in the 2014 outbreak and in previous outbreaks. Although bleeding was an infrequent finding, diarrhea and other gastrointestinal manifestations were common. (Funded by the National Institutes of Health and

  6. Retention of health workers in rural Sierra Leone: findings from life histories.

    Wurie, Haja R; Samai, Mohamed; Witter, Sophie

    2016-02-01

    Sierra Leone has faced a shortage and maldistribution of staff in its post-conflict period. This long-standing challenge is now exacerbated by the systemic shock and damage wrought by Ebola. This study aimed to investigate the importance of different motivation factors in rural areas in Sierra Leone and thus to contribute to better decisions on financial and non-financial incentive packages, here and in similar contexts. This article is based on participatory life histories, conducted in 2013 with 23 health workers (doctors, nurses, midwives and Community Health Officers) in four regions of Sierra Leone who had worked in the sector since 2000. Although the interviews covered a wide range of themes, here we present findings on motivating and demotivating factors for staff, especially those in rural areas, based on thematic analysis of transcripts. Rural health workers face particular challenges, some of which stem from the difficult terrain, which add to common disadvantages of rural living (poor social amenities, etc.). Poor working conditions, emotional and financial costs of separation from families, limited access to training, longer working hours (due to staff shortages) and the inability to earn from other sources make working in rural areas less attractive. Moreover, rules on rotation which should protect staff from being left too long in rural areas are not reported to be respected. By contrast, poor management had more resonance in urban areas, with reports of poor delegation, favouritism and a lack of autonomy for staff. Tensions within the team over unclear roles and absenteeism are also significant demotivating factors in general. This study provides important policy-focused insights into motivation of health workers and can contribute towards building a resilient and responsive health system, incorporating the priorities and needs of health workers. Their voices and experiences should be taken into account as the post-Ebola landscape is shaped.

  7. Medical Officers in Sierra Leone: Surgical Training Opportunities, Challenges and Aspirations.

    Wilks, Lucy; Leather, Andrew; George, Peter Matthew; Kamara, Thaim Bay

    2018-02-05

    The critical shortage of human resources for healthcare falls most heavily on sub-Saharan nations such as Sierra Leone, where such workforce deficits have grave impacts on its burden of surgical disease. An important aspect in retention and development of the workforce is training. This study focuses on postgraduate surgical training (formal and short course) and perceptions of opportunities, challenges and aspirations, in a country where more than half of surgical procedures are performed by medical officers. The study presents findings from 12 in-depth semi-structured interviews conducted with medical officers by the primary investigator in Sierra Leone between April and June 2017. Each interview was transcribed alongside an introspective reflexive journal to acknowledge and account for researcher biases. Two interviewees had accessed postgraduate surgical training and 10 (83%) had accessed short course surgically relevant training. The number of short courses accessed grew higher the more recently the medical officers had graduated. Supervision, short length and international standards were the most appreciated aspects of short training courses. Some medical officers perceived the formal postgraduate surgical training programme to be ill-equipped, doubting its credibility. This demotivated some from applying. Training is an essential aspect of developing an adequate surgical workforce. Faith must be restored in the capabilities of Sierra Leone's Ministry of Health and Sanitation to provide adequate and sustainable training. This study advocates for the use of short courses to restore this faith and the expansion of postgraduate surgical training to the districts through developing a regional teaching complex to provide short courses and eventually formal postgraduate training in the future. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. Maternal health, war, and religious tradition: authoritative knowledge in Pujehun District, Sierra Leone.

    Jambai, A; MacCormack, C

    1996-06-01

    In Sierra Leone constraints to ideal maternal health require a primary health care approach that includes collaboration with traditional midwives. They are authoritative figures embedded within local political structures and a powerful women's religion. The local causes of maternal risk are described, including civil war and refugee camp life. Traditional midwives provide vital services in the camp, are respected for their social status, and learn additional skills. Biomedical and traditional systems of authoritative knowledge, based on different kinds of legitimacy to heal, are in a complementary relationship.

  9. The Ebola virus disease outbreak and the mineral sectors of Guinea, Liberia, and Sierra Leone

    Bermúdez-Lugo, Omayra; Menzie, William D.

    2015-01-01

    The mineral sector plays a key role in the economies of Guinea, Liberia, and Sierra Leone. The onset of the Ebola virus disease (EVD) outbreak in early 2014, together with changes in mineral market conditions, raised questions regarding the status of mining operations and of mineral development and exploration projects in all three countries. Mineral projects were the underpinnings of World Bank short-term forecasts of increases in gross domestic product (GDP) for all three countries and were expected to be the basis of future economic growth. The significant delay or cancellation of these projects could result in a major economic setback for all three countries.

  10. Crop-Specific EU Aid and Smallholder Food Security in Sierra Leone

    Silvia L. Saravia-Matus

    2016-11-01

    Full Text Available The article analyses the viability of promoting crop-specific programs as a mean to improve smallholder net farm income and food security. The case study explores the relevance of European Union Stabilisation of Export Earnings (STABEX funds in supporting Sierra Leone’s agricultural development agenda. By analysing the drivers of food security for a number of targeted smallholders in the two most important agricultural zones of Sierra Leone, it is possible to compare the suitability of crop-specific support (in rice, cocoa and coffee versus general aid programs (public infrastructure, on and off farm diversification opportunities, sustainable practices, access to productive assets, etc.. The results indicate that crop diversification strategies are widespread and closely related to risk minimisation and enhanced food security among smallholders. Similarly, crop-specific programs mainly focusing on commercialisation tend to overlook important constraints associated to self-consumption and productivity.

  11. Characteristics and clinical management of patients admitted to cholera wards in a regional referral hospital during the 2012 epidemic in Sierra Leone

    Alexander Blacklock

    2015-01-01

    Full Text Available Background and objectives: In 2012, Sierra Leone suffered a nationwide cholera epidemic which affected the capital Freetown and also the provinces. This study aims to describe the characteristics and clinical management of patients admitted to cholera isolation wards of the main referral hospital in the Northern Province and compare management with standard guidelines. Design: All available clinical records of patients from the cholera isolation wards were reviewed retrospectively. There was no active case finding. The following data were collected from the clinical records after patients had left the ward: date of admission, demographics, symptoms, dehydration status, diagnoses, tests and treatments given, length of stay, and outcomes. Results: A total of 798 patients were admitted, of whom 443 (55.5% were female. There were 18 deaths (2.3%. Assessment of dehydration status was recorded in 517 (64.8% of clinical records. An alternative or additional diagnosis was made for 214 patients (26.8%. Intravenous (IV fluids were prescribed to 767 patients (96.1%, including 95% of 141 patients who had documentation of being not severely dehydrated. A history of vomiting was documented in 92.1% of all patients. Oral rehydration solution (ORS was given to 629 (78.8% patients. Doxycycline was given to 380 (47.6% patients, erythromycin to 34 (4.3%, and other antibiotics were used on 247 occasions. Zinc was given to 209 (26.2%. Discussion: This retrospective study highlights the need for efforts to improve the quality of triage, adherence to clinical guidance, and record keeping. Conclusions: Data collection and analysis of clinical practices during an epidemic situation would enable faster identification of those areas requiring intervention and improvement.

  12. Control of Ebola hemorrhagic fever: vaccine development and our Ebola project in Sierra Leone.

    Watanabe, Tokiko; Kawaoka, Yoshihiro

    2016-01-01

    Since December 2013, West Africa has experienced the worst Ebola virus outbreak in recorded history. Of the 28,639 cases reported to the World Health Organization as of March 2016, nearly half (14,124) occurred in Sierra Leone. With a case fatality rate of approximately 40%, this outbreak has claimed the lives of 11,316 individuals. No FDA-approved vaccines or drugs are available to prevent or treat Ebola virus infection. Experimental vaccines and therapies are being developed; however, their safety and efficacy are still being evaluated. Therefore, there is an urgent need to develop control measures to prevent or limit future Ebola virus outbreaks.Previously, we developed a replication-defective Ebola virus that lacks the coding region for the essential viral transcription activator VP30 (Ebola ΔVP30 virus). Here, we evaluated the vaccine efficacy of Ebola ΔVP30 virus in a non-human primate model and describe our collaborative Ebola project in Sierra Leone.

  13. Treatment Seeking and Ebola Community Care Centers in Sierra Leone: A Qualitative Study.

    Carter, Simone E; O'Reilly, Marion; Frith-Powell, Jack; Umar Kargbo, Alpha; Byrne, Daniel; Niederberger, Eva

    2017-01-01

    Ebola Treatment Units were able to provide only 60% of necessary treatment beds in Sierra Leone. As a result, the Government of Sierra Leone decided to construct Community Care Centers. These were intended to increase treatment-seeking behavior and reduce the community-level spread of Ebola by facilitating access to care closer to communities. Through qualitative data collection in 3 districts, this study seeks to understand the perceived impact that proximity to such Centers had on treatment-seeking behavior. Feedback from community members and Community Health Volunteers indicates that proximity to treatment reduced fears, especially those arising from the use of ambulances, lack of familiarity with medical Centers, and loss of contact with family members taken for treatment. Participants report that having a Center close to their home enables them to walk to treatment and witness survivors being discharged. Living close to Centers also enables communities to be involved in their design and daily operation, helping to build trust in them as acceptable treatment facilities. Further research is required to understand the appropriate design, operation, and epidemiological impact of Centers. Further investigation should incorporate the effect of an outbreak's severity and the stage (duration) of the outbreak on potential acceptance of Centers.

  14. Training peers to treat Ebola centre workers with anxiety and depression in Sierra Leone.

    Waterman, Samantha; Hunter, Elaine Catherine Margaret; Cole, Charles L; Evans, Lauren Jayne; Greenberg, Neil; Rubin, G James; Beck, Alison

    2018-03-01

    Following the 2014 Ebola virus disease (EVD) outbreak in West Africa, the UK Department for International Development funded South London and Maudsley National Health Service (NHS) to develop a psychological intervention that ex-Ebola Treatment Centre (ETC) staff could be trained to deliver to their peers to improve mental health in Sierra Leone. The two key aims were to assess the feasibility of training a national team to deliver a cognitive behavioural therapy (CBT)-based group intervention, and to evaluate the effectiveness of the overall intervention within this population. UK clinicians travelled to Sierra Leone to train a small team of ex-ETC staff in a three-phased CBT-based intervention. Standardised clinical measures, as well as bespoke measures, were applied with participants through the intervention to assess changes in mental health symptomology, and the effectiveness of the intervention. The results found improvements across all factors of mental health in the bespoke measure from phase 1 to phase 3. Additionally, the majority of standardised clinical measures showed improvements between phase 2 and the start of phase 3, and pre- and post-phase 3. Overall, the findings suggest that it is possible to train staff from ETCs to deliver effective CBT interventions to peers. The implications of these results are discussed, including suggestions for future research and clinical intervention implementation within this population. The limitations of this research are also addressed.

  15. Factors Underlying Ebola Virus Infection Among Health Workers, Kenema, Sierra Leone, 2014-2015.

    Senga, Mikiko; Pringle, Kimberly; Ramsay, Andrew; Brett-Major, David M; Fowler, Robert A; French, Issa; Vandi, Mohamed; Sellu, Josephine; Pratt, Christian; Saidu, Josephine; Shindo, Nahoko; Bausch, Daniel G

    2016-08-15

    Ebola virus disease (EVD) in health workers (HWs) has been a major challenge during the 2014-2015 outbreak. We examined factors associated with Ebola virus exposure and mortality in HWs in Kenema District, Sierra Leone. We analyzed data from the Sierra Leone National Viral Hemorrhagic Fever Database, contact tracing records, Kenema Government Hospital (KGH) staff and Ebola Treatment Unit (ETU) rosters, and burial logs. From May 2014 through January 2015, 600 cases of EVD originated in Kenema District, including 92 (15%) HWs, 66 (72%) of whom worked at KGH. Among KGH medical staff and international volunteers, 18 of 62 (29%) who worked in the ETU developed EVD, compared with 48 of 83 (58%) who worked elsewhere in the hospital. Thirteen percent of HWs with EVD reported contact with EVD patients, while 27% reported contact with other infected HWs. The number of HW EVD cases at KGH declined roughly 1 month after implementation of a new triage system at KGH and the opening of a second ETU within the district. The case fatality ratio for HWs and non-HWs with EVD was 69% and 74%, respectively. The cluster of HW EVD cases in Kenema District is one of the largest ever reported. Most HWs with EVD had potential virus exposure both inside and outside of hospitals. Prevention measures for HWs must address a spectrum of infection risks in both formal and informal care settings as well as in the community. © 2016 World Health Organization; licensee Oxford Journals.

  16. Technical efficiency of primary health units in Kailahun and Kenema districts of Sierra Leone

    Kirigia Joses M

    2011-05-01

    Full Text Available Abstract Background The objectives of the study reported in this paper were to (i estimate the technical efficiency of samples of community health centres (CHCs, community health posts (CHPs and maternal and child health posts (MCHPs in Kailahun and Kenema districts of Sierra Leone, (ii estimate the output increases needed to make inefficient MCHPs, CHCs and CHPs efficient, and (iii explore strategies for increasing technical efficiency of these institutions. Methods This study applies the data envelopment analysis (DEA approach to analyse technical efficiency of random samples of 36 MCHPs, 22 CHCs and 21 CHPs using input and output data for 2008. Results The findings indicate that 77.8% of the MCHPs, 59.1% of the CHCs and 66.7% of the CHPs were variable returns to scale technically inefficient. The average variable returns to scale technical efficiency was 68.2% (SD = 27.2 among the MCHPs, 69.2% (SD = 33.2 among the CHCs and 59% (SD = 34.7 among the CHPs. Conclusion This study reveals significant technical inefficiencies in the use of health system resources among peripheral health units in Kailahun and Kenema districts of Sierra Leone. There is need to strengthen national and district health information systems to routinely track the quantities and prices of resources injected into the health care systems and health service outcomes (indicators of coverage, quality and health status to facilitate regular efficiency analyses.

  17. Associations between Mental Health and Ebola-Related Health Behaviors: A Regionally Representative Cross-sectional Survey in Post-conflict Sierra Leone.

    Theresa S Betancourt

    2016-08-01

    (b = -0.24; 95% CI -0.43, -0.06; p = 0.009.In post-conflict settings, past war trauma and mental health problems are associated with health behaviors related to combatting EVD. The associations between war trauma and both EVD risk behaviors and EVD prevention behaviors may be mediated through two key mental health variables: depression and PTSD symptoms. Considering the role of mental health in the prevention of disease transmission may help fight continuing and future Ebola outbreaks in post-conflict Sierra Leone. This sample is specific to Freetown and the Western Area and may not be representative of all of Sierra Leone. In addition, our main outcomes as well as personal EVD exposure, war exposures, and mental health predictors rely on self-report, and therefore raise the possibility of common methods bias. However, the findings of this study may be relevant for understanding dynamics related to EVD and mental health in other major capital cities in the EVD-affected countries of West Africa.

  18. Potential Exposure to Ebola Virus from Body Fluids due to Ambulance Compartment Permeability in Sierra Leone.

    Casey, Megan L; Nguyen, Duong T; Idriss, Barrie; Bennett, Sarah; Dunn, Angela; Martin, Stephen

    2015-12-01

    Prehospital care, including patient transport, is integral in the patient care process during the Ebola response. Transporting ill persons from the community to Ebola care facilities can stop community spread. Vehicles used for patient transport in infectious disease outbreaks should be evaluated for adequate infection prevention and control. An ambulance driver in Sierra Leone attributed his Ebola infection to exposure to body fluids that leaked from the patient compartment to the driver cabin of the ambulance. A convenience sample of 14 vehicles used to transport patients with suspected or confirmed Ebola in Sierra Leone were assessed. The walls separating the patient compartment and driver cabin in these vehicles were evaluated for structural integrity and potential pathways for body fluid leakage. Ambulance drivers and other staff were asked to describe their cleaning and decontamination practices. Ambulance construction and design standards from the National Fire Protection Association, US General Services Administration, and European Committee on Standardization (CEN) were reviewed. Many vehicles used by ambulance staff in Sierra Leone were not traditional ambulances, but were pick-up trucks or sport-utility vehicles that had been assembled or modified for patient transport. The wall separating the patient compartment and driver cabin in many vehicles did not have a waterproof seal around the edges. Staff responsible for cleaning and disinfection did not thoroughly clean bulk body fluids with disposable towels before disinfection of the patient compartment. Pressure from chlorine sprayers used in the decontamination process may have pushed body fluids from the patient compartment into the driver cabin through gaps around the wall. Ambulance design standards do not require a waterproof seal between the patient compartment and driver cabin. Sealing the wall by tightening or replacing existing bolts is recommended, followed by caulking of all seams with a

  19. Global health business: the production and performativity of statistics in Sierra Leone and Germany.

    Erikson, Susan L

    2012-01-01

    The global push for health statistics and electronic digital health information systems is about more than tracking health incidence and prevalence. It is also experienced on the ground as means to develop and maintain particular norms of health business, knowledge, and decision- and profit-making that are not innocent. Statistics make possible audit and accountability logics that undergird the management of health at a distance and that are increasingly necessary to the business of health. Health statistics are inextricable from their social milieus, yet as business artifacts they operate as if they are freely formed, objectively originated, and accurate. This article explicates health statistics as cultural forms and shows how they have been produced and performed in two very different countries: Sierra Leone and Germany. In both familiar and surprising ways, this article shows how statistics and their pursuit organize and discipline human behavior, constitute subject positions, and reify existing relations of power.

  20. Education Programs in Post-Conflict Environments: a Review from Liberia, Sierra Leone, and South Africa

    Hernando Barrios-Tao

    2016-12-01

    Full Text Available Education should be considered as one of the mechanisms for governments and nations to succeed in a post-conflict process. The purpose of this Review Article is twofold: to explain the importance of education in a post-conflict setting, and to describe a few strategies that post-conflict societies have implemented. In terms of research design, a multiple case study approach has been implemented. The paper reviews a unique topic with specific reference to education plans implemented in post-conflict societies such as Liberia, Sierra Leone, and South Africa. Each of them has experienced violent conflicts and has used education as a tool to succeed in their post-conflict process. In sum, there are several educational programs that involve children, young people, survivors, parents, teachers, and local communities as well as curriculums focused on teaching of cultural values and technical skills to improve the quality of life in a post-conflict setting.

  1. The Agency's Technical Co-operation programme with Sierra Leone, 1982-1992. Country programme summaries

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $1.1 million of Agency support received, Sierra Leone ranks 70th among all recipients of technical assistance in the period 1958 through 1991. Almost equal shares of the assistance during the past ten years have been provided in the form of equipment (40%) and expert services (37%), while the share of the training component was 23%. The best part of the resources was provided by the Technical Assistance and Co-operation Fund (96%), the remaining 4% was made available through assistance in kind. During the past ten years, project activities - and disbursements - have concentrated exclusively on three major areas: nuclear medicine (52%), general atomic energy development (25%) and agriculture (23%)

  2. Evaluation of the benefits and risks of introducing Ebola community care centers, Sierra Leone.

    Kucharski, Adam J; Camacho, Anton; Checchi, Francesco; Waldman, Ron; Grais, Rebecca F; Cabrol, Jean-Clement; Briand, Sylvie; Baguelin, Marc; Flasche, Stefan; Funk, Sebastian; Edmunds, W John

    2015-03-01

    In some parts of western Africa, Ebola treatment centers (ETCs) have reached capacity. Unless capacity is rapidly scaled up, the chance to avoid a generalized Ebola epidemic will soon diminish. The World Health Organization and partners are considering additional Ebola patient care options, including community care centers (CCCs), small, lightly staffed units that could be used to isolate patients outside the home and get them into care sooner than otherwise possible. Using a transmission model, we evaluated the benefits and risks of introducing CCCs into Sierra Leone's Western Area, where most ETCs are at capacity. We found that use of CCCs could lead to a decline in cases, even if virus transmission occurs between CCC patients and the community. However, to prevent CCC amplification of the epidemic, the risk of Ebola virus-negative persons being exposed to virus within CCCs would have to be offset by a reduction in community transmission resulting from CCC use.

  3. Cosmogenic helium and volatile-rich fluid in Sierra leone alluvial diamonds

    McConville, P.; Reynolds, J.H.

    1989-01-01

    Pursuant to the discovery elsewhere of cosmogenic 10 Be in alluvial diamond fragments from Zaire, noble gas measurements were made on two identical splits of a finely powdered, harshly acid-washed sample derived from selected (for clarity) fragments of a single alluvial diamond from Sierra Leone (sample LJA → L4 and L5). Essentially identical results were obtained for both splits. Isotopic ratios for Ar, Kr, and Xe were atmospheric and their elemental abundances were high relative to published data, owing to shock implantation in the crushing as verified in a supplementary experiment. No neon was detected above blank level. 3 He was exceptionally abundant, 4 He exceptionally depleted, possibly from the acid wash, and the ratio 3 He/ 4 He almost unprecedentedly high at an R/R a value of 246 ± 16. The results support the hypothesis that excess 3 He in diamonds is cosmogenic, although a cosmic-ray exposure of 5, 35, or (impossibly) 152 Ma for cyclic gardening of the sample to a maximum depth of 0, 4.6 m, or 20 m, respectively, is required. Troublesome for the cosmogenic hypothesis is a sample from very deep in the Finsch mine, South Africa, found by Zadnik et al (1987) to have an R/R a value of 1,000. This paper includes histograms of noble gas data published prior to mid-1988 for diamonds of known provenance. The Sierra Leone diamond studied in the supplementary experiment belongs to a distinct population of 40* Ar-rich diamonds consisting mostly of cubic diamonds for Zaire

  4. Context matters: community characteristics and mental health among war-affected youth in Sierra Leone.

    Betancourt, Theresa S; McBain, Ryan; Newnham, Elizabeth A; Brennan, Robert T

    2014-03-01

    Worldwide, over one billion children and adolescents live in war-affected settings. At present, only limited research has investigated linkages between disrupted social ecology and adverse mental health outcomes among war-affected youth. In this study, we examine three community-level characteristics - social disorder and collective efficacy within the community, as reported by caregivers, and perceived stigma as reported by youth - in relation to externalizing behaviors and internalizing symptoms among male and female former child soldiers in postconflict Sierra Leone. A total of 243 former child soldiers (30% female, mean age at baseline: 16.6 years) and their primary caregivers participated in interviews in 2004 and 2008, as part of a larger prospective cohort study of war-affected youth in Sierra Leone. Two-point growth models were estimated to examine the relationship between community-level characteristics and externalizing and internalizing outcomes across the time points. Both social disorder within the community, reported by caregivers, and perceived stigma, reported by youth, positively covaried with youths' externalizing and internalizing scores - indicating that higher levels of each at baseline and follow-up were associated with higher levels of mental health problems at both time points (p mental health outcomes was nonsignificant (p > .05). This study offers a rare glimpse into the role that the postconflict social context plays in shaping the mental health among former child soldiers. Results indicate that both social disorder and perceived stigma within the community demonstrate an important relationship to externalizing and internalizing problems among adolescent ex-combatants. Moreover, these relationships persisted over a 4-year period of follow-up. These results underscore the importance of the postconflict social environment and the need to develop postconflict interventions that address community-level processes in addition to the needs

  5. Understanding the Causes of Civil Wars in Post-Colonial Sub-Saharan Africa. Case study: Sierra Leone and the Role of women in the Search for Peace

    Sesay, Adama

    2013-01-01

    It is widely understood or assumed among scholars like Thomas Weiss, that civil wars in Africa are mainly wars for natural resources. This statement needs careful evaluation, and it is for this reason that this study will use Weiss`s theories on the causes of wars in sub-Sahara Africa as a background for understanding the Sierra Leone conflict. In addition, as the title implies, this paper further aims to investigate the war in Sierra Leone and most...

  6. Diamonds and development: A critical analysis of stereotypes about mineworkers in Sierra Leone

    Lorenzo D’Angelo

    2015-06-01

    Full Text Available In the last decade, the Sierra Leone’s diamond mines have been the focus of an intense debate among analysts and experts of the development. Two main interrelated issues have been at stake in this debate: first, to understand the economic and political reasons that had supported the civil war from 1991 to 2002 and, second, to understand how to convert a potential “conflict commodity” in a resource for peace and prosperity. In this paper, I intend to highlight some recurring stereotypes of this debate. In particular, I will focus on a constellation of representations that depict the artisanal miners either as workers poorly organized and prone to irrational economic behavior, or as workers subjected to forms of exploitation akin to slavery. Based on fieldwork conducted in the diamond mining areas of Sierra Leone (2007-2011, this article intends to analyze the main forms of working organization and distribution of earnings among the miners. By challenging some stereotypes characterizing the development discourse, my aim is to show the cultural complexity and the historical density of the practices through which the miners face the risks and uncertainties of their job.

  7. Prevalence and Risk Factors for Human Immunodeficiency Virus (HIV) and Syphilis Infections Among Military Personnel in Sierra Leone

    2017-03-01

    sponses (n=10). 3.5. Factors Associated with Syphilis Status Syphilis seropositivity was increased by older age , HIV in- fection and the...multiple sexual partnerships in the same week and HIV testing outside of military facilities (pɘ.05). Increasing age , positive HIV status and rural...population (15-49 years of age ) of Sierra Leone, and the estimated syphilis prevalence ranged from 1.5% to 5.2% based on regional studies. We examined the

  8. Interface between the biophysical environment in informal settlements and poverty in developing countries : the case for Sierra Leone

    Farmer, William Lewis

    2005-01-01

    The socio-economic problems of developing countries, especially Sub-Saharan African cities are the result of rapid growth, increasing poverty, unequal distribution of resources, civil conflicts and poor governance. These problems have been exacerbated by perennial incidence of civil wars. In Sierra Leone, eleven years of protracted civil war has exacerbated the problems of rural-urban migration, increased poverty, dislocation of urban governance, severe unemployment and lost in...

  9. Population mobility reductions associated with travel restrictions during the Ebola epidemic in Sierra Leone: use of mobile phone data.

    Peak, Corey M; Wesolowski, Amy; Zu Erbach-Schoenberg, Elisabeth; Tatem, Andrew J; Wetter, Erik; Lu, Xin; Power, Daniel; Weidman-Grunewald, Elaine; Ramos, Sergio; Moritz, Simon; Buckee, Caroline O; Bengtsson, Linus

    2018-06-26

    Travel restrictions were implementeded on an unprecedented scale in 2015 in Sierra Leone to contain and eliminate Ebola virus disease. However, the impact of epidemic travel restrictions on mobility itself remains difficult to measure with traditional methods. New 'big data' approaches using mobile phone data can provide, in near real-time, the type of information needed to guide and evaluate control measures. We analysed anonymous mobile phone call detail records (CDRs) from a leading operator in Sierra Leone between 20 March and 1 July in 2015. We used an anomaly detection algorithm to assess changes in travel during a national 'stay at home' lockdown from 27 to 29 March. To measure the magnitude of these changes and to assess effect modification by region and historical Ebola burden, we performed a time series analysis and a crossover analysis. Routinely collected mobile phone data revealed a dramatic reduction in human mobility during a 3-day lockdown in Sierra Leone. The number of individuals relocating between chiefdoms decreased by 31% within 15 km, by 46% for 15-30 km and by 76% for distances greater than 30 km. This effect was highly heterogeneous in space, with higher impact in regions with higher Ebola incidence. Travel quickly returned to normal patterns after the restrictions were lifted. The effects of travel restrictions on mobility can be large, targeted and measurable in near real-time. With appropriate anonymization protocols, mobile phone data should play a central role in guiding and monitoring interventions for epidemic containment.

  10. Diamonds, a resource curse? The case of Kono District in Sierra Leone

    Wilson, Sigismond Ayodele

    Using an actor-oriented approach to political ecology integrated with theory on the social production of scale, this dissertation examines the extent to which diamond exploitation constitutes a resource curse in Sierra Leone, with Kono District as a case-study. It uses social survey methods and remote sensing analysis of Landsat images to (1) evaluate the role of Sierra Leone's diamonds in economic development from a historical lens, (2) examine the extent to which a weak regulatory state apparatus makes a rich diamond endowment more of a curse than a blessing, (3) determine whether geographically diffuse and remotely-located diamonds are more a liability than an asset, and (4) assess whether environmental conditions are worse in diamond than in non-diamond chiefdoms. Results of the study showed that the contribution of diamonds to national economic growth declined precipitously following the politicization of diamonds and growing informalization of mining under the leadership of Siaka Stevens. Growing disenchantment combined with grievances over access to diamond resources and rights, culminating in a civil war fuelled by conflict diamonds. Findings indicated that actors capitalized on a weak regulatory state to fulfill their agendas. Illicit diamond exploitation was mainly driven by corruption, economic constraints and perverse economic incentives. Preferential land allocation to industrial mining following World Bank Group-directed national mining policy reforms and the weakness of the state in ensuring companies' adherence to mining clauses precipitated corporation-community conflicts. Study findings showed that the resource curse was acute on diggers who received less than 1 a day unlike their South American counterparts who made at least 7 daily. Results from the study demonstrate that the spatiality of diamonds also contributed to the resource curse. Illicit diamond mining was more acute in remotely located mining sites than in extractive sites closer to

  11. The quality of free antenatal and delivery services in Northern Sierra Leone.

    Koroma, Manso M; Kamara, Samuel S; Bangura, Evelyn A; Kamara, Mohamed A; Lokossou, Virgil; Keita, Namoudou

    2017-07-12

    The number of maternal deaths in sub-Saharan Africa continues to be overwhelmingly high. In West Africa, Sierra Leone leads the list, with the highest maternal mortality ratio. In 2010, financial barriers were removed as an incentive for more women to use available antenatal, delivery and postnatal services. Few published studies have examined the quality of free antenatal services and access to emergency obstetric care in Sierra Leone. A cross-sectional survey was conducted in 2014 in all 97 peripheral health facilities and three hospitals in Bombali District, Northern Region. One hundred antenatal care providers were interviewed, 276 observations were made and 486 pregnant women were interviewed. We assessed the adequacy of antenatal and delivery services provided using national standards. The distance was calculated between each facility providing delivery services and the nearest comprehensive emergency obstetric care (CEOC) facility, and the proportion of facilities in a chiefdom within 15 km of each CEOC facility was also calculated. A thematic map was developed to show inequities. The quality of services was poor. Based on national standards, only 27% of women were examined, 2% were screened on their first antenatal visit and 47% received interventions as recommended. Although 94% of facilities provided delivery services, a minority had delivery rooms (40%), delivery kits (42%) or portable water (46%). Skilled attendants supervised 35% of deliveries, and in only 35% of these were processes adequately documented. None of the five basic emergency obstetric care facilities were fully compliant with national standards, and the central and northernmost parts of the district had the least access to comprehensive emergency obstetric care. The health sector needs to monitor the quality of antenatal interventions in addition to measuring coverage. The quality of delivery services is compromised by poor infrastructure, inadequate skilled staff, stock-outs of

  12. Measuring work engagement among community health workers in Sierra Leone: Validating the Utrecht Work Engagement Scale

    Frédérique Vallières

    2017-04-01

    Full Text Available This study examines the concept of volunteer work engagement in a sample of 334 community health workers in Bonthe District, Sierra Leone. Structural equation modelling was used to validate both the 9-item and the 17-item Utrecht Work Engagement Scale (UWES-9 and UWES-17, respectively. Results assessing the UWES-17 invalidated the three-factor structure within this cohort of community health workers, as high correlations were found between latent factors. Findings for the validity of the UWES-9 were largely consistent with those of the UWES-17. Model fit for the UWES-9 were generally equivalent for the one-factor, three-factor, and bifactor solutions, however the three-factor model was once again rejected due to high factor correlations. Based on these results, the current sample provides evidence that work engagement is best represented as a unidimensional construct in this context. Findings are considered alongside previous research to offer support for the utilization of the shortened UWES-9 in this context, as it appears to provide a good representation of work engagement and possess a parsimonious unidimensional scoring scheme.

  13. The etiology of Ebola virus disease-like illnesses in Ebola virusnegative patients from Sierra Leone.

    Li, Wen-Gang; Chen, Wei-Wei; Li, Lei; Ji, Dong; Ji, Ying-Jie; Li, Chen; Gao, Xu-Dong; Wang, Li-Fu; Zhao, Min; Duan, Xue-Zhang; Duan, Hui-Juan

    2016-05-10

    During the 2014 Ebola virus disease (EVD) outbreak, less than half of EVD-suspected cases were laboratory tested as Ebola virus (EBOV)-negative, but disease identity remained unknown. In this study we investigated the etiology of EVD-like illnesses in EBOV-negative cases. From November 13, 2014 to March 16, 2015, EVD-suspected patients were admitted to Jui Government Hospital and assessed for EBOV infection by real-time PCR. Of 278 EBOV negative patients, 223 (80.21%), 142 (51.08%), 123 (44.24%), 114 (41.01%), 59 (21.22%), 35 (12.59%), and 12 (4.32%) reported fever, headache, joint pain, fatigue, nausea/vomiting, diarrhea, hemorrhage, respectively. Furthermore, 121 (43.52%), 44 (15.83%), 36 (12.95%), 33 (11.87%), 23 (8.27%), 10 (3.60%) patients were diagnosed as infection with malaria, HIV, Lassa fever, tuberculosis, yellow fever, and pneumonia, respectively. No significant differences in clinical features and symptoms were found between non-EVD and EVD patients. To the best of our knowledge, the present study is the first to explore the etiology of EVD-like illnesses in uninfected patients in Sierra Leone, highlighting the importance of accurate diagnosis to EVD confirmation.

  14. Short Report: Serological Evidence of Under-Reported Dengue Circulation in Sierra Leone.

    Jaime M de Araújo Lobo

    2016-04-01

    Full Text Available Dengue virus (DENV is thought to have emerged from a sylvatic cycle in Africa but has since become adapted to an urban-centric transmission cycle. These urban areas include villages in West Africa where DENV is not often routinely considered for patients presenting with febrile illnesses, as other endemic diseases (malaria, Lassa fever, e.g. present with similar non-specific symptoms. Thus, dengue is likely under diagnosed in the region. These plaque reduction neutralization test-50 (PRNT50 screening results of patients presenting with fevers of unknown origin (FUO at a clinic in Kenema, Sierra Leone indicate that all four serotypes of DENV likely circulate in areas surrounding Kenema. Using a more conservative PRNT80 cut-off value, our results still indicate the presence of antibody to all four serotypes in the region. Identifying alternate etiologies of FUOs in this region will assist clinicians in plan-of-care decisions as well as follow-up priorities. This is particularly relevant given the Ebola outbreak in the region, where diagnosis has a range of downstream effects ranging from correct allocation of medical resources, appropriate isolation of patients, and ultimately, a better informed public health sector.

  15. Genotypic differences in yield formation, phosphorus utilization and nitrogen fixation by cowpeas in Sierra Leone

    Amara, D.S.

    1996-01-01

    Available phosphorus (P) and nitrogen (NP) generally occur in very low amounts in soils of the tropics and subtropics. Under such conditions, most crops would require the addition of N and P fertilizer. This is not possible for small-scale farmers who cannot afford or have limited access to fertilizers, and therefore depend on low-input cropping systems. The selection of cultivars adapted to low soil nutrient conditions would sustain the production levels of subsistence farmers. Experiments were therefore conducted over a five-year period to identify cowpea cultivars with high phosphorus use efficiency and nitrogen fixation. Two of such cultivars-IT86D-1010 and IT86D-719 have been identified. Root morphological characteristics such as root length, root fineness and vesicular-arbuscular mycorrhizae are responsible for high P uptake and use efficiency. Multilocational testing of the cultivars showed that they cannot do well in areas with low rainfall. They have been distributed to farmers through the extension services for large scale production in southern Sierra Leone. (author). 28 refs, 4 figs, 6 tabs

  16. Sequelae and Other Conditions in Ebola Virus Disease Survivors, Sierra Leone, 2015.

    Mohammed, Hamish; Vandy, Alren O; Stretch, Rebecca; Otieno, David; Prajapati, Mukesh; Calderon, Mauricio; Vandi, Mohamed

    2017-01-01

    We rapidly assessed the health of Ebola virus disease (EVD) survivors in Kenema, Sierra Leone, by reviewing medical charts of all patients attending the Survivor Clinic of Kenema Government Hospital. Data were abstracted on signs and symptoms at every attendance. As of November 2015, a total of 621 attendances by 115 survivors with laboratory-confirmed EVD were made to the Survivor Clinic. Most (60.9%) survivors were women. Survivors' median age was 28 years (range 0.25-70 years). Survivors attended the clinic a median of 5 times (range 1-21 times) each, and the median time from EVD discharge to attendance was 261 days (range 4-504 days). The most commonly reported signs and symptoms among the 621 attendances were headache (63.1%), fever (61.7%), and myalgia (43.3%). Because health needs of EVD survivors are complex, rapid chart reviews at survivor clinics should be repeated regularly to assess the extent of illness and prioritize service delivery.

  17. Genotypic differences in yield formation, phosphorus utilization and nitrogen fixation by cowpeas in Sierra Leone

    Amara, D S [Sierra Leone Univ., Njala Univ. College, Freetown (Sierra Leone). Dept. of Soil Science; Suale, D S [Institute of Agricultural Research, Freetown (Sierra Leone)

    1996-07-01

    Available phosphorus (P) and nitrogen (NP) generally occur in very low amounts in soils of the tropics and subtropics. Under such conditions, most crops would require the addition of N and P fertilizer. This is not possible for small-scale farmers who cannot afford or have limited access to fertilizers, and therefore depend on low-input cropping systems. The selection of cultivars adapted to low soil nutrient conditions would sustain the production levels of subsistence farmers. Experiments were therefore conducted over a five-year period to identify cowpea cultivars with high phosphorus use efficiency and nitrogen fixation. Two of such cultivars-IT86D-1010 and IT86D-719 have been identified. Root morphological characteristics such as root length, root fineness and vesicular-arbuscular mycorrhizae are responsible for high P uptake and use efficiency. Multilocational testing of the cultivars showed that they cannot do well in areas with low rainfall. They have been distributed to farmers through the extension services for large scale production in southern Sierra Leone. (author). 28 refs, 4 figs, 6 tabs.

  18. Non-adherence to standard treatment guidelines in a rural paediatric hospital in Sierra Leone.

    De Bruycker, M; Van den Bergh, R; Dahmane, A; Khogali, M; Schiavetti, B; Nzomukunda, Y; Alders, P; Allaouna, M; Cloquet, C; Enarson, D A; Satyarayanan, S; Magbity, E; Zachariah, R

    2013-06-21

    A rural paediatric hospital in Bo, Sierra Leone. To assess the level of adherence to standard treatment guidelines among clinicians prescribing treatment for children admitted with a diagnosis of malaria and/or lower respiratory tract infection (LRTI), and determine the association between (non) adherence and hospital outcomes, given that non-rational use of medicines is a serious global problem. Secondary analysis of routine programme data. Data were collected for 865 children admitted with an entry diagnosis of malaria and 690 children with LRTI during the period January to April 2011; some patients were classified in both categories. Non-adherence to guidelines comprised use of non-standard drug regimens, dosage variations, non-standard frequency of administration and treatment duration. Cumulative non-adherence to guidelines for LRTI cases was 86%. For malaria, this involved 12% of patients. Potentially harmful non-adherence was significantly associated with an unfavourable hospital outcome, both for malaria and for LRTI cases. Overall non-adherence to standard treatment guidelines by clinicians in a routine hospital setting is very high and influences hospital outcomes. This study advocates for the implementation of routine measures to monitor and improve rational drug use and the quality of clinical care in such hospitals.

  19. Using evidence to strengthen accountability for health financing in Sierra Leone.

    Lebbie, Sowo A; Le Voir, Rosanna; Tom-Kargbo, Joanna; Yilla, Mohamed Drissa; Kamara, Abu Bakarr; Nam, Sara L

    2016-12-01

    In 2012, the government of Sierra Leone cut the national budget allocation to the health sector. Civil society organizations planned a nationwide health budget advocacy campaign, coinciding with the 2012 general elections, to hold future leaders to account on financing for women's and children's health. As part of the campaign, Evidence for Action produced district health budget tracking scorecards. The scorecards presented Ministry of Finance data on the allocation and disbursement of health funds in each district. The data were communicated using simple, non-technical language so that citizens could understand the key messages and take action. A total of 5600 scorecards were shared at district electoral forums attended by political candidates, community members, and health activists. Since the election, the proportion of the total government budget allocated to health increased from 7.4% in 2012 to 11.2% in 2014. However, transforming politicians' commitments and pledges into implementation has been challenging, confirming that accountability is a long-term process. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  20. Factors Associated with HIV Prevalence and HIV Testing in Sierra Leone: Findings from the 2008 Demographic Health Survey.

    Nataliya Brima

    Full Text Available The Sierra Leone Demographic Health Survey 2008 found an HIV prevalence of 1.5%. This study investigates associations with HIV infection and HIV testing.Households were selected using stratified multi-stage sampling. In all selected households women aged 15-49 were eligible. In every second household men aged 15-59 were also eligible. Participants were asked to consent for anonymous HIV testing. All participants interviewed and tested were analysed. Multiple logistic regression identified associations with HIV infection, undiagnosed infection and with ever having a voluntary HIV test among sexually active participants.Of 7495 invited 86% (6,475 agreed to an interview and HIV test. Among 96 HIV positive participants, 78% had never taken a voluntary HIV test so were unaware of their serostatus, and 86% were sexually active in the last 12 months among whom 96% did not use a condom at last intercourse. 11% of all participants had previously voluntarily tested. Among women who had tested, 60% did so in antenatal care. We found that those living in an urban area, and those previously married, were more likely to be HIV infected. Voluntary HIV testing was more common in those aged 25-44, living in an urban area, females, having secondary or higher education, having first sexual intercourse at age 17 years or older, and using condoms at last sex. Although 82% of men and 69% of women had heard of HIV, only 35% and 29% respectively had heard of antiretroviral therapy.The HIV prevalence in Sierra Leone has been stable. HIV testing, however, is uncommon and most infected individuals are unaware of their serostatus. This could allow the epidemic to escalate as individuals with undiagnosed infection are unlikely to change their behaviour or access treatment. Improving knowledge and increasing testing need to remain central to HIV prevention interventions in Sierra Leone.

  1. Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

    Lokuge, Kamalini; Caleo, Grazia; Greig, Jane; Duncombe, Jennifer; McWilliam, Nicholas; Squire, James; Lamin, Manjo; Veltus, Emily; Wolz, Anja; Kobinger, Gary; de la Vega, Marc-Antoine; Gbabai, Osman; Nabieu, Sao; Lamin, Mohammed; Kremer, Ronald; Danis, Kostas; Banks, Emily; Glass, Kathryn

    2016-03-01

    The scale and geographical distribution of the current outbreak in West Africa raised doubts as to the effectiveness of established methods of control. Ebola Virus Disease (EVD) was first detected in Sierra Leone in May 2014 in Kailahun district. Despite high case numbers elsewhere in the country, transmission was eliminated in the district by December 2014. We describe interventions underpinning successful EVD control in Kailahun and implications for EVD control in other areas. Internal service data and published reports from response agencies were analysed to describe the structure and type of response activities, EVD case numbers and epidemic characteristics. This included daily national situation reports and District-level data and reports of the Sierra Leone Ministry of Health and Sanitation, and Médecins Sans Frontières (MSF) patient data and internal epidemiological reports. We used EVD case definitions provided by the World Health Organisation over the course of the outbreak. Characteristics assessed included level of response activities and epidemiological features such as reported exposure (funeral-related or not), time interval between onset of illness and admission to the EVD Management Centre (EMC), work-related exposures (health worker or not) and mortality. We compared these characteristics between two time periods--June to July (the early period of response), and August to December (when coverage and quality of response had improved). A stochastic model was used to predict case numbers per generation with different numbers of beds and a varying percentage of community cases detected. There were 652 probable/confirmed EVD cases from June-December 2014 in Kailahun. An EMC providing patient care opened in June. By August 2014 an integrated detection, treatment, and prevention strategy was in place across the district catchment zone. From June-July to August-December 2014 surveillance and contact tracing staff increased from 1.0 to 8.8 per confirmed

  2. Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

    Kamalini Lokuge

    2016-03-01

    Full Text Available The scale and geographical distribution of the current outbreak in West Africa raised doubts as to the effectiveness of established methods of control. Ebola Virus Disease (EVD was first detected in Sierra Leone in May 2014 in Kailahun district. Despite high case numbers elsewhere in the country, transmission was eliminated in the district by December 2014. We describe interventions underpinning successful EVD control in Kailahun and implications for EVD control in other areas.Internal service data and published reports from response agencies were analysed to describe the structure and type of response activities, EVD case numbers and epidemic characteristics. This included daily national situation reports and District-level data and reports of the Sierra Leone Ministry of Health and Sanitation, and Médecins Sans Frontières (MSF patient data and internal epidemiological reports. We used EVD case definitions provided by the World Health Organisation over the course of the outbreak. Characteristics assessed included level of response activities and epidemiological features such as reported exposure (funeral-related or not, time interval between onset of illness and admission to the EVD Management Centre (EMC, work-related exposures (health worker or not and mortality. We compared these characteristics between two time periods--June to July (the early period of response, and August to December (when coverage and quality of response had improved. A stochastic model was used to predict case numbers per generation with different numbers of beds and a varying percentage of community cases detected.There were 652 probable/confirmed EVD cases from June-December 2014 in Kailahun. An EMC providing patient care opened in June. By August 2014 an integrated detection, treatment, and prevention strategy was in place across the district catchment zone. From June-July to August-December 2014 surveillance and contact tracing staff increased from 1.0 to 8.8 per

  3. Alteration mineral mapping for iron prospecting using ETM+ data, Tonkolili iron field, northern Sierra Leone

    Mansaray, Lamin R.; Liu, Lei; Zhou, Jun; Ma, Zhimin

    2013-10-01

    The Tonkolili iron field in northern Sierra Leone has the largest known iron ore deposit in Africa. It occurs in a greenstone belt in an Achaean granitic basement. This study focused mainly on mapping areas with iron-oxide and hydroxyl bearing minerals, and identifying potential areas for haematite mineralization and banded iron formations (BIFs) in Tonkolili. The predominant mineral assemblage at the surface (laterite duricrust) of this iron field is haematitegoethite- limonite ±magnetite. The mineralization occurs in quartzitic banded ironstones, layered amphibolites, granites, schists and hornblendites. In this study, Crosta techniques were applied on Enhanced Thematic Mapper (ETM+) data to enhance areas with alteration minerals and target potential areas of haematite and BIF units in the Tonkolili iron field. Synthetic analysis shows that alteration zones mapped herein are consistent with the already discovered magnetite BIFs in Tonkolili. Based on the overlaps of the simplified geological map and the remote sensing-based alteration mineral maps obtained in this study, three new haematite prospects were inferred within, and one new haematite prospect was inferred outside the tenement boundary of the Tonkolili exploration license. As the primary iron mineral in Tonkolili is magnetite, the study concludes that, these haematite prospects could also be underlain by magnetite BIFs. This study also concludes that, the application of Crosta techniques on ETM+ data is effective not only in mapping iron-oxide and hydroxyl alterations but can also provide a basis for inferring areas of potential iron resources in Algoma-type banded iron formations (BIFs), such as those in the Tonkolili field.

  4. The Potential of Women’s Organization for Rural Development in Sierra Leone

    Theresa Tenneh Dick

    2013-01-01

    Full Text Available Organizations are among the preferred outlets women use both to voice societal prejudices against them and to showcase their potential for rural/community development. There is an increasing advocacy for gender equality, women’s empowerment and the integration of women folks into the socio-economic, political and cultural fabrics of society. Girl-child education and women-based capacity building programs such as micro-finance, entrepreneurship, political activism, etc. have surfaced prominently on these women’s empowerment efforts. In this study, a questionnaire-driven survey is conducted in two districts in southern Sierra Leone. The survey covers 36 influential women in 36 town-level communities in the country. The study analyzes the personal and organization characteristics of the women in relation to social perceptions and rural/community development. A large percent of the women surveyed are educated, married and belong to social organizations. In addition to other social/development organizations, women’s organizations are also present in each of the surveyed communities. Most of the women organizations are local in nature and operate entirely on funds raised from within the local communities. This display of organizational ability of the surveyed rural women shows a significant perceptional shift towards recognizing women folks as productive counterparts in our societies. This trend also psychologically strengthens the women community to take on tangible responsibilities that were ones meant for men only. The analysis also shows that rural women hold managerial and other administrative positions in the organizations which are strongly oriented towards various forms of rural/community development. This is a significant positive deviation from the traditional perception which has unduly confined the women folks to the backyard for centuries now. This trend not only has the potential of benefiting the millions more women languishing in

  5. Where there is no psychiatrist: A mental health programme in Sierra Leone

    Pino Alonso

    2014-08-01

    Full Text Available Background. For most low- and middle-income countries, mental health remains a neglected area, despite the recognised burden associated with neuropsychiatric conditions and the inextricable link to other public health priorities. Objectives. To describe the results of a free outpatient mental health programme delivered by non-specialist health workers in Makeni, Sierra Leone between July 2008 and May 2012.  Methods. A nurse and two counsellors completed an 8-week training course focused on the identification and management of seven priority conditions: psychosis, bipolar disorder, depression, mental disorders due to medical conditions, developmental and behavioural disorders, alcohol and drug use disorders, and dementia. The World Health Organization recommendations on basic mental healthcare packages were followed to establish treatment for each condition.  Results. A total of 549 patients was assessed and diagnosed as suffering from psychotic disorders (n=295, 53.7%, manic episodes (n=69, 12.5%, depressive episodes (n=53, 9.6%, drug use disorders (n=182, 33.1%, dementia (n=30, 5.4%, mental disorders due to medical conditions (n=39, 7.1%, and developmental disorders (n=46, 8.3%. Of these, 417 patients received pharmacological therapy and 70.7% were rated as much or very much improved. Of those who could not be offered medication, 93.4% dropped out of the programme after the first visit.  Conclusions. The identification and treatment of mental disorders must be considered an urgent public health priority in low- and middle-income countries. Trained primary health workers can deliver safe and effective treatment for mental disorders as a feasible alternative to ease the scarcity of mental health specialists in developing countries.

  6. Community involvement in constructing village health buildings in Uganda and Sierra Leone.

    Mitchell, M

    1995-11-01

    Three public health projects in Uganda and Sierra Leone are used to illustrate a new approach to construction of health buildings in villages. Emphasis is placed on community involvement. The health projects were comprehensive and relied on health education, employment of local village health workers, and establishment of village health committees. The objective of community involvement was described as encouragement of people to change their own diets and living conditions. This approach to primary health care is considered to be a strong basis for sustainable social development. Each of the three communities initiated the building projects slightly differently. There was a range of structures: traditional meeting halls, simple rooms with imported materials and a pit latrine, new buildings combining local and imported materials and labor, new nontraditional buildings, rehabilitated existing nontraditional buildings with imported labor and materials, and temporary mobile clinics. Community involvement was at different levels. All three projects were the result of a combined effort of national governments or mission hospitals, nongovernmental organizations, and the host community. The following should be considered before beginning construction: a suitable site, appropriate staff accommodation, the likely motivation of the host community, seasonality, local materials available, availability of skilled labor, and design. A plan of work during construction should include a building design, site supervision, transportation of local and non-local materials, unskilled labor, and skilled labor. Village health committees with or without government help would be responsible for maintenance of buildings after construction. A key feature of this approach is the assessment of the community's ability and capacity to contribute.

  7. Effects of Large-Scale Acquisition on Food Insecurity in Sierra Leone

    Genesis Tambang Yengoh

    2015-07-01

    Full Text Available The recent phenomenon of large-scale acquisition of land for a variety of investment purposes has raised deep concerns over the food security, livelihood and socio-economic development of communities in many regions of the developing world. This study set out to investigate the food security outcomes of land acquisitions in northern Sierra Leone. Using a mixture of quantitative and qualitative research methods, the study measures the severity of food insecurity and hunger, compares the situation of food security before and after the onset of operations of a land investing company, analyzes the food security implications of producing own food versus depending on wage labour for household food needs, and evaluates initiatives put in place by the land investing company to mitigate its food insecurity footprint. Results show an increase in the severity of food insecurity and hunger. Household income from agricultural production has fallen. Employment by the land investing company is limited in terms of the number of people it employs relative to the population of communities in which it operates. Also, wages from employment by the company cannot meet the staple food needs of its employees. The programme that has been put in place by the company to mitigate its food insecurity footprint is failing because of a host of reasons that relate to organization and power relations. In conclusion, rural people are better off producing their own food than depending on the corporate structure of land investment companies. Governments should provide an enabling framework to accommodate this food security need, both in land investment operations that are ongoing and in those that are yet to operate.

  8. Impact of civil war on emotion recognition: the denial of sadness in Sierra Leone.

    Maria Alessandra eUmilta'

    2013-09-01

    Full Text Available Studies of children with atypical emotional experience demonstrate that childhood exposure to high levels of hostility and threat biases emotion perception. This study investigates emotion processing, in former child soldiers and non-combatant civilians. All participants have experienced prolonged violence exposure during childhood. The study, carried out in Sierra Leone, aimed to examine the effects of exposure to and forced participation in acts of extreme violence on the emotion processing of young adults war survivors. A total of 76 young, male adults (38 former child soldier survivors and 38 civilian survivors were tested in order to assess participants’ ability to identify four different facial emotion expressions from photographs and movies. Both groups were able to recognize facial expressions of emotion. However, despite their general ability to correctly identify facial emotions, participants showed a significant response bias in their recognition of sadness. Both former soldiers and civilians made more errors in identifying expressions of sadness than in the other three emotions and when mislabeling sadness participants most often described it as anger. Conversely, when making erroneous identifications of other emotions, participants were most likely to label the expressed emotion as sadness. In addition, while for three of the four emotions participants were better able to make a correct identification the greater the intensity of the expression, this pattern was not observed for sadness. During movies presentation the recognition of sadness was significantly worse for soldiers. While both former child soldiers and civilians were found to be able to identify facial emotions, a significant response bias in their attribution of negative emotions was observed. Such bias was particularly pronounced in former child soldiers. These findings point to a pervasive long-lasting effect of childhood exposure to violence on emotion processing

  9. Impact of civil war on emotion recognition: the denial of sadness in Sierra Leone.

    Umiltà, Maria Allessandra; Wood, Rachel; Loffredo, Francesca; Ravera, Roberto; Gallese, Vittorio

    2013-01-01

    Studies of children with atypical emotional experience demonstrate that childhood exposure to high levels of hostility and threat biases emotion perception. This study investigates emotion processing, in former child soldiers and non-combatant civilians. All participants have experienced prolonged violence exposure during childhood. The study, carried out in Sierra Leone, aimed to examine the effects of exposure to and forced participation in acts of extreme violence on the emotion processing of young adults war survivors. A total of 76 young, male adults (38 former child soldier survivors and 38 civilian survivors) were tested in order to assess participants' ability to identify four different facial emotion expressions from photographs and movies. Both groups were able to recognize facial expressions of emotion. However, despite their general ability to correctly identify facial emotions, participants showed a significant response bias in their recognition of sadness. Both former soldiers and civilians made more errors in identifying expressions of sadness than in the other three emotions and when mislabeling sadness participants most often described it as anger. Conversely, when making erroneous identifications of other emotions, participants were most likely to label the expressed emotion as sadness. In addition, while for three of the four emotions participants were better able to make a correct identification the greater the intensity of the expression, this pattern was not observed for sadness. During movies presentation the recognition of sadness was significantly worse for soldiers. While both former child soldiers and civilians were found to be able to identify facial emotions, a significant response bias in their attribution of negative emotions was observed. Such bias was particularly pronounced in former child soldiers. These findings point to a pervasive long-lasting effect of childhood exposure to violence on emotion processing in later life.

  10. Diversity of inland valleys and opportunities for agricultural development in Sierra Leone.

    Elliott Ronald Dossou-Yovo

    Full Text Available Inland valleys are becoming increasingly important agricultural production areas for rural households in sub-Saharan Africa due to their relative high and secure water availability and soil fertility. In addition, inland valleys are important as water buffer and biodiversity hot spots and they provide local communities with forest, forage, and fishing resources. As different inland-valley ecosystem functions may conflict with agricultural objectives, indiscriminate development should be avoided. This study aims to analyze the diversity of inland valleys in Sierra Leone and to develop guidelines for more precise interventions. Land use, biophysical and socio-economic data were analyzed on 257 inland valleys using spatial and multivariate techniques. Five cluster groups of inland valleys were identified: (i semi-permanently flooded with high soil organic carbon (4.2% and moderate available phosphorus (10.2 ppm, mostly under natural vegetation; (ii semi-permanently flooded with low soil organic carbon (1.5% and very low available phosphorus (3.1 ppm, abandoned by farmers; (iii seasonally flooded with moderate soil organic carbon (3.1% and low available phosphorus (8.3 ppm, used for rainfed rice and off-season vegetables produced without fertilizer application for household consumption and market; (iv well drained with moderate soil organic carbon (3.8% and moderate available phosphorus (10.0 ppm, used for rainfed rice and off-season vegetables produced with fertilizer application for household consumption and market; and (v well drained with moderate soil organic carbon (3.6% and moderate available phosphorus (11 ppm, used for household consumption without fertilizer application. Soil organic carbon, available phosphorus, hydrological regime, physical accessibility and market opportunity were the major factors affecting agricultural intensification of inland valleys. Opening up the areas in which inland valleys occur through improved roads and

  11. A behavioral intervention for war-affected youth in Sierra Leone: a randomized controlled trial.

    Betancourt, Theresa S; McBain, Ryan; Newnham, Elizabeth A; Akinsulure-Smith, Adeyinka M; Brennan, Robert T; Weisz, John R; Hansen, Nathan B

    2014-12-01

    Youth in war-affected regions are at risk for poor psychological, social, and educational outcomes. Effective interventions are needed to improve mental health, social behavior, and school functioning. This randomized controlled trial tested the effectiveness of a 10-session cognitive-behavioral therapy (CBT)-based group mental health intervention for multisymptomatic war-affected youth (aged 15-24 years) in Sierra Leone. War-affected youth identified by elevated distress and impairment via community screening were randomized (stratified by sex and age) to the Youth Readiness Intervention (YRI) (n = 222) or to a control condition (n = 214). After treatment, youth were again randomized and offered an education subsidy immediately (n = 220) or waitlisted (n = 216). Emotion regulation, psychological distress, prosocial attitudes/behaviors, social support, functional impairment, and posttraumatic stress disorder (PTSD) symptoms were assessed at pre- and postintervention and at 6-month follow-up. For youth in school, enrollment, attendance, and classroom performance were assessed after 8 months. Linear mixed-effects regressions evaluated outcomes. The YRI showed significant postintervention effects on emotion regulation, prosocial attitudes/behaviors, social support, and reduced functional impairment, and significant follow-up effects on school enrollment, school attendance, and classroom behavior. In contrast, education subsidy was associated with better attendance but had no effect on mental health or functioning, school retention, or classroom behavior. Interactions between education subsidy and YRI were not significant. YRI produced acute improvements in mental health and functioning as well as longer-term effects on school engagement and behavior, suggesting potential to prepare war-affected youth for educational and other opportunities. Clinical trial registration information-Trial of the Youth Readiness Intervention (YRI); http://clinicaltrials.gov; NCT

  12. [Western area surge for controlling Ebola hemorrhagic fever outbreak in Sierra Leone and evaluation of its effect].

    Chen, Yong; Wu, Dan; Zhang, Wenyi; Chen, Zeliang; Chang, Guohui; Tian, Shuguang; Yang, Ruifu; Liu, Chao

    2015-10-01

    To investigate the Western Area Surge (WAS) program in the Ebola outbreak of Sierra Leone, and to analyze its implementing effect. The subject of this study was 3,813 laboratory confirmed Ebola hemorrhagic fever (EHF) cases reported in Sierra Leone from November 19, 2014 through January 27, 2015, a period before and after the implementation of the WAS program. To analyze and make conclusions according to the working experience of China Mobile Laboratory Reponses Team in the fight of Ebola outbreak, using WHO published EHF case definition to make diagnosis and compare the number of bed numbers, confirmed EHF cases, samples tested, and positive rates before and after implementation of WAS program. From the implementation of WAS program on 17th December 2014 to half a month later, the total numbers of Ebola holding and treatment centers increased from 640 to 960, six additional laboratories were established. On January, 2015, another two laboratories from America and The Netherlands were established. The numbers of samples tested one month before and after WAS program were 7,891 and 9,783, respectively, with an increase of 24.0 percent, while the positive rate of Ebola virus decreased from 22.2% (1,752/7,891) to 11.0% (1,077/9,783). The positive rate of blood samples decreased from 39.6% (248/626) in the month before WAS program to 27.4% (131/478) (χ2=17.93, P<0.001) in the mother after WAS program, the positive rate of blood samples 22.7% (103/454) to 10% (62/609) (χ2=31.03, P<0.001), accordingly. After 3 weeks of WAS program, in addition to Western Area, another four hotspots in Sierra Leone had also reported a significant decrease of the numbers of confirmed EVD cases. Forty-two days after implementation of WAS program, the daily number of laboratory confirmed EHF cases decreased from 63 to 10. WAS program played a vital role in controlling the EHF outbreak rapidly in Sierra Leone. It could also provide guidance for the control similar large infectious diseases

  13. Evaluating the use of cell phone messaging for community Ebola syndromic surveillance in high risked settings in Southern Sierra Leone.

    Jia, Kangbai; Mohamed, Koroma

    2015-09-01

    Most underdeveloped countries do not meet core disease outbreak surveillance because of the lack of human resources, laboratory and infrastructural facilities. The use of cell phone technology for disease outbreak syndromic surveillance is a new phenomenon in Sierra Leone despite its successes in other developing countries like Sri Lanka. In this study we set to evaluate the effectiveness of using cell phone technology for Ebola hemorrhagic fever syndromic surveillance in a high risked community in Sierra Leone. This study evaluated the effectiveness of using cell phone messaging (text and calls) for community Ebola hemorrhagic fever syndromic surveillance in high risked community in southern Sierra Leone. All cell phone syndromic surveillance data used for this study was reported as cell phone alert messages-texts and voice calls; by the Moyamba District Health Management Team for both Ebola hemorrhagic fever suspect and mortalities. We conducted a longitudinal data analysis of the monthly cumulative confirmed Ebola hemorrhagic fever cases and mortalities collected by both the traditional sentinel and community cell phone syndromic surveillance from August 2014 to October 2014. A total of 129 and 49 Ebola hemorrhagic fever suspect and confirmed cases respectively were recorded using the community Ebola syndromic surveillance cell phone alert system by the Moyamba District Health Management Team in October 2014. The average number of Ebola hemorrhagic fever suspects and confirmed cases for October 2014 were 4.16 (Std.dev 3.76) and 1.58 (Std.dev 1.43) respectively. Thirty-four percent (n=76) of the community Ebola syndromic surveillance cell phone alerts that were followed-up within 24 hours reported Ebola hemorrhagic fever suspect cases while 65.92% (n=147) reported mortality. Our study suggests some form of underreporting by the traditional sentinel Ebola hemorrhagic fever disease surveillance system in Moyamba District southern Sierra Leone for August

  14. Modeling the 2014 Ebola Virus Epidemic - Agent-Based Simulations, Temporal Analysis and Future Predictions for Liberia and Sierra Leone.

    Siettos, Constantinos; Anastassopoulou, Cleo; Russo, Lucia; Grigoras, Christos; Mylonakis, Eleftherios

    2015-03-09

    We developed an agent-based model to investigate the epidemic dynamics of Ebola virus disease (EVD) in Liberia and Sierra Leone from May 27 to December 21, 2014. The dynamics of the agent-based simulator evolve on small-world transmission networks of sizes equal to the population of each country, with adjustable densities to account for the effects of public health intervention policies and individual behavioral responses to the evolving epidemic. Based on time series of the official case counts from the World Health Organization (WHO), we provide estimates for key epidemiological variables by employing the so-called Equation-Free approach. The underlying transmission networks were characterized by rather random structures in the two countries with densities decreasing by ~19% from the early (May 27-early August) to the last period (mid October-December 21). Our estimates for the values of key epidemiological variables, such as the mean time to death, recovery and the case fatality rate, are very close to the ones reported by the WHO Ebola response team during the early period of the epidemic (until September 14) that were calculated based on clinical data. Specifically, regarding the effective reproductive number Re, our analysis suggests that until mid October, Re was above 2.3 in both countries; from mid October to December 21, Re dropped well below unity in Liberia, indicating a saturation of the epidemic, while in Sierra Leone it was around 1.9, indicating an ongoing epidemic. Accordingly, a ten-week projection from December 21 estimated that the epidemic will fade out in Liberia in early March; in contrast, our results flashed a note of caution for Sierra Leone since the cumulative number of cases could reach as high as 18,000, and the number of deaths might exceed 5,000, by early March 2015. However, by processing the reported data of the very last period (December 21, 2014-January 18, 2015), we obtained more optimistic estimates indicative of a remission of

  15. Utilization of respondent-driven sampling among a population of child workers in the diamond-mining sector of Sierra Leone.

    Bjørkhaug, I; Hatløy, A

    2009-01-01

    This article describes the implementation of respondent driven sampling (RDS) in a study conducted in Kono District, Sierra Leone. RDS was used to identify children, under the age of 18 years old, working in the diamond sector of Sierra Leone. This includes children working directly as diamond miners as well as children working in the informal sector connected to the diamond field. The article seeks to postulate that RDS is a suitable method for a rapid approach to a population that is unidentified in size and demonstrate how RDS can reach a study population within a limited period.

  16. Lassa hemorrhagic fever in a late term pregnancy from northern sierra leone with a positive maternal outcome: case report

    Bangura James J

    2011-08-01

    Full Text Available Abstract Lassa fever (LF is a devastating viral disease prevalent in West Africa. Efforts to take on this public health crisis have been hindered by lack of infrastructure and rapid field deployable diagnosis in areas where the disease is prevalent. Recent capacity building at the Kenema Government Hospital Lassa Fever Ward (KGH LFW in Sierra Leone has lead to a major turning point in the diagnosis, treatment and study of LF. Herein we present the first comprehensive rapid diagnosis and real time characterization of an acute hemorrhagic LF case at KGH LFW. This case report focuses on a third trimester pregnant Sierra Leonean woman from the historically non-endemic Northern district of Tonkolili who survived the illness despite fetal demise. Employed in this study were newly developed recombinant LASV Antigen Rapid Test cassettes and dipstick lateral flow immunoassays (LFI that enabled the diagnosis of LF within twenty minutes of sample collection. Deregulation of overall homeostasis, significant hepatic and renal system involvement, and immunity profiles were extensively characterized during the course of hospitalization. Rapid diagnosis, prompt treatment with a full course of intravenous (IV ribavirin, IV fluids management, and real time monitoring of clinical parameters resulted in a positive maternal outcome despite admission to the LFW seven days post onset of symptoms, fetal demise, and a natural still birth delivery. These studies solidify the growing rapid diagnostic, treatment, and surveillance capabilities at the KGH LF Laboratory, and the potential to significantly improve the current high mortality rate caused by LF. As a result of the growing capacity, we were also able to isolate Lassa virus (LASV RNA from the patient and perform Sanger sequencing where we found significant genetic divergence from commonly circulating Sierra Leonean strains, showing potential for the discovery of a newly emerged LASV strain with expanded geographic

  17. Survivors' perceptions of public health messages during an Ebola crisis in Liberia and Sierra Leone: An exploratory study.

    Schwerdtle, Patricia; De Clerck, Veronique; Plummer, Virginia

    2017-12-01

    The outbreak of Ebola virus disease in Guinea, Liberia, and Sierra Leone was the largest epidemic of Ebola ever recorded. The healthcare workforce was diminished and exhausted as the region emerged from civil war. Few qualitative, descriptive studies have been conducted to date that concentrate on the voices of Ebola survivors and their perceptions of health messages. In this study, we employed an interpretive, qualitative design to explore participant experiences. Twenty five survivors who had recovered from Ebola were recruited from three villages in Liberia and Sierra Leone in August 2015. Data were collected using semistructured interviews. Data analysis revealed four themes: (i) degrees of mistrust; (ii) messages conflicting with life and culture; (iii) seeing is believing; and (iv) recovery inspires hope. The findings were explored in the context of the relevant literature. The themes highlight the need to develop culturally-appropriate messages, underpinned by a sound understanding of the community and a willingness to work with the culture and trusted leaders. © 2017 John Wiley & Sons Australia, Ltd.

  18. Getting the 'blues': the existence, diffusion and influence of pornography on young peoples' sexual health in Sierra Leone.

    Day, Andrea

    2014-01-01

    While substantial research has examined the effects of pornography on young people in developed societies, existing studies fall short in addressing how sexually-explicit material affects young people in developing countries. The importance of such knowledge increases as the globalising effects of technology expand young peoples' access and exposure to pornography. During the summer of 2012, a study was undertaken in Sierra Leone examining factors affecting young peoples' sexual and reproductive health. The research assessed the influence of HIV knowledge, communication about sex, civil war and contraception myths on sexual behaviours, while remaining open to unanticipated factors. During data collection, respondents identified pornography, also called blues, as an influential factor, detailing its newfound accessibility driven by improved access to information and communication technologies in the country. Respondents also addressed several presumed ways in which pornography impacts young peoples' decisions about sexual health. The following study examines perceived effects of young peoples' exposure to pornography based on existing literature. It then outlines the findings of research conducted in Sierra Leone, drawing on primary data from the respondents and relevant published literature and concludes with proposals for addressing its negative effects.

  19. Knowledge Attitude And Practice Of Street Food Vendors In Selected Schools Within Bo City Southern Sierra Leone

    P.T. Lamin-Boima

    2017-12-01

    Full Text Available This paper attempts to investigate the lack of knowledge attitude and practices of street food vendors in Bo the Southern Province of Sierra Leone. A cross sectional study conducted among eighty-seven respondents vendors in forty-four in Bo City. Data was collected using a structured and semi structured questionnaire. The collected data is analysed using a simple descriptive statistics with the help Excel Microsoft ware. A statistical significance was found in relation to knowledge. Attitude towards food safety was negative self-reported practices by Street Food Vendors were statistically significant with low hygiene standards while predisposing factors showed relatively low personal hygiene poor environmental sanitation and low food safety practice. The realize consequences are utmost health risks of consuming street foods as food contamination has caused food borne diseases and outbreaks. It is recommended that standard training be provided for these vendors by the Bo City Council in collaboration with Njala University. It is essential that poor people in a developing country such as Sierra Leone be allowed to earn their livelihood by means of an easy-to-enter business such as street food vending when hygiene standards are sustained.

  20. Maintaining effective mass drug administration for lymphatic filariasis through in-process monitoring in Sierra Leone

    Hodges Mary H

    2012-10-01

    Full Text Available Abstract Background Since 2007 Sierra Leone has conducted mass drug administration (MDA for the elimination of lymphatic filariasis (LF implemented by unpaid community health volunteers (CHVs. Other health campaigns such as Mother and Child Health Weeks (MCHW pay for services to be implemented at community level and these persons are then known as community health workers (CHWs. In 2010, the LF MDA in the 12 districts of the Southern, Northern and Eastern Provinces un-expectantly coincided with universal distribution of Long Lasting Insecticide Treated Nets (LLITNs during the MCHW. In-process monitoring of LF MDA was performed to ensure effective coverage was attained in hard to reach sites (HTR in both urban and rural locations where vulnerable populations reside. Methods Independent monitors interviewed individuals eligible for LF MDA and tallied those who recalled having taken ivermectin and albendazole, calculated program coverage and reported results daily by phone. Monitoring of coverage in HTR sites in the 4 most rapidly urbanizing towns was performed after 4 weeks of LF MDA and again after 8 weeks throughout all 12 districts. End process monitoring was performed in randomly selected HTR sites not previously sampled throughout all 12 districts and compared to coverage calculated from the pre-MDA census and reported treatments. Results Only one town had reached effective program coverage (≥80% after 4 weeks following which CHWs were recruited for LF MDA in all district headquarter towns. After 8 weeks only 4 of 12 districts had reached effective coverage so LF MDA was extended for a further month in all districts. By 12 weeks effective program coverage had been reached in all districts except Port Loko and there was no significant difference between those interviewed in communities versus households or by sex. Effective epidemiological coverage (≥65% was reported in all districts and overall was significantly higher in males versus

  1. Willingness to pay for health insurance in the informal sector of Sierra Leone.

    Jofre-Bonet, Mireia; Kamara, Joseph

    2018-01-01

    The objective of this project is to study the willingness to pay (WTP) for health insurance (HI) of individuals working in the informal sector in Sierra Leone, using a purposely-designed survey of a representative sample of this sector. We elicit the WTP using the Double-Bounded Dichotomous Choice with Follow Up method. We also examine the factors that are positively and negatively associated with the likelihood of the respondents to answer affirmatively to joining a HI scheme and to paying three different possible premiums, to join the HI scheme. We additionally analyze the individual and household characteristics associated with the maximum amount the household is willing to pay to join the HI scheme. The results indicate that the average WTP for the HI is 20,237.16 SLL (3.6 USD) per adult but it ranges from about 14,000 SLL (2.5 USD) to about 35,000 SLL (6.2 USD) depending on region, occupation, household and respondent characteristics. The analysis of the maximum WTP indicates that living outside the Western region and working in farming instead of petty trade are associated with a decrease in the maximum premium respondents are WTP for the HI scheme. Instead, the maximum WTP is positively associated to being a driver or a biker; having secondary or tertiary education (as opposed to not having any); the number of pregnant women in the household; having a TV; and, having paid for the last medical requirement. In summary, the various analyses show that a premium for the HI package could be set at approximately 20,000 SLL (3.54 USD) but also that establishing a single premium for all individuals in the informal sector could be risky. The efficient functioning of a HI scheme relies on covering as much of the population as possible, in order to spread risks and make the scheme viable. The impact of the various population characteristics raises the issue of how to rate premiums. In other words, setting a premium that may be too high for a big proportion of the

  2. Willingness to pay for health insurance in the informal sector of Sierra Leone

    Jofre-Bonet, Mireia; Kamara, Joseph

    2018-01-01

    Purpose The objective of this project is to study the willingness to pay (WTP) for health insurance (HI) of individuals working in the informal sector in Sierra Leone, using a purposely-designed survey of a representative sample of this sector. Methods We elicit the WTP using the Double-Bounded Dichotomous Choice with Follow Up method. We also examine the factors that are positively and negatively associated with the likelihood of the respondents to answer affirmatively to joining a HI scheme and to paying three different possible premiums, to join the HI scheme. We additionally analyze the individual and household characteristics associated with the maximum amount the household is willing to pay to join the HI scheme. Results The results indicate that the average WTP for the HI is 20,237.16 SLL (3.6 USD) per adult but it ranges from about 14,000 SLL (2.5 USD) to about 35,000 SLL (6.2 USD) depending on region, occupation, household and respondent characteristics. The analysis of the maximum WTP indicates that living outside the Western region and working in farming instead of petty trade are associated with a decrease in the maximum premium respondents are WTP for the HI scheme. Instead, the maximum WTP is positively associated to being a driver or a biker; having secondary or tertiary education (as opposed to not having any); the number of pregnant women in the household; having a TV; and, having paid for the last medical requirement. Conclusions In summary, the various analyses show that a premium for the HI package could be set at approximately 20,000 SLL (3.54 USD) but also that establishing a single premium for all individuals in the informal sector could be risky. The efficient functioning of a HI scheme relies on covering as much of the population as possible, in order to spread risks and make the scheme viable. The impact of the various population characteristics raises the issue of how to rate premiums. In other words, setting a premium that may be too

  3. When free healthcare is not free. Corruption and mistrust in Sierra Leone's primary healthcare system immediately prior to the Ebola outbreak.

    Pieterse, Pieternella; Lodge, Tom

    2015-11-01

    Sierra Leone is one of three countries recently affected by Ebola. In debates surrounding the circumstances that contributed to the initial failure to contain the outbreak, the word 'trust' is often used: In December 2014, WHO director Margret Chan used 'lack of trust in governments'; The Lancet's Editor-in-Chief, wrote how Ebola has exposed the '… breakdown of trust between communities and their governments.' This article explores the lack of trust in public healthcare providers in Sierra Leone, predating the Ebola outbreak, apparently linked to widespread petty corruption in primary healthcare facilities. It compares four NGO-supported accountability interventions targeting Sierra Leone's primary health sector. Field research was conducted in Kailahun, Kono and Tonkolili Districts, based on interviews with health workers and focus group discussions with primary healthcare users. Field research showed that in most clinics, women and children entitled to free care routinely paid for health services. A lack of accountability in Sierra Leone's health sector appears pervasive at all levels. Petty corruption is rife. Understaffing leads to charging for free care in order to pay clinic-based 'volunteers' who function as vaccinators, health workers and birth attendants. Accountability interventions were found to have little impact on healthworker (mis)behaviour. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. Rapid assessment of knowledge, attitudes, practices, and risk perception related to the prevention and control of Ebola virus disease in three communities of Sierra Leone.

    Jiang, Hai; Shi, Guo-Qing; Tu, Wen-Xiao; Zheng, Can-Jun; Lai, Xue-Hui; Li, Xin-Xu; Wei, Qiang; Li, Mei; Deng, Li-Quan; Huo, Xiang; Chen, Ming-Quan; Xu, Feng; Ye, Long-Jie; Bai, Xi-Chen; Chen, Tong-Nian; Yin, Shao-Hua; Samba, Thomas T; Liang, Xiao-Feng

    2016-06-06

    The recent outbreak of the Ebola virus disease (EVD) in Sierra Leone has been characterized by the World Health Organization as one of the most challenging EVD outbreaks to date. The first confirmed case in Sierra Leone was a young woman who was admitted to a government hospital in Kenema following a miscarriage on 24 May 2014. On 5 January 2015, intensified training for an EVD response project was initiated at the medical university of Sierra Leone in Jui. To understand the knowledge, attitudes, practices, and perceived risk of EVD among the public, especially after this training, a rapid assessment was conducted from 10 to 16 March 2015. Interviews were conducted with 466 participants based on questionnaires that were distributed from 10 to 16 March 2015 by cluster sampling in three adjacent communities, namely Jui, Grafton, and Kossoh Town, in the Western Area Rural District of Sierra Leone. It was found that knowledge about EVD was comprehensive and high. Positive attitude towards prevention was found to be satisfactory. Nearly all participants knew the reporting phone number 117 and had reported some change in behavior since learning about Ebola. More than half (62 %) of the participants had a history of travelling to urban areas, which increases the risk of infection. The multivariable logistic regression analysis showed that community and occupation were variables associated with perceived risk of EVD. Our study showed that community level social mobilization and community engagement were an effective strategy in the special context.

  5. The role of remnant trees in carbon sequestration, vegetation structure and tree diversity of early succession regrowing fallows in eastern Sierra Leone

    Cuni Sanchez, Aida; Lindsell, Jeremy A.

    2017-01-01

    Remnant tree presence affects forest recovery after slash-and-burn agriculture. However, little is known about its effect on above-ground carbon stocks, especially in Africa. We focused our study on Sierra Leone, part of the Upper Guinean forests, an important centre of endemism threatened...

  6. Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

    Nic Lochlainn, Laura M; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

    2018-01-01

    During the 2014-16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD

  7. Situation Report--Australia, Burundi, Cambodia, Mexico, Montserrat, Nicaragua, Papua & New Guinea, Republic of Vietnam, Sabah, Sarawak, Sierra Leone, Tahiti, Tonga.

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in fourteen foreign countries are presented in these situation reports. Countries included are Australia, Burundi, Cambodia, Mexico, Montserrat, Nicaragua, Papua and New Guines, Republic of Vietnam, Sabah, Sarawak, Sierra Leone, Tahiti (French Polynesia), and Tonga. Information is provided under two…

  8. Estimating the future number of cases in the Ebola epidemic--Liberia and Sierra Leone, 2014-2015.

    Meltzer, Martin I; Atkins, Charisma Y; Santibanez, Scott; Knust, Barbara; Petersen, Brett W; Ervin, Elizabeth D; Nichol, Stuart T; Damon, Inger K; Washington, Michael L

    2014-09-26

    The first cases of the current West African epidemic of Ebola virus disease (hereafter referred to as Ebola) were reported on March 22, 2014, with a report of 49 cases in Guinea. By August 31, 2014, a total of 3,685 probable, confirmed, and suspected cases in West Africa had been reported. To aid in planning for additional disease-control efforts, CDC constructed a modeling tool called EbolaResponse to provide estimates of the potential number of future cases. If trends continue without scale-up of effective interventions, by September 30, 2014, Sierra Leone and Liberia will have a total of approximately 8,000 Ebola cases. A potential underreporting correction factor of 2.5 also was calculated. Using this correction factor, the model estimates that approximately 21,000 total cases will have occurred in Liberia and Sierra Leone by September 30, 2014. Reported cases in Liberia are doubling every 15-20 days, and those in Sierra Leone are doubling every 30-40 days. The EbolaResponse modeling tool also was used to estimate how control and prevention interventions can slow and eventually stop the epidemic. In a hypothetical scenario, the epidemic begins to decrease and eventually end if approximately 70% of persons with Ebola are in medical care facilities or Ebola treatment units (ETUs) or, when these settings are at capacity, in a non-ETU setting such that there is a reduced risk for disease transmission (including safe burial when needed). In another hypothetical scenario, every 30-day delay in increasing the percentage of patients in ETUs to 70% was associated with an approximate tripling in the number of daily cases that occur at the peak of the epidemic (however, the epidemic still eventually ends). Officials have developed a plan to rapidly increase ETU capacities and also are developing innovative methods that can be quickly scaled up to isolate patients in non-ETU settings in a way that can help disrupt Ebola transmission in communities. The U.S. government and

  9. Psychosocial support and resilience building among health workers in Sierra Leone: interrelations between coping skills, stress levels, and interpersonal relationships.

    Vesel, Linda; Waller, Kathryn; Dowden, Justine; Fotso, Jean Christophe

    2015-01-01

    In low- and middle-income countries, a shortage of properly trained, supervised, motivated and equitably distributed health workers often hinder the delivery of lifesaving interventions. Various health workforce bottlenecks can be addressed by tackling well-being and interpersonal relationships of health workers with their colleagues and clients. This paper uses data from the Helping Health Workers Cope (HHWC) project in a rural district of Sierra Leone to achieve three objectives. First, we describe the effect of counseling and psychosocial training on coping skills, stress levels, and provider-provider and provider-client relationships. Second, we examine whether a change in coping skills is associated with a change in relationships. Finally, we qualitatively identify key ways through which the uptake of coping skills is linked to a change in relationships. The HHWC project was implemented from February 2012 to June 2013 in Kono district in the Eastern province of Sierra Leone, with the neighboring district of Tonkolili selected as the control site. The evaluation followed a mixed-methods approach, which included a quantitative survey, in-depth interviews and focus group discussions with health workers and clients. Mean values of the variables of interest were compared across sub-populations, and correlation analyses were performed between changes in coping skills, stress levels, and changes in relationships. Overall, the results demonstrate that the HHWC intervention had a positive effect on coping skills, stress levels and provider-provider and provider-client relationships. Furthermore, associations were observed between changes in coping skills and changes in relationships as well as changes in stress management skills and changes in relationships. Psychosocial education can have major impacts on health worker well-being and the quality of health care delivery. Integrating psychosocial counseling and training interventions into health worker pre-service and

  10. Geographical Distribution of Intestinal Schistosomiasis and Soil-Transmitted Helminthiasis and Preventive Chemotherapy Strategies in Sierra Leone

    Koroma, Joseph B.; Peterson, Jen; Gbakima, Aiah A.; Nylander, Francis E.; Sahr, Foday; Soares Magalhães, Ricardo J.; Zhang, Yaobi; Hodges, Mary H.

    2010-01-01

    Background A national baseline mapping of schistosomiasis and soil-transmitted helminthiasis (STH) was performed in Sierra Leone. The aim was to provide necessary tools for the Ministry of Health and Sanitation to plan the intervention strategies in the national integrated control program on neglected tropical diseases according to the World Health Organization (WHO) guidelines for preventative chemotherapy (PCT) and for future monitoring and evaluation. Methodology/Principal Findings 53 primary schools were randomly selected through a two-staged random sampling throughout the country. Approximately one hundred children aged 5–16 years of age were systematically selected from each school and their stool samples examined in a field laboratory. A total of 5,651 samples were examined. Data were analyzed with multivariable logistic regression models using model-based geostatistics. Spatial analysis predicted that S. mansoni infection was positively associated with population density and elevation and that there was a large cluster of high risk of S. mansoni infection (prevalence >70%) in the north and most of the eastern areas of the country, in line with the observed prevalence in Kono (63.8–78.3%), Koinadugu (21.6–82.1%), Kailahun (43.5–52.6%), Kenema (6.1–68.9%) and Tonkolili (0–57.3%). Hookworm infection was negatively associated with population density and land surface temperature, and was high across Sierra Leone with a large cluster of high infection risk (prevalence >70%) in the north-eastern part of the country. Remarkably low prevalence of Ascaris lumbricoides (7.2%) and Trichuris trichiura (3.3%) was recorded when compared with results published in the 1990s. Conclusions/Significance Results justify PCT for schistosomiasis for school age children and at-risk adults every year in high-risk communities in five districts and every two years in moderate-risk communities in one more district. The high prevalence of STH, particularly hookworm, coupled

  11. Was Pharmacy Their Preferred Choice? Assessing Pharmacy Students’ Motivation to Study Pharmacy, Attitudes and Future Career Intentions in Sierra Leone

    Peter Bai James

    2018-06-01

    Full Text Available Background: There is a dearth of skilled pharmaceutical workforce in the African region, and this is partly due to a limited number of prospective students entering the profession. An understanding of the factors that influence the choice of pharmacy as a career is needed to attract highly motivated and skilled individuals into the profession. Therefore, the objective of this study was to assess pharmacy students’ motivation to study pharmacy, their attitude and future career intentions in Sierra Leone. Methods: A cross-sectional questionnaire-based survey of undergraduate pharmacy students enrolled at the College of Medicine, and Allied Health Sciences, University of Sierra Leone (COMAHS – USL was carried out between May and June 2015. Descriptive statistics, as well as chi-square and Fisher exact two-tailed tests were used to analyze the data. Results: Close to a quarter (24.3% of pharmacy students surveyed chose pharmacy as their preferred major. The choice of pharmacy as a preferred major was common among first-year students, (p=0.001, those who were married (p<0.001 and have had pharmacy practice experience (p<0.001. Motivation for choosing pharmacy was assessed based on three domains (education, personal and career-related factors.Students cited a subject teacher at school ̸ College (66.7% as the most education-related influence, while friends and family members (61.1% was the major personal-related factor. Also, students considered the desire for self-employment in a healthcare related job (27.8%, and excellent career opportunities (27.8% as the major career-related factors that influenced their choice of pharmacy as a preferred major. Medicine was the first choice of study among the majority (95% of students that chose pharmacy as a second choice when seeking admission into the university. Pharmacy students demonstrated a positive attitude toward the profession, and considered drug manufacturing (47.3% and hospital pharmacy (43

  12. Geographical distribution of intestinal schistosomiasis and soil-transmitted helminthiasis and preventive chemotherapy strategies in Sierra Leone.

    Koroma, Joseph B; Peterson, Jen; Gbakima, Aiah A; Nylander, Francis E; Sahr, Foday; Soares Magalhães, Ricardo J; Zhang, Yaobi; Hodges, Mary H

    2010-11-23

    A national baseline mapping of schistosomiasis and soil-transmitted helminthiasis (STH) was performed in Sierra Leone. The aim was to provide necessary tools for the Ministry of Health and Sanitation to plan the intervention strategies in the national integrated control program on neglected tropical diseases according to the World Health Organization (WHO) guidelines for preventative chemotherapy (PCT) and for future monitoring and evaluation. 53 primary schools were randomly selected through a two-staged random sampling throughout the country. Approximately one hundred children aged 5-16 years of age were systematically selected from each school and their stool samples examined in a field laboratory. A total of 5,651 samples were examined. Data were analyzed with multivariable logistic regression models using model-based geostatistics. Spatial analysis predicted that S. mansoni infection was positively associated with population density and elevation and that there was a large cluster of high risk of S. mansoni infection (prevalence >70%) in the north and most of the eastern areas of the country, in line with the observed prevalence in Kono (63.8-78.3%), Koinadugu (21.6-82.1%), Kailahun (43.5-52.6%), Kenema (6.1-68.9%) and Tonkolili (0-57.3%). Hookworm infection was negatively associated with population density and land surface temperature, and was high across Sierra Leone with a large cluster of high infection risk (prevalence >70%) in the north-eastern part of the country. Remarkably low prevalence of Ascaris lumbricoides (7.2%) and Trichuris trichiura (3.3%) was recorded when compared with results published in the 1990s. Results justify PCT for schistosomiasis for school age children and at-risk adults every year in high-risk communities in five districts and every two years in moderate-risk communities in one more district. The high prevalence of STH, particularly hookworm, coupled with widespread anemia according to a national report in Sierra Leone, suggests

  13. Clinical Features of and Risk Factors for Fatal Ebola Virus Disease, Moyamba District, Sierra Leone, December 2014-February 2015.

    Haaskjold, Yngvar Lunde; Bolkan, Håkon Angell; Krogh, Kurt Østhuus; Jongopi, James; Lundeby, Karen Marie; Mellesmo, Sindre; Garcés, Pedro San José; Jøsendal, Ola; Øpstad, Åsmund; Svensen, Erling; Fuentes, Luis Matias Zabala; Kamara, Alfred Sandy; Riera, Melchor; Arranz, Javier; Roberts, David P; Stamper, Paul D; Austin, Paula; Moosa, Alfredo J; Marke, Dennis; Hassan, Shoaib; Eide, Geir Egil; Berg, Åse; Blomberg, Bjørn

    2016-09-01

    The 2013-2016 outbreak of Ebola virus disease (EVD) in West Africa infected >28,000 people, including >11,000 who died, and disrupted social life in the region. We retrospectively studied clinical signs and symptoms and risk factors for fatal outcome among 31 Ebola virus-positive patients admitted to the Ebola Treatment Center in Moyamba District, Sierra Leone. We found a higher rate of bleeding manifestations than reported elsewhere during the outbreak. Significant predictors for death were shorter time from symptom onset to admission, male sex, high viral load on initial laboratory testing, severe pain, diarrhea, bloody feces, and development of other bleeding manifestations during hospitalization. These risk factors for death could be used to identify patients in need of more intensive medical support. The lack of fever in as many as one third of EVD cases may have implications for temperature-screening practices and case definitions.

  14. Health workers' experiences of coping with the Ebola epidemic in Sierra Leone's health system: a qualitative study.

    Raven, Joanna; Wurie, Haja; Witter, Sophie

    2018-04-05

    The 2014 Ebola Virus Disease epidemic evolved in alarming ways in Sierra Leone spreading to all districts. The country struggled to control it against a backdrop of a health system that was already over-burdened. Health workers play an important role during epidemics but there is limited research on how they cope during health epidemics in fragile states. This paper explores the challenges faced by health workers and their coping strategies during the Ebola outbreak in four districts - Bonthe, Kenema, Koinadugu and Western Area - of Sierra Leone. We used a qualitative study design: key informant interviews (n = 19) with members of the District Health Management Teams and local councils, health facility managers and international partners; and in depth interviews with health workers (n = 25) working in public health facilities and international health workers involved with the treatment of Ebola patients. There were several important coping strategies including those that drew upon existing mechanisms: being sustained by religion, a sense of serving their country and community, and peer and family support. Externally derived strategies included: training which built health worker confidence in providing care; provision of equipment to do their job safely; a social media platform which helped health workers deal with challenges; workshops that provided ways to deal with the stigma associated with being a health worker; and the risk allowance, which motivated staff to work in facilities and provided an additional income source. Supportive supervision, peer support networks and better use of communication technology should be pursued, alongside a programme for rebuilding trusting relations with community structures. The challenge is building these mechanisms into routine systems, pre-empting shocks, rather than waiting to respond belatedly to crises.

  15. Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New Guinea, Uganda, and Sierra Leone.

    Anna J Dare

    2016-05-01

    Full Text Available Little is known about the social and political factors that influence priority setting for different health services in low- and middle-income countries (LMICs, yet these factors are integral to understanding how national health agendas are established. We investigated factors that facilitate or prevent surgical care from being prioritized in LMICs.We undertook country case studies in Papua New Guinea, Uganda, and Sierra Leone, using a qualitative process-tracing method. We conducted 74 semi-structured interviews with stakeholders involved in health agenda setting and surgical care in these countries. Interviews were triangulated with published academic literature, country reports, national health plans, and policies. Data were analyzed using a conceptual framework based on four components (actor power, ideas, political contexts, issue characteristics to assess national factors influencing priority for surgery. Political priority for surgical care in the three countries varies. Priority was highest in Papua New Guinea, where surgical care is firmly embedded within national health plans and receives significant domestic and international resources, and much lower in Uganda and Sierra Leone. Factors influencing whether surgical care was prioritized were the degree of sustained and effective domestic advocacy by the local surgical community, the national political and economic environment in which health policy setting occurs, and the influence of international actors, particularly donors, on national agenda setting. The results from Papua New Guinea show that a strong surgical community can generate priority from the ground up, even where other factors are unfavorable.National health agenda setting is a complex social and political process. To embed surgical care within national health policy, sustained advocacy efforts, effective framing of the problem and solutions, and country-specific data are required. Political, technical, and financial

  16. Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New Guinea, Uganda, and Sierra Leone.

    Dare, Anna J; Lee, Katherine C; Bleicher, Josh; Elobu, Alex E; Kamara, Thaim B; Liko, Osborne; Luboga, Samuel; Danlop, Akule; Kune, Gabriel; Hagander, Lars; Leather, Andrew J M; Yamey, Gavin

    2016-05-01

    Little is known about the social and political factors that influence priority setting for different health services in low- and middle-income countries (LMICs), yet these factors are integral to understanding how national health agendas are established. We investigated factors that facilitate or prevent surgical care from being prioritized in LMICs. We undertook country case studies in Papua New Guinea, Uganda, and Sierra Leone, using a qualitative process-tracing method. We conducted 74 semi-structured interviews with stakeholders involved in health agenda setting and surgical care in these countries. Interviews were triangulated with published academic literature, country reports, national health plans, and policies. Data were analyzed using a conceptual framework based on four components (actor power, ideas, political contexts, issue characteristics) to assess national factors influencing priority for surgery. Political priority for surgical care in the three countries varies. Priority was highest in Papua New Guinea, where surgical care is firmly embedded within national health plans and receives significant domestic and international resources, and much lower in Uganda and Sierra Leone. Factors influencing whether surgical care was prioritized were the degree of sustained and effective domestic advocacy by the local surgical community, the national political and economic environment in which health policy setting occurs, and the influence of international actors, particularly donors, on national agenda setting. The results from Papua New Guinea show that a strong surgical community can generate priority from the ground up, even where other factors are unfavorable. National health agenda setting is a complex social and political process. To embed surgical care within national health policy, sustained advocacy efforts, effective framing of the problem and solutions, and country-specific data are required. Political, technical, and financial support from

  17. Combined spatial prediction of schistosomiasis and soil-transmitted helminthiasis in Sierra Leone: a tool for integrated disease control.

    Mary H Hodges

    Full Text Available BACKGROUND: A national mapping of Schistosoma haematobium was conducted in Sierra Leone before the mass drug administration (MDA with praziquantel. Together with the separate mapping of S. mansoni and soil-transmitted helminths, the national control programme was able to plan the MDA strategies according to the World Health Organization guidelines for preventive chemotherapy for these diseases. METHODOLOGY/PRINCIPAL FINDINGS: A total of 52 sites/schools were selected according to prior knowledge of S. haematobium endemicity taking into account a good spatial coverage within each district, and a total of 2293 children aged 9-14 years were examined. Spatial analysis showed that S. haematobium is heterogeneously distributed in the country with significant spatial clustering in the central and eastern regions of the country, most prevalent in Bo (24.6% and 8.79 eggs/10 ml, Koinadugu (20.4% and 3.53 eggs/10 ml and Kono (25.3% and 7.91 eggs/10 ml districts. By combining this map with the previously reported maps on intestinal schistosomiasis using a simple probabilistic model, the combined schistosomiasis prevalence map highlights the presence of high-risk communities in an extensive area in the northeastern half of the country. By further combining the hookworm prevalence map, the at-risk population of school-age children requiring integrated schistosomiasis/soil-transmitted helminth treatment regimens according to the coendemicity was estimated. CONCLUSIONS/SIGNIFICANCE: The first comprehensive national mapping of urogenital schistosomiasis in Sierra Leone was conducted. Using a new method for calculating the combined prevalence of schistosomiasis using estimates from two separate surveys, we provided a robust coendemicity mapping for overall urogenital and intestinal schistosomiasis. We also produced a coendemicity map of schistosomiasis and hookworm. These coendemicity maps can be used to guide the decision making for MDA strategies in combination

  18. Combined spatial prediction of schistosomiasis and soil-transmitted helminthiasis in Sierra Leone: a tool for integrated disease control.

    Hodges, Mary H; Soares Magalhães, Ricardo J; Paye, Jusufu; Koroma, Joseph B; Sonnie, Mustapha; Clements, Archie; Zhang, Yaobi

    2012-01-01

    A national mapping of Schistosoma haematobium was conducted in Sierra Leone before the mass drug administration (MDA) with praziquantel. Together with the separate mapping of S. mansoni and soil-transmitted helminths, the national control programme was able to plan the MDA strategies according to the World Health Organization guidelines for preventive chemotherapy for these diseases. A total of 52 sites/schools were selected according to prior knowledge of S. haematobium endemicity taking into account a good spatial coverage within each district, and a total of 2293 children aged 9-14 years were examined. Spatial analysis showed that S. haematobium is heterogeneously distributed in the country with significant spatial clustering in the central and eastern regions of the country, most prevalent in Bo (24.6% and 8.79 eggs/10 ml), Koinadugu (20.4% and 3.53 eggs/10 ml) and Kono (25.3% and 7.91 eggs/10 ml) districts. By combining this map with the previously reported maps on intestinal schistosomiasis using a simple probabilistic model, the combined schistosomiasis prevalence map highlights the presence of high-risk communities in an extensive area in the northeastern half of the country. By further combining the hookworm prevalence map, the at-risk population of school-age children requiring integrated schistosomiasis/soil-transmitted helminth treatment regimens according to the coendemicity was estimated. The first comprehensive national mapping of urogenital schistosomiasis in Sierra Leone was conducted. Using a new method for calculating the combined prevalence of schistosomiasis using estimates from two separate surveys, we provided a robust coendemicity mapping for overall urogenital and intestinal schistosomiasis. We also produced a coendemicity map of schistosomiasis and hookworm. These coendemicity maps can be used to guide the decision making for MDA strategies in combination with the local knowledge and programme needs.

  19. An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone.

    Bertone, Maria Paola; Witter, Sophie

    2015-09-01

    The need for evidence-based practice calls for research focussing not only on the effectiveness of interventions and their translation into policies, but also on implementation processes and the factors influencing them, in particular for complex health system policies. In this paper, we use the lens of one of the health system's 'building blocks', human resources for health (HRH), to examine the implementation of official policies on HRH incentives and the emergence of informal practices in three districts of Sierra Leone. Our mixed-methods research draws mostly from 18 key informant interviews at district level. Data are organised using a political economy framework which focuses on the dynamic interactions between structure (context, historical legacies, institutions) and agency (actors, agendas, power relations) to show how these elements affect the HRH incentive practices in each district. It appears that the official policies are re-shaped both by implementation challenges and by informal practices emerging at local level as the result of the district-level dynamics and negotiations between District Health Management Teams (DHMTs) and nongovernmental organisations (NGOs). Emerging informal practices take the form of selective supervision, salary supplementations and per diems paid to health workers, and aim to ensure a better fit between the actors' agendas and the incentive package. Importantly, the negotiations which shape such practices are characterised by a substantial asymmetry of power between DHMTs and NGOs. In conclusion, our findings reveal the influence of NGOs on the HRH incentive package and highlight the need to empower DHMTs to limit the discrepancy between policies defined at central level and practices in the districts, and to reduce inequalities in health worker remuneration across districts. For Sierra Leone, these findings are now more relevant than ever as new players enter the stage at district level, as part of the Ebola response and

  20. Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New Guinea, Uganda, and Sierra Leone

    Dare, Anna J.; Lee, Katherine C.; Bleicher, Josh; Elobu, Alex E.; Kamara, Thaim B.; Liko, Osborne; Luboga, Samuel; Danlop, Akule; Kune, Gabriel; Hagander, Lars; Leather, Andrew J. M.; Yamey, Gavin

    2016-01-01

    Background Little is known about the social and political factors that influence priority setting for different health services in low- and middle-income countries (LMICs), yet these factors are integral to understanding how national health agendas are established. We investigated factors that facilitate or prevent surgical care from being prioritized in LMICs. Methods and Findings We undertook country case studies in Papua New Guinea, Uganda, and Sierra Leone, using a qualitative process-tracing method. We conducted 74 semi-structured interviews with stakeholders involved in health agenda setting and surgical care in these countries. Interviews were triangulated with published academic literature, country reports, national health plans, and policies. Data were analyzed using a conceptual framework based on four components (actor power, ideas, political contexts, issue characteristics) to assess national factors influencing priority for surgery. Political priority for surgical care in the three countries varies. Priority was highest in Papua New Guinea, where surgical care is firmly embedded within national health plans and receives significant domestic and international resources, and much lower in Uganda and Sierra Leone. Factors influencing whether surgical care was prioritized were the degree of sustained and effective domestic advocacy by the local surgical community, the national political and economic environment in which health policy setting occurs, and the influence of international actors, particularly donors, on national agenda setting. The results from Papua New Guinea show that a strong surgical community can generate priority from the ground up, even where other factors are unfavorable. Conclusions National health agenda setting is a complex social and political process. To embed surgical care within national health policy, sustained advocacy efforts, effective framing of the problem and solutions, and country-specific data are required. Political

  1. How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia

    Witter, Sophie; Wurie, Haja; Chandiwana, Pamela; Namakula, Justine; So, Sovannarith; Alonso-Garbayo, Alvaro; Ssengooba, Freddie; Raven, Joanna

    2017-01-01

    This article is grounded in a research programme which set out to understand how to rebuild health systems post-conflict. Four countries were studied – Uganda, Sierra Leone, Zimbabwe, and Cambodia – which were at different distances from conflict and crisis, as well as each having a unique conflict story. During the research process, the Ebola epidemic broke out in West Africa. Zimbabwe has continued to face a profound economic crisis. Within our research on health worker incentives, we captu...

  2. Facilitating War-Affected Young Mothers¡¯ Reintegration: Lessons from a Participatory Action Research Study in Liberia, Sierra Leone, and Uganda

    Miranda Worthen; Grace Onyango; Mike Wessells; Angela Veale; Susan McKay

    2013-01-01

    Young women and girls formerly associated with armed forces and armed groups face multiple challenges. Many become pregnant or have children while they are associated and face stigma and marginalization upon reintegration into civilian communities. This article describes a multi-year participatory action research study that took place in twenty communities in Liberia, Sierra Leone, and northern Uganda from 2006 ¨C 2009 and included more than 650 young mother participants. We find that this co...

  3. Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015

    Nic Lochlainn, Laura M.; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M.; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

    2018-01-01

    Background During the 2014–16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobi...

  4. Exploring the Knowledge and Perception of Generic Medicines among Final Year Undergraduate Medical, Pharmacy, and Nursing Students in Sierra Leone: A Comparative Cross-Sectional Approach

    Peter Bai James

    2018-01-01

    Full Text Available Most low-income nations have national medicine policy that emphasized the use of generic medicines in the public health sector. However, the use of generics is often debatable as there are concerns over its efficacy, quality, and safety compared to their branded counterparts. This study was conducted to compare the knowledge and perception of generic medicines among final year undergraduate medical, pharmacy, and nursing students in Sierra Leone. We conducted a questionnaire-based cross-sectional study among these students at the College of Medicine and Allied Health Sciences University of Sierra Leone. Out of the 62 students, only two (2/62, 3.2% knew about the acceptable bioequivalence limit. At least half of respondents in all three groups agreed that all generics are therapeutically equivalent to their innovator brand. At least half of the medicine (21/42, 50% and nursing (6/9, 66.6% students, compared to pharmacy students (5/11, 45.5%, believed that higher safety standards are required for proprietary medicines than for generic medicines. Most of them agreed that they need more information on the safety, quality, and efficacy aspects of generics (59/62, 95.2%. All three groups of healthcare students, despite variations in their responses, demonstrated a deficiency in knowledge and misconception regarding generic medicines. Training on issues surrounding generic drugs in healthcare training institutions is highly needed among future healthcare providers in Sierra Leone.

  5. [Establishment of Quality Control System of Nucleic Acid Detection for Ebola Virus in Sierra Leone-China Friendship Biological Safety Laboratory].

    Wang, Qin; Zhang, Yong; Nie, Kai; Wang, Huanyu; Du, Haijun; Song, Jingdong; Xiao, Kang; Lei, Wenwen; Guo, Jianqiang; Wei, Hejiang; Cai, Kun; Wang, Yanhai; Wu, Jiang; Gerald, Bangura; Kamara, Idrissa Laybohr; Liang, Mifang; Wu, Guizhen; Dong, Xiaoping

    2016-03-01

    The quality control process throughout the Ebola virus nucleic acid detection in Sierra Leone-China Friendship Biological Safety Laboratory (SLE-CHN Biosafety Lab) was described in detail, in order to comprehensively display the scientific, rigorous, accurate and efficient practice in detection of Ebola virus of first batch detection team in SLE-CHN Biosafety Lab. Firstly, the key points of laboratory quality control system was described, including the managements and organizing, quality control documents and information management, instrument, reagents and supplies, assessment, facilities design and space allocation, laboratory maintenance and biosecurity. Secondly, the application of quality control methods in the whole process of the Ebola virus detection, including before the test, during the test and after the test, was analyzed. The excellent and professional laboratory staffs, the implementation of humanized management are the cornerstone of the success; High-level biological safety protection is the premise for effective quality control and completion of Ebola virus detection tasks. And professional logistics is prerequisite for launching the laboratory diagnosis of Ebola virus. The establishment and running of SLE-CHN Biosafety Lab has landmark significance for the friendship between Sierra Leone and China, and the lab becomes the most important base for Ebola virus laboratory testing in Sierra Leone.

  6. Sierra Leone's Former Child Soldiers: A Longitudinal Study of Risk, Protective Factors, and Mental Health

    Betancourt, Theresa S.; Brennan, Robert T.; Rubin-Smith, Julia; Fitzmaurice, Garrett M.; Gilman, Stephen E.

    2010-01-01

    Objective: To investigate the longitudinal course of internalizing and externalizing problems and adaptive/prosocial behaviors among Sierra Leonean former child soldiers and whether postconflict factors contribute to adverse or resilient mental health outcomes. Method: Male and female former child soldiers (N = 260, aged 10 to 17 years at…

  7. The link between the West African Ebola outbreak and health systems in Guinea, Liberia and Sierra Leone: a systematic review.

    Shoman, Haitham; Karafillakis, Emilie; Rawaf, Salman

    2017-01-04

    An Ebola outbreak started in December 2013 in Guinea and spread to Liberia and Sierra Leone in 2014. The health systems in place in the three countries lacked the infrastructure and the preparation to respond to the outbreak quickly and the World Health Organisation (WHO) declared a public health emergency of international concern on August 8 2014. The aim of this study was to determine the effects of health systems' organisation and performance on the West African Ebola outbreak in Guinea, Liberia and Sierra Leone and lessons learned. The WHO health system building blocks were used to evaluate the performance of the health systems in these countries. A systematic review of articles published from inception until July 2015 was conducted following the PRISMA guidelines. Electronic databases including Medline, Embase, Global Health, and the Cochrane library were searched for relevant literature. Grey literature was also searched through Google Scholar and Scopus. Articles were exported and selected based on a set of inclusion and exclusion criteria. Data was then extracted into a spreadsheet and a descriptive analysis was performed. Each study was critically appraised using the Crowe Critical Appraisal Tool. The review was supplemented with expert interviews where participants were identified from reference lists and using the snowball method. Thirteen articles were included in the study and six experts from different organisations were interviewed. Findings were analysed based on the WHO health system building blocks. Shortage of health workforce had an important effect on the control of Ebola but also suffered the most from the outbreak. This was followed by information and research, medical products and technologies, health financing and leadership and governance. Poor surveillance and lack of proper communication also contributed to the outbreak. Lack of available funds jeopardised payments and purchase of essential resources and medicines. Leadership and

  8. Improved mapping strategy to better inform policy on the control of schistosomiasis and soil-transmitted helminthiasis in Sierra Leone

    2011-01-01

    Background Schistosomiasis and soil-transmitted helminthiasis (STH) are endemic in Sierra Leone confirmed by national mapping in 2008. To better inform planning of preventive chemotherapy strategy, another survey was conducted before mass drug administration (MDA) in seven districts according to the mapping results or local knowledge. Fifty-nine chiefdoms and one school in every chiefdom were selected. Thirty school children aged 9-14 years from each school (total: 1760) were examined by parasitological methods for infection with Schistosoma mansoni and STHs. Results The overall prevalence of S. mansoni was 40.2% (95% confidence interval (CI): 37.9-42.5%), particularly in Kailahun (63.3%), Kenema (46.7%), Koinadugu (41.9%) and Kono (71.7%). The results demonstrated the focal distribution of S. mansoni in Bo, Tonkolili and Bombali districts with prevalence ranging from 0.0-63.3%, 3.3-90.0% and 0.0-67.9% respectively. The arithmetic mean intensity of S. mansoni infection was 95.4 epg (95% CI: 61.4-129.5 epg), Heavy mean intensity of infection was found in Kailahun (120.2 epg), Kenema (104.5 epg), Koinadugu (112.3 epg) and Kono (250.3 epg). Heavy or moderate infection with S. mansoni occurred in 20.7% of children examined. Hookworm prevalence was moderate: 31.2% (95% CI: 29.1-33.4%), but high in Bo (50.0%) and Tonkolili (56.7%). Hookworm intensity of infection was light with a mean epg of 53.0 (95% CI: 38.4-67.7 epg). Prevalence and intensity of Ascaris lumbricoides (1.5%, 17.8 epg) and Trichuris trichiura (2.5%, 20.3 epg) was low. Conclusions The prediction by previous spatial analysis that S. mansoni was highly endemic across north-eastern Sierra Leone was confirmed with a significant proportion of children heavily or moderately infected. The distribution of S. mansoni in Bo, Tonkolili and Bombali districts ranged widely, highlighting the importance of considering the nature of focal transmission in national mapping exercises. These results were used to refine the

  9. Access to artemisinin-combination therapy (ACT) and other anti-malarials: national policy and markets in Sierra Leone.

    Amuasi, John H; Diap, Graciela; Nguah, Samuel Blay; Karikari, Patrick; Boakye, Isaac; Jambai, Amara; Lahai, Wani Kumba; Louie, Karly S; Kiechel, Jean-Rene

    2012-01-01

    Malaria remains the leading burden of disease in post-conflict Sierra Leone. To overcome the challenge of anti-malarial drug resistance and improve effective treatment, Sierra Leone adopted artemisinin-combination therapy artesunate-amodiaquine (AS+AQ) as first-line treatment for uncomplicated P. falciparum malaria. Other national policy anti-malarials include artemether-lumefantrine (AL) as an alternative to AS+AQ, quinine and artemether for treatment of complicated malaria; and sulphadoxine-pyrimethamine (SP) for intermittent preventive treatment (IPTp). This study was conducted to evaluate access to national policy recommended anti-malarials. A cross-sectional survey of 127 medicine outlets (public, private and NGO) was conducted in urban and rural areas. The availability on the day of the survey, median prices, and affordability policy and available non-policy anti-malarials were calculated. Anti-malarials were stocked in 79% of all outlets surveyed. AS+AQ was widely available in public medicine outlets; AL was only available in the private and NGO sectors. Quinine was available in nearly two-thirds of public and NGO outlets and over one-third of private outlets. SP was widely available in all outlets. Non-policy anti-malarials were predominantly available in the private outlets. AS+AQ in the public sector was widely offered for free. Among the anti-malarials sold at a cost, the same median price of a course of AS+AQ (US$1.56), quinine tablets (US$0.63), were found in both the public and private sectors. Quinine injection had a median cost of US$0.31 in the public sector and US$0.47 in the private sector, while SP had a median cost of US$0.31 in the public sector compared to US$ 0.63 in the private sector. Non-policy anti-malarials were more affordable than first-line AS+AQ in all sectors. A course of AS+AQ was affordable at nearly two days' worth of wages in both the public and private sectors.

  10. Improved mapping strategy to better inform policy on the control of schistosomiasis and soil-transmitted helminthiasis in Sierra Leone.

    Hodges, Mary; Dada, Nsa; Wamsley, Anna; Paye, Jusufu; Nyorkor, Emanuel; Sonnie, Mustapha; Barnish, Guy; Bockarie, Moses; Zhang, Yaobi

    2011-06-06

    Schistosomiasis and soil-transmitted helminthiasis (STH) are endemic in Sierra Leone confirmed by national mapping in 2008. To better inform planning of preventive chemotherapy strategy, another survey was conducted before mass drug administration (MDA) in seven districts according to the mapping results or local knowledge. Fifty-nine chiefdoms and one school in every chiefdom were selected. Thirty school children aged 9-14 years from each school (total: 1760) were examined by parasitological methods for infection with Schistosoma mansoni and STHs. The overall prevalence of S. mansoni was 40.2% (95% confidence interval (CI): 37.9-42.5%), particularly in Kailahun (63.3%), Kenema (46.7%), Koinadugu (41.9%) and Kono (71.7%). The results demonstrated the focal distribution of S. mansoni in Bo, Tonkolili and Bombali districts with prevalence ranging from 0.0-63.3%, 3.3-90.0% and 0.0-67.9% respectively. The arithmetic mean intensity of S. mansoni infection was 95.4 epg (95% CI: 61.4-129.5 epg), Heavy mean intensity of infection was found in Kailahun (120.2 epg), Kenema (104.5 epg), Koinadugu (112.3 epg) and Kono (250.3 epg). Heavy or moderate infection with S. mansoni occurred in 20.7% of children examined. Hookworm prevalence was moderate: 31.2% (95% CI: 29.1-33.4%), but high in Bo (50.0%) and Tonkolili (56.7%). Hookworm intensity of infection was light with a mean epg of 53.0 (95% CI: 38.4-67.7 epg). Prevalence and intensity of Ascaris lumbricoides (1.5%, 17.8 epg) and Trichuris trichiura (2.5%, 20.3 epg) was low. The prediction by previous spatial analysis that S. mansoni was highly endemic across north-eastern Sierra Leone was confirmed with a significant proportion of children heavily or moderately infected. The distribution of S. mansoni in Bo, Tonkolili and Bombali districts ranged widely, highlighting the importance of considering the nature of focal transmission in national mapping exercises. These results were used to refine the MDA for schistosomiasis control

  11. Fears and Misperceptions of the Ebola Response System during the 2014-2015 Outbreak in Sierra Leone.

    Thespina Yamanis

    2016-10-01

    Full Text Available Future infectious disease epidemics are likely to disproportionately affect countries with weak health systems, exacerbating global vulnerability. To decrease the severity of epidemics in these settings, lessons can be drawn from the Ebola outbreak in West Africa. There is a dearth of literature on public perceptions of the public health response system that required citizens to report and treat Ebola cases. Epidemiological reports suggested that there were delays in diagnosis and treatment. The purpose of our study was to explore the barriers preventing Sierra Leoneans from trusting and using the Ebola response system during the height of the outbreak.Using an experienced ethnographer, we conducted 30 semi-structured in-depth interviews in public spaces in Ebola-affected areas. Participants were at least age 18, spoke Krio, and reported no contact in the recent 21 days with an Ebola-infected person. We used inductive coding and noted emergent themes.Most participants feared that calling the national hotline for someone they believed had Ebola would result in that person's death. Many stated that if they developed a fever they would assume it was not Ebola and self-medicate. Some thought the chlorine sprayed by ambulance workers was toxic. Although most knew there was a laboratory test for Ebola, some erroneously assumed the ubiquitous thermometers were the test and most did not understand the need to re-test in the presence of Ebola symptoms.Fears and misperceptions, related to lack of trust in the response system, may have delayed care-seeking during the Ebola outbreak in Sierra Leone. Protocols for future outbreak responses should incorporate dynamic, qualitative research to understand and address people's perceptions. Strategies that enhance trust in the response system, such as community mobilization, may be particularly effective.

  12. Energy justice for all? Rethinking Sustainable Development Goal 7 through struggles over traditional energy practices in Sierra Leone

    Munro, Paul; Horst, Greg van der; Healy, Stephen

    2017-01-01

    With Sustainable Development Goal 7, the United Nations has declared its ambition to ensure access to modern energy for all by 2030. Aside from broad appeals to differentiated responsibilities and 'greener' technologies, however, the goal leaves significant procedural questions unaddressed. This paper argues that the basic orientation of this approach is problematic, undermining possibilities for progress toward energy justice and equitable development. First, in framing the issue of global energy distribution in broad techno-managerial terms it obscures how particular geographies of energy poverty have been shaped by critical political economic influences. Second, in privileging modern forms of energy and focusing on an end state of universal adoption, over a broader goal of eliminating energy poverty, the approach of SDG7 presents tangible hazards to many of those it seeks to benefit. Using a case study of Sierra Leonean rural cooking energy policy, we demonstrate how the underlying mentality of SDG7 feeds into existing discourses that marginalise producers and users of 'traditional' energy sources, threatening important livelihoods. With such evidence, we argue that for justice in energy policy to be realised holistically, there is a need to question how our knowledge of energy ‘problems’ have emerged to avoid epistemologically autarchic policy positions. - Highlights: • Examination of the justice issues within the text of Sustainable Development Goal 7. • Investigates how fuelwood is entangled with energy justice issues in Sierra Leone. • Argues energy solutions need to shift away from simple technological fixes. • Energy policy needs to be built on a range of energy knowledges and experiences.

  13. Family involvement in the reintegration of former child soldiers in Sierra Leone:A critical examination

    Anderson, Rachel

    2016-01-01

    Since the late 1980s Disarmament, Demobilisation and Reintegration (DDR) programmes have been an integral part of post-conflict reconstruction. This was especially true of Sierra Leone’s post-conflict reconstruction which has frequently been hailed a ‘multilateral success story’ by the international community. Nevertheless, within Western-authored DDR literature there is a widespread but little interrogated assertion that, in post-conflict contexts, resettling former child soldiers with their...

  14. Hope in the midst of Death: Charismatic Spirituality, Healing Evangelists and the Ebola Crises in Sierra Leone

    Bangura, Joseph Bosco

    2016-12-01

    Full Text Available The Ebola crises that crippled West Africa from December 2013 onwards is a watershed moment in the history of those nations. The crises profoundly impacted the regions inadequate healthcare, obstructed the potential for socioeconomic development, and challenged long held traditional and religious beliefs. As Ebola began to take its toll by depleting human life, the world could not stand idly by and observe as poor post-war nations were overwhelmed by a colossal health catastrophe. By the time Ebola was contained, this obnoxious monster had taken an estimated 11,300 lives in the three worst affected countries in the region. But while medical practitioners were at the forefront of the battle, healing evangelists drawing inspiration from their understanding of Scripture, African culture and Charismatic spirituality, also provided responses that proved essential in the fight against Ebola. This article reviews the responses proffered by healing evangelists and discuss how the overall Charismatic spirituality inspired hope in the midst of the Ebola crises in Sierra Leone.

  15. Practices of traditional birth attendants in Sierra Leone and perceptions by mothers and health professionals familiar with their care.

    Dorwie, Florence M; Pacquiao, Dula F

    2014-01-01

    Describe practices of traditional birth attendants (TBAs) in assisting women in childbirth and the perceptions of TBAs by mothers and health professionals familiar with their work. Qualitative design using focus groups conducted in urban and rural settings in Sierra Leone. Separate audiotaped focus groups conducted for each group of participants lasting between 45 and 90 minutes. Purposive sample of 20 TBAs, 20 mothers, and 10 health professionals who met the following criteria: (a) at least 18 years of age, (b) TBAs currently practicing, (c) mothers who delivered at least one child assisted by a TBA, and (d) health professionals currently practicing in the hospital and familiar with TBA practices. TBAs are valued by mothers, health professionals, and the community because they provide accessible and affordable care to mothers who may otherwise have no access to health services. TBAs need training, supervision, and resources for effective referral of mothers. Systemic problems in the health care system create enormous barriers to effective care for mothers and children independent of TBA practices that contribute to high maternal and infant mortality rates. The study findings have implications on broad public policy in improving maternal and child health in the country.

  16. Survey and visual detection of Zaire ebolavirus in clinical samples targeting the nucleoprotein gene in Sierra Leone

    Jing Yuan

    2015-12-01

    Full Text Available Ebola virus (EBOV can lead to severe hemorrhagic fever with a high risk of death in humans and other primates. To guide treatment and prevent spread of the viral infection, a rapid and sensitive detection method is required for clinical samples. Here, we described and evaluated a reverse transcription loop-mediated isothermal amplification (RT-LAMP method to detect Zaire ebolavirus using the nucleoprotein gene (NP as a target sequence. Two different techniques were used, a calcein/Mn2+ complex chromogenic method and real-time turbidity monitoring. The RT-LAMP assay detected the NP target sequence with a limit of 4.56 copies/μL within 45 min under 61°C, a similar even or increase in sensitivity than that of real-time reverse transcription-polymerase chain reaction (RT-PCR. Additionally, all pseudoviral particles or non- Zaire EBOV genomes were negative for LAMP detection, indicating that the assay was highly specific for EBOV. To appraise the availability of the RT-LAMP method for use in clinical diagnosis of EBOV, of 417 blood or swab samples collected from patients with clinically suspected infections in Sierra Leone, 307 were identified for RT-LAMP-based surveillance of EBOV. Therefore, the highly specific and sensitive RT-LAMP method allows the rapid detection of EBOV, and is a suitable tool for clinical screening, diagnosis, and primary quarantine purposes.

  17. Predictors of sustainability for community-managed handpumps in sub-Saharan Africa: evidence from Liberia, Sierra Leone, and Uganda.

    Foster, Tim

    2013-01-01

    Rural water supply sustainability has remained an enduring policy challenge in sub-Saharan Africa for decades. Drawing on the largest data set assembled on rural water points in sub-Saharan Africa to date, this paper employs logistic regression analyses to identify operational, technical, institutional, financial, and environmental predictors of functionality for over 25 000 community-managed handpumps in Liberia, Sierra Leone, and Uganda. Risk factors significantly associated with nonfunctionality across all three countries were (a) system age, (b) distance from district/county capital, and (c) absence of user fee collection. In at least one of the three countries, other variables found to have significant multivariable adjusted associations with functionality status included well type, handpump type, funding organization, implementing organization, spare parts proximity, availability of a handpump mechanic, regular servicing, regular water committee meetings, women in key water committee positions, rainfall season, and perceived water quality. While the findings reinforce views that a multifaceted range of conditions is critical for the sustainability of community-managed handpumps, they also demonstrate that these factors remain absent from a high proportion of cases. Governments and development partners must significantly strengthen postconstruction support for operation and maintenance systems, and greater efforts are needed to test and evaluate alternative models for managing handpump water supplies.

  18. Risky sexual behaviour among women: Does economic empowerment matter? Case of Gabon, Mozambique, Sierra-Leone and Zambia.

    Odimegwu, Clifford O; De Wet, Nicole; Banda, Pamela C

    2016-12-01

    The link between economic empowerment and high risky sexual behaviour has been debated by different scholars in various settings. However, no consistently clear connection between poverty and lack of education has been found regarding engagement in risky sexual behaviour. Also, not much research has been done to examine the strength of these relationships for adolescents and women. The objectives of this study were to assess the relationship between female economic empowerment and risky sexual behaviour in Africa. Using the latest Demographic and Health Surveys Data (DHS 2011-2014) from Gabon, Mozambique, Sierra Leone and Zambia, univariate, bivariate and multivariate analysis was done on women aged 15 to 49 to examine the patterns of and differences in the association between women's economic empowerment and risky sexual behaviour. The findings both at community and individual level indicate that empowered women (higher education and wealth household) and adolescents aged 15 to 19 are highly significantly associated with engagement in high risky behaviour. The result of this study stresses the need to look further than individual factors in the quest to resolve risky sexual behaviour in Africa. The interrelations between female economic empowerment and engagement in risky sexual behaviour are more complicated and less straightforward than usually presumed.

  19. The role of international organizations in aid: A case study of a teacher education programme in Sierra Leone

    Banya, Kingsley

    1988-12-01

    By the early 1970s, the Sierra Leone government realized that the educational system was not meeting the developmental needs of the country. In an attempt to reverse the increasing trend of migration to urban areas, to improve rural productivity and the quality of rural life, and to counteract other deleterious effects of this system, in 1974 the government collaborated with Unesco, UNDP and the African Development Bank in launching the Bunumbu project to train primary school teachers for rural areas. This linked a training college with 20 pilot schools and the local community. This paper critically examines the role played by each of the international organizations in executing the project. It gives examples of resources wasted in supplying inappropriate equipment and expensive building materials, and argues strongly for more consideration of local conditions, and for the involvement of local training agencies and local labour, in any similar future plans. The paper concludes with a discussion of who really benefits from international aid and resolves that both recipients and donors should abandon grandiose schemes.

  20. Impact of the Mass Drug Administration for malaria in response to the Ebola outbreak in Sierra Leone.

    Aregawi, Maru; Smith, Samuel J; Sillah-Kanu, Musa; Seppeh, John; Kamara, Anitta R Y; Williams, Ryan O; Aponte, John J; Bosman, Andrea; Alonso, Pedro

    2016-09-20

    As emergency response to the Ebola epidemic, the Government of Sierra Leone and its partners implemented a large-scale Mass Drug Administration (MDA) with artesunate-amodiaquine (ASAQ) covering >2.7 million people in the districts hardest hit by Ebola during December 2014-January 2015. The World Health Organization (WHO) and the National Malaria Control Programme (NMCP) evaluated the impact of the MDA on malaria morbidity at health facilities and the number of Ebola alerts received at District Ebola Command Centres. The coverage of the two rounds of MDA with ASAQ was estimated by relating the number anti-malarial medicines distributed to the estimated resident population. Segmented time-series analysis was applied to weekly data collected from 49 primary health units (PHUs) and 11 hospitals performing malaria parasitological testing during the study period, to evaluate trends of malaria cases and Ebola alerts during the post-MDA weeks compared to the pre-MDA weeks in MDA- and non-MDA-cheifdoms. After two rounds of the MDA, the number of suspected cases tested with rapid diagnostic test (RDT) decreased significantly by 43 % (95 % CI 38-48 %) at week 1 and remained low at week 2 and 3 post-first MDA and at week 1 and 3 post-second MDA; RDT positive cases decreased significantly by 47 % (41-52 %) at week 1 post-first and remained lower throughout all post-MDA weeks; and the RDT test positivity rate (TPR) declined by 35 % (32-38 %) at week 2 and stayed low throughout all post-MDA weeks. The total malaria (clinical + confirmed) cases decreased significantly by 45 % (39-52 %) at week 1 and were lower at week 2 and 3 post-first MDA; and week 1 post-second MDA. The proportion of confirmed malaria cases (out of all-outpatients) fell by 33 % (29-38 %) at week 1 post-first MDA and were lower during all post-MDA weeks. On the contrary, the non-malaria outpatient cases (cases due to other health conditions) either remained unchanged or fluctuated insignificantly

  1. Spoiled breast milk and bad water; local understandings of diarrhea causes and prevention in rural Sierra Leone.

    McMahon, Shannon A; George, Asha S; Yumkella, Fatu; Diaz, Theresa

    2013-12-13

    Globally, diarrhea remains a leading killer of young children. In Sierra Leone, one in seven children die before their fifth birthday and diarrhea is a leading cause. Studies that emphasize the demand-side of health interventions -- how caregivers understand causation and prevention of diarrhea -- have been neglected in research and programming. We undertook applied qualitative research including 68 in-depth interviews and 36 focus group discussions with mothers, fathers and older female caretakers to examine the causes and prevention of childhood diarrhea in villages near and far from health facilities across four rural districts. Verbal consent was obtained. Respondents reported multiple, co-existing descriptions of causation including: contaminated water and difficulties accessing clean water; exposure to an unclean environment and poor food hygiene; contaminated breast milk due to sexual intercourse, overheated breast milk or bodily maternal conditions such as menstruation or pregnancy; and dietary imbalances and curses. Respondents rarely discussed the role of open defecation or the importance of handwashing with soap in preventing diarrhea. Categorizing behaviors as beneficial, harmful, non-existent or benign enables tailored programmatic recommendations. For example, respondents recognized the value of clean water and we correspondingly recommend interventions that reinforce consumption of and access to clean water. Second, respondents report denying "contaminated" breast milk to breastfeeding children. This is a harmful practice that merits attention. Third, the role of open defecation and poor hygiene in causing diarrhea is less understood and warrants introduction or clarification. Finally, the role of exposed feet or curses in causing diarrhea is relatively benign and does not necessitate programmatic attention. Further research supportive of communication and social mobilization strategies building on these findings is required to ensure that improved

  2. Nosocomial transmission of Ebola virus disease on pediatric and maternity wards: Bombali and Tonkolili, Sierra Leone, 2014.

    Dunn, Angela C; Walker, Tiffany A; Redd, John; Sugerman, David; McFadden, Jevon; Singh, Tushar; Jasperse, Joseph; Kamara, Brima Osaio; Sesay, Tom; McAuley, James; Kilmarx, Peter H

    2016-03-01

    In the largest Ebola virus disease (EVD) outbreak in history, nosocomial transmission of EVD increased spread of the disease. We report on 2 instances in Sierra Leone where patients unknowingly infected with EVD were admitted to a general hospital ward (1 pediatric ward and 1 maternity ward), exposing health care workers, caregivers, and other patients to EVD. Both patients died on the general wards, and were later confirmed as being infected with EVD. We initiated contact tracing and assessed risk factors for secondary infections to guide containment recommendations. We reviewed medical records to establish the index patients' symptom onset. Health care workers, patients, and caregivers were interviewed to determine exposures and personal protective equipment (PPE) use. Contacts were monitored daily for EVD symptoms. Those who experienced EVD symptoms were isolated and tested. Eighty-two contacts were identified: 64 health care workers, 7 caregivers, 4 patients, 4 newborns, and 3 children of patients. Seven contacts became symptomatic and tested positive for EVD: 2 health care workers (1 nurse and 1 hospital cleaner), 2 caregivers, 2 newborns, and 1 patient. The infected nurse placed an intravenous catheter in the pediatric index patient with only short gloves PPE and the hospital cleaner cleaned the operating room of the maternity ward index patient wearing short gloves PPE. The maternity ward index patient's caregiver and newborn were exposed to her body fluids. The infected patient and her newborn shared the ward and latrine with the maternity ward index patient. Hospital staff members did not use adequate PPE. Caregivers were not offered PPE. Delayed recognition of EVD and inadequate PPE likely led to exposures and secondary infections. Earlier recognition of EVD and adequate PPE might have reduced direct contact with body fluids. Limiting nonhealth-care worker contact, improving access to PPE, and enhancing screening methods for pregnant women, children

  3. Coordination and relationships between organisations during the civil-military international response against Ebola in Sierra Leone: an observational discussion.

    Forestier, Colleen; Cox, A T; Horne, S

    2016-06-01

    The Ebola virus disease (EVD) crisis in West Africa began in March 2014. At the beginning of the outbreak, no one could have predicted just how far-reaching its effects would be. The EVD epidemic proved to be a unique and unusual humanitarian and public health crisis. It caused worldwide fear that impeded the rapid response required to contain it early. The situation in Sierra Leone (SL) forced the formation of a unique series of civil-military interagency relationships to be formed in order to halt the epidemic. Civil-military cooperation in humanitarian situations is not unique to this crisis; however, the slow response, the unusual nature of the battle itself and the uncertainty of the framework required to fight this deadly virus created a situation that forced civilian and military organisations to form distinct, cooperative relationships. The unique nature of the Ebola virus necessitated a steering away from normal civil-military relationships and standard pillar responses. National and international non-governmental organisations (NGOs), Department for International Development (DFID) and the SL and UK militaries were required to disable this deadly virus (as of 7 November 2015, SL was declared EVD free). This paper draws on personal experiences and preliminary distillation of information gathered in formal interviews. It discusses some of the interesting features of the interagency relationships, particularly between the military, the UK's DFID, international organisations, NGOs and departments of the SL government. The focus is on how these relationships were key to achieving a coordinated solution to EVD in SL both on the ground and within the larger organisational structure. It also discusses how these relationships needed to rapidly evolve and change along with the epidemiological curve. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  4. Clinical features and risk factors for adverse outcome in Ebola virus disease in Moyamba District Sierra Leone.

    Haaskjold, Yngvar Lunde [Haukeland Univ. Hospital, Bergen (Norway); Bolkan, Hakon Angell [St. Olav Hospital, Trondheim (Norway); Krogh, Kurt Østhuus [St. Olav Hospital, Trondheim (Norway); Jongopi, James [Moyamba District Hospital (Sierra Leone); Berg, Ase [Stavanger Univ. Hospital, Stavanger (Norway); Lundeby, Karen Marie [Oslo Univ. Hospital, Oslo (Norway); Mellesmo, Sindre [St. Olav Hospital, Trondheim (Norway); Garces, Pedro San José [Medicos del Mundo, Madrid (Spain); Josendal, Ola [Haukeland Univ. Hospital, Bergen (Norway); Opstad, Asmund [Haraldsplass Diaconal Hospital, Bergen (Norway); Svensen, Erling [Haukeland Univ. Hospital, Bergen (Norway); Univ. of Bergen (Norway); Zabala, Matias [Medicos del Mundo, Madrid (Spain); Kamara, Alfred Sandy [Moyamba District Hospital (Sierra Leone); Riera, Melchor [Medicos del Mundo, Madrid (Spain); Arranz, Javier [Medicos del Mundo, Madrid (Spain); Stamper, Paul D. [MRIGlobal, Frederick, MD (United States); Austin, Paula [Moyamba District Hospital (Sierra Leone); Moosa, Alfredo J. [Moyamba District Hospital (Sierra Leone); Marke, Dennis [Moyamba District Hospital (Sierra Leone); Hassan, Shoaib [World Health Organization (WHO), Geneva (Switzerland); Blomberg, Bjorn [Haukeland Univ. Hospital, Bergen (Norway); Univ. of Bergen (Norway)

    2016-05-01

    BACKGROUND The current outbreak of Ebola virus disease (EVD) in West Africa has attacked 24000 people, killed more than 10000 and disrupted social life. METHODS We studied retrospectively the clinical presentation and risk factors for fatal outcome in EVD among all patients admitted to the Ebola Treatment Center in Moyamba District, Sierra Leone. RESULTS Among a total of 88 admitted patients, eighty-two were tested by PCR and 31 (38%) were positive for Ebola virus. Ninety percent reported previous contact with EVD patients and 35% had participated in burials of EVD suspect deceased. No healthworkers were admitted. The most common symptoms on admission were weakness (97%), diarrhea (68%), fever (62%), loss of appetite (62%), vomiting (58%), pain in muscles (62%) and joints (55%), headache (55%), abdominal pain (45%) and conjunctivitis (42%). On admission, bleeding was present in one-third (11/31), while more than half (17/31) bled during the hospital stay. Fifty-eight percent (18/31) died, most within 4-11 days of onset. Significant predictors for fatal outcome were shorter time from onset to admission (P=0.02), high initial viral load (P<0.001), bleeding (P=0.004), and severe pain (P=0.001). The only two patients with hiccups died. CONCLUSIONS Bleeding was more common in our cohort than reported elsewhere during this epidemic, and predicted poor prognosis. Severe pain was common, particularly in fatal cases, and calls for improved and safe palliation, for instance with transdermal opiates. The lack of fever in one third of EBV cases may have implications for screening procedures and case definitions.

  5. Quantifying the risk of nosocomial infection within Ebola Holding Units: a retrospective cohort study of negative patients discharged from five Ebola Holding Units in Western Area, Sierra Leone.

    Arkell, Paul; Youkee, Daniel; Brown, Colin S; Kamara, Abdul; Kamara, Thaim B; Johnson, Oliver; Lado, Marta; George, Viginia; Koroma, Fatmata; King, Matilda B; Parker, Benson E; Baker, Peter

    2017-01-01

    A central pillar in the response to the 2014 Ebola virus disease (EVD) epidemic in Sierra Leone was the role of Ebola Holding Units (EHUs). These units isolated patients meeting a suspect case definition, tested them for EVD, initiated appropriate early treatment and discharged negative patients to onward inpatient care or home. Positive patients were referred to Ebola Treatment Centres. We aimed to estimate the risk of nosocomial transmission within these EHUs. We followed up a cohort of 543 patients discharged with a negative EVD test from five EHUs in the Western Area, Sierra Leone, and examined all line-listed subsequent EVD tests from any facility in the Western Area to see whether the patient was retested within 30 days, matching by name, age and address. We defined possible readmissions as having the same name and age but uncertain address, and confirmed readmissions where name, age and address matched. We found a positive readmission rate of 3.3% (18 cases), which included 1.5% confirmed readmissions (8 cases) and 1.8% possible readmissions (10 cases). This is lower than rates previously reported. We cannot ascertain whether EVD was acquired within the EHUs or from re-exposure in the community. No demographic or clinical variables were identified as risk factors for positive readmission, likely due to our small sample size. These findings support the EHU model as a safe method for isolation of suspect EVD patients and their role in limiting the spread of EVD. © 2016 John Wiley & Sons Ltd.

  6. A qualitative evaluation of the choice of traditional birth attendants for maternity care in 2008 Sierra Leone: implications for universal skilled attendance at delivery.

    Oyerinde, Koyejo; Harding, Yvonne; Amara, Philip; Garbrah-Aidoo, Nana; Kanu, Rugiatu; Oulare, Macoura; Shoo, Rumishael; Daoh, Kizito

    2013-07-01

    Maternal and newborn death is common in Sierra Leone; significant reductions in both maternal and newborn mortality require universal access to a skilled attendant during labor and delivery. When too few women use health facilities MDGs 4 and 5 targets will not be met. Our objectives were to identify why women use services provided by TBAs as compared to health facilities; and to suggest strategies to improve utilization of health facilities for maternity and newborn care services. Qualitative data from focus group discussions in communities adjacent to health facilities collected during the 2008 Emergency Obstetric and Newborn Care Needs Assessment were analyzed for themes relating to decision-making on the utilization of TBAs or health facilities. The prohibitive cost of services, and the geographic inaccessibility of health facilities discouraged women from using them while trust in the vast experience of TBAs as well as their compassionate care drew patients to them. Poor facility infrastructure, often absent staff, and the perception that facilities were poorly stocked and could not provide continuum of care services were barriers to facility utilization for maternity and newborn care. Improvements in infrastructure and the 24-hour provision of free, quality, comprehensive, and respectful care will minimize TBA preference in Sierra Leone.

  7. Bayesian inference in an extended SEIR model with nonparametric disease transmission rate: an application to the Ebola epidemic in Sierra Leone.

    Frasso, Gianluca; Lambert, Philippe

    2016-10-01

    SummaryThe 2014 Ebola outbreak in Sierra Leone is analyzed using a susceptible-exposed-infectious-removed (SEIR) epidemic compartmental model. The discrete time-stochastic model for the epidemic evolution is coupled to a set of ordinary differential equations describing the dynamics of the expected proportions of subjects in each epidemic state. The unknown parameters are estimated in a Bayesian framework by combining data on the number of new (laboratory confirmed) Ebola cases reported by the Ministry of Health and prior distributions for the transition rates elicited using information collected by the WHO during the follow-up of specific Ebola cases. The time-varying disease transmission rate is modeled in a flexible way using penalized B-splines. Our framework represents a valuable stochastic tool for the study of an epidemic dynamic even when only irregularly observed and possibly aggregated data are available. Simulations and the analysis of the 2014 Sierra Leone Ebola data highlight the merits of the proposed methodology. In particular, the flexible modeling of the disease transmission rate makes the estimation of the effective reproduction number robust to the misspecification of the initial epidemic states and to underreporting of the infectious cases. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. The Transmission Chain Analysis of 2014–2015 Ebola Virus Disease Outbreak in Koinadugu District, Sierra Leone: An Observational Study

    Ifeanyi-Stanley Muoghalu

    2017-07-01

    Full Text Available IntroductionSierra Leone experienced an unprecedented Ebola virus disease (EVD outbreak in all its districts. Koinadugu District was the last to report an EVD case. Several outbreak response strategies were implemented. As part of lessons learnt, we conducted an observational study to describe the transmission chain in the district and the impact of the control measures implemented to contain the outbreak.MethodsWe reconstructed the transmission chain, positioning both confirmed and probable cases, described the distribution of the EVD confirmed cases in the context of the routes of transmission (Community, Funeral or Health facility setting and assessed the impact of control measures using the surveillance data collected during the outbreak.ResultsAll 142 confirmed and probable EVD cases registered were fully resolved in the transmission chain. 72.5% of all the EVD cases in the district were exposed in the community, 26.1% exposed during funerals, and 1.4% exposed in the health facility setting. Health-care workers contributed little to the EVD outbreak. 71.1% of EVD transmission occurred among family members. Female EVD cases generated more secondary cases than their male counterparts (P = 0.03. With removal of EVD cases from the community and admission to the community care center (CCC, the EVD transmission in the community decreased to substantially lower rates. In addition, transmission due to exposure in health facilities was further reduced with the implementation of full infection and prevention controls.ConclusionThis study details the transmission chain of EVD in a rural district setting and the public health interventions implemented to successfully limit the outbreak to just one of 11 chiefdoms. Heightened community-based surveillance for early case detection, swift isolation of suspect cases, efficient contact tracing and monitoring, and good infection prevention and control measures in health facilities were highly effective in

  9. Contact Tracing during an Outbreak of Ebola Virus Disease in the Western Area Districts of Sierra Leone: Lessons for Future Ebola Outbreak Response.

    Olu, Olushayo Oluseun; Lamunu, Margaret; Nanyunja, Miriam; Dafae, Foday; Samba, Thomas; Sempiira, Noah; Kuti-George, Fredson; Abebe, Fikru Zeleke; Sensasi, Benjamin; Chimbaru, Alexander; Ganda, Louisa; Gausi, Khoti; Gilroy, Sonia; Mugume, James

    2016-01-01

    Contact tracing is a critical strategy required for timely prevention and control of Ebola virus disease (EVD) outbreaks. Available evidence suggests that poor contact tracing was a driver of the EVD outbreak in West Africa, including Sierra Leone. In this article, we answered the question as to whether EVD contact tracing, as practiced in Western Area (WA) districts of Sierra Leone from 2014 to 2015, was effective. The goal is to describe contact tracing and identify obstacles to its effective implementation. Mixed methods comprising secondary data analysis of the EVD case and contact tracing data sets collected from WA during the period from 2014 to 2015, key informant interviews of contact tracers and their supervisors, and a review of available reports on contact tracing were implemented to obtain data for this study. During the study period, 3,838 confirmed cases and 32,706 contacts were listed in the viral hemorrhagic fever and contact databases for the district (mean 8.5 contacts per case). Only 22.1% (852) of the confirmed cases in the study area were listed as contacts at the onset of their illness, which indicates incomplete identification and tracing of contacts. Challenges associated with effective contact tracing included lack of community trust, concealing of exposure information, political interference with recruitment of tracers, inadequate training of contact tracers, and incomplete EVD case and contact database. While the tracers noted the usefulness of community quarantine in facilitating their work, they also reported delayed or irregular supply of basic needs, such as food and water, which created resistance from the communities. Multiple gaps in contact tracing attributed to a variety of factors associated with implementers, and communities were identified as obstacles that impeded timely control of the EVD outbreak in the WA of Sierra Leone. In future outbreaks, early community engagement and participation in contact tracing, establishment of

  10. Peer-driven quality improvement among health workers and traditional birth attendants in Sierra Leone: linkages between providers' organizational skills and relationships.

    Higgins-Steele, Ariel; Waller, Kathryn; Fotso, Jean Christophe; Vesel, Linda

    2015-01-01

    Sierra Leone has among the poorest maternal and child health indicators in the world and investments in public health have been predominately to increase demand for services, with fewer initiatives targeting supply side factors that influence health workers' work environment. This paper uses data from the Quality Circles project in a rural district of Sierra Leone to achieve three objectives. First, we examine the effect of the intervention on organizational skills and relationships among coworkers as well as between health workers and traditional birth attendants. Second, we examine whether changes in organizational skills are associated with changes in relationships among and between formal and informal health providers and between health providers and clients. Third, we aim to further understand these changes through the perspectives of health workers and traditional birth attendants. The Quality Circles project was implemented in Kailahun District in the Eastern province of Sierra Leone from August 2011 to June 2013, with adjacent Tonkolili District serving as the control site. Using a mixed-methods approach, the evaluation included a quantitative survey, in-depth interviews and focus group discussions with health workers and traditional birth attendants. Mean values of the variables of interest were compared across sub-populations, and correlation analyses were performed between changes in organizational skills and changes in relationships. The results demonstrate that the Quality Circles intervention had positive effects on organizational skills and relationships. Furthermore, improvements in all organizational skill variables - problem-solving, strategizing and negotiation skills - were strongly associated with a change in the overall relationship variable. The Quality Circles approach has the potential to support health workers to improve their organizational skills and relationships, which in turn can contribute to improving the interpersonal dimensions of

  11. Peer-driven quality improvement among health workers and traditional birth attendants in Sierra Leone: linkages between providers’ organizational skills and relationships

    2015-01-01

    Background Sierra Leone has among the poorest maternal and child health indicators in the world and investments in public health have been predominately to increase demand for services, with fewer initiatives targeting supply side factors that influence health workers’ work environment. This paper uses data from the Quality Circles project in a rural district of Sierra Leone to achieve three objectives. First, we examine the effect of the intervention on organizational skills and relationships among coworkers as well as between health workers and traditional birth attendants. Second, we examine whether changes in organizational skills are associated with changes in relationships among and between formal and informal health providers and between health providers and clients. Third, we aim to further understand these changes through the perspectives of health workers and traditional birth attendants. Methods The Quality Circles project was implemented in Kailahun District in the Eastern province of Sierra Leone from August 2011 to June 2013, with adjacent Tonkolili District serving as the control site. Using a mixed-methods approach, the evaluation included a quantitative survey, in-depth interviews and focus group discussions with health workers and traditional birth attendants. Mean values of the variables of interest were compared across sub-populations, and correlation analyses were performed between changes in organizational skills and changes in relationships. Results The results demonstrate that the Quality Circles intervention had positive effects on organizational skills and relationships. Furthermore, improvements in all organizational skill variables – problem-solving, strategizing and negotiation skills – were strongly associated with a change in the overall relationship variable. Conclusions The Quality Circles approach has the potential to support health workers to improve their organizational skills and relationships, which in turn can contribute

  12. IDRC in Sierra Leone

    Blood diamonds. Despite the civil war, IDRC supported ... reduce poverty in the cities. Raising food ... are taking part in a study of the role of private security ... rules for the private security sector. Among ... Diamonds and economic development.

  13. Clinical Features of and Risk Factors for Fatal Ebola Virus Disease, Moyamba District, Sierra Leone, December 2014–February 2015

    Haaskjold, Yngvar Lunde [Haukeland Univ. Hospital, Bergen (Norway); Bolkan, Hakon Angell [St. Olav Hospital, Trondheim (Norway); Krogh, Kurt Osthuus [St. Olav Hospital, Trondheim (Norway); Jongopi, James [Moyamba District Hospital (Sierra Leone); Lundeby, Karen Marie [Oslo Univ. Hospital (Norway); Mellesmo, Sindre [St. Olav Hospital, Trondheim (Norway); Garces, Pedro San Jose [Medicos del Mundo, Madrid (Spain); Josendal, Ola [Haukeland Univ. Hospital, Bergen (Norway); Opstad, Asmund [Haraldsplass Diaconal Hospital, Bergen (Norway); Svensen, Erling [Haukeland Univ. Hospital, Bergen (Norway); Univ. of Bergen (Norway); Fuentes, Luis Matias Zabala [Medicos del Mundo, Madrid (Spain); Kamara, Alfred Sandy [Moyamba District Hospital (Sierra Leone); Riera, Melchor [Hospital Son Espases, Palma de Mallorca (Spain); Izquierdo, Javier Arranz [Medicos del Mundo, Madrid (Spain); Inst. de Investigacion de Palma (Spain); Roberts, David P. [MRIGlobal, Rockville, MD (United States); Stamper, Paul D. [MRIGlobal, Rockville, MD (United States); Austin, Paula [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Moosa, Alfredo J. [Moyamba District Hospital (Sierra Leone); Marke, Dennis [Moyamba District Hospital (Sierra Leone); Hassan, Shoaib [Public Health (Pakistan); Berg, Ase [Stavanger Univ. Hospital (Norway); Blomberg, Bjorn [Haukeland Univ. Hospital, Bergen (Norway); Univ. of Bergen (Norway)

    2016-09-01

    The current outbreak of Ebola virus disease (EVD) in West Africa has infected more than 28,000 people, killed more than 11,000 and disrupted social life. We studied retrospectively the clinical presentation and risk factors for fatal outcome among the 31 Ebola virus (EBV) positive patients admitted to the Ebola Treatment Center (ETC) in Moyamba District, Sierra Leone. We found a higher rate of bleeding manifestations than reported elsewhere during the current outbreak. Significant predictors for fatal outcome were shorter time from onset to admission, male sex, high viral load on initial lab test, severe pain, diarrhea, bloody stools, and development of other bleeding manifestations during hospital admission. Awareness of risk factors for fatal outcome could be used to identify patients in need of more intensive medical support. The lack of fever in as much as a third of EVD cases may have implications for temperature screening practices and case definitions.

  14. The relationship among the resiliency practices in supply chain, financial performance, and competitive advantage in manufacturing firms in Indonesia and Sierra Leone

    Musa, I.; Nyoman Pujawan, I.

    2018-04-01

    Current supply chain management (SCM) has become a potentially treasured way of safeguarding competitive advantage and improving organizational performance since competition is no longer between organizations, but among supply chains. This research conceptualizes and develops four resiliency practices (Flexibility, Redundancy, Collaboration and Agility) and tests the relationships between organizations’ financial performance and competitive advantage in manufacturing firms. The study involves manufacturing firms in Indonesia and Sierra Leone. The study used stratified random sampling to pick a sample size of 95 manufacturing firms, which represented different industrial sectors. The respondents were mainly managers of different manufacturing companies. The relationships proposed in the conceptual framework were tested using correlation analysis. The results indicate that higher levels of resilience practices in manufacturing firms can lead to enhanced competitive advantage and improved financial performance.

  15. Baseline health conditions in selected communities of northern Sierra Leone as revealed by the health impact assessment of a biofuel project.

    Winkler, Mirko S; Knoblauch, Astrid M; Righetti, Aurélie A; Divall, Mark J; Koroma, Manso M; Fofanah, Ibrahim; Turay, Hamid; Hodges, Mary H; Utzinger, Jürg

    2014-09-01

    As biofuel projects may be associated with positive and negative effects on people's health and wellbeing, a health impact assessment was performed for the Addax Bioenergy Sierra Leone (ABSL) project. We present data from the baseline health survey, which will provide a point of departure for future monitoring and evaluation activities. In December 2010, a cross-sectional survey was carried out in eight potentially affected communities. A broad set of clinical and parasitological indicators were assessed using standardised, quality-controlled procedures, including anthropometry and prevalence of anaemia, Plasmodium falciparum and helminth infections. Complete datasets were obtained from 1221 individuals of 194 households and eight schools. Of children aged biofuel project impacts on community health in a rural setting in sub-Saharan Africa. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Differential diagnosis of illness in travelers arriving from Sierra Leone, Liberia, or Guinea: a cross-sectional study from the GeoSentinel Surveillance Network.

    Boggild, Andrea K; Esposito, Douglas H; Kozarsky, Phyllis E; Ansdell, Vernon; Beeching, Nicholas J; Campion, Daniel; Castelli, Francesco; Caumes, Eric; Chappuis, Francois; Cramer, Jakob P; Gkrania-Klotsas, Effrossyni; Grobusch, Martin P; Hagmann, Stefan H F; Hynes, Noreen A; Lim, Poh Lian; López-Vélez, Rogelio; Malvy, Denis J M; Mendelson, Marc; Parola, Philippe; Sotir, Mark J; Wu, Henry M; Hamer, Davidson H

    2015-06-02

    The largest-ever outbreak of Ebola virus disease (EVD), ongoing in West Africa since late 2013, has led to export of cases to Europe and North America. Clinicians encountering ill travelers arriving from countries with widespread Ebola virus transmission must be aware of alternate diagnoses associated with fever and other nonspecific symptoms. To define the spectrum of illness observed in persons returning from areas of West Africa where EVD transmission has been widespread. Descriptive, using GeoSentinel records. 57 travel or tropical medicine clinics in 25 countries. 805 ill returned travelers and new immigrants from Sierra Leone, Liberia, or Guinea seen between September 2009 and August 2014. Frequencies of demographic and travel-related characteristics and illnesses reported. The most common specific diagnosis among 770 nonimmigrant travelers was malaria (n = 310 [40.3%]), with Plasmodium falciparum or severe malaria in 267 (86%) and non-P. falciparum malaria in 43 (14%). Acute diarrhea was the second most common diagnosis among nonimmigrant travelers (n = 95 [12.3%]). Such common diagnoses as upper respiratory tract infection, urinary tract infection, and influenza-like illness occurred in only 26, 9, and 7 returning travelers, respectively. Few instances of typhoid fever (n = 8), acute HIV infection (n = 5), and dengue (n = 2) were encountered. Surveillance data collected by specialist clinics may not be representative of all ill returned travelers. Although EVD may currently drive clinical evaluation of ill travelers arriving from Sierra Leone, Liberia, and Guinea, clinicians must be aware of other more common, potentially fatal diseases. Malaria remains a common diagnosis among travelers seen at GeoSentinel sites. Prompt exclusion of malaria and other life-threatening conditions is critical to limiting morbidity and mortality. Centers for Disease Control and Prevention.

  17. Impact of the Ebola outbreak on routine immunization in western area, Sierra Leone - a field survey from an Ebola epidemic area

    Xiaojin Sun

    2017-04-01

    Full Text Available Abstract Background Since March 2014, the Ebola Virus Disease (EVD outbreak in West Africa disrupted health care systems - especially in Guinea, Liberia and Sierra Leone – with a consequential stress on the area’s routine immunization programs. To address perceived decreased vaccination coverage, Sierra Leone conducted a catch-up vaccination campaign during 24–27 April 2015. We conducted a vaccination coverage survey and report coverage estimates surrounding the time of the EVD outbreak and the catch-up campaign. Methods We selected 3 villages from each of 3 communities and obtained dates of birth and dates of vaccination with measles vaccine (MV and the 3rd dose of Pentavalent vaccine (Pentavalent3 of all children under 4 years of age in the 9 selected villages. Vaccination data were obtained from parent-held health cards. We calculated the children’s MV and Pentavalent3 coverage rates at 3 time points, 1 August 2014, 1 April 2015, and 1 May 2015, representing coverage rates before the EVD outbreak, during the EVD outbreak, and after the Maternal and Child Health Week (MCHW catch-up campaign. Results The final sample size was 168 children. MV coverage among age-eligible children was 71.3% (95% confidence interval [CI]: 62.1% - 80.4% and 45.7% (95% CI: 29.2% - 62.2% before and during the outbreak of EVD, respectively, and was 56.8% (95% CI: 40.8% - 72.7% after the campaign. Pentavalent3 coverage among age-eligible children was 79.8% (95% CI: 72.6% - 87.0% and 40.0% (95% CI: 22.5% - 57.5% before and during the outbreak of EVD, and was 56.4% (95% CI: 39.1% - 73.4% after the campaign. Conclusions Coverage levels of MV and Pentavalent3 were low before the EVD outbreak and decreased further during the outbreak. Although the MCHW catch-up campaign increased coverage levels, coverage remained below pre-outbreak levels. High-quality supplementary immunization activities should be conducted and routine immunization should be strengthened to

  18. What adaptation to research is needed following crises: a comparative, qualitative study of the health workforce in Sierra Leone and Nepal.

    Raven, Joanna; Baral, Sushil; Wurie, Haja; Witter, Sophie; Samai, Mohamed; Paudel, Pravin; Subedi, Hom Nath; Martineau, Tim; Elsey, Helen; Theobald, Sally

    2018-02-07

    Health workers are critical to the performance of health systems; yet, evidence about their coping strategies and support needs during and post crisis is lacking. There is very limited discussion about how research teams should respond when unexpected crises occur during on-going research. This paper critically presents the approaches and findings of two health systems research projects that explored and evaluated health worker performance and were adapted during crises, and provides lessons learnt on re-orientating research when the unexpected occurs. Health systems research was adapted post crisis to assess health workers' experiences and coping strategies. Qualitative in-depth interviews were conducted with 14 health workers in a heavily affected earthquake district in Nepal and 25 frontline health workers in four districts in Ebola-affected Sierra Leone. All data were transcribed and analysed using the framework approach, which included developing coding frameworks for each study, applying the frameworks, developing charts and describing the themes. A second layer of analysis included analysis across the two contexts, whereas a third layer involved the research teams reflecting on the approaches used to adapt the research during these crises and what was learned as individuals and research teams. In Sierra Leone, health workers were heavily stigmatised by the epidemic, leading to a breakdown of trust. Coping strategies included finding renewed purpose in continuing to serve their community, peer and family support (in some cases), and religion. In Nepal, individual determination, a sense of responsibility to the community and professional duty compelled staff to stay or return to their workplace. The research teams had trusting relationships with policy-makers and practitioners, which brought credibility and legitimacy to the change of research direction as well as the relationships to maximise the opportunity for findings to inform practice. In both contexts

  19. Epidemiology of Ebola virus disease transmission among health care workers in Sierra Leone, May to December 2014: a retrospective descriptive study.

    Olu, Olushayo; Kargbo, Brima; Kamara, Sarian; Wurie, Alie H; Amone, Jackson; Ganda, Louisa; Ntsama, Bernard; Poy, Alain; Kuti-George, Fredson; Engedashet, Etsub; Worku, Negusu; Cormican, Martin; Okot, Charles; Yoti, Zabulon; Kamara, Kande-Bure; Chitala, Kennedy; Chimbaru, Alex; Kasolo, Francis

    2015-10-13

    Anecdotal evidence suggests that much of the continuing infection of health care workers (HCWs) with Ebola virus during the current outbreak in Sierra Leone has occurred in settings other than Ebola isolation units, and it is likely that some proportion of acquisition by HCWs occurs outside the workplace. There is a critical need to define more precisely the pathways of Ebola infection among HCWs, to optimise measures for reducing risk during current and future outbreaks. We conducted a retrospective descriptive study of Ebola acquisition among health workers in Sierra Leone during May-December 2014. The data used were obtained mainly from the national Ebola database, a cross-sectional survey conducted through administration of a structured questionnaire to infected HCWs, and key informant interviews of select health stakeholders. A total of 293 HCWs comprising 277 (95 %) confirmed, 6 (2 %) probable, and 10 (3 %) suspected cases of infection with Ebola virus were enrolled in the study from nine districts of the country. Over half of infected HCWs (153) were nurses; others included laboratory staff (19, 6.5 %), doctors (9, 3.1 %), cleaners and porters (9, 3.1 %), Community Health Officers (8, 2.7 %), and pharmacists (2, 0.7 %). HCW infections were mainly reported from the Western Area (24.9 %), Kailahun (18.4 %), Kenema (17.7 %), and Bombali (13.3 %) districts. Almost half of the infected HCWs (120, 47.4 %) believed that their exposure occurred in a hospital setting. Others believed that they were exposed in the home (48, 19 %), at health centres (45, 17.8 %), or at other types of health facilities (13, 5.1 %). Only 27 (10.7 %) of all HCW infections were associated with Ebola virus disease (EVD) isolation units. Over half (60 %, 150) of infected HCWs said they had been trained in infection prevention and control prior to their infection, whereas 34 % (85) reported that they had not been so trained. This study demonstrated the perception that most HCW infections are

  20. Improving Ebola infection prevention and control in primary healthcare facilities in Sierra Leone: a single-group pretest post-test, mixed-methods study.

    Ratnayake, Ruwan; Ho, Lara S; Ansumana, Rashid; Brown, Hannah; Borchert, Matthias; Miller, Laura; Kratz, Thomas; McMahon, Shannon A; Sahr, Foday

    2016-01-01

    Accomplishing infection prevention and control (IPC) in health facilities in Sub-Saharan Africa is challenging. Owing to poor IPC, healthcare workers (HCWs) were frequently infected during Sierra Leone's Ebola epidemic. In late 2014, IPC was rapidly and nationally scaled up. We carried out workshops in sampled facilities to further improve adherence to IPC. We investigated HCW experiences and observed practice gaps, before and after the workshops. We conducted an uncontrolled, before and after, mixed-methods study in eight health facilities in Bo and Kenema Districts during December 2014 and January 2015. Quantitative methods administered to HCWs at baseline and follow-up included a survey on attitudes and self-efficacy towards IPC, and structured observations of behaviours. The intervention involved a workshop for HCWs to develop improvement plans for their facility. We analysed the changes between rounds in survey responses and behaviours. We used interviews to explore attitudes and self-efficacy throughout the study period. HCWs described IPC as 'life-saving' and personal protective equipment (PPE) as uncomfortable for providers and frightening for patients. At baseline, self-efficacy was high (median=4/strongly agree). Responses reflecting unfavourable attitudes were low for glove use (median=1/strongly disagree, IQR, 1-2) and PPE use with ill family members (median=1, IQR, 1-2), and mixed for PPE use with ill HCWs (median=2/disagree, IQR, 1-4). Observations demonstrated consistent glove reuse and poor HCW handwashing. The maintenance of distance (RR 1.09, 95% CI 1.02 to 1.16) and patient handwashing (RR 1.19, 95% CI 1.3 to 1.25) improved to >90%. We found favourable attitudes towards IPC and gaps in practice. Risk perceptions of HCWs and tendencies to ration PPE where chronic supply chain issues normally lead to PPE stock-outs may affect practice. As Sierra Leone's Ebola Recovery Strategy aims to make all facilities IPC compliant, socio

  1. Strengthening close to community provision of maternal health services in fragile settings: an exploration of the changing roles of TBAs in Sierra Leone and Somaliland.

    Orya, Evelyn; Adaji, Sunday; Pyone, Thidar; Wurie, Haja; van den Broek, Nynke; Theobald, Sally

    2017-07-05

    Efforts to take forward universal health coverage require innovative approaches in fragile settings, which experience particularly acute human resource shortages and poor health indicators. For maternal and newborn health, it is important to innovate with new partnerships and roles for Traditional Birth Attendants (TBAs) to promote maternal health. We explore perspectives on programmes in Somaliland and Sierra Leone which link TBAs to health centres as part of a pathway to maternal health care. Our study aims to understand the perceptions of communities, stakeholder and TBAs themselves who have been trained in new roles to generate insights on strategies to engage with TBAs and to promote skilled birth attendance in fragile affected settings. A qualitative study was carried out in two chiefdoms in Bombali district in Sierra Leone and the Maroodi Jeex region of Somaliland. Purposively sampled participants consisted of key players from the Ministries of Health, programme implementers, trained TBAs and women who benefitted from the services of trained TBAs. Data was collected through key informants and in-depth interviews and focus group discussions. Data was transcribed, translated and analyzed using the framework approach. For the purposes of this paper, a comparative analysis was undertaken reviewing similarities and differences across the two different contexts. Analysis of multiple viewpoints reveal that with appropriate training and support it is possible to change TBAs practices so they support pregnant women in new ways (support and referral rather than delivery). Participants perceived that trained TBAs can utilize their embedded and trusted community relationships to interact effectively with their communities, help overcome barriers to acceptability, utilization and contribute to effective demand for maternal and newborn services and ultimately enhance utilization of skilled birth attendants. Trained TBAs appreciated cordial relationship at the health

  2. Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

    Laura M Nic Lochlainn

    Full Text Available During the 2014-16 Ebola virus disease (EVD outbreak, the Magburaka Ebola Management Centre (EMC operated by Médecins Sans Frontières (MSF in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobilise a local community for this survey, describe validation against existing mapping sources and use of the data to prioritise areas for interventions, and lessons learned.We recruited local people with self-owned Android smartphones installed with open-source survey software (OpenDataKit (ODK and open-source navigation software (OpenStreetMap Automated Navigation Directions (OsmAnd. Surveyors were paired with local motorbike drivers to travel to eligible villages. The collected mapping data were validated by checking for duplication and comparing the village names against a pre-existing village name and location list using a geographic distance and text string-matching algorithm.The survey teams gained sufficient familiarity with the ODK and OsmAnd software within 1-2 hours. Nine chiefdoms in Tonkolili District and three in Bombali District were surveyed within two weeks. Following de-duplication, the surveyors collected data from 891 villages with an estimated 127,021 households. The overall survey cost was €3,395; €3.80 per village surveyed. The MSF GIS team (MSF-OCG created improved maps for the MSF Magburaka EMC team which were used to support surveillance, investigation of suspect EVD cases, hygiene-kit distribution and EVD survivor support. We shared the mapping data with OpenStreetMap, the local Ministry of Health and Sanitation and Sierra Leone District and National Ebola Response Centres.Involving local community and using accessible technology allowed

  3. Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

    Nic Lochlainn, Laura M; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

    2018-01-01

    During the 2014-16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobilise a local community for this survey, describe validation against existing mapping sources and use of the data to prioritise areas for interventions, and lessons learned. We recruited local people with self-owned Android smartphones installed with open-source survey software (OpenDataKit (ODK)) and open-source navigation software (OpenStreetMap Automated Navigation Directions (OsmAnd)). Surveyors were paired with local motorbike drivers to travel to eligible villages. The collected mapping data were validated by checking for duplication and comparing the village names against a pre-existing village name and location list using a geographic distance and text string-matching algorithm. The survey teams gained sufficient familiarity with the ODK and OsmAnd software within 1-2 hours. Nine chiefdoms in Tonkolili District and three in Bombali District were surveyed within two weeks. Following de-duplication, the surveyors collected data from 891 villages with an estimated 127,021 households. The overall survey cost was €3,395; €3.80 per village surveyed. The MSF GIS team (MSF-OCG) created improved maps for the MSF Magburaka EMC team which were used to support surveillance, investigation of suspect EVD cases, hygiene-kit distribution and EVD survivor support. We shared the mapping data with OpenStreetMap, the local Ministry of Health and Sanitation and Sierra Leone District and National Ebola Response Centres. Involving local community and using accessible technology allowed rapid

  4. Power, fairness and trust: understanding and engaging with vaccine trial participants and communities in the setting up the EBOVAC-Salone vaccine trial in Sierra Leone

    Luisa Enria

    2016-11-01

    Full Text Available Abstract Background This paper discusses the establishment of a clinical trial of an Ebola vaccine candidate in Kambia District, Northern Sierra Leone during the epidemic, and analyses the role of social science research in ensuring that lessons from the socio-political context, the recent experience of the Ebola outbreak, and learning from previous clinical trials were incorporated in the development of community engagement strategies. The paper aims to provide a case study of an integrated social science and communications system in the start-up phase of the clinical trial. Methods The paper is based on qualitative research methods including ethnographic observation, interviews with trial participants and key stakeholder interviews. Results Through the case study of EBOVAC Salone, the paper suggests ways in which research can be used to inform communication strategies before and during the setting up of the trial. It explores notions of power, fairness and trust emerging from analysis of the Sierra Leonean context and through ethnographic research, to reflect on three situations in which social scientists and community liaison officers worked together to ensure successful community engagement. Firstly, a section on “power” considers the pitfalls of considering communities as homogeneous and shows the importance of understanding intra-community power dynamics when engaging communities. Secondly, a section on “fairness” shows how local understandings of what is fair can help inform the design of volunteer recruitment strategies. Finally, a section on “trust” highlights how historically rooted rumours can be effectively addressed through active dialogue rather than through an approach focused on correcting misinformation. Conclusion The paper firstly emphasises the value of social science in the setting up of clinical trials, in terms of providing an in depth understanding of context and social dynamics. Secondly, the paper suggests

  5. Malaria protection in Sierra Leone during the Ebola outbreak 2014/15; The UK military experience with malaria chemoprophylaxis Sep 14-Feb 15.

    Tuck, Jeremy; Williams, Jonathan

    The UK deployed a task force to Sierra Leone to assist in ending the 2014/15 Ebola outbreak. Malaria protection was based on existing Defence Policy which saw a wide range of bite prevention measures deployed. Atovaquone/Proguanil ("A/P"), Doxycycline ("D") and Mefloquine ("M") were the chemoprophylactic medications that were prescribed. A survey was undertaken to audit the Adverse Effect (AE) burden experienced by the population. A questionnaire based survey was administered that sought information on individuals' experiences with malaria chemoprophylaxis. 337 personnel were eligible to take part and 151 (46.3%) individuals returned questionnaires. The reported AE rates for the three drugs were "A/P" 28% of the respondents, "D" 25% and "M" 23.1%. 24 individuals (15.9%) reported 1 AE while 34 (22.5%) reported multiple AEs. Eight (5.3%) individuals changed medication (Five "A/P", two "M" and one "D") because of unacceptable AE but no significant neuro/psychological conditions were reported. The malaria attack rate for the deployed population was 0.4 cases per thousand person weeks which is very low when compared to other military deployments to the West African Area. UK Defence policy is effective in the way it balances the risk of malaria with that of AE due to chemoprophylaxis. "M" remains an acceptable chemoprophylactic agent for a section of the population. Copyright © 2016. Published by Elsevier Ltd.

  6. 'I don't need an eye for an eye': Women's responses to intimate partner violence in Sierra Leone and Liberia.

    Horn, Rebecca; Puffer, Eve S; Roesch, Elisabeth; Lehmann, Heidi

    2016-01-01

    This paper explores the possibilities for agency in intimate partner violence (IPV) situations from the perspective of women in Sierra Leone and Liberia using focus group discussions (N groups = 14, N participants = 110) and individual interviews (N = 20). Findings identify multiple interrelated factors influencing the decision-making of women experiencing IPV. At the individual level, emotional factors and women's knowledge of their rights and options influence their decision-making. At the relational level, the role of neighbours, family and friends is crucial, both for emotional support and practical assistance. At the community level, more formal structures play a role, such as chiefs and women's groups, though their effectiveness varies. At the structural level are barriers to effective responses, including a poorly functioning criminal justice system and a social system in which children often stay with fathers following separation or divorce. Strong cultural beliefs operate to keep women in abusive relationships. We identify implications for prevention and response services and make practice recommendations. Since the desire of most women experiencing IPV was to live in peace with their husbands, interventions should respect women's priorities by focusing more on prevention and interventions to end the violence, rather than solely assisting women to leave violent relationships.

  7. The Effectiveness of International Non-Governmental Organizations' Response Operations during Public Health Emergency: Lessons Learned from the 2014 Ebola Outbreak in Sierra Leone.

    Shin, Yoon Ah; Yeo, Jungwon; Jung, Kyujin

    2018-04-01

    International Nongovernmental Organizations (INGOs) have played critical roles in improving the quality of primary health care in ordinary time and, indeed, responding to epidemic crises in developing countries. Due to a lack of empirical research for effectiveness of their responding activities, the legitimacy and accountability of nonprofits' engagement in the health crisis as a critical responder is doubted. This paper aims to examine the effectiveness of INGOs in a context of managing a fatal epidemic outbreak of Ebola in Sierra Leone during May-November, 2014; building healthcare infrastructures, providing medical supplies, educating local residents, and training response staffs. The analysis results show that development of healthcare infrastructures and provision of medical supplies have been significantly effective in terms of decreasing the severity of the crisis in chiefdoms. The findings imply that policy tools, which allow INGOs to enter to the field in a timely manner, can improve the effectiveness of INGOs' responses in current and future epidemic outbreaks in developing countries where people suffer from a lack of health infrastructures.

  8. Intensive Education of Health Care Workers Improves the Outcome of Ebola Virus Disease: Lessons Learned from the 2014 Outbreak in Sierra Leone.

    Jones-Konneh, Tracey Elizabeth Claire; Murakami, Aya; Sasaki, Hiroyuki; Egawa, Shinichi

    2017-10-01

    The rare and deadly Ebola virus disease (EVD) is caused by Ebola virus (EBOV) infection. The 2014-2015 EVD outbreak in West Africa was unprecedented. Person-to-person transmission of EBOV by direct contact with the body or bodily fluids of an infected person through broken skin or unprotected mucous membrane caused rapid outbreak in communities. Nosocomial infection was the cause of death of many health care workers (HCWs). This paper aims to reveal the importance and effect of intensive education of HCWs when combating an outbreak such as EVD. We compared the curricula of two educational programs and analyzed their effects by the trend of weekly new patients. In September 2014, a three-day training program on infection, prevention and control (IPC) was organized for nurses, but it was not sufficient to achieve good outcome. In December 2014, a newly established National Ebola Training Academy was set up to offer a platform of clinical training modules for frontline Ebola response workers. This academy addressed the training needs of clinicians and hygienists who were working or will work at Ebola treatment centers that were established after the onset of the 2014 outbreak. Increased intensive contents and simulated training at the academy improved HCWs' understanding of EVD, IPC and patient care, which subsequently contributed to the survival of patients. The rapid settlement of the outbreak after introducing the Academy indicates that appropriate intensive education of HCWs is the key activity carried out to control the outbreak of EVD in Sierra Leone.

  9. The Effectiveness of International Non-Governmental Organizations’ Response Operations during Public Health Emergency: Lessons Learned from the 2014 Ebola Outbreak in Sierra Leone

    Shin, Yoon Ah; Yeo, Jungwon

    2018-01-01

    International Nongovernmental Organizations (INGOs) have played critical roles in improving the quality of primary health care in ordinary time and, indeed, responding to epidemic crises in developing countries. Due to a lack of empirical research for effectiveness of their responding activities, the legitimacy and accountability of nonprofits’ engagement in the health crisis as a critical responder is doubted. This paper aims to examine the effectiveness of INGOs in a context of managing a fatal epidemic outbreak of Ebola in Sierra Leone during May–November, 2014; building healthcare infrastructures, providing medical supplies, educating local residents, and training response staffs. The analysis results show that development of healthcare infrastructures and provision of medical supplies have been significantly effective in terms of decreasing the severity of the crisis in chiefdoms. The findings imply that policy tools, which allow INGOs to enter to the field in a timely manner, can improve the effectiveness of INGOs’ responses in current and future epidemic outbreaks in developing countries where people suffer from a lack of health infrastructures. PMID:29614756

  10. Development of risk reduction behavioral counseling for Ebola virus disease survivors enrolled in the Sierra Leone Ebola Virus Persistence Study, 2015-2016.

    Abad, Neetu; Malik, Tasneem; Ariyarajah, Archchun; Ongpin, Patricia; Hogben, Matthew; McDonald, Suzanna L R; Marrinan, Jaclyn; Massaquoi, Thomas; Thorson, Anna; Ervin, Elizabeth; Bernstein, Kyle; Ross, Christine; Liu, William J; Kroeger, Karen; Durski, Kara N; Broutet, Nathalie; Knust, Barbara; Deen, Gibrilla F

    2017-09-01

    During the 2014-2016 West Africa Ebola Virus Disease (EVD) epidemic, the public health community had concerns that sexual transmission of the Ebola virus (EBOV) from EVD survivors was a risk, due to EBOV persistence in body fluids of EVD survivors, particularly semen. The Sierra Leone Ebola Virus Persistence Study was initiated to investigate this risk by assessing EBOV persistence in numerous body fluids of EVD survivors and providing risk reduction counseling based on test results for semen, vaginal fluid, menstrual blood, urine, rectal fluid, sweat, tears, saliva, and breast milk. This publication describes implementation of the counseling protocol and the key lessons learned. The Ebola Virus Persistence Risk Reduction Behavioral Counseling Protocol was developed from a framework used to prevent transmission of HIV and other sexually transmitted infections. The framework helped to identify barriers to risk reduction and facilitated the development of a personalized risk-reduction plan, particularly around condom use and abstinence. Pre-test and post-test counseling sessions included risk reduction guidance, and post-test counseling was based on the participants' individual test results. The behavioral counseling protocol enabled study staff to translate the study's body fluid test results into individualized information for study participants. The Ebola Virus Persistence Risk Reduction Behavioral Counseling Protocol provided guidance to mitigate the risk of EBOV transmission from EVD survivors. It has since been shared with and adapted by other EVD survivor body fluid testing programs and studies in Ebola-affected countries.

  11. Characteristics and Outcomes of Pediatric Patients With Ebola Virus Disease Admitted to Treatment Units in Liberia and Sierra Leone: A Retrospective Cohort Study.

    Smit, Michael A; Michelow, Ian C; Glavis-Bloom, Justin; Wolfman, Vanessa; Levine, Adam C

    2017-02-01

    The clinical and virologic characteristics of Ebola virus disease (EVD) in children have not been thoroughly documented. Consecutive children aged Ebola treatment units in Liberia and Sierra Leone in 2014/2015. Data collection and medical management were based on standardized International Medical Corps protocols. We performed descriptive statistics, multivariate logistic regression, and Kaplan-Meier survival analyses. Of 122 children enrolled, the median age was 7 years and one-third were aged <5 years. The female-to-male ratio was 1.3. The most common clinical features at triage and during hospitalization were fever, weakness, anorexia, and diarrhea, although 21% of patients were initially afebrile and 6 patients remained afebrile. Bleeding was rare at presentation (5%) and manifested subsequently in fewer than 50%. The overall case fatality rate was 57%. Factors associated with death in bivariate analyses were age <5 years, bleeding at any time during hospitalization, and high viral load. After adjustment with logistic regression modeling, the odds of death were 14.8-fold higher if patients were aged <5 years, 5-fold higher if the patient had any evidence of bleeding, and 5.2-fold higher if EVD RT-PCR cycle threshold value was ≤20. Plasmodium parasitemia had no impact on EVD outcomes. Age <5 years, bleeding, and high viral loads were poor prognostic indicators of children with EVD. Research to understand mechanisms of these risk factors and the impact of dehydration and electrolyte imbalance will improve health outcomes. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America.

  12. Prevalence of Acute Respiratory Infections in Women and Children in Western Sierra Leone due to Smoke from Wood and Charcoal Stoves

    Eldred Tunde Taylor

    2012-06-01

    Full Text Available Combustion of biomass fuels (wood and charcoal for cooking releases smoke that contains health damaging pollutants. Women and children are the most affected. Exposure to biomass smoke is associated with acute respiratory infections (ARI. This study investigated the prevalence of ARI potentially caused by smoke from wood and charcoal stoves in Western Sierra Leone, as these two fuels are the predominant fuel types used for cooking. A cross sectional study was conducted for 520 women age 15–45 years; and 520 children under 5 years of age in homes that burn wood and charcoal. A questionnaire assessing demographic, household and exposure characteristics and ARI was administered to every woman who further gave information for the child. Suspended particulate matter (SPM was continuously monitored in fifteen homes. ARI prevalence revealed 32% and 24% for women, 64% and 44% for children in homes with wood and charcoal stoves, respectively. After adjusting for potential confounders for each group, the odds ratio of having suffered from ARI was similar for women, but remained large for children in homes with wood stoves relative to charcoal stoves (OR = 1.14, 95%CI: 0.71–1.82 and (OR = 2.03, 95%CI: 1.31–3.13, respectively. ARI prevalence was higher for children in homes with wood stoves compared with homes with charcoal stoves, but ARI prevalence for both types of fuels is higher compared with reported prevalence elsewhere. To achieve a reduction in ARI would require switching from wood and charcoal to cleaner fuels.

  13. The first phylogeographic population structure and analysis of transmission dynamics of M. africanum West African 1--combining molecular data from Benin, Nigeria and Sierra Leone.

    Florian Gehre

    Full Text Available Mycobacterium africanum is an important cause of tuberculosis (TB in West Africa. So far, two lineages called M. africanum West African 1 (MAF1 and M. africanum West African 2 (MAF2 have been defined. Although several molecular studies on MAF2 have been conducted to date, little is known about MAF1. As MAF1 is mainly present in countries around the Gulf of Guinea we aimed to estimate its prevalence in Cotonou, the biggest city in Benin. Between 2005-06 we collected strains in Cotonou/Benin and genotyped them using spoligo- and 12-loci-MIRU-VNTR-typing. Analyzing 194 isolates, we found that 31% and 6% were MAF1 and MAF2, respectively. Therefore Benin is one of the countries with the highest prevalence (37% of M. africanum in general and MAF1 in particular. Moreover, we combined our data from Benin with publicly available genotyping information from Nigeria and Sierra Leone, and determined the phylogeographic population structure and genotypic clustering of MAF1. Within the MAF1 lineage, we identified an unexpected great genetic variability with the presence of at least 10 sub-lineages. Interestingly, 8 out of 10 of the discovered sub-lineages not only clustered genetically but also geographically. Besides showing a remarkable local restriction to certain regions in Benin and Nigeria, the sub-lineages differed dramatically in their capacity to transmit within the human host population. While identifying Benin as one of the countries with the highest overall prevalence of M. africanum, this study also contains the first detailed description of the transmission dynamics and phylogenetic composition of the MAF1 lineage.

  14. Past horrors, present struggles: the role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone.

    Betancourt, Theresa S; Agnew-Blais, Jessica; Gilman, Stephen E; Williams, David R; Ellis, B Heidi

    2010-01-01

    Upon returning to their communities, children formerly associated with armed forces and armed groups--commonly referred to as child soldiers--often confront significant community stigma. Much research on the reintegration and rehabilitation of child soldiers has focused on exposure to past war-related violence and mental health outcomes, yet no empirical work has yet examined the role that post-conflict stigma plays in shaping long-term psychosocial adjustment. Two waves of data are used in this paper from the first prospective study of male and female former child soldiers in Sierra Leone. We examined the role of stigma (manifest in discrimination as well as lower levels of community and family acceptance) in the relationship between war-related experiences and psychosocial adjustment (depression, anxiety, hostility and adaptive behaviors). Former child soldiers differ from one another with regard to their post-war experiences, and these differences profoundly shape their psychosocial adjustment over time. Consistent with social stress theory, we observed that post-conflict factors such as stigma can play an important role in shaping psychosocial adjustment in former child soldiers. We found that discrimination was inversely associated with family and community acceptance. Additionally, higher levels of family acceptance were associated with decreased hostility, while improvements in community acceptance were associated with adaptive attitudes and behaviors. We found that post-conflict experiences of discrimination largely explained the relationship between past involvement in wounding/killing others and subsequent increases in hostility. Stigma similarly mediated the relationship between surviving rape and depression. However, surviving rape continued to demonstrate independent effects on increases in anxiety, hostility and adaptive/prosocial behaviors after adjusting for other variables. These findings point to the complexity of psychosocial adjustment and

  15. Implementation of a study to examine the persistence of Ebola virus in the body fluids of Ebola virus disease survivors in Sierra Leone: Methodology and lessons learned.

    Deen, Gibrilla Fadlu; McDonald, Suzanna L R; Marrinan, Jaclyn E; Sesay, Foday R; Ervin, Elizabeth; Thorson, Anna E; Xu, Wenbo; Ströher, Ute; Ongpin, Patricia; Abad, Neetu; Ariyarajah, Archchun; Malik, Tasneem; Liu, Hongtu; Ross, Christine; Durski, Kara N; Gaillard, Philippe; Morgan, Oliver; Formenty, Pierre; Knust, Barbara; Broutet, Nathalie; Sahr, Foday

    2017-09-01

    The 2013-2016 West African Ebola virus disease epidemic was unprecedented in terms of the number of cases and survivors. Prior to this epidemic there was limited data available on the persistence of Ebola virus in survivors' body fluids and the potential risk of transmission, including sexual transmission. Given the urgent need to determine the persistence of Ebola virus in survivors' body fluids, an observational cohort study was designed and implemented during the epidemic response operation in Sierra Leone. This publication describes study implementation methodology and the key lessons learned. Challenges encountered during implementation included unforeseen duration of follow-up, complexity of interpreting and communicating laboratory results to survivors, and the urgency of translating research findings into public health practice. Strong community engagement helped rapidly implement the study during the epidemic. The study was conducted in two phases. The first phase was initiated within five months of initial protocol discussions and assessed persistence of Ebola virus in semen of 100 adult men. The second phase assessed the persistence of virus in multiple body fluids (semen or vaginal fluid, menstrual blood, breast milk, and urine, rectal fluid, sweat, saliva, tears), of 120 men and 120 women. Data from this study informed national and global guidelines in real time and demonstrated the need to implement semen testing programs among Ebola virus disease survivors. The lessons learned and study tools developed accelerated the implementation of such programs in Ebola virus disease affected countries, and also informed studies examining persistence of Zika virus. Research is a vital component of the public health response to an epidemic of a poorly characterized disease. Adequate resources should be rapidly made available to answer critical research questions, in order to better inform response efforts.

  16. Anemia, Micronutrient Deficiencies, and Malaria in Children and Women in Sierra Leone Prior to the Ebola Outbreak - Findings of a Cross-Sectional Study

    Wirth, James P; Rohner, Fabian; Woodruff, Bradley A; Chiwile, Faraja; Yankson, Hannah; Koroma, Aminata S; Russel, Feimata; Sesay, Fatmata; Dominguez, Elisa; Petry, Nicolai; Shahab-Ferdows, Setareh; de Onis, Mercedes; Hodges, Mary H

    2016-01-01

    To identify the factors associated with anemia and to document the severity of micronutrient deficiencies, malaria and inflammation, a nationally representative cross-sectional survey was conducted. A three-stage sampling procedure was used to randomly select children anemia (76.3%; 95% CI: 71.8, 80.4), malaria (52.6%; 95% CI: 46.0, 59.0), and acute and chronic inflammation (72.6%; 95% CI: 67.5, 77.1) were high. However, the prevalence of vitamin A deficiency (17.4%; 95% CI: 13.9, 21.6) was moderate, and the prevalence of iron deficiency (5.2%; 95% CI: 3.3, 8.1) and iron-deficiency anemia (3.8%; 95% CI: 2.5, 5.8) were low. Malaria and inflammation were associated with anemia, yet they explained only 25% of the population-attributable risk. In women, 44.8% (95% CI: 40.1, 49.5), 35.1% (95% CI: 30.1, 40.4), and 23.6% (95% CI: 20.4, 27.3) were affected by anemia, malaria, or inflammation, respectively. The prevalence rates of iron deficiency (8.3%; 95% CI: 6.2, 11.1), iron-deficiency anemia (6.1%; 95% CI: 4.4, 8.6), vitamin A deficiency (2.1%; 95% CI: 1.1, 3.1) and vitamin B12 deficiency (0.5%; 95% CI: 0.2, 1.4) were low, while folate deficiency was high (79.2%; 95% CI: 74.1, 83.5). Iron deficiency, malaria, and inflammation were significantly associated with anemia, but explained only 25% of cases of anemia. Anemia in children and women is a severe public health problem in Sierra Leone. Since malaria and inflammation only contributed to 25% of anemia, other causes of anemia, such as hemoglobinopathies, should also be explored. PMID:27163254

  17. Who benefits from removing user fees for facility-based delivery services? Evidence on socioeconomic differences from Ghana, Senegal and Sierra Leone.

    McKinnon, Britt; Harper, Sam; Kaufman, Jay S

    2015-06-01

    Coverage of skilled delivery care has been increasing across most low-income countries; however, it remains far from universal and is very unequally distributed according to socioeconomic position. In an effort to increase coverage of skilled delivery care and reduce socioeconomic inequalities, governments of several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies and few studies have examined effects on socioeconomic inequalities. This study investigates the impact of recent delivery fee exemption policies in Ghana, Senegal, and Sierra Leone on socioeconomic differences in the use of facility-based delivery services. Using Demographic and Health Survey data from nine sub-Saharan African countries, we evaluated the user fee policy changes using a difference-in-differences approach that accounts for underlying common secular trends and time invariant differences among countries, and allows for differential effects of the policy by socioeconomic position. Removing user fees was consistent with meaningful increases in facility deliveries across all categories of household wealth and maternal education. We found little evidence of differential effects of removing user fees across quartiles of household wealth, with increases of 5.4 facility deliveries per hundred live births (95% CI: 2.1, 8.8) among women in the poorest quartile and 6.8 per hundred live births (95% CI: 4.0, 9.7) for women in the richest quartile. However, our results suggest that educated women benefited more from removing user fees compared to women with no education. For women with at least some secondary education, the estimated effect was 8.6 facility deliveries per hundred live births (95% CI: 5.4, 11.9), but only 4.6 per hundred live births (95% CI: 2.2, 7.0) for women with no education (heterogeneity p-value = 0.04). Thus, while removing fees at the point

  18. The impact of active surveillance and health education on an Ebola virus disease cluster — Kono District, Sierra Leone, 2014–2015

    Tasha Stehling-Ariza

    2016-10-01

    Full Text Available Abstract Background During December 2014–February 2015, an Ebola outbreak in a village in Kono district, Sierra Leone, began following unsafe funeral practices after the death of a person later confirmed to be infected with Ebola virus. In response, disease surveillance officers and community health workers, in collaboration with local leadership and international partners, conducted 1 day of active surveillance and health education for all households in the village followed by ongoing outreach. This study investigated the impact of these interventions on the outbreak. Methods Fifty confirmed Ebola cases were identified in the village between December 1, 2014 and February 28, 2015. Data from case investigations, treatment facility and laboratory records were analyzed to characterize the outbreak. The reproduction number (R was estimated by fitting to the observed distribution of secondary cases. The impact of the active surveillance and health education was evaluated by comparing two outcomes before and after the day of the interventions: 1 the number of days from symptom onset to case-patient isolation or death and 2 a reported epidemiologic link to a prior Ebola case. Results The case fatality ratio among the 50 confirmed Ebola cases was 64.0 %. Twenty-three cases occurred among females (46.0 %; the mean age was 39 years (median: 37 years; range: 5 months to 75 years. Forty-three (87.8 % cases were linked to the index case; 30 (61.2 % were either at the funeral of Patient 1 or had contact with him while he was ill. R was 0.93 (95 % CI: 0.15–2.3; excluding the funeral, R was 0.29 (95 % CI: 0.11–0.53. The mean number of days in the community after onset of Ebola symptoms decreased from 4.0 days (median: 3 days; 95 % CI: 3.2–4.7 before the interventions to 2.9 days (median: 2 days; 95 % CI: 1.6–4.3 afterward. An epidemiologic link was reported in 47.6 % of case investigations prior to and 100 % after the interventions

  19. How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia.

    Witter, Sophie; Wurie, Haja; Chandiwana, Pamela; Namakula, Justine; So, Sovannarith; Alonso-Garbayo, Alvaro; Ssengooba, Freddie; Raven, Joanna

    2017-11-01

    This article is grounded in a research programme which set out to understand how to rebuild health systems post-conflict. Four countries were studied-Uganda, Sierra Leone, Zimbabwe and Cambodia-which were at different distances from conflict and crisis, as well as having unique conflict stories. During the research process, the Ebola epidemic broke out in West Africa. Zimbabwe has continued to face a profound economic crisis. Within our research on health worker incentives, we captured insights from 128 life histories and in-depth interviews with a variety of staff that had remained in service. This article aims to draw together lessons from these contexts which can provide lessons for enhancing staff and therefore health system resilience in future, especially in similarly fragile and conflict-affected contexts. We examine the reported effects, both personal and professional, of the three different types of shock (conflicts, epidemics and prolonged political-economic crises), and how staff coped. We find that the impact of shocks and coping strategies are similar between conflict/post-conflict and epidemic contexts-particularly in relation to physical threats and psychosocial threats-while all three contexts create challenges and staff responses for working conditions and remuneration. Health staff showed considerable inventiveness and resilience, and also benefited from external assistance of various kinds, but there are important gaps which point to ways in which they should be better protected and supported in the future. Health systems are increasingly fragile and conflict-prone, and shocks are often prolonged or repeated. Resilience should not be taken for granted or used as an excuse for abandoning frontline health staff. Strategies should be in place at local, national and international levels to prepare for predictable crises of various sorts, rather than waiting for them to occur and responding belatedly, or relying on personal sacrifices by staff to keep

  20. There's No App for That: Assessing the Impact of mHealth on the Supervision, Motivation, Engagement, and Satisfaction of Community Health Workers in Sierra Leone.

    Vallières, Frédérique; McAuliffe, Eilish; van Bavel, Bianca; Wall, Patrick J; Trye, Augustine

    The unprecedented access to mobile phones in resource-poor settings has seen the emergence of mobile-health (mHealth) applications specific for low- and middle-income contexts. One such application is the Mobile Technology for Community Health Suite (MOTECH Suite). Given the importance of community health worker (CHW) perceptions of a health program toward its successful implementation, this study explores whether the introduction of an mHealth application, as a human resource management tool, is associated with changes in CHW perceived supervision, motivation, work engagement, and job satisfaction over time. We employed a 3-arm randomized longitudinal cohort design in Bonthe District, Sierra Leone. Three hundred twenty-seven CHWs were assessed over an 18-month period, with 3 different rounds of data collection. CHWs were assigned to 3 different intervention groups and given either a mobile phone with access to both the application and to a closed user group; a phone set up on a closed user group but with no application; or no mobile phone but the same level of training as the previous 2 groups. Findings indicated that there were no initial or sustained differences in perceived supervision and motivation across the 3 experimental groups over time with the introduction of the MOTECH Suite as a human resource management tool. Furthermore, there was no significant change in the self-reported measures of work engagement and job satisfaction across each of the intervention groups over time. Findings suggest that there are no systematic changes in perceived supervision, work engagement, job satisfaction, or motivation between CHWs who received a mobile phone set up on a closed user group with the MOTECH Suite application and those who either only received a phone with the closed user group or no phone at all. Therefore, the results of this study do not provide sufficient evidence to support the use of mobile technology or mHealth applications to strengthen these

  1. Sierra Leone Journal of Biomedical Research © Sierra Leone ...

    2018-01-28

    Jan 28, 2018 ... direct physical contact with patients (WHO, 2000;. Olowookere et al. 2015 ... Fishbein and Ajzen in 1967 has attempted to explain the relationship ..... Rogers G. M., Archibald, M., Morrison, D., Wilsdon,. A., Wells, E., Hoppe, M.

  2. Development and Deployment of the OpenMRS-Ebola Electronic Health Record System for an Ebola Treatment Center in Sierra Leone.

    Oza, Shefali; Jazayeri, Darius; Teich, Jonathan M; Ball, Ellen; Nankubuge, Patricia Alexandra; Rwebembera, Job; Wing, Kevin; Sesay, Alieu Amara; Kanter, Andrew S; Ramos, Glauber D; Walton, David; Cummings, Rachael; Checchi, Francesco; Fraser, Hamish S

    2017-08-21

    Stringent infection control requirements at Ebola treatment centers (ETCs), which are specialized facilities for isolating and treating Ebola patients, create substantial challenges for recording and reviewing patient information. During the 2014-2016 West African Ebola epidemic, paper-based data collection systems at ETCs compromised the quality, quantity, and confidentiality of patient data. Electronic health record (EHR) systems have the potential to address such problems, with benefits for patient care, surveillance, and research. However, no suitable software was available for deployment when large-scale ETCs opened as the epidemic escalated in 2014. We present our work on rapidly developing and deploying OpenMRS-Ebola, an EHR system for the Kerry Town ETC in Sierra Leone. We describe our experience, lessons learned, and recommendations for future health emergencies. We used the OpenMRS platform and Agile software development approaches to build OpenMRS-Ebola. Key features of our work included daily communications between the development team and ground-based operations team, iterative processes, and phased development and implementation. We made design decisions based on the restrictions of the ETC environment and regular user feedback. To evaluate the system, we conducted predeployment user questionnaires and compared the EHR records with duplicate paper records. We successfully built OpenMRS-Ebola, a modular stand-alone EHR system with a tablet-based application for infectious patient wards and a desktop-based application for noninfectious areas. OpenMRS-Ebola supports patient tracking (registration, bed allocation, and discharge); recording of vital signs and symptoms; medication and intravenous fluid ordering and monitoring; laboratory results; clinician notes; and data export. It displays relevant patient information to clinicians in infectious and noninfectious zones. We implemented phase 1 (patient tracking; drug ordering and monitoring) after 2

  3. Efforts to Promote Reintegration and Rehabilitation of Traumatized Former Child Soldiers: Reintegration of Former Child Soldiers in Sierra Leone: The Role of Caregivers and Their Awareness of the Violence Adolescents Experienced During the War.

    Borisova, Ivelina I; Betancourt, Theresa S; Willett, John B

    2013-01-01

    This article explores the role of caregivers in the reintegration of former child soldiers from Sierra Leone. Using data on 282 youth and their respective caregivers, our aim is to focus on the caregiver-child relationship after reintegration. We investigate the extent to which caregivers know about child soldiers' experiences of direct and indirect violence, as well as involvement in war activities. We further examine variables that might shape the degree of caregiver knowledge of child's war experiences. Finally, we examine if caregiver knowledge of war experiences is associated with child's psychosocial outcomes. Findings highlight the importance of developing thoughtful programs that consider the needs of the child in the context of the family and caregivers with whom he or she is reunified.

  4. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study.

    James, Peter Bai; Bah, Abdulai Jawo; Kondorvoh, Idrissa Momoh

    2016-04-27

    CAM inclusion into the curricula of health training institutions, a strategy for its integration into the main stream healthcare delivery system is growing globally. Future healthcare professionals knowledge and perception of CAM are key determinants to its successful integration. Thus, the main objective of this study was to compare the use, attitude and interest to study CAM among final year undergraduate medical, pharmacy and nursing students at the College of Medicine and Allied Health Sciences University of Sierra Leone (COMAHS-USL). A questionnaire based cross-sectional survey was carried out among final year medical, pharmacy and nursing students enrolled at the College of Medicine and Allied Health Sciences University of Sierra Leone (COMAHS-USL). Chi square, fisher exact two tailed test and Kruskal-wallis test were used to analyze data collected. Close to two-thirds (61 %) of all the three groups of final year students used one form of CAM or the other with pharmacy (72.7 %) and nursing (55.6 %) students being the highest and least users respectively. No significant difference was observed among the three groups. In general, final year students in all three cadres demonstrated a positive attitude toward CAM (33.80 ± 3. 2) with medical students showing more positive attitude than pharmacy (p = 0.022) and nursing student (p = 0.008). No significant difference in attitude was observed between students in pharmacy and nursing programs (p = 0.354). More than three quarter (76.6 %) of the students in all the three groups indicated their interest in studying CAM, with preference for the subject to be taught as an elective module (81.6 %). An appreciable number of final year medical, pharmacy and nursing students at COMAHS-USL have used at least one CAM modality and demonstrated an overall positive attitude towards CAM. Interest to study CAM was also observed among most of them even though they preferred it to be taught as an elective module.

  5. Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali

    Katie Tayler-Smith

    2011-02-01

    Full Text Available Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs. Despite political momentum toward achieving this target, progress is slow and many with malaria (particularly in poor and rural communities in Africa are still without access to effective treatment. Finding ways to improve access to anti-malarial treatment in Africa is essential to achieve the malaria related and other MDG targets. During its work in Chad, Sierra Leone and Mali in the period 2004 to 2008, Médecins Sans Frontières showed that it was possible to significantly improve access to effective malaria treatment through: i the removal of health centre level user fees for essential healthcare for vulnerable population groups, ii the introduction of free community based treatment for children using malaria village workers to diagnose and treat simple malaria in communities where geographical and financial barriers limited access to effective malaria care, iii the improved diagnosis and treatment of malaria using rapid diagnosis tests and artemisinin based combination therapy, at both health facilities and in the community. This paper describes and discusses these strategies and their related impact.

  6. Counting indirect crisis-related deaths in the context of a low-resilience health system: the case of maternal and neonatal health during the Ebola epidemic in Sierra Leone.

    Sochas, Laura; Channon, Andrew Amos; Nam, Sara

    2017-11-01

    Although the number of direct Ebola-related deaths from the 2013 to 2016 West African Ebola outbreak has been quantified, the number of indirect deaths, resulting from decreased utilization of routine health services, remains unknown. Such information is a key ingredient of health system resilience, essential for adequate allocation of resources to both 'crisis response activities' and 'core functions'. Taking stock of indirect deaths may also help the concept of health system resilience achieve political traction over the traditional approach of disease-specific surveillance. This study responds to these imperatives by quantifying the extent of the drop in utilization of essential reproductive, maternal and neonatal health services in Sierra Leone during the Ebola outbreak by using interrupted time-series regression to analyse Health Management Information System (HMIS) data. Using the Lives Saved Tool, we then model the implication of this decrease in utilization in terms of excess maternal and neonatal deaths, as well as stillbirths. We find that antenatal care coverage suffered from the largest decrease in coverage as a result of the Ebola epidemic, with an estimated 22 percentage point (p.p.) decrease in population coverage compared with the most conservative counterfactual scenario. Use of family planning, facility delivery and post-natal care services also decreased but to a lesser extent (-6, -8 and -13 p.p. respectively). This decrease in utilization of life-saving health services translates to 3600 additional maternal, neonatal and stillbirth deaths in the year 2014-15 under the most conservative scenario. In other words, we estimate that the indirect mortality effects of a crisis in the context of a health system lacking resilience may be as important as the direct mortality effects of the crisis itself. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved

  7. Intervene before leaving: clustered lot quality assurance sampling to monitor vaccination coverage at health district level before the end of a yellow fever and measles vaccination campaign in Sierra Leone in 2009

    Pezzoli Lorenzo

    2012-06-01

    Full Text Available Abstract Background In November 2009, Sierra Leone conducted a preventive yellow fever (YF vaccination campaign targeting individuals aged nine months and older in six health districts. The campaign was integrated with a measles follow-up campaign throughout the country targeting children aged 9–59 months. For both campaigns, the operational objective was to reach 95% of the target population. During the campaign, we used clustered lot quality assurance sampling (C-LQAS to identify areas of low coverage to recommend timely mop-up actions. Methods We divided the country in 20 non-overlapping lots. Twelve lots were targeted by both vaccinations, while eight only by measles. In each lot, five clusters of ten eligible individuals were selected for each vaccine. The upper threshold (UT was set at 90% and the lower threshold (LT at 75%. A lot was rejected for low vaccination coverage if more than 7 unvaccinated individuals (not presenting vaccination card were found. After the campaign, we plotted the C-LQAS results against the post-campaign coverage estimations to assess if early interventions were successful enough to increase coverage in the lots that were at the level of rejection before the end of the campaign. Results During the last two days of campaign, based on card-confirmed vaccination status, five lots out of 20 (25.0% failed for having low measles vaccination coverage and three lots out of 12 (25.0% for low YF coverage. In one district, estimated post-campaign vaccination coverage for both vaccines was still not significantly above the minimum acceptable level (LT = 75% even after vaccination mop-up activities. Conclusion C-LQAS during the vaccination campaign was informative to identify areas requiring mop-up activities to reach the coverage target prior to leaving the region. The only district where mop-up activities seemed to be unsuccessful might have had logistical difficulties that should be further investigated and resolved.

  8. Intervene before leaving: clustered lot quality assurance sampling to monitor vaccination coverage at health district level before the end of a yellow fever and measles vaccination campaign in Sierra Leone in 2009.

    Pezzoli, Lorenzo; Conteh, Ishata; Kamara, Wogba; Gacic-Dobo, Marta; Ronveaux, Olivier; Perea, William A; Lewis, Rosamund F

    2012-06-07

    In November 2009, Sierra Leone conducted a preventive yellow fever (YF) vaccination campaign targeting individuals aged nine months and older in six health districts. The campaign was integrated with a measles follow-up campaign throughout the country targeting children aged 9-59 months. For both campaigns, the operational objective was to reach 95% of the target population. During the campaign, we used clustered lot quality assurance sampling (C-LQAS) to identify areas of low coverage to recommend timely mop-up actions. We divided the country in 20 non-overlapping lots. Twelve lots were targeted by both vaccinations, while eight only by measles. In each lot, five clusters of ten eligible individuals were selected for each vaccine. The upper threshold (UT) was set at 90% and the lower threshold (LT) at 75%. A lot was rejected for low vaccination coverage if more than 7 unvaccinated individuals (not presenting vaccination card) were found. After the campaign, we plotted the C-LQAS results against the post-campaign coverage estimations to assess if early interventions were successful enough to increase coverage in the lots that were at the level of rejection before the end of the campaign. During the last two days of campaign, based on card-confirmed vaccination status, five lots out of 20 (25.0%) failed for having low measles vaccination coverage and three lots out of 12 (25.0%) for low YF coverage. In one district, estimated post-campaign vaccination coverage for both vaccines was still not significantly above the minimum acceptable level (LT = 75%) even after vaccination mop-up activities. C-LQAS during the vaccination campaign was informative to identify areas requiring mop-up activities to reach the coverage target prior to leaving the region. The only district where mop-up activities seemed to be unsuccessful might have had logistical difficulties that should be further investigated and resolved.

  9. Capacity building permitting comprehensive monitoring of a severe case of Lassa hemorrhagic fever in Sierra Leone with a positive outcome: Case Report

    Fonnie Mbalu

    2011-06-01

    Full Text Available Abstract Lassa fever is a neglected tropical disease with a significant impact on the health care system of endemic West African nations. To date, case reports of Lassa fever have focused on laboratory characterisation of serological, biochemical and molecular aspects of the disease imported by infected individuals from Western Africa to the United States, Canada, Europe, Japan and Israel. Our report presents the first comprehensive real time diagnosis and characterization of a severe, hemorrhagic Lassa fever case in a Sierra Leonean individual admitted to the Kenema Government Hospital Lassa Fever Ward. Fever, malaise, unresponsiveness to anti-malarial and antibiotic drugs, followed by worsening symptoms and onset of haemorrhaging prompted medical officials to suspect Lassa fever. A recombinant Lassa virus protein based diagnostic was employed in diagnosing Lassa fever upon admission. This patient experienced a severe case of Lassa hemorrhagic fever with dysregulation of overall homeostasis, significant liver and renal system involvement, the interplay of pro- and anti-inflammatory cytokines during the course of hospitalization and an eventual successful outcome. These studies provide new insights into the pathophysiology and management of this viral illness and outline the improved infrastructure, research and real-time diagnostic capabilities within LASV endemic areas.

  10. 'Just because she's young, it doesn't mean she has to die': exploring the contributing factors to high maternal mortality in adolescents in Eastern Freetown; a qualitative study.

    November, Lucy; Sandall, Jane

    2018-02-21

    In Sierra Leone, 34% of pregnancies and 40% of maternal deaths are in the adolescent population. Risks are known to be higher for younger adolescents, this being borne out by a household survey in Eastern Freetown in 2015. This current qualitative study, funded by Wellbeing of Women's international midwifery fellowship, was conducted to explore the causes of this high incidence of maternal death for younger teenagers, and to identify possible interventions to improve outcomes. This qualitative study used semi-structured interviews (n = 19) and focus groups (n = 6), with a wide range of professional and lay participants, recorded with consent. Recordings were transcribed by the first author and a Krio-speaking colleague where necessary, and Nvivo software was used to assist with theming of the data around the three main research questions. Themes from discussions on vulnerability to teenage pregnancy focused on transactional sex, especially for girls living outside of their birth family. They included sex for school fees, sex with teachers for grades, sex for food and clothes, and sex to lessen the impact of the time-consuming duties of water collection and petty trading. In addition, the criminal justice system and the availability and accessibility of contraception and abortion were included within this major theme. Within the major theme of vulnerability to death once pregnant, abandonment, delayed care seeking, and being cared for by a non-parental adult were identified. Several obstetric risks were discussed by midwives, but were explicitly related to the socio-economic factors already mentioned. A cross-cutting theme throughout the data was of gendered social norms for sexual behaviour, for both boys and girls, being reinforced by significant adults such as parents and teachers. Findings challenge the notion that adolescent girls have the necessary agency to make straightforward choices about their sexual behaviour and contraceptive use. For girls who do

  11. Undiagnosed Acute Viral Febrile Illnesses, Sierra Leone

    2014-07-01

    1743-422X-8-478 6. Sabin AB, Schlesinger RW. Production of immunity to dengue with virus modified by propagation in mice. Science. 1945;101:640–2...http://dx.doi.org/10.1126/science.101.2634.640 7. Sabin AB. The dengue group of viruses and its family relationships. Bacteriol Rev. 1950;14:225...immunization with attenuated (TC-83) VEE virus vaccine . J Infect Dis. 1977;136:354–9. http://dx.doi.org/10.1093/infdis/136.3.354 21. Lanciotti RS, Roehrig JT

  12. Sierra Leone Journal of Biomedical Research 4

    health (and disease) among humans, domestic and free-ranging ... Medical Sciences at University of Tokyo, Japan. Critical to Project ... for solid waste management, and waste to worth ideas) ... mobilization and IPC education efforts to prevent the spread of the ... and professionals to discuss progress, capability, and future ...

  13. Sierra Leone Journal of Biomedical Research

    DR. MRS RUNSEWE

    describing the infant and young child feeding practices amongst a group of ... care workers, female education, and empowerment are recommended. ... first six months of life after which good quality ..... workplace women-friendly through the.

  14. Sierra Leone Journal of Biomedical Research

    MHRL

    Introduction: Adolescents constitute a sizeable proportion of new HIV ... Conclusion: Adolescents under study had high awareness, high-risk knowledge but poor self-risk perception towards .... interest at 95% Confidence level while the degree.

  15. Sierra Leone Journal of Biomedical Research

    MHRL

    Background: Many people who lack reliable access to a quality and safe drinking water source in or ... purchased from randomly-selected retail outlets and street vendors were tested for microbiological and ... ISSN 2219-3170 (Online First).

  16. Sierra Leone Journal of Biomedical Research

    humans (Lyubojeviae et al., 2002; Rathi, 2006). ... skinned people due to the protective functions of the black skin against the damaging effects of UV irradiation ... Bleaching creams act at various levels of melanin ... As a result of its critical role.

  17. The trauma of war in Sierra Leone

    Jong, Kaz de; Mulhern, M.; Ford, N.; Kam, S. van der; Kleber, R.J.

    2000-01-01

    Civilians are increasingly targeted in today's wars. To reduce military casualties, civilians are used as protective shields; to facilitate guerrilla warfare, they are abducted or enslaved; torture, rape, and executions are carried out to undermine morale and to eradicate the cultural links and

  18. GRAIN QUALITY IN SIERRA LEONE I

    Mimi

    the nature and dynamics of the rice production-consumption continuum. .... Traders interviewed had had at least 8 years of experience in rice marketing prior ... from imported rice is sustained by factors such as the possibility to retail with partial.

  19. Sierra Leone Journal of Biomedical Research

    MHRL

    This prospective, descriptive cross-sectional study was carried out at the University of Ilorin Teaching Hospital,. Ilorin, to .... in the study, age under 15 years, American Society of .... well-being to the anaesthetist, while 30.8% felt he ... Journal of Asian Scientific Research. 3:775-85. Chew ST ... a qualitative research synthesis.

  20. Sierra Madre Oriental in Coahuila, Mexico

    2002-01-01

    This desolate landscape is part of the Sierra Madre Oriental mountain range, on the border between the Coahuila and Nuevo Leon provinces of Mexico. This image was acquired by Landsat 7's Enhanced Thematic Mapper plus (ETM+) sensor on November 28, 1999. This is a false-color composite image made using shortwave infrared, infrared, and green wavelengths. The image has also been sharpened using the sensor's panchromatic band. Image provided by the USGS EROS Data Center Satellite Systems Branch

  1. Flora cactológica y especies asociadas en el área natural protegida Sierra Corral de los Bandidos, Nuevo León, México Cactus list and asociated plants of the protected natural area Sierra Corral de Los Bandidos, Nuevo Leon, Mexico

    María del Pilar Carmona-Lara

    2008-12-01

    Full Text Available El área natural protegida (ANP Sierra Corral de los Bandidos ubicada en la sierra Madre Oriental, al noroeste de Monterrey, sufre el impacto de actividades antropológicas asociadas al matorral submontano (ganadería, agricultura, colecta y urbanismo, disminuyendo sus recursos naturales y amenazando sus especies endémicas, principalmente cactáceas. El propósito del estudio fue conocer la diversidad de cactáceas y especies asociadas en zonas de amortiguamiento y núcleo. Para ello se determinaron índices de riqueza y similitud utilizando un muestreo estratificado con cuadrantes a lo largo de transectos orientados por gradientes altitudinales según su zonificación. En total se registraron 112 taxa (30 cactáceas, 87 (24 cactáceas en zona de amortiguamiento y 80 (19 cactáceas en zona núcleo. Por su densidad, frecuencia y abundancia sobresalieron Echinocereus stramineus (Engelm. Engelm. ex F. Seitz, Cylindropuntia leptocaulis F. M. Knuth in Backeb et F. M. Knuth, Mammillaria melanocentra Poselg., Neolloydia conoidea (DC Britton et Rose, (Cactaceae; Erioneuron avenaceum (H. B et K. Tateoka, (Poaceae; Viguiera stenoloba S. F. Blake; Zexmenia hispida (Kunth A. Gray, (Asteraceae y Agave lechuguilla Torr, (Agavaceae. Existe diferencia significativa entre las poblaciones de cactus de las zonas del ANP, según Jacquard (13%, Sörensen (38% y Morisita (0.44. Ocho cactáceas (7 endémicas están registradas en algún estatus de la NOM-ECOL-059, 2001.The Sierra Corral de los Bandidos is a natural protected area located in the Sierra Madre Oriental mountain range northwest of Monterrey city. This preserve suffers the impact of human activities in the form of cattle ranching, agriculture, harvest of wild plants, and urbanism, diminishing its natural resources and threatening its endemic species, especially from the cactaceae family. The purpose of this study was to obtain information on the diversity of cacti and associated species in the buffer and

  2. Virus Genomes Reveal the Factors that Spread and Sustained the West African Ebola Epidemic

    2016-08-09

    Ladner, J. T. et al. Evolution and Spread of Ebola Virus in Liberia , 2014--2015. Cell Host Microbe 18, 659–669 (2015). 15. Lemey, P. et al. Unifying...Virus genomes reveal the factors that spread and sustained the West African Ebola epidemic. Gytis Dudas1,2, Luiz Max Carvalho1, Trevor Bedford2...Charlesville, Liberia ., 19University of Sierra Leone, Freetown, Sierra Leone , 20Center for Systems Biology, Department of Organismic and Evolutionary

  3. Book Review: Building Peace in West Africa: Liberia, Sierra Leone ...

    African Journal of Political Science. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 9, No 1 (2004) >. Log in or Register to get access to full text downloads.

  4. Sierra Leone : Power Sector Recovery Strategy, Phase I

    World Bank

    2007-01-01

    Power Planning Associates has been appointed by the World Bank to prepare a strategy for the recovery of the National Power Authority (NPA). This Preliminary Report presents the findings of the audit and proposes potential counter measures to improve NPA s technical and financial performance. These counter measures are presented at the end of each section of the report and are summarised...

  5. Sexual violence in post-conflict Sierra Leone: Obstacles to ...

    Using a qualitative research approach, this study examines gender norms and pressures that shape gender roles, rights, responsibilities and sexual relationships in post-conflict situations. Evidence on the nature and extent of sexual violence and challenges and barriers to prevention responses were elicited through the ...

  6. Sierra Leone Journal of Biomedical Research Original Article

    J. M. Lamin

    A cross-sectional study to determine the knowledge of health care workers on DM, HIV and how some of the drugs used in treating HIV infection secondarily cause metabolic disease like DM. .... SEX. Male. 40. 18.3. Female. 179. 81.7. LOCATION OF PRACTICE. Urban ..... with other closely related studies in which health.

  7. Women, Politics and Decision- Making in Sierra Leone

    Women like Paramount Chief Madam Yoko, from Moyamba District in the South and ... are many more female senior administrative officers who have performed .... education and financial independence give women, especially wives, more ...

  8. Sierra Leone Journal of Biomedical Research Original Article

    User

    practice of intra-partum analgesia services was conducted among practitioners ... Results: Of the 120 questionnaires distributed to the participants, 81 (67.5%) of the respondents returned ..... analgesia were found to be responsible for denying.

  9. Sierra Leone Journal of Biomedical Research Original Article

    User

    depression as moderate, most of them still maintained that cigarette smoking, unwanted ... among the leading causes of disability worldwide ... may affect the child's psychological development ... low self-esteem, exhaustion, social withdrawal,.

  10. The Gender Quota Campaign in Sierra Leone: An Interview with ...

    2011-10-19

    Oct 19, 2011 ... What led you to study the question of quotas for women in positions of political office? ... They have to fight like men fight to get into parliament. ... If you are talking about sexual and reproductive rights that affect women, most ...

  11. Sierra Leone Journal of Biomedical Research Original Article

    User

    A publication of the College of Medicine and Allied Health Sciences, ... evaluate the impact of the local community's Knowledge Attitudes and Practices (KAP) and the impact of Indoor. Residual Spraying (IRS) exercise in Epe community.

  12. Assessing unmet anaesthesia need in Sierra Leone: a secondary ...

    Objectives: To determine the unmet anaesthesia need in a low resource region. Introduction: Surgery and anæsthesia services in low- and middle-income countries (LMICs) are under-equipped, under- staffed, and unable to meet current surgical need. There is little objective measure as to the true extent and nature of ...

  13. New political violence in Africa : secular sectarianism in Sierra Leone

    Richards, P.

    1999-01-01

    Mary Douglas (1993) has indicated some of the shared concerns that keep voluntary enclaves together as 'social movements'. The present paper describes a rather different kind of enclave politics, being concerned with the 'new violence' of groups enclaved by social exclusion and force. The paper

  14. Sierra Leone Journal of Biomedical Research Original Article ...

    J. M. Lamin

    A peek into the HIV situation in Moyamba district was observed during the Ebola outbreak, when several suspected EVD patients were diagnosed with HIV and posed challenges in EVD treatment (Arranz et al, 2016). Screening for HIV using established programmes such as the VCT, PMCT and blood donor screening.

  15. Sierra Leone Journal of Biomedical Research 38 Original Article

    ). 38 ... Sleeping sickness or Human African Trypanosomiasis (HAT) caused by Trypanosoma brucei .... end of the 1930th produced new social and .... use) resulted in the radical diminishing of the game ..... strains isolated from pigs in Liberia.

  16. Sierra Leone Journal of Biomedical Research 28 Original Article

    9 No. 2 http://www.sljbr.org/index.php. 28. Original Article. INHERITANCE ... single group) were tabulated and their possible combination outcome (by crosses) in their ... fashion (dominant-recessive) rather, lip prints exhibit polygenic inheritance ... Keywords: Inheritance pattern, Mendelian fashion, Polygenetic, Incomplete ...

  17. Sierra Leone Journal of Biomedical Research Original Article

    J. M. Lamin

    The Strategic. Plan and the ... This study was carried out to establish ART medication adherence during the Ebola outbreak. A cross ... Leonean civil war, gradually became a threat to the .... information that is important for HIV management.

  18. Sickle cell disease in Sierra Leone: a neglected problem | Roberts ...

    Eleven (2.4%) were Sickle Cell-HbC disease, median age 14 years. Patients demonstrated many of the typical features of SCD. The most common reason for hospital admission was bone pain crisis associated with an infection, followed by severe anemia. Aseptic necrosis of the femoral head, leg ulcers, septic osteomyelitis ...

  19. A national survey of rice ( Oryza sativa L.) grain quality in Sierra ...

    As Sierra Leone approaches self-sufficiency in rice, against a backdrop of agricultural commercialization, the dynamics of the rice grain production and consumption will increasingly be driven by the quality of grains demanded by consumers to be produced by farmers and marketed by traders in the open market.

  20. La campagne pour un quota de femmes en politique en Sierra ...

    1 nov. 2011 ... Aisha Ibrahim est directrice du Gender Research and Documentation ... Comme elles travaillaient toutes à faire avancer des causes différentes, ... et qu'il n'existe pas de discrimination à l'endroit des femmes en Sierra Leone.

  1. Protective role of onion and garlic on physicochemical alterations ...

    SERVER

    2007-09-19

    Sep 19, 2007 ... (Alexander, 1977, 1978; Miller and Long, 1990; Sanders,. 1989). ... ley Market, Freetown, Sierra Leone. They were cut into ... was fed with heated oil + 0.2 g onion/ml, and D was fed with heated oil + 0.2 g .... 231: 43-54. Cao G ...

  2. Measles Cases during Ebola Outbreak, West Africa, 2013-2106.

    Colavita, Francesca; Biava, Mirella; Castilletti, Concetta; Quartu, Serena; Vairo, Francesco; Caglioti, Claudia; Agrati, Chiara; Lalle, Eleonora; Bordi, Licia; Lanini, Simone; Guanti, Michela Delli; Miccio, Rossella; Ippolito, Giuseppe; Capobianchi, Maria R; Di Caro, Antonino

    2017-06-01

    The recent Ebola outbreak in West Africa caused breakdowns in public health systems, which might have caused outbreaks of vaccine-preventable diseases. We tested 80 patients admitted to an Ebola treatment center in Freetown, Sierra Leone, for measles. These patients were negative for Ebola virus. Measles virus IgM was detected in 13 (16%) of the patients.

  3. Monitoring the levels of toxic air pollutants in the ambient air of ...

    user

    The ambient air quality in Freetown, Sierra Leone was investigated for the first time for toxic air pollutants. ..... 215 Switzerland), in a water bath at temperature of 55°C and pressure of ..... scraps. Furthermore, the prolonged use of generators.

  4. Guide to Using Sierra

    Shaw, Ryan Phillip [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Agelastos, Anthony Michael [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Miller, Joel D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-03-01

    Sierra is an engineering mechanics simulation code suite supporting the Nation's Nuclear Weapons mission as well as other customers. It has explicit ties to Sandia National Labs' workfow, including geometry and meshing, design and optimization, and visualization. Dis- tinguishing strengths include "application aware" development, scalability, SQA and V&V, multiple scales, and multi-physics coupling. This document is intended to help new and existing users of Sierra as a user manual and troubleshooting guide.

  5. Guide to Using Sierra

    Shaw, Ryan Phillip; Agelastos, Anthony Michael; Miller, Joel D.

    2017-04-01

    Sierra is an engineering mechanics simulation code suite supporting the Nation's Nuclear Weapons mission as well as other customers. It has explicit ties to Sandia National Labs' workfow, including geometry and meshing, design and optimization, and visualization. Dis- tinguishing strengths include "application aware" development, scalability, SQA and V&V, multiple scales, and multi-physics coupling. This document is intended to help new and existing users of Sierra as a user manual and troubleshooting guide.

  6. Environment assessment: allocation of petroleum feedstock, Algonquin SNG Inc. , Freetown SNG Plant, Bristol County, MA. [Effects of 100, 78, 49% allocations

    1980-01-01

    The proposed administrative action to deny, grant or modify the Algonquin SNG, Inc. (Algonquin) petition for an adjusted allocation of naphtha feedstock may significantly affect the ehuman environment. The volume of feedstock requested is 4,425,571 barrels per year of naphtha to be used in Algonquin's Freetown, MA synthetic natural gas (SNG) plant. Environmental impacts of 100, 78, and 49% allocations were evaluated.

  7. Leon Knopoff (1926-2011)

    Davis, Paul; Jackson, David; Gilbert, Freeman

    2011-06-01

    Leon Knopoff died at his home in Sherman Oaks, Calif., on 20 January 2011 at the age of 85. A man of wide-ranging talents, he had the rare distinction of being simultaneously a professor of physics, a professor of geophysics, and a research musicologist at the University of California, Los Angeles (UCLA). As an undergraduate he studied electrical engineering and obtained his Ph.D. in physics and mathematics at the California Institute of Technology (Caltech) in 1949. He was recruited to the Institute of Geophysics (now the Institute of Geophysics and Planetary Physics) at UCLA in 1950 by Louis Slichter, where he became a professor of geophysics in 1957 and of geophysics and physics in 1961. He became a research musicologist in the UCLA Institute of Ethnomusicology soon after it was formed in 1960. Other appointments included faculty positions at Miami University in Ohio (1948-1950) and Caltech (1962-1963) and visiting appointments at Cambridge, Karlsruhe, Harvard, Santiago, Trieste, and Venice.

  8. A plea for unity, by Leon Lederman

    Anon.

    1986-03-15

    Last November saw the 30th anniversary of the discovery of the antiproton using the Bevatron at the University of California's Lawrence Berkeley Laboratory (then called the Radiation Laboratory). Fermilab Director Leon Lederman was in sparkling form at the banquet, where in his inimitable way he made an impassioned plea for scientific unity in these difficult times.

  9. A plea for unity, by Leon Lederman

    Anon.

    1986-01-01

    Last November saw the 30th anniversary of the discovery of the antiproton using the Bevatron at the University of California's Lawrence Berkeley Laboratory (then called the Radiation Laboratory). Fermilab Director Leon Lederman was in sparkling form at the banquet, where in his inimitable way he made an impassioned plea for scientific unity in these difficult times

  10. Sierra Structural Dynamics Theory Manual

    Reese, Garth M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-10-19

    Sierra/SD provides a massively parallel implementation of structural dynamics finite element analysis, required for high fidelity, validated models used in modal, vibration, static and shock analysis of structural systems. This manual describes the theory behind many of the constructs in Sierra/SD. For a more detailed description of how to use Sierra/SD , we refer the reader to Sierra/SD, User's Notes . Many of the constructs in Sierra/SD are pulled directly from published material. Where possible, these materials are referenced herein. However, certain functions in Sierra/SD are specific to our implementation. We try to be far more complete in those areas. The theory manual was developed from several sources including general notes, a programmer notes manual, the user's notes and of course the material in the open literature. This page intentionally left blank.

  11. Exceptional suffering? Enumeration and vernacular accounting in the HIV-positive experience.

    Benton, Adia

    2012-01-01

    Drawing on 17 months of ethnographic fieldwork in Freetown, Sierra Leone, I highlight the recursive relationship between Sierra Leone as an exemplary setting and HIV as an exceptional disease. Through this relationship, I examine how HIV-positive individuals rely on both enumerative knowledge (seroprevalence rates) and vernacular accounting (NGO narratives of vulnerability) to communicate the uniqueness of their experience as HIV sufferers and to demarcate the boundaries of their status. Various observers' enumerative and vernacular accounts of Sierra Leone's decade-long civil conflict, coupled with global health accounts of HIV as exceptional, reveal the calculus of power through which global health projects operate. The contradictions between the exemplary and the exceptional-and the accompanying tension between quantitative and qualitative facts-are mutually constituted in performances and claims made by HIV-positive individuals themselves.

  12. Obituary: Leon Van Speybroeck, 1935-2002

    Gorenstein, Paul; Tananbaum, Harvey Dale

    2003-12-01

    Leon Van Speybroeck, a master designer of X-ray telescope mirrors and the telescope scientist for the Chandra X-ray Observatory, died in Newton, Massachusetts, on 25 December 2002, shortly after learning that he had metastatic melanoma. Leon was born on 27 August 1935 in Wichita, Kansas. His father, Paul, was Assistant Treasurer and head of the accounting department at Beech Aircraft, and his mother, Anna Florence (Utley), was a homemaker. Both parents died in 1996. Leon's younger sister, Saundra, is a nurse and his younger brother, John, is a surgeon. Leon received a BS in 1957 and a PhD in 1965, both in physics, from MIT. His PhD thesis, ``Elastic Electron-Deuteron Scattering at High Momentum Transfer," was carried out under the supervision of Henry Kendall and Jerome Friedman. Leon spent two more years at MIT as a research associate. In 1967, he was hired by American Science and Engineering (AS&E) in Cambridge, Massachusetts, and joined the X-ray astronomy group led by Riccardo Giacconi, who received the 2002 Nobel Prize in Physics for contributions to astrophysics that led to the discovery of cosmic X-ray sources. Leon soon became involved in the design and construction of high-resolution, grazing-incidence X-ray telescopes, starting with the Apollo Telescope Mount flown on NASA's Skylab from 1973 to 1974. A series of high-resolution X-ray images of the solar corona led to dramatic changes in ideas about the solar corona, with new emphasis on magnetic dynamo processes. When the Smithsonian Astrophysical Observatory and the Harvard College Observatory morphed into the Harvard-Smithsonian Center for Astrophysics (CfA) in 1973, Leon, with Giacconi and other senior X-ray astronomers from AS&E, joined the CfA and formed the high-energy astrophysics division. Leon guided the design and development of the X-ray mirrors on NASA's Einstein Observatory, which was flown from 1978 to 1981 as the first cosmic X-ray observatory with an imaging telescope. Along the way, he

  13. Sierra Nevada Subregional Boundary - Sierra Nevada Conservancy [ds542

    California Natural Resource Agency — Sierra Nevada Conservancy (SNC) boundary. The boundary was mapped to correspond with statute AB 2600 (2004) and as re-defined in AB 1201 (2005). Work on the boundary...

  14. Alcohol and drugs in post-war Sierra Leone | Bøås | African Journal ...

    African Journal of Drug and Alcohol Studies. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 7, No 1 (2008) >. Log in or Register to get access to full text downloads.

  15. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 38-46 ...

    2010-06-01

    Jun 1, 2010 ... Care Seeking Determinants among Adolescents in Lagos, Nigeria ... relationship between client facility-use status and selected individual .... youth-friendly clinic in developing nations as well ... 1034. 17.0. Source of information. Friend. 4117. 67.7. Sibling. 578 ..... perceived threat to reproduction are taken.

  16. ©Sierra Leone Journal of Biomedical Research Vol. 2 (2) pp. 95-102 ...

    Owner

    A total of eighty-five subjects (right eyes) with mean age 44.7 ... There was no significant association between central corneal thickness and ... tissue may undergo during diseases, trauma and hypoxia. ... the clinical categorisation and risk assessment of ..... Corneal Thickness, Refractive Error, Corneal ... J Chin Med Assoc.

  17. Sierra Leone Journal of Biomedical Research - Vol 7, No 2 (2015)

    CASE REPORT: A GIANT URINARY BLADDER STONE IN A FEMALE PATIENT · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. P.F. Nabiue, K Songu-M'brewa, I.B. Gegbai, M. Musa, A.B. Swarray, C.D.S. Kamara, F. Sahr, T.B. Kamara, 34-37 ...

  18. "Fishing na everybody business":women's work and gender relations in Sierra Leone's fisheries

    Thorpe, Andy; Pouw, Nicky; Baio, Andrew; Sandi, Ranita; Ndomahina, Ernest Tom; Lebbie, Thomas

    2014-01-01

    While small-scale marine fisheries in many developing countries is "everybody’s business", a strong gendered division of labour sees production concentrated in the hands of male fishermen - while women - ‘fish mammies’ - invariably dominate the post-harvest processing and retailing sector. Consequently, the production bias of many fisheries management programmes has not only largely overlooked the critical role that fisherwomen play in the sector, but has also seen ‘fish mammies’ marginalised...

  19. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 23-27 ...

    2010-06-27

    Jun 27, 2010 ... ABSTRACT. A study to ascertain the parasites associated with sachet drinking water, (popularly called “Pure Water” in. Nigeria), in Awka, capital of Anambra State, southeast Nigeria was conducted. This was in order to determine the safety and suitability of such water for human consumption. Sachet water ...

  20. The Revolutionary United Front and Child Soldiers during Sierra Leone’s Civil War

    2015-06-12

    the Pan African Union to coalesce and start the RUF. With support from Libyan agents seeking to create instability throughout Africa for...led to this outcome. v ACKNOWLEDGMENTS I would like to start by thanking my thesis committee without which I could not have completed this...brutality of the conflict and contributed to the severity of atrocities. Child abductions, limb amputations, cannibalism, forced sexual slavery , rape

  1. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 32-37 ...

    Carlos III Institute of Health (Instituto de Salud. Carlos III) Madrid. Pp: 1-6. Ni YH, Chang MH, Huang LM, Chen HL, Hsu HY and Chiu TY (2001). Hepatitis B virus Infection in. Children and Adolescents in a Hyperendemic. Area:15 years after Mass Hepatitis B Vaccination. Ann Intern Med. 135: 796-800. Ngui SL, O'Connell S ...

  2. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 17-22 ...

    2010-06-22

    Jun 22, 2010 ... experts to define health as more than absence ... life (Wilmore and Costil, 1994). Akdur et ... reducing illness and increasing wellness in the .... agility, flexibility, body fat and balance was ... improving work force and efficiency.

  3. A preliminary evaluation of Acceptance and Commitment Therapy (ACT) training in Sierra Leone

    Stewart, Corinna; White, Ross G.; Ebert, Beate; Mays, Iain; Nardozzi, Jennifer; Bockarie, Hannah

    2016-01-01

    Concerted efforts are being made to scale up psychological interventions in low and middle-income countries (LMIC). Acceptance and Commitment Therapy (ACT) aims to reduce psychological inflexibility and has been shown to be effective for treating a range of mental health difficulties. ACT training workshops have been shown to reduce the psychological inflexibility of individuals receiving training. There is a dearth of research investigating the acceptability and potential efficacy of ACT in ...

  4. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 54-64 ...

    2010-06-04

    Jun 4, 2010 ... with the degree of poisoning dependant on the route of ... credited to its ability to bind the excess copper. (II) (Cu2+) ions .... intraperitoneal dose of normal saline, paraquat only (10 ...... Mechanism of Paraquat Toxicity in Lung ...

  5. ©Sierra Leone Journal of Biomedical Research Vol. 2 (2) pp. 82-86 ...

    Owner

    1Department of Medical Microbiology and Parasitology, College of Health Sciences, Ladoke Akintola. University of Technology, Osogbo, Nigeria, .... Keeping in mind that this infection can be a cause of premature childbirth and indirectly a.

  6. Comparative Analysis of Host Cell Entry of Ebola Virus From Sierra Leone, 2014, and Zaire, 1976.

    Hofmann-Winkler, Heike; Gnirß, Kerstin; Wrensch, Florian; Pöhlmann, Stefan

    2015-10-01

    The ongoing Ebola virus (EBOV) disease (EVD) epidemic in Western Africa is the largest EVD outbreak recorded to date and requires the rapid development and deployment of antiviral measures. The viral glycoprotein (GP) facilitates host cell entry and, jointly with cellular interaction partners, constitutes a potential target for antiviral intervention. However, it is unknown whether the GPs of the currently and previously circulating EBOVs use the same mechanisms for cellular entry and are thus susceptible to inhibition by the same antivirals and cellular defenses. Here, we show that the GPs of the EBOVs circulating in 1976 and 2014 transduce the same spectrum of target cells, use the same cellular factors for host cell entry, and are comparably susceptible to blockade by antiviral interferon-induced transmembrane proteins and neutralizing antibody KZ52. Thus, the viruses responsible for the ongoing EVD epidemic should be fully susceptible to established antiviral strategies targeting GP and cellular entry factors. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America.

  7. "Fishing na everybody business": women's work and gender relations in Sierra Leone's fisheries

    Thorpe, A.; Pouw, N.; Baio, A.; Sandi, R.; Ndomahina, E.T.; Lebbie, T.

    2014-01-01

    While small-scale marine fisheries in many developing countries is "everybody’s business", a strong gendered division of labour sees production concentrated in the hands of male fishermen - while women - ‘fish mammies’ - invariably dominate the post-harvest processing and retailing sector.

  8. In Review of Greed and Grievance Theories : The Causes of the Civil War in Sierra Leone

    Shakir, Aysu

    2008-01-01

    Endast sammandrag. Inbundna avhandlingar kan sökas i Helka-databasen (http://www.helsinki.fi/helka). Elektroniska kopior av avhandlingar finns antingen öppet på nätet eller endast tillgängliga i bibliotekets avhandlingsterminaler. Only abstract. Paper copies of master’s theses are listed in the Helka database (http://www.helsinki.fi/helka). Electronic copies of master’s theses are either available as open access or only on thesis terminals in the Helsinki University Library. Vain tiivi...

  9. ©Sierra Leone Journal of Biomedical Research Vol. 2 (2) pp. 95-102 ...

    Owner

    Electronic Technology, China) and intraocular pressure with Keeler Pulsair EasyEye ... biometric indexes used in assessing the corneal health status (Hahn et al., 2003). It provides valid information about the physiological condition of.

  10. Sierra Leone Journal of Biomedical Research Vol. 2 (2) pp. 135-141 ...

    Owner

    135-141, December, 2010. ISSN 2219-3170(Online) ... 72 hours of unprotected sex to prevent unwanted pregnancy. ... purchase it from pharmacies since it is sold as an over-counter ..... However 65.9% signified their intention to participate if ...

  11. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 4 -16 ...

    2010-06-16

    Jun 16, 2010 ... seeds (200 g/kg) was shown to increase both the .... seeds and oil is likely to increase. These attributes .... sex hormone-binding globulin in serum (Wu et al.,. 2006). ..... induced deficit in learning and memory in mice (Kim et al.

  12. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 70-74 ...

    2010-06-15

    Jun 15, 2010 ... determination of species. The prepared thin blood films were allowed to air dry and then fixed with. 70% methanol for one minute. The stain was infiltrated under the slide and stain for 45min. After the end of the staining time, slides were rinsed briefly with tap water and allowed to drain in a vertical position.

  13. A case study of the Sierra Leone Truth and Reconciliation Com

    The restoration and establishment of the rule of law, peace and security and the .... rule of law. Failure for democracy to address justly distributed social-economic development undermines human security (International IDEA 2006:124). The ... America, the United Kingdom, Germany, Ireland, the Netherlands, Canada and.

  14. Sierra Leone Journal of Biomedical Research - Vol 8, No 2 (2016)

    Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Joel Adeleke Afolayan, Olayinka A Onasoga, F.M. Rejuaro, Yusuf, Abdur-Rashid Gambari, ...

  15. Sierra Leone Journal of Biomedical Research Vol. 2 (1) pp. 47-53 ...

    2010-06-01

    Jun 1, 2010 ... laboratory tests. Results of the microscopy and all positive cultures for any pathogens were reported immediately to the attending physician and or the. Infection Control Unit. Microbiological Tests. There was no serial catheter urine culture but catheter stream urine was collected from all patients suspected ...

  16. [Leon Daraszkiewicz and his monograph on hebephrenia].

    Marcinowski, Filip

    2012-01-01

    Leon Daraszkiewicz (1866-1931) was a Polish psychiatrist, a pupil and co-worker of E. Kraepelin and V. Tsiz on the University of Dorpat (now Tartu, Estonia), the author of highly regarded monograph on hebephrenia (1891). In his work on the basis of over 20 case histories, he described a natural history of hebephrenia and his own views on its aetiology and prognosis. Hebephrenia as described by Daraszkiewicz, served as a clinical model for the Kraepelinian concept of dementia praecox. In the article, the life and career of Daraszkiewicz is covered, with particular emphasis on the role of his doctoral dissertation on hebephrenia in the history of the concept of schizophrenia.

  17. The Mathematical Works of Leon Battista Alberti

    Williams, Kim; Wassell, Stephen R

    2010-01-01

    Leon Battista Alberti was an outstanding polymath of the fifteenth century, alongside Piero della Francesca and before Leonardo da Vinci. While his contributions to architecture and the visual arts are well known and available in good English editions, and much of his literary and social writings are also available in English, his mathematical works are not well represented in readily available, accessible English editions have remained accessible only to specialists. The four treatises included here - Ludi matematici, De Componendis Cifris, Elementi di pittura and De lunularum quadratura - ar

  18. Mining in Castille and Leon. La mineria en Castilla y Leon

    1989-01-01

    Coal mining is the principal activity of the regions in which the reserves are located and an irreplaceable source of short-term profit and employment. In Leon and Palencia are found the only recoverable reserves of bituminous coal and anthracite which can contribute to Spain's energy requirements from now until such time as new energy sources put an end to current energy shortages. 5 figs.

  19. Modeling interfacial fracture in Sierra.

    Brown, Arthur A.; Ohashi, Yuki; Lu, Wei-Yang; Nelson, Stacy A. C.; Foulk, James W.,; Reedy, Earl David,; Austin, Kevin N.; Margolis, Stephen B.

    2013-09-01

    This report summarizes computational efforts to model interfacial fracture using cohesive zone models in the SIERRA/SolidMechanics (SIERRA/SM) finite element code. Cohesive surface elements were used to model crack initiation and propagation along predefined paths. Mesh convergence was observed with SIERRA/SM for numerous geometries. As the funding for this project came from the Advanced Simulation and Computing Verification and Validation (ASC V&V) focus area, considerable effort was spent performing verification and validation. Code verification was performed to compare code predictions to analytical solutions for simple three-element simulations as well as a higher-fidelity simulation of a double-cantilever beam. Parameter identification was conducted with Dakota using experimental results on asymmetric double-cantilever beam (ADCB) and end-notched-flexure (ENF) experiments conducted under Campaign-6 funding. Discretization convergence studies were also performed with respect to mesh size and time step and an optimization study was completed for mode II delamination using the ENF geometry. Throughout this verification process, numerous SIERRA/SM bugs were found and reported, all of which have been fixed, leading to over a 10-fold increase in convergence rates. Finally, mixed-mode flexure experiments were performed for validation. One of the unexplained issues encountered was material property variability for ostensibly the same composite material. Since the variability is not fully understood, it is difficult to accurately assess uncertainty when performing predictions.

  20. Soil Properties Database of Spanish Soils. Volume X.- Castilla-Leon (a): Leon, Zamora and Salamanca

    Trueba, C; Millan, R.; Schmid, T.; Lago, C.; Roquero, C; Magister, M.

    1999-01-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the provinces of Leon, Zamora and Salamanca of the Comunidad Autonoma de Castilla-Leon. (Author) 41 refs

  1. Phylogenetic analysis of West Nile virus, Nuevo Leon State, Mexico.

    Blitvich, Bradley J; Fernández-Salas, Ildefonso; Contreras-Cordero, Juan F; Loroño-Pino, María A; Marlenee, Nicole L; Díaz, Francisco J; González-Rojas, José I; Obregón-Martínez, Nelson; Chiu-García, Jorge A; Black, William C; Beaty, Barry J

    2004-07-01

    West Nile virus RNA was detected in brain tissue from a horse that died in June 2003 in Nuevo Leon State, Mexico. Nucleotide sequencing and phylogenetic analysis of the premembrane and envelope genes showed that the virus was most closely related to West Nile virus isolates collected in Texas in 2002.

  2. Interview met Leon Deben: van tegenstellingen leer je het meeste

    van Diepen, A.; Huisman, C.

    2008-01-01

    Wat in de jaren zeventig begonnen is als Sociologie van bouwen en wonen is uitgegroeid tot Stadssociologie. Leon Deben heeft het medeopgebouwd. Hij nam onlangs afscheid van de universiteit met een rede over de openbare ruimte. "Het centrale bestuur van de stad is druk met de waan van de dag en dan

  3. Last Research Board Meeting for Leon Van Hove

    CERN PhotoLab

    1980-01-01

    Leon Van Hove chaired the meeting for the last time, the end of the year being also the end of his term as Research Director General. The place was as usual the 6th floor conference room at the Main Building. The photo shows Sergio Fubini, Claude Bovet, Erwin Gabathuler, Volker Soergel, Leslie Camilleri, Jurg May, Mike Crowley-Milling

  4. Leon Cooper's Perspective on Teaching Science: An Interview Study

    Niaz, Mansoor; Klassen, Stephen; McMillan, Barbara; Metz, Don

    2010-01-01

    The authors of this paper portray the perspective of Professor Leon Cooper, a theoretical physicist, Nobel laureate, active researcher, and physics textbook author, on teaching science and on the nature of science (NOS). The views presented emerged from an interview prepared by the authors and responded to in writing by Professor Cooper. Based on…

  5. Sierra/SM theory manual.

    Crane, Nathan Karl

    2013-07-01

    Presented in this document are the theoretical aspects of capabilities contained in the Sierra/SM code. This manuscript serves as an ideal starting point for understanding the theoretical foundations of the code. For a comprehensive study of these capabilities, the reader is encouraged to explore the many references to scientific articles and textbooks contained in this manual. It is important to point out that some capabilities are still in development and may not be presented in this document. Further updates to this manuscript will be made as these capabilites come closer to production level.

  6. Quaternary environments in Sierra Nevada

    Oliva, Marc; Gómez Ortiz, Antonio; Palacios Estremera, David; Salvador Franch, Ferran; Salvà Catarineu, Monserrat

    2016-01-01

    El conocimiento relativo a la evolución ambiental cuaternaria en las montañas de la Península Ibérica ha avanzado sustancialmente en las últimas décadas. Particularmente significativos son los progresos realizados en el macizo de Sierra Nevada, en el sur peninsular. En este caso, los investigadores se han servido de registros naturales y fuentes documentales para reconstruir la dinámica ambiental desde la Última Glaciación y posterior deglaciación del macizo hasta su evolución reciente. Los c...

  7. Running Parallel Discrete Event Simulators on Sierra

    Barnes, P. D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jefferson, D. R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-12-03

    In this proposal we consider porting the ROSS/Charm++ simulator and the discrete event models that run under its control so that they run on the Sierra architecture and make efficient use of the Volta GPUs.

  8. Aspen Delineation - Sierra State Parks [ds380

    California Natural Resource Agency — The database represents delineations of aspen stands associated with stand assessment data (SIERRA_SP_PTS) collected in aspen stands on lands administered by the...

  9. Site fidelity of the declining amphibian Rana sierrae (Sierra Nevada yellow-legged frog)

    Kathleen Matthews; Haiganoush Preisler

    2010-01-01

    From 1997 to 2006, we used mark–recapture models to estimate the site fidelity of 1250 Sierra Nevada yellow-legged frogs (Rana sierrae) in Kings Canyon National Park, California, USA, during their three main activity periods of overwintering, breeding, and feeding. To quantify site fidelity, the tendency to return to and reuse previously occupied...

  10. RTEMS SMP and MTAPI for Efficient Multi-Core Space Applications on LEON3/LEON4 Processors

    Cederman, Daniel; Hellstrom, Daniel; Sherrill, Joel; Bloom, Gedare; Patte, Mathieu; Zulianello, Marco

    2015-09-01

    This paper presents the final result of an European Space Agency (ESA) activity aimed at improving the software support for LEON processors used in SMP configurations. One of the benefits of using a multicore system in a SMP configuration is that in many instances it is possible to better utilize the available processing resources by load balancing between cores. This however comes with the cost of having to synchronize operations between cores, leading to increased complexity. While in an AMP system one can use multiple instances of operating systems that are only uni-processor capable, a SMP system requires the operating system to be written to support multicore systems. In this activity we have improved and extended the SMP support of the RTEMS real-time operating system and ensured that it fully supports the multicore capable LEON processors. The targeted hardware in the activity has been the GR712RC, a dual-core core LEON3FT processor, and the functional prototype of ESA's Next Generation Multiprocessor (NGMP), a quad core LEON4 processor. The final version of the NGMP is now available as a product under the name GR740. An implementation of the Multicore Task Management API (MTAPI) has been developed as part of this activity to aid in the parallelization of applications for RTEMS SMP. It allows for simplified development of parallel applications using the task-based programming model. An existing space application, the Gaia Video Processing Unit, has been ported to RTEMS SMP using the MTAPI implementation to demonstrate the feasibility and usefulness of multicore processors for space payload software. The activity is funded by ESA under contract 4000108560/13/NL/JK. Gedare Bloom is supported in part by NSF CNS-0934725.

  11. Symposium on mine safety in Castille and Leon. Jornadas de debate sobre seguridad minera en Castilla y Leon

    1986-01-01

    Although the Integral Plan for Mine Safety (PISM), sponsored and organised by the Advisory Council for Industry, Energy and Work of Castille and Leon does not provide a permanent solution, its second stage will still be implemented. The Integral refers to the various aspects in the complete cycle of mine safety including inspection of installations and work done, safety training, analysis of accidents, study of occupational diseases, setting up of bodies responsible for safety within a firm, rescue teams, etc.

  12. Providing Logistics Support to CDC-Deployed Staff for the Ebola Response in Liberia, Guinea, and Sierra Leone.

    Dopson, Stephanie A; Rodriguez, Rockie; Rouse, Edward N

    2015-11-01

    The first Ebola cases in West Africa were reported by the Guinea Ministry of Health on March 23, 2014, and by June it became the largest recorded Ebola outbreak. Centers for Disease Control and Prevention field teams were deployed to West Africa, including in-country logistics staff who were critical for ensuring the movement of staff, equipment, and supplies to locations where public health knowledge and experience were applied to meet mission-related requirements. The logistics role was critical to creating the support for epidemiologists, medical doctors, laboratory staff, and health communicators involved in health promotion activities to successfully respond to the epidemic, both in the capital cities and in remote villages. Logistics personnel worked to procure equipment, such as portable video projectors, and have health promotion materials printed. Logistics staff also coordinated delivery of communication and health promotion materials to the embassy and provided assistance with distribution to various partners. © 2015 Society for Public Health Education.

  13. Management of genetic variability in rice (Oryza sativa L. and O. glaberrima Steud.) by breeders and farmers in Sierra Leone

    Jusu, M.S.

    1999-01-01

    The new kind of relationship between crop scientists and farmers in difficult environment and the idea of participatory crop improvement is documented in a sizeable body of literature. The quantitative data on how these two groups work for the mutual understanding and co-operation is,

  14. Prospects and opportunities for achieving the MDGs in post-conflict countries: a case study of Sierra Leone and Liberia

    Humphreys, M.; Richards, P.

    2005-01-01

    In this paper we examine the strategies being employed by post-conflict countries in Africa to achieve the Millennium Development Goals. We argue that to attain these goals, these countries will need to alter the way they undertake development planning. Rather than design strategies to achieve best

  15. Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

    Koroma Joseph B

    2012-01-01

    Full Text Available Abstract Background National mapping of lymphatic filariasis (LF was conducted using Immunochromatographic tests (ICT in 2005 to determine endemicity and geographic spread of the disease. A baseline microfilaria survey was then conducted to determine LF prevalence and microfilaria intensity. Methods In 2005 1,982 persons of 15 years and over from 14 health districts were selected and fingertip blood samples were tested with ICT cards. In 2007-8 blood samples were taken between 10 p.m. and 2 a.m. and examined for microfilaria (mf from 9,288 persons from 16 sentinel sites representing each district and 2 additional sites for districts with populations over 500,000 (Bo and Kenema. Results The overall LF prevalence by ICT cards was 21% (males 28%, females 15%. All districts had a prevalence of Wuchereria bancrofti antigen > 1%. Distribution of LF prevalence showed a strong spatial correlation pattern with high prevalence in a large area in the northeast gradually decreasing to a relatively low prevalence in the southwest coast. High prevalence was found in the northeast, Bombali (52%, Koinadugu (46%, Tonkolili (37% and Kono (30%. Low prevalence was found in the southwest, Bonthe (3% and Pujehun (4%. The mf prevalence was higher in the northeast: Bombali, 6.7%, Koinadugu 5.7%, Port Loko 4.4% and Kono 2.4%. Overall there was a significant difference in mf prevalence by gender: males 2.9%, females 1.8% (p = 0.0002 and within districts in Kailahun, Kono, Port Loko, Moyamba and Koinadugu (all p 20 years (2.5% than in people ≤ 20 years (1.7% (p = 0.043. The overall arithmetic mean mf density was 50.30 mf/ml among mf-positive individuals and 1.19 mf/ml in the population examined which varied significantly between districts. Conclusions The ICT results showed that LF was endemic nationwide and that preventive chemotherapy (PCT was justified across the country. Both the ICT and microfilaraemia surveys found that prevalence was greater in males than females. The increase in microfilaraemia prevalence by age was evident when grouped as ≤ 20 versus > 20 years demonstrating early exposure. Baseline LF microfilaria load will be used to monitor PCT program progress.

  16. The impact of civil war on forest wildlife in West Africa: Mammals in Gola Forest, Sierra Leone

    Lindsell, J.A.; Klop, E.; Siaka, A.M.

    2011-01-01

    Human conflicts may sometimes benefit wildlife by depopulating wilderness areas but there is evidence from Africa that the impacts tend to be negative. The forested states of West Africa have experienced much recent human conflict but there have been no assessments of impacts on the wildlife. We

  17. Anemia, micronutrient deficiencies, and malaria in children and women in Sierra Leone prior to the Ebola outbreak

    To identify the factors associated with anemia and to document the severity of micronutrient deficiencies, malaria and inflammation, a nationally representative cross-sectional survey was conducted. A three-stage sampling procedure was used to randomly select children <5 years of age and adult women...

  18. Sierra/SolidMechanics 4.46 Example Problems Manual.

    Plews, Julia A.; Crane, Nathan K; de Frias, Gabriel Jose; Le, San; Littlewood, David John; Merewether, Mark Thomas; Mosby, Matthew David; Pierson, Kendall H.; Porter, Vicki L.; Shelton, Timothy; Thomas, Jesse David; Tupek, Michael R.; Veilleux, Michael

    2018-03-01

    Presented in this document are tests that exist in the Sierra/SolidMechanics example problem suite, which is a subset of the Sierra/SM regression and performance test suite. These examples showcase common and advanced code capabilities. A wide variety of other regression and verification tests exist in the Sierra/SM test suite that are not included in this manual.

  19. Sierra toolkit computational mesh conceptual model

    Baur, David G.; Edwards, Harold Carter; Cochran, William K.; Williams, Alan B.; Sjaardema, Gregory D.

    2010-01-01

    The Sierra Toolkit computational mesh is a software library intended to support massively parallel multi-physics computations on dynamically changing unstructured meshes. This domain of intended use is inherently complex due to distributed memory parallelism, parallel scalability, heterogeneity of physics, heterogeneous discretization of an unstructured mesh, and runtime adaptation of the mesh. Management of this inherent complexity begins with a conceptual analysis and modeling of this domain of intended use; i.e., development of a domain model. The Sierra Toolkit computational mesh software library is designed and implemented based upon this domain model. Software developers using, maintaining, or extending the Sierra Toolkit computational mesh library must be familiar with the concepts/domain model presented in this report.

  20. REMEDIATION OF LEON WATER FLOOD, BUTLER COUNTY, KANSAS

    M.L. Korphage; Kelly Kindscher; Bruce G. Langhus

    2001-11-26

    The Leon Water Flood site has undergone one season of soil amendments and growth of specialized plants meant to colonize and accelerate the remediation of the salt-impacted site. The researchers characterized the impacted soil as to chemistry, added soil amendments, and planted several species of seedlings, and seeded the scarred areas. After the first growing season, the surface soil was again characterized and groundcover was also characterized. While plant growth was quite meager across the area, soil chemistry did improve over most of the two scars.

  1. Nuevo Leon during the Independence of Texas, 1835-1836

    Miguel Ángel González Quiroga

    2006-10-01

    Full Text Available The new-born Mexican Republic suffered one of its strongest shocks in 1836, during the Texas War. The impact of this conflict in the neighbouring state of Nuevo Leon is the main subject of this work, which also describes the situation of Mexico and its army, as well as the state's reaction towards the centralist shift — Texas' main argument  for splitting from Mexico. The study of the separation of Texas, widely reviewed in Mexican historiography, is enriched through the viewpoint of one of the most affected states.

  2. A new species of Trachymyrmex (Hymenoptera, Formicidae fungus-growing ant from the Sierra Madre Oriental of northeastern Mexico

    Sergio R. Sánchez-Peña

    2017-10-01

    Full Text Available Here we describe a new species of Trachymyrmex, T. pakawa sp. n., from the Gran Sierra Plegada range of the Sierra Madre Oriental, in the states of Coahuila and Nuevo Leon, northeastern Mexico. Trachymyrmex pakawa is a large-sized species compared to other North American Trachymyrmex. Its geographic distribution includes the piedmont of the Gran Sierra Plegada at La Estanzuela, Monterrey, as well as peripheral mountains segregated from the Sierra Madre Oriental (Cerro de las Mitras, Sierra de Zapalinamé, Cañon de San Lorenzo, Cerro de las Letras. The preferred habitats of T. pakawa include oak-pine forest at La Estanzuela, xeric oak forest at Zapalinamé and mesic Chihuahuan desert scrub with sotol (Dasylirion at other sites. All localities are on slopes, on very rocky, shallow lithosols overlaying large boulders. This species nests under and between large boulders and rocks. It has not been observed on alluvial or better developed, deeper soils, and it is absent from sites with human activity (urban, disturbed, and landscaped areas. It is closely related to and morphologically similar to Trachymyrmex smithi. The known distribution ranges of T. pakawa and T. smithi almost overlap in Saltillo, Coahuila state. The main character that distinguishes the new species from T. smithi is longer antennal scapes in T. pakawa; also, different nesting habits (rocky slopes vs. alluvial sites or deep sand in T. smithi, and geographic distribution. Phylogenetic analysis of DNA sequences from the mitochondrial marker cytochrome c oxidase subunit I (COI and the first intron of the F1 copy of the nuclear protein-coding gene Elongation Factor 1- α (EF1-α-F1 confirm a sister-species relationship between T. pakawa and T. smithi. Bayesian coalescent analyses indicate a divergence time of about 8.00 million years before present (95% confidence interval: 4.8–11.5 mya between T. pakawa and T. smithi. The divergence of the lineages of T. pakawa and T. smithi could

  3. A new species of Trachymyrmex (Hymenoptera, Formicidae) fungus-growing ant from the Sierra Madre Oriental of northeastern Mexico

    Sánchez-Peña, Sergio R.; Chacón-Cardosa, Manuela Citlali; Canales-del-Castillo, Ricardo; Ward, Lauren; Resendez-Pérez, Diana

    2017-01-01

    Abstract Here we describe a new species of Trachymyrmex, T. pakawa sp. n., from the Gran Sierra Plegada range of the Sierra Madre Oriental, in the states of Coahuila and Nuevo Leon, northeastern Mexico. Trachymyrmex pakawa is a large-sized species compared to other North American Trachymyrmex. Its geographic distribution includes the piedmont of the Gran Sierra Plegada at La Estanzuela, Monterrey, as well as peripheral mountains segregated from the Sierra Madre Oriental (Cerro de las Mitras, Sierra de Zapalinamé, Cañon de San Lorenzo, Cerro de las Letras). The preferred habitats of T. pakawa include oak-pine forest at La Estanzuela, xeric oak forest at Zapalinamé and mesic Chihuahuan desert scrub with sotol (Dasylirion) at other sites. All localities are on slopes, on very rocky, shallow lithosols overlaying large boulders. This species nests under and between large boulders and rocks. It has not been observed on alluvial or better developed, deeper soils, and it is absent from sites with human activity (urban, disturbed, and landscaped areas). It is closely related to and morphologically similar to Trachymyrmex smithi. The known distribution ranges of T. pakawa and T. smithi almost overlap in Saltillo, Coahuila state. The main character that distinguishes the new species from T. smithi is longer antennal scapes in T. pakawa; also, different nesting habits (rocky slopes vs. alluvial sites or deep sand in T. smithi), and geographic distribution. Phylogenetic analysis of DNA sequences from the mitochondrial marker cytochrome c oxidase subunit I (COI) and the first intron of the F1 copy of the nuclear protein-coding gene Elongation Factor 1- α (EF1-α-F1) confirm a sister-species relationship between T. pakawa and T. smithi. Bayesian coalescent analyses indicate a divergence time of about 8.00 million years before present (95% confidence interval: 4.8–11.5 mya) between T. pakawa and T. smithi. The divergence of the lineages of T. pakawa and T. smithi could have

  4. Active deformation in the northern Sierra de Valle Fértil, Sierras Pampeanas, Argentina

    Ortiz, Gustavo; Alvarado, Patricia; Fosdick, Julie C.; Perucca, Laura; Saez, Mauro; Venerdini, Agostina

    2015-12-01

    The Western Sierras Pampeanas region in the San Juan Province is characterized by thick-skinned deformation with approximately N-S trending ranges of average heights of 2500 m and a high frequency occurrence of seismic activity. Its location to the east of the mainly thin-skinned tectonics of the Argentine Precordillera fold-and-thrust belt suggests that at 30°S, deformation is concentrated in a narrow zone involving these two morphostructural units. In this paper, we present new apatite (U-Th)/He results (AHe) across the northern part of the Sierra de Valle Fértil (around 30°S) and analyze them in a framework of thermochronologic available datasets. We found Pliocene AHe results for Carboniferous and Triassic strata in the northern Sierra de Valle Fértil consistent with the hypothesis of recent cooling and inferred erosional denudation concentrated along the northern end of this mountain range. Our analysis shows that this northern region may have evolved under different conditions than the central part of the Sierra de Valle Fértil. Previous studies have observed AHe ages consistent with Permian through Cretaceous cooling, indicating the middle part of the Sierra de Valle Fértil remained near surface before the Pampean slab subduction flattening process. Those studies also obtained ˜5 My cooling ages in the southern part of the Sierra de Valle Fértil, which are similar to our results in the northern end of the range. Taken together, these results suggest a pattern of young deformation in the northern and southern low elevation ends of the Sierra de Valle Fértil consistent with regions of high seismic activity, and Quaternary active faulting along the western-bounding thrust fault of the Sierra de Valle Fértil.

  5. Laryngologist Leon Zamenhof--brother of Dr. Esperanto.

    Wincewicz, Andrzej; Sulkowska, Mariola; Musiatowicz, Marcin; Sulkowski, Stanislaw

    2009-06-01

    To reconstruct the biography of the Polish otorhinolaryngologist Leon Zamenhof (1875-1934), a brother of Ludwik Zamenhof, who is famous for invention of the international language Esperanto. Biographical information was collected from pre-World War II resources. Zamenhof developed several important new forms of treatment to help the hearing impaired. Zamenhof was especially interested in the education of deaf children and the therapy necessary to facilitate their integration into society. His significant achievements were a phonetic method of therapy for the hearing impaired and an automatic device for ear insufflation that was considered indispensable in the management of pyorrhea. In addition, Zamenhof initiated various forms of social support among physicians within the medical community of Warsaw, Poland; made health care available to children with hearing impairments; and organized a Jewish school for deaf children. Zamenhof tried to change public attitudes toward deafness, working to promote the integration of the deaf into wider society. He also translated Polish literature into Esperanto. With similar aims to his brother Ludwik, Leon Zamenhof strived to enhance and broaden communication among people who could not hear and to persuade people to change their attitudes about deafness.

  6. Regional plan throughout sectional bioenergy of Castilla y Leon (PBCYL)

    Gonzalez, R.; Ayuste, R.; Diez, S.; Munoz, M. (Ente Regional de la Energia de Castilla y Leon, Leon (Spain))

    2009-07-01

    The Bioenergy Action Plan of Castilla y Leon (BAPCyL) is a tool of the Regional Government to set up measures for supporting the bioenergy sector. The plan has been elaborated by experts in energy, agriculture, woodlands, residues and economy from the Junta de castilla y Leon (the region government). The BAPCyL designers for 2020, according to European Union: Mobilize local biomass (1.600 ktep). Reach an electrical power of 260 MWe. provide heating for 250.000 people. Substitution of 10% of fossil fuels used in transport. It proposes a strategy with 50 measures and 100 specific actions, from the raw material to the final consumer: Resources: Plan of Mobilization Wood to increase the offer of the resource. Regional Energy crops Program. Complete the use of biogas from dumps. Improve the management of farmer, agricultures and agroofood residues. Inventory all organic residues available. Boost the associations of biomass producers. Users: Planning big projects. Biomass boilers for public buildings. RTDI in equipment, technology and process. Cross measures: Advising for SMEes and professional training. Biomass handbooks. Promotional campaigns. Standardization of biofuels. Regional Observatory for the bioenergy. (orig.)

  7. Soil Properties Database of Spanish Soils. Volume X.- Castilla-Leon (a): Leon, Zamora and Salamanca; Base de datos de propiedades edafologicas de los suelos espanoles. volumen X. Castilla-Leon (a): Leon, Zamora y Salamanca

    Trueba, C.; Millan, R.; Schmid, T.; Lago, C. [CIEMAT. Madrid (Spain); Roquero, C.; Magister, M. [UPM. Madrid (Spain)

    1999-09-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the provinces of Leon, Zamora and Salamanca of the Comunidad Autonoma de Castilla-Leon. (Author)

  8. Ravenscar Computational Model compliant AADL Simulation on LEON2

    Roberto Varona-Gómez

    2013-02-01

    Full Text Available AADL has been proposed for designing and analyzing SW and HW architectures for real-time mission-critical embedded systems. Although the Behavioral Annex improves its simulation semantics, AADL is a language for analyzing architectures and not for simulating them. AADS-T is an AADL simulation tool that supports the performance analysis of the AADL specification throughout the refinement process from the initial system architecture until the complete, detailed application and execution platform are developed. In this way, AADS-T enables the verification of the initial timing constraints during the complete design process. In this paper we focus on the compatibility of AADS-T with the Ravenscar Computational Model (RCM as part of the TASTE toolset. Its flexibility enables AADS-T to support different processors. In this work we have focused on performing the simulation on a LEON2 processor.

  9. Sierra/SolidMechanics 4.48 Verification Tests Manual.

    Plews, Julia A.; Crane, Nathan K; de Frias, Gabriel Jose; Le, San; Littlewood, David John; Merewether, Mark Thomas; Mosby, Matthew David; Pierson, Kendall H.; Porter, Vicki L.; Shelton, Timothy; Thomas, Jesse David; Tupek, Michael R.; Veilleux, Michael; Xavier, Patrick G.

    2018-03-01

    Presented in this document is a small portion of the tests that exist in the Sierra / SolidMechanics (Sierra / SM) verification test suite. Most of these tests are run nightly with the Sierra / SM code suite, and the results of the test are checked versus the correct analytical result. For each of the tests presented in this document, the test setup, a description of the analytic solution, and comparison of the Sierra / SM code results to the analytic solution is provided. Mesh convergence is also checked on a nightly basis for several of these tests. This document can be used to confirm that a given code capability is verified or referenced as a compilation of example problems. Additional example problems are provided in the Sierra / SM Example Problems Manual. Note, many other verification tests exist in the Sierra / SM test suite, but have not yet been included in this manual.

  10. Archaeological obsidian from La Sierra Gorda Mexico, by PIXE

    Juarez-Cossio, D.; Terreros, E.; Quiroz-Moreno, J.; Romero-Sanchez, S.; Calligaro, T.F.; Tenorio, D.; Jimenez-Reyes, M.; Los Rios, M. de

    2009-01-01

    The chemical compositions of 42 obsidian pre-Hispanic artifacts from Tancama and Purisima, both archaeological sites of La Sierra Gorda Valleys, Mexico, were analyzed by PIXE technique. These obsidians came from four sources: Sierra de Pachuca Hidalgo, Paraiso Queretaro, Ucareo Michoacan and mainly from Zacualtipan/Metzquititlan Hidalgo. According to archaeological evidences, La Sierra Gorda valleys participated in commercial exchange with other regional sites, from Classic to Post-classic periods (A.D. 300-1500).

  11. Birds of Sierra de Vallejo, Nayarit, Mexico

    Figueroa-Esquivel, E.M.; Puebla-Olivares, F

    2014-01-01

    Sierra de Vallejo, is considered a priority region for conservation, and is strongly affected by anthropogenic pressures. The inventory of birds are refers to studies in near areas. This study is a concrete contribution of the birds of the mountain chain and north of it. We considered bibliographic records and databases available on the web with records of ocurrence and specimens of scientific collections. Also we perform point counts in different localities inside the...

  12. Groundwater quality in the Sierra Nevada, California

    Fram, Miranda S.; Belitz, Kenneth

    2014-01-01

    Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project (PBP) of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Sierra Nevada Regional study unit constitutes one of the study units being evaluated.

  13. Public private partnership in in-service training of physicians: the millennium development goal 6-partnership for African clinical training (M-PACT) approach.

    Oleribe, Obinna Ositadimma; Salako, Babatunde Lawal; Akpalu, Albert; Anteyi, Emmanuel; Ka, Mamadou Mourtalla; Deen, Gibrilla; Akande, Temilola; Abellona U, Mei Ran; Lemoine, Maud; McConnochie, Mairi; Foster, Matthew; Walker, Richard; Taylor-Robinson, Simon David; Jawad, Ali

    2018-01-01

    in-service training of healthcare workers is essential for improving healthcare services and outcome. The Millennium Development Goal (MDG) 6 Partnership for African Clinical Training (M-PACT) program was an innovative in-service training approach designed and implemented by the Royal College of Physicians (RCP) and West African College of Physicians (WACP) with funding from Eco Bank Foundation. The goal was to develop sustainable capacity to tackle MDG 6 targets in West Africa through better postgraduate medical education. Five training centres were establised: Nigeria (Abuja, Ibadan), Ghana (Accra), Senegal (Dakar) and Sierra Leone (Freetown) for training 681 physicians from across West Africa. A curriculum jointly designed by the RCP-WACP team was used to deliver biannual 5-day training courses over a 3-year period. Of 602 trained in clinical medicine, 358 (59.5%) were males and 535 (88.9%) were from hosting countries. 472 (78.4%) of participants received travel bursaries to participate, while 318 (52.8%) were residents in Internal Medicine in the respective institutions. Accra had the highest number of participants (29.7%) followed by Ibadan, (28.7%), Dakar, (24.9%), Abuja, (11.0%) and Freetown, (5.6%). Pre-course clinical knowledge scores ranged from 35.1% in the Freetown Course to 63.8% in Accra Course 1; whereas post-course scores ranged from 50.5% in the Freetown course to 73.8% in Accra course 1. M-PACT made a positive impact to quality and outcome of healthcare services in the region and is a model for continued improvement for healthcare outcomes, e.g malaria, HIV and TB incidence and mortality in West Africa.

  14. Invasive exotic plant species in Sierra Nevada ecosystems

    Carla M. D' Antonio; Eric L. Berlow; Karen L. Haubensak

    2004-01-01

    The Sierra Nevada is a topographically and floristically diverse region of the western United States. While it comprises only a fifth of the total land area of California, half of the native plant species in the state occur within the range. In addition, more than 400 plant species are endemic to the Sierra Nevada and many of these are listed as threatened or have...

  15. Biosphere and atmosphere interactions in Sierra Nevada forests

    Allen H. Goldstein

    2004-01-01

    In the Sierra Nevada, studies are being conducted to assess the impacts of both anthropogenic and biogenic hydrocarbon emissions on regional tropospheric ozone and fine aerosol production. Impacts of ozone deposition and management practices on ecosystem health are also being studied. Human-induced changes in regional air quality have consequences for Sierra Nevada...

  16. [Metabolic syndrome prevalence in teenagers of Monterrey, Nuevo Leon].

    Cárdenas-Villareal, Velia Margarita; López Alvarenga, Juan C; Bastarrachea, Raúl A; Rizo-Baeza, María Mercedes; Cortés-Castell, Ernesto

    2010-01-01

    To determine the prevalence of the metabolic syndrome (SM) and its components in teenagers from the metropolitan area of Monterrey Nuevo Leon, Mexico (AMM). A transversal research involving 254 teenage students from 10 to 19 years old. To research investigated their personal characteristics, anthropometrics measures, glucose, triglycerides and cholesterol HDL. The SM definition was adapted from the one suggested by the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII). The SM prevalence was 9.4 % (IC95%: 5.8 to 13.0), there was not a difference between the sexes. The prevalence among each SM component was: 24.4% for high triglycerides, 20.1% for abdominal obesity, 19.0% for cholesterol of lipoproteins of a high density (HDL-c) low, 11.4 % for high glucose and for high blood pressure (9.1% diastolic and 5.9% systolic). The prevalent SM phenotypes were corporal mass (IMC) (OR = 4.93, IC95%: 2.26, 10.73) and the IMC interaction of the teenager with a family history of obesity (OR = 1.37, IC95%: 1.0, 1.87). It was observed that those with a family history of diabetes type 2 only experienced a marginal effect. The SM prevalence in teenagers from AMM is high it was an alarming situation if it continues into adulthood. The existence of obesity in relatives of the first and second grade, altogether with teenager IMC are important prediction factors of SM.

  17. Micrometeorological Observations in a Sierra Nevada Meadow

    Blackburn, D. A.; Oliphant, A. J.

    2016-12-01

    Mountain meadows play important roles on watershed and ecosystem services, including improving water quality, moderating runoff and providing biodiversity hotspots. In the Sierra Nevada, mountain meadows are an integral part of the mountain ecosystem and watersheds that impact more than 20 million people. Grazing, logging and other forms of anthropogenic land use in the Sierra Nevada have degraded the functioning of meadows, by altering the morphology, hydrology and vegetation. Existing meandering stream networks become incised and straightened by increased runoff, which effectively lowers the water table and completely alters the ecosystem from moist meadow sedges, grasses, and herbs to dryland grass and shrubs. Given the large growth cycle in healthy meadows, it is also expected that they sequester a significant amount of carbon and enhance atmospheric humidity through evapotranspiration, but relatively little work has been done on the bio-micrometeorology of meadows. The purpose of this study is to assess the growing season carbon, water and energy budgets of a partly degraded meadow in the northern Sierra Nevada. Loney Meadow, located at nearly 2,000 m in the Tahoe National Forest, has been identified as a degraded meadow and is scheduled to undergo restoration work to raise the water table in 2017. A micrometeorological tower with eddy covariance instruments was deployed at the site for most of the snow-free period from May to October 2016. The measurements include: fluxes of CO2, water vapor, surface radiation and energy budget components; ancillary meteorological and soil data; and an automated camera capturing daily images of the meadow surface. The poster will present diurnal and seasonal CO2 on a daily basis with a very rapid increase at the onset of the growing season.

  18. Birds of Sierra de Vallejo, Nayarit, Mexico

    Figueroa-Esquivel, E.M.

    2014-01-01

    Full Text Available Sierra de Vallejo, is considered a priority region for conservation, and is strongly affected by anthropogenic pressures. The inventory of birds are refers to studies in near areas. This study is a concrete contribution of the birds of the mountain chain and north of it. We considered bibliographic records and databases available on the web with records of ocurrence and specimens of scientific collections. Also we perform point counts in different localities inside the reserve. We observed a richness of 261 birds species, the family Tyrannidae is the best represented. Of the species recorded, 177 are permanent residents (31 are endemic and 15 are quasi-endemics to Mexico and 73 are migratory; the remaining eleven records have other status. Also 43 species are in endangered categories. We include species that have not been recorded in the lists of the area and records of species expand their ranges at Nayarit. Due to the great diversity of birds observed, it is necesary to continue the research work about habitat use, abundance and monitoring, it will provides the basis for the conservation of birds of Sierra de Vallejo.

  19. Evaluation of the Leon3 soft-core processor within a Xilinx radiation-hardened field-programmable gate array.

    Learn, Mark Walter

    2012-01-01

    The purpose of this document is to summarize the work done to evaluate the performance of the Leon3 soft-core processor in a radiation environment while instantiated in a radiation-hardened static random-access memory based field-programmable gate array. This evaluation will look at the differences between two soft-core processors: the open-source Leon3 core and the fault-tolerant Leon3 core. Radiation testing of these two cores was conducted at the Texas A&M University Cyclotron facility and Lawrence Berkeley National Laboratory. The results of these tests are included within the report along with designs intended to improve the mitigation of the open-source Leon3. The test setup used for evaluating both versions of the Leon3 is also included within this document.

  20. Coping and mental health outcomes among Sierra Leonean war-affected youth: Results from a longitudinal study.

    Sharma, Manasi; Fine, Shoshanna L; Brennan, Robert T; Betancourt, Theresa S

    2017-02-01

    This study explored how coping with war-related traumatic events in Sierra Leone impacted mental health outcomes among 529 youth (aged 10-17 at baseline; 25% female) using longitudinal data from three time points (Time 1 in 2002, Time 2 in 2004, and Time 3 in 2008). We examined two types of coping items (approach and avoidance); used multiple regression models to test their relations with long-term mental health outcomes (internalizing behaviors, externalizing behaviors, adaptive/prosocial behaviors, and posttraumatic stress symptoms); and used mediation analyses to test whether coping explained the relation between previous war exposures (being raped, death of parent(s), or killing/injuring someone during the war) and those outcomes. We found that avoidance coping items were associated with lower internalizing and posttraumatic stress behaviors at Time 3, and provided some evidence of mediating the relation between death of parent(s) during the war and the two outcomes mentioned above. Approach coping was associated with higher Time 3 adaptive/prosocial behaviors, whereas avoidance coping was associated with lower Time 3 adaptive/prosocial behaviors. Avoidance coping may be a protective factor against mental illness, whereas approach coping may be a promotive factor for adaptive/prosocial behaviors in war-affected societies. This study has important implications for designing and implementing mental health interventions for youth in postconflict settings.

  1. Interaction of an Introduced Predator with Future Effects of Climate Change in the Recruitment Dynamics of the Imperiled Sierra Nevada Yellow-legged Frog (Rana sierrae)

    I Lacan; Kathleen R. Matthews; K.V. Feldman

    2008-01-01

    Between-year variation in snowpack (from 20 to 200% of average) and summer rainfall cause large fluctuations in volume of small lakes in the higher elevation (> 3000 m) Sierra Nevada, which are important habitat for the imperiled Sierra Nevada Yellow-legged Frog, Rana sierrae. Climate change (global warming) is predicted to increase these...

  2. Geomagnetic Polarity Epochs: Sierra Nevada II.

    Cox, A; Doell, R R; Dalrymple, G B

    1963-10-18

    Ten new determinations on volcanic extrusions in the Sierra Nevada with potassium-argon ages of 3.1 million years or less indicate that the remanent magnetizations fall into two groups, a normal group in which the remanent magnetization is directed downward and to the north, and a reversed group magnetized up and to the south. Thermomagnetic experiments and mineralogic studies fail to provide an explanation of the opposing polarities in terms of mineralogic control, but rather suggest that the remanent magnetization reflects reversals of the main dipole field of the earth. All available radiometric ages are consistent with this field-reversal hypothesis and indicate that the present normal polarity epoch (N1) as well as the previous reversed epoch (R1) are 0.9 to 1.0 million years long, whereas the previous normal epoch (N2) was at least 25 percent longer.

  3. Sierra Toolkit Manual Version 4.48.

    Sierra Toolkit Team

    2018-03-01

    This report provides documentation for the SIERRA Toolkit (STK) modules. STK modules are intended to provide infrastructure that assists the development of computational engineering soft- ware such as finite-element analysis applications. STK includes modules for unstructured-mesh data structures, reading/writing mesh files, geometric proximity search, and various utilities. This document contains a chapter for each module, and each chapter contains overview descriptions and usage examples. Usage examples are primarily code listings which are generated from working test programs that are included in the STK code-base. A goal of this approach is to ensure that the usage examples will not fall out of date. This page intentionally left blank.

  4. Population size, survival, growth, and movements of Rana sierrae

    Fellers, Gary M.; Kleeman, Patrick M.; Miller, David A. W.; Halstead, Brian J.; Link, William

    2013-01-01

    Based on 2431 captures of 757 individual frogs over a 9-yr period, we found that the population of R. sierrae in one meadow–stream complex in Yosemite National Park ranged from an estimated 45 to 115 adult frogs. Rana sierrae at our relatively low elevation site (2200 m) grew at a fast rate (K = 0.73–0.78), had high overwintering survival rates (44.6–95%), lived a long time (up to 16 yr), and tended to be fairly sedentary during the summer (100% minimum convex polygon annual home ranges of 139 m2) but had low year-to-year site fidelity. Even though the amphibian chytrid fungus (Batrachochytrium dendrobatidis, Bd) has been present in the population for at least 13 yr, there was no clear downward trend as might be expected from reports of R. sierrae population declines associated with Bd or from reports of widespread population decline of R. sierrae throughout its range.

  5. Sierra Structural Dynamics User's Notes

    Reese, Garth M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-10-19

    Sierra/SD provides a massively parallel implementation of structural dynamics finite element analysis, required for high fidelity, validated models used in modal, vibration, static and shock analysis of weapons systems. This document provides a users guide to the input for Sierra/SD. Details of input specifications for the different solution types, output options, element types and parameters are included. The appendices contain detailed examples, and instructions for running the software on parallel platforms.

  6. Sierra/SD User's Notes.

    Munday, Lynn Brendon; Day, David M.; Bunting, Gregory; Miller, Scott T; Crane, Nathan K

    2018-03-01

    Sierra/SD provides a massively parallel implementation of structural dynamics finite element analysis, required for high fidelity, validated models used in modal, vibration, static and shock analysis of weapons systems. This document provides a users guide to the input for Sierra/SD. Details of input specifications for the different solution types, output options, element types and parameters are included. The appendices contain detailed examples, and instructions for running the software on parallel platforms.

  7. Preliminary flora of the Sierra Bacadehuachi, Sonora, Mexico

    Thomas R. Van Devender; Ana Lilia Reina-Guerrero; George M. Ferguson; George Yatskievych; Beatriz E. Loyola-Reina; Gertrudis Yanes-Arvayo; Maria de la Paz Montanez-Armenta; John L. Anderson; Stephen F. Hale; Sky Jacobs

    2013-01-01

    The Sierra Bacadéhuachi in east-central Sonora is the westernmost mountain range in the Sierra Madre Occidental (SMO), located east of Bacadéhuachi, Municipio de Bacadéhuachi, 34 km east of the Chihuahua border, and 165 km south of the Arizona border. The vegetation ranges from lowland foothills thornscrub up through desert grassland to oak woodland and pine-oak forest...

  8. Criminologia, Antropologia e Medicina Legal. Um personagem central: Leonídio Ribeiro

    Guilherme Gutman

    2010-09-01

    Full Text Available Apresentação da trajetória de Leonídio Ribeiro, em especial a sua abordagem do homossexualismo como representativa das concepções fundantes do campo da criminologia nas primeiras décadas do século XX no Brasil.

  9. Binational Teacher Development: Teacher Ambassador Exchange Program, New Mexico, USA and Nuevo Leon, Mexico.

    Habermann, Mary Jean

    The report describes the rationale for and history of an exchange program for Nuevo Leon (Mexico) and New Mexico bilingual education teachers. The program evolved from the need to help Spanish-speaking students maintain their own language and culture while in the United States. New Mexico's state policy concerning language-minority children and…

  10. The Great War and Remembrance in Jose Leon Machado's "Memoria das Estrelas sem Brilho"

    Azevedo, Milton M.

    2011-01-01

    This article analyzes Jose Leon Machado's novel, "Memoria das Estrelas sem Brilho," as a multilayered historical novel in which a war story provides a background for comments on aspects of early twentieth-century Portuguese society, such as male bonding, religion, sexual mores, and social stratification. (Contains 11 notes.)

  11. Looming Over the Nation, Uneasy with the Folks: Locating Mike de Leon in Philippine Cinema

    Patrick F. Campos

    2006-12-01

    Full Text Available The article draws on filmic, popular, and scholarly references in order to trace how Mike de Leon and his films have been regarded, since his landmark entrance into Philippine cinema as director, up to the present. Specifically, it locates De Leon within the subtly shifting discourse of nationalist film scholarship and historicizing, and discusses how he and his films are written about, identified, associated or networked with other filmmakers and films, or utilized in discourses about the Philippines, Philippine cinema, or Philippine culture.The article locates De Leon as (1 an insider of Philippine cinema history, (2 an outsider of the commercial film industry, and (3 a hero of the mythic Golden Age of the National Cinema. It also maps out his filmography within the nationalist agenda; appraises what filmmakers, commentators, and scholars have articulated about his films; and analyzes the thematic and stylistic trajectories of his later works. Finally, it discusses how De Leon is being written into today’s discourse of Philippine cinema.

  12. Exact solutions for the (2+1)-dimensional Boiti-Leon-Pempielli system

    Hu, Y H; Zheng, C L

    2008-01-01

    The object reduction approach is applied to the (2+1)-dimensional Boiti-Leon-Pempielli system using a special conditional similarity reduction. Abundant exact solutions of this system, including the hyperboloid function solutions, the trigonometric function solutions and a rational function solution, are obtained

  13. Developmental Differences in Motor Task Integration: A Test of Pascual-Leone's Theory of Constructive Operators.

    Todor, John I.

    1979-01-01

    Assesses the ability of Pascual-Leone's Theory of Constructive Operators to predict the minimum age or maturational level at which integration of a motor task could be achieved. Subjects were 114 elementary school children ranging in age from 5 to 12. (Author/MP)

  14. Contaminant studies in the Sierra Nevadas

    Sparling, D.W.; Fellers, G.

    2002-01-01

    full text: Several species of anuran amphibians (frogs and toads) are experiencing severe population declines in even seemingly pristine areas of the Sierra Mountains of California. Among the most severely depressed species are the redlegged frog, the foothill and mountain yellow-legged frogs, the Yosemite toad, and the Cascades frog. Several factors, such as habitat fragmentation, introduced predators (especially fish), and disease, have been linked to these declines. But recent evidence from a USGS-led study shows that contaminants are a primary factor. During the past three years, researchers from the USGS Patuxent Wildlife Research Center, the Western Ecology Research Center, the USDA Beltsville Agriculture Research Center, and the Texas A&M University have teamed up to conduct an extensive study on airborne pesticides and their effects on amphibian populations in the Sierra Nevada Mountains. Previous work on environmental chemistry demonstrated that pesticides from the intensely agricultural Central Valley of California are being blown into the more pristine Sierra Nevada Mountains, especially around Sequoia and Yosemite National Parks. Several pesticides, including diazinon, chlorpyrifos, malathion and endosulfan, can be measured in snow, rainfall, and pond waters in these national parks. With the exception of endosulfan, these pesticides affect and even kill both invertebrates and vertebrate species by inhibiting cholinesterase, an enzyme essential to proper nervous system functioning. In the summer of 2001, we published a paper showing that these same pesticides are now found in adults and the tadpoles of Pacific treefrogs. The results of this landmark study showed that more than 50 percent of the tadpoles and adults sampled in Yosemite and Sequoia National Parks had detectable levels of diazinon or chlorpyrifos and that 86 percent of the Pacific treefrogs sampled in the Lake Tahoe region had detectable levels of endosulfan. In contrast, frogs that were

  15. Nobel Prize winning physicist to speak at Rensselaer Nov. 20 Leon Lederman to discuss pre college science education

    2002-01-01

    Leon Lederman, Nobel Prize-winner, will offer some radical ideas for improving pre-college science education when he delivers the annual Robert Resnick Lecture at Rensselaer Polytechnic Institute's Russell Sage Laboratory (1/2 page).

  16. 76 FR 44535 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

    2011-07-26

    ... the California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality Management District AGENCY... the Northern Sierra Air Quality Management District (NSAQMD), Sacramento Metropolitan Air Quality...

  17. 76 FR 44493 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

    2011-07-26

    ... California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality Management District AGENCY... approve revisions to the Northern Sierra Air Quality Management District (NSAQMD), Sacramento Metropolitan...

  18. Recomendaciones de Liderazgo para los Dueños de Pymes Familiares Exportadoras y no Exportadoras en Nuevo Leon

    Maria Eloisa Treviño Ayala; Paula Villalpando Cadena; David Fernando Lozano Treviño; Jose Nicolas Barragan Codina

    2011-01-01

    The main purpose of this document is to state the importance that small and medium-sized enterprises (SMEs) exporting and non-exporting have, as well as family businesses in Mexico´s economy and specifically in the state of Nuevo Leon. It establishes certain family SMEs, exporting and non-exporting, characteristics to take into consideration by Nuevo Leon leaders that seek success under the determinant of profits. It also locates qualities, from our stand point, classic and contemporaries, re...

  19. Estudio de enriquecimiento nutricional de dos especies de Leones marinos (Otaria flavescens y Zalophus californianus) en Aquanatura (Benidorm)

    Llorens García, Inés

    2016-01-01

    El enriquecimiento ambiental es un método de reducir el estrés y los comportamientos inadecuados de animales en cautiverio, ayudando a su vez a aumentar el bienestar de estos. En este trabajo se pretende realizar un estudio de enriquecimiento nutricional de dos leones marinos de California (Zalophus Californianus) y dos leones marinos de la Patagonia (Otaria flavescens). Así, se ha estudiado el comportamiento de los cuatro individuos sobre un dispensador de alimento nuevo para ellos, midiendo...

  20. Design and development of a digital farmer field school. Experiences with a digital learning environment for cocoa production and certification in Sierra Leone

    Witteveen, Loes; Lie, Rico; Goris, Margriet; Ingram, Verina

    2017-01-01

    This article reports on the design and development of the Digital Farmer Field School (DFFS). The DFFS offers a tablet-based digital learning environment for farmers and extension agents for knowledge sharing and knowledge co-creation. It provides an alternative to conventional agricultural

  1. Ebola management centre proximity associated with reduced delays of healthcare of Ebola Virus Disease (EVD patients, Tonkolili, Sierra Leone, 2014-15.

    Georgios Theocharopoulos

    Full Text Available Between August-December 2014, Ebola Virus Disease (EVD patients from Tonkolili District were referred for care to two Médecins Sans Frontières (MSF Ebola Management Centres (EMCs outside the district (distant EMCs. In December 2014, MSF opened an EMC in Tonkolili District (district EMC. We examined the effect of opening a district-based EMC on time to admission and number of suspect cases dead on arrival (DOA, and identified factors associated with fatality in EVD patients, residents in Tonkolili District. Residents of Tonkolili district who presented between 12 September 2014 and 23 February 2015 to the district EMC and the two distant EMCs were identified from EMC line-lists. EVD cases were confirmed by a positive Ebola PCR test. We calculated time to admission since the onset of symptoms, case-fatality and adjusted Risk Ratios (aRR using Binomial regression. Of 249 confirmed Ebola cases, 206 (83% were admitted to the distant EMCs and 43 (17% to the district EMC. Of them 110 (45% have died. Confirmed cases dead on arrival (n = 10 were observed only in the distant EMCs. The median time from symptom onset to admission was 6 days (IQR 4,8 in distant EMCs and 3 days (IQR 2,7 in the district EMC (p3 days after symptom onset in the distant compared with the district EMC, but were less likely (aRR = 0.8; 95%CI 0.6-1.0 to have a high viral load (cycle threshold ≤22. A fatal outcome was associated with a high viral load (aRR 2.6; 95%CI 1.8-3.6 and vomiting at first presentation (aRR 1.4; 95%CI 1.0-2.0. The opening of a district EMC was associated with earlier admission of cases to appropriate care facilities, an essential component of reducing EVD transmission. High viral load and vomiting at admission predicted fatality. Healthcare providers should consider the location of EMCs to ensure equitable access during Ebola outbreaks.

  2. Differential Diagnosis of Illness in Travelers Arriving From Sierra Leone, Liberia, or Guinea: A Cross-sectional Study From the GeoSentinel Surveillance Network

    Boggild, Andrea K.; Esposito, Douglas H.; Kozarsky, Phyllis E.; Ansdell, Vernon; Beeching, Nicholas J.; Campion, Daniel; Castelli, Francesco; Caumes, Eric; Chappuis, Francois; Cramer, Jakob P.; Gkrania-Klotsas, Effrossyni; Grobusch, Martin P.; Hagmann, Stefan H. F.; Hynes, Noreen A.; Lim, Poh Lian; López-Vélez, Rogelio; Malvy, Denis J. M.; Mendelson, Marc; Parola, Philippe; Sotir, Mark J.; Wu, Henry M.; Hamer, Davidson H.; Field, Vanessa; Libman, Michael D.; Rothe, Camilla; Barnett, Elizabeth D.; Schwartz, Eli; Gautret, Philippe; von Sonnenburg, Frank; van Genderen, Perry; Jensenius, Mogens; Stauffer, William M.; Mockenhaupt, Frank; Kain, Kevin C.; Kanagawa, Shuzo; Coyle, Christina M.; Connor, Bradley A.; Ursing, Johan; Leder, Karin; Haulman, Jean; Schlagenhauf, Patricia; Vincelette, Jean; McCarthy, Anne; Pandey, Prativa; Chen, Lin H.; Cahill, John D.; Rapp, Christophe; Kendall, Brian; Lalloo, David; Yoshimura, Yukihiro

    2015-01-01

    Background: The largest-ever outbreak of Ebola virus disease (EVD), ongoing in West Africa since late 2013, has led to export of cases to Europe and North America. Clinicians encountering ill travelers arriving from countries with widespread Ebola virus transmission must be aware of alternate

  3. Identification of blaOXA-51, blaOXA-58, blaDIM-1 and blaVIM carbapenemase genes in hospital enterobacteriaceae isolates from Sierra Leone

    We describe the results of a molecular epidemiological survey of 15 carbapenemase-encoding genes from a recent collection of clinical isolates. The most salient findings revealed that (i) 60% of the isolates harbored multiple carbapenemase genes, (ii) the blaDIM-1 gene that has only been reported in...

  4. Ebola Virus Persistence in Ocular Tissues and Fluids (EVICT Study: Reverse Transcription-Polymerase Chain Reaction and Cataract Surgery Outcomes of Ebola Survivors in Sierra Leone

    Jessica G. Shantha

    2018-04-01

    Full Text Available Background: Ebola virus disease (EVD survivors are at risk for uveitis during convalescence. Vision loss has been observed following uveitis due to cataracts. Since Ebola virus (EBOV may persist in the ocular fluid of EVD survivors for an unknown duration, there are questions about the safety and feasibility of vision restorative cataract surgery in EVD survivors. Methods: We conducted a cross-sectional study of EVD survivors anticipating cataract surgery and patients with active uveitis to evaluate EBOV RNA persistence in ocular fluid, as well as vision outcomes post cataract surgery. Patients with aqueous humor that tested negative for EBOV RNA were eligible to proceed with manual small incision cataract surgery (MSICS. Findings: We screened 137 EVD survivors from June 2016 – August 2017 for enrolment. We enrolled 50 EVD survivors; 46 with visually significant cataract, 1 with a subluxated lens, 2 with active uveitis and 1 with a blind painful eye due to uveitis. The median age was 24.0 years (IQR 17–35 and 35 patients (70% were female. The median logMAR visual acuity (VA was 3.0 (Snellen VA Hand motions; Interquartile Range, IQR: 1.2-3.0, Snellen VA 20/320 – Hand motions. All patients tested negative for EBOV RNA by RT-PCR in aqueous humor/vitreous fluid and conjunctiva at a median of 19 months (IQR 18-20 from EVD diagnosis in Phase 1 of ocular fluid sampling and 34 months (IQR 32-36 from EVD diagnosis in Phase 2 of ocular fluid sampling. Thirty-four patients underwent MSICS, with a preoperative median VA improvement from hand motions to 20/30 at three-month postoperative follow-up (P < 0.001. Interpretation: EBOV persistence by RT-PCR was not identified in ocular fluid or conjunctivae of fifty EVD survivors with ocular disease. Cataract surgery can be performed safely with vision restorative outcomes in patients who test negative for EBOV RNA in ocular fluid specimens. These findings impact the thousands of West African EVD survivors at-risk for ocular complications who may also require eye surgery during EVD convalescence. Keywords: Ebola virus disease, Ebolavirus, Ophthalmology, Uveitis, Global Health, Cataract

  5. Water availability and agricultural demand: An assessment framework using global datasets in a data scarce catchment, Rokel-Seli River, Sierra Leone

    Christopher K. Masafu

    2016-12-01

    New hydrological insights: We find that the hydrological model capably simulates both low and high flows satisfactorily, and that all the input datasets consistently produce similar results for water withdrawal scenarios. The proposed framework is successfully applied to assess the variability of flows available for abstraction against agricultural demand. The assessment framework conclusions are robust despite the different input datasets and calibration scenarios tested, and can be extended to include other global input datasets.

  6. Cultural values and diversity management perspectives : Testing the impact of cultural values on the diversity management perspectives in Sierra Leone, Germany and Finland

    Mattila, Linda

    2016-01-01

    Cultural values impact the attitudes towards diversity management perspectives. Therefore they convey critical opportunities and challenges that a country encounters, and which need to be identified for the successful implementation of diversity management initiatives. This thesis discusses the different diversity management perspectives and their motivations and rationales to diversify and the process in which the national culture influences the organizational culture practices. The ...

  7. Environmental values and risk: A review of Sierra Club policies

    Craig, P.P.

    1999-01-01

    Sierra Club values are driven by an overriding environmental ethic. Sierra Club environmental values may be characterized by the concept of 'usufruct' a term favored by United States Founding Father Thomas Jefferson. Usufruct conveys the idea that the environment is ours to use, but not to destroy. Each generation has the obligation to pass on to future generations a world at least as environmentally rich as the one it inherited. It is appropriate to accept risk today in order to preserve the environment for generations yet to come. As viewed through the lens of its formal policies, the Sierra Club is an organization that embraces technology, but insists that technology be evaluated comprehensively, taking full account of both environmental and social externalities. The Club is 'risk averse' with respect to early introduction of technologies seen as likely to have significant negative environmental or social impact. The Club places heavy emphasis on process, which must involve the public meaningfully

  8. SIERRA - A 3-D device simulator for reliability modeling

    Chern, Jue-Hsien; Arledge, Lawrence A., Jr.; Yang, Ping; Maeda, John T.

    1989-05-01

    SIERRA is a three-dimensional general-purpose semiconductor-device simulation program which serves as a foundation for investigating integrated-circuit (IC) device and reliability issues. This program solves the Poisson and continuity equations in silicon under dc, transient, and small-signal conditions. Executing on a vector/parallel minisupercomputer, SIERRA utilizes a matrix solver which uses an incomplete LU (ILU) preconditioned conjugate gradient square (CGS, BCG) method. The ILU-CGS method provides a good compromise between memory size and convergence rate. The authors have observed a 5x to 7x speedup over standard direct methods in simulations of transient problems containing highly coupled Poisson and continuity equations such as those found in reliability-oriented simulations. The application of SIERRA to parasitic CMOS latchup and dynamic random-access memory single-event-upset studies is described.

  9. [Adverse reactions to mosquito bites in scholars from Monterrey, Nuevo Leon, Mexico].

    Manrique López, María Amelia; González Díaz, Sandra N; Arias Cruz, Alfredo; Sedó Mejía, Giovanni A; Canseco Villarreal, José Ignacio; Gómez Retamoza, Ernesto Antonio; Padrón López, Olga Magdalena; Cruz Moreno, Miguel Angel; Cisneros Salazar, Guillermo Daniel

    2010-01-01

    Allergic reactions to insect bites are a global problem, the true incidence and prevalence of morbidity from adverse reactions to mosquito bites are unknown. To describe the adverse reactions to mosquito bites in school-age children of Monterrey, Nuevo Leon. A cross-sectional descriptive study was made via a randomized application of questionnaires to children from public elementary schools in the metropolitan area of Monterrey, Nuevo Leon. A total of 11 public schools randomly selected were included in the study. One thousand questionnaires were submitted, of which 506 fulfilled the inclusion criteria; 55% were females. Seventy-six percent referred adverse reactions to mosquito bites, itching (75%) and rash (72%) being the most frequent ones, in the last 12 months. Adverse reactions to mosquito bites occur frequently. Early detection is important to establish a prompt treatment.

  10. Chemical control trials against Phytophthora capsici (Leon on pepper cultivations in Morocco

    Pussemier, L.

    1988-01-01

    Full Text Available Chemical control trials against Phytophthora capsici (Leon on pepper cultivations in Morocco. Pepper protection trials against collar and root rot have been undertaken under laboratory and culture conditions using Aliette (80 % of phosethylaluminium and Ridomil M 58 (10 % of metalaxyl associated to 48 % of maneb. It has been proved that, contrary to Ridomil M 58, Aliette does not protect the hostplant when the Phytophthora capsici (Leon zoospores are used as inoculum. But both fongicides are active when inoculating with a mycelian suspension. Trials undertaken under plastic glasshouses confirmed the laboratory results both with an artificial inoculation and with a natural one on contaminated soil. Only Ridomil M 58 provides satisfactory protection during the first weeks after the treatment. When disease propagation conditions are particularly favorable (permanent presence of an active inoculum source, the protection given by repeated Ridomil M 58 applications gradually disappears after a few weeks.

  11. Geoheritage value of the UNESCO site at Leon Viejo and Momotombo volcano, Nicaragua

    van Wyk de Vries, Benjamin; Navarro, Martha; Espinoza, Eveling; Delgado, Hugo

    2017-04-01

    The Momotombo volcano has a special place in the history of Nicaragua. It is perfectly visible from the Capital, Managua, and from the major city of Leon. The old capital "Leon Viejo", founded in 1524 was abandoned in 1610, after a series of earthquakes and some major eruptions from Momotombo. The site was subsequently covered by Momotombo ash. A major geothermal power plant stands at the base of the volcano. Momotombo had been dormant for a hundred years, but had maintained high fumarole temperatures (900°C), indicating magma had been close to the surface for decades. In recent years, seismic activity has increased around the volcano. In December 2015, after a short ash eruption phase the volcano erupted lava, then a string of Vulcanian explosions. The volcano is now in a phase of small Vulcanian explosions and degassing. The Leon Viejo World Heritage site is at risk to mainly ash fall from the volcano, but the abandonment of the old city was primarily due to earthquakes. Additional risks come from high rainfall during hurricanes. There is an obvious link between the cultural site (inscribed under UNESCO cultural criteria) and the geological environment. First, the reactivation of Momotombo volcano makes it more important to revise the hazard of the site. At the same time, Leon Viejo can provide a portal for outreach related to the volcano and for geological risk in general. To maximise this, we provide a geosite inventory of the main features of Momotombo, and it's environs, that can be used as the first base for such studies. The volcano was visited by many adventure tourists before the 2015/2016 eruption, but is out of bounds at present. Alternative routes, around the volcano could be made, to adapt to the new situation and to show to visitors more of the geodiversity of this fascinating volcano-tectonic and cultural area.

  12. MODE OF PRODUCTION ANS EDUCATION: QUESTIONS ON THE MODE OF LIFE: A CONTRIBUTION OF LEON TROTSKY

    Celi Zulke Taffarel

    2009-06-01

    Full Text Available The text addresses the importance of consideration of the contribution of Leon Trotsky - when you look at the issue of mode of life resulting from the general production of existence - to think clearly articulate an educational proposal for the construction of socialist history project. The need to think the human based on the question of cultural activists, on the fight for a policy of cultural formation.

  13. Sierra/Aria 4.48 Verification Manual.

    Sierra Thermal Fluid Development Team

    2018-04-01

    Presented in this document is a portion of the tests that exist in the Sierra Thermal/Fluids verification test suite. Each of these tests is run nightly with the Sierra/TF code suite and the results of the test checked under mesh refinement against the correct analytic result. For each of the tests presented in this document the test setup, derivation of the analytic solution, and comparison of the code results to the analytic solution is provided. This document can be used to confirm that a given code capability is verified or referenced as a compilation of example problems.

  14. Comparison of preliminary herpetofaunas of the Sierras la Madera (Oposura) and Bacadehuachi with the mainland Sierra Madre Occidental in Sonora, Mexico

    Thomas R. Van Devender; Erik F. Enderson; Dale S. Turner; Roberto A. Villa; Stephen F. Hale; George M. Ferguson; Charles. Hedgcock

    2013-01-01

    Amphibians and reptiles were observed in the Sierra La Madera (59 species), an isolated Sky Island mountain range, and the Sierra Bacadéhuachi (30 species), the westernmost mountain range in the Sierra Madre Occidental (SMO) range in east-central Sonora. These preliminary herpetofaunas were compared with the herpetofauna of the Yécora area in eastern Sonora in the main...

  15. Comparison of the tropical floras of the Sierra la Madera and the Sierra Madre Occidental, Sonora, Mexico

    Thomas R. Van Devender; Gertrudis Yanes-Arvayo; Ana Lilia Reina-Guerrero; Melissa Valenzuela-Yanez; Maria de la Paz Montanez-Armenta; Hugo Silva-Kurumiya

    2013-01-01

    The floras of the tropical vegetation in the Sky Island Sierra la Madera (SMA) near Moctezuma in northeastern Sonora (30°00’N 109°18’W) and the Yécora (YEC) area in the Sierra Madre Occidental (SMO) in eastern Sonora (28°25’N 109°15”W) were compared. The areas are 175 km apart. Tropical vegetation includes foothills thornscrub (FTS) in both areas and tropical deciduous...

  16. Sierra/Solid Mechanics 4.48 User's Guide.

    Merewether, Mark Thomas; Crane, Nathan K; de Frias, Gabriel Jose; Le, San; Littlewood, David John; Mosby, Matthew David; Pierson, Kendall H.; Porter, Vicki L.; Shelton, Timothy; Thomas, Jesse David; Tupek, Michael R.; Veilleux, Michael; Gampert, Scott; Xavier, Patrick G.; Plews, Julia A.

    2018-03-01

    Sierra/SolidMechanics (Sierra/SM) is a Lagrangian, three-dimensional code for finite element analysis of solids and structures. It provides capabilities for explicit dynamic, implicit quasistatic and dynamic analyses. The explicit dynamics capabilities allow for the efficient and robust solution of models with extensive contact subjected to large, suddenly applied loads. For implicit problems, Sierra/SM uses a multi-level iterative solver, which enables it to effectively solve problems with large deformations, nonlinear material behavior, and contact. Sierra/SM has a versatile library of continuum and structural elements, and a large library of material models. The code is written for parallel computing environments enabling scalable solutions of extremely large problems for both implicit and explicit analyses. It is built on the SIERRA Framework, which facilitates coupling with other SIERRA mechanics codes. This document describes the functionality and input syntax for Sierra/SM.

  17. Sierra/solid mechanics 4.22 user's guide.

    Thomas, Jesse David

    2011-10-01

    Sierra/SolidMechanics (Sierra/SM) is a Lagrangian, three-dimensional code for the analysis of solids and structures. It provides capabilities for explicit dynamic and implicit quasistatic and dynamic analyses. The explicit dynamics capabilities allow for the efficient and robust solution of models subjected to large, suddenly applied loads. For implicit problems, Sierra/SM uses a multi-level iterative solver, which enables it to effectively solve problems with large deformations, nonlinear material behavior, and contact. Sierra/SM has a versatile library of continuum and structural elements, and an extensive library of material models. The code is written for parallel computing environments, and it allows for scalable solutions of very large problems for both implicit and explicit analyses. It is built on the SIERRA Framework, which allows for coupling with other SIERRA mechanics codes. This document describes the functionality and input structure for Sierra/SM.

  18. Nest trees of northern flying squirrels in the Sierra Nevada

    Marc D. Meyer; Douglas A. Kelt; Malcolm P. North

    2005-01-01

    We examined the nest-tree preferences of northern flying squirrels (Glaucomys sabrinus) in an old-growth, mixed-conifer and red fir (Abies magnifica) forest of the southern Sierra Nevada of California. We tracked 27 individuals to 122 nest trees during 3 summers. Flying squirrels selected nest trees that were larger in diameter and...

  19. Peruvian Rural School Construction System. SERP 71: Sierra Type.

    Cangiano, Miguel

    Based on cooperative action of the government and local communities, the Peruvian Rural School System (SERP 71) evolved from the necessity to reconstruct Peruvian schools of the Sierra region after the earthquake of 1970, and from Peru's new educational reform law (1970) which called for an active-dynamic pupil attitude, continuous updating of…

  20. Geology of Sierra de San Miguel area Rocha department (Uruguay)

    Muzio, R.; Veroslavsky, G.; Morales, E. . E mail: rossana@fcien.edu.uy

    2004-01-01

    This paper is part of a regional study about Mesozoic magmatism, tectonics and sedimentation in Uruguay. As a result of the geological studies carried out in Sierra de San Miguel area (Rocha department), lithological descriptions, their stratigraphic relationships and their petrographic characterization are presented [es

  1. Ecosystems and diversity of the Sierra Madre Occidental

    M. S. Gonzalez-Elizondo; M. Gonzalez-Elizondo; L. Ruacho Gonzalez; I. L. Lopez Enriquez; F. I . Retana Renteria; J. A. Tena Flores

    2013-01-01

    The Sierra Madre Occidental (SMO) is the largest continuous ignimbrite plate on Earth. Despite its high biological and cultural diversity and enormous environmental and economical importance, it is yet not well known. We describe the vegetation and present a preliminary regionalization based on physiographic, climatic, and floristic criteria. A confluence of three main...

  2. Diets of California spotted owls in the Sierra National Forest

    Thomas E. Munton; Kenneth D. Johnson; George N. Steger; Gary P. Eberlein

    2002-01-01

    From May 1987 through October 1992 and from July through August 1998, we studied diets of California spotted owls (Strix occidentalis occidentalis). Regurgitated pellets were collected at roost and nest sites between 1,000 and 7,600 ft elevation in the Sierra National Forest and were examined for remnant bones, feathers, and insect exoskeletons....

  3. Territorial identity and landscape. Evolution morphology of nuclei in Castilla y Leon; Identidad territorial y paisaje. Evolucion morfologica de los nucleos en Castilla y Leon

    Cortes Pedrosa, J.

    2015-07-01

    This paper aims to study the physical and socioeconomic transformations of rural settlements belonging to the Spanish region of Castile and Leon, throughout the second half of the 20th century. The evolution of urban form is analyzed, using a geographical information system (GIS) and calculating several shape metrics, and is then related to historical demographical data. The results are meant to show the effects of functional specialization, caused by the integration of rural regions in global economic hierarchies, on settlement structures and patterns. Gradual loss of the traditional features of Castilian villages, such as urban compactness and integration in the landscape, due to the disappearance or neglect of vernacular architecture and the construction of new industrial infrastructures, poses a risk for future place-based development policies. It is deemed necessary to preserve local identity and avoid destruction or degradation of the traditional heritage for revitalizing these territories. (Author)

  4. Uranium series isotopes concentration in sediments at San Marcos and Luis L. Leon reservoirs, Chihuahua, Mexico

    Méndez-García, C.; Renteria-Villalobos, M.; García-Tenorio, R.; Montero-Cabrera, M. E.

    2014-07-01

    Spatial and temporal distribution of the radioisotopes concentrations were determined in sediments near the surface and core samples extracted from two reservoirs located in an arid region close to Chihuahua City, Mexico. At San Marcos reservoir one core was studied, while from Luis L. Leon reservoir one core from the entrance and another one close to the wall were investigated. 232Th-series, 238U-series, 40K and 137Cs activity concentrations (AC, Bq kg-1) were determined by gamma spectrometry with a high purity Ge detector. 238U and 234U ACs were obtained by liquid scintillation and alpha spectrometry with a surface barrier detector. Dating of core sediments was performed applying CRS method to 210Pb activities. Results were verified by 137Cs AC. Resulting activity concentrations were compared among corresponding surface and core sediments. High 238U-series AC values were found in sediments from San Marcos reservoir, because this site is located close to the Victorino uranium deposit. Low AC values found in Luis L. Leon reservoir suggest that the uranium present in the source of the Sacramento - Chuviscar Rivers is not transported up to the Conchos River. Activity ratios (AR) 234U/overflow="scroll">238U and 238U/overflow="scroll">226Ra in sediments have values between 0.9-1.2, showing a behavior close to radioactive equilibrium in the entire basin. 232Th/overflow="scroll">238U, 228Ra/overflow="scroll">226Ra ARs are witnesses of the different geological origin of sediments from San Marcos and Luis L. Leon reservoirs.

  5. Uranium series isotopes concentration in sediments at San Marcos and Luis L. Leon reservoirs, Chihuahua, Mexico

    Méndez-García, C.; Montero-Cabrera, M. E., E-mail: elena.montero@cimav.edu.mx [Centro de Investigación en Materiales Avanzados, CIMAV, Miguel de Cervantes 120, 31109, Chihuahua, Chihuahua (Mexico); Renteria-Villalobos, M. [Facultad de Zootecnia y Ecología Universidad Autónoma de Chihuahua, Periferico Francisco R. Almada Km 1, 31410, Chihuahua (Mexico); García-Tenorio, R. [Applied Nuclear Physics Group, University of Seville, ETS Arquitectura, Avda. Reina Mercedes s/n, 41012 Seville (Spain)

    2008-01-01

    Spatial and temporal distribution of the radioisotopes concentrations were determined in sediments near the surface and core samples extracted from two reservoirs located in an arid region close to Chihuahua City, Mexico. At San Marcos reservoir one core was studied, while from Luis L. Leon reservoir one core from the entrance and another one close to the wall were investigated. ²³²Th-series, ²³⁸U-series, ⁴⁰K and ¹³⁷Cs activity concentrations (AC, Bq kg⁻¹) were determined by gamma spectrometry with a high purity Ge detector. ²³⁸U and ²³⁴U ACs were obtained by liquid scintillation and alpha spectrometry with a surface barrier detector. Dating of core sediments was performed applying CRS method to ²¹⁰Pb activities. Results were verified by ¹³⁷Cs AC. Resulting activity concentrations were compared among corresponding surface and core sediments. High ²³⁸U-series AC values were found in sediments from San Marcos reservoir, because this site is located close to the Victorino uranium deposit. Low AC values found in Luis L. Leon reservoir suggest that the uranium present in the source of the Sacramento – Chuviscar Rivers is not transported up to the Conchos River. Activity ratios (AR) ²³⁴U/²³⁸U and ²³⁸U/²²⁶Ra in sediments have values between 0.9–1.2, showing a behavior close to radioactive equilibrium in the entire basin. ²³²Th/²³⁸U, ²²⁸Ra/²²⁶Ra ARs are witnesses of the different geological origin of sediments from San Marcos and Luis L. Leon reservoirs.

  6. Uranium series isotopes concentration in sediments at San Marcos and Luis L. Leon reservoirs, Chihuahua, Mexico

    Méndez-García, C.; Montero-Cabrera, M. E.; Renteria-Villalobos, M.; García-Tenorio, R.

    2014-01-01

    Spatial and temporal distribution of the radioisotopes concentrations were determined in sediments near the surface and core samples extracted from two reservoirs located in an arid region close to Chihuahua City, Mexico. At San Marcos reservoir one core was studied, while from Luis L. Leon reservoir one core from the entrance and another one close to the wall were investigated. 232 Th-series, 238 U-series, 40 K and 137 Cs activity concentrations (AC, Bq kg −1 ) were determined by gamma spectrometry with a high purity Ge detector. 238 U and 234 U ACs were obtained by liquid scintillation and alpha spectrometry with a surface barrier detector. Dating of core sediments was performed applying CRS method to 210 Pb activities. Results were verified by 137 Cs AC. Resulting activity concentrations were compared among corresponding surface and core sediments. High 238 U-series AC values were found in sediments from San Marcos reservoir, because this site is located close to the Victorino uranium deposit. Low AC values found in Luis L. Leon reservoir suggest that the uranium present in the source of the Sacramento – Chuviscar Rivers is not transported up to the Conchos River. Activity ratios (AR) 234 U/ 238 U and 238 U/ 226 Ra in sediments have values between 0.9–1.2, showing a behavior close to radioactive equilibrium in the entire basin. 232 Th/ 238 U, 228 Ra/ 226 Ra ARs are witnesses of the different geological origin of sediments from San Marcos and Luis L. Leon reservoirs

  7. THE IMPORTANCE OF THE JURIST AND ECONOMIST GHEORGHE N. LEON IN THE EVOLUTION OF FINANCIAL SCIENCE

    Popa Carmen

    2011-07-01

    Full Text Available The economical-financial problems have always constituted a challenge far all the decisional factors at the state level and not only, thus the financial sciences which also aim to regulate the relationships to create, assign and use the financial funds of the state and of the public institutions, destined to satisfy the social-economical needs of the society recorded a great doctrinal interest. Thus, a series of jurists and economists had understand the necessity and opportunity of knowledge in the domain of financial science, of the financial law, taking into consideration the fact that the difficulties which they have met at those times obliged them to take the responsibility to make every simple citizen and every person with political or administrative responsibility by the state understand the problems of public administration. In approaching the given subject I have chosen to use some of the methods of scientific research, respectively: the historical method (financial science being presented succinct through the process of its evolution along the years, interpretation methods and a combination of quality and quantity approach, namely the method of analyzing archive documents and the studies of professor Gheorghe N. Leon. In these contexts have asserted and developed himself in the university and political environment, Gheorghe N. Leon, having a rich activity of intellectual creation, approaching in his works the complex aspects of the science of financial law. Thus, starting with the rules and principles of this domain, Gheorghe N. Leon had realized a veritable incursion in the history of finances and in the theory of taxation, public and budgetary credit. Analyzing a part of his scientific works, we can affirm that a personality with such a complex structure, like Gheorghe N. Leon is hard to define, but surely, through the prism of his works and through his long-lasting and rich scientific activity, his name can be mentioned among the

  8. Detection of a typhus group Rickettsia in Amblyomma ticks in the state of Nuevo Leon, Mexico.

    Medina-Sanchez, Aaron; Bouyer, Donald H; Alcantara-Rodriguez, Virginia; Mafra, Claudio; Zavala-Castro, Jorge; Whitworth, Ted; Popov, Vsevolod L; Fernandez-Salas, Ildefonso; Walker, David H

    2005-12-01

    The state of Nuevo Leon, Mexico has had outbreaks of typhus group rickettsiosis, most recently recognized in 1997. Evaluation of the sera of 345 patients with a dengue-like illness revealed that 25.5% had antibodies reactive with typhus group rickettsiae and 16% had antibodies to Rickettsia parkeri. Rickettsiae were detected by PCR and shell-vial isolations in the field-collected Amblyomma ticks. Molecular characterization by DNA sequence analysis of the gltA, ompB, and 17-kDa gene identified the organisms to be R. prowazekii.

  9. Characterization of the dengue outbreak in Nuevo Leon state, Mexico, 2010.

    Leduc-Galindo, D; Gloria-Herrera, U; Rincón-Herrera, U; Ramos-Jiménez, J; Garcia-Luna, S; Arellanos-Soto, D; Mendoza-Tavera, N; Tavitas-Aguilar, I; Garcia-Garcia, E; Galindo-Galindo, E; Villarreal-Perez, J; Fernandez-Salas, I; Santiago, G A; Muñoz-Jordan, J; Rivas-Estilla, A M

    2015-04-01

    We studied serotypes circulating dengue virus (DENV) cases, entomological Breteau index, rain-fall index and epidemiology of groups affected during the 2010 outbreak in Nuevo Leon, Mexico. From 2,271 positive cases, 94% were dengue classic and 6% dengue hemorrhagic fever; DENV1 was mainly isolated (99%) (Central-American lineage of American-African-genotype). We found correlation between two environmental phenomena (Increment of rainfall and vector-indexes) (p ≤ 0.05) with epidemiological, clinical and risk of DENV-1 ongoing transmission.

  10. Review: Leon N. Cooper's Science and Human Experience: Values, Culture, and the Mind.

    Lynch, Gary S

    2015-01-01

    Why are we reviewing a book written by someone who shared in the 1972 Nobel Prize in Physics for work on superconductivity? Because shortly after winning the prize, Leon N. Cooper transitioned into brain research-specifically, the biological basis of memory. He became director of the Brown University Institute for Brain and Neural Systems, whose interdisciplinary program allowed him to integrate research on the brain, physics, and even philosophy. His new book tackles a diverse spectrum of topics and questions, including these: Does science have limits? Where does order come from? Can we understand consciousness?

  11. Post acquisition business synergies of a foreign affiliate. Case study of companies in Nuevo Leon

    Luis Cabeza

    2016-09-01

    Full Text Available This article will explain the importance of creating synergies after having acquired foreign affiliates. Interviews were conducted to executives of four of the most important manufacturing companies in Nuevo Leon, which have been involved in the international acquisition process of foreign affiliates. Also presented are 10 areas where synergies may be obtained after having acquired a foreign affiliate, in accordance with (Marin and Ketelhohn, 2008 economies of size at corporate headquarters, greater opportunities for professional development, corporate image, interdivisional transactions, vertical integration, economies of scale and/or scope, coordination of skills, learning center, leverage of intangible assets and unleashing of skills.

  12. DMA Controller for LEON3 SoC:s Using AMBA

    Nilsson, Emelie

    2013-01-01

    A DMA Controller can offload a processor tremendously. A memory copy operation can be initiated by the processor and while the processor executes others tasks the memory copy can be fulfilled by the DMA Controller. An implementation of a DMA Controller for use in LEON3 SoC:s has been made during this master thesis. Problems that occurred while designing a controller of this type concerned AMBA buses, data transfers, alignment and interrupt handling. The DMA Controller supports AMBA and is att...

  13. La razón y el absurdo en la obra de Leon Battista Alberti

    Sverlij, Mariana

    2012-01-01

    Uno de los rasgos más destacados de la producción de Leon Battista Alberti (1404- 1472) es la formulación de dos visiones del mundo simultáneas y contradictorias. El “paradigma de la razón”, que nutre sus tratados sobre la pintura, la escultura y la arquitectura se contradice e interactúa con el “paradigma de lo absurdo”, que da entidad a sus trabajos literarios, fundamentalmente su narración latina, Momus sive de Principe, y sus Intercenales. Si en Momus y las Intercenales predomina el carác...

  14. Recomendaciones de Liderazgo para los Dueños de Pymes Familiares Exportadoras y no Exportadoras en Nuevo Leon

    Maria Eloisa Treviño Ayala

    2011-07-01

    Full Text Available The main purpose of this document is to state the importance that small and medium-sized enterprises (SMEs exporting and non-exporting have, as well as family businesses in Mexico´s economy and specifically in the state of Nuevo Leon. It establishes certain family SMEs, exporting and non-exporting, characteristics to take into consideration by Nuevo Leon leaders that seek success under the determinant of profits. It also locates qualities, from our stand point, classic and contemporaries, recommended for managers and administrators of this type of companies.

  15. Level-2 Milestone 6007: Sierra Early Delivery System Deployed to Secret Restricted Network

    Bertsch, A. D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-09-06

    This report documents the delivery and installation of Shark, a CORAL Sierra early delivery system deployed on the LLNL SRD network. Early ASC program users have run codes on the machine in support of application porting for the final Sierra system which will be deployed at LLNL in CY2018. In addition to the SRD resource, Shark, unclassified resources, Rzmanta and Ray, have been deployed on the LLNL Restricted Zone and Collaboration Zone networks in support of application readiness for the Sierra platform.

  16. SIERRA/Aero User Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    SIERRA/Aero is a compressible fluid dynamics program intended to solve a wide variety compressible fluid flows including transonic and hypersonic problems. This document describes the commands for assembling a fluid model for analysis with this module, henceforth referred to simply as Aero for brevity. Aero is an application developed using the SIERRA Toolkit (STK). The intent of STK is to provide a set of tools for handling common tasks that programmers encounter when developing a code for numerical simulation. For example, components of STK provide field allocation and management, and parallel input/output of field and mesh data. These services also allow the development of coupled mechanics analysis software for a massively parallel computing environment. In the definitions of the commands that follow, the term Real_Max denotes the largest floating point value that can be represented on a given computer. Int_Max is the largest such integer value.

  17. Transient fuel rod behavior prediction with RODEX-3/SIERRA

    Billaux, M R; Shann, S H; Swam, L.F. Van [Siemens Power Corp., Richland, WA (United States)

    1997-08-01

    This paper discusses some aspects of the fuel performance code SIERRA (SIEmens Rod Response Analysis). SIERRA, the latest version of the code RODEX-3, has been developed to improve the fuel performance prediction capabilities of the code, both at high burnup and during transient reactor conditions. The paper emphasizes the importance of the mechanical models of the cracked pellet and of the cladding, in the prediction of the transient response of the fuel rod to power changes. These models are discussed in detail. Other aspects of the modelling of high burnup effects are also presented, in particular the modelling of the rim effect and the way it affects the fuel temperature. (author). 12 refs, 5 figs.

  18. Diagnosis of Knowledge Management in the Brisas Sierra Mar hotel

    Ivón Sosa-Piedra

    2017-06-01

    Full Text Available The present investigation was made in order to evaluate the Knowledge in the Management at Brisas Sierra Mar Hotel, Santiago de Cuba. Due to this, it is being value the actual approaches that was utilized in the existent methodologies for the measurement conduct of the knowledge in the Enterprise Organizations. To fulfill these results we utilized different methods, technical, abilities and scientific investigation tools, such as: analysis-method, synthesis, historical logical, and inducement; technical as a team work, expert judgments, interviews and first and second class information review, as well as the informatics decision programs for the selection and validations of the experts, the Statistic Program for Social Sciences for Windows (SPSS version 15.0 in indicting of the information. The investigation propitiated an evaluation of the actual situation of Brisas Sierra Mar Hotel, Santiago de Cuba and permitted to identify the stage of their main intellectual, placing them in an intermediate level.

  19. Transient fuel rod behavior prediction with RODEX-3/SIERRA

    Billaux, M.R.; Shann, S.H.; Swam, L.F. Van

    1997-01-01

    This paper discusses some aspects of the fuel performance code SIERRA (SIEmens Rod Response Analysis). SIERRA, the latest version of the code RODEX-3, has been developed to improve the fuel performance prediction capabilities of the code, both at high burnup and during transient reactor conditions. The paper emphasizes the importance of the mechanical models of the cracked pellet and of the cladding, in the prediction of the transient response of the fuel rod to power changes. These models are discussed in detail. Other aspects of the modelling of high burnup effects are also presented, in particular the modelling of the rim effect and the way it affects the fuel temperature. (author). 12 refs, 5 figs

  20. SIERRA/Aero User Manual Version 4.46.

    Sierra Thermal/Fluid Team

    2017-09-01

    SIERRA/Aero is a compressible fluid dynamics program intended to solve a wide variety compressible fluid flows including transonic and hypersonic problems. This document describes the commands for assembling a fluid model for analysis with this module, henceforth referred to simply as Aero for brevity. Aero is an application developed using the SIERRA Toolkit (STK). The intent of STK is to provide a set of tools for handling common tasks that programmers encounter when developing a code for numerical simulation. For example, components of STK provide field allocation and management, and parallel input/output of field and mesh data. These services also allow the development of coupled mechanics analysis software for a massively parallel computing environment. In the definitions of the commands that follow, the term Real_Max denotes the largest floating point value that can be represented on a given computer. Int_Max is the largest such integer value.

  1. SIERRA/Aero Theory Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    SIERRA/Aero is a two and three dimensional, node-centered, edge-based finite volume code that approximates the compressible Navier-Stokes equations on unstructured meshes. It is applicable to inviscid and high Reynolds number laminar and turbulent flows. Currently, two classes of turbulence models are provided: Reynolds Averaged Navier-Stokes (RANS) and hybrid methods such as Detached Eddy Simulation (DES). Large Eddy Simulation (LES) models are currently under development. The gas may be modeled either as ideal, or as a non-equilibrium, chemically reacting mixture of ideal gases. This document describes the mathematical models contained in the code, as well as certain implementation details. First, the governing equations are presented, followed by a description of the spatial discretization. Next, the time discretization is described, and finally the boundary conditions. Throughout the document, SIERRA/ Aero is referred to simply as Aero for brevity.

  2. SIERRA/Aero Theory Manual Version 4.46.

    Sierra Thermal/Fluid Team

    2017-09-01

    SIERRA/Aero is a two and three dimensional, node-centered, edge-based finite volume code that approximates the compressible Navier-Stokes equations on unstructured meshes. It is applicable to inviscid and high Reynolds number laminar and turbulent flows. Currently, two classes of turbulence models are provided: Reynolds Averaged Navier-Stokes (RANS) and hybrid methods such as Detached Eddy Simulation (DES). Large Eddy Simulation (LES) models are currently under development. The gas may be modeled either as ideal, or as a non-equilibrium, chemically reacting mixture of ideal gases. This document describes the mathematical models contained in the code, as well as certain implementation details. First, the governing equations are presented, followed by a description of the spatial discretization. Next, the time discretization is described, and finally the boundary conditions. Throughout the document, SIERRA/ Aero is referred to simply as Aero for brevity.

  3. Failure of Sierra White granite under general states of stress

    Ingraham, M. D.; Dewers, T. A.; Lee, M.; Holdman, O.; Cheung, C.; Haimson, B. C.

    2017-12-01

    The effect of the intermediate principal stress on the failure of Sierra White granite was investigated by performing tests under true triaxial states of stress. Tests were performed under constant Lode angle conditions with Lode angles ranging from 0 to 30°, pure shear to axisymmetric compression. Results show that the failure of Sierra White granite is heavily dependent on the intermediate principal stress which became more dramatic as the mean stress increased. An analysis of the shear bands formed at failure was performed using an associated flow rule and the Rudnicki and Rice (1975) localization criteria. The localization analysis showed excellent agreement with experimental results. Sandia National Laboratories is a multimission laboratory managed and operated by National Technology and Engineering Solutions of Sandia LLC, a wholly owned subsidiary of Honeywell International Inc. for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-NA0003525.

  4. Courtright intrusive zone: Sierra National Forest, Fresno County, California.

    Bateman, P.C.; Kistler, R.W.; DeGraff, J.V.

    1984-01-01

    This is a field guide to a well-exposed area of plutonic and metamorphic rocks in the Sierra National Forest, Fresno County, California. The plutonic rocks, of which three major bodies are recognized, besides aplite and pegmatite dykes, range 103 to approx 90 m.y. in age. Points emphasized include cataclastic features within the plutonic rocks, schlieren and mafic inclusions. (M.A. 83M/0035).-A.P.

  5. Groundwater quality in the Southern Sierra Nevada, California

    Fram, Miranda S.; Belitz, Kenneth

    2012-01-01

    Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. The Tehachapi-Cummings Valley and Kern River Valley basins and surrounding watersheds in the Southern Sierra Nevada constitute one of the study units being evaluated.

  6. Groundwater quality in the Central Sierra Nevada, California

    Fram, Miranda S.; Belitz, Kenneth

    2012-01-01

    Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. Two small watersheds of the Fresno and San Joaquin Rivers in the Central Sierra Nevada constitute one of the study units being evaluated.

  7. Environmental values and risk: A review of Sierra Club policies

    Craig, P.P. [Univ. of California, Davis, CA (United States). Graduate Group in Ecology

    1999-12-01

    Sierra Club values are driven by an overriding environmental ethic. Sierra Club environmental values may be characterized by the concept of 'usufruct' a term favored by United States Founding Father Thomas Jefferson. Usufruct conveys the idea that the environment is ours to use, but not to destroy. Each generation has the obligation to pass on to future generations a world at least as environmentally rich as the one it inherited. It is appropriate to accept risk today in order to preserve the environment for generations yet to come. As viewed through the lens of its formal policies, the Sierra Club is an organization that embraces technology, but insists that technology be evaluated comprehensively, taking full account of both environmental and social externalities. The Club is 'risk averse' with respect to early introduction of technologies seen as likely to have significant negative environmental or social impact. The Club places heavy emphasis on process, which must involve the public meaningfully.

  8. Assessing biodiversity in Nuevo Leon, Mexico: Are nature reserves the answer?

    Cantu, C.; Wright, R.G.; Scott, J.M.; Strand, Espen

    2004-01-01

    The Mexican state of Nuevo Leon, located in the northeastern portion of the country, currently has 26 state and three federal nature reserves covering approximately 4.5% of its land area. These reserves were established for a variety of reasons not necessarily related to conservation purposes. In 2000 in response to a growing concern about the lack of organized conservation reserve planning to protect the important biological and physical features of Mexico, the Mexican Commission for Knowledge and Use of Biodiversity proposed 12 new terrestrial reserves for Nuevo Leon. The new reserves, if established, would increase the proportion of protected lands in the state to almost 24% of the state's land area. We compiled a Geographic Information System (GIS) analysis using digital thematic maps of physical and ecological features to examine how well the existing and proposed reserves incorporated the major biological and physical features of the state. The existing reserves are located primarily in regions with elevations > 1,000-1,500 m, on less productive soils, and are dominated by pine and oak forest cover types. As a result, the state's dominant biotic region - low elevation coastal plain with xeric scrub vegetation - is disproportionately under represented in the current reserve system. The new reserves would expand the protection of biophysical resources throughout the state. However, the inclusion of important resources in the low elevation coastal lands would still be limited.

  9. [Effects of reforestation on tree pollen sensitization in inhabitants of Nuevo Leon, Mexico].

    Palma-Gómez, Samuel; González-Díaz, Sandra Nora; Arias-Cruz, Alfredo; Macías-Weinmann, Alejandra; Amaro-Vivian, Laura Elizabeth; Pérez-Vanzzini, Rafael; Gutiérrez-Mujica, José Julio; Yong-Rodríguez, Adrián

    2014-01-01

    Climate change has implications for health, ecology and society. Urban green areas are a key element in the planning of cities, promoting citizen interaction with the environment, as well as health. Lack of planning and design of these areas as well as the selection of ornamental trees can be a trigger of pollen allergy in the surrounding population. Reforestation is among the programs implemented by the government that have an impact on allergy. Environmental reforestation programs do not take into account the allergenic potential of some species. In the last 4 years, the government of Nuevo Leon, Mexico, has planted nearly 18,000 Quercus species trees, in addition to an unknown number of Fraxinus species trees that are listed as tree species with high pollen production. To identify changes in tree pollen sensitization, based on environmental reforestation programs. A retrospective and descriptive study was done in which positive skin prick tests to pollen from trees in the interval of 2010-2014 were analyzed, correlating between tree species used for reforestation and increased sensitivity to the former. A statistically significant increase in pollen sensitization to species with which Nuevo Leon was reforested was found, along with a decrease in sensitization to the species that were not reforested. Reforestation contributes to some extent to the change in the pattern of positive skin tests and may result in more frequent exacerbations of respiratory diseases. It is an activity that should always be regulated and assisted by experts in the according field.

  10. Study of the Wall Paintings of the Cenador Del Leon in the Real Alcazar of Seville

    Robador, Maria Dolores; Mancera, Inmaculada; Perez-Maqueda, Rafael; Albardonedo, Antonio

    2017-10-01

    The paintings on the walls of the Cenador del Leon located in the gardens of the Real Alcazar in Seville next to the Pabellon de Carlos V in the Jardin Ingles area have been studied. The components of the wall paintings cross-sections, which were prepared using small samples taken from the walls of Cenador del Leon, were characterized using infrared spectroscopy (FTIR), X-ray diffraction (XRD) and scanning electron microscopy (SEM) with energy dispersive X-ray (EDX) analysis. The cross-sections of the collected samples indicated that the paint layer is well adhered to the preparation layer without any discontinuity, and only one carbonation layer exists at the top of the sequence of layers. These data suggest that the paint was applied on a fresco surface, and therefore, the adopted technique was fresco. Based on the different elements detected by EDX analysis of the cross-sections, the detected pigments included iron oxides accompanied by clay minerals (or earths) in the red pink, golden yellow and yellow colours, blue smelt for the blue colour and basic copper chloride (atacamite) for the green colour. In one sample, the particles were composed of Ba and S from barium sulphate and Ti and O from rutile titanium oxide due to a modern pigment.

  11. The Biogas from bio-energy electrical power plant of Nuevo Leon; Central electrica de biogas de bioenergia de Nuevo Leon

    Arvizu F, Jose L [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Saldana M, Jaime L [Sistemas de Energia Internacional S.A. de C.V. (Mexico)

    2005-07-01

    The biogas from bio-energy electrical power plant of Nuevo Leon represents, in all the national territory, the first experience on the advantage of biogas emitted by the sanitary landfills for the generation of electrical energy. Therefore, one of the specific objectives of this paper is the one of diffusion and reproduction of the same one in other cities of Mexico and Latin America. The project is framed within the world-wide policies on the control of emissions for the reduction of the greenhouse effect gases (GEG) and its impact in the global climatic change. The gas emitted by the trash sanitary landfills, commonly known as biogas, is a gas mixture derived from the decomposition of the organic matter of the municipal trash by microorganisms in anaerobic conditions. Biogas generated in the sanitary landfills has a methane content of 55% and a 35% of carbon dioxide. The balance 10% is made up of water steam, hydrogen, nitrogen, oxygen, hydrogen sulfur and other gases in minimum amounts. [Spanish] La Central Electrica de Biogas de Bioenergia de Nuevo Leon representa, en todo el territorio nacional, la primera experiencia sobre el aprovechamiento del biogas emitido por los rellenos sanitarios para la generacion de energia electrica. Por esta razon, uno de los objetivos especificos de este trabajo es la de difusion y reproduccion del mismo en otras ciudades de Mexico y Latinoamerica. El proyecto esta enmarcado dentro de las politicas mundiales sobre el control de emisiones para la reduccion de los gases de efecto invernadero (GEI) y su impacto en el cambio climatico global. El gas emitido por la basura dispuesta en los rellenos sanitarios, comunmente conocido como biogas, es una mezcla de gases derivado de la descompensacion de la materia organica de la basura municipal por microorganismos en condiciones anaerobias. El biogas generado en los rellenos sanitarios tiene un contenido de metano del 55% y un 35% de bioxido de carbono. El 10% restante se compone de vapor

  12. Learning Styles and Attitudes toward Online Education in Four Universities in the State of Nuevo Leon, Mexico

    Martinez de Monarrez, Patricia; Korniejczuk, Victor

    2013-01-01

    The purpose of this research was to find the relation-ship between the predominant learning styles among university online students and their attitude toward online education. Data were collected from 385 students enrolled in undergraduate and graduate programs from four universities in the state of Nuevo Leon, Mexico. Significant effects of…

  13. an evaluation of the relationship between nutritional status and ...

    ms158

    The aim of this survey was to gain an insight into the level of knowledge, perception of risk and attitude of. Sierra Leone ... HIV education within the Republic of Sierra Leone Armed Forces. .... sexually transmitted diseases have posed a threat.

  14. 77 FR 49789 - Record of Decision for Issuing a Presidential Permit to Energia Sierra Juarez U.S. Transmission...

    2012-08-17

    ... Energia Sierra Juarez U.S. Transmission, LLC, for the Energia Sierra Juarez U.S. Transmission Line Project...: Record of Decision (ROD). SUMMARY: DOE announces its decision to issue a Presidential permit to Energia... analyzed in the Environmental Impact Statement for the Energia Sierra Juarez U.S. Transmission Line Project...

  15. Increasing elevation of fire in the Sierra Nevada and implications for forest change

    Mark W. Schwartz; Nathalie Butt; Christopher R. Dolanc; Andrew Holguin; Max A. Moritz; Malcolm P. North; Hugh D. Safford; Nathan L. Stephenson; James H. Thorne; Phillip J. van Mantgem

    2015-01-01

    Fire in high-elevation forest ecosystems can have severe impacts on forest structure, function and biodiversity. Using a 105-year data set, we found increasing elevation extent of fires in the Sierra Nevada, and pose five hypotheses to explain this pattern. Beyond the recognized pattern of increasing fire frequency in the Sierra Nevada since the late 20th century, we...

  16. Nitrogen dynamics of spring-fed wetland ecosystems of the Sierra Nevada foothills oak woodland

    Randall D. Jackson; Barbara Allen-Diaz

    2002-01-01

    Spring-fed wetlands are small, highly productive, patchy ecosystems nested within the oak woodland/annual grassland matrix of the Sierra Nevada foothills. In an effort to place these wetlands in a landscape context, we described seasonal variation (1999-2000 growing season) in nitrogen cycling parameters at 6 spring-fed wetland sites of the Sierra Nevada foothill oak...

  17. A preliminary floristic inventory in the Sierra de Mazatan, Municipios of Ures and Mazatan, Sonora, Mexico

    Jose Jesus Sanchez-Escalante; Manuel Espericueta-Betancourt; Reyna Amanda Castillo-Gamez

    2005-01-01

    Presently, the flora of the Sierra de Mazatán contains 357 species of vascular plants distributed in 248 genera and 80 families. The families with the most species are Asteraceae (48), Fabaceae (45), Poaceae (28), Euphorbiaceae (18), and Acanthaceae, Cactaceae, Scrophulariaceae, and Solanaceae (11 each). The results show that the flora of the Sierra de Mazat...

  18. High Sierra Ecosystems: The Role of Fish Stocking in Amphibian Declines

    Kathleen Matthews

    2003-01-01

    With a rich diversity of aquatic habitats, including deep lakes, shallow ponds, and rushing streams, Dusy Basinin Sequoia-Kings Canyon National Parks typifies the high Sierra ecosystem where mountain yellow-legged frogs usually thrive. Yet throughout the Sierra, aquatic ecologist Kathleen Matthews found entire water basins empty of these amphibians. Comprehensive...

  19. Sierra/SolidMechanics 4.48 User's Guide: Addendum for Shock Capabilities.

    Plews, Julia A.; Crane, Nathan K; de Frias, Gabriel Jose; Le, San; Littlewood, David John; Merewether, Mark Thomas; Mosby, Matthew David; Pierson, Kendall H.; Porter, Vicki L.; Shelton, Timothy; Thomas, Jesse David; Tupek, Michael R.; Veilleux, Michael; Xavier, Patrick G.

    2018-03-01

    This is an addendum to the Sierra/SolidMechanics 4.48 User's Guide that documents additional capabilities available only in alternate versions of the Sierra/SolidMechanics (Sierra/SM) code. These alternate versions are enhanced to provide capabilities that are regulated under the U.S. Department of State's International Traffic in Arms Regulations (ITAR) export-control rules. The ITAR regulated codes are only distributed to entities that comply with the ITAR export-control requirements. The ITAR enhancements to Sierra/SM in- clude material models with an energy-dependent pressure response (appropriate for very large deformations and strain rates) and capabilities for blast modeling. Since this is an addendum to the standard Sierra/SM user's guide, please refer to that document first for general descriptions of code capability and use.

  20. Generalized symmetries of an 𝓝 = 1 supersymmetric Boiti-Leon-Manna-Pempinelli system

    Wang, Jian-Yong; Tang, Xiao-Yan; Liang, Zu-Feng; Lou, Sen-Yue

    2015-05-01

    The formal series symmetry approach (FSSA), a quite powerful and straightforward method to establish infinitely many generalized symmetries of classical integrable systems, has been successfully extended in the supersymmetric framework to explore series of infinitely many generalized symmetries for supersymmetric systems. Taking the 𝒩 = 1 supersymmetric Boiti-Leon-Manna-Pempinelli system as a concrete example, it is shown that the application of the extended FSSA to this supersymmetric system leads to a set of infinitely many generalized symmetries with an arbitrary function f (t). Some interesting special cases of symmetry algebras are presented, including a limit case f (t) = 1 related to the commutativity of higher order generalized symmetries. Project supported by the National Natural Science Foundation of China (Grant Nos. 11275123, 11175092, 11475052, and 11435005), the Shanghai Knowledge Service Platform for Trustworthy Internet of Things, China (Grant No. ZF1213), and the Talent Fund and K CWong Magna Fund in Ningbo University, China.

  1. Pesticide residues in orange fruit from citrus orchards in Nuevo Leon State, Mexico.

    Suárez-Jacobo, Angela; Alcantar-Rosales, Victor Manuel; Alonso-Segura, Diana; Heras-Ramírez, Maria; Elizarragaz-De La Rosa, Dalau; Lugo-Melchor, Ofelia; Gaspar-Ramirez, Octavio

    2017-09-01

    Some international organisations established maximum residue limits (MRLs) in food to protect human health. Mexico lacks regulations in this matter, affecting national and international trade from agroindustry. The aim of this study was to diagnose pesticide residues in oranges from Nuevo Leon, México, in citrus orchards. In May 2014, 100 orange fruit samples were taken randomly from orchards and subjected to analysis for 93 pesticides at residual level by GC/QQQ-MS and LCQ-TOF-MS. Results showed the presence of 15 pesticide residues in the samples. The comparison of the residual levels of pesticides found in orange samples among the MRLs allowed by USA, EU and Japanese regulations demonstrated that all samples were below MRLs issued by USA and Japan. Some orange samples were above MRLs issued by the EU. This provides a basis to establish strategies in order to satisfy International Standards to protect human health and encourage Food Safety in Mexico.

  2. The life and work of Leon Henkin essays on his contributions

    Sain, Ildikó; Alonso, Enrique

    2014-01-01

    This is a comprehensive book on the life and works of Leon Henkin (1921–2006), an extraordinary scientist and excellent teacher whose writings became influential right from the beginning of his career with his doctoral thesis on “The completeness of formal systems” under the direction of Alonzo Church. Upon the invitation of Alfred Tarski, Henkin joined the Group in Logic and the Methodology of Science in the Department of Mathematics at the University of California Berkeley in 1953. He stayed with the group until his retirement in 1991. This edited volume includes both foundational material and a logic perspective. Algebraic logic, model theory, type theory, completeness theorems, philosophical and foundational studies are among the topics covered, as well as mathematical education. The work discusses Henkin’s intellectual development, his relation to his predecessors and contemporaries, and his impact on the recent development of mathematical logic. It offers a valuable reference work for researcher...

  3. Territorial identity and landscape. Evolution morphology of nuclei in Castilla y Leon

    Cortes Pedrosa, J.

    2015-01-01

    This paper aims to study the physical and socioeconomic transformations of rural settlements belonging to the Spanish region of Castile and Leon, throughout the second half of the 20th century. The evolution of urban form is analyzed, using a geographical information system (GIS) and calculating several shape metrics, and is then related to historical demographical data. The results are meant to show the effects of functional specialization, caused by the integration of rural regions in global economic hierarchies, on settlement structures and patterns. Gradual loss of the traditional features of Castilian villages, such as urban compactness and integration in the landscape, due to the disappearance or neglect of vernacular architecture and the construction of new industrial infrastructures, poses a risk for future place-based development policies. It is deemed necessary to preserve local identity and avoid destruction or degradation of the traditional heritage for revitalizing these territories. (Author)

  4. EL UTILITARISMO DE JEREMY BENTHAM ¿FUNDAMENTO DE LA TEORÍA DE LEON WALRAS?

    Aída-Sofía Rivera-Sotelo

    2011-12-01

    Full Text Available El presente texto cuestiona el utilitarismo de Jeremy Bentham como fundamento de la teoría marginalista walrasiana. La problemática se aborda a través de un análisis comparativo del pensamiento de Jeremy Bentham y de Leon Walras en tres áreas centrales: sus visiones de la sociedad y el objetivo social, sus aproximaciones teóricas y metodológicas en relación directa con sus respectivas teorías de la sociedad, y el lugar del principio de utilidad en el marco de las teorías generales de sociedad. El escrito contribuye a un debate vigente sobre los fundamentos filosóficos de la teoría de la elección racional y a deshomogenizar el pensamiento de los padres del marginalismo.

  5. Effects of Reforestation on Tree Pollen Sensitization in Inhabitants of Nuevo Leon, Mexico

    Samuel Palma-Gómez

    2014-06-01

    Full Text Available Background: Climate change has implications for health, ecology and society. Urban green areas are a key element in the planning of citie, promoting citizen interaction with the environment, as well as health. Lack of planning and design of these areas as well as the selection of ornamental trees can be a trigger of pollen allergy in the surrounding population. Reforestation is among the programs implemented by the government that have an impact on allergy. Environmental reforestation programs do not take into account the allergenic potential of some spe- cies. In the last 4 years, the government of Nuevo Leon, Mexico, has planted nearly 18,000 Quercus species trees, in addition to an unknown number of Fraxinus species trees that are listed as tree species with high pollen production. Objective: To identify changes in tree pollen sensitization, based on environmental reforestation programs. Material and method: A retrospective and descriptive study was done in which positive skin prick tests to pollen from trees in the interval of 2010-2014 were analyzed, correlating between tree species used for reforestation and increased sensitivity to the former. Results: A statistically signi cant increase in pollen sensitization to species with which Nuevo Leon was reforested was found, along with a decrease in sensitization to the species that were not reforested. Conclusion: Reforestation contributes to some extent to the change in the pattern of positive skin tests and may result in more frequent exac- erbations of respiratory diseases. It is an activity that should always be regulated and assisted by experts in the according eld.

  6. Glikman : maadeafääri süüdistust ei pruugi tulla / Leon Glikman ; interv. Kärt Anvelt

    Glikman, Leon, 1957-

    2008-01-01

    Intervjuu vandeadvokaat Leon Glikmaniga, kelle büroo kaitseb maadevahetusega seotud kriminaalasjas kahtlustatavaid Toomas Annust ja Andres Sarrit. Intervjuu sissejuhatus puudutab tööandjate keskliidu oktoobris 2007 koostatud pöördumist peaministri poole

  7. Environmental exposures to agrochemicals in the Sierra Nevada mountain range

    LeNoir, J.; Aston, L.; Data, S.; Fellers, G.; McConnell, L.; Sieber, J.

    2000-01-01

    The release of pesticides into the environment may impact human and environmental health. Despite the need for environmental exposure data, few studies quantify exposures in urban areas and even fewer determine exposures to wildlife in remote areas. Although it is expected that concentrations in remote regions will be low, recent studies suggest that even low concentrations may have deleterious effects on wildlife. Many pesticides are known to interfere with the endocrine systems of humans and wildlife, adversely affecting growth, development, and behavior. This chapter reviews the fate and transport of pesticides applied in the Central Valley of California and quantifies their subsequent deposition into the relatively pristine Sierra Nevada Mountain Range.

  8. PROBLEMS IN THE ADMISSION TO HIGHER EDUCATION IN THE LOWER SIERRA DE SONORA, CASE: UNIVERSITY OF SIERRA

    Rubén Ángel Vásquez-Navarro

    2011-05-01

    Full Text Available The aim of this paper is to clarify the issues and find solutions to align somewhat academic models of institutions of higher average level and above found in the central highlands of the state of Sonora, as are the University of Sierra, and the CBTA 53 and confront the culture of the people of the importance of young people studying a degree in that region.The above educational institutions are located in the geographical catchment area and education, in fact, in the same population, in the northeastern state of Sonora. The mountains of Sonora had always intended to have a school of higher education. To justify the town of Montezuma as a geographically strategic point, and thanks to the efforts made by the governor in turn was as the University of Sierra opens its doors to students on the mountain in August 2002.For the analysis of the functioning of an educational institution in the rural sector, should take into account a wide range of factors, however, this work will be key to analyze the dislocation and inconsistency of educational models from an institution of higher average level in relationship to another level, which serve as a unique educational opportunities for the people of Sonora and surrounding Montezuma. In addition, the cultural aspect, which reflects a regional behavior of the inhabitants of the region. La Sierra University is located in the mountainous region of the state of Sonora, in the town of Montezuma, with a catchment area of more than 30 municipalities in this area, which lacked a college until recently time.

  9. The Sierra de Cabral range: a restraining bend related to the Sierra Ballena shear zone in Dom Feliciano belt

    Masquelin, H.

    2010-01-01

    Restraining and releasing bends occurring in all crustal environments are common but enigmatic features of strike-slip fault systems. They can be reported in all scales of observation. Regional-scale restraining bends are sites of mountain building, transpressional deformation and basement exhumation. Releasing bends are sites of subsidence, transtensional deformation and pull-apart basins. The Dom Feliciano Belt of Southern Uruguay has two main structures observed from the outer space: (i) the Sierra Ballena Shear Zone and (ii) the Sierra de Cabral flexure located to the SW of the former. Although a transpressional regime is commonly accepted for the Dom Feliciano Belt, the available tectonic models do not provide satisfactory explanations for its building mechanism. A restraining bend is proposed at the SW termination of Sierra Ballena strike-slip ductile shear zone. In a key-area (Alvariza Range) the relationship between the Zanja del Tigre volcanic-detritic and the calcareous succession shows three en-échelon upright bends of the same quartzite hanging-wall between two sub-vertical strike-slip faults, suggesting the existence of a shortened strike-slip duplex operating in viscous-elastic rheology. The deformation partitioning includes strike-slip and dip-slip simple-shear components as well as one contractional pure-shear component. Because restraining bends were scarcely described in Neoproterozoic low-grade regional exhumation conditions, this structural framework would be a natural laboratory to study fault kinematics, fault dynamics, their associated deformation and the tectonic and erosion constraints related to the exhumation of many crystalline terrains

  10. A Method for Snow Reanalysis: The Sierra Nevada (USA) Example

    Girotto, Manuela; Margulis, Steven; Cortes, Gonzalo; Durand, Michael

    2017-01-01

    This work presents a state-of-the art methodology for constructing snow water equivalent (SWE) reanalysis. The method is comprised of two main components: (1) a coupled land surface model and snow depletion curve model, which is used to generate an ensemble of predictions of SWE and snow cover area for a given set of (uncertain) inputs, and (2) a reanalysis step, which updates estimation variables to be consistent with the satellite observed depletion of the fractional snow cover time series. This method was applied over the Sierra Nevada (USA) based on the assimilation of remotely sensed fractional snow covered area data from the Landsat 5-8 record (1985-2016). The verified dataset (based on a comparison with over 9000 station years of in situ data) exhibited mean and root-mean-square errors less than 3 and 13 cm, respectively, and correlation greater than 0.95 compared with in situ SWE observations. The method (fully Bayesian), resolution (daily, 90-meter), temporal extent (31 years), and accuracy provide a unique dataset for investigating snow processes. This presentation illustrates how the reanalysis dataset was used to provide a basic accounting of the stored snowpack water in the Sierra Nevada over the last 31 years and ultimately improve real-time streamflow predictions.

  11. Past horrors, present struggles: The role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone☆

    Betancourt, Theresa S.; Agnew-Blais, Jessica; Gilman, Stephen E.; Williams, David R.; Ellis, B. Heidi

    2013-01-01

    Upon returning to their communities, children formerly associated with armed forces and armed groups–commonly referred to as child soldiers–often confront significant community stigma. Much research on the reintegration and rehabilitation of child soldiers has focused on exposure to past war-related violence and mental health outcomes, yet no empirical work has yet examined the role that post-conflict stigma plays in shaping long-term psychosocial adjustment. Two waves of data are used in this paper from the first prospective study of male and female former child soldiers in Sierra Leone. We examined the role of stigma (manifest in discrimination as well as lower levels of community and family acceptance) in the relationship between war-related experiences and psychosocial adjustment (depression, anxiety, hostility and adaptive behaviors). Former child soldiers differ from one another with regard to their post-war experiences, and these differences profoundly shape their psychosocial adjustment over time. Consistent with social stress theory, we observed that post-conflict factors such as stigma can play an important role in shaping psychosocial adjustment in former child soldiers. We found that discrimination was inversely associated with family and community acceptance. Additionally, higher levels of family acceptance were associated with decreased hostility, while improvements in community acceptance were associated with adaptive attitudes and behaviors. We found that post-conflict experiences of discrimination largely explained the relationship between past involvement in wounding/killing others and subsequent increases in hostility. Stigma similarly mediated the relationship between surviving rape and depression. However, surviving rape continued to demonstrate independent effects on increases in anxiety, hostility and adaptive/prosocial behaviors after adjusting for other variables. These findings point to the complexity of psychosocial adjustment and

  12. Engaging staff to improve quality and safety in an austere medical environment: a case-control study in two Sierra Leonean hospitals.

    Rosen, Michael A; Chima, Adaora M; Sampson, John B; Jackson, Eric V; Koka, Rahul; Marx, Megan K; Kamara, Thaim B; Ogbuagu, Onyebuchi U; Lee, Benjamin H

    2015-08-01

    Inadequate observance of basic processes in patient care such as patient monitoring and documentation practices are potential impediments to the timely diagnoses and management of patients. These gaps exist in low resource settings such as Sierra Leone and can be attributed to a myriad of factors such as workforce and technology deficiencies. In the study site, only 12.4% of four critical vital signs were documented in the pre-intervention period. Implement a failure mode and effects analysis (FMEA) to improve documentation of four patient vital signs: temperature, blood pressure, pulse rate and respiratory rate. FMEA was implemented among a subpopulation of health workers who are involved in monitoring and documenting patient vital signs. Pre- and post-FMEA monitoring and documentation practice were compared with a control site. Participants identified a four-step process to monitoring and documenting vital signs, three categories of failure modes and four potential solutions. Based on 2100 patient days of documentation compliance data from 147 patients between July and November 2012, staff members at the study site were 1.79 times more likely to document all four patient vital signs in the post-implementation period (95% CI [1.35, 2.38]). FMEA is a feasible and effective strategy for improving quality and safety in an austere medical environment. Documentation compliance improved at the intervention facility. To evaluate the scalability and sustainability of this approach, programs targeting the development of these types of process improvement skills in local staff should be evaluated. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  13. Store Type and Demographic Influence on the Availability and Price of Healthful Foods, Leon County, Florida, 2008

    Leone, Angela F.; Lee, Jung Sun; Rigby, Samantha; Kurtz, Hilda; Johnson, Mary Ann; Betterley, Connie; Park, Sohyun

    2011-01-01

    Introduction The availability of healthful foods varies by neighborhood. We examined the availability and price of more healthful foods by store type, neighborhood income level, and racial composition in a community with high rates of diet-related illness and death. Methods We used the modified Nutrition Environment Measures Survey in Stores to conduct this cross-sectional study in 2008. We surveyed 73 stores (29% supermarkets, 11% grocery stores, and 60% convenience stores) in Leon County, F...

  14. A study of natural recovery in an aquatic ecosystem affected by mining: the Rodrigatos stream (El Bierzo, Leon, Spain)

    Lacal, M.; Herrero, T.; Rodriguez, V.; Alberruche, E.; Vadillo, L.

    2009-01-01

    This work takes place into the Bierzo Region, located in northeast of the province of Leon (Spain). In this area numerous open-pit and underground coal mines exist. Some of them are still in activity but almost have been abandoned. In any case, mining implies the presence of coal adits, spoil dumps, tailing dams, and coal-washing plants at the river bank. Most of them persist when mining have finished. (Author)

  15. High resolution biostratigraphy of Oligo-Miocene Leon and Chama Formations: An integrated approach for sequence stratigraphy analysis

    Pittelli, R.; Rull, V. (Maraven S.A., Caracas (Venezuela))

    1993-02-01

    Based on foraminiferal and palynological high resolution studies, a set of Sequence Boundaries (SB) and Maximum Flooding Surfaces (MSF) were identified for the Venezuelan Northwestern Andean Foothills Leon and Chama formations. Changes in abundance patterns of forminifera palynomorphs, in faunal/floral composition and distribution, together with quantitative studies of particulate organic matter allowed picking SB 30, 21 and 15.5 (very low values of fossil abundance and faunal discontinuities, recognized by a rapid stratigraphic change in biofacies and faunal assemblage and the associated mineralogical contents) and MFS 18.5, 16, and 15 (abundant fossils). The Leon Formation represents coastal plain and swamp deposits with some minor fluctuations in the seawater level. The top of the Leon Formation shaly unit is bounded by SB 30, according to Hag B.U. et al (version 1992), marked by a decrease in fossil abundance. An increase in faunal/floral content close to the top of the section coincides with the MFS 18.5. The upper part of the formation is marked by a sandy unit with SB 16.5, characterized again by a decrease in fossil abundance at its top. The Chama Formation was deposited in a transitional environment, with minor seawater level fluctuations. Climate type was tropical humid, with seasonal precipitations, except at the Early Miocene arid or semiarid phase. Mangrove and rain forest vegetation dominated throughout the Early to Middle Miocene. MFS 16 was picked on the basis of a high abundance of microforams and glauconite.

  16. DNA sequences of troglobitic nicoletiid insects support Sierra de El Abra and the Sierra de Guatemala as a single biogeographical area: Implications for Astyanax

    Luis Espinasa

    2014-03-01

    Full Text Available The blind Mexican tetra fish, Astyanax mexicanus, has become the most influential model for research of cave adapted organisms. Many authors assume that the Sierra de Guatemala populations and the Sierra de El Abra populations are derived from two independent colonizations. This assumption arises in part from biogeography. The 100 m high, 100 m wide Servilleta Canyon of the Boquillas River separates both mountain ranges and is an apparent barrier for troglobite dispersion. Anelpistina quinterensis (Nicoletiidae, Zygentoma, Insecta is one of the most troglomorphic nicoletiid silverfish insects ever described. 16S rRNA sequences support that this species migrated underground to reach both mountain ranges within less than 12,000 years. Furthermore, literature shows a plethora of aquatic and terrestrial cave restricted species that inhabit both mountain ranges. Thus, the Servilleta canyon has not been an effective biological barrier that prevented underground migration of troglobites between the Sierra de Guatemala and the Sierra de El Abra. The Boquillas River has changed its course throughout time. Caves that in the past connected the two Sierras were only recently geologically truncated by the erosion of the new river course. It is likely that, with the geological changes of the area and throughout the 2-8 million years of evolutionary history of cave Astyanax, there have been opportunities to migrate across the Servilleta canyon.

  17. Geologic studies in the Sierra de Pena Blanca, Chihuahua, Mexico

    Reyes-Cortes, Ignacio Alfonso

    The Sierra del Cuervo has been endowed with uranium mineralization, which has attracted many geological studies, and recently the author was part of a team with the goal of selecting a site of a radioactive waste repository. The first part of the work adds to the regional framework of stratigraphy and tectonics of the area. It includes the idea of a pull apart basin development, which justifies the local great thickness of the Cuervo Formation. It includes the regional structural frame work and the composite stratigraphic column of the Chihuahua Trough and the equivalent Cretaceous Mexican Sea. The general geologic features of the NE part of the Sierra del Cuervo are described, which include the folded ignimbrites and limestones in that area; the irregular large thicknesses of the Cuervo Formation; and the western vergence of the main folding within the area. Sanidine phenocrystals gave ages of 54.2 Ma and 51.8 Ma ± 2.3 Ma. This is the first time these dates have been reported in print. This age indicates a time before the folded structures which outcrop in the area, and 44 Ma is a date after the Cuervo Formation was folded. The Hidalgoan orogeny cycle affected the rocks between this lapse of time. Since then the area has been partially affected by three tensional overlapped stages, which resulted in the actual Basin and Range physiography. The jarosite related to the tectonic activity mineralization has been dated by the Ar-Ar method and yields an age of 9.8 Ma. This is the first report of a date of mineralization timing at Pena Blanca Uranium District in the Sierra del Cuervo. These are some of the frame work features that justify the allocation of a radioactive waste repository in the Sierra del Cuervo. An alluvial fan system within the Boquilla Colorada microbasin was selected as the best target for more detailed site assessment. The study also included the measurement of the alluvium thicknesses by geoelectric soundings; studies of petrography and weathered

  18. Uranium mining in Sierra Pintada: knowledge, epistemic communities and development

    Martinez Demarco, S. R.

    2011-01-01

    This paper analyses the conflict triggered by the National Atomic Energy Commission of Argentina (CNEA) proposing to re-open the Mining Complex of Sierra Pintada, in San Rafael, Province of Mendoza. Since 2004 when the Commission submitted the first report to the Ministry of Public Works and Environment of Mendoza to obtain the necessary permission to restart the works in the mine, several protests have taken place and many legal measures were taken in order to stop any resuming attempts. This study argues that, although CNEA has been an epistemic community capable of applying their policy proposals in the nuclear field, their technical knowledge is currently not sufficient to design a policy, and moreover, to hold that they are working for local and sustainable development. Only 'puzzling' 'with actors' paradigms and knowledge is possible to fit together their demands and achieve a public policy, or solution, for this problem. (author) [es

  19. Element Verification and Comparison in Sierra/Solid Mechanics Problems

    Ohashi, Yuki; Roth, William

    2016-05-01

    The goal of this project was to study the effects of element selection on the Sierra/SM solutions to five common solid mechanics problems. A total of nine element formulations were used for each problem. The models were run multiple times with varying spatial and temporal discretization in order to ensure convergence. The first four problems have been compared to analytical solutions, and all numerical results were found to be sufficiently accurate. The penetration problem was found to have a high mesh dependence in terms of element type, mesh discretization, and meshing scheme. Also, the time to solution is shown for each problem in order to facilitate element selection when computer resources are limited.

  20. Rock-Ice Feature Inventory for the Sierra Nevada, California, USA, Version 1

    National Aeronautics and Space Administration — The Sierra Nevada is a tectonic uplift mountain range with a gradual gain in elevation on the west side and a steep escarpment on the east. Most of the mapped...

  1. California; Northern Sierra Air Quality Management District; Approval of Air Plan Revisions; Wood Burning Devices

    EPA is taking final action to approve a revision to the Northern Sierra Air Quality Management District (NSAQMD) portion of the California SIP concerning emissions of particulate matter (PM) from wood burning devices.

  2. SIERRA Low Mach Module: Fuego Theory Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    The SIERRA Low Mach Module: Fuego along with the SIERRA Participating Media Radiation Module: Syrinx, henceforth referred to as Fuego and Syrinx, respectively, are the key elements of the ASCI fire environment simulation project. The fire environment simulation project is directed at characterizing both open large-scale pool fires and building enclosure fires. Fuego represents the turbulent, buoyantly-driven incompressible flow, heat transfer, mass transfer, combustion, soot, and absorption coefficient model portion of the simulation software. Syrinx represents the participating-media thermal radiation mechanics. This project is an integral part of the SIERRA multi-mechanics software development project. Fuego depends heavily upon the core architecture developments provided by SIERRA for massively parallel computing, solution adaptivity, and mechanics coupling on unstructured grids.

  3. SIERRA Low Mach Module: Fuego Theory Manual Version 4.46.

    Sierra Thermal/Fluid Team

    2017-09-01

    The SIERRA Low Mach Module: Fuego along with the SIERRA Participating Media Radiation Module: Syrinx, henceforth referred to as Fuego and Syrinx, respectively, are the key elements of the ASCI fire environment simulation project. The fire environment simulation project is directed at characterizing both open large-scale pool fires and building enclosure fires. Fuego represents the turbulent, buoyantly-driven incompressible flow, heat transfer, mass transfer, combustion, soot, and absorption coefficient model portion of the simulation software. Syrinx represents the participating-media thermal radiation mechanics. This project is an integral part of the SIERRA multi-mechanics software development project. Fuego depends heavily upon the core architecture developments provided by SIERRA for massively parallel computing, solution adaptivity, and mechanics coupling on unstructured grids.

  4. SIERRA Low Mach Module: Fuego User Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    The SIERRA Low Mach Module: Fuego along with the SIERRA Participating Media Radiation Module: Syrinx, henceforth referred to as Fuego and Syrinx, respectively, are the key elements of the ASCI fire environment simulation project. The fire environment simulation project is directed at characterizing both open large-scale pool fires and building enclosure fires. Fuego represents the turbulent, buoyantly-driven incompressible flow, heat transfer, mass transfer, combustion, soot, and absorption coefficient model portion of the simulation software. Syrinx represents the participating-media thermal radiation mechanics. This project is an integral part of the SIERRA multi-mechanics software development project. Fuego depends heavily upon the core architecture developments provided by SIERRA for massively parallel computing, solution adaptivity, and mechanics coupling on unstructured grids.

  5. SIERRA Low Mach Module: Fuego User Manual Version 4.46.

    Sierra Thermal/Fluid Team

    2017-09-01

    The SIERRA Low Mach Module: Fuego along with the SIERRA Participating Media Radiation Module: Syrinx, henceforth referred to as Fuego and Syrinx, respectively, are the key elements of the ASCI fire environment simulation project. The fire environment simulation project is directed at characterizing both open large-scale pool fires and building enclosure fires. Fuego represents the turbulent, buoyantly-driven incompressible flow, heat transfer, mass transfer, combustion, soot, and absorption coefficient model portion of the simulation software. Syrinx represents the participating-media thermal radiation mechanics. This project is an integral part of the SIERRA multi-mechanics software development project. Fuego depends heavily upon the core architecture developments provided by SIERRA for massively parallel computing, solution adaptivity, and mechanics coupling on unstructured grids.

  6. Discovery of the Sierra Pintada uranium district, Mendoza Province, Argentina

    Rodrigo, F.; Belluco, A.E.

    1981-01-01

    Since 1956, uranium-bearing minerals have been known to exist in Sierra Pintada, Mendoza Province, Argentina. Based on paragenetic considerations, a first radiometric prospection was carried out, leading to the discovery of two groups of anomalies (Puesto Agua del Toro and Cuesta de los Terneros), such as vein-type deposits, with uraninite and 'yellow minerals' and one sandstone-type deposit (Puesto La Josefa), related to sediments with carbon trash. Some recent geological research and surveys in the area, and a reduced drilling programme carried out on selected anomalies, led to reinterpretation of the potential of the area. Furthermore, and as a result of an airborne radiometric prospection performed in mid-1968, numerous anomalies have been discovered. The main constellation of anomalies, along the flanks of the El Tigre Brachyanticline, occurs in sandstones of Permian age. Explored by 80 000 m of drilling, they have shown the existence of several peneconcordant lens-shaped ore bodies of economic size, with uranophane on the surface and prevailing uraninite and some brannerite, coffinite and davidite below the water table. Reserves exceed 20 000 tonnes of U 3 O 8 . A new regional programme with a 4-km drill-grid initiated in 1978 led to the discovery of new ore bodies which are at present being evaluated. The alternatives and discontinuities during the development of the district, the prospecting and exploration techniques employed, and the results achieved in the different stages of the operation are discussed in detail. This case history attempts to illustrate the developing philosophy which was successfully applied in Sierra Pintada, with emphasis on the following points: (a) the need for adequate geological knowledge of the area; (b) the advantage of a massive survey (in this case, air survey); (c) the necessity for exploration (drilling) in order to define the anomalies and make their evaluation possible; and (d) the convenience of extending exploration

  7. Los recursos humanos en un espacio natural protegido: Sierra Nevada

    Ma. Enriqueta Cózar

    2000-01-01

    Full Text Available Sierra Nevada, como todas las áreas de montaña españolas y gran parte del territorio interior andaluz, ha experimentado durante el siglo XX un considerable retroceso demográfico. La población con la que llega al umbral del siglo XXI es una cuarta parte más pequeña que la registrada en 1900 y un tercio inferior a la de 1950. Diversos y complejos factores, tanto internos como externos al área de montaña, de carácter más económico que demográfico, fueron los desencadenantes de una fuerte emigración. La gran pérdida de población ha originado cambios trascendentales en la demografía y en la actividad económica de Sierra Nevada. En la actualidad, la población de este espacio protegido se caracteriza por una desequilibrada distribución en el territorio, un escaso crecimiento natural, un acelerado envejecimiento y una actividad mayoritariamente terciaria. La declaración, en Julio de 1989, como espacio natural protegido bajo la figura de Parque Natural, y la más reciente de Parque Nacional, apenas ha modificado la inercia demográfica regresiva de la mayor parte de sus municipios; tan sólo se ha podido apreciar una cierta tendencia a la estabilización demográfica de la población total del macizo

  8. Physiochemical characterization of insoluble residues in California Sierra Nevada snow

    Creamean, Jessie; Axson, Jessica; Bondy, Amy; Craig, Rebecca; May, Nathaniel; Shen, Hongru; Weber, Michael; Warner, Katy; Pratt, Kerri; Ault, Andrew

    2015-04-01

    The effects atmospheric aerosols have on cloud particle formation are dependent on both the aerosol physical and chemical characteristics. For instance, larger, irregular-shaped mineral dusts efficiently form cloud ice crystals, enhancing precipitation, whereas small, spherical pollution aerosols have the potential to form small cloud droplets that delay the autoconversion of cloudwater to precipitation. Thus, it is important to understand the physiochemical properties and sources of aerosols that influence cloud and precipitation formation. We present an in-depth analysis of the size, chemistry, and sources of soluble and insoluble residues found in snow collected at three locations in the California Sierra Nevada Mountains during the 2012/2013 winter season. For all sites, February snow samples contained high concentrations of regional pollutants such as ammonium nitrate and biomass burning species, while March snow samples were influenced by mineral dust. The snow at the lower elevation sites in closer proximity to the Central Valley of California were heavily influenced by agricultural and industrial emissions, whereas the highest elevation site was exposed to a mixture of Central Valley pollutants in addition to long-range transported dust from Asia and Africa. Further, air masses likely containing transported dust typically traveled over cloud top heights at the low elevation sites, but were incorporated into the cold (-28°C, on average) cloud tops more often at the highest elevation site, particularly in March, which we hypothesize led to enhanced ice crystal formation and thus the observation of dust in the snow collected at the ground. Overall, understanding the spatial and temporal dependence of aerosol sources is important for remote mountainous regions such as the Sierra Nevada where snowpack provides a steady, vital supply of water.

  9. Anfibios y reptiles de la sierra de Cuatro Venados, Oaxaca, México

    Martín-Regalado, N.; Lavariega, M. C.; Gómez-Ugalde, R. M.; Rodríguez-Pérez, C.

    2016-01-01

    Amphibians and reptiles of the Sierra de Cuatro Venados, Oaxaca, Mexico We surveyed amphibian and reptile communities in temperate forest in the Sierra de Cuatro Venados to increase knowledge of the Oaxacan herpetofauna. We obtained 193 visual and 106 voucher records during 38 days of fieldwork. During the study, we recorded 36 of the 40 species predicted to occur in this mountain range: nine amphibians and 27 reptiles, five of which represent new records at the regional scale. Pine-o...

  10. Topographic Evolution of the Sierra Nevada Resolved by Inversion of Low-Temperature Thermochronology

    McPhillips, D. F.; Brandon, M. T.

    2011-12-01

    At present, there are two competing ideas for the topographic evolution of the Sierra Nevada Range. One idea is that the Sierra Nevada was formed as a monocline in the Cretaceous, marking the transition from the Great Valley forearc basin to the west, and a high Nevadaplano plateau to the east, similar to the west flank of the modern Altiplano of the Andes. Both the thermochronologic signature of local relief and the stable isotopic evidence of a topographic rain shadow support this hypothesis. However, a suite of geomorphic observations suggests that the Sierra gained a large fraction of its present elevation as recently as the Pliocene. This recent surface uplift could have been driven by convective removal of in the lower part of the lithosphere and/or by changes in dynamic topography associated with deep subduction of the Farallon plate. Here we present the first comprehensive analysis of low-temperature thermochronology in the Sierra Nevada, which provides a definitive solution, which indicates that both ideas are likely correct. Our analysis is distinguished by three new factors: The first is that we allow for separate evolutions for the local relief and the long-wavelength topography. Second, we use Al-in-Hb paleobarometry to constrain the initial depth of emplacement for the Sierra Nevada plutons. Third, our analysis is tied to a sea-level reference by using the paleo-bathymetric record of the Great Valley basin, where it on-laps the Sierra Nevada batholith. According to our analysis, westward tilting of the Sierra accounts for 2 km of uplift since 20 Ma. Topographic relief increased by a factor of 2. These findings suggest that the Sierra Nevada lost elevation through most of the Tertiary but regained much of its initial elevation following the onset of surface uplift in the Miocene.

  11. SierraDNA – Demonstrating the Usefulness of Direct ILS Database Access

    James Padgett

    2015-10-01

    Full Text Available Innovative Interface’s Sierra(™ Integrated Library System (ILS brings with it a Database Navigator Application (SierraDNA - in layman's terms SierraDNA gives Sierra sites read access to their ILS database. Unlike the closed use cases produced by vendor supplied APIs, which restrict Libraries to limited development opportunities, SierraDNA enables sites to publish their own APIs and scripts based upon custom SQL code to meet their own needs and those of their users and processes. In this article we give examples showing how SierraDNA can be utilized to improve Library services. We highlight three example use cases which have benefited our users, enhanced online security and improved our back office processes. In the first use case we employ user access data from our electronic resources proxy server (WAM to detect hacked user accounts. Three scripts are used in conjunction to flag user accounts which are being hijacked to systematically steal content from our electronic resource provider’s websites. In the second we utilize the reading histories of our users to augment our search experience with an Amazon style “People who borrowed this book also borrowed…these books” feature. Two scripts are used together to determine which other items were borrowed by borrowers of the item currently of interest. And lastly, we use item holds data to improve our acquisitions workflow through an automated demand based ordering process. Our explanation and SQL code should be of direct use for adoption or as examples for other Sierra customers willing to exploit their ILS data in similar ways, but the principles may also be useful to non-Sierra sites that also wish to enhancement security, user services or improve back office processes.

  12. Nise da Silveira, Fernando Diniz e Leon Hirszman: política, sociedade e arte

    Walter Melo

    2010-09-01

    Full Text Available O presente artigo aborda o processo de construção do filme Imagens do Inconsciente, mais especificamente do episódio Em Busca do Espaço Cotidiano, sobre Fernando Diniz e sua produção pictórica. O encontro entre a psiquiatra Nise da Silveira e o cineasta Leon Hirszman está marcado pela não dissociação de política, sociedade e arte. O trabalho terapêutico e de reabilitação psicossocial desenvolvido por Nise da Silveira tem como característica o estabelecimento de importantes conexões com o campo das artes, possibilitando o diálogo com toda a sociedade. Esse trabalho de transformação cultural e de mentalidades fez com que fosse questionada a exclusão social dos chamados doentes mentais e transformada a política de assistência no campo da saúde mental no Brasil.

  13. Traffic related deaths in Nuevo Leon, Mexico: causes and associated factors.

    Arreola-Rissa, Carlos; Santos-Guzmán, Jesús; Esquivel-Guzmán, Adol; Mock, Charles N

    2008-01-01

    The effects of alcohol on mortality due to motor vehicle accidents was studied. During the first semester of 2003, a sample of 243 fatality victims of traffic-related accidents and their blood alcohol levels were analyzed in the state of Nuevo Leon, Mexico. The age-adjusted mortality rate for traffic accidents was 8.9/100000 pop. (13.2 for males and 3.21 for females, per 100000). Fatal accidents were more common in the Metropolitan Area (MA). Fatalities were four times greater in males and the mean age was 34.7+/-18.2 years. Blood alcohol was detected in almost half of the victims who were drivers of the vehicles; the other cases of fatalities may be associated with road/car condition, weather and other factors. Alcohol intoxication levels were primarily associated with male drivers ages 16 to 45 (p=0.029); levels increased with age. In females, alcohol played a lesser role, affecting mostly ages 31 to 45 y (p=0.055).

  14. [Prevalence of hymenoptera sting allergy in veterinary medicine students from Monterey, Nuevo Leon, Mexico].

    Arias Cruz, Alfredo; Monsiváis Toscano, Gina; Gallardo Martínez, Gabriela; González Díaz, Sandra Nora; Galindo Rodríguez, Gabriela

    2007-01-01

    The reported prevalence of allergic systemic reactions to hymenoptera venom occur in up to 3.3% and large local reactions occur in 17% in the general population. To investigate the prevalence of hymenoptera sting allergy in a group of veterinary medicine students from Monterrey, Nuevo Leon, Mexico. A transverse and observational study was done with 64 students of veterinary medicine. We conducted a questionnaire about the students' history of insect allergy and atopy. Skin test with allergenic extracts of bee and ant were practiced to all subjects. We performed aeroallergen skin prick test to the subjets with suspected atopy. Students age ranged from 17 to 25 years (mean 20.2) and 37 were males. Twenty students (31.3%) had clinical history of atopy and positive skin tests to aeroallergens. On the other hand, 5 students (7.8%), including 2 atopic, had suffered large local reactions, but none of them had suffered systemic reactions. Bee and ant skin tests were positive in 15.6% and 31.3% of the students respectively. There was no difference in the prevalence of hymenoptera allergy between atopic and non atopic subjects (p < 0.05). Further, the frequency of atopy in subjects with positive skin tests for bee and ant was 50%. The prevalence of large local reactions and hymenoptera sensitization found in this group was similar to that found in other epidemiologic studies.

  15. Hiperplasia linfoide de íleon terminal, presentación de un caso

    Arley Fajardo Ochoa

    2014-08-01

    Full Text Available Se presenta el caso de un adolescente masculino de 16 años de edad que acudió a la consulta por dolor abdominal recurrente, localizado en la fosa ilíaca derecha, el cual había recibido tratamiento sintomático con antiespasmódicos y antiparasitarios sin lograr mejoría del dolor, por lo que fue remitido a la consulta de Gastroenterología donde se le realizaron exámenes complementarios que evidenciaron la existencia de una patología en el íleon terminal, se remitió al Instituto de Gastroenterología, donde se le realizó una colonoscopia y se le diagnosticó una hiperplasia linfoide severa de Ileon terminal que con el tratamiento higiénico dietético, se logró disminuir la frecuencia y la intensidad del dolor, sin embargo en las colonoscopías evolutivas se observó un incremento en la intensidad y la extensión de la hiperplasia por lo que se le indicaron exámenes endoscópicos e histológicos cada seis meses, llama la atención que a pesar de la severidad del cuadro, nunca se ha observado ningún episodio de sangrado digestivo que es la forma de presentación más frecuente de esta entidad

  16. Morphological characterization of lentil (lens culinaris medik.) landraces from castilla y leon, spain

    Aslam, K.; Arif, M.

    2014-01-01

    The characterization of plant genetic resources has a significant impact on their possible future use in lentil breeding programs and also, in the activity of germplasm collections. In this work we have characterized 27 lentil landraces from the region of Castilla and Leon (plateau in Northern Spain), existing among them two different morphological groups according to the characteristics of the seeds (Macrosperma and Microsperma). Fifteen morpho-agronomical characters were measured for data collection. A principal components analysis allowed the definition of the 5 factors which explain 83.7% of the cumulative variance. The first factor explains 25.3% of total variation and it is related to seed production. We performed a cluster analysis obtaining 5 groups, each one defined by the average values of the employed characters. 37.0% of landraces were included in group 5, characterized by a high mean of the harvest index (38.4) and also a high mean value (74.4) for the number of pods. To study the seeds we used a correspondence analysis 6 dimensions which explained the 80.9% of the variance were chosen. Two cluster analysis were carried out using the coordinates of the aforementioned analysis. The aim of this work was to study the morphological variability of these populations and to discover the relationship among them. (author)

  17. Synoptic patterns associated with wildfires caused by lightning in Castile and Leon, Spain

    E. García-Ortega

    2011-03-01

    Full Text Available The Iberian Peninsula presents the highest number of wildfires in Europe. In the NW of Spain in particular, wildfires are the natural risk with the greatest economic impact in this region. Wildfires caused by lightning are closely related to the triggering of convective phenomena. The prediction of thunderstorms is a very complex task because these weather events have a local character and are highly dependent on mesoscale atmospheric conditions. The development of convective storms is directly linked to the existence of a synoptic environment favoring convection. The aim of this study is to classify the atmospheric patterns that provide favorable environments for the occurrence of wildfires caused by lightning in the region of Castile and Leon, Spain. The database used for the study contains 376 wildfire days from the period 1987–2006. NCEP data reanalysis has been used. The atmospheric fields used to characterise each day were: geopotential heights and temperatures at 500 hPa and 850 hPa, relative humidity and the horizontal wind at 850 hPa. A Principal Component Analysis in T-mode followed by a Cluster Analysis resulted in a classification of wildfire days into five clusters. The characteristics of these clusters were analysed and described, focusing particularly on the study of those wildfire days in which more than one wildfire was detected. In these cases the main feature observed was the intensification of the disturbance typical of the cluster to which the wildfire belongs.

  18. Updated comparison of groundwater flow model results and isotopic data in the Leon Valley, Mexico

    Hernandez-Garcia, G. D.

    2015-12-01

    Northwest of Mexico City, the study area is located in the State of Guanajuato. Leon Valley has covered with groundwater its demand of water, estimated in 20.6 cubic meters per second. The constant increase of population and economic activities in the region, mainly in cities and automobile factories, has also a constant growth in water needs. Related extraction rate has produced an average decrease of approximately 1.0 m per year over the past two decades. This suggests that the present management of the groundwater should be checked. Management of groundwater in the study area involves the possibility of producing environmental impacts by extraction. This vital resource under stress becomes necessary studying its hydrogeological functioning to achieve scientific management of groundwater in the Valley. This research was based on the analysis and integration of existing information and the field generated by the authors. On the base of updated concepts like the geological structure of the area, the hydraulic parameters and the composition of deuterium-delta and delta-oxygen -18, this research has new results. This information has been fully analyzed by applying a groundwater flow model with particle tracking: the result has also a similar result in terms of travel time and paths derived from isotopic data.

  19. Soil Properties Database of Spanish Soils. Volume XI.- Castilla-Leon (b): Palencia, Valladolid and Avila

    Trueba, C; Millan, R.; Schmid, T.; Lago, C.; Roquero, C; Magister, M.

    1999-01-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the provinces of Palencia. Valladolid and Avila of the Comunidad Autonoma de Castilla-Leon. (Author) 41 refs

  20. Soil Properties Database of Spanish Soils. Volume XII.- Castilla-Leon (c): Burgos, Soria and Segovia

    Trueba, C; Millan, R.; Schmid, T.; Lago, C.; Roquero, C; Magister, M.

    1999-01-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the provinces of Burgos, Soria and Segovia of the Comunidad Autonoma de Castilla-Leon. (Author) 36 refs

  1. Ecología de la fauna silvestre de la sierra nevada y la Sierra del Ajusco

    D. Granados Sánchez

    2004-01-01

    Full Text Available Se presenta un estudio sobre la fauna silvestre de la Sierra del Ajusco y la Sierra Nevada, localizadas dentro de la Faja Volcánica Transmexicana (FVT, en la porción oriental del límite meridional de la Cuenca de México. La enorme riqueza biológica de esta zona que rodea la zona metropolitana de la ciudad de México, uno de los mayores complejos urbanos del mundo, ha sobrevivido durante décadas al impacto de la urbanización de las áreas forestales, explotación de recursos naturales, contaminación, cacería, incendios y pastoreo. A pesar de esto, se desconocen muchos de los factores que regulan la dinámica de los ecosistemas en esta región. Con relación a la fauna silvestre la carencia de información es mucho más evidente, aspectos elementales como la diversidad de especies, las interacciones ecológicas, la función de los organismos en el ecosistema, las condiciones de estrés a que están sometidos, han sido poco explorados. En esta investigación se recurrió a observaciones de campo y a la consulta de diferentes fuentes bibliográficas para estimar la riqueza de especies de mamíferos, aves, reptiles y anfibios; las relaciones ecológicas entre los mismos y las consecuencias de la modificación de su hábitat producto de las actividades humanas.

  2. Noteworthy records of two species of mammals in the Sierra Madre de Oaxaca, Mexico Registros notables de dos especies de mamíferos de la Sierra Madre de Oaxaca, México

    Miguel Briones-Salas; María D. Luna-Krauletz; Ariadna Marín-Sánchez; Jorge Servín

    2006-01-01

    We conducted mammal surveys in the Sierra Madre de Oaxaca (Sierra Norte) in Oaxaca, Mexico, and recorded the occurrence of two conspicuous mammal species: the spider monkey (Ateles geoffroyi vellerosus) and the coyote (Canis latrans cagottis). Spider monkeys has not been previously recorded in the Sierra Madre de Oaxaca, and coyotes have not been previously observed in Mexico at elevations as high as the present one (3 200 mas1) in the Sierra Madre de Oaxaca.Se efectuaron colectas de mamífero...

  3. The metamorphic basement of the southern Sierra de Aconquija, Eastern Sierras Pampeanas: Provenance and tectonic setting of a Neoproterozoic back-arc basin

    Cisterna, Clara Eugenia; Altenberger, Uwe; Mon, Ricardo; Günter, Christina; Gutiérrez, Antonio

    2018-03-01

    The Eastern Sierras Pampeanas are mainly composed of Neoproterozoic-early Palaeozoic metamorphic complexes whose protoliths were sedimentary sequences deposited along the western margin of Gondwana. South of the Sierra de Aconquija, Eastern Sierras Pampeanas, a voluminous metamorphic complex crops out. It is mainly composed of schists, gneisses, marbles, calk-silicate schists, thin layers of amphibolites intercalated with the marbles and granitic veins. The new data correlate the Sierra de Aconquija with others metamorphic units that crop out to the south, at the middle portion of the Sierra de Ancasti. Bulk rock composition reflects originally shales, iron rich shales, wackes, minor litharenites and impure limestones as its protoliths. Moreover, comparisons with the northern Sierra de Aconquija and from La Majada (Sierra de Ancasti) show similar composition. Amphibolites have a basaltic precursor, like those from the La Majada (Sierra de Ancasti) ones. The analyzed metamorphic sequence reflects low to moderate weathering conditions in the sediments source environment and their chemical composition would be mainly controlled by the tectonic setting of the sedimentary basin rather than by the secondary sorting and reworking of older deposits. The sediments composition reveal relatively low maturity, nevertheless the Fe - shale and the litharenite show a tendency of minor maturity among them. The source is related to an acid one for the litharenite protolith and a more basic to intermediate for the other rocks, suggesting a main derivation from intermediate to felsic orogen. The source of the Fe-shales may be related to and admixture of the sediments with basic components. Overall the composition point to an upper continental crust as the dominant sediment source for most of the metasedimentary rocks. The protolith of the amphibolites have basic precursors, related to an evolving back-arc basin. The chemical data in combination with the specific sediment association

  4. Sierra Elvira limestone: petrophysical characteristics of an Andalusian heritage stone

    Valverde, I.

    2008-06-01

    Full Text Available “Sierra Elvira stone” is one of the ornamental building stones most widely used in the historical monuments of eastern Andalusia. A Liassic age limestone, it appears in the central section of the Baetic Mountains and more specifically in the Middle Subbaetic domain. While the most common variety is a crinoid limestone, a micritic limestone of the same age has also been quarried, albeit in much smaller quantities. These stones form very thick beds, up to nearly 5 m deep, that run in consistently parallel lines and have a dip angle that facilitates quarrying.With petrographic, physical and mechanical properties that ensure stone strength and durability, it is a high quality building material suitable for both structural and ornamental purposes. These properties can be attributed to the minimal open porosity and concomitant excellent water resistance that characterize the stone, as well as to its high mechanical strength and low textural anisotropy, both elastic and mechanical. With such attributes, the stone can be successfully used for any number of purposes, including decorative stonework (portals, fountains, plinths, structural members (column shafts and bases or urban curbing and paving. Intervention on Sierra de Elvira limestone structures should be limited to cleaning or repair, for consolidating or protective materials are scantly effective.La “Piedra de Sierra Elvira” constituye una de las piedras ornamentales más significativas del Patrimonio Arquitectónico de Andalucía Oriental. Es una roca caliza del Lias que aflora en el Subbético Medio del sector central de las Cordilleras Béticas. El litotipo más explotado es una caliza con crinoides, en bastante menor importancia se ha extraído también otra caliza micrítica de la misma edad. Los bancos son muy potentes, en algunos casos de más de 5 m, con un paralelismo constante y un buzamiento que favorece su explotación en los frentes de cantera.Sus caracter

  5. Relationships of daily mortality and hospital admissions to air pollution in Castilla-Leon, Spain

    De Pablo, F.; Lopez, A.; Rivas Soriano, L.; Tomas, C. [Facultad de Ciencias, Universidad de Salamanca (Spain)]. E-mail: fpd123@usal.es; Diego, L.; Gonzalez, M. [Instituto Regional de Salud Publica, SACYL Castilla-Leon (Spain); Barrueco, M. [Facultad de Medicina, Universidad de Salamanca (Spain)

    2006-01-15

    We examined the possible relationships between pollutant concentrations and mortality at seven different locations of Castilla-Leon, Spain, and the relationships between such concentration levels and emergency admissions (morbidity) at four hospitals in the region, taking into account the possible masking effect of other atmospheric variables. The study was based on daily mortality and morbidity data from 1995 to 1997 (ICD-9 codes: 390-459 cardiovascular; 460-519 respiratory; 520-579 digestive causes); moreover, data for meteorological variables (air temperature, relative humidity, solar radiation, atmospheric pressure and wind velocity) and air pollution data (SO{sub 2}, O{sub 3}, NO, NO{sub 2} and CO) were used. A minimum set of weather and pollutant predictors was selected using forward inclusion stepwise linear regression methods and these were used to produce a multivariate model of the different causes of mortality and morbidity. For the whole period, the mortality attributable to cardiovascular causes had an incidence higher than the mortality due to respiratory and digestive causes. The frequency distributions corresponding to the different diseases as classified by ages revealed that the population older than 69 is the most affected, the proportion of cardiovascular disease related deaths in this age sector being 7-fold higher than for the rest of the groups. Mortality and morbidity due to respiratory and cardiovascular-related diseases showed a high correlation coefficient with temperature, solar radiation and ozone, and in general significant correlations were also seen with SO{sub 2}. [Spanish] Se analizan las posibles relaciones existentes entre la mortalidad de la poblacion, el numero de admisiones hospitalarias (morbilidad) y los niveles de concentracion de contaminantes medidos en siete localidades y cuatro hospitales de Castilla-Leon, Espana, respectivamente, teniendo en cuenta el posible efecto de enmascaramiento que ejercen las variables

  6. Radiological data on building stones from a Spanish region. Castilla y Leon

    Pereira, A.; Neves, L. [Coimbra Univ. (Portugal). Dept. Ciencias da Terra; Pereira, D.; Peinado, M.; Armenteros, I. [Salamanca Univ. (Spain). Dept. de Geologia

    2013-07-01

    As construction and building material, natural stone has a great potential to promote the commercial activities of certain European regions. Such is the case of Castilla y Leon in Spain, where many different rocks, ranging from sedimentary to metamorphic and igneous, are commercialized for building purposes. However, to be able to compete in a market subject to an economic crisis, highly exacerbated in the construction sector, and to compete with the lower prices offered by emerging countries, the issue would be to make the Spanish offer more attractive. Here we propose a complete characterization of rocks regarding their radiological properties, which are related to their mineralogy and geochemistry. Rocks emit natural radioactivity, and the presence of Rn and its decay products in dwellings has become an important issue in North America and Europe owing to its relationship with the carcinogenic effects of this gas. Although most of the studied rocks comply with the I parameter proposed in the European Norm 112 for Radiological Protection (accepted value I ≤ 1; average for sedimentary rock: I = 0.22, SD 0.14; average for metamorphic rocks: I = 0.70, SD 0.48; average for igneous rock: I = 0.86, SD 0.22), the inclusion of a proper radiological characterization in the list of characteristics would guarantee quality and safety in their use in comparison with products lacking this information. Some natural stones have been demonized for the potential exhalation of natural radioactivity, and the different parameters used should be addressed in a more systematic way.

  7. Monitoring lichens diversity and climatic change in Sierra Nevada (Spain

    Fernández Calzado, M.ª R.

    2013-12-01

    Full Text Available Lichens are common organisms in high mountain zones, where they play an important role in ecosystem balance. In recent years, the increasing interest in understanding more about their interactions with abiotic factors has prompted several investigations, some of which have proved their value as bioindicators of climatic conditions. In this context, focusing on climatic change effects on high mountain vascular plants and supported by the Global Observation Research Initiative in Alpine Environments project (GLORIA, we have monitored for the first time the lichens biodiversity in Sierra Nevada with the intention of studying the alterations caused by the process of climatic change. The aim of this paper is to explain the monitoring experience developed on the massif and contribute to the first results from the biodiversity and statistical analysis of the sampling data.Los líquenes son organismos comunes en las zonas de alta montaña donde juegan un importante papel en el equilibrio de los ecosistemas. En los últimos años, el creciente interés por entender más acerca de sus interacciones con los factores abióticos ha motivado diversas investigaciones, algunas de las cuales han demostrado su valor como bioindicadores de las condiciones climáticas. En este contexto, centrándonos en los efectos del cambio climático en plantas vasculares de alta montaña y respaldados por el proyecto “Iniciativa para la investigación y el seguimiento global de los ambientes alpinos (GLORIA”, se ha monitorizado por primera vez la diversidad de líquenes en Sierra Nevada con la intención de estudiar las posibles alteraciones que esta pueda sufrir causadas por el proceso de cambio climático. El objetivo de este artículo es el de dar a conocer la experiencia de seguimiento en el macizo y aportar los primeros resultados procedentes del análisis, tanto de la biodiversidad como estadístico, de los datos de muestreo.

  8. [Molecular detection of hepatitis E virus in pig livers destined for human consumption in the state of Nuevo Leon, Mexico].

    Cantú-Martínez, Marco Antonio; Roig-Sagués, Artur Xavier; Cedillo-Rosales, Sibilina; Zamora-Ávila, Diana Elisa; Avalos-Ramírez, Ramiro

    2013-04-01

    Molecular detection of HEV in pig livers destined for human consumption in Nuevo Leon, Mexico. 87 livers were collected from pigs slaughtered in TIF and 40 livers from butchers. A 212 pb fragment of HEV ORF2 gene was amplified by semi-nested RT-PCR. 19.54% (17) of tif's and 22.5% (9) of butcher's livers were positive for HEV. Sequencing of the amplified products showed a 94%-95% homology with the sequences reported for genotype 3. Our results indicate that HEV is circulating in swine herds in the state, constituting a probable source of contamination of pig meat products.

  9. Effectiveness of spinosad and temephos for the control of mosquito larvae at a tire dump in Allende, Nuevo Leon, Mexico.

    Garza-Robledo, Argentina A; Martínez-Perales, Juan F; Rodríguez-Castro, Violeta A; Quiroz-Martínez, Humberto

    2011-12-01

    The effectiveness of spinosad and temephos for the control of mosquito larvae was evaluated in a tire dump in Allende, Nuevo Leon, Mexico. Three groups of 12 to 17 tires located in tree shade were utilized for this study. After the larvicides were applied, samples were collected weekly from 7 randomly chosen tires. The data showed a significant difference between the larvicides and control. Under the conditions of the present study, the effectiveness of spinosad against mosquito larvae was similar to that of temephos, both being effective for up to 91 days postapplication. In addition, spinosad allowed the establishment of the mosquito predator Toxorhynchites sp.

  10. A new generalized algebra method and its application in the (2 + 1) dimensional Boiti-Leon-Pempinelli equation

    Ren Yujie; Liu Shutian; Zhang Hongqing

    2007-01-01

    In the present paper, some types of general solutions of a first-order nonlinear ordinary differential equation with six degree are given and a new generalized algebra method is presented to find more exact solutions of nonlinear differential equations. As an application of the method and the solutions of this equation, we choose the (2 + 1) dimensional Boiti Leon Pempinelli equation to illustrate the validity and advantages of the method. As a consequence, more new types and general solutions are found which include rational solutions and irrational solutions and so on. The new method can also be applied to other nonlinear differential equations in mathematical physics

  11. Gestión del agua subterránea en el Barrio Cerro Los Leones de Tandil (Argentina)

    Rodriguez, Corina Iris; Jacinto, Guillermina; Ruiz de Galarreta, Alejandro; Banda Noriega, Roxana

    2010-01-01

    En este trabajo se describen y analizan los actores y modos de explotación y uso involucrados en la gestión del recurso hídrico subterráneo en un barrio periférico de Tandil -Cerro Los Leones- (Provincia de Buenos Aires, Argentina), que carece de servicios de agua potable y cloacas. Estudios previos demostraron contaminación química y bacteriológica del agua que pone en riesgo la salud de la población. Se caracterizan los modos de uso y explotación del agua, señalando importantes deficiencias...

  12. Una Nueva aproximación al De re aedificatoria de Leon Battista Alberti: los conocimientos constructivos y sus fuentes.

    Onecha Pérez, Ana Belen

    2012-01-01

    El De re aedificatoria, segundo tratado conocido de arquitectura en la historia y escrito entre 1443 y 1452 por Leon Battista Alberti, es uno de los textos arquitectónicos más estudiados. La época histórica a la que pertenece, el renacimiento; los lazos que lo ligan a épocas pasadas esplendorosas; la teoría expuesta sobre las proporciones, derivada de los estándares greco-romanos; y el interés por el personaje que lo escribió, han sido los grandes enfoques a través de las cuale...

  13. The saltiest springs in the Sierra Nevada, California

    Moore, James G.; Diggles, Michael F.; Evans, William C.; Klemic, Karin

    2017-07-20

    The five saltiest springs in the Sierra Nevada in California are found between 38.5° and 38.8° N. latitude, on the South Fork American River; on Caples Creek, a tributary of the Silver Fork American River; and on the North Fork Mokelumne River. The springs issue from Cretaceous granitic rocks in the bottoms of these major canyons, between 1,200- and 2,200-m elevation. All of these springs were well known to Native Americans, who excavated meter-sized basins in the granitic rock, within which they produced salt by evaporation near at least four of the five spring sites. The spring waters are dominated by Cl, Na, and Ca; are enriched relative to seawater in Ca, Li, and As; and are depleted in SO4, Mg, and K. Tritium analyses indicate that the spring waters have had little interaction with rainfall since about 1954. The waters are apparently an old groundwater of meteoric origin that resided at depth before moving up along fractures to the surface of the exhumed granitic rocks. However, along the way these waters incorporated salts from depth, the origin of which could have been either from marine sedimentary rocks intruded by the granitic magmas or from fluid inclusions in the granitic rocks. Prolonged storage at depth fostered water-rock interactions that undoubtedly modified the fluid compositions.

  14. SIERRA Multimechanics Module: Aria User Manual Version 4.42.

    Sierra Thermal/Fluid Team

    2016-10-01

    Aria is a Galerkin finite element based program for solving coupled-physics problems described by systems of PDEs and is capable of solving nonlinear, implicit, transient and direct-to-steady state problems in two and three dimensions on parallel architectures. The suite of physics currently supported by Aria includes thermal energy transport, species transport, and electrostatics as well as generalized scalar, vector and tensor transport equations. Additionally, Aria includes support for manufacturing process flows via the incompressible Navier-Stokes equations specialized to a low Reynolds number (Re %3C 1) regime. Enhanced modeling support of manufacturing processing is made possible through use of either arbitrary Lagrangian- Eulerian (ALE) and level set based free and moving boundary tracking in conjunction with quasi-static nonlinear elastic solid mechanics for mesh control. Coupled physics problems are solved in several ways including fully-coupled Newton's method with analytic or numerical sensitivities, fully-coupled Newton- Krylov methods and a loosely-coupled nonlinear iteration about subsets of the system that are solved using combinations of the aforementioned methods. Error estimation, uniform and dynamic h-adaptivity and dynamic load balancing are some of Aria's more advanced capabilities. Aria is based upon the Sierra Framework.

  15. Sierra Stars Observatory Network: An Accessible Global Network

    Williams, Richard; Beshore, Edward

    2011-03-01

    The Sierra Stars Observatory Network (SSON) is a unique partnership among professional observatories that provides its users with affordable high-quality calibrated image data. SSON comprises observatories in the Northern and Southern Hemisphere and is in the process of expanding to a truly global network capable of covering the entire sky 24 hours a day in the near future. The goal of SSON is to serve the needs of science-based projects and programs. Colleges, universities, institutions, and individuals use SSON for their education and research projects. The mission of SSON is to promote and expand the use of its facilities among the thousands of colleges and schools worldwide that do not have access to professional-quality automated observatory systems to use for astronomy education and research. With appropriate leadership and guidance educators can use SSON to help teach astronomy and do meaningful scientific projects. The relatively small cost of using SSON for this type of work makes it affordable and accessible for educators to start using immediately. Remote observatory services like SSON need to evolve to better support education and research initiatives of colleges, institutions and individual investigators. To meet these needs, SSON is developing a sophisticated interactive scheduling system to integrate among the nodes of the observatory network. This will enable more dynamic observations, including immediate priority interrupts, acquiring moving objects using ephemeris data, and more.

  16. Geological and geophysical investigations at Sierra del Medio massif - Argentine

    Perucca, J.C.; Llambias, E.; Puigdomenech, H.H.; Cebrelli, E.; Castro, C.E.; Grassi, I.; Salinas, L.I.

    1987-01-01

    Geological investigations were performed at Sierra del Medio (Chubut Province), a mountainous massif of about 25 km by 8 km of migmatic origin, which emerges from a depressed tectonic trench or graben called Pampa de Gastre. The most ancient rocks belong to biotitic and anphibolic schist that passed almost entirely to tonalitoid migmatites with a second process producing granitic rocks. Boreholes were drilled on the basis of conclusions from Landsat satellites imagery and aerial photographic sets, folowed by field work on geological, petrographic, geophysical and hydrogeological features at surface, structural interpretation supported by geostatistical computations. Two sets of boreholes were drilled to investigate subsurface rock behaviour al 300 m depth and 800 m depth respectively, beginning at peripheral places and ending at the central part or selected site. Basic purposes of boreholes were to define structural and petrographic features of the rock massif by a good comprehension of master joints and faulting distribution with its belts of alteration mylonitization or brecciation, mechanical properties of samples, chemical composition and varitions, petrographic facies and mineralogy. Boreholes provided data to investigate joints, faults and dikes as general discontinuities for hydraulic research like permeability or effective hydraulic conductivity, and their geostatistical modelling. Boreholes are also being prepared for geophysical logging from which logthermal ones have already been completed. (Author) [es

  17. SIERRA Multimechanics Module: Aria User Manual Version 4.46.

    Sierra Thermal/Fluid Team

    2017-09-01

    Aria is a Galerkin fnite element based program for solving coupled-physics problems described by systems of PDEs and is capable of solving nonlinear, implicit, transient and direct-to-steady state problems in two and three dimensions on parallel architectures. The suite of physics currently supported by Aria includes thermal energy transport, species transport, and electrostatics as well as generalized scalar, vector and tensor transport equations. Additionally, Aria includes support for manufacturing process fows via the incompressible Navier-Stokes equations specialized to a low Reynolds number ( %3C 1 ) regime. Enhanced modeling support of manufacturing processing is made possible through use of either arbitrary Lagrangian- Eulerian (ALE) and level set based free and moving boundary tracking in conjunction with quasi-static nonlinear elastic solid mechanics for mesh control. Coupled physics problems are solved in several ways including fully-coupled Newton's method with analytic or numerical sensitivities, fully-coupled Newton- Krylov methods and a loosely-coupled nonlinear iteration about subsets of the system that are solved using combinations of the aforementioned methods. Error estimation, uniform and dynamic h -adaptivity and dynamic load balancing are some of Aria's more advanced capabilities. Aria is based upon the Sierra Framework.

  18. SIERRA Multimechanics Module: Aria User Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    Aria is a Galerkin fnite element based program for solving coupled-physics problems described by systems of PDEs and is capable of solving nonlinear, implicit, transient and direct-to-steady state problems in two and three dimensions on parallel architectures. The suite of physics currently supported by Aria includes thermal energy transport, species transport, and electrostatics as well as generalized scalar, vector and tensor transport equations. Additionally, Aria includes support for manufacturing process fows via the incompressible Navier-Stokes equations specialized to a low Reynolds number ( %3C 1 ) regime. Enhanced modeling support of manufacturing processing is made possible through use of either arbitrary Lagrangian- Eulerian (ALE) and level set based free and moving boundary tracking in conjunction with quasi-static nonlinear elastic solid mechanics for mesh control. Coupled physics problems are solved in several ways including fully-coupled Newton's method with analytic or numerical sensitivities, fully-coupled Newton- Krylov methods and a loosely-coupled nonlinear iteration about subsets of the system that are solved using combinations of the aforementioned methods. Error estimation, uniform and dynamic h -adaptivity and dynamic load balancing are some of Aria's more advanced capabilities. Aria is based upon the Sierra Framework.

  19. específico en la sierra norte de Sevilla

    Rafael Garzón García

    2008-01-01

    Full Text Available La primera parte del artículo ofrece una visión panorámica de la política de fomento del uso público en la Red de Espacios Naturales Protegidos de Andalucía desde su origen hasta nuestros días, con especial incidencia en cuestiones tales como el papel preponderante asumido por la figura de Parque Natural, el desequilibrio territorial de las intervenciones planteadas, o la necesaria ordenación y planificación de la actividad. Ello conforma el contexto idóneo para abordar, en segunda instancia, un análisis particularizado de la gestión del uso público en el Parque Natural Sierra Norte de Sevilla. La elección de este ámbito territorial se fundamenta tanto en sus especiales condicionantes para el fomento de esta línea de acción (privilegiada situación, existencia de una demanda tradicional asociada a determinados enclaves, propiedad de la tierra… como en la singular gestión desarrollada desde la declaración del parque, destacando las nuevas perspectivas e incertidumbres que parecen despertarse a partir del impulso y aprobación de una planificación específica

  20. Photo series for quantifying forest fuels in Mexico: montane subtropical forests of the Sierra Madre del Sur and temperate forests and montane shrubland of the northern Sierra Madre Oriental

    Jorge E. Morfin-Rios; Ernesto Alvarado-Celestino; Enrique J. Jardel-Pelaez; Robert E. Vihnanek; David K. Wright; Jose M. Michel-Fuentes; Clinton S. Wright; Roger D. Ottmar; David V. Sandberg; Andres Najera-Diaz

    2008-01-01

    Single wide-angle and stereo photographs display a range of forest ecosystems conditions and fuel loadings in montane subtropical forests of the Sierra Madre del Sur and temperate forests and montane shrubland of the northern Sierra Madre Oriental of Mexico. Each group of photographs includes inventory information summarizing overstory vegetation composition and...

  1. Southern Sierra Nevada Continental Dynamics Project: 1993 field observations of the NPE

    Keller, G.R. [Univ. of Texas, El Paso, TX (United States); Malin, P.E. [Duke Univ., Durham, NC (United States); Ruppert, S.D. [LLNL, Livermore, CA (United States)

    1994-12-31

    The Southern Sierra Nevada Continental Dynamics Project is a multidisciplinary, multi-institutional investigation of the cause of the uplift of the Sierra Nevada and its relationship to extension in the adjacent Basin and Range. A broad range of geologic and geophysical data have been collected as part of this project. These data include both passive and active seismic measurements, as well as gravity and magnetotelluric observations. Three seismic refraction/wide-angle reflection profiles were recorded: (1) a 325-km-long, north-south profile extending from just east of Mono Lake south across the Garlock fault, (2) a 400-km-long, east-west profile extending from Death Valley west across the Sierra Nevada to near the San Andreas fault, and (3) a 480-km-long, east-west profile deployed for the NPE. This profile extended from Beatty, Nevada, west across the Sierra Nevada along the previously recorded east-west profile and continued nearly to the Pacific Ocean. Up to 675 seismic recorders were deployed for each profile. These data are allowing us to develop refined models of the crustal and upper mantle structure of the southern Sierra Nevada and to evaluate alternative hypotheses for its uplift and for Basin and Range extension. They also provide insight into the propagation of regional phases across complex structures.

  2. The geodynamic evolution of the eastern Sierras Pampeanas based on geochemical, Sm-Nd, Pb-Pb and SHRIMP data

    Drobe, M; Lopez de Luchi, M; Steenken, A

    2011-01-01

    , have been carried out to unravel the provenance and the geodynamic history of the Eastern Sierras Pampeanas, Central Argentina. The geochemical and the Sm–Nd data point to a slightly stronger mafic and less-fractionated material in the provenance area of the Sierras de Co´rdoba when compared...

  3. 77 FR 23476 - Energia Sierra Juarez U.S., LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    2012-04-19

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-1470-000] Energia Sierra Juarez U.S., LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for... Energia Sierra Juarez U.S., LLC's application for market-based rate authority, with an accompanying rate...

  4. 75 FR 26786 - Notice of Public Meeting: Sierra Front-Northwestern Great Basin Resource Advisory Council, NV

    2010-05-12

    ... 261A; 10-08807; MO 4500012081; TAS: 14X1109] Notice of Public Meeting: Sierra Front-Northwestern Great..., Bureau of Land Management (BLM) Sierra Front-Northwestern Great Basin Resource Advisory Council (RAC... discussion will include, but are not limited to: District Manager's reports on current program of work, Draft...

  5. Airborne Pesticides as an Unlikely Cause for Population Declines of Alpine Frogs in the Sierra Nevada, California

    Airborne pesticides from the Central Valley of California have been implicated as a cause for population declines of several amphibian species, with the strongest evidence for the mountain yellow-legged frog complex (Rana muscosa and R. sierrae) in the Sierra Nevada. We measured...

  6. HIV/AIDS practice patterns, knowledge, and educational needs among Hispanic clinicians in Texas, USA, and Nuevo Leon, Mexico.

    Martinez, J L; Licea Serrato, J de D; Jimenez, R; Grimes, R M

    1998-07-01

    Hispanic clinicians in Texas, United States of America, and in the neighboring state of Nuevo Leon, Mexico, were surveyed to determine their educational needs in the area of HIV/AIDS. Two-thirds of the 74 Texan and 22% of the 104 Mexican physicians queried had seen at least one HIV/AIDS patient in the previous year. The majority of the respondents were primary care physicians who: 1) were in private practice; 2) saw more than 1,000 patients per year; 3) had been out of training for more than 10 years; 4) provided some HIV prevention education to patients based on their perceived risk of infection; 5) rated their own knowledge of HIV/AIDS as average but rated their knowledge of treatments for the disease below average; 6) received most of their information about HIV/AIDS from journals rather than formal continuing education programs; 7) thought Hispanic patients had special needs with regard to HIV/AIDS care; and 8) were willing to attend education programs to improve their HIV/AIDS management skills. The greatest barriers to caring for HIV patients were lack of clinical knowledge and fear of infection. These results point to a need for a large-scale training program to improve the HIV/AIDS management skills of Hispanic clinicians in Texas and Nuevo Leon.

  7. HIV/AIDS practice patterns, knowledge, and educational needs among Hispanic clinicians in Texas, USA, and Nuevo Leon, Mexico

    Martinez J. Louis

    1998-01-01

    Full Text Available Hispanic clinicians in Texas, United States of America, and in the neighboring state of Nuevo Leon, Mexico, were surveyed to determine their educational needs in the area of HIV/AIDS. Two-thirds of the 74 Texan and 22% of the 104 Mexican physicians queried had seen at least one HIV/AIDS patient in the previous year. The majority of the respondents were primary care physicians who: 1 were in private practice; 2 saw more than 1 000 patients per year; 3 had been out of training for more than 10 years; 4 provided some HIV prevention education to patients based on their perceived risk of infection; 5 rated their own knowledge of HIV/AIDS as average but rated their knowledge of treatments for the disease below average; 6 received most of their information about HIV/AIDS from journals rather than formal continuing education programs; 7 thought Hispanic patients had special needs with regard to HIV/AIDS care; and 8 were willing to attend education programs to improve their HIV/AIDS management skills. The greatest barriers to caring for HIV patients were lack of clinical knowledge and fear of infection. These results point to a need for a large-scale training program to improve the HIV/AIDS management skills of Hispanic clinicians in Texas and Nuevo Leon.

  8. Dataset of Passerine bird communities in a Mediterranean high mountain (Sierra Nevada, Spain)

    Pérez-Luque, Antonio Jesús; Barea-Azcón, José Miguel; Álvarez-Ruiz, Lola; Bonet-García, Francisco Javier; Zamora, Regino

    2016-01-01

    Abstract In this data paper, a dataset of passerine bird communities is described in Sierra Nevada, a Mediterranean high mountain located in southern Spain. The dataset includes occurrence data from bird surveys conducted in four representative ecosystem types of Sierra Nevada from 2008 to 2015. For each visit, bird species numbers as well as distance to the transect line were recorded. A total of 27847 occurrence records were compiled with accompanying measurements on distance to the transect and animal counts. All records are of species in the order Passeriformes. Records of 16 different families and 44 genera were collected. Some of the taxa in the dataset are included in the European Red List. This dataset belongs to the Sierra Nevada Global-Change Observatory (OBSNEV), a long-term research project designed to compile socio-ecological information on the major ecosystem types in order to identify the impacts of global change in this area. PMID:26865820

  9. Dataset of Passerine bird communities in a Mediterranean high mountain (Sierra Nevada, Spain).

    Pérez-Luque, Antonio Jesús; Barea-Azcón, José Miguel; Álvarez-Ruiz, Lola; Bonet-García, Francisco Javier; Zamora, Regino

    2016-01-01

    In this data paper, a dataset of passerine bird communities is described in Sierra Nevada, a Mediterranean high mountain located in southern Spain. The dataset includes occurrence data from bird surveys conducted in four representative ecosystem types of Sierra Nevada from 2008 to 2015. For each visit, bird species numbers as well as distance to the transect line were recorded. A total of 27847 occurrence records were compiled with accompanying measurements on distance to the transect and animal counts. All records are of species in the order Passeriformes. Records of 16 different families and 44 genera were collected. Some of the taxa in the dataset are included in the European Red List. This dataset belongs to the Sierra Nevada Global-Change Observatory (OBSNEV), a long-term research project designed to compile socio-ecological information on the major ecosystem types in order to identify the impacts of global change in this area.

  10. Tectonic, volcanic, and climatic geomorphology study of the Sierras Pampeanas Andes, northwestern Argentina

    Bloom, A. L.; Strecker, M. R.; Fielding, E. J.

    1984-01-01

    A proposed analysis of Shuttle Imaging Radar-B (SIR-B) data extends current research in the Sierras Pampeanas and the Puna of northwestern Argentina to the determination - by the digital analysis of mountain-front sinuousity - of the relative age and amount of fault movement along mountain fronts of the late-Cenozoic Sierras Pampeanas basement blocks; the determination of the age and history of the boundary across the Andes at about 27 S latitude between continuing volcanism to the north and inactive volcanism to the south; and the determination of the age and extent of Pleistocene glaciation in the High Sierras, as well as the comparative importance of climatic change and tectonic movements in shaping the landscape. The integration of these studies into other ongoing geology projects contributes to the understanding of landform development in this active tectonic environment and helps distinguish between climatic and tectonic effects on landforms.

  11. Magmatism and mineralization ages from northeast area of La Sierra de San Luis, Argentina

    Ulacco, Jose H

    2001-01-01

    Three igneous rock groups, characterized as pre, sin and post-kinematics, have intruded the crystalline basement of Sierra de San Luis, Argentina. The ore deposits are associated with Devonian to Carboniferous epizonal granite stocks and batholiths in an area underlain by metamorphic rocks. This granitoids are characterized as post-kinematics magmatism. Model lead ages on the ore deposits (338,8 - 292,1 Ma) are strongly supported by K-Ar ages of the intrusives. The bulk of the north Sierra de San Luis ore deposits are genetically related to late Carboniferous granite plutons. The ore bodies are tungsten veins with greisen envelopes, lead veins, epithermal fluorite veins and REE and Th deposit. A generalized scheme of ore bodies related to granites is proposed. The ore deposits and their lithotectonic setting are characteristic of Gondwana metallogenetic Epoch in the Sierra de San Luis (au)

  12. Copper localization, elemental content, and thallus colour in the copper hyperaccumulator lichen Lecanora sierra from California

    Purvis, O.W.; Bennett, J.P.; Spratt, J.

    2011-01-01

    An unusual dark blue-green lichen, Lecanora sierrae, was discovered over 30 years ago by Czehura near copper mines in the Lights Creek District, Plumas County, Northern California. Using atomic absorption spectroscopy, Czehura found that dark green lichen samples from Warren Canyon contained 4% Cu in ash and suggested that its colour was due to copper accumulation in the cortex. The present study addressed the hypothesis that the green colour in similar material we sampled from Warren Canyon in 2008, is caused by copper localization in the thallus. Optical microscopy and electron microprobe analysis of specimens of L. sierrae confirmed that copper localization took place in the cortex. Elemental analyses of L. sierrae and three other species from the same localities showed high enrichments of copper and selenium, suggesting that copper selenates or selenites might occur in these lichens and be responsible for the unusual colour.

  13. Copper localization, elemental content, and thallus colour in the copper hyperaccumulator lichen Lecanora sierrae from California

    Purvis, O.W.; Bennett, J.P.; Spratt, J.

    2011-01-01

    An unusual dark blue-green lichen, Lecanora sierrae, was discovered over 30 years ago by Czehura near copper mines in the Lights Creek District, Plumas County, Northern California. Using atomic absorption spectroscopy, Czehura found that dark green lichen samples from Warren Canyon contained 4% Cu in ash and suggested that its colour was due to copper accumulation in the cortex. The present study addressed the hypothesis that the green colour in similar material we sampled from Warren Canyon in 2008, is caused by copper localization in the thallus. Optical microscopy and electron microprobe analysis of specimens of L. sierrae confirmed that copper localization took place in the cortex. Elemental analyses of L. sierrae and three other species from the same localities showed high enrichments of copper and selenium, suggesting that copper selenates or selenites might occur in these lichens and be responsible for the unusual colour. Copyright ?? 2011 British Lichen Society.

  14. Bookshelf (Scientific Highlights in Memory of Leon Van Hove, Edited by F. Nicodemi)

    Alvarez-Gaume, Luis

    1994-01-01

    This book collects the contributions for a meeting in October 1991 in Naples under the auspices of the Istituto Italiano per gli Studi Filosofici to commemorate the life and scientific achievements of Leon Van Hove, distinguished theorist and CERN Research Director General from 1976-80, who died in 1990. The articles span Van Hove's scientific contributions and his involvement in European scientific policy and education. His early scientific work, with contributions to mathematics, statistical mechanics and neutron physics, is covered by A. Messiah and L. Michel, with an appraisal by A. Martin. Among Van Hove's best known research papers is his analysis of neutron scattering data to explore the structure of dense systems and magnetic materials in terms of pair correlation functions. This and its later applications are reviewed by A. Messiah, who also collects some interesting memorabilia from the years they spent together at Princeton, where Van Hove also had a fruitful collaboration with G. Placzek. L. Michel undertakes the task of explaining in its full generality the predictions of Van Hove singularities in the phonon dispersion relation for periodic systems. The functional relation between the frequency and wave vector characterizing elastic waves in crystals plays a central role in the explanation of their thermodynamic, acoustic and optical properties. The existence of these singularities was a consequence of applying a beautiful mathematical theory of M. Morse to physics. Van Hove derived his results by showing that they were inevitable consequences of the global topology of the first Brillouin zone of the periodic lattice. This pioneer work used powerful global analysis techniques to unravel concrete physical properties. For this impressive body of achievement, together with his study of low dimensional phase transitions and non-equilibrium statistical mechanics, he was awarded the prestigious Danny Heinemann Prize of the American Physical Society

  15. Vulnerability of birds to climate change in California's Sierra Nevada

    Rodney B. Siegel

    2014-06-01

    Full Text Available In a rapidly changing climate, effective bird conservation requires not only reliable information about the current vulnerability of species of conservation concern, but also credible projections of their future vulnerability. Such projections may enable managers to preempt or reduce emerging climate-related threats through appropriate habitat management. We used NatureServe's Climate Change Vulnerability Index (CCVI to predict vulnerability to climate change of 168 bird species that breed in the Sierra Nevada mountains of California, USA. The CCVI assesses species-specific exposure and sensitivity to climate change within a defined geographic area, through the integration of (a species' range maps, (b information about species' natural history traits and ecological relationships, (c historic and current climate data, and (d spatially explicit climate change projections. We conducted the assessment under two different downscaled climate models with divergent projections about future precipitation through the middle of the 21st century. Assessments differed relatively little under the two climate models. Of five CCVI vulnerability ranking categories, only one species, White-tailed Ptarmigan (Lagopus leucura, received the most vulnerable rank, Extremely Vulnerable. No species received the second-highest vulnerability ranking, Highly Vulnerable. Sixteen species scored as Moderately Vulnerable using one or both climate models: Common Merganser (Mergus merganser, Osprey (Pandion haliaetus, Bald Eagle (Haliaeetus leucocephalus, Northern Goshawk (Accipiter gentilis, Peregrine Falcon (Falco peregrinus, Prairie Falcon (Falco mexicanus, Spotted Sandpiper (Actitis macularius, Great Gray Owl (Strix nebulosa, Black Swift (Cypseloides niger, Clark's Nutcracker (Nucifraga columbiana, American Dipper (Cinclus mexicanus, Swainson's Thrush (Catharus ustulatus, American Pipit (Anthus rubescens, Gray-crowned Rosy-Finch (Leucosticte tephrocotis, Pine Grosbeak

  16. Semiarid ethnoagroforestry management: Tajos in the Sierra Gorda, Guanajuato, Mexico.

    Hoogesteger van Dijk, Vincent M; Casas, Alejandro; Moreno-Calles, Ana Isabel

    2017-06-12

    The semi-arid environments harbor nearly 40% of biodiversity, and half of indigenous cultures of Mexico. Thousands of communities settled in these areas depend on agriculture and using wild biodiversity for their subsistence. Water, soil, and biodiversity management strategies are therefore crucial for people's life. The tajos, from Sierra Gorda, are important, poorly studied, biocultural systems established in narrow, arid alluvial valleys. The systems are constructed with stone-walls for capturing sediments, gradually creating fertile soils in terraces suitable for agriculture in places where it would not be possible. We analyzed biocultural, ecological, economic and technological relevance of the artificial oasis-like tajos, hypothesizing their high capacity for maintaining agricultural and wild biodiversity while providing resources to people. We conducted our research in three sections of the Mezquital-Xichú River, in three communities of Guanajuato, Mexico. Agroforestry management practices were documented through semi-structured and in-depth qualitative interviews. Vegetation composition of local forests and that maintained in tajos was sampled and compared. Tajos harbor high agrobiodiversity, including native varieties of maize and beans, seven secondary crops, 47 native and 25 introduced perennial plant species. Perennial plants cover on average 26.8% of the total surface of plots. Tajos provide nearly 70% of the products required by households' subsistence and are part of their cultural identity. Tajos are heritage of TEK and land management forms of pre-Columbian Mexican and Mediterranean agricultural techniques, adapting and integrating modern agricultural practices. Tajos are valuable biocultural systems adapted to local semiarid conditions and sources of technology for similar areas of the World.

  17. Origen y decadencia del gamonalismo en la sierra ecuatoriana

    Ibarra Crespo, Hernán

    2002-12-01

    Full Text Available This article analyzes the historical path of gamonalismo in Ecuadorian highlands. Although it could be alike to Mexican caciquismo and Brazilian coronelismo, gamonalismo had its specific forms. In Ecuador it is possible to reconstruct its meaning in political terms, as a form of traditional domination. The use of this particular term is analyzed in different historical moments between the 18th and 20th century; focusing on the origin and decline of this local power. The aim is to build an interpretative frame in order to understand agrarian sources of Ecuadorian state development and ethnic domination.

    Este artículo analiza la trayectoria histórica del gamonalismo en la sierra ecuatoriana. Aunque homologado con el caciquismo mexicano y el coronelismo brasileño, tiene rasgos específicos. En el Ecuador es posible reconstruir el significado del gamonalismo en el lenguaje político y como modalidad de dominación tradicional. Por una parte, se realiza un rastreo y análisis del uso del término en distintos momentos históricos entre los siglos XVIII y XX. Por otra parte, se efectúa un abordaje del origen y declinación de esta forma de poder. Se aspira a construir un marco interpretativo que aporte a la comprensión de los fundamentos agrarios de la constitución del Estado ecuatoriano y las formas de dominación étnica.

  18. Differential cooling and uplift of the eastern Sierras Pampeanas (Central Argentina)

    Steenken, A; Martino, R.; Wemmer, K.; Siegesmund, S.; Drobe, M.; Lopez de Luchi, M.

    2007-01-01

    The Eastern Sierras Pampean as are constituted by the Neo proterozoic to early Cambrian basement of the Sierras de Cordoba, San Luis and eastern La Rioja (29grades 00seconds - 33grades 30seconds, 64grades 00seconds - 6 00W) outcropping in the east of the Chaco-Parana basin. High-grade metamorphic gneisses and schists dominate the basement. The intrusion of magmatic rocks took place during the Pampean, Famatinian and Achalian cycles. The basement is divided in different lithological and structural domains by N-S trending ductile shear-zones. The east-dipping compressive Los Tuneles and Guacha Corral shear-zones at the western limit of the Sierras de Cordoba are the most important with respect to the exhumation history of the Sierras. An extensive survey on the cooling history by K/Ar biotite and muscovite dating of the basement rocks of the Sierras de Cordoba and San Luis was carried out and interpreted in terms of a differential exhumation history of the different blocks. Beginning of cooling in the Sierra de San Luis is documented by large muscovite booklets from pegmatites yielding ages between 438 Ma and 448 Ma. Slow cooling rates (3grades/Ma) led to a systematic reset of the K/Ar ages in the fine-grained muscovites forming two groups between 430 Ma and 410 Ma and 410 Ma and 380 Ma resulting from the Achalian deformation in the upper Silurian-Upper Devonian. In contrast to the Upper Ordovician/-Llandoverian cooling onset in the Sierra de San Luis, large pegmatitic muscovites from the Sierras de Cordoba record late Cambrian to Early Ordovician ages between 493 Ma and 474 Ma. The limit between those age domains is marked by the Los Tuneles and Guacha Corral shear-zones accommodating the vertical displacement responsible for the different ages. Cooling ages from the shear-zone rocks at 430 Ma define the upper limit for the contraction that is related to the collision with the Cuyania Terrane to the western outboard of Gondwana

  19. Gravity data from the Sierra Vista Subwatershed, Upper San Pedro Basin, Arizona

    Kennedy, Jeffrey R.

    2015-01-01

    Observations of very small changes of Earth’s gravitational field (time-lapse gravity) provide a direct, non-invasive method for measuring changes in aquifer storage change. An existing network of gravity stations in the Sierra Vista Subwatershed was revised in 2014 to better understand the spatial distribution of changes in aquifer storage, especially with relation to ephemeral channel recharge and a groundwater cone of depression associated with pumping in the greater Sierra Vista area. In addition, the network was extended to provide baseline data for possible future enhanced-recharge projects.

  20. SIERRA Code Coupling Module: Arpeggio User Manual Version 4.44

    Sierra Thermal/Fluid Team

    2017-04-01

    The SNL Sierra Mechanics code suite is designed to enable simulation of complex multiphysics scenarios. The code suite is composed of several specialized applications which can operate either in standalone mode or coupled with each other. Arpeggio is a supported utility that enables loose coupling of the various Sierra Mechanics applications by providing access to Framework services that facilitate the coupling. More importantly Arpeggio orchestrates the execution of applications that participate in the coupling. This document describes the various components of Arpeggio and their operability. The intent of the document is to provide a fast path for analysts interested in coupled applications via simple examples of its usage.