Heisler, Jean; Huber, Thomas; Huntington, Mark K
The healthcare workforce is a priority in South Dakota. It has been estimated that 8,000 additional healthcare workers beyond those in practice in 2010 will be needed by 2020. In 2016, the South Dakota Department of Health included in its budget funds for the development of a new Rural Family Medicine Residency Training Program as one of the steps toward addressing the physician component of these workforce needs. This new program has just received its accreditation and is recruiting the inaugural class of resident physicians for the spring of 2018. This article provides a concise overview of the program's initial development. Copyright© South Dakota State Medical Association.
Ronald J. Piva; W. Keith Moser; Douglas D. Haugan; Gregory J. Josten; Gary J. Brand; Brett J. Butler; Susan J. Crocker; Mark H. Hansen; Dacia M. Meneguzzo; Charles H. Perry; Christopher W. Woodall
The first completed annual inventory of South Dakota's forests reports almost 1.7 million acres of forest land. Softwood forests make up 74 percent of the total forest land area; the ponderosa pine forest type by itself accounts for 69 percent of the total.
The sources of geothermal fluids in South Dakota are described and some of the problems that exist in utilization and materials selection are described. Methods of heat extraction and the environmental concerns that accompany geothermal fluid development are briefly described. Governmental rules, regulations and legislation are explained. The time and steps necessary to bring about the development of the geothermal resource are explained in detail. Some of the federal incentives that encourage the use of geothermal energy are summarized. (MHR)
Brian F. Walters
This resource update provides an overview of forest resources in South Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station (NRS) in cooperation with the South Dakota Department of Agriculture, Resource Conservation and Forestry Division. Estimates are based on field data...
Brian F. Walters
This resource update provides an overview of forest resources in South Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station (NRS) in cooperation with the South Dakota Department of Agriculture, Resource Conservation and Forestry Division. Estimates are based on field data...
Brian F. Walters
This resource update provides an overview of forest resources in South Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station in cooperation with the South Dakota Department of Agriculture, Resource Conservation and Forestry Division. Estimates are based on field data collected...
Campbell, R.; Bennett, T.
The most important impact on global land cover is human use and development. With the recent population growth occurring on the reservations in South Dakota, specifically Pine Ridge Indian Reservation, the towns and communities of the reservation are undergoing change. Although urban sprawl certainly is not a consideration on the reservations, the population explosion currently underway has seen a subsequent increase in rural sprawl. In this case, rural sprawl is defined as exponential population growth and geographic expansion of remote reservation communities. The capacity of satellite imagery to encompass large land tracts make the use of this technology a cost effective way to visualize and investigate population growth in rural communities. Likewise, integrating remotely sensed data into a Geographic Information Systems (GIS) can be a powerful tool to identify environmental and other land use issues that impact the people and communities in and around the Pine Ridge area. The objective of this research is to (1) observe and calculate land cover change around three communities on the Pine Ridge Indian reservation using remotely sensed data (Landsat MSS, TM and ETM+) and Geographic Information Systems over a 20 year span, and (2) to discuss the potential impacts of rural sprawl on the Pine Ridge Reservation, SD. Preliminary results indicate that land cover has changed in relationship to increased population growth within three communities on the reservation. New housing developments, roads and buildings have appeared and these changes were detectable using Landsat imagery. These results will be discussed along with the experiences and education through the NASA Goddard Internship sponsored by the North Dakota Association of Tribal Colleges.
This page contains information about air and water in South Dakota, including state implementation programs (SIPs), air permitting, underground injection control (UIC) and National Pollution Discharge Elimination System (NPDES).
Henderson, Kjetil R.; Gigliotti, Larry M.
Many industries use satisfaction measures to evaluate performance. The South Dakota Department of Game, Fish and Parks identified satisfaction as one of their performance measures for evaluating fishing in South Dakota. In fisheries management, the perspectives’ of license buyers are valuable to determine if management activities are providing the benefits anticipated by biologists. Surveys of South Dakota anglers are conducted to better understand licensees in order to promote satisfying angling experiences. Internet surveys were distributed to all license buyers providing email addresses in 2011 and 2012. Angler satisfaction was analyzed by angler type (demographics and fishing characteristics) to further clarify performance measures. Most anglers (> 70%) were satisfied with their angling experiences. Nonresidents expressed higher levels of satisfaction with fishing in South Dakota in 2011 and 2012 than residents. Anglers’ rating of fishing quality was more strongly correlated with satisfaction than their reported number of fish harvested, which suggests that strategies to influence angler perceptions and expectations can also be employed to influence satisfaction (in addition to techniques influencing fish populations). This research further integrates sociological data into South Dakota fisheries management processes.
Brian F. Walters
This publication provides an overview of forest resource attributes for South Dakota based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program of the U.S. Forest Service, Northern Research Station. These estimates, along with Web-posted core tables, will be updated annually. For more information regarding past inventory reports for South...
Brian F. Walters
This publication provides an overview of forest resource attributes for South Dakota based on an annual inventory conducted by the Forest Inventory and Analysis program of the U.S. Forest Service, Northern Research Station. These estimates, along with web-posted core tables, will be updated annually. For more information regarding past inventory reports for South...
Ronald J. Piva
This publication provides an overview of forest resource attributes for South Dakota based on an annual inventory conducted by the Forest Inventory and Analysis program of the U.S. Forest Service, Northern Research Station. These estimates, along with web-posted core tables, will be updated annually. For more information regarding past inventory reports for South...
Brian F. Walters; Ronald J. Piva
This publication provides an overview of forest resource attributes for South Dakota based on an annual inventory conducted by the Forest Inventory and Analysis program of the U.S. Forest Service, Northern Research Station. These estimates, along with web-posted core tables, will be updated annually. For more information regarding past inventory reports for South...
Ronald J. Piva; Andrew J. Lister; Douglas Haugan
Ronald J. Piva
... 40 Protection of Environment 17 2010-07-01 2010-07-01 false South Dakota. 81.427 Section 81.427 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF... Visibility Is an Important Value § 81.427 South Dakota. Area name Acreage Public Law establishing Federal...
Gill, Matt; Outka, Janeen; McCorkle, Mary
Student growth is one of two essential components of South Dakota's Teacher and Principal Effectiveness Systems. In the state systems, student growth is defined as a positive change in student achievement between two or more points in time. "The South Dakota SLO Handbook" provides support and guidance to public schools and school…
This report defines an ITS/CVO program for the State of South Dakota. It is a Business Plan to guide the deployment of Intelligent Transportation Systems (ITS) technology for improving commercial vehicle operations (CVO) in South Dakota. This ITS/CVO...
Davis, Melinda M; Spurlock, Margaret; Dulacki, Kristen; Meath, Thomas; Li, Hsin-Fang Grace; McCarty, Dennis; Warne, Donald; Wright, Bill; McConnell, K John
Research on urban/rural disparities in alcohol, drug use, and mental health (ADM) conditions is inconsistent. This study describes ADM condition prevalence and access to care across diverse geographies in a predominantly rural state. Multimodal cross-sectional survey in South Dakota from November 2013 to October 2014, with oversampling in rural areas and American Indian reservations. Measures assessed demographic characteristics, ADM condition prevalence using clinical screenings and participant self-report, perceived need for treatment, health service usage, and barriers to obtaining care. We tested for differences among urban, rural, isolated, and reservation geographic areas, controlling for participant age and gender. We analyzed 7,675 surveys (48% response rate). Generally, ADM condition prevalence rates were not significantly different across geographies. However, respondents in isolated and reservation areas were significantly less likely to have access to primary care. Knowledge of treatment options was significantly lower in isolated regions and individuals in reservation areas had significantly lower odds of reporting receipt of all needed care. Across the sample there was substantial discordance between ADM clinical screenings and participant self-reported need; 98.1% of respondents who screened positive for alcohol or drug misuse and 63.8% of respondents who screened positive for a mental health condition did not perceive a need for care. In a predominantly rural state, geographic disparities in ADM conditions are related to differences in access as opposed to prevalence, particularly for individuals in isolated and reservation areas. Educational interventions about ADM condition characteristics may be as important as improving access to care. © 2015 National Rural Health Association.
Full Text Available Insufficient intake of fruits and vegetables has been recognized as a possible reason for dietary deficiencies that contribute to rising chronic health issues and medical costs. Based on data generated by the 2011 Behavioral Risk Factor Surveillance System (BRFSS, South Dakota was listed as one of five states with the lowest daily adult vegetable intake (1.5 times per day. To continue the effort to promote a healthy diet, three independent surveys were developed and distributed to consumers, grocers, and growers (producers to investigate factors that affected low consumption of fruits and vegetables and to identify opportunities to increase future consumption. To highlight the influences of geographic and socioeconomic disadvantages on fruit and vegetable consumption, the surveys specifically included the consideration of consumers’ income; access and preparation of available fruits and vegetables; preparation skills and available time; perceptions of fresh, canned, and frozen products; and knowledge and role fruits and vegetables play in prevention of chronic disease in the sample selection and data analysis. Survey respondents were divided into two regions: non-food desert (Region 1 and food desert (Region 2. This paper provides a summary of the survey results and policy suggestions generated based on our findings.
.... FEMA-1938-DR; Docket ID FEMA-2010-0002] South Dakota; Major Disaster and Related Determinations AGENCY... Presidential declaration of a major disaster for the State of South Dakota (FEMA-1938-DR), dated September 23... South Dakota resulting from severe storms and flooding during the period of July 21-30, 2010, is of...
.... FEMA-1914-DR; Docket ID FEMA-2010-0002] South Dakota; Major Disaster and Related Determinations AGENCY... declaration of a major disaster for the State of South Dakota (FEMA-1914-DR), dated May 13, 2010, and related... in certain areas of the State of South Dakota resulting from a severe winter storm on April 2, 2010...
.... FEMA-1915-DR;Docket ID FEMA-2010-0002] South Dakota; Major Disaster and Related Determinations AGENCY... declaration of a major disaster for the State of South Dakota (FEMA-1915-DR), dated May 13, 2010, and related... in certain areas of the State of South Dakota resulting from flooding beginning on March 10, 2010...
.... FEMA-1929-DR; Docket ID FEMA-2010-0002] South Dakota; Major Disaster and Related Determinations AGENCY... Presidential declaration of a major disaster for the State of South Dakota (FEMA-1929-DR), dated July 29, 2010... follows: I have determined that the damage in certain areas of the State of South Dakota resulting from...
.... FEMA-1947-DR; Docket ID FEMA-2010-0002] South Dakota; Major Disaster and Related Determinations AGENCY... declaration of a major disaster for the State of South Dakota (FEMA-1947-DR), dated November 2, 2010, and... Act''), as follows: I have determined that the damage in certain areas of the State of South Dakota...
.... FEMA-1984-DR; Docket ID FEMA-2011-0001] South Dakota; Major Disaster and Related Determinations AGENCY... declaration of a major disaster for the State of South Dakota (FEMA-1984-DR), dated May 13, 2011, and related... determined that the damage in certain areas of the State of South Dakota resulting from flooding beginning on...
.... FEMA-4155-DR; Docket ID FEMA-2013-0001] South Dakota; Major Disaster and Related Determinations AGENCY... declaration of a major disaster for the State of South Dakota (FEMA-4155-DR), dated November 8, 2013, and... Act''), as follows: I have determined that the damage in certain areas of the State of South Dakota...
The article describes the manifestation and distribution of 15 phonological variables in a rural heritage language community in South Dakota, USA. I discuss to what extent dialect convergence has occurred in this former Danish settlement. The data sample encompasses speakers born in Northwest...... Jutland in Denmark, as well as speakers born in South Dakota to parents who emigrated from Northwest Jutland. The analysis shows that dialectal convergence has not occurred to any significant degree, in spite of what may be expected; speakers born in South Dakota have significantly more dialectal features...
Boschee, Bonni F.; Boschee, Floyd
The authors conducted a statewide study to determine which factors influenced parents' decision making in electing to homeschool their children rather than send them to public school education in South Dakota. Analysis of data, using frequencies, percentages, means, and standard deviations revealed that the most prevalent reasons for homeschooling…
... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.342 South Dakota... McCook County McPherson County Meade County Mellette County Miner County Minnehaha County Moody County... Lyman County Marshall County McCook County McPherson County Meade County Mellette County Miner County...
Wilson, Eric J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)
Energy used by South Dakota single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.
Golaz, A; Lance-Parker, S; Welty, T; Schaefer, L; Volmer, L; LaFromboise, C; Dixon, J; Haase, T; Kim, C; Popovic, T; Bisgard, K; Strebel, P; Wharton, M
Respiratory diphtheria was one of the most common causes of death among children in the pre-vaccine era. Since the introduction of diphtheria toxoid vaccine in 1920s, and its widespread use by the late 1940s, diphtheria became increasingly rare in the United States. However, through the 1970s diphtheria remained endemic in some states, with reported incidence rates > 1.0 per million population in six states (Alaska, Arizona, Montana, New Mexico, South Dakota, and Washington). Starting in 1980, less than five cases have been reported each year in the United States. The majority of culture-confirmed cases have been associated with importation from other countries. Toxigenic Corynebacterium diphtheriae, the organism causing diphtheria, was thought to have become rare or even have disappeared from previously endemic areas such as South Dakota. However, during four months in 1996, 11 persons (one index case, six patients and four household contacts) in an American Indian community in South Dakota were found to be infected by C. diphtheriae; six of these isolates were toxigenic. The findings in this report indicate that despite 20 years without reported respiratory diphtheria cases, toxigenic C. diphtheriae is still present in South Dakota. The continuous circulation of toxigenic strains of C. diphtheriae emphasizes the need for health care providers throughout South Dakota to promote timely vaccination against diphtheria among persons of all ages and ethnic groups, to be aware of the clinical signs and symptoms of diphtheria so that cases can be promptly diagnosed and treated, and further public health measures can be taken to contain this serious disease.
Goldberg, Naomi G; Badgett, M V Lee; Ramos, Christopher
This report explores the issue of employment discrimination against lesbian, gay, bisexual, and transgender (LGBT) citizens of South Dakota. We used the best available data from government sources and from recent research to examine the impact of employment discrimination on LGBT people and on South Dakota businesses. Specifically this report concludes that as many as 12,400 gay, lesbian, and bisexual individuals live in South Dakota, and estimates suggest that 2,000 transgender individuals l...
Huntington, Mark K
The U.S. Department of Health and Human Services' Healthy People 2020 goals call for a reduction in the number of cases of malaria in the United States. Historically, South Dakota has had a low incidence of this infection, but a demographic shift has poised the state for a potential increase in the number of cases. The reasons for this are reviewed, and proactive steps that can be taken to avoid this rise are presented.
Wilson, A L
The Surgeon General's Year 2000 health goals for the nation are presented and data from South Dakota and the United States that measure progress toward achieving them are discussed. The percentage of low-birth weight babies (LBW) in South Dakota is lower than observed nationally, but, similar to the national trend, has increased in the past few years. Between 1996-1998, 1.1% of all newborns in the state weighed less than 1500 grams, and 5.7% weighed less than 2500 grams. There has been continuing progress observed in the survival rate of the very low birth weight infant. In 1996 the state experienced a precipitous drop in its infant mortality rate (IMR) that has not been sustained in the past two years. The state's 1998 IMR of 9.0 per 1000 live births, however, is less than the mean rate of 10 that persisted over the previous decade. The IMR for white babies (5.7) has achieved the Year 2000 Goal. The rate of Sudden Infant Death in South Dakota is significantly higher (p feeding. The benefits of breast-feeding to babies and mothers are described, as well as the need for it to be advocated by the health care community. This advocacy must emphasize breast-feeding's importance, how women can be assisted as they begin to nurse, and how community efforts can be taken to enable breast-feeding continuation when women return to work following delivery.
Williamson, Rick P.
An examination of the present status and future potential of cable television (CATV) in South Dakota is conducted. Chapter 1 offers a brief introduction to cable in the State and Chapter 2 discusses the value of CATV to South Dakota. The next Chapter presents a State plan for communications and the fourth deals with the subject of franchising. The…
This report defines an ITS/CVO program for the State of South Dakota. It is a Business Plan to guide the deployment of Intelligent Transportation Systems (ITS) technology for improving commercial vehicle operations (CVO) in South Dakota. This ITS/CVO...
Patrick D. Miles; Ronald J. Piva; Charles J. Barnett
The first full annual inventory of South Dakota's forests was completed in 2005 after 8,302 plots were selected and 325 forested plots were visited and measured. This report includes detailed information on forest inventory methods and data quality estimates. Important resource statistics are included in the tables. A detailed analysis of the South Dakota...
Results of a reconnaissance geochemical survey are reported for the Milbank Quadrangle, Minnesota; North Dakota; South Dakota. Statistical data and areal distributions for uranium and uranium-related variables are presented for 662 groundwater and 319 stream sediment samples. Also included is a brief discussion on location and geologic setting
The siting of a low-level radwaste disposal facility and characterization activities to date in Edgemont, South Dakota are discussed. By using past and present experience the author sets forth the major problem, the social and political considerations, community acceptance, media and public officials' attitudes, criteria for acceptance and significance of countywide vote in support of facility. Characterization activities, site selection planning and criteria, above-grade and below-grade technical evaluation, NRC interface, 10 CFR Part 61 related to technical work, as well as community acceptance and license application are covered. The paper deals with specific problems, solutions and ongoing activities
The siting of a low-level radwaste disposal facility and characterization activities to date, at Edgemont, South Dakota are given. Using past and present experience setting forth the major problem as viewed by the author, the social and political considerations, community acceptance, media and public officials' attitudes, criteria for acceptance and significance of countywide vote in support of facility are presented. Characterization activities, site selection planning and criteria, above-grade and below-grade technical evaluation, NRC interface, 10 CFR Part 61 related to technical work, as well as community acceptance and license application are included. The paper deals with specific problems, solutions and ongoing activities
Huntington, Mark K; Allison, Jay
In addition to being a nuisance, ticks can carry disease. This article presents a brief review of ticks and associated tick-borne disease relevant to South Dakota and surrounding regions. Tick-borne diseases of special relevance in South Dakota include tularemia, Rocky Mountain spotted fever, and Lyme disease. A number of others may also be encountered in the state as well. Prompt treatment of suspected cases is important to ensure a successful recovery, and tick-avoidance measures can reduce the risks of acquiring them. Most of these conditions are nationally reportable infectious diseases. Copyright© South Dakota State Medical Association.
A study was conducted to investigate implementation of accelerated bridge construction (ABC) in South Dakota. Accelerated bridge construction is defined as construction practices that employ innovative techniques to reduce on-site construction time a...
This report defines an Intelligent Transportation Systems/Commercial Vehicle Operations (ITS/CVO) program for the State of South Dakota. Structured as a business plan, the document includes the following components: 1) description of the current CVO ...
Ludvik, Jessica L; Anderson, Susan M; Huntington, Mark K
Although the burden of infectious diseases has decreased dramatically due to advances in health care, disease prevention and numerous public health efforts and innovations, zoonotic diseases continue to pose a problem in terms of both existing and emerging diseases. These risks are of particular concern in rural areas, in which there is more contact with animals for occupational and recreational purposes. As a rural and agricultural state, South Dakota has a large percentage of its population at risk of exposure to zoonotic diseases through their substantial contact time with animals. De-identified data from the South Dakota Department of Health containing the variables and diseases of interest from the time period of 2010-2014 was obtained. From this data were calculated the incidence rates by county, and seasonal and demographic patterns of the diseases were plotted. The incidence of disease in South Dakota were higher than the national rates for campylobacteriosis (threefold), cryptosporidiosis (sixfold), enterohemorrhagic E. coli (fourfold), Q fever (tenfold), salmonellosis (1.2-fold), and tularemia (14-fold). Only listeriosis had a lower incidence than the national rate among zoonoses included in this study. Seasonality of campylobacteriosis in the state was earlier in the year than is reported for the disease nationally. Zoonotic infections are a substantial threat to health in South Dakota. There is a need to develop collaboration between healthcare providers, public health professionals, livestock producers, veterinarians, and sportsmen to develop a strategy to address this issue.
...: Final Authorization of State Hazardous Waste Management Program Revisions AGENCY: Environmental... EPA proposed to authorize South Dakota's State Hazardous waste management Program revisions published... to the hazardous waste program revisions submitted by South Dakota. The Agency published a Proposed...
Mendon, Vrushali V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhao, Mingjie [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Poehlman, Eric A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)
The 2015 IECC provides cost-effective savings for residential buildings in South Dakota. Moving to the 2015 IECC from the 2009 IECC base code is cost-effective for residential buildings in all climate zones in South Dakota.
Under NPDES permit SD-0034584, Rosebud Casino and Hotel, South Dakota, is authorized to discharge from its wastewater treatment facility in Todd County, South Dakota to an unnamed drainageway(s) tributary to Rock Creek.
Lamfers, Randall; Miller, Nathan; Nettleman, Mary D
The 2013 release of 2011 financial information by the Centers for Medicare and Medicaid Services (CMS) caused concern because some hospitals had charges that appeared to be exorbitantly high compared to reimbursement rates. Charges and receipts for South Dakota were compared to national data. The study was restricted to nine discharge codes likely to be seen by an adult hospitalist service. South Dakota hospitals had a lower charge-to-receipt ratio than the national average (p Dakota was 2.74 compared to 3.75 nationally. South Dakota charged 29 percent less for these discharge codes and received 3 percent lower reimbursement than the national average. The relatively low charge-to-receipt ratio and low charges in South Dakota are encouraging. Unfortunately, the only South Dakotans likely to be asked to pay full charges are the uninsured, who thus face bills that are much higher than insurance companies pay for the insured population. This leaves uninsured patients and hospitals with trying to negotiate discounts or waivers on an individual basis, which is an inefficient and problematic approach for both parties.
Keller, Christina; Alton, Drew; Bai Xinhau; Durben, Dan; Heise, Jaret; Hong Haiping; Howard, Stan; Jiang Chaoyang; Keeter, Kara; McTaggart, Robert; Medlin, Dana; Mei Dongming; Petukhov, Andre; Rauber, Joel; Roggenthen, Bill; Spaans, Jason; Sun Yongchen; Szczerbinska, Barbara; Thomas, Keenan; Zehfus, Michael
With the selection of the Homestake Mine in western South Dakota by the National Science Foundation (NSF) as the site for a national Deep Underground Science and Engineering Laboratory (DUSEL), the state of South Dakota has sought ways to engage its faculty and students in activities planned for DUSEL. One such effort is the creation of a 2010 Research Center focused on ultra-low background experiments or a Center for Ultra-low Background Experiments at DUSEL (CUBED). The goals of this center include to 1) bring together the current South Dakota faculty so that one may begin to develop a critical mass of expertise necessary for South Dakota's full participation in large-scale collaborations planned for DUSEL; 2) to increase the number of research faculty and other research personnel in South Dakota to complement and supplement existing expertise in nuclear physics and materials sciences; 3) to be competitive in pursuit of external funding through the creation of a center which focuses on areas of interest to experiments planned for DUSEL such as an underground crystal growth lab, a low background counting facility, a purification/depletion facility for noble liquids, and an electroforming copper facility underground; and 4) to train and educate graduate and undergraduate students as a way to develop the scientific workforce of the state. We will provide an update on the activities of the center and describe in more detail the scientific foci of the center.
...] Notice of Filing of Plats of Survey; South Dakota AGENCY: Bureau of Land Management, Interior. [[Page...: 5th Principal Meridian, South Dakota T. 124 N., R. 53 W. The plat, in two sheets, representing the... Principal Meridian, South Dakota, was accepted October 28, 2011. We will place a copy of the plat, in two...
...] Notice of Filing of Plats of Survey; South Dakota AGENCY: Bureau of Land Management, Interior. ACTION..., Great Plains Region, Bureau of Indian Affairs, Aberdeen, South Dakota, and was necessary to determine individual and tribal trust lands. The lands we surveyed are: 5th Principal Meridian, South Dakota T. 124 N...
...] Notice of Filing of Plats of Survey; South Dakota AGENCY: Bureau of Land Management, Interior. ACTION... Director, Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota, and was necessary to determine tribal and trust lands. The lands we surveyed are: Sixth Principal Meridian, South Dakota T. 38 N...
... Filing of Plats of Survey; South Dakota AGENCY: Bureau of Land Management, Interior. ACTION: Notice of..., Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota and was necessary to determine trust and tribal lands. The lands we surveyed are: Sixth Principal Meridian, South Dakota T. 45 N., R...
Vaccine-preventable diseases have historically caused much illness and death in South Dakota. Sixty-seven diphtheria deaths were reported in 1892 and 1,017 polio cases were reported at the peak of the polio epidemic in 1952. As vaccines have been developed, licensed and put into wide use, the rates of diphtheria, polio, measles, smallpox and other diseases have successfully decreased leading to control, statewide elimination or eradication. Other diseases, such as pertussis, have been more difficult to control by vaccination alone. Although current vaccination coverage rates for South Dakota's kindergarten children surpass the Healthy People 2020 targets of 95 percent, the coverage rates for 2-year-old children and teenagers are below the target rates. Until vaccine-preventable diseases are eradicated globally, we must vigilantly maintain high vaccination coverage rates and aggressively apply control measures to limit transmission when diseases do occur in South Dakota.
Driscoll, Daniel G; Bradford, Wendell L; Moran, Michael J
.... This study is a long-term cooperative effort between the U.S. Geological Survey, the South Dakota Department of Environment and Natural Resources, and the West Dakota Water Development District...
South Dakota Department of Education, 2010
South Dakota has many things to be proud of: Its students consistently outperform their peers on national assessments. The state has a high graduation rate, and it ranks among the top states in the nation for students going on to postsecondary. Credit for these achievements goes to the state's local school districts. This annual report covers key…
South Dakota Department of Education, 2015
The South Dakota Department of Education (DOE) collects education records from local schools and districts in accordance with federal and state laws and regulations. This policy document establishes the procedures and protocols for accessing, maintaining, disclosing, and disposing of confidential data records, including data records containing…
South Dakota State Dept. of Education and Cultural Affairs, Pierre.
To study the number and status of homeless people in South Dakota, a questionnaire was mailed to approximately 701 persons who were likely to have knowledge of homeless people. Responses were received from 349 people. Estimated numbers of homeless people include those who live with others because they lack adequate resources to maintain a fixed,…
Alliance for Excellent Education, 2011
South Dakota is in the process of transitioning to new English language arts and mathematics standards that will better prepare students to be successful in college and their careers. Time, effort, and resources must be dedicated to effective implementation in order to realize the promise of these new common core state standards. This paper…
Seaman, Julia E.; Seaman, Jeff
This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of South Dakota. The sample for this analysis is comprised of all active, degree-granting…
Mark A. Rumble; Stanley H. Anderson
Merriamâs Turkeys (Meleagris gallopavo merriami) are associated with ponderosa pine (Pinus ponderosa) forests in the western United States, but are not native to the ponderosa pine forest of the Black Hills, South Dakota. The Black Hills population was established by transplanting birds from New Mexico and Colorado between 1948 and...
David J. Nowak; Eric J. Greenfield
This report details how land cover and urbanization vary within the states of Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community...
Kuschel, Lauren M; Mort, Jane M
Prescription opioid use is becoming increasingly common; consequently, opioid overdose deaths are increasing at an alarming rate. Hydrocodone, one of the most commonly abused opioids, was changed from a schedule III controlled substance to the more stringent schedule II to decrease abuse and diversion, effective Oct. 6, 2014. The objective of this study was to examine the impact of the hydrocodone schedule change on opioid prescribing in South Dakota. Opioid prescription patterns were examined in the following six-month phases: the baseline phase before the change, the transition phase when existing hydrocodone prescriptions could still be refilled, and the final phase. The South Dakota Board of Pharmacy Prescription Drug Monitoring Program provided aggregate monthly data for South Dakota opioid prescriptions (i.e., total number of prescriptions and days supplied), including urban and rural stratification. T-tests were performed on the monthly values for each phase to determine the significance of differences in prescription features between phases. The number of hydrocodone prescriptions significantly decreased 14 percent from baseline to final phase, while the days supplied per prescription significantly increased 7.4 percent. These changes were greater in rural areas than in urban areas. Conversely, the number of other opioid prescriptions significantly increased by 6.5 percent over this timeframe. The number of hydrocodone prescriptions decreased, while the days supplied per prescription increased. These changes were greater in rural areas than in urban areas. In addition, the number of other opioid prescriptions increased. These trends may reflect some unintended effects of the schedule change.
Brannian, John; Hansen, Keith
One in six couples experience infertility. New assisted reproductive technologies such as in vitro fertilization (IVF) have helped thousands of couples worldwide to have a family. IVF has been available in South Dakota for the past ten years. Improvements in the clinic and laboratory have led to better live birth rates and lower incidences of multiple pregnancies. Advances in technology will help even more people overcome fertility problems in the near future.
Daniel, Jeremy; Owen, Amanda
With the discovery of morphine in the early 1800s, substance abuse quickly followed. Next came the production of heroin and other synthetic opioids, along with increases in nonmedical use of prescription medications. In the 21st century, drug abuse and addiction continues to rise nationwide with the three most common drugs abused in adolescents being marijuana, synthetic marijuana, and hallucinogens. Among adolescents and adults nationwide, rates of alcohol, opioids, and amphetamine use have increased over the last decade. In South Dakota, the most prevalent drugs consist of alcohol, methamphetamine, heroin, and prescription opioids. Through the implementation and use of the Prescription Drug Monitoring Program (PDMP) by the South Dakota Board of Pharmacy (SDBOP), hydrocodone/acetaminophen has been identified as the most dispensed controlled substance in the state with roughly 21,000 prescriptions dispensed last November alone. While the PDMP does not necessarily encompass all controlled substances used by the patient (e.g., those purchased from illicit sources), the generation of PDMP reports by physicians and pharmacists is still beneficial. With increased use of the PDMP along with urine drug screens and patient interviews, health care professionals can continue to work collaboratively to help curb the growing epidemic of substance use. Copyright© South Dakota State Medical Association.
... under conservation protection. The area's strong and vibrant rural lifestyle, of which agriculture is the dominant land use, is one of the key components to ensuring habitat integrity and wildlife... conservation area are to protect 240,000 acres of wetland and 1.7 million acres of critical grassland habitat...
Tracing the history of South Dakota State University's Hilton M. Briggs Library over the past 102 years, this occasional paper describes the development of what is now the largest library (over 1.1 million total pieces) in the South Dakota Library Network from its inception as part of a small land grant college. Administrative eras are reviewed,…
Robert A. Hodorff; Carolyn Hull Sieg
In western South Dakota, native deciduous woodlands are uncommon, constituting less than 1% of the total land area (Boldt et al. 1978). The Green Ash/Common Chokecherry (Fraxinus pennsylvanica/Prunus virginiana) habitat type is the major deciduous habitat type in northwestern South Dakota (Hansen and Hoffman 1985). This type occurs in depressions,...
South Dakota Education Association, Pierre.
IN ADDITION TO SCHOOL POLICIES RELATING TO TEACHER LEAVES OF ABSENCE IN SOUTH DAKOTA, STATE BY STATE SUMMARIES OF EDUCATIONAL LEGISLATION REGARDING SICK LEAVE, MATERNITY LEAVE, AND SABBATICAL LEAVE ARE PRESENTED IN THIS DOCUMENT. OF THE 228 RESPONDING SCHOOLS IN SOUTH DAKOTA, 215 REPORTED EXISTING SICK LEAVE POLICIES. THE MAJORITY OF RESPONDING…
McNeill, Lindsey R; Bott, Rebecca C; Mastellar, Sara L; Djira, Gemechis; Carroll, Heidi K
In South Dakota, the status of equid well being is relatively unknown. This study sought to (a) gain understanding about the current perceptions of nonhuman animal well being in South Dakota, with an emphasis on horses and other equids; (b) determine the level of care equids are reportedly receiving and the perceived challenges to equine well being in South Dakota, and (c) determine if people from diverse geographical locations (east or west of the Missouri River) have similar views on the well being of equids in South Dakota. Respondents indicated the current level of equid well being in South Dakota is sufficient, but there is room for improvement. Current challenges for the equid population of South Dakota were the high annual cost of horse care, poor horsemanship, dental problems, and whether caregivers understand basic equine care. Several significant associations arose between where a respondent lives (Western or Eastern South Dakota) and their level of agreement with various statements. The results provide a benchmark to gauge well being and help give direction for future educational needs that can continue to improve equid care.
Wey, Christine L.; Griesse, Jennifer; Kightlinger, Lon; Wimberly, Michael C.
Background Geocoding, the process of assigning each case a set of coordinates that closely approximates its true location, is an important component of spatial epidemiological studies. The failure to accurately geocode cases adversely affects the validity and strength of conclusions drawn from the analysis. We investigated whether there were differences among geographic locations and demographic classes in the ability to successfully geocode West Nile virus (WNV) cases in South Dakota. We successfully geocoded 1,354 cases (80.8%) to their street address locations and assigned all 1,676 cases to ZIP code tabulation areas (ZCTAs). Using spatial scan statistics, significant clusters of non-geocoded cases were identified in central and western South Dakota. Geocoding success rates were lower in areas of low population density and on Indian reservations than in other portions of the state. Geocoding success rates were lower for Native Americans than for other races. Spatial epidemiological studies should consider the potential biases that may result from excluding non-geocoded cases, particularly in rural portions of the Great Plains that contain large Native American populations. PMID:19577505
Performance of the South Dakota School of Mines solar energy system from December 1979 to May 1980 is described. The system is installed in the Mt. Rushmore National Memorial Visitors' Center near Keystone, South Dakota. The site is located at 44/sup 0/N latitude and 1600 m elevation. The building has 540 m/sup 2/ of conditioned space and a design overall thermal transfer coefficient (UA) of 0.22 GJ(/sup 0/C/sub <21/ d)/sup -1/. The solar energy system is of liquid-based active type, with 187 m/sup 2/ of flat-plate collector area and 11.4 m/sup 3/ of water thermal storage. The site experienced average irradiance of 155 WM/sup -2/ and average ambient temperature of 2/sup 0/C during the period described. Under these conditions, the solar energy system supplied 43% of the energy required for space heating, saving 3790 liters of fuel oil that would otherwise have been burned. Storage temperature set points for energy supply to space heating were investigated during the season, and results of the investigation are described. The regime of 38/sup 0/C threshold and 32/sup 0/C cutoff temperature was found to be optimal.
Hyder, S S; Amundson, Mary
Recruitment of hospitalists and primary care physicians for Critical Access Hospitals and tertiary care hospitals in North Dakota is difficult. To address this challenge, 2 programs were implemented in Bismarck, North Dakota. St. Alexius Medical Center created a hospitalist fellowship training program in collaboration with the University of North Dakota School of Medicine and Health Sciences and physicians willing to work in Critical Access Hospitals were offered a joint appointment to teach hospitalist fellows and obtain a clinical academic appointment at the university. Since it was created in 2012, 84 physicians have applied for 13 fellowships. Of the 11 fellows who have completed the program, 64% (7/11) remained in North Dakota to practice. Physicians are more likely to work in a rural Critical Access Hospital if they spend time working at a tertiary care center and have clinical academic appointments. Where recruitment is challenging, hospitalist fellowship programs are helpful in meeting the health care workforce demand.
This article describes the controversy in South Dakota over the plans of Chem-Nuclear of Barnwell, SC to develop a shallow-trench dump in an abandoned Army weapons depot near Edgement capable of storing at least one-third of the nation's nuclear waste. Edgemont welcomed the project because of serious economic depression and because they were the site of uranium mining and milling before the market for nuclear fuel collapsed. In spite of this and in spite of Chem-Nuclear's educational program, there were many serious reservations voiced by citizens in the state. Many objected to the idea of a shallow landfill. The Sierra Club voiced a concern that too much material, including used reactor parts, is classified as low-level waste. They felt that a shallow dump such as the one proposed at Edgemont would seriously damage any chance of reforming national regulations
Nanna, R.F.; Milton, E.J.
The Rapid City (1 0 x 2 0 ) Quadrangle, South Dakota, was evaluated for environments favorble for uranium deposits to a depth of 1500 m. Criteria used were those of the National Uranium Resource Evaluation. Field reconnaissance involved the use of hand-held scintillometers to investigate uranium occurrences reported in the literature and anomalies in aerial radiometric surveys, and geochemical samples of stream sediments and well waters. Gamma-ray logs were used to define the favorable environments in the subsurface. Environments favorable for sandstone-type uranium deposits occur in the Inyan Kara Group, the Fox Hills Sandstone, and the Hell Creek Formation. Environments considered unfavorable for uranium deposits include all Precambrian, Paleozoic, Mesozoic, and Tertiary rocks other than those identified as favorable
The South Dakota Consumer's Guide for Small Wind Electric Systems provides consumers with enough information to help them determine if a small wind electric system can provide all or a portion of the energy they need for their home or business based on their wind resource, energy needs, and their economics. Topics discussed in the guide include: how to make your home more energy efficient, how to choose the right size turbine, the parts of a wind electric system, determining if there is enough wind resource on your site, choosing the best site for your turbine, connecting your system to the utility grid, and if it's possible to become independent of the utility grid using wind energy. In addition, the cover of the guide contains a state wind resource map and a list of state incentives and state contacts for more information
Carswell, William J.
Elevation data are essential to a broad range of applications, including forest resources management, wildlife and habitat management, national security, recreation, and many others. For the State of South Dakota, elevation data are critical for agriculture and precision farming, natural resources conservation, water supply and quality, infrastructure and construction management, flood risk management, geologic resource assessment and hazard mitigation, and other business uses. Today, high-density light detection and ranging (lidar) data are the primary sources for deriving elevation models and other datasets. Federal, State, tribal, and local agencies work in partnership to (1) replace data that are older and of lower quality and (2) provide coverage where publicly accessible data do not exist. A joint goal of State and Federal partners is to acquire consistent, statewide coverage to support existing and emerging applications enabled by lidar data.
This report describes the activities of the South Dakota Energy Office in providing technical assistance, planning, and commercialization projects for geothermal energy. Projects included geothermal prospect identification, area development plans, and active demonstration/commercialization projects. (ACR)
South Dakota demonstrates its commitment to technology and efficiency through the Weatherization Program. Weatherization uses advanced technologies and techniques to reduce energy costs for low-income families by increasing the energy efficiency of their homes
FHWAs Road Weather Management Program partnered : with the South Dakota DOT to develop and implement a : Weather Responsive Traffic Management (WRTM) : strategy that involves mobile data collection and traveler : information dissemination during w...
The South Dakota State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in South Dakota. The profile is the result of a survey of NRC licensees in South Dakota. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in South Dakota
Minton, Mary E; Kerkvliet, Jennifer L; Mitchell, Amanda; Fahrenwald, Nancy L
Geographical disparities play a significant role in palliative and end-of-life care access. This study assessed availability of palliative and end of life (hospice) care in South Dakota. Grounded in a conceptual model of advance care planning, this assessment explored whether South Dakota health care facilities had contact persons for palliative care, hospice services, and advance directives; health care providers with specialized training in palliative and hospice care; and a process for advance directives and advance care planning. Trained research assistants conducted a brief telephone survey. Of 668 health care eligible facilities, 455 completed the survey for a response rate of 68 percent (455 out of 668). Over one-half of facilities had no specific contact person for palliative care, hospice services and advance directives. Nursing homes reported the highest percentage of contacts for palliative care, hospice services and advance directives. Despite a lack of a specific contact person, nearly 75 percent of facilities reported having a process in place for addressing advance directives with patients; slightly over one-half (53 percent) reported having a process in place for advance care planning. Of participating facilities, 80 percent had no staff members with palliative care training, and 73 percent identified lack of staff members with end-of-life care training. Palliative care training was most commonly reported among hospice/home health facilities (45 percent). The results of this study demonstrate a clear need for a health care and allied health care workforce with specialized training in palliative and end-of-life care.
Christensen, Mathew; Kightlinger, Lon
American Indians in South Dakota have the highest mortality rates in the nation compared to other racial and ethnic groups and American Indians in other states. Cause-related and age-specific mortality patterns among American Indians in South Dakota are identified to guide prevention planning and policy efforts designed to reduce mortality within this population, in both South Dakota and other parts of the U.S. Death certificate data from South Dakota (2000-2010), on 5738 American Indians and 70,580 whites, were used to calculate age-specific mortality rates and rate ratios. These values were examined in order to identify patterns among the leading causes of death. Analyses were completed in 2011 and 2012. Within the South Dakota population, 70% of American Indians died before reaching age 70 years, compared to 25% of whites. Fatal injuries and chronic diseases were the leading causes of premature mortality. Nine leading causes of death showed consistent patterns of mortality disparity between American Indians and whites, with American Indians having significantly higher rates of mortality at lower ages. Premature mortality among American Indians in South Dakota is a serious public health problem. Unified efforts at the federal, tribal, state, and local levels are needed to reduce premature death within this population. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Carter, Janet M.; Neitzert, Kathleen M.
During 2005, withdrawals from ground-water and surface-water sources in South Dakota for the eight categories of offstream use totaled about 500 million gallons per day (Mgal/d). Of total withdrawals, about 271 Mgal/d was withdrawn from ground water and about 230 Mgal/d was withdrawn from surface water. The largest use of water in South Dakota during 2005 was irrigation, which accounted for about 58 percent of the total water withdrawn, followed by public supply, which accounted for about 20 percent of withdrawals. Public-supply systems served about 666,210 people, or about 86 percent of South Dakota's population in 2005. Public-supply systems withdrew about 100 Mgal/d in 2005. Ground-water withdrawals accounted for about 66 percent of the total withdrawals (66 Mgal/d), and surface-water withdrawals accounted for about 34 percent of total withdrawals (35 Mgal/d). Total public-supply withdrawals averaged about 151 gallons per day (gal/d) per capita. About 65 percent of the public-supply water was used for domestic purposes, and the average per capita domestic use was 99 gal/d. Self-supplied domestic withdrawals were about 8 Mgal/d, all of which was from ground water. About 109,750 people obtained household water from private wells in 2005, and per capita use was about 70 gal/d. Industrial self-supplied water use during 2005 was about 4 Mgal/d, of which about 98 percent was from ground water and about 2 percent was from surface water. Total withdrawals for thermoelectric use were about 5 Mgal/d, of which about 1 Mgal/d was from ground water and about 4 Mgal/d was from surface water. Total mining water use was about 10 Mgal/d, of which about 5 Mgal/d came from ground water and about 6 Mgal/d came from surface water. Total livestock water use was about 48 Mgal/d, of which about 19 Mgal/d came from ground water and about 28 Mgal/d came from surface water. Total aquaculture use was about 33 Mgal/d, of which about 19 Mgal/d came from ground water and about 14 Mgal/d came
Santos, E.S.; Robinson, K.; Geer, K.A.; Blattspieler, J.G.
Uranium resources of the Newcastle 1 0 x2 0 Quadrangle, Wyoming and South Dakota were evaluated to a depth of 1500 m (5000 ft) using available surface and subsurface geologic information. Many of the uranium occurrences reported in the literature and in reports of the US Atomic Energy Commission were located, sampled and described. Areas of anomalous radioactivity, interpreted from an aerial radiometric survey, were outlined. Areas favorable for uranium deposits in the subsurface were evaluated using gamma-ray logs. Based on surface and subsurface data, two areas have been delineated which are underlain by rocks deemed favorable as hosts for uranium deposits. One of these is underlain by rocks that contain fluvial arkosic facies in the Wasatch and Fort Union Formations of Tertiary age; the other is underlain by rocks containing fluvial quartzose sandstone facies of the Inyan Kara Group of Early Cretaceous age. Unfavorable environments characterize all rock units of Tertiary age above the Wasatch Formation, all rock units of Cretaceous age above the Inyan Kara Group, and most rock units of Mesozoic and Paleozoic age below the Inyan Kara Group. Unfavorable environments characterize all rock units of Cretaceous age above the Inyan Kara Group, and all rock units of Mesozoic and Paleozoic age below the Inyan Kara Group
Santos, E S; Robinson, K; Geer, K A; Blattspieler, J G
Uranium resources of the Newcastle 1/sup 0/x2/sup 0/ Quadrangle, Wyoming and South Dakota were evaluated to a depth of 1500 m (5000 ft) using available surface and subsurface geologic information. Many of the uranium occurrences reported in the literature and in reports of the US Atomic Energy Commission were located, sampled and described. Areas of anomalous radioactivity, interpreted from an aerial radiometric survey, were outlined. Areas favorable for uranium deposits in the subsurface were evaluated using gamma-ray logs. Based on surface and subsurface data, two areas have been delineated which are underlain by rocks deemed favorable as hosts for uranium deposits. One of these is underlain by rocks that contain fluvial arkosic facies in the Wasatch and Fort Union Formations of Tertiary age; the other is underlain by rocks containing fluvial quartzose sandstone facies of the Inyan Kara Group of Early Cretaceous age. Unfavorable environments characterize all rock units of Tertiary age above the Wasatch Formation, all rock units of Cretaceous age above the Inyan Kara Group, and most rock units of Mesozoic and Paleozoic age below the Inyan Kara Group. Unfavorable environments characterize all rock units of Cretaceous age above the Inyan Kara Group, and all rock units of Mesozoic and Paleozoic age below the Inyan Kara Group.
During the past 15 years, 2002-2016, West Nile virus (WNV) has emerged in South Dakota resulting in 509 neuroinvasive disease (NID) cases, 745 hospitalizations and 38 deaths. Culex tarsalis is the state's primary mosquito vector. South Dakota's average annual incidence of WNV-NID and death rate are the highest of any state in the U.S. WNV cases have been reported from all counties in the state. All age groups have been infected with cases peaking in the 40-44 year age group, but deaths peaking in cases 70 years and older. Although South Dakota's WNV season lasts six months, May-October, the first week of August has been the peak week of WNV disease onsets. West Nile is now enzootic in South Dakota. Every citizen, local mosquito control programs, medical and public health infrastructures must continue to prevent and respond to annual WNV outbreaks, and prepare for the next arboviral disease to emerge. Copyright© South Dakota State Medical Association.
Svien, Lana R; Senne, Svien A; Rasmussen, Carl
Unintentional injuries are the leading cause of death in children around the world and are an under-recognized public health problem in the United States. The purpose of this study was to highlight the nature of the problem in South Dakota and outline interventions that have been successful in reducing childhood injuries in other states. This quantitative retrospective study examined mortality files in South Dakota for children birth to 19 years of age who died between January 1, 2000 to December 28, 2007. Although the number of deaths declined considerably from 2006 to 2007, South Dakota had the second-highest rate in the nation of childhood unintentional injury deaths from all causes between 2000-2005. The majority of deaths occurred in males and were associated with transportation-related deaths. Suffocation was the leading cause of death for newborns to age 1 year. Childhood accidental death in South Dakota is clearly a critical public health problem. Intervention efforts to reduce deaths from unintentional injuries amongst children should be targeted as the leading causes of accidental death for specific age groups and American Indian youth. Physicians, health educators and policymakers must play a role in prevention targeting the high-risk groups in addition to advocating for policy changes to protect childhood safety. More stringent child restraint laws, graduated driving laws, smoking cessation programs for parents, creation of safer sleep environments and further investigation of why a high proportion of American Indian children die accidentally in South Dakota are all warranted.
Campbell, R. L.
The most important impact on global land cover is human use and development. With the recent population growth occurring on the reservations in South Dakota, especially Pine Ridge Indian Reservation, the towns and agricultural areas of the reservation are undergoing a change. Although urban sprawl certainly is not a consideration on the reservations, the population explosion currently underway has seen a subsequent increase in rural sprawl. In this case, rural sprawl is defined as exponential population growth and geographic expansion of remote reservation communities. Using satellite imagery and software to render these images is a cost effective way to investigate this growth. Also, using remotely sensed data and a GIS (geographic information system) package can address different issues that concern people and communities in and around the Pine Ridge area. The objective of my project is to observe land use change on the Pine Ridge Indian reservation using Geographic Information Systems such as; ARCGis 9, ENVI, and Multispec, along with Landsat 4, 5, and 7 imagery over the past 20 years.
Price, Joel Philip
This study determined the relationship of state funding to student performance on state mandated assessments in South Dakota between the years of 2003-2009. A cohort group of 40 school districts between 200 ADM and 600 ADM who had not reorganized were selected. Data was collected using the Dakota STEP assessment portal on the South Dakota…
... requested financing for the project from the RUS. PW SD1 has also submitted an application to the Service to...] South Dakota Prairie Winds Project; Partial Term Relinquishment and Release of Easement for Wind Energy... impact statement (FEIS) on the South Dakota Prairie Winds Project issued by the Department of Energy's...
Macek-Rowland, Kathleen M.; Dressler, Valerie M.
The quantity and quality of current and future water resources in the Red River of the North Basin in North Dakota, Minnesota, and South Dakota are concerns of people who reside within the basin. Additional water resources are needed because of recent growth in population, industry, and agriculture. How the management of current and future water-resources will impact water quality within the basin is a critical issue. Water-quality data, particularly for surface-water sources, will help water-resources managers make decisions about current and future water resources in the Red River of the North Basin. Statistical summaries of water-quality data for 43 streamflow-gaging stations in the Red River of the North Basin in North Dakota, Minnesota, and South Dakota are presented in this report. Statistical summaries include sample size, maximum, minimum, mean, and values for the 95th, 75th, 50th, 25th, and 5th percentiles.
During the months of June through October, 1980, Aero Service Division Western Geophysical Company of America conducted an airborne high sensitivity gamma-ray spectrometer and magnetometer survey over eleven (11) 2 0 x 1 0 NTMS quadrangles located in the states of Minnesota and Wisconsin and seven (7) 2 0 x 1 0 NTMS quadrangles in North and South Dakota. This report discusses the results obtained over the Aberdeen, South Dakota map area. The final data are presented in four different forms: on magnetic tape; on microfiche; in graphic form as profiles and histograms; and in map form as anomaly maps, flight path maps, and computer printer maps
Mallory, Christy; Sears, Brad
About 19,900 LGBT workers in South Dakota are not explicitly protected from discrimination under state or federal laws. Many corporate employers and public opinion in the state support protections for LGBT people in the workplace. If sexual orientation and gender identity were added to existing statewide non-discrimination laws, nine more complaints would be filed in South Dakota each year. The cost of enforcing those complaints would be negligible, and would not require additional court or a...
silty loams with moderate erosion and poor permeability. Normally used for pastureland. Sansarc- Opal : clays with minor erosion and permeability...One active sand and gravel mining area is located on Oahe project lands at Fort Yates, North Dakota. There is also a small amount of sand and...consist of sand and gravel deposits and Pierre Shale. The sand and gravel deposits are mined for road construction materials and concrete aggregate
J. Hope Hornbeck; Carolyn Hull Sieg; Deanna J. Reyher
Autumn willow, Salix serissima (Bailey) Fern., is an obligate wetland shrub that occurs in fens and bogs in the northeastern United States and eastern Canada. Disjunct populations of autumn willow occur in the Black Hills of South Dakota. Only two populations occur on Black Hills National Forest lands: a large population at McIntosh Fen and a small...
McEldowney, Mary Ellen
The Commission on Human Rights enforces the South Dakota Human Relations Act of 1972 which prohibits discrimination because of race, color, creed, religion, sex, national origin or ancestry in employment, labor unions, housing, property rights, education, public accomodations and public services in the state. The purpose of this paper was to draw…
Brian L. Korman
In the last two decades the exotic plant sickleweed (Falcaria vulgaris Bernh., Apiaceae) has invaded, and come to dominate, large areas of the Fort Pierre National Grassland (FPNG) in central South Dakota, USA. Currently sickleweed is estimated to infest over 3200 ha of FPNG. The purpose of this study was to examine several of the biological and ecological traits that...
Ronald J. Piva; Gregory J. Josten
Presents recent South Dakota forest industry trends; production and receipts of industrial roundwood; and production of saw logs, veneer logs, pulpwood, and other products in 2009. Logging residue generated from timber harvest operations is reported, as well as wood and bark residue generated at primary wood-using mills and disposition of mill residues.
NSF officials say approval of a science laboratory in the Homestake mine can come only after a multistep review process that takes 'many months to many years'. But a determined Republican governor and South Dakota's congressional delegation may bring politics to the science
Internationalization in higher education is an issue of growing importance as the forces of globalism continue to push both social and economic connections from local to global. While this topic is becoming increasingly vital to the health and influence of educational institutions, many, including those within South Dakota, are unaware of the…
Bleecker, Heather A.
This quantitative research study investigates South Dakota middle school (grades 5-8) mathematics teachers' perceptions of teaching competencies including general pedagogical knowledge (GPK) and mathematical pedagogical content knowledge (MPCK). The study also considered how teacher characteristics relate to teacher competencies. The study…
South Dakota State Dept. of Education and Cultural Affairs, Pierre.
This document is intended to assist South Dakota schools in the development and implementation of Gifted Education Plans, and includes state laws and rules pertaining to gifted education, guidelines for reporting, and explanations of the necessary components of a district's written plan. A brief statement of philosophy addresses characteristics of…
Cynthia H. Stubblefield; Kerri T. Vierling; Mark A. Rumble
We researched the environmental attributes (n = 28) associated with elk (n = 50) summer range (1 May Â30 Sep) in the central Black Hills of South Dakota, USA, during 1998-Â2001. We defined high-use areas or centers of activity as landscapes underlying large concentrations of elk locations resulting from the shared fidelity of...
Tara L. Keyser; Frederick W. Smith; Wayne D. Shepperd
Trembling aspen (Populus tremuloides Michx.) regeneration dynamics including sprout production, growth, and clone size were measured to determine the effects of fire on small aspen clone persistence following a mixedseverity wildfire in the Black Hills, South Dakota. Four years postfire, 10 small, isolated aspen clones per low and high fire severity...
Soka, John Alex
This quantitative research study identified perceptions regarding leadership styles of a sample of high school, middle school, and elementary school principals serving in South Dakota public and tribal/BIE (Bureau of Indian Education) schools in 2011. From 152 public school districts and 20 tribal/BIE schools, a sample of 148 school principals was…
Mark A. Rumble; Stanley H. Anderson
Merriam's turkeys (Meleagris gallopavo merriami) were introduced into South Dakota in the late 1940's and have since expanded to occupy the entire Black Hills. Because little is known of their habitat requirements and the effects of forest management practices on this important game species, macrohabitat selections patterns of Merriam'...
Mark A. Rumble; Stanley H. Anderson
W e studied the feeding ecology of Merriamâs turkey (Meleagris gallopavo merriami) in the Black Hills, South Dakota, between 1986 and 1989. Adult birds consumed 78 kinds of food, of which four food categories constituted >79% of winter diets and six food categories constituted >75% of summer diets. Ponderosa pine (Pinus ponderosa) seeds were...
... Dakota, and Wyoming Migrant Service Areas Beginning April 1, 2011 AGENCY: Legal Services Corporation. ACTION: Notice and Request for Comments--LSC Elimination of the Nevada, South Dakota, and Wyoming Migrant... Wyoming migrant service areas: MNV, MSD, and MWY, effective April 1, 2011, because any eligible migrant...
Post van der Burg, Max; Vining, Kevin C.; Frankforter, Jill D.
The Williston Basin, which includes parts of Montana, North Dakota, and South Dakota in the United States, has been a leading domestic oil and gas producing area. To better understand the potential effects of energy development on environmental resources in the Williston Basin, the U.S. Geological Survey, in cooperation with the Bureau of Land Management, and in support of the needs identified by the Bakken Federal Executive Group (consisting of representatives from 13 Federal agencies and Tribal groups), began work to synthesize existing information on science topics to support management decisions related to energy development. This report is divided into four chapters (A–D). Chapter A provides an executive summary of the report and principal findings from chapters B–D. Chapter B provides a brief compilation of information regarding the history of energy development, physiography, climate, land use, demographics, and related studies in the Williston Basin. Chapter C synthesizes current information about water resources, identifies potential effects from energy development, and summarizes water resources research and information needs in the Williston Basin. Chapter D summarizes information about ecosystems, species of conservation concern, and potential effects to those species from energy development in the Williston Basin.
Gill, Simerpal K; Shults, Ruth A; Cope, Jennifer Rittenhouse; Cunningham, Timothy J; Freelon, Brandi
Motor vehicle crashes are the leading cause of death among teens in the United States. Graduated driver licensing (GDL) programs allow new drivers to gain driving experience while protecting them from high-risk situations. North Dakota was one of the last states to implement GDL, and the current program does not meet all of the best practice recommendations. This study used qualitative techniques to explore parents' perceptions of the role teen driving plays in the daily lives of rural North Dakota families, their understanding of the risks faced by their novice teen drivers, and their support for GDL. A total of 28 interviews with parents of teens aged 13-16 years were conducted in four separate rural areas of the state. During the face-to-face interviews, parents described their teens' daily lives as busy, filled with school, sports, and other activities that often required traveling considerable distances. Participation in school-sponsored sports and other school-related activities was highly valued. There was nearly unanimous support for licensing teens at age 14½, as was permitted by law at the time of the interviews. Parents expressed that they were comfortable supervising their teen's practice driving, and few reported using resources to assist them in this role. Although few parents expressed concerns over nighttime driving, most parents supported a nighttime driving restriction with exemptions for school, work or sports-related activities. Despite many parents expressing concern over distracted driving, there was less consistent support among parents for passenger restrictions, especially if there would be no exemptions for family members or school activities. These findings can assist in planning policies and programs to reduce crashes among novice, teen drivers, while taking into account the unique perspectives and lifestyles of families living in rural North Dakota. Published by Elsevier Ltd.
Gill, Simerpal K.; Shults, Ruth A.; Cope, Jennifer Rittenhouse; Cunningham, Timothy J.; Freelon, Brandi
Motor vehicle crashes are the leading cause of death among teens in the United States. Graduated driver licensing (GDL) programs allow new drivers to gain driving experience while protecting them from high-risk situations. North Dakota was one of the last states to implement GDL, and the current program does not meet all of the best practice recommendations. This study used qualitative techniques to explore parents’ perceptions of the role teen driving plays in the daily lives of rural North Dakota families, their understanding of the risks faced by their novice teen drivers, and their support for GDL. A total of 28 interviews with parents of teens aged 13–16 years were conducted in four separate rural areas of the state. During the face-to-face interviews, parents described their teens’ daily lives as busy, filled with school, sports, and other activities that often required traveling considerable distances. Participation in school-sponsored sports and other school-related activities was highly valued. There was nearly unanimous support for licensing teens at age 14½, as was permitted by law at the time of the interviews. Parents expressed that they were comfortable supervising their teen’s practice driving, and few reported using resources to assist them in this role. Although few parents expressed concerns over nighttime driving, most parents supported a nighttime driving restriction with exemptions for school, work or sports-related activities. Despite many parents expressing concern over distracted driving, there was less consistent support among parents for passenger restrictions, especially if there would be no exemptions for family members or school activities. These findings can assist in planning policies and programs to reduce crashes among novice, teen drivers, while taking into account the unique perspectives and lifestyles of families living in rural North Dakota. PMID:23499983
Pertinent geologic, hydrologic, and chemical data for the Madison Formation underlying western South Dakota are presented in text and in graphic form. A temperature anomaly in west central South Dakota makes 130 to 160/sup 0/F water available at depths of less than 3500 ft. A central geothermal space heating system designed for Midland, South Dakota indicates that by 1980 geothermal heat will be competitive with existing energy sources. Preliminary tests indicate the superiority of 304 or 316 stainless steel for fabrication of equipment to utilize the warm, corrosive Madison water. South Dakota has no statutes governing geothermal resources; under existing water law, geothermal water would be classified as a top priority domestic use. Suggestions are made for state legislation pertaining to the development of geothermal energy.
Bolman, J. R.
The South Dakota Space Grant Consortium (SDSGC) was established March 1, 1991 by a NASA Capability Enhancement Grant. Since that time SDSGC has worked to provide earth and space science educational outreach to all students across South Dakota. South Dakota has nine tribes and five tribal colleges. This has presented a tremendous opportunity to develop sustainable equitable partnerships and collaborations. SDSGC believes strongly in developing programs and activities that highlight the balance of indigenous science and ways of knowing with current findings in contemporary science. This blending of science and culture creates a learning community where individuals, especially students, can gain confidence and pride in their unique skills and abilities. Universities are also witnessing the accomplishments and achievements of students who are able to experience a tribal college environment and then carry that experience to a college/university/workplace and significantly increase the learning achievement of all. The presentation will highlight current Tribal College partnerships with Sinte Gleska University and Oglala Lakota College amongst others. Programs and activities to be explained during the presentation include: Native Connections, Scientific Knowledge for Indian Learning and Leadership (SKILL), Bridges to Success Summer Research Program, Fire Ecology Summer Experience, and dual enrolled/college bridge programs. The presentation will also cover the current initiatives underway through NASA Workforce Development. These include: partnering program with the Annual He Sapa Wacipi, American Indian Space Days 2005, NASA research/internship programs and NASA Fellow Summit. An overview of recent American Indian student success will conclude the presentation. The South Dakota School of Mines and Technology has struggled over many years to develop and implement sustainable successful initiatives with Tribal Colleges and Communities. The motivating philosophy is the
Park, B C Ben; Lester, David
Suicide rates in 2005 in South Korea were higher in rural areas than in urban areas. Those in rural areas more often used pesticides and chemicals as a method for suicide, and there was a greater proportion of men and the elderly, both groups at higher risk for suicide in South Korea. These three factors may account for the high rural suicide rate in South Korea.
Mohr, Nicholas M; Vakkalanka, J Priyanka; Harland, Karisa K; Bell, Amanda; Skow, Brian; Shane, Dan M; Ward, Marcia M
Telemedicine has been proposed as one strategy to improve local trauma care and decrease disparities between rural and urban trauma outcomes. This study was conducted to describe the effect of telemedicine on management and clinical outcomes for trauma patients in North Dakota. Cohort study of adult (age ≥18 years) trauma patients treated in North Dakota Critical Access Hospital (CAH) Emergency Departments (EDs) from 2008 to 2014. Records were linked to a telemedicine network's call records, indicating whether telemedicine was available and/or used at the institution at the time of the care. Multivariable generalized estimating equations were developed to identify associations between telemedicine consultation and availability and outcomes such as transfer, timeliness of care, trauma imaging, and mortality. Of the 7,500 North Dakota trauma patients seen in CAH, telemedicine was consulted for 11% of patients in telemedicine-capable EDs and 4% of total trauma patients. Telemedicine utilization was independently associated with decreased initial ED length of stay (LOS) (30 min, 95% confidence interval [CI] 14-45 min) for transferred patients. Telemedicine availability was associated with an increase in the probability of interhospital transfer (adjusted odds ratio [aOR] 1.2, 95% CI 1.1-1.4). Telemedicine availability was associated with increased total ED LOS (15 min, 95% CI 10-21 min), and computed tomography scans (aOR 1.6, 95% CI 1.3-1.9). ED-based telemedicine consultation is requested for the most severely injured rural trauma patients. Telemedicine consultation was associated with more rapid interhospital transfer, and telemedicine availability is associated with increased radiography use and transfer. Future work should evaluate how telemedicine could target patients likely to benefit from telemedicine consultation.
Bright, Larry K.; Evans, Wayne H.; Marmet, Kathy
Outmigration in the rural Upper Midwest prompted a group of citizens and University of South Dakota faculty to form the Center for the Advancement of Rural Communities (ARC). ARC considers how to stimulate traditionally competitive and isolated South Dakota peoples to collaborate for economic, social, educational, political, and cultural gains. As…
Lee, Moo Y. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)
As a part of the U.S. Department of Energy (DOE) SubTER (Subsurface Technology and Engineering Research, Development and Demonstration) initiative, University of Wisconsin- Madison, Sandia National Laboratories, and Lawrence Berkeley National Laboratory conducted the Permeability (k) and Induced Seismicity Management for Energy Technologies (kISMET) project. The objectives of the project are to define the in situ status of stress in the Sanford Underground Research Facility (SURF) in Lead, South Dakota and to establish the relations between in situ stress and induced fracture through hydraulically stimulating the fracture. (SURF) in Lead, South Dakota. In situ tests are conducted in a 7.6 cm diameter and 100 long vertical borehole located in the 4850 Level West Access Drift near Davies Campus of SURF (Figure 1). The borehole is located in the zone of Precambrian Metamorphic Schist.
Belzer, David B.; Cort, Katherine A.; Winiarski, David W.; Richman, Eric E.
The state of South Dakota is considering adopting a commercial building energy standard. This report evaluates the potential costs and benefits to South Dakota residents from requiring compliance with the most recent edition of the ANSI/ASHRAE/IESNA 90.1-2001 Energy Standard for Buildings except Low-Rise Residential Buildings. These standards were developed in an effort to set minimum requirements for the energy efficient design and construction of new commercial buildings. The quantitative benefits and costs of adopting a commercial building energy code are modeled by comparing the characteristics of assumed current building practices with the most recent edition of the ASHRAE Standard, 90.1-2001. Both qualitative and quantitative benefits and costs are assessed in this analysis. Energy and economic impacts are estimated using results from a detailed building simulation tool (Building Loads Analysis and System Thermodynamics [BLAST] model) combined with a Life-Cycle Cost (LCC) approach to assess corresponding economic costs and benefits.
Terveen, Daniel C; Moser, Jess M; Spencer, Terrence S
South Dakota is one of eight states that do not require any vision screening for children. This study describes the results of the first children's vision screening program in the state. Children ages 6 months to 12 years were screened using the SPOT photoscreener by lay volunteers as part of the Northern Plains Eye Foundation's Western South Dakota Children's Vision Screening Initiative (CVSI). Referral criteria were based on the recommendations of the manufacturer. Data was stratified by age group, sex, and percentage of children referred for hyperopia, myopia, astigmatism, anisocoria, anisometropia, and ocular misalignment. The cost benefit of amblyopia treatment in South Dakota was also calculated. Screenings were completed on 4,784 children from August 2012 to May 2014 with 62 excluded due to age. Mean age of the 4,722 (2,373 females) subjects was 6 years 7 months. Overall, the SPOT device referred 563 (11.9 percent) children. There was no significant difference in referral rate based on sex (p = 0.598). Children aged 73-144 months had the highest referral rate (12.2 percent) and children aged 12-30 months had the lowest referral rate (7.9 percent). The suspected reasons for referral based upon the screenings were as follows: 371 (7.9 percent) astigmatism, 24 (0.5 percent) ocular misalignment, 101 (2.1 percent) anisometropia, 135 (2.9 percent) myopia, 36 (0.8 percent) hyperopia, and 16 (0.3 percent) anisocoria. The SPOT photoscreener yielded an acceptable referral rate of 11.9 percent. This study represents an effective model for pediatric vision screening in South Dakota.
Mattson, Jeremy W
To investigate issues of aging and mobility in rural and small urban areas, this study analyzes the results from a survey AARP conducted of its North Dakota members. Specific objectives are to estimate the impact of age and other demographic and geographic characteristics on various measures of mobility, including ability to drive, use of public transportation, trip frequency for both discretionary and nondiscretionary travel, unmet travel demand, barriers to using public transportation, and satisfaction with available transportation options. Although most surveyed still drive, results show decreased mobility with increases in age and for people with disabilities due to decreases in driving and an increased likelihood of lack of transportation limiting the number of trips taken. People with disabilities were also significantly more likely to experience problems with public transportation. Women were found to be less likely to drive and more likely to use public transportation.
Buettner-Schmidt, Kelly; Lobo, Marie L; Travers, Mark J; Boursaw, Blake
The purpose of this cross-sectional study in a stratified random sample of 135 bars and restaurants in North Dakota was to describe factors that influenced tobacco smoke pollution levels in the venues; to compare the quantity of tobacco smoke pollution by rurality and by presence of local ordinances; and to assess compliance with state and local laws. In data collection in 2012, we measured the indoor air quality indicator of particulate matter (2.5 microns aerodynamic diameter or smaller), calculated average smoking density and occupant density, and determined compliance with state and local smoking ordinances using observational methods. As rurality increased, tobacco smoke pollution in bars increased. A significant association was found between stringency of local laws and level of tobacco smoke pollution, but the strength of the association varied by venue type. Compliance was significantly lower in venues in communities without local ordinances. Controlling for venue type, 69.2% of smoke-free policy's impact on tobacco smoke pollution levels was mediated by observed smoking. This study advances scientific knowledge on the factors influencing tobacco smoke pollution and informs public health advocates and decision makers on policy needs, especially in rural areas. © 2015 Wiley Periodicals, Inc.
Weber, Bret A; Geigle, Julia; Barkdull, Carenlee
Over the last five years, North Dakota has experienced an oil boom based on high oil prices and hydraulic fracturing technologies. This has brought economic expansion and population growth to rural communities that had previously experienced decades of depopulation and economic struggle. Although the state has enjoyed many benefits--especially in juxtaposition to a sluggish national economy--the boom has also meant the arrival of economic refugees and dramatic impacts on largely rural social service systems. In the midst of a rapidly changing situation, available information tends to swing between euphoria over economic success and hysteria about rising crime and shifting cultures. In response, the authors used a primary focus group with county social service directors from across the state and a followup focus group with social workers operating on the edge of oil activity. Grounded in resilience theory, qualitative analysis of the primary focus group, and triangulation of data from other sources, this study provides a more objective report of the housing and social challenges, the benefits of the boom, and the challenges to solutions.
This study is one of 70 volumes assessing the workforce needs (manpower needs) for pollution control and abatement in the United States for the five-year period of 1976 through 1981. Seven fields for pollution control -- air, noise, pesticides, potable water, radiation, solid waste, and wastewater -- are analyzed, together with energy-related programs currently accentuated by the national effort to solve energy supply problems. The report identifies existing workforce levels, training programs, career opportunities, and future staffing level projections (1976 to 1982) based on the information available for the state of South Dakota
Hess, A.; Davis, J. K.; Wimberly, M. C.
Human West Nile virus (WNV) first arrived in the USA in 1999 and has since then spread across the country. Today, the highest incidence rates are found in the state of South Dakota. The disease occurrence depends on the complex interaction between the mosquito vector, the bird host and the dead-end human host. Understanding the spatial domain of this interaction and being able to identify disease transmission hotspots is crucial for effective disease prevention and mosquito control. In this study we use geospatial environmental information to understand what drives the spatial distribution of cases of human West Nile virus in South Dakota and to map relative infection risk across the state. To map the risk of human West Nile virus in South Dakota, we used geocoded human case data from the years 2004-2016. Satellite data from the Landsat ETM+ and MODIS for the years 2003 to 2016 were used to characterize environmental patterns. From these datasets we calculated indices, such as the normalized differenced vegetation index (NDVI) and the normalized differenced water index (NDWI). In addition, datasets such as the National Land Data Assimilation System (NLDAS), National Land Cover Dataset (NLCD), National Wetland inventory (NWI), National Elevation Dataset (NED) and Soil Survey Geographic Database (SSURGO) were utilized. Environmental variables were summarized for a buffer zone around the case and control points. We used a boosted regression tree model to identify the most important variables describing the risk of WNV infection. We generated a risk map by applying this model across the entire state. We found that the highest relative risk is present in the James River valley in northeastern South Dakota. Factors that were identified as influencing the transmission risk include inter-annual variability of vegetation cover, water availability and temperature. Land covers such as grasslands, low developed areas and wetlands were also found to be good predictors for human
St. Mary's Hospital, Pierre, South Dakota, with the assistance of the US Department of Energy, drilled a 2176 ft well into the Madison Aquifer ot secure 108/sup 0/F artesian flow water at 385 gpm (475 psig shut-in pressure). The objective was to provide heat for domestic hot water and to space heat 163,768 sq. ft. Cost savings for the first three years were significant and, with the exception of a shutdown to replace some corroded pipe, the system has operated reliably and continuously for the last four years.
An airborne high sensitivity gamma-ray spectrometer and magnetometer survey was conducted over eleven (11) 2 0 x 1 0 NTMS quadrangles located in the states of Minnesota and Wisconsin and seven (7) 2 0 x 1 0 NTMS quadrangles in North and South Dakota. The quadrangles located within the North and South Dakota survey area include Devil's Lake, New Rockford, Jamestown, Aberdeen, Huron, Mitchell, and Sioux Falls. This report discusses the results obtained over the Mitchell map area. The purpose of this program is to acquire and compile geologic and other information with which to assess the magnitude and distribution of uranium resources and to determine areas favorable for the occurrence of uranium in the United States. Traverse lines were flown in an east-west direction at a line spacing of six (6) miles. Tie lines were flown north-south approximately twenty-four (24) miles apart. A total of 21,481 line miles of geophysical data were acquired, compiled, and interpreted during the survey, of which 1479 line miles are in this quadrangle
An airborne high sensitivity gamma-ray spectrometer and magnetometer survey was conducted over eleven (11) 2 0 x 1 0 NTMS quadrangles located in the states of Minnesota and Wisconsin and seven (7) 2 0 x 1 0 NTMS quadrangles in North and South Dakota. The quadrangles located within the North and South Dakota survey area include Devil's Lake, New Rockford, Jamestown, Aberdeen, Huron, Mitchell, and Sioux Falls. This report discusses the results obtained over the Huron map area. Traverse lines were flown in an east-west direction at a line spacing of six (6) miles. Tie lines were flown north-south approximately twenty-four (24) miles apart. A total of 21,481 line miles of geophysical data were acquired, compiled, and interpreted during the survey, of which 1459 line miles are in this quadrangle. The purpose of this study is to acquire and compile geologic and other information with which to assess the magnitude and distribution of uranium resources and to determine areas favorable for the occurrence of uranium in the United States
Scott, David M; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan
The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists' delivery of public health services. To assess Iowa and North Dakota pharmacists' practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking.
Scott, David M.; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan
Background: The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists’ delivery of public health services. Objective: To assess Iowa and North Dakota pharmacists’ practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. Methods: This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Results: Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking. PMID:28042356
Wimberly, Michael C; Giacomo, Paolla; Kightlinger, Lon; Hildreth, Michael B
Despite a cold temperate climate and low human population density, the Northern Great Plains has become a persistent hot spot for human West Nile virus (WNV) disease in North America. Understanding the spatial and temporal patterns of WNV can provide insights into the epidemiological and ecological factors that influence disease emergence and persistence. We analyzed the 1,962 cases of human WNV disease that occurred in South Dakota from 2002-2012 to identify the geographic distribution, seasonal cycles, and interannual variability of disease risk. The geographic and seasonal patterns of WNV have changed since the invasion and initial epidemic in 2002-2003, with cases shifting toward the eastern portion of South Dakota and occurring earlier in the transmission season in more recent years. WNV cases were temporally autocorrelated at lags of up to six weeks and early season cumulative case numbers were correlated with seasonal totals, indicating the possibility of using these data for short-term early detection of outbreaks. Epidemiological data are likely to be most effective for early warning of WNV virus outbreaks if they are integrated with entomological surveillance and environmental monitoring to leverage the strengths and minimize the weaknesses of each information source.
Peters, Stacy; Shiyanbola, Olayinka
South Dakota is home to 6,000 Hutterites, the largest population of Hutterites in the United States. Observation of frequent supplement use by this population prompted the current survey based study. Use of supplements is on the rise with around 53 percent of Americans reporting at least one herbal and dietary supplement (HDS). Use and perception of HDS has not previously been evaluated in the Hutterite population. Participants were 18 years of age and older and had to be present at the time of survey administration. Surveys were administered before and after an educational presentation at five colonies to volunteer participants. Survey data was analyzed using descriptive analysis and chi-square tests. One-hundred and six surveys were completed with 81.1 percent being female. Approximately 78 percent reported using at least one type of HDS, with an average of 2.7 (SD = 1.4) supplements per person. Women were more likely to report supplement use than men. Hutterites reported they felt HDS were safer than prescription medications. Education was effective on some aspects such as telling their doctor if they are taking HDS. Some study limitations included small sample size, possible lack of survey understanding, and the limited number of male participants. The frequency of HDS use in South Dakota Hutterites appears to be very high. Baseline knowledge on the safety and regulation of HDS reveals that education of this population is needed. Further investigation of HDS use in Hutterites is warranted.
Kearfott, Kimberlee J; Whetstone, Zachary D; Rafique Mir, Khwaja M
Because (222)Rn is a progeny of (238)U, the relative abundance of uranium may be used to predict the areas that have the potential for high indoor radon concentration and therefore determine the best areas to conduct future surveys. Geographic Information System (GIS) mapping software was used to construct maps of South Dakota that included levels of uranium concentrations in soil and stream water and uranium deposits. Maps of existing populations and the types of land were also generated. Existing data about average indoor radon levels by county taken from a databank were included for consideration. Although the soil and stream data and existing recorded average indoor radon levels were sparse, it was determined that the most likely locations of elevated indoor radon would be in the northwest and southwest corners of the state. Indoor radon levels were only available for 9 out of 66 counties in South Dakota. This sparcity of data precluded a study of correlation of radon to geological features, but further motivates the need for more testing in the state. Only actual measurements should be used to determine levels of indoor radon because of the strong roles home construction and localized geology play in radon concentration. However, the data visualization method demonstrated here is potentially useful for directing resources relating to radon screening campaigns. © The Author 2015. Published by Oxford University Press on behalf of The Japan Radiation Research Society and Japanese Society for Radiation Oncology.
Kearfott, Kimberlee J.; Whetstone, Zachary D.; Mir, Khwaja M. Rafique
Because 222 Rn is a progeny of 238 U, the relative abundance of uranium may be used to predict the areas that have the potential for high indoor radon concentration and therefore determine the best areas to conduct future surveys. Geographic Information System (GIS) mapping software was used to construct maps of South Dakota that included levels of uranium concentrations in soil and stream water and uranium deposits. Maps of existing populations and the types of land were also generated. Existing data about average indoor radon levels by county taken from a databank were included for consideration. Although the soil and stream data and existing recorded average indoor radon levels were sparse, it was determined that the most likely locations of elevated indoor radon would be in the northwest and southwest corners of the state. Indoor radon levels were only available for 9 out of 66 counties in South Dakota. This sparcity of data precluded a study of correlation of radon to geological features, but further motivates the need for more testing in the state. Only actual measurements should be used to determine levels of indoor radon because of the strong roles home construction and localized geology play in radon concentration. However, the data visualization method demonstrated here is potentially useful for directing resources relating to radon screening campaigns. (author)
William Agnew; Daniel W. Uresk; Richard M. Hansen
Vegetation, small rodents, and birds were sampled during the growing seasons of 2 years on prairie dog (Cynomys ludovicianus) colonies and adjacent mixed-grass prairie in western South Dakota. Prairie dog grazing decreased mulch cover, maximum height of vegetation, plant species richness, and tended to decrease live plant canopy cover compared to...
Campbell, Edward M.; Fortune, Jon; Severance, Donald; Holderegger, John; Fortune, Barbara
A database was assembled from data collected on all people served by the Developmental Disabilities divisions of Nebraska, South Dakota, and Wyoming, including state institutions and state-funded programs (n=5,928). Information included provider expenditures associated with each individual, allocations made by individual reimbursement rates,…
Daniel J. Thompson; Mark A. Rumble; Lester D. Flake; Chad P. Lehman
Because quantity and quality of roosting habitat can affect Merriam's Wild Turkey (Meleagris gallopavo merriami) distribution, we described habitat characteristics of Merriam's turkey roost sites in the southern Black Hills of South Dakota. Varying proportions of Merriam's turkeys in the southern Black Hills depended on supplemental feed from livestock...
Johnson, Raymond H.
This report releases groundwater geochemistry data from samples that were collected in June 2011 at the Dewey Burdock proposed uranium in-situ recovery site near Edgemont, South Dakota. The sampling and analytical methods are summarized, and all of the data, including quality assurance/quality control information are provided in data tables.
Chad P. Lehman; Mark A. Rumble; Lester D. Flake; Daniel J. Thompson
Knowledge of Merriam's wild turkey (Meleagris gallopavo merriami) resource selection in the context of landscape attributes is an important asset for managing resources on multiple-use public lands. We investigated resource selection for foraging by Merriam's wild turkey broods in the southern Black Hills, South Dakota. We collected macro- and microhabitat...
Holmes, Lawrence W. O.; And Others
Development of an instrument to measure baseline levels of applied Total Quality Management (TQM) practices in South Dakota before the introduction and dissemination of TQM theory to the state's educational leaders is described. Using the interpretation of Deming's 14 points that was developed by J. J. Bonstigl, a 115-item initial item pool was…
Hesler, Louis S
Soybean aphid (Aphis glycines Matsumura) (Hemiptera: Aphididae) is a major pest of soybean in northern production regions of North America, and insecticides have been the primary management approach while alternative methods are developed. Knowledge of arthropod natural enemies and their impact on soybean aphid is critical for developing biological control as a management tool. Soybean is a major field crop in South Dakota, but information about its natural enemies and their impact on soybean aphid is lacking. Thus, this study was conducted in field plots in eastern South Dakota during July and August of 2004 and 2005 to characterize foliar-dwelling, arthropod natural enemies of soybean aphid, and it used exclusion techniques to determine impact of natural enemies and ants (Hymenoptera: Formicidae) on soybean aphid densities. In open field plots, weekly soybean aphid densities reached a plateau of several hundred aphids per plant in 2004, and peaked at roughly 400 aphids per plant in 2005. Despite these densities, a relatively high frequency of aphid-infested plants lacked arthropod natural enemies. Lady beetles (Coleoptera: Coccinellidae) were most abundant, peaking at 90 and 52% of all natural enemies sampled in respective years, and Harmonia axyridis Pallas was the most abundant lady beetle. Green lacewings (Neuroptera: Chrysopidae) were abundant in 2005, due mainly to large numbers of their eggs. Abundances of arachnids and coccinellid larvae correlated with soybean aphid densities each year, and chrysopid egg abundance was correlated with aphid density in 2005. Three-week cage treatments of artificially infested soybean plants in 2004 showed that noncaged plants had fewer soybean aphids than caged plants, but abundance of soybean aphid did not differ among open cages and ones that provided partial or total exclusion of natural enemies. In 2005, plants within open cages had fewer soybean aphids than those within cages that excluded natural enemies, and aphid
Arent, D. [National Renewable Energy Lab., Golden, CO (United States)
This paper describes renewable energy programs implemented in South Africa as part of a collaborative program for rural development. Different facets of this program include: Renewable Energy for South Africa (REFSA); hybrid collaborative R&D; electricity sector restructuring; provincial level initiation of renewable energy applications; renewable energy for African development (REFAD); and Suncorp photovoltaic manufacturing company. Limited detailed information is provided on the activities of each of these different program facets over the past year in particular.
Transitions in the use of energy transformed the landscape, labor, and domestic life of cattle ranching in western South Dakota from the late-nineteenth to the middle of the twentieth centuries. The introduction of new energy sources to the Black Hills spurred the expansion of European Americans into the region, while helping to displace native peoples like the Lakotas. Changing energy use also intensified ranch labor in the pastures and in the household, drawing individual ranches into new connections with their surroundings. Examining cattle ranching through the lens of energy provides new insights into the momentum of energetic systems in societies, affording historians a way to understand past energy use as they consider present and future environmental concerns.
Truesdell, D.B.; Daddazio, P.L.; Martin, T.S.
The Hot Springs Quadrangle, South Dakota and Nebraska, was evaluated to a depth of 1500 m to identify environments and delineate areas favorable for the occurrence of uranium deposits. The evaluation used criteria developed by the National Uranium Resource Evaluation program. Surface reconnaissance was conducted using a portable scintillometer and a gamma spectrometer. Geochemical sampling was carried out in all geologic environments accessible within the quadrangle. Additional investigations included the followup of aerial radiometric and hydrogeochemical anomalies and a subsurface study. Environments favorable for sandstone-type deposits occur in the Inyan Kara Group and Chadron Member of the White River Group. Environments favorable for marine black-shale deposits occur in the Hayden Member of the Minnelusa Formation. A small area of the Harney Peak Granite is favorable for authigenic deposits. Environments considered unfavorable for uranium deposits are the Precambrian granitic and metasedimentary rocks and Paleozoic, Mesozoic, and Tertiary sedimentary rocks other than those previously mentioned
Harms, J; Dorsher, S; Kandhasamy, S; Mandic, V [University of Minnesota, 116 Church Street SE, Minneapolis, MN 55455 (United States); Acernese, F; Barone, F [Universita degli Studi di Salerno, Fisciano (Saudi Arabia) (Italy); Bartos, I; Marka, S [Columbia University, New York, NY 10027 (United States); Beker, M; Van den Brand, J F J; Rabeling, D S [Nikhef, National Institute for Subatomic Physics, Science Park 105, 1098 XG Amsterdam (Netherlands); Christensen, N; Coughlin, M [Carleton College, Northfield, MN 55057 (United States); DeSalvo, R [California Institute of Technology, Pasadena, CA 91125 (United States); Heise, J; Trancynger, T [Sanford Underground Laboratory, 630 East Summit Street, Lead, SD 57754 (United States); Mueller, G [University of Florida, Gainesville, FL 32611 (United States); Naticchioni, L [Department of Physics, University of Rome ' Sapienza' , P.le Aldo Moro 2, 00185 Rome (Italy); O' Keefe, T [Saint Louis University, 3450 Lindell Blvd., St. Louis, MO 63103 (United States); Sajeva, A, E-mail: email@example.com [Dipartimento di Fisica ' Enrico Fermi' , Universita di Pisa, Largo Bruno Pontecorvo, Pisa (Italy)
An array of seismometers is being developed at the Sanford Underground Laboratory, the former Homestake mine, in South Dakota to study the properties of underground seismic fields and Newtonian noise, and to investigate the possible advantages of constructing a third-generation gravitational-wave detector underground. Seismic data were analyzed to characterize seismic noise and disturbances. External databases were used to identify sources of seismic waves: ocean-wave data to identify sources of oceanic microseisms and surface wind-speed data to investigate correlations with seismic motion as a function of depth. In addition, sources of events contributing to the spectrum at higher frequencies are characterized by studying the variation of event rates over the course of a day. Long-term observations of spectral variations provide further insight into the nature of seismic sources. Seismic spectra at three different depths are compared, establishing the 4100 ft level as a world-class low seismic-noise environment.
Greiner, Michael J.; Lucchesi, David O.; Chipps, Steven R.; Gigliotti, Larry M.
We surveyed anglers on five community fishing lakes near Brookings, South Dakota to assess angler use and satisfaction. The community lakes attracted younger anglers when compared to statewide and national averages. Overall, satisfaction was generally high (74%) among anglers fishing community lakes. Logistic regression analysis showed that harvest rate, anglers targeting trout, familiarity with the lake, adults fishing with children, and fishing during open water periods were significantly related to angler satisfaction. Angler parties consisting of adults fishing with children were 1.7 times more likely to respond as “satisfied” compared with adults-only angler groups. Fishing opportunities provided by community lakes can enhance participation by younger anglers while simultaneously providing family-oriented recreation (i.e., adults fishing with children) that enhances trip satisfaction.
Myers, V. I.; Frazee, C. J.; Rusche, A. E.; Moore, D. G.; Nelson, G. D.; Westin, F. C.
The basic procedures for interpreting remote sensing imagery to rapidly develop general soils and land use inventories were developed and utilized in Pennington County, South Dakota. These procedures and remote sensing data products were illustrated and explained to many user groups, some of whom are interested in obtaining similar data. The general soils data were integrated with land soils data supplied by the county director of equalization to prepare a land value map. A computer print-out of this map indicating a land value for each quarter section is being used in tax reappraisal of Pennington County. The land use data provided the land use planners with the present use of land in Pennington County. Additional uses of remote sensing applications are also discussed including tornado damage assessment, hail damage evaluation, and presentation of soil and land value information on base maps assembled from ERTS-1 imagery.
Owens, Matt P; Buffington, Cheri; Frost, Michael P; Waldner, Randall J
The Association of American Medical Colleges recommended an increase in medical education for public health emergencies, bioterrorism, and weapons of mass destruction in 2003. The University of South Dakota Sanford School of Medicine (USD SSOM) implemented a 1-day training event to provide disaster preparedness training and deployment organization for health professions students called Disaster Training Day (DTD). Hospital staff and emergency medical services personnel provided the lecture portion of DTD using Core Disaster Life Support (CDLS; National Disaster Life Support Foundation) as the framework. Pre-test and post-test analyses were presented to the students. Small group activities covered leadership, anaphylaxis, mass fatality, points of dispensing deployment training, psychological first aid, triage, and personal protective equipment. Students were given the option to sign up for statewide deployment through the South Dakota Statewide Emergency Registry of Volunteers (SERV SD). DTD data and student satisfaction surveys from 2009 to 2016 were reviewed. Since 2004, DTD has provided disaster preparedness training to 2246 students across 13 health professions. Significant improvement was shown on CDLS post-test performance with a t-score of -14.24 and a resulting P value of training, small group sessions, and perceived self-competency relating to disaster response. SERV SD registration increased in 2015, and 77.5% of the participants registered in 2016. DTD at the USD SSOM provides for an effective 1-day disaster training course for health professions students. Resources from around the state were coordinated to provide training, liability coverage, and deployment organization for hundreds of students representing multiple health professions. (Disaster Med Public Health Preparedness. 2017;11:735-740).
Arling, Greg; Daneman, Barry
To evaluate the effects of nursing home case-mix reimbursement on facility case mix and costs in Mississippi and South Dakota. Secondary data from resident assessments and Medicaid cost reports from 154 Mississippi and 107 South Dakota nursing facilities in 1992 and 1994, before and after implementation of new case-mix reimbursement systems. The study relied on a two-wave panel design to examine case mix (resident acuity) and direct care costs in 1-year periods before and after implementation of a nursing home case-mix reimbursement system. Cross-lagged regression models were used to assess change in case mix and costs between periods while taking into account facility characteristics. Facility-level measures were constructed from Medicaid cost reports and Minimum Data Set-Plus assessment records supplied by each state. Resident case mix was based on the RUG-III classification system. Facility case-mix scores and direct care costs increased significantly between periods in both states. Changes in facility costs and case mix were significantly related in a positive direction. Medicare utilization and the rate of hospitalizations from the nursing facility also increased significantly between periods, particularly in Mississippi. The case-mix reimbursement systems appeared to achieve their intended goals: improved access for heavy-care residents and increased direct care expenditures in facilities with higher acuity residents. However, increases in Medicare utilization may have influenced facility case mix or costs, and some facilities may have been unprepared to care for higher acuity residents, as indicated by increased rates of hospitalization.
Vaishar, A.; Šťastná, M.; Trnka, P.; Dvořák, Petr; Zapletalová, Jana
Roč. 5, č. 2 (2013), s. 115-132 ISSN 1803-8417 Institutional support: RVO:68145535 Keywords : borderland * landscape * rural settlement * economy * Moravia Subject RIV: DE - Earth Magnetism, Geodesy, Geography http://www.degruyter.com/view/j/euco.2013.5.issue-2/euco-2013-0008/euco-2013-0008.xml?format=INT
Kightlinger, Lon; Horan, Vickie
Schools are important amplification settings of influenza virus transmission. We demonstrated correlation of school absenteeism (due to any illness) with other influenza A (H1N1) activity surveillance data during the 2009 pandemic. We collected nonspecific illness student absenteeism data from August 17, 2009 through April 3, 2010 from 187 voluntarily participating South Dakota schools using weekly online surveys. Relative risks (RR) were calculated as the ratio of the probability of absenteeism during elevated weeks versus the probability of absenteeism during the baseline weeks (RR = 1.89). We used Pearson correlation to associate absenteeism with laboratory-confirmed influenza cases, influenza cases diagnosed by rapid tests, influenza-associated hospitalizations and deaths reported in South Dakota during the 2009 H1N1 pandemic period. School-absenteeism data correlated strongly with data from these other influenza surveillance sources.
The Watertown 1:250,000 scale quadrangle of South Dakota/Minnesota is everywhere covered by variable thicknesses of Wisconsin age glacial deposits (drift). Bedrock is nowhere exposed, but is thought to be composed of primarily Cretaceous sediments. There are no known uranium deposits (or occurrences) within the quadrangle. Sixty-seven (67) groups of uranium samples were defined as anomalies and are discussed in the report. None of them are considered significant
Arcan, Chrisa; Hannan, Peter J.; Himes, John H.; Fulkerson, Jayne A.; Holy Rock, Bonnie; Smyth, Mary; Story, Mary
Introduction Obesity is highly prevalent among American Indians, and effective prevention efforts require caregiver involvement. We examined American Indian (AI) parents' assessment of and level of concern about their kindergarten child's weight status. Methods We collected baseline data (fall of 2005 and fall of 2006) on children and their parents or caregivers for a school-based obesity prevention trial (Bright Start) on an AI reservation in South Dakota. The current study uses 413 parent-c...
Palmer, A. N.
The caves of the Black Hills are located in Carboniferous limestone and dolomite of the Madison Formation in western South Dakota. The climate is semi-arid, and surface karst features are few. Entrances to known caves are rather small, and the two largest caves, Wind Cave and Jewel Cave, were discovered only in the late 1880s and in 1900, respectively. Intermittent exploration and mapping have been conducted by local volunteers, National Park Service staff, and the National Speleological Society. Jewel Cave, in Jewel Cave National Monument, contains 290 km of mapped passages; and Wind Cave, in Wind Cave National Park, contains 230 km. They are the third and sixth longest known caves in the world. (Author)
Bolman, J.; Nall, J.
The South Dakota Space Grant Consortium (SDSGC) was established March 1, 1991 by a NASA Capability Enhancement Grant. Since that time SDSGC has worked to provide earth system and space science education, outreach and services to all students across South Dakota. South Dakota has nine tribes and five Tribal Colleges. This has presented a tremendous opportunity to develop sustainable equitable partnerships and collaborations. SDSGC believes strongly in developing programs and activities that highlight and reinforce the balance of Indigenous science and ways of knowing with current findings in Western/Contemporary Science. This blending of science and culture creates a learning community where individuals especially students, can gain confidence and pride in their unique skills and abilities. Universities are also witnessing the accomplishments and achievements of students who are able to experience a tribal environment and then carry that experience to a college/university/workplace and significantly increase the learning achievement of all. The presentation will highlight current Tribal College and Tribal Community partnerships with the Rosebud Sioux Reservation (Sinte Gleska University), Pine Ridge Indian Reservation (Oglala Lakota College), Standing Rock Sioux Reservation (Sitting Bull College) and Cheyenne River Sioux Reservation (Si Tanka) amongst others. Programs and activities to be explained during the presentation include but not limited to: NASA Workforce Native Connections, Scientific Knowledge for Indian Learning and Leadership (SKILL), NSF "Bridges to Success" Summer Research Program, NSF "Fire Ecology" Summer Research Experience, as well as geospatial and space science programs for students and general community members. The presentation will also cover the current initiatives underway through NASA Workforce Development. These include: partnering with the Annual He Sapa Wacipi (Black Hills Pow Wow - attendance of 14,000 Natives) to host Native Space
... Supplementary Rules for Camping on Undeveloped Public Lands in Montana, North Dakota, and South Dakota AGENCY... personal property on undeveloped public lands managed by the BLM in Montana, North Dakota, and South Dakota... public lands throughout Montana, North Dakota, and South Dakota. These final supplementary rules will...
Dwojak, Sunshine; Deschler, Daniel; Sargent, Michele; Emerick, Kevin; Guadagnolo, B Ashleigh; Petereit, Daniel
We established the level of awareness of risk factors and early symptoms of head and neck cancer among American Indians in South Dakota and determined whether head and neck cancer screening detected clinical findings in this population. We used the European About Face survey. We added questions about human papillomavirus, a risk factor for head and neck cancer, and demographics. Surveys were administered at 2 public events in 2011. Participants could partake in a head and neck cancer screening at the time of survey administration. Of the 205 American Indians who completed the survey, 114 participated in the screening. Mean head and neck cancer knowledge scores were 26 out of 44. Level of education was the only factor that predicted higher head and neck cancer knowledge (b = 0.90; P = .01). Nine (8%) people had positive head and neck cancer screening examination results. All abnormal clinical findings were in current or past smokers (P = .06). There are gaps in American Indian knowledge of head and neck cancer risk factors and symptoms. Community-based head and neck cancer screening in this population is feasible and may be a way to identify early abnormal clinical findings in smokers.
Johansen, Laurie Jo; Stenvig, Thomas; Wey, Howard
We examined the relationships between factors (intention, habit, facilitating conditions, and social, cognitive, and affective factors) and nurses' decisions about influenza vaccinations to understand why some get vaccinated while others do not. In a descriptive correlational design, the Triandis model of interpersonal behavior was used to examine the decision of nurses to receive influenza vaccinations. Participants were a random sample (N=193) of registered nurses in North and South Dakota drawn from the respective state nursing licensing board lists. Instrument construction and mail survey procedures followed Dillman's tailored design method. The response rate exceeded 80%. The findings revealed significant, positive correlations among all model variables. Item analysis showed that false beliefs about influenza disease and vaccinations were prevalent and that there was a wide variation in employer support for nurses getting vaccinated. Educational and social marketing strategies may improve nurse's knowledge about influenza disease and vaccine and increase vaccine uptake. Employers should be encouraged to promote and improve influenza vaccine accessibility in the workplace. Additional study is needed to understand how best to strengthen the influence of intention and habit on the decision of nurses to receive influenza vaccinations. © 2011 Wiley Periodicals, Inc.
During the month of August, 1979, EG and G geoMetrics collected 148 miles of high sensitivity airborne radiometric and magnetic data in western South Dakota. Data were collected on tranverse lines 1/4 mile apart and on two tie lines approximately 2 miles apart in one detail area within the Rapid City 1 0 x 2 0 sheet. All data were fully reduced and interpretated by geoMetrics and presented in two volumes. A relative dearth of geologic information seems to exist in this area. Paleozoic and Precambrian sedimentary, metamorphic, and igneous rocks appear to cover most of the region of study. Paleozoic rocks are primarily confined to the eastern side. A wide variety of Precambrian rocks are present as mapped. In addition to the standard data presentations and processing procedures, the data were examined for anomalous uranium valves and mappable geochemical subunits using the radiometric and magnetic data. Principal component analysis was performed on the radiometric data using standard deviation subunits defined by BFEC
Zimmerman, Teresa J; Jenks, Jonathan A; Leslie, David M; Neiger, Regg D
Because there is a paucity of information on the mineral requirements of free-ranging deer, data are needed from clinically healthy deer to provide a basis for the diagnosis of mineral deficiencies. To our knowledge, no reports are available on baseline hepatic mineral concentrations from sympatric white-tailed deer (Odocoileus virginianus) and mule deer (Odocoileus hemionus) using different habitats in the Northern Great Plains. We assessed variation in hepatic minerals of female white-tailed deer (n = 42) and mule deer (n = 41). Deer were collected in February and August 2002 and 2003 from study areas in Custer and Pennington Counties, South Dakota, in and adjacent to a wildfire burn. Hepatic samples were tested for levels (parts per million; ppm) of aluminum (Al), antimony (Sb), arsenic (As), barium (Ba), boron (B), cadmium (Cd), calcium (Ca), chromium (Cr), cobalt (Co), copper (Cu), iron (Fe), lead (Pb), magnesium (Mg), manganese (Mn), mercury (Hg), molybdenum (Mo), nickel (Ni), phosphorus (P), potassium (K), selenium (Se), sodium (Na), sulfur (S), thalium (Tl), and zinc (Zn). We predicted that variability in element concentrations would occur between burned and unburned habitat due to changes in plant communities and thereby forage availability. We determined that Zn, Cu, and Ba values differed (P feeding strategies and morphology between deer species, hepatic elemental concentrations would reflect dietary differences; Ca, Cu, K, Co, Mo, Se, and Zn differed (P
Kipp, Gregory G.; Stone, James J.; Stetler, Larry D.
Sediment samples were analyzed as part of ongoing environmental investigations of historical U mining impacts within Custer National Forest in Harding County, South Dakota. Correlations between As and U content, grain size and soil mineralogy were determined to identify contaminant fate and transport mechanisms. Soil samples collected near the mining source zone and up to 61 km downgradient of the minesites were analyzed. Samples were homogenized and wet sieved through polymer screens, and metal(loid) concentrations were determined using inductively coupled plasma mass spectrometry (ICP-MS). Powder X-ray diffraction (XRD) analysis identified quartz as the primary mineral for all size fractions, with varying amounts of analcime, indicative of volcanic origin. Selected samples were examined for trace mineral composition using scanning electron microscopy (SEM). The presence of Fe sulfides and Fe (hydr)oxides indicate heterogeneity in redox potentials on a microscopic scale. Elevated metal(loid) concentrations were associated with trace concentrations of Fe sulfide, indicating an influence on metal transport during weathering. Sequential chemical extractions (SCE) performed on source sediment fractions demonstrated that most As and U was adsorbed to Fe- and Mn-oxides and carbonates with lesser amounts bound by ion exchange, organics and Fe sulfides. Large changes in U/Th and As/Th ratios were observed to coincide with geochemical changes in the watershed, suggesting that metal(loid)-Th ratios may be used in environmental investigations to identify geochemically-significant watershed conditions.
Spearfish High School in South Dakota contains 43,000 square feet of conditioned space. Its active solar energy system is designed to supply 57% of the space heating and 50% of the hot water demand. The system is equipped with 8034 square feet of flat plate collectors, 4017 cubic feet of rock bin sensible heat storage, and auxiliary equipment including 8 heat pumps, 6 of which are solar supplied and instrumented, air conditioning units, and natural-gas-fired boilers. Performance data are given for the system including the solar fraction, solar savings ratio, conventional fuel savings, system performance factor and solar system coefficient of performance. Insolation, solar energy utilization and operation data are also given. The performance of the collector, storage, domestic hot water and space heating subsystems, the operating energy, energy savings, and weather conditions are also evaluated. Appended are a system description, performance evaluation techniques and equations, site history, long-term weather data, sensor technology, and typical monthly data. (LEW)
Abessa, M. B.; Sundareshwar, P. V.; Updhayay, S.
Didymosphenia geminata is a freshwater diatom that has invaded and colonized many of the world’s oligotrophic streams and rivers, including Rapid Creek in Western South Dakota - a perennial oligotrophic stream that emerges from the Black Hills and is fed by cold water release from the Pactola Reservoir. Since 2002, D. geminata blooms have been observed in certain stretches of the Rapid Creek. These massive blooms are localized to certain segments of the Creek where the flow is mainly slow, stable and shallow dominated by boulder type bed material and submerged large woody debris. Water chemistry data from this Creek showed the variability of major nutrients such as phosphate, nitrates/nitrites and ammonium are insignificant across our study sites while the nature of the stream flow is quite irregular. We measured flow rates, depth, temperature, stream bed characteristics, water chemistry, and D. geminata biomass in regions with and without blooms. The presentation will discuss how changes in physical parameters along the various reaches of the Creek impact the biomass distribution of this invasive alga.
Tangen, Brian; Finocchiaro, Raymond; Gleason, Robert A.; Dahl, Charles F.
Greenhouse gas (GHG) fluxes of aquatic ecosystems in the northern Great Plains of the U.S. represent a significant data gap. Consequently, a 3-year study was conducted in south-central North Dakota, USA, to provide an initial estimate of GHG fluxes from a large, shallow lake. Mean GHG fluxes were 0.02 g carbon dioxide (CO2) m−2 h−1, 0.0009 g methane (CH4) m−2 h−1, and 0.0005 mg nitrous oxide (N2O) m−2 h−1. Fluxes of CO2 and CH4 displayed temporal and spatial variability which is characteristic of aquatic ecosystems, while fluxes of N2O were consistently low throughout the study. Comparisons between results of this study and published values suggest that mean daily fluxes of CO2, CH4, and N2O fromLong Lakewere low, particularly when compared to the well-studied prairie pothole wetlands of the region. Similarly, cumulative seasonal CH4 fluxes, which ranged from 2.68–7.58 g CH4 m−2, were relatively low compared to other wetland systems of North America. The observed variability among aquatic ecosystems underscores the need for further research.
Hart, Philip R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Athalye, Rahul A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Xie, YuLong [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhuge, Jing Wei [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Halverson, Mark A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Loper, Susan A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rosenberg, Michael I. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Richman, Eric E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)
Moving to the ASHRAE Standard 90.1-2013 (ASHRAE 2013) edition from Standard 90.1-2010 (ASHRAE 2010) is cost-effective for the State of South Dakota. The table below shows the state-wide economic impact of upgrading to Standard 90.1-2013 in terms of the annual energy cost savings in dollars per square foot, additional construction cost per square foot required by the upgrade, and life-cycle cost (LCC) per square foot. These results are weighted averages for all building types in all climate zones in the state, based on weightings shown in Table 4. The methodology used for this analysis is consistent with the methodology used in the national cost-effectiveness analysis. Additional results and details on the methodology are presented in the following sections. The report provides analysis of two LCC scenarios: Scenario 1, representing publicly-owned buildings, considers initial costs, energy costs, maintenance costs, and replacement costs—without borrowing or taxes. Scenario 2, representing privately-owned buildings, adds borrowing costs and tax impacts.
Bergmann, David J; Brandenburg, Dylan; Petit, Samantha; Gabel, Mark
Ground beetles (Coleoptera: Carabidae) are a major component of terrestrial invertebrate communities and have been used as bioindicators of habitat change and disturbance. The Black Hills of South Dakota is a small area with a high biodiversity, but the ground beetles of this region are little studied. The habitat preferences of ground beetles in the Black Hills are unknown, and baseline data must be collected if these beetles are to be used in the future as bioindicators. Ground beetles (Coleoptera: Carabidae) were collected from pitfall traps at two sites in each of five kinds of habitats (grassland, bur oak-ironwood forests, ponderosa pine-common juniper forests, aspen-pine forests, and a spruce forest) from which habitat structure characteristics and plant abundance data also were collected. In total, 27 species of ground beetles were identified. Although some species, such as Dicaelus sculptilis Say were found in most habitats, other species showed distinct habitat preferences: Poecilus lucublandus (Say) preferred oak forests, Pasimachus elongatus LeConte preferred grasslands, and Calathus ingratus Dejean preferred high-elevation aspen-pine forests. Pterostichus adstrictus Escholtz was found only in woodlands, and Carabus taedatus Say strictly in higher elevation (over 1,500 m) aspen or coniferous woods, and may represent relict populations of boreal species. Elevation, exposure to sunlight, and cover of woody plants strongly influence the structure of carabid communities in the Black Hills.
Feurer, D.A.; Weaver, C.L.
A detailed description is presented of the laws and programs of the State of South Dakota governing the regulation of public energy utilities, the siting of energy generating and transmission facilities, the municipal franchising of public energy utilities, and the prescription of rates to be charged by utilities including attendant problems of cost allocations, rate base and operating expense determinations, and rate of return allowances. These laws and programs are analyzed to identify impediments which they may present to the implementation of Integrated Community Energy Systems (ICES). This report is one of fifty-one separate volumes which describe such regulatory programs at the Federal level and in each state as background to the report entitled Community Energy Systems and the Law of Public Utilities - Volume One: An Overview. This report also contains a summary of a strategy described in Volume One - An Overview for overcoming these impediments by working within the existing regulatory framework and by making changes in the regulatory programs to enhance the likelihood of ICES implementation.
McMurry, Scott T.; Belden, Jason B.; Smith, Loren M.; Morrison, Shane A.; Daniel, Dale W.; Euliss, Betty R.; Euliss, Ned H. Jr.; Kensinger, Bart J.; Tangen, Brian
Prairie potholes are the dominant wetland type in the intensively cultivated northern Great Plains of North America, and thus have the potential to receive pesticide runoff and drift. We examined the presence of pesticides in sediments of 151 wetlands split among the three dominant land use types, Conservation Reserve Program (CRP), cropland, and native prairie, in North and South Dakota in 2011. Herbicides (glyphosate and atrazine) and fungicides were detected regularly, with no insecticide detections. Glyphosate was the most detected pesticide, occurring in 61% of all wetlands, with atrazine in only 8% of wetlands. Pyraclostrobin was one of five fungicides detected, but the only one of significance, being detected in 31% of wetlands. Glyphosate was the only pesticide that differed by land use, with concentrations in cropland over four-times that in either native prairie or CRP, which were equal in concentration and frequency of detection. Despite examining several landscape variables, such as wetland proximity to specific crop types, watershed size, and others, land use was the best variable explaining pesticide concentrations in potholes. CRP ameliorated glyphosate in wetlands at concentrations comparable to native prairie and thereby provides another ecosystem service from this expansive program.
Thompson, Ryan F.; Wattier, Chelsea M.; Liggett, Richard R.; Truax, Ryan A.
In 2009, the U.S. Geological Survey and South Dakota Department of Transportation (SDDOT) began a study to estimate potential scour at selected bridges on local government (county, township, and municipal) roads in South Dakota. A rapid scour-estimation method (level-1.5) and a more detailed method (level-2) were used to develop estimates of contraction, abutment, and pier scour. Data from 41 level-2 analyses completed for this study were combined with data from level-2 analyses completed in previous studies to develop new South Dakota-specific regression equations: four regional equations for main-channel velocity at the bridge contraction to account for the widely varying stream conditions within South Dakota, and one equation for head change. Velocity data from streamgages also were used in the regression for average velocity through the bridge contraction. Using these new regression equations, scour analyses were completed using the level-1.5 method on 361 bridges on local government roads. Typically, level-1.5 analyses are completed at flows estimated to have annual exceedance probabilities of 1 percent (100-year flood) and 0.2 percent (500-year flood); however, at some sites the bridge would not pass these flows. A level-1.5 analysis was then completed at the flow expected to produce the maximum scour. Data presented for level-1.5 scour analyses at the 361 bridges include contraction, abutment, and pier scour. Estimates of potential contraction scour ranged from 0 to 32.5 feet for the various flows evaluated. Estimated potential abutment scour ranged from 0 to 40.9 feet for left abutments, and from 0 to 37.7 feet for right abutments. Pier scour values ranged from 2.7 to 31.6 feet. The scour depth estimates provided in this report can be used by the SDDOT to compare with foundation depths at each bridge to determine if abutments or piers are at risk of being undermined by scour at the flows evaluated. Replicate analyses were completed at 24 of the 361 bridges
Klaver, Robert W.; Backlund, Douglas; Bartelt, Paul E.; Erickson, Michael G.; Knowles, Craig J.; Knowles, Pamela R.; Wimberly, Michael
The Northern Goshawk (Accipiter gentilis) is the largest of the three North American species ofAccipiter and is more closely associated with older forests than are the other species. Its reliance on older forests has resulted in concerns about its status, extensive research into its habitat relationships, and litigation. Our objective was to model the spatial patterns of goshawk territories in the Black Hills, South Dakota, to make inferences about the underlying processes. We used a modification of Ripley's K function that accounts for inhomogeneous intensity to determine whether territoriality or habitat determined the spacing of goshawks in the Black Hills, finding that habitat conditions rather than territoriality were the determining factor. A spatial model incorporating basal area of trees in a stand of forest, canopy cover, age of trees >23 cm in diameter, number of trees per hectare, and geographic coordinates provided good fit to the spatial patterns of territories. There was no indication of repulsion at close distances that would imply spacing was determined by territoriality. These findings contrast with those for the Kaibab Plateau, Arizona, where territoriality is an important limiting factor. Forest stands where the goshawk nested historically are now younger and have trees of smaller diameter, probably having been modified by logging, fire, and insects. These results have important implications for the goshawk's ecology in the Black Hills with respect to mortality, competition, forest fragmentation, and nest-territory protection.
Rigge, Matthew; Smart, Alexander; Wylie, Bruce; Gilmanov, Tagir; Johnson, Patricia
Assessing the health of rangeland ecosystems based solely on annual biomass production does not fully describe plant community condition; the phenology of production can provide inferences on species composition, successional stage, and grazing impacts. We evaluate the productivity and phenology of western South Dakota mixed-grass prairie using 2000 to 2008 Moderate Resolution Imaging Spectrometer (MODIS) normalized difference vegetation index (NDVI) satellite imagery at 250 m spatial resolution. Growing season NDVI images were integrated weekly to produce time-integrated NDVI (TIN), a proxy of total annual biomass production, and integrated seasonally to represent annual production by cool (C3) and warm (C4) season species. Additionally, a variety of phenological indicators including cool season percentage of TIN were derived from the seasonal profiles of NDVI. Cool season percentage and TIN were combined to generate vegetation classes, which served as proxies of plant community condition. TIN decreased with precipitation from east to west across the study area. Alternatively, cool season percentage increased from east to west, following patterns related to the reliability (interannual coefficient of variation [CV]) and quantity of mid-summer precipitation. Cool season TIN averaged 76.8% of total. Seasonal accumulation of TIN corresponded closely (R2 > 0.90) to that of gross photosynthesis data from a carbon flux tower. Field-collected biomass and community composition data were strongly related to the TIN and cool season percentage products. The patterns of vegetation classes were responsive to topographic, edaphic, and land management influences on plant communities. Accurate maps of biomass production, cool/warm season composition, and vegetation classes can improve the efficiency of land management by adjusting stocking rates and season of use to maximize rangeland productivity and achieve conservation objectives. Further, our results clarify the spatial and
French, B Wade; Chandler, Laurence D; Riedell, Walter E
Diabrotica barberi Smith & Lawrence and Diabrotica virgifera virgifera LeConte (Coleoptera: Chrysomelidae) are serious pests of maize, Zea mays L. To reduce the amount of toxicants released into the environment, the Agricultural Research Service implemented a 5-yr (1997-2001) areawide pest management program in five geographic locations, including one in South Dakota. The objective was to use integrated pest management tactics to suppress adult Diabrotica populations over a broad geographic area by using aerially applied semiochemical-baited insecticides. Suppressed populations theoretically should reduce oviposition, limit larval feeding damage to maize roots, and result in fewer beetles emerging in subsequent years. We used emergence cages, sticky traps, and CRW lure traps to monitor adult D. barberi and D. v. virgifera populations. We sampled for Diabrotica eggs, and we determined damage to maize roots. We sampled in several maize fields (control) located near the areawide site. The baited insecticides were effective in reducing adult populations 1 and 2 wk after application, and most remained low for the duration of the maize growing season. Fewer beetles were captured in both sticky and lure traps in the areawide site than in the control site. With a few exceptions, egg counts, adult emergence, and maize root damage were similar between the areawide and control sites; however, maize roots had greater fresh weight in the control site. Although not all goals were accomplished, when considering the amount of toxicant released into the environment, using semiochemical-baited insecticides to suppress adult pest Diabrotica populations seems to be an effective areawide management tool.
Karishma Niloy Kibria
Full Text Available Trends in high, moderate, and low streamflow conditions from United States Geological Survey (USGS gauging stations were evaluated for a period of 1951–2013 for 18 selected watersheds in South Dakota (SD using a modified Mann-Kendall test. Rainfall trends from 21 rainfall observation stations located within 20-km of the streamflow gauging stations were also evaluated for the same study period. The concept of elasticity was used to examine sensitivity of streamflow to variation in rainfall and land cover (i.e., grassland in the study watersheds. Results indicated significant increasing trends in seven of the studied streams (of which five are in the east and two are located in the west, nine with slight increasing trends, and two with decreasing trends for annual streamflow. About half of the streams exhibited significant increasing trends in low and moderate flow conditions compared to high flow conditions. Ten rainfall stations showed slight increasing trends and seven showed decreasing trends for annual rainfall. Streamflow elasticity analysis revealed that streamflow was highly influenced by rainfall across the state (five of eastern streams and seven of western streams. Based on this analysis, a 10% increase in annual rainfall would result in 11%–30% increase in annual streamflow in more than 60% of SD streams. While streamflow appears to be more sensitive to rainfall across the state, high sensitivity of streamflow to rapid decrease in grassland area was detected in two western watersheds. This study provides valuable insight into of the relationship between streamflow, climate, and grassland cover in SD and would support further research and stakeholder decision making about water resources.
Miller, Brian W.; Symstad, Amy J.; Frid, Leonardo; Fisichelli, Nicholas A.; Schuurman, Gregor W.
Simulation models can represent complexities of the real world and serve as virtual laboratories for asking “what if…?” questions about how systems might respond to different scenarios. However, simulation models have limited relevance to real-world applications when designed without input from people who could use the simulated scenarios to inform their decisions. Here, we report on a state-and-transition simulation model of vegetation dynamics that was coupled to a scenario planning process and co-produced by researchers, resource managers, local subject-matter experts, and climate change adaptation specialists to explore potential effects of climate scenarios and management alternatives on key resources in southwest South Dakota. Input from management partners and local experts was critical for representing key vegetation types, bison and cattle grazing, exotic plants, fire, and the effects of climate change and management on rangeland productivity and composition given the paucity of published data on many of these topics. By simulating multiple land management jurisdictions, climate scenarios, and management alternatives, the model highlighted important tradeoffs between grazer density and vegetation composition, as well as between the short- and long-term costs of invasive species management. It also pointed to impactful uncertainties related to the effects of fire and grazing on vegetation. More broadly, a scenario-based approach to model co-production bracketed the uncertainty associated with climate change and ensured that the most important (and impactful) uncertainties related to resource management were addressed. This cooperative study demonstrates six opportunities for scientists to engage users throughout the modeling process to improve model utility and relevance: (1) identifying focal dynamics and variables, (2) developing conceptual model(s), (3) parameterizing the simulation, (4) identifying relevant climate scenarios and management
Eads, D.A.; Millspaugh, J.J.; Biggins, D.E.; Livieri, T.M.; Jachowski, D.S.
We investigated postbreeding resource selection by adult black-footed ferrets (Mustela nigripes) on a 452-ha black-tailed prairie dog (Cynomys ludovicianus) colony in the Conata Basin of South Dakota during 20072008. We used resource selection functions (RSFs) to evaluate relationships between numbers of ferret locations and numbers of prairie dog burrow openings (total or active), distances to colony edges, and connectivity of patches of burrow openings. In both years ferrets selected areas near edges of the prairie dog colony where active burrow openings were abundant. In the interior of the colony ferrets selected areas with low abundance of active burrow openings. At times, prairie dog productivity (i.e., pup abundance) might be greatest at colony edges often characterized by grasses; ferrets are likely to select areas where refuge and vulnerable prey are abundant. Ferrets could have used interior areas with few active burrow openings as corridors between edge areas with many active burrow openings. Also, in areas with few active burrow openings ferrets spend more time aboveground during movements and, thus, are likely to be more easily detected. These results complement previous studies demonstrating importance of refuge and prey in fine-scale resource selection by ferrets and provide insight into factors that might influence edge effects on ferret space use. Conservation and restoration of colonies with areas with high densities of burrow openings and prairie dogs, and corridors between such areas, are needed for continued recovery of the black-footed ferret. RSFs could complement coarse-scale habitat evaluations by providing finer-scale assessments of habitat for the black-footed ferret. ?? 2011 American Society of Mammalogists.
Scheibel, Natalie C.; Dembkowski, Daniel J.; Davis, Jacob L.; Chipps, Steven R.
Establishment of nonnative Northern Pike Esox lucius in Pactola Reservoir, South Dakota, has prompted concern among biologists about the influence of this species on the lake’s intensively managed salmonid fisheries. Ancedotal information suggests that catch rates of Rainbow Trout Oncorhynchus mykiss have declined while mean size and abundance of Northern Pike has increased, although quantitative information on diet and growth of the Northern Pike population is lacking. To address potential interactions between Northern Pike and Rainbow Trout, we assessed size-dependent predation by Northern Pike on Rainbow Trout and determined the relative energetic contribution of stocked Rainbow Trout to Northern Pike growth using bioenergetics modeling. Stable isotopes combined with traditional diet analyses revealed that smaller Northern Pike (Trout contributed less than 10% to their annual energy consumption. In contrast, larger Northern Pike (≥600 mm TL) consumed primarily Rainbow Trout, which accounted for 56% of their annual energy consumption. Combining estimates of Northern Pike predation with production costs of catchable-size Rainbow Trout revealed that annual economic losses ranged from US$15,259 to $24,801 per year. Over its lifespan, an age-10 Northern Pike was estimated to consume ~117 Rainbow Trout worth approximately $340. Thus, Northern Pike predation substantially influences salmonid management initiatives and is likely a primary factor contributing to reduced Rainbow Trout abundance and return to anglers in Pactola Reservoir. Strategies for reducing Northern Pike predation on Rainbow Trout include increasing the size of stocked fish or altering the timing and spatial distribution of stocking events.
This study is one of 70 volumes assessing the workforce needs (manpower needs) for pollution control and abatement in the United States for the five-year period of 1976 through 1981. Seven fields for pollution control -- air, noise, pesticides, potable water, radiation, solid waste, and wastewater -- are analyzed, together with energy-related programs currently accentuated by the national effort to solve energy supply problems. The report identifies existing workforce levels, training programs, career opportunities, and future staffing level projections (1976 to 1982) based on the information available for the states of South Dakota through Wyoming and also the District of Columbia, Puerto Rico, and the Virgin Islands
Carter, Janet M.; Thompson, Ryan F.
During July 2015, water samples were collected from 18 wetlands on the Lake Traverse Indian Reservation in northeastern South Dakota and southeastern North Dakota and analyzed for physical properties and 54 pesticides. This study by the U.S. Geological Survey in cooperation with the Sisseton-Wahpeton Oyate was designed to provide an update on pesticide concentrations of the same 18 wetlands that were sampled for a reconnaissance-level assessment during July 2006. The purpose of this report is to present the results of the assessment of pesticide concentrations in selected Lake Traverse Indian Reservation wetlands during July 2015 and provide a comparison of pesticide concentrations between 2006 and 2015.Of the 54 pesticides that were analyzed for in the samples collected during July 2015, 47 pesticides were not detected in any samples. Seven pesticides—2-chloro-4-isopropylamino-6-amino-s-triazine (CIAT); 2,4–D; acetachlor; atrazine; glyphosate; metolachlor; and prometon—were detected in the 2015 samples with estimated concentrations or concentrations greater than the laboratory reporting level, and most pesticides were detected at low concentrations in only a few samples. Samples from all wetlands contained at least one detected pesticide. The maximum number of pesticides detected in a wetland sample was six, and the median number of pesticides detected was three.The most commonly detected pesticides in the 2015 samples were atrazine and the atrazine degradate CIAT (also known as deethylatrazine), which were detected in 14 and 13 of the wetlands sampled, respectively. Glyphosate was detected in samples from 11 wetlands, and metolachlor was detected in samples from 10 wetlands. The other detected pesticides were 2,4–D (4 wetlands), acetochlor (3 wetlands), and prometon (1 wetland).The same pesticides that were detected in the 2006 samples were detected in the 2015 samples, with the exception of simazine, which was detected only in one sample in 2006
Stoffer, Philip W.; Messina, Paula; Chamberlain, John A.; Terry, Dennis O.
A marine K-T boundary interval has been identified throughout the Badlands National Park region of South Dakota. Data from marine sediments suggest that deposits from two asteroid impacts (one close, one far away) may be preserved in the Badlands. These impact-generated deposits may represent late Maestrichtian events or possibly the terminal K-T event. Interpretation is supported by paleontological correlation, sequence stratigraphy, magnetostratigraphy, and strontium isotope geochronology. This research is founded on nearly a decade of NPS approved field work in Badlands National Park and a foundation of previously published data and interpretations. The K-T boundary occurs within or near the base of a stratigraphic interval referred to as the "Interior Zone." We interpret the stratigraphy of the Interior Zone as a series of distinct, recognizable lithologic members and units from oldest to youngest, an upper weathered interval of the Elk Butte Member of the Pierre Shale (early late Maestrichtian), a complete (albeit condensed) interval of Fox Hill Formation, a pedogenically altered K-T Boundary "Disturbed Zone," and a generally unresolved sequence of marine to marginal marine units ranging in age from possibly latest Maestrichtian to late Paleocene (the "Yellow Mounds"), that underlie a basal red clay unit (the late Eocene overbank channel facies of the Chamberlain Pass Formation at the base of the White River Group). Within this sequence is a series of unconformities that all display some degree of subaerial weathering and erosion. The dating of marine fossils above and below these unconformities are in line with generally accepted global sea-level changes recognized for the late Campanian through early Eocene. Within the greater framework of regional geology, these findings support that the Western Interior Seaway and subsequent Cannonball Seaway were dependently linked to the changing base-level controlled by sea-level of the global ocean through the Gulf of
Brian E. Dickerson; Cheryl Mayer; Justin Ramsey; Zach Mergen; Mark Gabel
Hieracium spp. (Asteraceae) are noted for their taxonomic complexity, frequent incidence of apomixis and polyploidy, and invasive tendencies. Here we report the Eurasian taxa, Hieracium caespitosum Dumort. and Hieracium piloselloides Vill., as recent additions to the flora of South Dakota. Plants were collected at three locations in the Black Hills during 2014 and 2015...
Dakota Twilight. Exposition Press, Hicksville, New York. Moran, S. R., M. Arndt, J. P. Bluemle, M. Camara, L. Clayton, M. M. Fenton , K. L. Harris, H. C...89 35 116 89 *Piscellaneous, a - smoking material. b - gum, c - sap. d - ceremonial or play. a - cosmetic . References: 6 - Gilmore 1919. 6 - Grinnell
Stein, H H; Benzoni, G; Bohlke, R A; Peters, D N
Four experiments were conducted to investigate the feeding value of South Dakota-grown field peas (Pisum sativum L.) for growing pigs. In Exp. 1, 96 pigs (initial BW = 22 +/- 3.35 kg) were allotted to four treatment groups (four pigs per pen, six replicate pens per treatment) and fed growing (0.95% Lys) and finishing (0.68% Lys) diets containing 0, 12, 24, or 36% field peas (as-fed basis). There were no differences among the treatment groups in ADG, ADFI, or G:F. Likewise, there were no differences in backfat thickness or lean meat percent among treatment groups, but pigs fed diets containing 12, 24, or 36% field peas had greater (P feed ingredients. Experiment 4 was an energy balance experiment conducted to measure the DE and ME concentrations in field peas and corn. Six growing pigs (initial BW = 85.5 +/- 6.5 kg) were placed in metabolism cages and fed diets based on field peas or corn and arranged in a two-period switch-back design. The DE values for field peas and corn (3,864 and 3,879 kcal/kg DM, respectively) were similar, but the ME of corn was higher (P Dakota-grown field peas are highly digestible by growing pigs. Therefore, such field peas may be included in diets for nursery pigs and growing-finishing pigs in amounts of at least 18 and 36%, respectively, without negatively affecting pig performance.
cerebrovascular accident (CVA) in a rural South African population. Design. ... part of a community-based prospective study examining the burden of disease, in ... to support district health development. .... Community-based work looking at ...
Menstruation in Rural Igbo Women of South East Nigeria: Attitudes, Beliefs and Practices. ... African Journal of Reproductive Health ... Some respondents observed self-imposed restrictions on exercises, food items, visits and sex in order to ...
Ponicki, William R; Henderson, Jeffrey A; Gaidus, Andrew; Gruenewald, Paul J; Lee, Juliet P; Moore, Roland S; Davids, Sharice; Tilsen, Nick
Despite high abstinence rates, American Indians experience elevated rates of many alcohol and other drug problems. American Indians also predominantly reside in poor and rural areas, which may explain some observed health disparities. We investigated whether geographic areas including reservations or large American Indian populations exhibited greater incidence of alcohol- and drug-related hospitalizations. We obtained inpatient hospitalization records for 2 Northern Plain states (Nebraska and South Dakota) for the years 2007 to 2012. We constructed zip code counts for 10 categories of hospitalization with diagnoses or injury causation commonly associated with alcohol or drug use. We related these to community sociodemographic characteristics using Bayesian Poisson space-time regression models and examined associations with and without controls for whether each zip code was located within an American Indian reservation. Controlling for other demographic and economic characteristics, zip codes with greater percentage of American Indians exhibited greater incidence for all 10 substance abuse-related health outcomes (9 of 10 well supported); zip code areas within American Indian reservations had greater incidence of self-inflicted injury and drug dependence and abuse, and reduced incidence of alcohol cirrhosis and prescription opioid poisoning. However, the analyses generally demonstrated no well-supported differences in incidence associated with local residence percentages of American Indian versus African American. In our analyses, ethnicity or heredity alone did not account for alcohol- and drug-related hospitalizations among Native populations. Aspects of social, economic, and political dimensions of Native lives must be considered in the etiology of alcohol- and drug-related problems for rural-dwelling indigenous peoples. Copyright © 2018 by the Research Society on Alcoholism.
Fisichelli, Nicholas A.; Schuurman, Gregor W.; Symstad, Amy J.; Ray, Andrea; Miller, Brian; Cross, Molly; Rowland, Erika
The Scaling Climate Change Adaptation in the Northern Great Plains through Regional Climate Summaries and Local Qualitative-Quantitative Scenario Planning Workshops project synthesizes climate data into 3-5 distinct but plausible climate summaries for the northern Great Plains region; crafts quantitative summaries of these climate futures for two focal areas; and applies these local summaries by developing climate-resource-management scenarios through participatory workshops and, where possible, simulation models. The two focal areas are central North Dakota and southwest South Dakota (Figure 1). The primary objective of this project is to help resource managers and scientists in a focal area use scenario planning to make management and planning decisions based on assessments of critical future uncertainties.This report summarizes project work for public and tribal lands in the southwest South Dakota grasslands focal area, with an emphasis on Badlands National Park and Buffalo Gap National Grassland. The report explains scenario planning as an adaptation tool in general, then describes how it was applied to the focal area in three phases. Priority resource management and climate uncertainties were identified in the orientation phase. Local climate summaries for relevant, divergent, and challenging climate scenarios were developed in the second phase. In the final phase, a two-day scenario planning workshop held January 20-21, 2016 in Rapid City, South Dakota, featured scenario development and implications, testing management decisions, and methods for operationalizing scenario planning outcomes.
This article explores how schoolchildren made vulnerable due to HIV and AIDS might cope and even thrive in a rural school environment in South Africa. I argue that ... Keywords: appreciative inquiry, assets, coping, PhotoVoice, psychosocial aspects, research methods, rural settings, visual participatory methods
Rural Poultry Production in Ondo South Senatorial District Area of Ondo State, Nigeria. ... African Journal of Livestock Extension ... The need to obtain baseline information on rural poultry with respect to their population and the production potentials of the indigenous chicken under the village conditions in Ondo Area formed ...
Tornes, Lan H.
Data for the Red River of the North (Red River) Basin in Minnesota, North Dakota, and South Dakota were analyzed to determine whether the water quality of streams in the basin is adequate to meet future needs. For the Red River at Emerson, Manitoba, site, pH values, water temperatures, and dissolved-oxygen concentrations generally were within the criteria established for the protection of aquatic life. Dissolved-solids concentrations ranged from 245 to 1,100 milligrams per liter. Maximum sulfate and chloride concentrations were near, but did not exceed, the established secondary maximum contaminant level. The trace elements considered potentially harmful generally were at concentrations that were less than the established guidelines, standards, and criteria. The concentrations of lead that were detected may have occurred as a result of sample contamination. For the Red River upstream from Emerson, Manitoba, sites, pH and other field values rarely exceeded the criteria established for the protection of aquatic life. Many constituent concentrations for the Red River below Fargo, N. site exceeded water-quality guidelines, standards, and criteria. However, the trace-element exceedances could be natural or could be related to pollution or sample contamination. Many of the tributaries in the western part of the Red River Basin had median specific-conductance values that were greater than 1,000 microsiemens per centimeter. Sulfate concentrations occasionally exceeded the established drinking-water standard. Median arsenic concentrations were 6 micrograms per liter or less, and maximum concentrations rarely exceeded the 10-microgram-per-liter drinking-water standard that is scheduled to take effect in 2006. The small concentrations of lead, mercury, and selenium that occasionally were detected may have been a result of sample contamination or other factors. The tributaries in the eastern part of the Red River Basin had median specific-conductance values that were less
Driscoll, Daniel G.; Carter, Janet M.; Ohlen, Donald O.
The Galena Fire burned about 16,788 acres of primarily ponderosa pine forest during July 5-8, 1988, in the Black Hills area of South Dakota. The fire burned primarily within the Grace Coolidge Creek drainage basin and almost entirely within the boundaries of Custer State Park. A U.S. Geological Survey gaging station with streamflow records dating back to 1977 was located along Grace Coolidge Creek within the burned area. About one-half of the gaging station's 26.8-square-mile drainage area was burned. The drainage basin for Bear Gulch, which is tributary to Grace Coolidge Creek, was burned particularly severely, with complete deforestation occurring in nearly the entirety of the area upstream from a gaging station that was installed in 1989. A study to evaluate effects of the Galena Fire on streamflow, geomorphology, and water quality was initiated in 1988. The geomorphologic and water-quality components of the study were completed by 1990 and are summarized in this report. A data-collection network consisting of streamflow- and precipitation-gaging stations was operated through water year 1998 for evaluation of effects on streamflow characteristics, including both annual-yield and peak-flow characteristics, which are the main focus of this report. Moderately burned areas did not experience a substantial increase in the rate of surface erosion; however, severely burned areas underwent surficial erosion nearly twice that of the unburned areas. The sediment production rate of Bear Gulch estimated 8 to 14 months after the fire was 870 ft3/acre (44 tons/acre). Substantial degradation of stream channels within the severely burned headwater areas of Bear Gulch was documented. Farther downstream, channel aggradation resulted from deposition of sediments transported from the headwater areas. The most notable water-quality effect was on concentrations of suspended sediment, which were orders of magnitude higher for Bear Gulch than for the unburned control area. Effects on
Robinson, C.S.; Mapel, W.J.; Bergendahl, M.H.
This report describes the stratigraphy and structure of an area of about 5000 square miles in northeastern Wyoming and adjacent parts of Montana and South Dakota. The area includes the northern end and part of the western side of the Black Hills Uplift and the adjoining part of the Powder River Basin. About 11,000 ft of sedimentary rocks ranging in age from Mississippian to Early Tertiary are exposed in the area, not including surficial deposits of Tertiary (.) and Quaternary age. Oil is produced from several fields on the wet side of the Black Hills Uplift in Wyoming. Bentonite is mined at many places. The Fort Union and Wasatch Formations contain large reserves of sub-bituminous coal, and Lakota Formation contains some bituminous coal
Harden, Tessa M.; O'Connor, James E.; Driscoll, Daniel G.
A stratigraphic record of 35 large paleofloods and four large historical floods during the last 2000 years for four basins in the Black Hills of South Dakota reveals three long-term flooding episodes, identified using probability distributions, at A.D.: 120–395, 900–1290, and 1410 to present. During the Medieval Climate Anomaly (~ A.D. 900–1300) the four basins collectively experienced 13 large floods compared to nine large floods in the previous 800 years, including the largest floods of the last 2000 years for two of the four basins. This high concentration of extreme floods is likely caused by one or more of the following: 1) instability of air masses caused by stronger than normal westerlies; 2) larger or more frequent hurricanes in the Gulf of Mexico and Atlantic Ocean; and/or 3) reduced land covering vegetation or increased forest fires caused by persistent regional drought.
Selected Data for Wells and Test Holes Used in Structure-Contour Maps of the Inyan Kara Group, Minnekahta Limestone, Minnelusa Formation, Madison Limestone, and Deadwood Formation in the Black Hills Area, South Dakota
Carter, Janet M
This report presents selected data on wells and test holes that were used in the construction of structure-contour maps of selected formations that contain major aquifers in the Black Hills area of western South Dakota...
In today's age of exponential change and technological advancement, awareness of any gender gap in technology and computer science-related fields is crucial, but further research must be done in an effort to better understand the complex interacting factors contributing to the gender gap. This study utilized a survey to investigate specific gender differences relating to computing self-efficacy, computer usage, and environmental factors of exposure, personal interests, and parental influence that impact gender differences of high school students within a one-to-one computing environment in South Dakota. The population who completed the One-to-One High School Computing Survey for this study consisted of South Dakota high school seniors who had been involved in a one-to-one computing environment for two or more years. The data from the survey were analyzed using descriptive and inferential statistics for the determined variables. From the review of literature and data analysis several conclusions were drawn from the findings. Among them are that overall, there was very little difference in perceived computing self-efficacy and computing anxiety between male and female students within the one-to-one computing initiative. The study supported the current research that males and females utilized computers similarly, but males spent more time using their computers to play online games. Early exposure to computers, or the age at which the student was first exposed to a computer, and the number of computers present in the home (computer ownership) impacted computing self-efficacy. The results also indicated parental encouragement to work with computers also contributed positively to both male and female students' computing self-efficacy. Finally the study also found that both mothers and fathers encouraged their male children more than their female children to work with computing and pursue careers in computing science fields.
Weber, Tess L; Briggs, Ashley; Hanson, Jessica D
Long-acting reversible contraception (LARC) methods, including the intrauterine device (IUD) and the birth control implant, are the most effective form of prescribed birth control for pregnancy prevention. However, uptake of this highly effective form of birth control is slow. The purpose of this study was to explore use of the LARC methods in South Dakota women prescribed contraception and the importance of the provider in promoting this type of contraception. This was a cross-sectional study of female patients who had been prescribed contraception at one of five locations in a South Dakota hospital system. Records were obtained through electronic health records for a six-month period. Descriptive analysis was performed using chi-square with counts and percentages. Logistic regression was used to determine differences in LARC prescriptions by patient age and provider title. A total of 2,174 individual patients were included in analysis. Of the 378 (17.4 percent) who were prescribed LARC methods, most (78.6 percent) were prescribed an IUD. Younger women (aged 11-19) were less likely to be prescribed LARCs compared to women aged 30-34. There were also significant differences in LARC prescriptions by provider type. Futhermore, we noted differences in LARC prescriptions for a provider who received a specific education and training on LARC from the American College of Obstetrics and Gynecology. There are many important factors to consider by the patient when choosing the most appropriate contraceptive method, including safety, effectiveness, accessibility, and affordability. Provider education may play an important role in promoting LARC methods.
Allen, S.H.; Sargeant, A.B.
Rural mail-carrier sightings of red foxes (Vulpes vulpes) during mid-April, -July, and -September of 1969-73 were compared to spring fox family estimates derived by aerial searches of six townships. The mid-April mail-carrier index reflected annual fox density changes on the six townships (correlation coefficient = 0.958) . Random exclusions of individual mail-carrier reports indicated participation could decline 40 percent without affecting index accuracy.
Dudley, M; Kelk, N; Florio, T; Waters, B; Howard, J; Taylor, D
The aim of this study is to compare the frequency of certain putative risk factors for youth suicide in New South Wales (especially use of alcohol, social class, unemployment, and internal migration) in metropolitan and rural settings. A review of 137 files for 10-19-year-old subjects judged by the Coroner to have committed suicide in 1988-1990 was carried out. One hundred and fifteen males and 21 females were identified (one subjects sex was unavailable). The male-female ratio was higher in rural (13.0) areas than non-rural (4.9 chi 2 = 12.14, p Australia, most migrated in a rural direction, and most to rural shires. Unemployment was somewhat more common among rural (38.5%) than non-rural (28.9%) subjects (chi 2 = 0.75, p = 0.39). Eleven of 50 non-rural parents of the deceased, but none of the 11 rural parents, were ranked as being in social classes 2 or 3. Alcohol consumption appeared more common in rural shires (44%) than metropolitan areas (32.9%), but this was not statistically significant. Medical services were less utilised prior to death in rural (15%) than non-rural (25%) areas (chi 2 = 1.69, p = 0.19), and a psychiatric diagnosis was recorded more commonly in non-rural areas. Incomplete coronial file data and relatively small numbers limit this study's conclusions. Male suicides, principally by firearms, predominated in rural areas. Youth firearm access remains highly relevant to rural communities. Possible trends among rural subjects toward rural migration, higher unemployment, lower social class and lower medical attendance may point to resource deprivation among this group; these matters require further investigation.
Huseth-Zosel, Andrea L
Research has shown that rear-seated children are 36 to 40 percent safer than front-seated children. Because of the substantial differences in traffic safety culture that appear to exist in rural areas and the limited research regarding seat placement and rurality, this study seeks to contribute to the safety literature by determining at what rate children are riding in the front seat and whether differences exist between rural and urban areas in regards to child front seat placement. Current child placement frequencies within vehicles were ascertained through direct observations of morning child drop-offs at randomly selected urban and rural elementary schools in eastern North Dakota during November and December of 2009, with a focus on children aged 12 or younger. Two observers wearing orange safety vests and carrying observation sheets were stationed at each elementary school a minimum of 45 min prior to each school's designated start time. Based on the vehicles that entered the school's parking lot/drop-off circle and from which a minimum of one child exited, observers were instructed to record vehicle type, presence of children in the front seat appearing to be younger than 13 years old, availability of room in the back seat, and placement of other children in the vehicle. During November and December of 2009 a total of 537 vehicles were observed at urban schools and 150 vehicles were observed at rural schools. Of the 537 vehicles observed at urban schools, 28.7 percent had children seated in the front seat, whereas 41.3 percent of the 150 vehicles observed at rural schools had front-seated children. Significant urban/rural differences exist in child seat placement, with vehicles in rural areas much more likely to be carrying front-seated children than vehicles in urban areas. Based on a sample of vehicles observed at urban and rural elementary schools in North Dakota, the results of this study indicate that there are significant rural/urban differences in
Marini, Katrina A.; Hoogestraat, Galen K.; Aurand, Katherine R.; Putnam, Larry D.
This U.S. Geological Survey report documents a conceptual and numerical model of the glacial aquifer system north of Aberdeen, South Dakota, that can be used to evaluate and manage the city of Aberdeen's water resources. The glacial aquifer system in the model area includes the Elm, Middle James, and Deep James aquifers, with intervening confining units composed of glacial till. The Elm aquifer ranged in thickness from less than 1 to about 95 feet (ft), with an average thickness of about 24 ft; the Middle James aquifer ranged in thickness from less than 1 to 91 ft, with an average thickness of 13 ft; and the Deep James aquifer ranged in thickness from less than 1 to 165 ft, with an average thickness of 23 ft. The confining units between the aquifers consisted of glacial till and ranged in thickness from 0 to 280 ft. The general direction of groundwater flow in the Elm aquifer in the model area was from northwest to southeast following the topography. Groundwater flow in the Middle James aquifer was to the southeast. Sparse data indicated a fairly flat potentiometric surface for the Deep James aquifer. Horizontal hydraulic conductivity for the Elm aquifer determined from aquifer tests ranged from 97 to 418 feet per day (ft/d), and a confined storage coefficient was determined to be 2.4x10-5. Estimates of the vertical hydraulic conductivity of the sediments separating the Elm River from the Elm aquifer, determined from the analysis of temperature gradients, ranged from 0.14 to 2.48 ft/d. Average annual precipitation in the model area was 19.6 inches per year (in/yr), and agriculture was the primary land use. Recharge to the Elm aquifer was by infiltration of precipitation through overlying outwash, lake sediments, and glacial till. The annual recharge for the model area, calculated by using a soil-water-balance method for water year (WY) 1975-2009, ranged from 0.028 inch in WY 1980 to 4.52 inches in WY 1986, with a mean of 1.56 inches. The annual potential
Schaap, Bryan D.
The Elm aquifer, which consists of sandy and gravelly glacial-outwash deposits, is present in several counties in northeastern South Dakota. An aquifer test was conducted northeast of Aberdeen during the fall of 1999 to determine the hydraulic properties of the Elm aquifer in that area. An improved understanding of the properties of the aquifer will be useful in the possible development of the aquifer as a water resource. Historical water-level data indicate that the saturated thickness of the Elm aquifer can change considerably over time. From September 1977 through November 1985, water levels at three wells completed in the Elm aquifer near the aquifer test site varied by 5.1 ft, 9.50 ft, and 11.1 ft. From June 1982 through October 1999, water levels at five wells completed in the Elm aquifer near the aquifer test site varied by 8.7 ft, 11.4 ft, 13.2 ft, 13.8 ft, and 19.7 ft. The water levels during the fall of 1999 were among the highest on record, so the aquifer test was affected by portions of the aquifer being saturated that might not be saturated during drier times. The aquifer test was conducted using five existing wells that had been installed prior to this study. Well A, the pumped well, has an operating irrigation pump and is centrally located among the wells. Wells B, C, D, and E are about 70 ft, 1,390 ft, 2,200 ft, and 3,100 ft, respectively, in different directions from Well A. Using vented pressure transducers and programmable data loggers, water-level data were collected at the five wells prior to, during, and after the pumping, which started on November 19, 1999, and continued a little over 72 hours. Based on available drilling logs, the Elm aquifer near the test area was assumed to be unconfined. The Neuman (1974) method theoretical response curves that most closely match the observed water-level changes at Wells A and B were calculated using software (AQTESOLV for Windows Version 2.13-Professional) developed by Glenn M. Duffield of Hydro
Matshe, Innocent; Moyo-Maposa, Sibonginkosi; Zikhali, Precious
Using household data from the 2009 General Household Survey, this paper examines the role of natural resource scarcity in rural development in South Africa, with a particular focus on water scarcity. It seeks to examine whether there is a direct link between household water and economic poverty of rural households, with householdsâ€™ total monthly income used as an indicator of economic poverty. An adaptation of a comprehensive water poverty index, which considers water access, quality, use, ...
Zelt, Ronald B.; Hobza, Christopher M.; Burton, Bethany L.; Schaepe, Nathaniel J.; Piatak, Nadine
Sediment management is a challenge faced by reservoir managers who have several potential options, including dredging, for mitigation of storage capacity lost to sedimentation. As sediment is removed from reservoir storage, potential use of the sediment for socioeconomic or ecological benefit could potentially defray some costs of its removal. Rivers that transport a sandy sediment load will deposit the sand load along a reservoir-headwaters reach where the current of the river slackens progressively as its bed approaches and then descends below the reservoir water level. Given a rare combination of factors, a reservoir deposit of alluvial sand has potential to be suitable for use as proppant for hydraulic fracturing in unconventional oil and gas development. In 2015, the U.S. Geological Survey began a program of researching potential sources of proppant sand from reservoirs, with an initial focus on the Missouri River subbasins that receive sand loads from the Nebraska Sand Hills. This report documents the methods and results of assessments of the suitability of river delta sediment as proppant for a pilot study area in the delta headwaters of Lewis and Clark Lake, Nebraska and South Dakota. Results from surface-geophysical surveys of electrical resistivity guided borings to collect 3.7-meter long cores at 25 sites on delta sandbars using the direct-push method to recover duplicate, 3.8-centimeter-diameter cores in April 2015. In addition, the U.S. Geological Survey collected samples of upstream sand sources in the lower Niobrara River valley.At the laboratory, samples were dried, weighed, washed, dried, and weighed again. Exploratory analysis of natural sand for determining its suitability as a proppant involved application of a modified subset of the standard protocols known as American Petroleum Institute (API) Recommended Practice (RP) 19C. The RP19C methods were not intended for exploration-stage evaluation of raw materials. Results for the washed samples are
Watkins, Patricia L; Watkins, John M
Established risk factors for hematologic cancers include exposure to ionizing radiation, organic solvents, and genetic mutation; however, the potential roles of environmental and sociological factors are not well explored. As North Dakota engages in significant agricultural activity, the present investigation seeks to determine whether an association exists between the incidence of hematologic cancers and either population density or agricultural occupation for residents of south central North Dakota. The present study is a retrospective analysis. Cases of hematologic malignancies and associated pre-malignant conditions were collected from the regional Central North Dakota Cancer Registry, and analysis of study-specific demographic factors was performed. Significantly higher incidence of hematologic cancers and pre-malignant disorders was associated with residence in an "urban" county and rural city/town. Within the latter designation, there was a higher rate of self-reported agricultural occupation (40% vs 10%, P Dakota supports the need for more detailed prospective research centered on agricultural exposures.
... snakebites at this rural hospital where they were treated frequently. It is crucial for primary care physicians to be familiar with the most common venomous snakes in South Africa and the management of their bites in humans. Elevation of the affected limb, administration of intravenous fluids and administration of analgesia, ...
This article attends to rural school leadership in two South African schools through the lens of the concepts of relational leadership and emotional labour. The inquiry draws on five years of guided conversations and observations that speak to leadership experiences of hope and anticipation as well as despair and disillusionment. I worked with one…
Objective: To examine psychosocial correlates of lifetime alcohol use among adolescents in rural South African high schools. Method: Questionnaires were administered to 1600 students from 20 randomly selected high schools in the Mankweng district within Limpopo province. Self-report data on alcohol use, demographic, ...
Objective. To determine the impact of the HIV epidemic on tuberculosis caseload in rural South Africa. Setting. Hlabisa health district, Kwazulu-Natal. Methods. Demographic and clinical data were extracted from the tuberculosis database for the period, May 1991 June 1995. The attributable fraction of HIV-infected ...
de Reus, A.; Mostert, L.; Moonen, X.; Vermeer, A.; Magyarszeky, Z.
The purpose of the present study is to gain insight into the attitudes of people living in a rural area of South Africa towards persons with a disability and the extent to which these attitudes are related to people's characteristics. A total of 105 residents of a township in the Gauteng province
Ulrich, Edward T.
For the first time, in 2008, I offered a world religions study abroad course in South India. The special emphasis was meeting and befriending locals, and the centerpiece of the course was a six-night stay in rural homes. I considered this immersion in a Hindu context to be the best setting for learning Hindu thought. However, the environment was…
Fincel, Mark J.; Chipps, Steven R.; Graeb, Brian D. S.; Edwards, Kris R.
Gizzard shad, Dorosoma cepedianum, have generally been restricted to the lower Missouri River impoundments in South Dakota. In recent years, gizzard shad numbers have increased in Lake Oahe, marking the northern-most natural population. These increases could potentially affect recreational fishes. Specifically, questions arise about larval gizzard shad growth dynamics and if age-0 gizzard shad in Lake Oahe will exhibit fast or slow growth, both of which can have profound effects on piscivore populations in this reservoir. In this study, we evaluated larval gizzard shad hatch timing, growth, and density in Lake Oahe. We collected larval gizzard shad from six sites from May to July 2008 and used sagittal otoliths to estimate the growth and back-calculate the hatch date. We found that larval gizzard shad hatched earlier in the upper part of the reservoir compared to the lower portion and that hatch date appeared to correspond to warming water temperatures. The peak larval gizzard shad density ranged from 0.6 to 33.6 (#/100 m3) and varied significantly among reservoir sites. Larval gizzard shad growth ranged from 0.24 to 0.57 (mm/d) and differed spatially within the reservoir. We found no relationship between the larval gizzard shad growth or density and small- or large-bodied zooplankton density (p > 0.05). As this population exhibits slow growth and low densities, gizzard shad should remain a suitable forage option for recreational fishes in Lake Oahe.
Bergdale, Terran E; Hughes, Stephen R; Bang, Sookie S
A thermophilic strain, Geobacillus sp. DC3, capable of producing hemicellulolytic enzymes was isolated from the 1.5-km depth of the former Homestake gold mine in Lead, South Dakota. The DC3 strain expressed a high level of extracellular endoxylanase at 39.5 U/mg protein with additional hemicellulases including β-xylosidase (0.209 U/mg) and arabinofuranosidase (0.230 U/mg), after the bacterium was grown in xylan for 24 h. Partially purified DC3 endoxylanase exhibited a molecular mass of approximately 43 kDa according to zymography with an optimal pH of 7 and optimal temperature of 70 °C. The kinetic constants, K m and V max, were 13.8 mg/mL and 77.5 μmol xylose/min·mg xylan, respectively. The endoxylanase was highly stable and maintained 70 % of its original activity after 16 h incubation at 70 °C. The thermostable properties and presence of three different hemicellulases of Geobacillus sp. DC3 strain support its potential application for industrial hydrolysis of renewable biomass such as lignocelluloses.
Waddell, Evan J.; Elliott, Terran J.; Sani, Rajesh K.; Vahrenkamp, Jefferey M.; Roggenthen, William M.; Anderson, Cynthia M.; Bang, Sookie S.
Molecular characterization of subsurface microbial communities in the former Homestake gold mine, South Dakota, was carried out by 16S rDNA sequence analysis using a water sample and a weathered soil–like sample. Geochemical analyses indicated that both samples were high in sulfur, rich in nitrogen and salt, but with significantly different metal concentrations. Microbial diversity comparisons unexpectedly revealed three distinct operational taxonomic units (OTUs) belonging to the archaeal phylum Thaumarchaeota typically identified from marine environments, and one OTU to a potentially novel phylum that falls sister to Thaumarchaeota. To our knowledge this is only the second report of Thaumarchaeota in a terrestrial environment. The majority of the clones from Archaea sequence libraries fell into two closely related OTUs and grouped most closely to an ammonia–oxidizing, carbon–fixing and halophilic thaumarchaeote genus, Nitrosopumilus. The two samples showed neither Euryarchaeota nor Crenarchaeota members that were often identified from other subsurface terrestrial ecosystems. Bacteria OTUs containing the highest percentage of sequences were related to sulfur-oxidizing bacteria of the orders Chromatiales and Thiotrichales. Community members of Bacteria from individual Homestake ecosystems were heterogeneous and distinctive to each community with unique phylotypes identified within each sample. PMID:20662386
Ward, M.J.; Willis, D.W.; Miller, B.H.; Chipps, S.R.
The gizzard shad (Dorosoma cepedianum) was introduced into 1,955-ha Angostura Reservoir, South Dakota to provide increased prey resources for walleye (Sander vitreus). Linear correlation analysis indicated that following gizzard shad introduction, walleye catch-per-unit-effort and mean length at age have increased over time (r = 0.68 to 0.85, P = 0.02 to 0.001). Walleye stomach contents were collected monthly from April through September, 2004 to determine the extent to which age-0 gizzard shad were being utilized as prey during the growing season. Age-0 gizzard shad were absent from walleye diets from April to mid-July (pre-shad-available period); however, from mid-July through early September (shad-available period), age-0 gizzard shad were an important prey item in all walleye diets. Mean weight decreased for walleyes of ages 2-5 during the spring, before age-0 gizzard shad became available; however, growth rate of walleyes increased appreciably during the shad-available period and was attributable to consumption of age-0 shad prey. In Angostura Reservoir, which lies at the northwestern edge of the gizzard shad range, walleye population characteristics have improved following shad introduction and during 2004, age-0 shad directly affected walleye feeding and growth.
Valder, Joshua F.; Delzer, Gregory C.; Carter, Janet M.; Smith, Bruce D.; Smith, David V.
The city of Sioux Falls is the fastest growing community in South Dakota. In response to this continued growth and planning for future development, Sioux Falls requires a sustainable supply of municipal water. Planning and managing sustainable groundwater supplies requires a thorough understanding of local groundwater resources. The Big Sioux aquifer consists of glacial outwash sands and gravels and is hydraulically connected to the Big Sioux River, which provided about 90 percent of the city’s source-water production in 2015. Managing sustainable groundwater supplies also requires an understanding of groundwater availability. An effective mechanism to inform water management decisions is the development and utilization of a groundwater-flow model. A groundwater-flow model provides a quantitative framework for synthesizing field information and conceptualizing hydrogeologic processes. These groundwater-flow models can support decision making processes by mapping and characterizing the aquifer. Accordingly, the city of Sioux Falls partnered with the U.S. Geological Survey to construct a groundwater-flow model. Model inputs will include data from advanced geophysical techniques, specifically airborne electromagnetic methods.
Gould, Jeffrey H.; Jenkins, Kurt J.
The Conservation Reserve Program (CRP_, a provision of the 1985 Food Security Act, subsidizes landowners to take highly erodible lands out of cultivation and seed them to perennial cover for 10years. In eastern South Dakota, 0.5 million ha were enrolled in the CRP from 1985 to 1990 (Agric. Stabilization and Conserv. Serv., Brookings, S.D., unpubl. Data), which represents the largest change in conservation land-use practices in the region since the 1956 Soil Bank Program (Goetz 1987).Although the CRP is anticipated to produce substantial benefits for some wildlife species, particularly ground-nesting birds, its significance to white-tailed deer (Odocoileus virginianus) in the northern Great Plains agricultural region is poorly understood. Higgins et al. (1987) speculated that proliferation of CRP grasslands may provide a missing habitat component in intensively managed farmland, thereby enhancing several species of wildlife, including white-tailed deer. Deer managers in the region have expressed concerns that improved cover associated with DRP plantings on private land could attract deer and reduce hunter success rates or lead to increased depredation of adjacent croplands or stored winter forages (L. Rice, S.D. Dep. Game, Fish, and Parks, Rapid City, pers. comm., 1989). Our objectives were to describe variation in deer use of CRP lands by season, diel period, and deer activity class as a means of assessing seasonal importance of CRP fields to white-tailed deer in agricultural Midwest.
Results of a reconnaissance geochemical survey of the Watertown Quadrangle are reported. Field and laboratory data are presented for 711 groundwater and 603 stream sediment samples. Statistical and areal distributions of uranium and possible uranium-related variables are displayed. A generalized geologic map of the survey area is provided, and pertinent geologic factors which may be of significance in evaluating the potential for uranium mineralization are briefly discussed. Groundwater data indicate that high uranium concentrations are derived predominantly from glacial aquifers of variable water composition located on the Coteau des Prairies. Elements associated with high uranium values in these waters include barium, calcium, copper, iron, magnesium, selenium, sulfate, and total alkalinity. Low uranium values were observed in waters originating from the Cretaceous Dakota sandstone whose water chemistry is characterized by high concentrations of boron, sodium, and chloride. Stream sediment data indicate that high uranium concentrations are scattered across the glacial deposits of the Coteau des Prairies. A major clustering of high uranium values occurs in the eastern portion of the glaciated quadrangle and is associated with high concentrations of selenium, lithium, iron, arsenic, chromium, and vanadium. The sediment data suggest that the drift covering the Watertown Quadrangle is compositionally homogeneous, although subtle geochemical differences were observed as a result of localized contrasts in drift source-rock mineralogy and modification of elemental distributions by contemporaneous and postglacial hydrologic processes
Mahler, Barbara J.; Stamm, John F.; Poteet, Mary F.; Symstad, Amy J.; Musgrove, MaryLynn; Long, Andrew J.; Norton, Parker A.
Karst aquifers—formed by the dissolution of soluble rocks such as limestone—are critical groundwater resources in North America, and karst springs, caves, and streams provide habitat for unique flora and fauna. Springflow and groundwater levels in karst terrane can change greatly over short time scales, and therefore are likely to respond rapidly to climate change. How might the biological communities and ecosystems associated with karst respond to climate change and accompanying changes in groundwater levels and springflow? Sites in two central U.S. regions—the Balcones Escarpment of south-central Texas and the Black Hills of western South Dakota (fig. 1)—were selected to study climate change and its potential effects on the local karst hydrology and ecosystem. The ecosystems associated with the Edwards aquifer (Balcones Escarpment region) and Madison aquifer (Black Hills region) support federally listed endangered and threatened species and numerous State-listed species of concern, including amphibians, birds, insects, and plants. Full results are provided in Stamm and others (2014), and are summarized in this fact sheet.
Sticca, Robert P; Mullin, Brady C; Harris, Joel D; Hosford, Clint C
Specialty procedures constitute one eighth of rural surgery practice. Currently, general surgeons intending to practice in rural hospitals may not get adequate training for specialty procedures, which they will be expected to perform. Better definition of these procedures will help guide rural surgery training. Current Procedural Terminology codes for all surgical procedures for 81% of North Dakota and South Dakota rural surgeons were entered into the Dakota Database for Rural Surgery. Specialty procedures were analyzed and compared with the Surgical Council on Resident Education curriculum to determine whether general surgery training is adequate preparation for rural surgery practice. The Dakota Database for Rural Surgery included 46,052 procedures, of which 5,666 (12.3%) were specialty procedures. Highest volume specialty categories included vascular, obstetrics and gynecology, orthopedics, cardiothoracic, urology, and otolaryngology. Common procedures in cardiothoracic and vascular surgery are taught in general surgical residency, while common procedures in obstetrics and gynecology, orthopedics, urology, and otolaryngology are usually not taught in general surgery training. Optimal training for rural surgery practice should include experience in specialty procedures in obstetrics and gynecology, orthopedics, urology, and otolaryngology. Copyright © 2012 Elsevier Inc. All rights reserved.
Almost two decades after the demise of apartheid, rural communities in South Africa are still plagued by seemingly insurmountable challenges, with no change in sight for those who need it most. In spite of the many interventions that have been implemented, real transformation remains elusive. This position paper is premised on the notion that this…
Bridges, J F; Mazevska, D; Haas, M
Casemix is now an important mechanism for the planning, evaluation and funding of health services in Australia. In New South Wales (NSW) it was believed that while staff from most hospitals in metropolitan Sydney had become both literate and vocal about casemix, staff from rural areas were less familiar and much less likely to participate in casemix initiatives. In conjunction with the NSW Casemix Clinical Committee (NCCC), NSW Health considered a special program of casemix education for rural NSW. Before an education program was attempted, NSW Health inquired into the specific needs for casemix education in rural NSW. Qualitative and quantitative methods of analysis were used. Results of the quantitative analysis indicate that the understanding of casemix classifications is highest among managers. Of concern were the relatively low proportion of Allied Health staff who had more than a vague understanding of the Sub- and Non-Acute Patient (SNAP) classification; the lack of any knowledge of the Mental Health Costing And Service Classification (MH-CASC) by nursing staff; and the lack of any knowledge of the emergency department classification: Urgency, Disposition and Age-related Groups (UDAG), either by clinical or nursing staff. The results of the qualitative analysis show that casemix education for rural areas needs to differ from metropolitan education programs. The analysis also highlights the perception of casemix in rural areas and the special circumstances in rural hospitals that place limits on the ability to use casemix more fully.
Full Text Available Rye (Secale cereale L. serves as an alternative host of Pyrenophora tritici-repentis (PTR the cause of tan spot on wheat. Rye is cultivated as a forage or cover crop and overlaps with a significant portion of wheat acreage in the U.S. northern Great Plains; however, it is not known whether the rye crop influences the evolution of PTR races. We evaluated a global collection of 211 rye accessions against tan spot and assessed the diversity in PTR population on rye in South Dakota. All the rye genotypes were inoculated with PTR races 1 and 5, and infiltrated with Ptr ToxA and Ptr ToxB, at seedling stage. We observed 21% of the genotypes exhibited susceptibility to race 1, whereas, 39% were susceptible to race 5. All 211 accessions were insensitive to both the Ptr toxins. It indicates that though rye exhibits diversity in reaction to tan spot, it lacks Ptr ToxA and ToxB sensitivity genes. This suggests that unknown toxins or other factors can lead to PTR establishment in rye. We characterized the race structure of 103 PTR isolates recovered from rye in South Dakota. Only 22% of the isolates amplified Ptr ToxA gene and were identified as race 1 based on their phenotypic reaction on the differential set. The remaining 80 isolates were noted to be race 4. Our results show that races 1 and 4 are prevalent on rye in South Dakota with a higher frequency of race 4, suggesting a minimal role of rye in the disease epidemiology.
Abdullah, Sidrat; Sehgal, Sunish K; Glover, Karl D; Ali, Shaukat
Rye ( Secale cereale L.) serves as an alternative host of Pyrenophora tritici-repentis ( PTR ) the cause of tan spot on wheat. Rye is cultivated as a forage or cover crop and overlaps with a significant portion of wheat acreage in the U.S. northern Great Plains; however, it is not known whether the rye crop influences the evolution of PTR races. We evaluated a global collection of 211 rye accessions against tan spot and assessed the diversity in PTR population on rye in South Dakota. All the rye genotypes were inoculated with PTR races 1 and 5, and infiltrated with Ptr ToxA and Ptr ToxB, at seedling stage. We observed 21% of the genotypes exhibited susceptibility to race 1, whereas, 39% were susceptible to race 5. All 211 accessions were insensitive to both the Ptr toxins. It indicates that though rye exhibits diversity in reaction to tan spot, it lacks Ptr ToxA and ToxB sensitivity genes. This suggests that unknown toxins or other factors can lead to PTR establishment in rye. We characterized the race structure of 103 PTR isolates recovered from rye in South Dakota. Only 22% of the isolates amplified Ptr ToxA gene and were identified as race 1 based on their phenotypic reaction on the differential set. The remaining 80 isolates were noted to be race 4. Our results show that races 1 and 4 are prevalent on rye in South Dakota with a higher frequency of race 4, suggesting a minimal role of rye in the disease epidemiology.
Chelius Marisa K.
Full Text Available Wind Cave (WICA in the Black Hills of South Dakota, like many mostly dry caves in temperate regions is an energy-starved system.The biotic communities that reside in these systems are low in diversity and simple in structure, and sensitive to changes in externalinputs of organic matter. Caves open to tourist traffic offer an opportunity to study the impacts of organic matter amendments in theform of human and rodent hair and dander, clothing lint, material from rodent activity (nesting materials and feces, and algal growthin and around artificial lighting. This study reports on the impacts of carbon amendments from humans and rodents on the bacterialand archaeal communities within the sediments of WICA from annual surveys and from a manipulative study that added lint (‘L’;cellulose plus rodent dander and rodent hair, rodent feces (‘F’, and a combination of both (‘LF’. The survey confirmed that bacterialbiomass was higher in regions of the cave with the highest rates of lint (hair and natural clothing fibers input. The manipulative studyfound that organic amendments in the forms of lint (L and rodent feces (F altered the WICA bacterial community structure in bothabundance and diversity, with the combined lint and feces (LF amendment having the most significant response. The high similarityof the LF and L communities suggests that the cave bacterial community is more carbon than nitrogen limited. The implication ofcave development to management practices is immediate and practical. Even small amounts of lint and organic matter foreign tocave bacteria significantly compromise the integrity of the endemic community resulting in the replacement of undescribed speciesby assemblages with at best, unknown impacts to natural cave features.
Neupane, Ram P.; Mehan, Sushant; Kumar, Sandeep
Understanding the spatial distribution and variability of geochemical tracers is crucial for estimating groundwater influxes into a river and can contribute to better future water management strategies. Because of the much higher radon (222Rn) activities in groundwater compared to river water, 222Rn was used as the main tracer to estimate groundwater influxes to river discharge over a 323-km distance of the Big Sioux River, eastern South Dakota, USA; these influx estimates were compared to the estimates using Cl- concentrations. In the reaches overall, groundwater influxes using the 222Rn activity approach ranged between 0.3 and 6.4 m3/m/day (mean 1.8 m3/m/day) and the cumulative groundwater influx estimated during the study period was 3,982-146,594 m3/day (mean 40,568 m3/day), accounting for 0.2-41.9% (mean 12.5%) of the total river flow rate. The mean groundwater influx derived using the 222Rn activity approach was lower than that calculated based on Cl- concentration (35.6 m3/m/day) for most of the reaches. Based on the Cl- approach, groundwater accounted for 37.3% of the total river flow rate. The difference between the method estimates may be associated with minimal differences between groundwater and river Cl- concentrations. These assessments will provide a better understanding of estimates used for the allocation of water resources to sustain agricultural productivity in the basin. However, a more detailed sampling program is necessary for accurate influx estimation, and also to understand the influence of seasonal variation on groundwater influxes into the basin.
Chalise, D. R.; Haj, Adel E.; Fontaine, T.A.
The hydrological simulation program Fortran (HSPF) [Hydrological Simulation Program Fortran version 12.2 (Computer software). USEPA, Washington, DC] and the precipitation runoff modeling system (PRMS) [Precipitation Runoff Modeling System version 4.0 (Computer software). USGS, Reston, VA] models are semidistributed, deterministic hydrological tools for simulating the impacts of precipitation, land use, and climate on basin hydrology and streamflow. Both models have been applied independently to many watersheds across the United States. This paper reports the statistical results assessing various temporal (daily, monthly, and annual) and spatial (small versus large watershed) scale biases in HSPF and PRMS simulations using two watersheds in the Black Hills, South Dakota. The Nash-Sutcliffe efficiency (NSE), Pearson correlation coefficient (r">rr), and coefficient of determination (R2">R2R2) statistics for the daily, monthly, and annual flows were used to evaluate the models’ performance. Results from the HSPF models showed that the HSPF consistently simulated the annual flows for both large and small basins better than the monthly and daily flows, and the simulated flows for the small watershed better than flows for the large watershed. In comparison, the PRMS model results show that the PRMS simulated the monthly flows for both the large and small watersheds better than the daily and annual flows, and the range of statistical error in the PRMS models was greater than that in the HSPF models. Moreover, it can be concluded that the statistical error in the HSPF and the PRMSdaily, monthly, and annual flow estimates for watersheds in the Black Hills was influenced by both temporal and spatial scale variability.
Henry, Margaret J.; Jones, Phil; Coory Michael; Chapman, Adam; Morrissy, Kate; Matheson, Leigh M.; Pitson, Graham; Lynch, Rod; Healy, Pat; Ashley, David
Cancer-related mortality rates are higher in rural areas compared with urban regions. Whether there are corresponding geographical variations in radiotherapy utilisation rates (RURs) is the subject of this study. RURs for the regional centre of Geelong and rural areas of the Barwon South Western Region were calculated using a population-based database (2009). Lower RURs were observed for rural patients compared with the Geelong region for prostate cancer (15.7% vs 25.8%, P=0.02), rectal cancer (32.8% vs 44.7%, P=0.11), lymphoma (9.4% vs 26.2%, P=0.05), and all cancers overall (25.6% vs 28.9%, P=0.06). This lower rate was significant in men (rural, 19.9%; Geelong, 28.3%; P=0.00) but not in women (rural, 33.6%; Geelong, 29.7%; P=0.88). Time from diagnosis to radiotherapy was not significantly different for patients from the two regions. Tumour staging within the rural and Geelong regions was not significantly different for the major tumour streams of rectal, prostate and lung cancer (P=0.61, P=0.79, P=0.43, respectively). A higher proportion of tumours were unstaged or unstageable in the rural region for lung (44% vs 18%, P<0.01) and prostate (73% vs 57%, P<0.01) cancer. Lower RURs were observed in our rural region. Differences found within tumour streams and in men suggest a complexity of relationships that will require further study.
Johnson, Raymond H.; Diehl, Sharon F.; Benzel, William M.
This report releases solid-phase data from cores at the proposed Dewey Burdock uranium in-situ recovery site near Edgemont, South Dakota. These cores were collected by Powertech Uranium Corporation, and material not used for their analyses were given to the U.S. Geological Survey for additional sampling and analyses. These additional analyses included total carbon and sulfur, whole rock acid digestion for major and trace elements, 234U/238U activity ratios, X-ray diffraction, thin sections, scanning electron microscopy analyses, and cathodoluminescence. This report provides the methods and data results from these analyses along with a short summary of observations.
Molina Lopez, Luis
The article describes by means of a methodological process and inside an analysis mark that picks up aspects tried from the perspective of agrarian economy and the human geography, the effects of the public politics of the rural reservations in Bolivar's south, as well as its advances and challenges in the territorial reorganization of the territory. In this context, the document evidences the process of the new territorial configurations, in Bolivar's south, result of a social construction exercised by its own rural communities. In a same way the document presents a brief analysis of the agrarian structure of the rural reservations, and it illustrates the new underlying classification, product of the territorial control that develop the illegal armed groups at the moment. The advances, difficulties and challenges of the rural reservations, are the central axis of the present text, since the figure is presents as an interesting project of public politics, not alone of colonization and of agrarian reformation, but of territorial rural ordination, stiller, when in the country it has not been possible to approve an organic law of territorial classification that involves in an integral way the territorial aspects with the agrarian ones, going outside of the conception of the agrarian things of the strictly agricultural thing
Full Text Available rural areas is substandard. This paper describes the results of sampling drinking water supplies in rural communities in the Western and Eastern Cape, South Africa. The majority of samples collected failed microbial drinking water quality standards...
Butz, T.R.; Dean, N.E.; Bard, C.S.; Helgerson, R.N.; Grimes, J.G.; Pritz, P.M.
Results of the Edgemont detailed geochemical survey are reported. Field and laboratory data are presented for 109 groundwater and 419 stream sediment samples. Statistical and areal distributions of uranium and possible uranium-related variables are given. A generalized geologic map of the survey area is provided, and pertinent geologic factors which may be of significance in evaluating the potential for uranium mineralization are briefly discussed. Groundwaters containing greater than or equal to 7.35 ppB uranium are present in scattered clusters throughout the area sampled. Most of these groundwaters are from wells drilled where the Inyan Kara Group is exposed at the surface. The exceptions are a group of samples in the northwestern part of the area sampled and south of the Dewey Terrace. These groundwaters are also produced from the Inyan Kara Group where it is overlain by the Graneros Group and alluvium. The high uranium groundwaters along and to the south of the terrace are characterized by high molybdenum, uranium/specific conductance, and uranium/sulfate values. Many of the groundwaters sampled along the outcrop of the Inyan Kara Group are near uranium mines. Groundwaters have high amounts of uranium and molybdenum. Samples taken downdip are sulfide waters with low values of uranium and high values of arsenic, molybdenum, selenium, and vanadium. Stream sediments containing greater than or equal to 5.50 ppM soluble uranium are concentrated in basins draining the Graneros and Inyan Kara Groups. These values are associated with high values for arsenic, selenium, and vanadium in samples from both groups. Anomalous values for these elements in the Graneros Group may be caused by bentonite beds contained in the rock units. As shown on the geochemical distribution plot, high uranium values that are located in the Inyan Kara Group are almost exclusively draining open-pit uranium mines.
Butz, T.R.; Dean, N.E.; Bard, C.S.; Helgerson, R.N.; Grimes, J.G.; Pritz, P.M.
Results of the Edgemont detailed geochemical survey are reported. Field and laboratory data are presented for 109 groundwater and 419 stream sediment samples. Statistical and areal distributions of uranium and possible uranium-related variables are given. A generalized geologic map of the survey area is provided, and pertinent geologic factors which may be of significance in evaluating the potential for uranium mineralization are briefly discussed. Groundwaters containing greater than or equal to 7.35 ppB uranium are present in scattered clusters throughout the area sampled. Most of these groundwaters are from wells drilled where the Inyan Kara Group is exposed at the surface. The exceptions are a group of samples in the northwestern part of the area sampled and south of the Dewey Terrace. These groundwaters are also produced from the Inyan Kara Group where it is overlain by the Graneros Group and alluvium. The high uranium groundwaters along and to the south of the terrace are characterized by high molybdenum, uranium/specific conductance, and uranium/sulfate values. Many of the groundwaters sampled along the outcrop of the Inyan Kara Group are near uranium mines. Groundwaters have high amounts of uranium and molybdenum. Samples taken downdip are sulfide waters with low values of uranium and high values of arsenic, molybdenum, selenium, and vanadium. Stream sediments containing greater than or equal to 5.50 ppM soluble uranium are concentrated in basins draining the Graneros and Inyan Kara Groups. These values are associated with high values for arsenic, selenium, and vanadium in samples from both groups. Anomalous values for these elements in the Graneros Group may be caused by bentonite beds contained in the rock units. As shown on the geochemical distribution plot, high uranium values that are located in the Inyan Kara Group are almost exclusively draining open-pit uranium mines
Tucker, K.N.; Schultz, C.G.; Chatterton, B.E.
Full text: Twenty per cent of South Australia's population live rurally, with limited access to modern medical services. The Mobile Bone Densitometry Unit was established to address this problem. The Unit began in 1994 with cooperation from private industry. In fostering the service, many issues were addressed, including choice of appropriate sites; selection of a liaison person at each site; towing of the Unit; transportation and accommodation of staff; education of local health professionals and community members; promotion of the service to the community: and timely reporting of results to referring doctors. The scanner is an Hologic ODR-1000+ densitometer, housed in a 5.9 1.8 metre, 2200 kg caravan. It is necessary to reduce vibration and motion during travel, control the internal environment, and have an electrically clean power supply. Addressing these parameters result in the critical value for quality control being 2500 patients, averaging 13 patients/working day. The mean age of the patients was 64 y (range 30-90 y), with 93 % of patients being >50 y. Results show a normally distributed Z score, suggesting that non-selected 'normal' population is being studied and the Hologic normal range matches that of the South Australian rural community. Local communities have utilised the service to full capacity resulting in future visits being extended. In conclusion, it is possible to provide a high quality, reliable bone densitometry service to rural communities
James, Daniel A.; Wilhite, Jerry W.; Chipps, Steven R.
We evaluated the influence of drought conditions on the biomass of brown trout Salmo trutta in Spearfish Creek, upper Rapid Creek, and lower Rapid Creek in the Black Hills of western South Dakota. Stream discharge, mean summer water temperature, the biomass of juvenile and adult brown trout, and brown trout size structure were compared between two time periods: early (2000–2002) and late drought (2005–2007). Mean summer water temperatures were similar between the early- and late-drought periods in Spearfish Creek (12.4°C versus 11.5°C), lower Rapid Creek (19.2°C versus 19.3°C), and upper Rapid Creek (9.8°C in both periods). In contrast, mean annual discharge differed significantly between the two time periods in Spearfish Creek (1.95 versus 1.50 m3/s), lower Rapid Creek (2.01 versus 0.94 m3/s), and upper Rapid Creek (1.41 versus 0.84 m3/s). The mean biomass of adult brown trout in all three stream sections was significantly higher in the early-drought than in the late-drought period (238 versus 69 kg/ha in Spearfish Creek, 272 versus 91 kg/ha in lower Rapid Creek, and 159 versus 32 kg/ha in upper Rapid Creek). The biomass of juvenile brown trout was similar (43 versus 23 kg/ha) in Spearfish Creek in the two periods, declined from 136 to 45 kg/ha in lower Rapid Creek, and increased from 14 to 73 kg/ha in upper Rapid Creek. Size structure did not differ between the early- and late-drought periods in lower Rapid and Spearfish creeks, but it did in upper Rapid Creek. In addition to drought conditions, factors such as angler harvest, fish movements, and the nuisance algal species Didymosphenia geminata are discussed as possible contributors to the observed changes in brown trout biomass and size structure in Black Hills streams.
Hauenstein, Emily J
Despite the widespread notion of the bucolic life in the country, major depressive disorder (MDD) is common among impoverished women in the rural South. Women with MDD seldom get treated because of the paucity of treatment available, the inability to pay for services because of no insurance, and the distance they must travel to reach care. Even if treatment was available, impoverished rural Southern women are unlikely to seek services because of cultural and social prohibitions. These include incongruence between the biomedical model of MDD and sociocultural explanations for its causes and manifestations, stigma, and traditional viewpoints of women that keep them isolated and invisible. Innovative treatment strategies must be devised for these women that are based on local views of MDD and its treatment, and people and monetary resources available in poor rural economies. Needed research with this population include ethnographic studies to gain understanding of the cultural factors associated with MDD and its treatment and evaluation of outreach, and other novel paradigms of rural service delivery including the use of nonprofessional personnel. Although the problems of treatment and research with this population are daunting, there is an opportunity for imagination, innovation, and creativity in devising local solutions to local problems. Copyright 2003, Elsevier Science (USA). All rights reserved.
Susceptibility of ponderosa pine, Pinus ponderosa (Dougl. Ex Laws.), to mountain pine beetle, Dendroctonus ponderosae Hopkins, attack in uneven-aged stands in the Black Hills of South Dakota and Wyoming USA
Jose F. Negron; Kurt Allen; Blaine Cook; John R. Withrow
Mountain pine beetle, Dendroctonus ponderosae Hopkins can cause extensive tree mortality in ponderosa pine, Pinus ponderosa Dougl. ex Laws., forests in the Black Hills of South Dakota and Wyoming. Most studies that have examined stand susceptibility to mountain pine beetle have been conducted in even-aged stands. Land managers...
Full Text Available stream_source_info Mulder_2008.pdf.txt stream_content_type text/plain stream_size 46126 Content-Encoding UTF-8 stream_name Mulder_2008.pdf.txt Content-Type text/plain; charset=UTF-8 The Electronic Journal for Virtual... Organizations and Networks Volume 10, “Special Issue on Living Labs”, August 2008 REAL-WORLD INNOVATION IN RURAL SOUTH AFRICA Ingrid Mulder1,2, Walter Bohle3, Shela Boshomane4, Chris Morris4, Hugo Tempelman5, & Daan Velthausz1,6 1Telematica Instituut...
de Lange, Naydene; Mitchell, Claudia
This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…
Full Text Available rural communities are geographically located in hard to reach areas due to their dispersed nature and bad terrain. In South Africa, these conditions have made it particularly expensive and difficult for water service providers to effect services to rural...
Aerial gamma ray and magnetic survey: Minnesota Project, Thief River Falls, Grand Forks, Fargo, Milbank, Watertown, New Ulm and St. Cloud quadrangles of North Dakota, South Dakota and Minnesota. Final report
During the months of August and September 1979, geoMetrics, Inc., collected 12,415 line miles of high sensitivity airborne radiometric and magnetic data in adjoining portions of South Dakota and Minnesota over seven 1 by 2 degree NTMS quadrangles (Thief River Falls, Grand Forks, Fargo, Milbank, Watertown, New Ulm, and St. Cloud) as part of the Department of Energy's National Uranium Resource Evaluation Program. All radiometric and magnetic data were fully corrected and interpreted by geoMetrics and are presented as eight volumes (one Volume I and seven Volume II's). Regional geology for these seven quadrangles can be divided into two logical sections. The first comprises the surficial glacial deposits, which mantle most of the area and can be up to hundreds of feet thick. The second section consists of the underlying bedrock which is exposed in small scattered outcrops, generally along major drainages. No sedimentary structures exist within the quadrangles. As of this writing, no known uranium deposits exist within the seven quadrangles
Valseth, Kristen J.; Delzer, Gregory C.; Price, Curtis V.
The U.S. Geological Survey, in cooperation with the City of Sioux Falls, South Dakota, began developing a groundwater-flow model of the Big Sioux aquifer in 2014 that will enable the City to make more informed water management decisions, such as delineation of areas of the greatest specific yield, which is crucial for locating municipal wells. Innovative tools are being evaluated as part of this study that can improve the delineation of the hydrogeologic framework of the aquifer for use in development of a groundwater-flow model, and the approach could have transfer value for similar hydrogeologic settings. The first step in developing a groundwater-flow model is determining the hydrogeologic framework (vertical and horizontal extents of the aquifer), which typically is determined by interpreting geologic information from drillers’ logs and surficial geology maps. However, well and borehole data only provide hydrogeologic information for a single location; conversely, nearly continuous geophysical data are collected along flight lines using airborne electromagnetic (AEM) surveys. These electromagnetic data are collected every 3 meters along a flight line (on average) and subsequently can be related to hydrogeologic properties. AEM data, coupled with and constrained by well and borehole data, can substantially improve the accuracy of aquifer hydrogeologic framework delineations and result in better groundwater-flow models. AEM data were acquired using the Resolve frequency-domain AEM system to map the Big Sioux aquifer in the region of the city of Sioux Falls. The survey acquired more than 870 line-kilometers of AEM data over a total area of about 145 square kilometers, primarily over the flood plain of the Big Sioux River between the cities of Dell Rapids and Sioux Falls. The U.S. Geological Survey inverted the survey data to generate resistivity-depth sections that were used in two-dimensional maps and in three-dimensional volumetric visualizations of the Earth
Deperno, Christopher Shannon
Habitat selection, survival rates, the Black Hills National Forest Habitat Capability Model (HABCAP), and the USDA Forest Service Geographic Information System (GIS) data base were evaluated for a declining white-tailed deer (Odocoileus virginianus dacotensis) herd in the central Black Hills of South Dakota and Wyoming. From July 1993 through July 1996, 73 adult and yearling female and 12 adult and yearling male white-tailed deer were radiocollared and visually monitored. Habitat information was collected at 4,662 white-tailed deer locations and 1,087 random locations. Natural mortality (71%) was the primary cause of female mortality, followed by harvest (22.5%) and accidental causes (6.5%). More females died in spring (53.2%) than in fall (22.6%), winter (14.5%), or summer (9.7%). Male mortality resulted from hunting in fall (66.7%) and natural causes in spring (33.3%). Survival rates for all deer by year were 62.1% in 1993, 51.1% in 1994, 56.4% in 1995, and 53.9% in 1996 and were similar (P = 0.691) across years. During winter, white-tailed deer selected ponderosa pine- (Pinus ponderosa ) deciduous and burned pine cover types. Overstory-understory habitats selected included pine/grass-forb, pine/bearberry (Arctostaphylos uva-ursi), pine/snowberry (Symphoricarpos albus), burned pine/grass-forb, and pine/shrub habitats. Structural stages selected included sapling-pole pine stands with >70% canopy cover, burned pine sapling-pole and saw-timber stands with 40% canopy cover and all sapling-pole pine structural stages; sapling-pole stands with >70% canopy cover received the greatest use. White-tailed deer primarily fed in pine saw-timber structural stage with less than 40% canopy cover. Overall, selected habitats contained lower amounts of grass/forb, shrubs, and litter than random locations. Male and female deer generally bedded in areas that were characterized by greater horizontal cover than feeding and random sites. When feeding and bedding sites were combined
Peterson, Steven M.; Flynn, Amanda T.; Traylor, Jonathan P.
The High Plains aquifer is a nationally important water resource underlying about 175,000 square miles in parts of eight states: Colorado, Kansas, Oklahoma, Nebraska, New Mexico, South Dakota, Texas, and Wyoming. Droughts across much of the Northern High Plains from 2001 to 2007 have combined with recent (2004) legislative mandates to elevate concerns regarding future availability of groundwater and the need for additional information to support science-based water-resource management. To address these needs, the U.S. Geological Survey began the High Plains Groundwater Availability Study to provide a tool for water-resource managers and other stakeholders to assess the status and availability of groundwater resources.A transient groundwater-flow model was constructed using the U.S. Geological Survey modular three-dimensional finite-difference groundwater-flow model with Newton-Rhapson solver (MODFLOW–NWT). The model uses an orthogonal grid of 565 rows and 795 columns, and each grid cell measures 3,281 feet per side, with one variably thick vertical layer, simulated as unconfined. Groundwater flow was simulated for two distinct periods: (1) the period before substantial groundwater withdrawals, or before about 1940, and (2) the period of increasing groundwater withdrawals from May 1940 through April 2009. A soil-water-balance model was used to estimate recharge from precipitation and groundwater withdrawals for irrigation. The soil-water-balance model uses spatially distributed soil and landscape properties with daily weather data and estimated historical land-cover maps to calculate spatial and temporal variations in potential recharge. Mean annual recharge estimated for 1940–49, early in the history of groundwater development, and 2000–2009, late in the history of groundwater development, was 3.3 and 3.5 inches per year, respectively.Primary model calibration was completed using statistical techniques through parameter estimation using the parameter
Carter, Janet M.; Driscoll, Daniel G.; Hamade, Ghaith R.; Jarrell, Gregory J.
The Madison and Minnelusa aquifers are two of the most important aquifers in the Black Hills area of South Dakota and Wyoming. Quantification and evaluation of various hydrologic budget components are important for managing and understanding these aquifers. Hydrologic budgets are developed for two scenarios, including an overall budget for the entire study area and more detailed budgets for subareas. Budgets generally are combined for the Madison and Minnelusa aquifers because most budget components cannot be quantified individually for the aquifers. An average hydrologic budget for the entire study area is computed for water years 1987-96, for which change in storage is approximately equal to zero. Annual estimates of budget components are included in detailed budgets for nine subareas, which consider periods of decreasing storage (1987-92) and increasing storage (1993-96). Inflow components include recharge, leakage from adjacent aquifers, and ground-water inflows across the study area boundary. Outflows include springflow (headwater and artesian), well withdrawals, leakage to adjacent aquifers, and ground-water outflow across the study area boundary. Leakage, ground-water inflows, and ground-water outflows are difficult to quantify and cannot be distinguished from one another. Thus, net ground-water flow, which includes these components, is calculated as a residual, using estimates for the other budget components. For the overall budget for water years 1987-96, net ground-water outflow from the study area is computed as 100 ft3/s (cubic feet per second). Estimates of average combined budget components for the Madison and Minnelusa aquifers are: 395 ft3/s for recharge, 78 ft3/s for headwater springflow, 189 ft3/s for artesian springflow, and 28 ft3/s for well withdrawals. Hydrologic budgets also are quantified for nine subareas for periods of decreasing storage (1987-92) and increasing storage (1993-96), with changes in storage assumed equal but opposite. Common
Driscoll, Daniel G.; Norton, Parker A.
The U.S. Geological Survey cooperated with South Dakota Game, Fish and Parks to characterize hydrologic information relevant to management of water resources associated with Sheridan Lake, which is formed by a dam on Spring Creek. This effort consisted primarily of characterization of hydrologic data for a base period of 1962 through 2006, development of a hydrologic budget for Sheridan Lake for this timeframe, and development of an associated model for simulation of storage deficits and drawdown in Sheridan Lake for hypothetical release scenarios from the lake. Historically, the dam has been operated primarily as a 'pass-through' system, in which unregulated outflows pass over the spillway; however, the dam recently was retrofitted with an improved control valve system that would allow controlled releases of about 7 cubic feet per second (ft3/s) or less from a fixed depth of about 60 feet (ft). Development of a hydrologic budget for Sheridan Lake involved compilation, estimation, and characterization of data sets for streamflow, precipitation, and evaporation. The most critical data need was for extrapolation of available short-term streamflow records for Spring Creek to be used as the long-term inflow to Sheridan Lake. Available short-term records for water years (WY) 1991-2004 for a gaging station upstream from Sheridan Lake were extrapolated to WY 1962-2006 on the basis of correlations with streamflow records for a downstream station and for stations located along two adjacent streams. Comparisons of data for the two streamflow-gaging stations along Spring Creek indicated that tributary inflow is approximately proportional to the intervening drainage area, which was used as a means of estimating tributary inflow for the hydrologic budget. Analysis of evaporation data shows that sustained daily rates may exceed maximum monthly rates by a factor of about two. A long-term (1962-2006) hydrologic budget was developed for computation of reservoir outflow from
Colwell, R. N. (Principal Investigator)
The structure, format, and quality of the LANDSAT-4 TM and MSS photographic and digital products for one scene covering the Black Hills area of South Dakota were assessed and the extent to which major resource categories can be detected and identified on various photographic products generated from a subset of TM spectral bands and from all bands of the MSS was determined. The overall spectral, spatial, and radiometric quality of the TM data was found to be excellent. Agricultural fields of variable shape, size, and orientation were detected with relative ease. The addition of the short-wave infrared band (TM5) has significantly improved the ability to detect and identify crop types on single date imagery.
Westin, F. C.
ERTS 1 imagery is a useful tool in the identification and refinement of soil association areas and an excellent base map upon which soil association information can be published. Prints of bands 5 and 7 were found to be most useful to help delineate major soil and vegetation areas. After delineating major soil areas, over 4800 land sale prices covering a period of 1967-72 were located in the soil areas and averaged. The soil association then were described as soil association value areas and published on a 1:1,000,000 scale ERTS mosaic of South Dakota constructed using negative prints of band 7. The map is intended for use by state and county revenue officers, by individual buyers and sellers of land and lending institutions, and as a reference map by those planning road routes and cable lines and pipelines.
Ravi S Kumar
Full Text Available Background: Globally, farming as an industry is considered a high-risk occupation for suicides. Certain states in India like Karnataka have a suicide rate higher than the national average, and this is generally attributed to the farmers' suicide. Aims: The aim is to study the characteristics of suicidal attempts among the farmer community in South India, with special emphasis on gender differences, modes used, and the immediate precipitant causes. Materials and Methods: Retrospective, case register-based, explorative-descriptive study of 426 consecutive medicolegal case files of patients whose stated occupation was farming and who were admitted as cases of deliberate self-harm or suicide attempt to a rural tertiary care hospital in rural South India. Results: Out of the 426 farmers who attempted suicide, majority were male (355, 83.3%, in the age group of 21–40 years (318, 75%, married (358, 84%, and belonging to lower socioeconomic status (268, 62.9%. About 54% of them had attempted suicide by consuming pesticides (230. Surprisingly, 183 (43% and 86 (20.2% reported the immediate precipitant as being relationship issues and marital conflict, respectively, and only 100 (23.5% attributed it to financial reasons. Females were significantly associated with a past history of suicidal attempt while males tended to abuse alcohol before an attempt more frequently. Conclusions: Pesticide poisoning was the most common mode for attempting suicide among the farmers. Contrary to public perception and other studies, relationship, and marital issues, not financial reasons were found to be the most common immediate precipitant for the attempters in our study.
Doherty, J E; Couper, I D; Campbell, D; Walker, J
Under-resourced and poorly managed rural health systems challenge the achievement of universal health coverage, and require innovative strategies worldwide to attract healthcare staff to rural areas. One such strategy is rural health training programs for health professionals. In addition, clinical leadership (for all categories of health professional) is a recognised prerequisite for substantial improvements in the quality of care in rural settings. Rural health training programs have been slow to develop in low- and middle-income countries (LMICs); and the impact of clinical leadership is under-researched in such settings. A 2012 conference in South Africa, with expert input from South Africa, Canada and Australia, discussed these issues and produced recommendations for change that will also be relevant in other LMICs. The two underpinning principles were that: rural clinical leadership (both academic and non-academic) is essential to developing and expanding rural training programs and improving care in LMICs; and leadership can be learned and should be taught. The three main sets of recommendations focused on supporting local rural clinical academic leaders; training health professionals for leadership roles in rural settings; and advancing the clinical academic leadership agenda through advocacy and research. By adopting the detailed recommendations, South Africa and other LMICs could energise management strategies, improve quality of care in rural settings and impact positively on rural health outcomes.
Cooke Graham S
Full Text Available Abstract Background South Africa remains the country with the greatest burden of HIV-infected individuals and the second highest estimated TB incidence per capita worldwide. Within South Africa, KwaZulu-Natal has one of the highest rates of TB incidence and an emerging epidemic of drug-resistant tuberculosis. Methods Review of records of consecutive HIV-infected people initiated onto ART between 1st January 2005 and 31st March 2006. Patients were screened for TB at initiation and incident episodes recorded. CD4 counts, viral loads and follow-up status were recorded; data was censored on 5th August 2008. Geographic cluster analysis was performed using spatial scanning. Results 801 patients were initiated. TB prevalence was 25.3%, associated with lower CD4 (AHR 2.61 p = 0.01 for CD4 25 copies/ml (OR 1.75 p = 0.11. A low-risk cluster for incident TB was identified for patients living near the local hospital in the geospatial analysis. Conclusion There is a large burden of TB in this population. Rate of incident TB stabilises at a rate higher than that of the overall population. These data highlight the need for greater research on strategies for active case finding in rural settings and the need to focus on strengthening primary health care.
Diab, Paula N; Flack, Penny S; Mabuza, Langalibalele H; Reid, Stephen J Y
There is evidence in the literature that rural background significantly encourages eventual rural practice. Given the shortage of healthcare providers in rural areas, we need to explore ways of ensuring throughput and success of rural-origin students in health sciences. It is therefore important to understand who these students are, what motivates them and the factors involved in the formation of their career choices. The aim of this study is to understand the aspirations of undergraduate health science students of rural origin with regard to their future career plans. The objectives of the study include to explore and identify the key issues facing rural-origin students with regard to their future career plans. Individual interviews were conducted with 15 health science students from two South African universities. Transcriptions were analyzed with the aid of Nvivo v8 (www.qsrinternational.com). The findings suggest health science students of rural origin studying at universities in the South African context face specific challenges related to the nature of the contrast between rural and urban life, in addition to the more generic adaptations that confront all students on entering tertiary education. In order to support rural students in their studies, academic, financial, emotional and social stressors need to be addressed. Universities should strengthen existing support structures as well as aid the development of further support that may be required.Key words: career plan, health science, rural background, South Africa.
Full Text Available Conference of Information Science and Computer Applications (ICISCA), Bali, Indonesia, 19-20 November 2012 Potential applications of the Internet of Things in sustainable rural development in South Africa Nomusa Dlodlo and Mofolo Mofolo CSIR...
Jonker Klunne, WE
Full Text Available Local hydropower sources can play an important role in the electrification of rural areas in South Africa remote from the national electricity grid. To ensure the sustainability of hydropower developments it is essential that lessons learned...
Key words: Environmental degradation, intrahousehold labour allocation, intrahousehold welfare.
Rural south Pare highlands in Tanzania experience a deteriorating environmental situation. Of particular importance is the disappearance of forests and woodlands. The consequence are declining
Full Text Available Objective: To determine causes of death and associated risk factors in women of reproductive age in rural South Africa. Methods: Deaths and person-years of observation (pyo were determined for females (aged 15–49 years resident in 15,526 households in a rural South African Demographic and Health Surveillance site from 2000 to 2009. Cause of death was ascertained by verbal autopsy and ICD-10 coded; causes were categorized as HIV/TB, non-communicable, communicable/maternal/perinatal/nutrition, injuries, and undetermined (unknown. Characteristics of women were obtained from regularly updated household visits, while HIV and self-reported health status was obtained from the annual HIV surveillance. Overall and cause-specific mortality rates (MRs with 95% confidence intervals (CI were calculated. The Weibull regression model (HR, 95%CI was used to determine risk factors associated with mortality. Results: A total of 42,703 eligible women were included; 3,098 deaths were reported for 212,607 pyo. Overall MRwas 14.6 deaths/1,000 pyo (95% CI: 14.1–15.1, peaking in 2003 (MR 18.2/1,000 pyo, 95% CI: 16.4–20.1 and declining thereafter (2009: MR 9.6/1,000 pyo, 95% CI: 8.410.9. Mortality was highest for HIV/TB (MR 10.6/1,000 pyo, 95% CI: 10.211.1, accounting for 73.1% of all deaths, ranging from 61.2% in 2009 to 82.7% in 2002. Adjusting for education level, marital status, age, employment status, area of residence, and migration, all-cause mortality was associated with external migration (adjusted hazard ratio, or aHR, 1.70, 95% CI: 1.41–2.05, self-reported poor health status (aHR 8.26, 95% CI: 2.94–23.15, and HIV-infection (aHR 7.84, 95% CI: 6.26–9.82; external migration and HIV infection were also associated with causes of mortality other than HIV/TB (aHR 1.62 CI: 1.12–2.34 and aHR 2.59, CI: 1.79–3.75. Conclusion: HIV/TB was the leading cause of death among women of reproductive age, although rates declined with the rollout of HIV treatment
Hearst, Mary O; Biskeborn, Kristin; Christensen, Mathew; Cushing, Carrie
To investigate the prevalence of overweight and obesity among white and American Indian children in a predominantly rural state. Using a repeated, cross-sectional design of school children's height and weight, the study sample included 361,352 measures of children who were 5.0-19.9 years, attending school across 13 academic calendar years. Trained staff measured height, weight, and recorded gender, age, and race. Data were voluntarily reported to the State Department of Health. American Indian children consistently had higher rates of overweight and obesity compared to white children. Across the years, 16.3% of white students were overweight, whereas 19.3% of American Indian students were overweight. In addition, 14.5% of white children were obese and 25.9% of American Indian children were obese. Examining by rural versus urban schools, prevalence of overweight had been increasing among white male and female students and American Indian female students living in rural areas. Obesity is also increasing among rural white females and male and female American Indian children. The findings here suggest that although American Indian children are at higher risk, in general, compared to white children, rural populations in general are experiencing increases in childhood overweight and obesity. Targeted rural interventions beginning at an early age are necessary to improve the health of rural children, especially in American Indian communities. Copyright © 2013 The Obesity Society.
The management of diabetes among the rural poor in South Africa. ... have been found to lead to a diet that has very high carbohydrate, high in saturated fatty acids, ... to facilitate good self-management of diabetes among the rural people.
Van Rompaey, Anton; Debonne, N.; Vanmaercke, Matthias
A major driver of tropical deforestation is rural frontier migration. In this paper an attempt is made to formally describe the human-environment interactions that are manifested in a forested system experiencing a large influx of rural migrants. The Guraferda district in South-West Ethiopia was
McGranahan, David A.
Despite growth in the service sector, manufacturing remains a vital part of the rural South's economic base and is related to lower poverty rates. However, manufacturing is changing, adopting new technologies and management practices, and seeking more highly skilled labor. Poor rural schools, an unskilled workforce, and absence of community…
...] Notice of Filing of Plats of Survey; North Dakota AGENCY: Bureau of Land Management, Interior. ACTION..., Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota and was necessary to determine... Dakota T. 152 N., R. 65 W. The plat, in two sheets, representing the dependent resurvey of a portion of...
...] Notice of Filing of Plats of Survey; North Dakota AGENCY: Bureau of Land Management, Interior. ACTION..., Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota and was necessary to determine... Dakota T. 152 N., R. 64 W. The plat, in one sheet, representing the dependent resurvey of a portion of...
Full Text Available In the first part of this article, Africanity as a concept within research methodology is exploredin the dialogical spaces between the binaries of racial identity and group identity, indigenousand traditional values, post-colonialism and post-racialism, blackness and African, as well aseliminativist and conservationalist. In the second part, the research carried out in twotownships in the eMakhazeni Local Municipality in Mpumalanga, South Africa’s most easternprovince, is described in terms of parameters and process. The townships involved areSakhelwe in Dullstroom-Emnotweni and Emthonjeni in Machadodorp-eNktokozweni. Theresearch focuses on interviews with young people between the ages of 18 and 24 on thepotential of faith-based organisations to assist them in moving from the ’margins‘ of society topositions of social cohesion. The third and main part of the article, is dedicated to lessonslearnt and experience acquired when research is carried out in a rural area from an Africanityperspective. This entails, inter alia (1 to be sensitive towards power relations in research; (2respecting indigenous values within group identities; (3 not predefining the youth, usingindigenous (and not European definitions of ‘agency’ and ‘marginalisation’; (4 to engage inobservation rather than interpretation; and (5 to decolonise the research process whenregarding interpretation as an act of colonisation.
Douvoyiannis, Miltiadis; Khromachou, Tamim; Byers, Norman; Hargreaves, James; Murray, Henry W
In the United States, autochthonous cutaneous leishmaniasis caused by infection with Leishmania mexicana has been reported from Texas and Oklahoma. Here, we describe a child with 2 new features: cutaneous infection acquired outside of the south-central United States (in North Dakota) and infection caused by Leishmania donovani species complex. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: firstname.lastname@example.org.
Improving access to antiretrovirals in rural South Africa – a call to action. South Africa (SA) already has the world's biggest antiretroviral (ARV) programme. With the introduction of extended criteria for initiating ARVs, the National Department of Health (NDoH) wishes to increase the number of people on ARVs by around.
Poppenga, Sandra K.; Worstell, Bruce B.; Stoker, Jason M.; Greenlee, Susan K.
The U.S. Geological Survey (USGS) has taken the lead in the creation of a valuable remote sensing product by incorporating digital elevation models (DEMs) derived from Light Detection and Ranging (lidar) into the National Elevation Dataset (NED), the elevation layer of 'The National Map'. High-resolution lidar-derived DEMs provide the accuracy needed to systematically quantify and fully integrate surface flow including flow direction, flow accumulation, sinks, slope, and a dense drainage network. In 2008, 1-meter resolution lidar data were acquired in Minnehaha County, South Dakota. The acquisition was a collaborative effort between Minnehaha County, the city of Sioux Falls, and the USGS Earth Resources Observation and Science (EROS) Center. With the newly acquired lidar data, USGS scientists generated high-resolution DEMs and surface flow features. This report compares lidar-derived surface flow features in Minnehaha County to 30- and 10-meter elevation data previously incorporated in the NED and ancillary hydrography datasets. Surface flow features generated from lidar-derived DEMs are consistently integrated with elevation and are important in understanding surface-water movement to better detect surface-water runoff, flood inundation, and erosion. Many topographic and hydrologic applications will benefit from the increased availability of accurate, high-quality, and high-resolution surface-water data. The remotely sensed data provide topographic information and data integration capabilities needed for meeting current and future human and environmental needs.
Davis, J. K.; Vincent, G. P.; Hildreth, M.; Kightlinger, L.; Carlson, C.; Wimberly, M. C.
South Dakota has the highest annual incidence of human cases of West Nile virus (WNV) in all US states, and human cases can vary wildly among years; predicting WNV risk in advance is a necessary exercise if public health officials are to respond efficiently and effectively to risk. Case counts are associated with environmental factors that affect mosquitoes, avian hosts, and the virus itself. They are also correlated with entomological risk indices obtained by trapping and testing mosquitoes. However, neither weather nor insect data alone provide a sufficient basis to make timely and accurate predictions, and combining them into models of human disease is not necessarily straightforward. Here we present lessons learned in three years of making real-time forecasts of this threat to public health. Various methods of integrating data from NASA's North American Land Data Assimilation System (NLDAS) with mosquito surveillance data were explored in a model comparison framework. We found that a model of human disease summarizing weather data (by polynomial distributed lags with seasonally-varying coefficients) and mosquito data (by a mixed-effects model that smooths out these sparse and highly-variable data) made accurate predictions of risk, and was generalizable enough to be recommended in similar applications. A model based on lagged effects of temperature and humidity provided the most accurate predictions. We also found that model accuracy was improved by allowing coefficients to vary smoothly throughout the season, giving different weights to different predictor variables during different parts of the season.
Schmer, F. A. (Principal Investigator); Isakson, R. E.; Eidenshink, J. C.
The author has identified the following significant results. Visual interpretation of 1:125,000 color LANDSAT prints produced timely level 1 maps of accuracies in excess of 80% for agricultural land identification. Accurate classification of agricultural land via digital analysis of LANDSAT CCT's required precise timing of the date of data collection with mid to late June optimum for western South Dakota. The LANDSAT repetitive nine day cycle over the state allowed the surface areas of stockdams and small reservoir systems to be monitored to provide a timely approximation of surface water conditions on the range. Combined use of DIRS, K-class, and LANDSAT CCT's demonstrated the ability to produce aspen maps of greater detail and timeliness than was available using US Forest Service maps. Visual temporal analyses of LANDSAT imagery improved highway map drainage information and were used to prepare a seven county drainage network. An optimum map of flood-prone areas was developed, utilizing high altitude aerial photography and USGS maps.
Schneider, H; Coetzee, D J; Fehler, H G; Bellingan, A; Dangor, Y; Radebe, F; Ballard, R C
This paper reports on a study undertaken in a rural area of South Africa, to develop a non-laboratory tool to screen for sexually transmitted diseases (STDs) among family planning clients. A cross sectional study was performed of 249 consecutive women attending a family planning service between November and December 1994. A questionnaire was administered, and a clinical examination and laboratory tests conducted. Sociodemographic, clinical, and other non-laboratory variables that were significantly associated with laboratory evidence of infection were combined to produce non-hierarchical scoring systems for three "syndromes": gonococcal and/or chlamydial cervical infection, trichomoniasis, and cervical infection and/or trichomoniasis combined. The sensitivity, specificity, and predictive values of the scoring systems as a screening tool were assessed against the gold standard of laboratory tests. The prevalence of reproductive tract infections among the study participants was as follows: Chlamydia trachomatis 12%, Neisseria gonorrhoeae 3%, Trichomonas vaginalis 18%, and bacterial vaginosis 29%. Although vaginal discharge and other symptoms were frequently reported, symptoms bore no relation to the presence of infection. The following independent associations with gonococcal/chlamydial cervical infection were found: age less than 25 years and cervical mucopus and/or friability. Abnormal discharge on examination, visible inflammatory changes of the cervix (increased redness), no recent travel, and unemployment were associated with trichomoniasis. The combination of trichomonas and/or cervical infection ("STD syndrome") was associated with cervical mucopus/friability, unemployment, lack of financial support, and increased redness of the cervix. Of the three scoring systems developed on the basis of these associations, that of the "STD syndrome" achieved the best performance characteristics as a screening tool, with a sensitivity of 62%, specificity of 74%, and
Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.
Versteeg, Marije; du Toit, Lilo; Couper, Ian
South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Response rates ranged from 83% in the first round (n=44) to 64% in the final round (n=34). The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH), governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.
Full Text Available settlements implications of current rural development approaches are outlined. The potential and impact of the integrated rural mobility and access approach (IRMA) in unlocking socio-economic and spatial livelihood opportunities are discussed. In this regard...
Jan 24, 2012 ... consistently focused on the improvement of water supply and public toilets at ... Igwe et al (2008) reported that access to safe water in the rural areas hovers ... urban centres (>25km) and are typically rural settlements where the main ... groups, with 50.4 percent of them as males and 49.6 percent as females.
Background: Rural Igbo women frequently perceive disorders of menstruation in the context of their inability to achieve pregnancy, and may otherwise not volunteer information on such abnormalities in the gynaecological clinic. This study determined the prevalence and pattern of menstrual disorders in rural Igbo women of ...
Full Text Available In carrying out the paper: “Strategic model for attenuating rural inequities in South-Muntenia Region”, I had like primary goals the accomplishment of two kinds of objectives: general objectives and specific objectives. For the general objectives, I followed: developing the approach theoretical mode for combating rural inequities; the development of strategic plans for approaching the rural inequities combat and identifying strategic socio-economic measures dedicated for promoting necessary measures for combating social inequities. And the specific objectives had like goals the SWOT analysis and the development of strategic plans in local profile, based on clusters. The analysis of rural area in South-Muntenia Region has been made at the level of local administrative-territorial units, the smallest territorial level from which is collecting and after the statistic information is published. Utilizing this kind of territorial level is a positive premise for obtaining results with a high accurate degree.
Ward, P R; Coveney, J; Verity, F; Carter, P; Schilling, M
As in many other countries, Australian consumers have recently had to accommodate increases in costs of basic food, and during the financial year 2007-2008 overall food prices rose by nearly 4%. Food costs are mediating factors in food choice, especially for low-income groups, where food security is often tenuous. There are reports that rural populations may have higher levels of food insecurity, although the evidence is often contradictory. To assess cost and affordability of food in rural areas this study used the Healthy Food Basket (HFB) methodology, which has been applied in a number of settings. The HFBs were costed at supermarkets and stores in different locations with different degrees of rurality. Compared with metropolitan areas, healthy food is more expensive in rural areas; costs are even higher in more remote areas. The overall affordability of HFB in rural areas was not significantly different from metro areas. The main difference concerned low socio-economic status (SES) groups, where the proportion of household income spent on the HFB was three times that of higher SES groups. The unaffordability of healthy food, or 'food stress' in low SES groups is a concern, especially when this group carries the greatest burden of diet-related disease. Findings suggest that there is a need to consider both rurality and SES when developing policy responses to decrease the cost and increase the affordability of healthy foods in rural and remote areas.
Full Text Available . W Nkuna Student Number: 10544403 Supervisor: Prof. C J dew. Rautenbach Department: Geography, Geo-informatics and Meteorology, University of Pretoria ABSTRACT In South Africa water is regarded as constitutional right and government has therefore... the water needs of rural communities. Issues such as poverty, water resources challenges and lack of capacity and skills at municipalities create problems which leave rural communities with no alternative but to rely on unsafe water sources for their water...
Karottki, R.; Banks, D.
This article traces the background to the implementation of a programme of sustainable off-grid energy services delivered to rural areas through private-public partnership. The implementation of the school photovoltaic (PV) electrification programme, electrification of rural clinics, the solar electrification of rural households on a large scale through a joint venture between Shell Renewables and the national utility ESKOM, and the electrification of widely scattered homesteads are discussed. Details are given of the financial support from the government and the National Electricity Regulator, the development of a national standard for Solar Home Systems, identification of target regions, the regulatory framework, and the opportunities for business and for real improvement. (UK)
Christopher T Rota
Full Text Available Wildfire and mountain pine beetle infestations are naturally occurring disturbances in western North American forests. Black-backed woodpeckers (Picoides arcticus are emblematic of the role these disturbances play in creating wildlife habitat, since they are strongly associated with recently-killed forests. However, management practices aimed at reducing the economic impact of natural disturbances can result in habitat loss for this species. Although black-backed woodpeckers occupy habitats created by wildfire, prescribed fire, and mountain pine beetle infestations, the relative value of these habitats remains unknown. We studied habitat-specific adult and juvenile survival probabilities and reproductive rates between April 2008 and August 2012 in the Black Hills, South Dakota. We estimated habitat-specific adult and juvenile survival probability with Bayesian multi-state models and habitat-specific reproductive success with Bayesian nest survival models. We calculated asymptotic population growth rates from estimated demographic rates with matrix projection models. Adult and juvenile survival and nest success were highest in habitat created by summer wildfire, intermediate in MPB infestations, and lowest in habitat created by fall prescribed fire. Mean posterior distributions of population growth rates indicated growing populations in habitat created by summer wildfire and declining populations in fall prescribed fire and mountain pine beetle infestations. Our finding that population growth rates were positive only in habitat created by summer wildfire underscores the need to maintain early post-wildfire habitat across the landscape. The lower growth rates in fall prescribed fire and MPB infestations may be attributed to differences in predator communities and food resources relative to summer wildfire.
Yang, Yun; Anderson, Martha C.; Gao, Feng; Hain, Christopher; Kustas, William P.; Meyers, Tilden P.; Crow, Wade; Finocchiaro, Raymond G.; Otkin, Jason; Sun, Liang; Yang, Yang
Soil drainage is a widely used agricultural practice in the midwest USA to remove excess soil water to potentially improve the crop yield. Research shows an increasing trend in baseflow and streamflow in the midwest over the last 60 years, which may be related to artificial drainage. Subsurface drainage (i.e., tile) in particular may have strongly contributed to the increase in these flows, because of its extensive use and recent gain in the popularity as a yield-enhancement practice. However, how evapotranspiration (ET) is impacted by tile drainage on a regional level is not well-documented. To explore spatial and temporal ET patterns and their relationship to tile drainage, we applied an energy balance-based multisensor data fusion method to estimate daily 30-m ET over an intensively tile-drained area in South Dakota, USA, from 2005 to 2013. Results suggest that tile drainage slightly decreases the annual cumulative ET, particularly during the early growing season. However, higher mid-season crop water use suppresses the extent of the decrease of the annual cumulative ET that might be anticipated from widespread drainage. The regional water balance analysis during the growing season demonstrates good closure, with the average residual from 2005 to 2012 as low as -3 mm. As an independent check of the simulated ET at the regional scale, the water balance analysis lends additional confidence to the study. The results of this study improve our understanding of the influence of agricultural drainage practices on regional ET, and can affect future decision making regarding tile drainage systems.
Rota, Christopher T; Millspaugh, Joshua J; Rumble, Mark A; Lehman, Chad P; Kesler, Dylan C
Wildfire and mountain pine beetle infestations are naturally occurring disturbances in western North American forests. Black-backed woodpeckers (Picoides arcticus) are emblematic of the role these disturbances play in creating wildlife habitat, since they are strongly associated with recently-killed forests. However, management practices aimed at reducing the economic impact of natural disturbances can result in habitat loss for this species. Although black-backed woodpeckers occupy habitats created by wildfire, prescribed fire, and mountain pine beetle infestations, the relative value of these habitats remains unknown. We studied habitat-specific adult and juvenile survival probabilities and reproductive rates between April 2008 and August 2012 in the Black Hills, South Dakota. We estimated habitat-specific adult and juvenile survival probability with Bayesian multi-state models and habitat-specific reproductive success with Bayesian nest survival models. We calculated asymptotic population growth rates from estimated demographic rates with matrix projection models. Adult and juvenile survival and nest success were highest in habitat created by summer wildfire, intermediate in MPB infestations, and lowest in habitat created by fall prescribed fire. Mean posterior distributions of population growth rates indicated growing populations in habitat created by summer wildfire and declining populations in fall prescribed fire and mountain pine beetle infestations. Our finding that population growth rates were positive only in habitat created by summer wildfire underscores the need to maintain early post-wildfire habitat across the landscape. The lower growth rates in fall prescribed fire and MPB infestations may be attributed to differences in predator communities and food resources relative to summer wildfire.
Wilson, Paige K; Moore, Jason R
Comparisons of paleofaunas from different facies are often hampered by the uncertainty in the variation of taphonomic processes biasing the paleoecological parameters of interest. By examining the taphonomic patterns exhibited by different facies in the same stratigraphic interval and area, it is possible to quantify this variation, and assess inter-facies comparability. The fossil assemblages preserved in Badlands National Park (BNP), South Dakota, have long been a rich source for mammalian faunas of the White River Group. To investigate the influence of the variation of taphonomic bias with lithology whilst controlling for the influence of changes in patterns of taphonomic modification with time, taphonomic and paleoecological data were collected from four mammal-dominated fossil assemblages (two siltstone hosted and two sandstone hosted) from a narrow stratigraphic interval within the Oligocene Poleslide Member of the Brule Formation, in the Palmer Creek Unit of BNP. Previous work in the region confirmed that the two major lithologies represent primarily aeolian- and primarily fluvial-dominated depositional environments, respectively. A suite of quantifiable taphonomic and ecological variables was recorded for each of the more than 800 vertebrate specimens studied here (857 specimens were studied in the field, 9 specimens were collected and are reposited at BNP). Distinctly different patterns of taphonomic biasing were observed between the aeolian and fluvial samples, albeit with some variability between all four sites. Fluvial samples were more heavily weathered and abraded, but also contained fewer large taxa and fewer tooth-bearing elements. No quantifiable paleofaunal differences in generic richness or evenness were observed between the respective facies. This suggests that while large vertebrate taxonomic composition in the region did vary with paleodepositional environment, there is no evidence of confounding variation in faunal structure, and therefore
O'Leary, Rae; Wallace, James
The purpose of this article is to better understand asthma triggers and possible causes of exacerbations among BREATHE participants on the Cheyenne River Indian Reservation in western South Dakota. To qualify for enrollment, participants had to have physician-diagnosed asthma, be uncontrolled and have persistent symptoms. Participants were asked to identify their top two asthma triggers throughout their one-year enrollment during initial visits and subsequent phone follow-ups. In addition, participant's medical records were reviewed for visits to the emergency department (ED) to demonstrate asthma exacerbations. In 2008, 127 interviews were conducted with 45 enrolled participants for a total of 254 results. Overall, the three most common self reported triggers were cold air, dust and smoke and these comprised nearly half (48.4 percent) of all reports. Dust was reported in 16.5 percent of interviews and ranked among the top four for every season. Smoke (12.6 percent) and cold air (19.3 percent) were leaders in all seasons except summer, but humid air, pollens and strong odors were unique to summer. Exercise/activity ranked high during the winter and spring, but was reported less in summer and fall. There was no identifiable trend in ER visits by season. People with asthma living on the Cheyenne River Indian Reservation or other locations with similar community and geographic demographics are most likely to suffer an asthma exacerbation from exposure to cold air, dust, smoke and exercise/activity. Asthma education is necessary on all levels, but information on avoidance and control of these most common reported triggers is especially important.
The Whitewood Creek-Belle Fourche-Cheyenne River stream system in western South Dakota has been extensively contaminated by the discharge to Whitewood Creek of about 100 million tons of mill tailings from gold-mining operations. The resulting contaminated sediments contain unusually large concentrations of arsenic, as much as 11,000 micrograms/g, derived from the mineral arsenopyrite, as well as potentially toxic constituents derived from the ore-body minerals or from the milling processes. Because of the anomalous arsenic concentrations associated with the contamination, arsenic was used as an indicator for a geochemically based, random, sediment-sampling program. Arsenic concentrations in shallow, contaminated sediments along the flood plains of the streams were from 1 to 3 orders of magnitude larger than arsenic concentrations in uncontaminated sediments in about 75% of the flood plains of Whitewood Creek and the Belle Fourche River. Appreciable surface-water contamination resulting from the contaminated sediments is confined to Whitewood Creek and a reach of the Belle Fourche River downstream from the mouth of Whitewood Creek. In Whitewood Creek , dissolved-arsenic concentrations vary from about 20 to 80 microgram/L during the year in response to variations in groundwater inflow and dilution, whereas total-recoverable-arsenic concentrations vary from about 20 to 8 ,000 micrograms/L during short periods in response to rapid changes in suspended-sediment concentration. Contamination of the alluvial aquifer along the stream system is limited to areas in direct contact with large deposits of contaminated sediments. Within the aquifer, arsenic concentrations are thought to be controlled by sorption-desorption on metallic hydroxides. (USGS)
Full Text Available link between household water and economic poverty of rural households, with households’ total monthly income used as an indicator of economic poverty. An adaptation of a comprehensive water poverty index, which considers water access, quality, use...
Havenaar, J.M.; Geerlings, M.I.; Vivian, L.; Collinson, M.; Robertson, B.
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used
Havenaar, Juhan; Geerlings, Mirjan; Vivian, Lauraine; Collinson, Marh; Robertson, Brian
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were
Havenaar, Juhan M.; Geerlings, Mirjan I.; Vivian, Lauraine; Collinson, Marh; Robertson, Brian
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used
Mashige, Khathutshelo P; Oduntan, Olalekan A; Hansraj, Rekha
Eye and vision problems have been reported to be more prevalent in rural than urban areas; and a large proportion of South Africans live in the rural areas. To investigate the opinions of South African optometry students about working in rural areas after completion of their training and to identify factors that may influence their decisions. This was a cross-sectional quantitative study using a survey instrument containing both closed and open-ended, semi-structured questions. Four hundred and thirty-eight students responded to the questionnaire (85.4% response rate). Overall, many of the respondents did not want to open their first (66%) or second practices (64.6%) in the rural areas. However, most respondents from rural backgrounds reported that they would open their first (77.2%) or second (79.4%) practice in the rural areas. The main reasons cited by the respondents for their unwillingness to work in the rural areas were financial concerns (81.2%), personal safety (80.1%) and poor living conditions (75.3%), with a significantly higher number (p < 0.05) being from urban respondents for the latter two issues only. Many students were not in favour of opening practices in rural areas, but were willing to work for the government or a non-governmental organisation after graduation. Efforts should be made to address financial incentives, safety and living conditions in the rural areas. The results of this study have implications for the future of availability and accessibility of eye care services to those living in the rural and remote areas of the country.
Khathutshelo P. Mashige
Full Text Available Background: Eye and vision problems have been reported to be more prevalent in rural than urban areas; and a large proportion of South Africans live in the rural areas. Aim: To investigate the opinions of South African optometry students about working in rural areas after completion of their training and to identify factors that may influence theirdecisions. Method: This was a cross-sectional quantitative study using a survey instrument containing both closed and open-ended, semi-structured questions. Results: Four hundred and thirty-eight students responded to the questionnaire (85.4% response rate. Overall, many of the respondents did not want to open their first (66% or second practices (64.6% in the rural areas. However, most respondents from rural backgrounds reported that they would open their first (77.2% or second (79.4% practice in the rural areas. The main reasons cited by the respondents for their unwillingness to work in the rural areaswere financial concerns (81.2%, personal safety (80.1% and poor living conditions (75.3%, with a significantly higher number (p < 0.05 being from urban respondents for the latter twoissues only. Conclusion: Many students were not in favour of opening practices in rural areas, but were willing to work for the government or a non-governmental organisation after graduation. Efforts should be made to address financial incentives, safety and living conditions in the rural areas. The results of this study have implications for the future of availability and accessibility of eye care services to those living in the rural and remoteareas of the country.
Full Text Available INDIGENOUS KNOWLEDGE SYSTEMS (IKS) IN IMPROVING RURAL ACCESSIBILITY AND MOBILITY (IN SUPPORT OF THE COMPREHENSIVE RURAL DEVELOPMENT PROGRAMME IN SOUTH AFRICA) CHARLES NHEMACHENA1, JAMES CHAKWIZIRA2, SIPHO DUBE1, GOODHOPE MAPONYA1, REMINA RASHOPOLA3... of Environmental Sciences, Private Bag X5050, Thohoyandou, 0950 3 Department of Rural Development and Land Reform, PO Box X833, Pretoria 0001 ABSTRACT This study discusses opportunities and challenges for integrating local knowledge in improving...
Objective. To describe the establishment of a colposcopy service at a district hospital in a rural sub-district of the Western Cape, South Africa, and assess its impact on colposcopy uptake. Design. A retrospective double-group cohort study using a laboratory database of cervical cytology results, clinical records and ...
The majority of the poor South Africans are to be found in rural areas. Their location is characterised by combinations of difficult situations that contribute to their vulnerability and poverty. Some of the common problems are hilly
Objective: To assess the treatment outcomes of an HIV clinic in rural Limpopo province, South Africa. Methods: A retrospective cohort study involving medical records review of HIV-positive patients initiated on antiretroviral treatment (ART) was conducted from December 2007 to November 2008 at Letaba Hospital. Data on ...
Objectives. To explore linkage to and retention in HIV care after an episode of cryptococcal meningitis (CM) in rural South Africa. Design. A retrospective case series of adult individuals (≥16 years old) with laboratory-confirmed CM from January - December 2007 at Hlabisa Hospital – a district hospital in northern KwaZulu- ...
In this dissertation, I investigate how Dalit women in rural South India secure livelihood entitlements by analysing processes of social exclusion as well as collective action by these women through their perspectives. This problematic requires focus on how caste, class and gender mutually construct
Barth, R. E.; van der Meer, J. T. M.; Hoepelman, A. I. M.; Schrooders, P. A.; van de Vijver, D. A.; Geelen, S. P. M.; Tempelman, H. A.
The purpose of this study was to assess the one-year efficacy of highly active antiretroviral therapy (HAART) administered by general practitioners in a primary care community clinic in rural South Africa. We performed an observational cohort study of 675 treatment-naive human immunodeficiency virus
Full Text Available This paper describes the impact of socio-economic factors on girls and women’s access to Information and Communication Technology (ICT) education and training in a rural South African environment and recommends strategies for improved access to ICT...
Pasmans, Thijs; Hebinck, Paul
The analysis of game farming is set in the Eastern Cape, South Africa. Game farming reorders the use, meaning and value of land and animal species. However, what it means for rural development processes in the immediate region and beyond is not well accounted for. We perceive game farming as an
Smith, Kelley Alison; Harrison, Abigail
This study investigated the attitudes of 43 teachers and school administrators towards sex education, young people's sexuality and their communities in 19 secondary schools in rural KwaZulu-Natal, South Africa, and how these attitudes affect school-based HIV prevention and sex education. In interviews, teachers expressed judgemental attitudes…
An evaluation of the District Health Information System in rural South Africa. ... Design and subjects. Semi-structured key informant interviews were conducted with clinic managers, supervisors and district information staff. ... of the data collection and collation process but little analysis, interpretation or utilisation of data.
Yonas Hamda; Burton Pflueger; Larry Janssen
Long-term (20th century) and recent (1991–2003) trends in South Dakota’s agricultural land values are the main topics of this report. It is written for farmers and ranchers, landowners, agricultural professionals (lenders, rural appraisers, Extension educators, and agribusiness persons) and policymakers interested, for various decision- making purposes, in agricultural land market trends. Topics covered in the first section are: (1) historical trends in South Dakota farm real estate values fr...
Jul 24, 2011 ... obesity and underweight among rural school children in Mankweng .... Social Sciences® (SPSS), version 18.0 (SPSS, Chicago, IL, USA). The .... and which are strengthened by media pressures that place strong ..... mass index, depressive symptoms, and overweight concerns elementary school children.
This paper, grounded in a distributive paradigm that views social justice as a proper distribution of social benefits and burdens among members of society, traverses the positive and negative features of rural education related to social justice. It concedes that difference is an inherent, inevitable and indispensable feature of ...
antivenom, inappropriate first aid, the regional effects of envenomation ... is crucial for primary care physicians to be familiar with the most common venomous snakes in South Africa and the ..... Pediatric and Neonatal Emergency Care.
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North Dakota Univ., Fargo. Dept. of Agriculture and Applied Science.
Situational issues related to families and influences upon families in North Dakota and the United States are briefly outlined in these fact sheets. Contents specifically concern (1) outbound migration from North Dakota and transition of rural families from farming; (2) suicide in North Dakota and the nation; (3) child care issues, such as child…
James, Daniel A.; Mosel, Kyle; Chipps, Steven R.
The aquatic nuisance species Didymosphenia geminata was first documented in Rapid Creek of South Dakota’s Black Hills during 2002. Since then, blooms have occurred primarily in a 39-km section of Rapid Creek while blooms were rarely observed in other Black Hills streams. In this study, we evaluated factors related to the presence and development of visible colonies of D. geminata in four streams of the Black Hills. At the watershed scale, stream gradient was negatively associated with the occurrence of D. geminata whereas stream width was positively related to D. geminata presence. At the stream scale, D. geminata coverage was inversely related to canopy coverage and iron concentration. At the local scale, shading by bridges virtually eliminated growth of D. geminata colonies under bridges. At all three scales, proxy measures of light such as stream width, canopy coverage, and bridge shading revealed that light availability was an important factor influencing the presence and coverage of D. geminata colonies. In general, streams that had relatively wide stream reaches (mean = 9.9 m), shallow gradients (mean = 0.22%), and little canopy cover (mean = 13%) were associated with D. geminata blooms. In addition, iron concentrations in streams with D. geminata colonies were lower than in streams without blooms.
Larson, Lance N.; Kipp, Gregory G.; Mott, Henry V.; Stone, James J.
The extent of historical U mining impacts is well documented for the North Cave Hills region of Harding County, South Dakota, USA. While previous studies reported watershed sediment and surface water As and U concentrations up to 90× established background concentrations, it was unclear whether or how localized changes in sediment redox behavior may influence contaminant remobilization. Five pore-water equilibration samplers (peepers) were spatially and temporally deployed within the study area to evaluate seasonal solid–liquid As and U distributions as a function of sediment depth. Pore-water and solid phase As and U concentrations, Fe speciation, Eh and pH were measured to ascertain specific geochemical conditions responsible for As and U remobilization and transport behavior. At a mine overburden sedimentation pond adjacent to the mine sites, high total aqueous As and U concentrations (4920 and 674 μg/L, respectively) were found within surface water during summer sampling; however pond dredging prior to autumn sampling resulted in significantly lower aqueous As and U concentrations (579 and 108 μg/L, respectively); however, both As and U still exceeded regional background concentrations (20 and 18 μg/L, respectively). At a wetlands-dominated deposition zone approximately 2 km downstream of the sedimentation pond, pore-water geochemical conditions varied seasonally. Summer conditions promoted reducing conditions in pore water, resulting in active release of As(III) to the water column. Autumn conditions promoted oxidizing conditions, decreasing pore-water As (As pw ) 5× and increasing U pw 10×. Peak U pore-water concentrations (781 μg/L) were 3.5× greater than determined for the surface water (226 μg/L), and approximately 40× background concentrations. At the Bowman–Haley reservoir backwaters 45 km downstream from the mine sites, As and U pore-water concentrations increased significantly between the summer and autumn deployments, attributed to
Igl, Lawrence D.; Shaffer, Jill A.; Johnson, Douglas H.; Buhl, Deborah A.
We examined the relationship between local- (wetland) and landscape-level factors and breeding bird abundances on 1,190 depressional wetlands in the Prairie Pothole Region of North and South Dakota during the breeding seasons in 1995–97. The surveyed wetlands were selected from five wetland classes (alkali, permanent, semipermanent, seasonal, or temporary), two wetland types (natural or restored), and two landowner groups (private or Federal). We recorded 133 species of birds in the surveyed wetlands during the 3 years. We analyzed the nine most common (or focal) species (that is, species that were present in 25 percent or more of the 1,190 wetlands): the Red-winged Blackbird (Agelaius phoeniceus), Blue-winged Teal (Anas discors), Mallard (Anas platyrhynchos), American Coot (Fulica americana), Gadwall (Anas strepera), Common Yellowthroat (Geothlypis trichas), Yellow-headed Blackbird (Xanthocephalus xanthocephalus), Northern Shoveler (Anas clypeata), and Savannah Sparrow (Passerculus sandwichensis). Our results emphasize the ecological value of all wetland classes, natural and restored wetlands, and publicly and privately owned wetlands in this region, including wetlands that are generally smaller and shallower (that is, temporary and seasonal wetlands) and thus most vulnerable to drainage. Blue-winged Teal, Northern Shoveler, Gadwall, Common Yellowthroat, and Red-winged Blackbird had higher abundances on Federal than on private wetlands. Abundances differed among wetland classes for seven of the nine focal species: Blue-winged Teal, Northern Shoveler, Mallard, American Coot, Common Yellowthroat, Yellow-headed Blackbird, Red-winged Blackbird. American Coot had higher abundances on restored wetlands than on natural wetlands overall, and Gadwall and Common Yellowthroat had higher abundances on private restored wetlands than on private natural wetlands. The Common Yellowthroat was the only species that had higher abundances on restored private wetlands than on
Kuwabara, James S.; Fuller, Christopher C.
Field measurements and bioassay experiments were done to investigate the effects of arsenic and phosphorus interactions on sorption of these solutes by the benthic flora (periphyton and submerged macrophytes) in Whitewood Creek, a stream in western South Dakota. Short-term (24-hour) sorption experiments were used to determine arsenic transport characteristics for algae (first-order rate constants for solute sorption, biomass, and accumulation factors) collected in the creek along a transect beginning upstream from a mine discharge point and downgradient through a 57-kilometer reach. Temporal changes in biomass differed significantly between and within sampling sites. Arsenic concentrations in plant tissue increased with distance downstream, but temporal changes in concentrations in tissues differed considerably from site to site. Cultures of Achnanthes minutissima (Bacillariophyceae) and Stichococcus sp. (Chlorophyceae) were isolated from four sites along a longitudinal concentration gradient of dissolved arsenic within the study reach and were maintained at ambient solute concentrations. Arsenic accumulation factors and sorption-rate constants for these isolates were determined as a function of dissolved arsenate and orthophosphate. Cell surfaces of algal isolates exhibited preferential orthophosphate sorption over arsenate. Initial sorption of both arsenate and orthophosphate followed first-order mass transfer for each culturing condition. Although sorption-rate constants increased slightly with increased dissolved-arsenate concentration, algae, isolated from a site with elevated dissolved arsenic in the stream channel, had a significantly slower rate of arsenic sorption compared with the same species isolated from an uncontaminated site upstream. In diel studies, amplitudes of the pH cycles increased with measured biomass except at a site immediately downstream from water-treatment-plant discharge. Inorganic pentavalent arsenic dominated arsenic speciation at
Smith, Pam; Lambert, Bambi
Preparing deaf and hard of hearing students for transition is a unique challenge in North Dakota, a rural state in which the North Dakota Department of Public Instruction has identified only 32 transition-age students as "deaf" or "hearing impaired." Additional students who are deaf or hard of hearing may be being served via…
Full Text Available Background: Youths have been found to utilise and adopt information communication technology (ICT faster than any other population cohort. This has been aided by the advent of social media, especially Facebook and Instagram as platforms of choice. Calls have been made for more research (especially in rural communities on the usage of ICT platforms such as social media among the youth as a basis for interventions that not only allow for better communication but also for learning. Objectives: The research investigated the relationship between knowledge sharing, habit and obligation in relation to social media usage among a sample of rural South African youth. Method: This study is descriptive by design. Primary data were collected from 447 youths domiciled within a rural community in the Eastern Cape Province of South Africa using a self-administered questionnaire. The respondents to the study were all social media users. A combination of descriptive statistics and Pearson’s correlation analysis was used to make meaning of the data. Results: The study found a significant positive correlation to exist in all three independent variables (knowledge sharing, habit and obligation with the dependent variable (social media usage concerning Facebook usage among the sample of South African rural youth. Conclusion: Based on the findings of the research, recommendations and implications with regard to theory and practice are made.
Full Text Available The desire to remember the plight of the poor in South Africa has reduced in the last 20 years after the transition from apartheid to freedom. To a large extent, Faith Based Organizations (FBOs and the religious society at large have lost their ‘dangerous memory’ which keeps us mindful of those who suffered and whose plight is usually forgotten or suppressed. In this contribution the conditions of poor farm school children in multigrade rural education will be scrutinised by unpacking the contextual factors that cause us to forget their plight. This article will seek to reimagine the role of the church in poverty-stricken South Africa by engaging with the work of Talcott Parsons, the practical theologian Johannes A. Van der Ven, as well as the work of the political theologian Johann Baptist Metz in order to affirm the focus of Practical Theology to transform society and to contribute to the quest for justice and liberation for the poor in rural education. This reimagining discourse has a fundamental responsibility to challenge the social, political and economic realities that shape the lives of human beings within rural education, remembering the plight of the poor, and participating on their journey towards liberation and healing. It is proposed that if the church can activate its ‘dangerous memory’ it will be able to reimagine its role by transforming our poverty-stricken South African society, open new avenues for breaking the cycle of poverty and contribute to rural education.
Effiong Ekong Akpan
Full Text Available Recent studies have shown an increasing trend in the prevalence of hypertension in rural communities compared to that of the urban communities. This study was therefore carried out to determine the prevalence of hypertension and its predictors (if any in both urban and rural communities of Akwa Ibom State of Nigeria. Subjects and Method. This was a cross-sectional study of urban and rural communities of Akwa Ibom State for the prevalence of hypertension and its predictors. Two urban cities and two rural communities were randomly selected from the three senatorial districts of the state. Hypertension was defined based on the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of Hypertension. Results. Nine hundred and seventy-eight (978 participants were recruited from rural areas and five hundred and ninety (590 from urban centers. The rural populace had higher systolic, diastolic, and mean arterial blood pressure than the urban populace (P<0.001, < 0.002, < 0.001, resp.. The prevalence of hypertension was significantly higher in the rural populace than in the urban populace [44.3% (95% CI 41.1–47.4% versus 28.6% (95% CI 24.9–32.3%]. Age, BMI, and proteinuria were independent predictors of hypertension occurrence. Conclusion. There is an epidemiologic change in the prevalence of hypertension in the rural communities of Nigeria.
Maleke, Kabelo; Makhakhe, Nosipho; Peters, Remco Ph; Jobson, Geoffrey; De Swardt, Glenn; Daniels, Joseph; Lane, Timothy; McIntyre, James A; Imrie, John; Struthers, Helen
Rural South African men who have sex with men (MSM) are likely to be underserved in terms of access to relevant healthcare and HIV prevention services. While research in urban and peri-urban MSM populations has identified a range of factors affecting HIV risk in South African MSM, very little research is available that examines HIV risk and prevention in rural MSM populations. This exploratory study begins to address this lack by assessing perceptions of HIV risk among MSM in rural Limpopo province. Using thematic analysis of interview and discussion data, two overarching global themes that encapsulated participants' understandings of HIV risk and the HIV risk environment in their communities were developed. In the first theme, "community experience and the rural social environment", factors affecting HIV risk within the broad risk environment were discussed. These included perceptions of traditional value systems and communities as homophobic; jealousy and competition between MSM; and the role of social media as a means of meeting other MSM. The second global theme, "HIV/AIDS knowledge, risk and experience", focused on factors more immediately affecting HIV transmission risk. These included: high levels of knowledge of heterosexual HIV risk, but limited knowledge of MSM-specific risk; inconsistent condom and lubricant use; difficulties in negotiating condom and lubricant use due to uneven power dynamics in relationships; competition for sexual partners; multiple concurrent sexual partnerships; and transactional sex. These exploratory results suggest that rural South African MSM, like their urban and peri-urban counterparts, are at high risk of contracting HIV, and that there is a need for more in-depth research into the interactions between the rural context and the specific HIV risk knowledge and behaviours that affect HIV risk in this population.
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Dlamini, Siyabonga; Taylor, Myra; Mkhize, Nosipho; Huver, Rosemarie; Sathiparsad, Reshma; de Vries, Hein; Naidoo, Kala; Jinabhai, Champak
The cross-sectional study investigated South African rural high school learners' choice of sexual abstinence in order to be able to develop tailored health education messages. All Grade 9 learners from one class at each of 10 randomly selected rural high schools participated. The Integrated Model for Motivational and Behavioural Change was used to…
Full Text Available Abstract Background Yunnan province is located in south western China and is one of the poorest provinces of the country. This study examines the premature mortality burden from common causes of deaths among an urban region, suburban region and rural region of Kunming, the capital of Yunnan. Methods Years of life lost (YLL rate per 1,000 and mortality rate per 100,000 were calculated from medical death certificates in 2003 and broken down by cause of death, age and gender among urban, suburban and rural regions. YLL was calculated without age-weighting and discounting rate. Rates were age-adjusted to the combined population of three regions. However, 3% discounting rate and a standard age-weighting function were included in the sensitivity analysis. Results Non-communicable diseases contributed the most YLL in all three regions. The rural region had about 50% higher premature mortality burden compared to the other two regions. YLL from infectious diseases and perinatal problems was still a major problem in the rural region. Among non-communicable diseases, YLL from stroke was the highest in the urban/suburban regions; COPD followed as the second and was the highest in the rural region. Mortality burden from injuries was however higher in the rural region than the other two regions, especially for men. Self-inflicted injuries were between 2–8 times more serious among women. The use of either mortality rate or YLL gives a similar conclusion regarding the order of priority. Reanalysis with age-weighting and 3% discounting rate gave similar results. Conclusion Urban south western China has already engaged in epidemiological pattern of developed countries. The rural region is additionally burdened by diseases of poverty and injury on top of the non-communicable diseases.
Cai, Le; Chongsuvivatwong, Virasakdi
Yunnan province is located in south western China and is one of the poorest provinces of the country. This study examines the premature mortality burden from common causes of deaths among an urban region, suburban region and rural region of Kunming, the capital of Yunnan. Years of life lost (YLL) rate per 1,000 and mortality rate per 100,000 were calculated from medical death certificates in 2003 and broken down by cause of death, age and gender among urban, suburban and rural regions. YLL was calculated without age-weighting and discounting rate. Rates were age-adjusted to the combined population of three regions. However, 3% discounting rate and a standard age-weighting function were included in the sensitivity analysis. Non-communicable diseases contributed the most YLL in all three regions. The rural region had about 50% higher premature mortality burden compared to the other two regions. YLL from infectious diseases and perinatal problems was still a major problem in the rural region. Among non-communicable diseases, YLL from stroke was the highest in the urban/suburban regions; COPD followed as the second and was the highest in the rural region. Mortality burden from injuries was however higher in the rural region than the other two regions, especially for men. Self-inflicted injuries were between 2-8 times more serious among women. The use of either mortality rate or YLL gives a similar conclusion regarding the order of priority. Reanalysis with age-weighting and 3% discounting rate gave similar results. Urban south western China has already engaged in epidemiological pattern of developed countries. The rural region is additionally burdened by diseases of poverty and injury on top of the non-communicable diseases.
Sando, Steven Kent; Neitzert, Kathleen M.
different units, with medians that range from about 2.4 to 4.0 mg/L. Median whole-water phosphorus concentrations for the different Lake Andes units range from 0.2 to 0.5 mg/L, and decrease downstream through Lake Andes. Median selenium concentrations are substantially lower for Andes Creek (3 ?g/L (micrograms per liter)) than for the other tributary stations (34, 18, and 7 ?g/L). Median selenium concentrations for the lake stations (ranging from less than 1 to 2 ?g/L) are substantially lower than tributary stations. The pesticides 2,4-D and atrazine were the most commonly detected pesticides in Lake Andes. Median concentrations for 2,4-D for Lake Andes range from 0.07 to 0.11 ?g/L; the median concentration for Owens Bay is 0.04 ?g/L. Median concentrations for atrazine for Lake Andes range from 0.2 to 0.4 ?g/L; the median concentration for Owens Bay is less than 0.1 ?g/L. Concentrations of both 2,4-D and atrazine are largest for the most upstream part of Lake Andes that is most influenced by tributary inflow. Median suspended-sediment concentrations for Lake Andes tributaries range from 22 to 56 mg/L. Most of the suspended sediment transported in the Lake Andes tributaries consists of particles less than 63 ?m (micrometers) in diameter. Concentrations of most constituents in bottom sediments generally had similar ranges and medians for the Lake Andes tributaries. However, Andes Creek generally had lower concentrations of several metals. For Lake Andes, medians and ranges for most constituents generally were similar among the different units. However, selenium concentrations tended to be higher in the upstream part of the lake, and generally decreased downstream. Results of vertical sediment cores collected from a single site in the South Unit of Lake Andes in October 2000 indicate that selenium loading to Lake Andes increased during the period 1952 through 2000. Choteau Creek has a drainage area of 619 mi2. In the upstream part of the basin, Chotea
We demonstrate successful integration of cervical cancer screening using VIA for HIV+ farm workers and sex workers into an existing HIV treatment and prevention clinic in rural South Africa, addressing and treating abnormal results promptly.
Full Text Available AbstractThe social role of youth, in the last twenty years, has become a key point of the political agenda of many African nations. In South Africa, the consequences of segregationist politics, market economy and migrations have profoundly shaped the social and cultural role of youth, both in urban and rural contexts. Moreover, the end of apartheid has opened a new period of wide transformation. Based on my ethnographic research in KwaMashabane, a rural region of South Africa, this article analyses how the social role of male youth is shaped by national state policy and by local dynamics. I will focus on the relationship between models of adulthood, and the strategies that youth adopt to cope with conflicts and continuities. This analysis will show how post-apartheid freedom and the constraints of the local social structure are negotiated, and how society is coping with the complex relationships between cultural reproduction and social change.
Kubayi Ntwanano Alliance
Full Text Available This study was carried out to examine constraints to sport participation among female secondary school students in Hlanganani rural area, Limpopo Province, South Africa. A total of 101 female students aged 17–24 years from four secondary schools were recruited to participate in the study. A self-administered questionnaire was used to collect data. Results indicated that the dress code, lack of energy, lack of family support and family commitment were identified as major constraints to sport participation among female students. The results of this study provide practical implications for promoting and developing female sports programmes in rural schools. This study suggests that stakeholders such as parents, peers, and teachers should motivate and encourage female students to participate in school sport. Additionally, the study recommended that in order to promote sport participation in rural areas, the values, norms, beliefs, attitudes and customs that restrict females from participating in sport and physical activity should be dissented.
Smith, Michael T; Goebel, Jessica Schroenn; Blignaut, James N
Given the persistence of systemic poverty in, most notably, the rural parts of South Africa, the question is whether the use of biodigesters as a source of energy offers potential solutions to some of the difficulties and development needs faced by people in these areas. At the core, this translates into whether this technology would be financially and economically feasible for installation and use by rural households. Here we conduct both a financial and an economic cost-benefit analysis in one such community based on survey data from 120 households. Analysis of these data and supporting literature reveals that a biodigester is not a financially feasible investment for a rural household. Substantial economic benefits are, however, found to make a biodigester a worthwhile investment from a broader societal perspective. This is a compelling argument for further study and the consideration of government support in the light of broader economy-wide benefits. Copyright © 2013 Elsevier Ltd. All rights reserved.
Ennion, Liezel; Johannesson, Anton
There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. To explore therapists' experiences with providing pre-prosthetic rehabilitation in a rural setting. A qualitative descriptive approach was used to collect and analyse data. Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists' ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.
Adams, Brian M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Simmons, Chris [Univ. of Texas, Austin, TX (United States); Williams, Brian J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
The Dakota software project serves the mission of Sandia National Laboratories and supports a worldwide user community by delivering state-of-the-art research and robust, usable software for optimization and uncertainty quantification. These capabilities enable advanced exploration and riskinformed prediction with a wide range of computational science and engineering models. Dakota is the verification and validation (V&V) / uncertainty quantification (UQ) software delivery vehicle for CASL, allowing analysts across focus areas to apply these capabilities to myriad nuclear engineering analyses.
Excelencia in Education (NJ1), 2012
In 2009, Excelencia in Education launched the Ensuring America's Future initiative to inform, organize, and engage leaders in a tactical plan to increase Latino college completion. An executive summary of Latino College Completion in 50 states synthesizes information on 50 state factsheets and builds on the national benchmarking guide. Each…
Stamm, John F.; Hoogestraat, Galen K.
The headwaters of the Cheyenne and Belle Fourche Rivers drain the Black Hills of South Dakota and Wyoming, an area that has been affected by mining and ore-milling operations since the discovery of gold in 1875. A tributary to the Belle Fourche River is Whitewood Creek, which drains the area of the Homestake Mine, a gold mine that operated from 1876 to 2001. Tailings discharged into Whitewood Creek contained arsenopyrite, an arsenic-rich variety of pyrite associated with gold ore, and mercury used as an amalgam during the gold-extraction process. Approximately 18 percent of the tailings that were discharged remain in fluvial deposits on the flood plain along Whitewood Creek, and approximately 25 percent remain in fluvial deposits on the flood plain along the Belle Fourche River, downstream from Whitewood Creek. In 1983, a 29-kilometer (18-mile) reach of Whitewood Creek and the adjacent flood plain was included in the U.S. Environmental Protection Agency's National Priority List of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, commonly referred to as a "Superfund site." Listing of this reach of Whitewood Creek was primarily in response to arsenic toxicity of fluvial deposits on the flood plain. Lands along the lower Cheyenne River were transferred to adjoining States and Tribes in response to the Water Resources Development Act (WRDA) of 1999. An amendment in 2000 to WRDA required a study of sediment contamination of the Cheyenne River. In response to the WRDA amendment, the U.S. Geological Survey completed field sampling of reference sites (not affected by mine-tailing disposal) along the lower Belle Fourche and lower Cheyenne Rivers. Reference sites were located on stream terraces that were elevated well above historical stream stages to ensure no contamination from historical mining activity. Sampling of potentially contaminated sites was performed on transects of the active flood plain and adjacent terraces that could
Cvetkovski, Biljana; Armour, Carol; Bosnic-Anticevich, Sinthia
To investigate the perceptions and attitudes towards asthma management of general practitioners, pharmacists and people with asthma in a rural area. Qualitative semistructured interviews. Small rural centre in New South Wales. General practitioners, pharmacists and people with asthma in a rural area. General practitioners perceived that the patient provided a barrier to the implementation of optimal asthma services. They were aware that other health care professionals had a role in asthma management but were not aware of the details, particularly in relation to that of the pharmacist and would like to improve communication methods. Pharmacists also perceived the patient to be a barrier to the delivery of optimal asthma management services and would like to improve communication with the general practitioner. The impact of the rural environment for the health care professionals included workforce shortages, availability of support services and access to continuing education. People with asthma were satisfied with their asthma management and the service provided by the health care professionals and described the involvement of family members and ambulance officers in their overall asthma management. The rural environment was an issue with regards to distance to the hospital during an emergency. General practitioners and pharmacists confirmed their existing roles in asthma management while expressing a desire to improve communication between the two professions to help overcome barriers and optimise the asthma service delivered to the patient. The patient described minimal barriers to optimising asthma management, which might suggest that they might not have great expectations of asthma care.
Full Text Available This article reports on a case study that explored the effect of an English-as-Second Language (ESL computer program at Tshwane University of Technology (TUT, South Africa. The case study explored participants’ perceptions, attitudes and beliefs regarding the ESL reading enhancement program, Reading Excellence™. The study found that participants experienced the program in a positive light. They experienced improved ESL reading as well as listening and writing proficiency. In addition, they experienced improved affective well-being in the sense that they generally felt more comfortable using ESL. This included feeling more self-confident in their experience of their academic environment. Interviews as well as document review resulted in dissonance, however: data pointed towards poor class attendance as well as a perturbing lack of progress in terms of reading comprehension and speed.
Louis S. Jenkins
Full Text Available Background: The theme of the 2014 Southern African Rural Health Conference was ‘Building resilience in facing rural realities’. Retaining health professionals in South Africa is critical for sustainable health services. Only 12% of doctors and 19% of nurses have been retained in the rural areas. The aim of the workshop was to understand from health practitioners why they continued working in their rural settings. Conference workshop: The workshop consisted of 29 doctors, managers, academic family physicians, nurses and clinical associates from Southern Africa, with work experience from three weeks to 13 years, often in deep rural districts. Using the nominal group technique, the following question was explored, ‘What is it that keeps you going to work every day?’ Participants reflected on their work situation and listed and rated the important reasons for continuing to work. Results: Five main themes emerged. A shared purpose, emanating from a deep sense of meaning, was the strongest reason for staying and working in a rural setting. Working in a team was second most important, with teamwork being related to attitudes and relationships, support from visiting specialists and opportunities to implement individual clinical skills. A culture of support was third, followed by opportunities for growth and continuing professional development, including teaching by outreaching specialists. The fifth theme was a healthy work-life balance. Conclusion: Health practitioners continue to work in rural settings for often deeper reasons relating to a sense of meaning, being part of a team that closely relate to each other and feeling supported.
Objective The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. Design A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economic characteristics, health status, beliefs about health and (access to) health care was collected. Results The results clearly illustrated differences in socio-economic characteristics, health status, beliefs about health, and health care utilisation. In general, inhabitants of urban communities rated their health significantly better than rural participants. Although most urban and rural participants consider their access to health care as sufficient, they still experienced difficulties in receiving the requested care. The difference in employment rate between urban and rural communities in this study indicated that participants of urban communities were more likely to be employed. Consequently, participants from rural communities had a significantly lower available weekly budget, not only for health care itself, but also for transport to the health care facility. Urban participants were more than 5 times more likely to prefer a medical doctor in private practice (OR:5.29, 95% CI 2.83-988). Conclusion Recommendations are formulated for infrastructure investments in rural communities, quality of health care and its perception, improvement of household socio-economical status and further research on the consequences of delay in health care seeking behaviour. PMID:22691443
Iputo, Jehu E
Introduction The South African health system has disturbing inequalities, namely few black doctors, a wide divide between urban and rural sectors, and also between private and public services. Most medical training programs in the country consider only applicants with higher-grade preparation in mathematics and physical science, while most secondary schools in black communities have limited capacity to teach these subjects and offer them at standard grade level. The Faculty of Health Sciences at Walter Sisulu University (WSU) was established in 1985 to help address these inequities and to produce physicians capable of providing quality health care in rural South African communities. Intervention Access to the physician training program was broadened by admitting students who obtained at least Grade C (60%) in mathematics and physical science at standard grade, and who demonstrated appropriate personal attributes. An innovative curriculum, combining problem-based learning with community-based education (PBL/CBE) in small tutorial group settings, was also adopted. This approach was aimed at educating and graduating a broader cohort of students, while training future doctors to identify, analyze, and treat health problems in the rural South African context. Outcomes To date, 745 doctors (72% black Africans) have graduated from the program, and 511 students (83% black Africans) are currently enrolled. After the PBL/CBE curriculum was adopted, the attrition rate for black students dropped from 23% to 80%, and the proportion of students graduating within the minimum period rose from 55% to >70%. Many graduates are still completing internships or post-graduate training, but preliminary research shows that 36% percent of graduates practice in small towns and rural settings. Further research is underway to evaluate the impact of their training on health services in rural Eastern Cape Province and elsewhere in South Africa. Conclusions The WSU program increased access to
Sri, B Subha; Ravindran, T K Sundari
To understand how rural and other groups of marginalized women define safe abortion; their perspectives and concerns regarding medical abortion (MA); and what factors affect their access to safe abortion. Focus group discussions were held with various groups of rural and marginalized women in Tamil Nadu to understand their perspectives and concerns on abortion, especially MA. Nearly a decade after mifepristone was approved for abortion in India, most study participants had never heard of MA. When they learned of the method, most preferred it over other methods of abortion. The women also had questions and concerns about the method and recommendations on how services should be provided. Their definition of a "safe abortion" included criteria beyond medical safety. They placed a high priority on "social safety," including confidentiality and privacy. In their view, factors affecting access to safe abortion and choice of provider included cost, assurance of secrecy, promptness of service provision, and absence of provider gatekeeping and provider-imposed conditions for receiving services. Women's preference for MA shows the potential of this technology to address the problem of unsafe abortion in India. Women need better access to information and services to realize this potential, however. Women's preferences regarding information dissemination and service provision need to be taken into account if policies and programs are to be truly responsive to the needs of marginalized women. Copyright © 2012. Published by Elsevier Ireland Ltd.
Visagie, Surona; Schneider, Marguerite
The philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, health worker attitudes, referral services and the management of complex conditions. The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcare services and increasing the doctors' hours.
Full Text Available Background: The philosophy of primary healthcare forms the basis of South Africa’s health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. Objectives: The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. Method: A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Results: Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, healthworker attitudes, referral services and the management of complex conditions. Conclusion: The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcareservices and increasing the doctors’ hours.
Kennedy N. Otwombe
Full Text Available Background: Factors associated with mortality in HIV-infected people in sub-Saharan Africa are widely reported. However rural–urban disparities and their association with all-cause mortality remain unclear. Furthermore, commonly used classical Cox regression ignores unmeasured variables and frailty. Objective: To incorporate frailty in assessing factors associated with mortality in HIV-infected people in rural and urban South Africa. Design: Using data from a prospective cohort following 6,690 HIV-infected participants from Soweto (urban and Mpumalanga (rural enrolled from 2003 to 2010; covariates of mortality were assessed by the integrated nested Laplace approximation method. Results: We enrolled 2,221 (33% rural and 4,469 (67% urban participants of whom 1,555 (70% and 3,480 (78% were females respectively. Median age (IQR was 36.4 (31.0–44.1 in rural and 32.7 (28.2–38.1 in the urban participants. The mortality rate per 100 person-years was 11 (9.7–12.5 and 4 (3.6–4.5 in the rural and urban participants, respectively. Compared to those not on HAART, rural participants had a reduced risk of mortality if on HAART for 6–12 (HR: 0.20, 95% CI: 0.10–0.39 and >12 months (HR: 0.10, 95% CI: 0.05–0.18. Relative to those not on HAART, urban participants had a lower risk if on HAART >12 months (HR: 0.35, 95% CI: 0.27–0.46.The frailty variance was significant and >1 in rural participants indicating more heterogeneity. Similarly it was significant but <1 in the urban participants indicating less heterogeneity. Conclusion: The frailty model findings suggest an elevated risk of mortality in rural participants relative to the urban participants potentially due to unmeasured variables that could be biological, socio–economic, or healthcare related. Use of robust methods that optimise data and account for unmeasured variables could be helpful in assessing the effect of unknown risk factors thus improving patient management and care in South
Oduntan, Olalekan A.; Hansraj, Rekha
Background Eye and vision problems have been reported to be more prevalent in rural than urban areas; and a large proportion of South Africans live in the rural areas. Aim To investigate the opinions of South African optometry students about working in rural areas after completion of their training and to identify factors that may influence their decisions. Method This was a cross-sectional quantitative study using a survey instrument containing both closed and open-ended, semi-structured questions. Results Four hundred and thirty-eight students responded to the questionnaire (85.4% response rate). Overall, many of the respondents did not want to open their first (66%) or second practices (64.6%) in the rural areas. However, most respondents from rural backgrounds reported that they would open their first (77.2%) or second (79.4%) practice in the rural areas. The main reasons cited by the respondents for their unwillingness to work in the rural areas were financial concerns (81.2%), personal safety (80.1%) and poor living conditions (75.3%), with a significantly higher number (p influencer leur décision. Méthode C’est une étude quantitative transversale utilisant un instrument de sondage contenant des questions semi-structurées fermée et ouvertes. Résultats Quatre cent trente-huit étudiants ont répondu au questionnaire (un taux de réponse de 85.4%). En général, un grand nombre de répondants ne voulaient pas ouvrir leur premier (66%) ou deuxième cabinet (64.6%) dans les zones rurales. Cependant, la plupart des répondants originaires de la campagne ont répondu qu’ils ouvriraient leur premier cabinet (77.2%) ou leur second (79.4%) dans les zones rurales. Les raisons principales citées par les répondants pour ne pas vouloir travailler dans les zones rurales étaient des préoccupations financières (81.2%), la sécurité personnelle (80.1%) et les mauvaises conditions de vie (75.3%), avec un plus grand nombre (p < 0.05) de la part des r
Kelly Burns; Jim Blodgett; Marcus Jackson; Brian Howell; William Jacobi; Anna Schoettle; Anne Marie Casper; Jennifer Klutsch
Limber pine (Pinus flexilis James) is an ecologically and culturally important, yet little studied, tree species within the Western United States. Its distribution extends from Alberta and southeastern British Colombia to New Mexico, Arizona, and southeastern California with isolated populations in North Dakota, South Dakota, Nebraska, eastern Oregon...
Jafar, Tazeen H; Gandhi, Mihir; Jehan, Imtiaz; Naheed, Aliya; de Silva, H Asita; Shahab, Hunaina; Alam, Dewan; Luke, Nathasha; Lim, Ching Wee
Uncontrolled blood pressure (BP) is a leading risk factor for death and disability in South Asia. We aimed to determine the cross-country variation, and the factors associated with uncontrolled BP among adults treated for hypertension in rural South Asia. We enrolled 1718 individuals aged ≥40 years treated for hypertension in a cross-sectional study from rural communities in Bangladesh, Pakistan, and Sri Lanka. Multivariable logistic regression model was used to determine the factors associated with uncontrolled BP (systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg). Among hypertensive individuals, 58.0% (95% confidence interval 55.7, 60.4) had uncontrolled BP: 52.8% (49.0, 56.6) in Bangladesh, 70.6% (65.7, 75.1) in Pakistan, and 56.5% (52.7, 60.1) in Sri Lanka. The odds (odds ratio (95% confidence interval)) of uncontrolled BP were significantly higher in individuals with lower wealth index (1.17 (1.02, 1.35)); single vs married (1.46 (1.10, 1.93)); higher log urine albumin-to-creatinine ratio (1.41 (1.24, 1.60)); lower estimated glomerular filtration rate (1.23 (1.01, 1.49)); low vs high adherence to antihypertensive medication (1.50 (1.16, 1.94)); and Pakistan (2.91 (1.60, 5.28)) vs Sri Lanka. However, the odds were lower in those with vs without self-reported kidney disease (0.51 (0.28, 0.91)); and receiving vs not receiving statins (0.62 (0.44, 0.87)). The majority of individuals with treated hypertension have uncontrolled BP in rural Bangladesh, Pakistan, and Sri Lanka with significant disparities among and within countries. Urgent public health efforts are needed to improve access and adherence to antihypertensive medications in disadvantaged populations in rural South Asia.
[figure removed for brevity, see original site] Annotated version Click on the image for high resolution TIFF file Why does Fargo flood? The Red River of the North, which forms the border between North Dakota and Minnesota, has a long history of severe floods. Major floods include those of 1826, 1897, 1950, 1997, and now 2009. The 1997 flood caused billions of dollars of damage, with greatest impact to the city of Grand Forks, north of and downstream from Fargo. The 2009 flood, which has primarily impacted Fargo, appears to have peaked early on March 28. Several factors combine to cause floods. Obviously, rainfall and snowmelt rates (and their geographic distribution) are the fundamental variables that create flooding in some years and not others. But the repetition of flooding in Fargo (and areas downstream), rather than in adjacent regions, can be attributed largely to its topographic setting and geologic history. The formation of landforms in the geologic past is often interpretable from digital topographic data, such as that supplied by the Shuttle Radar Topography Mission (SRTM). This image, covering parts of North Dakota, Minnesota, and South Dakota, displays ground elevation as brightness (higher is brighter) plus has simulated shading (with illumination from the north) to enhance topographic detail such as stream channels, ridges, and cliffs. The Red River of the North is the only major river that flows northward from the United States into Canada. In this scene it flows almost straight north from Fargo. North of this image it continues past the city of Winnipeg, Manitoba, and into Lake Winnipeg, which in turn drains to Hudson Bay. In the United States, the river lies in a trough that was shaped by continental glaciers that pushed south from Canada during the Pleistocene epoch, up to about 10,000 years ago. This trough is about 70 km (45 miles) wide and tens of meters (very generally about 100 feet) deep. Here near Fargo it lies on the east side of a much
Ukaegbe, Onyinyechi C; Umedum, Nnaemeka G; Chime, Ethel N; Orji, Foster T
Despite a global improvement in health care delivery, rural areas in developing countries still have poor access to specialist care. This study aims to assess the occurrences of ear, nose, and throat (ENT) disorders among rural primary school children in south-eastern Nigeria. Two rural primary schools were selected randomly from one of the rural regions of South Eastern State of Nigeria. All the pupils of the schools who gave consent were recruited. A structured study proforma investigating the pupils' biodata, otolaryngological symptoms, ear, nose and throat examination findings, was used to evaluate each pupil in the presence of the teachers. A total of 246 children participated in the study. 145(58.9%) were males while 101(41.1%) were females with a mean age of 8.5 ± 2.4 years. The commonest symptoms reported were nasal discharge (20%) followed by nasal obstruction (11.1%), itching of the ears (11.1%) and sneezing bouts (10%), while 3.7% had subjective hearing impairment. The commonest ENT finding was cerumen auris (43%) and this was observed in 43.4% of males and 42.4% of females, 11% had abnormal tympanic membranes and 20% had grades 3/4 tonsils(Brodsky grading). ENT disorders are still common in children in the rural areas of developing countries. To avoid the morbidity associated with these preventable and easily manageable disorders, community health workers should be trained to manage common ENT disorders and mobile clinics with scheduled visits made available in areas where ENT services remain inaccessible. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Kuria, Simon Kamande; Kingu, H J C; Villet, M H; Dhaffala, A
Myiasis is the infestation of live tissue of humans and other vertebrates by larvae of flies. Worldwide, myiasis of humans is seldom reported, although the trend is gradually changing in some countries. Reports of human myiasis in Africa are few. Several cases of myiasis were recently seen at the Mthatha Hospital Complex, Mthatha, Eastern Cape Province, South Africa (SA). Because of a paucity of literature on myiasis from this region, surgeons and scientists from Walter Sisulu University, Mthatha, decided to document myiasis cases presenting either at Nelson Mandela Academic Hospital or Umtata General Hospital from May 2009 to April 2013. The objective was to determine the incidence, epidemiology, patient age group and gender, and fly species involved. The effect of season on incidence was also investigated. Twenty-five cases (14 men and 11 women) were recorded in the 4-year study period. The fly species involved were Lucilia sericata, L. cuprina, Chrysomya megacephala, C. chloropyga and Sarcophaga (Liosarcophaga) nodosa, the latter being confirmed as an agent for human myiasis for the first time. The patients were 3 - 78 years old (median 56). Cases were most numerous during spring and summer, and were associated with underlying pathologies typical of ageing. Myiasis is a more common medical condition than expected in the Mthatha region. The study shows that human myiasis is still frequently encountered in SA, and there is a need to understand its epidemiology better.
McKenzie, Judith Anne
Disability is emerging as a human rights issue of public concern, rather than an individual tragedy requiring medical attention. The issue of sexuality remains relatively neglected in this agenda, particularly as regards the exploration of the complexities of sexuality encountered by disabled people themselves. This paper focuses on the experiences of sexuality of disabled people and parents of disabled children in settings of poverty in the Eastern Cape Province of South Africa. Three individual interviews and two focus groups were conducted with disabled adults and parents of disabled children. Thematic analysis of the interviews identified three principal themes (1) sexuality development in the family of origin, (2) sexuality in the community and (3) adult sexuality and creating families. Each of these larger themes encompasses various sub-themes that are discussed in the findings. The paper concludes that while sexuality is a very difficult aspect of life for a disabled person due to myths and discrimination against disabled people, it is also an important arena for affirmation and establishing self-worth. It is therefore critical to consider the development of a healthy sexuality amongst disabled people and the promotion of their sexual rights.
Shah, Sonal; Rollins, Nigel C; Bland, Ruth
The aim of the study was to conduct a rapid assessment of breastfeeding knowledge amongst health workers in an area of high HIV prevalence. A cross-sectional survey using semi-structured questionnaires and problem-based scenarios was carried out. Responses were compared to those recommended in the World Health Organization (WHO) Breastfeeding Counselling Course. The setting was a rural area of KwaZulu Natal, with a population of 220 000 people. At the time of the study approximately 36 per cent of pregnant women were HIV-infected and no programme to prevent mother-to-child transmission was in place. A convenient sample of 71 healthcare workers (14 doctors, 25 professional nurses, 16 staff nurses, and 16 community health workers) were included in the study. Over 50% of respondents had given breastfeeding advice to clients over the previous month. However, there were significant discrepancies in breastfeeding knowledge compared to WHO recommendations. Ninety-three per cent (n = 13) of doctors knew that breastfeeding should be initiated within 30 min of delivery, but 71 per cent (n = 10) would recommend water, and 50 per cent (n = 7) solids to breastfed infants under 6 months of age. Fifty-seven per cent (n = 8) considered glucose water necessary for neonatal jaundice, constipation, and for infants immediately after delivery. Only 44 per cent (n = 7) of staff nurses and 56 per cent (n = 14) of professional nurses knew that breastfeeding should be on demand. The majority would recommend water, formula milk, and solids to breastfed infants under 6 months of age, and glucose water for neonatal jaundice and immediately after delivery. Knowledge of community health workers differed most from WHO recommendations: only 37 per cent (n = 6) knew that breastfeeding should be initiated within 30 min of delivery, 68 per cent (n = 11) thought breastfeeding should be on schedule and not on demand, and the majority would recommend supplements to infants under 6 months of age. Few
Bärnighausen Till W
Full Text Available Abstract Background KwaZulu-Natal is the South African province worst affected by HIV and the focus of early modeling studies investigating strategies of antiretroviral treatment (ART delivery. The reality of antiretroviral roll-out through primary care has differed from that anticipated and real world data are needed to inform the planning of further scaling up of services. We investigated the factors associated with uptake of antiretroviral treatment through a primary healthcare system in rural South Africa. Methods Detailed demographic, HIV surveillance and geographic information system (GIS data were used to estimate the proportion of HIV positive adults accessing antiretroviral treatment within northern KwaZulu-Natal, South Africa in the period from initiation of antiretroviral roll-out until the end of 2008. Demographic, spatial and socioeconomic factors influencing the likelihood of individuals accessing antiretroviral treatment were explored using multivariable analysis. Results Mean uptake of ART among HIV positive resident adults was 21.0% (95%CI 20.1-21.9. Uptake among HIV positive men (19.2% was slightly lower than women (21.8%, P = 0.011. An individual's likelihood of accessing ART was not associated with level of education, household assets or urban/rural locale. ART uptake was strongly negatively associated with distance from the nearest primary healthcare facility (aOR = 0.728 per square-root transformed km, 95%CI 0.658-0.963, P = 0.002. Conclusions Despite concerns about the equitable nature of antiretroviral treatment rollout, we find very few differences in ART uptake across a range of socio-demographic variables in a rural South African population. However, even when socio-demographic factors were taken into account, individuals living further away from primary healthcare clinics were still significantly less likely to be accessing ART
Davis, Kyle W.; Putnam, Larry D.
The Ogallala aquifer is an important water resource for the Rosebud Sioux Tribe in Gregory and Tripp Counties in south-central South Dakota and is used for irrigation, public supply, domestic, and stock water supplies. To better understand groundwater flow in the Ogallala aquifer, conceptual and numerical models of groundwater flow were developed for the aquifer. A conceptual model of the Ogallala aquifer was used to analyze groundwater flow and develop a numerical model to simulate groundwater flow in the aquifer. The MODFLOW–NWT model was used to simulate transient groundwater conditions for water years 1985–2009. The model was calibrated using statistical parameter estimation techniques. Potential future scenarios were simulated using the input parameters from the calibrated model for simulations of potential future drought and future increased pumping. Transient simulations were completed with the numerical model. A 200-year transient initialization period was used to establish starting conditions for the subsequent 25-year simulation of water years 1985–2009. The 25-year simulation was discretized into three seasonal stress periods per year and used to simulate transient conditions. A single-layer model was used to simulate flow and mass balance in the Ogallala aquifer with a grid of 133 rows and 282 columns and a uniform spacing of 500 meters (1,640 feet). Regional inflow and outflow were simulated along the western and southern boundaries using specified-head cells. All other boundaries were simulated using no-flow cells. Recharge to the aquifer occurs through precipitation on the outcrop area. Model calibration was accomplished using the Parameter Estimation (PEST) program that adjusted individual model input parameters and assessed the difference between estimated and model-simulated values of hydraulic head and base flow. This program was designed to estimate parameter values that are statistically the most likely set of values to result in the
Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest
Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal. PMID:28350334
de Lange, Naydene; Mitchell, Claudia
South Africa has been experiencing an epidemic of gender-based violence (GBV) for a long time and in some rural communities health workers, who are trained to care for those infected with HIV, are positioned at the forefront of addressing this problem, often without the necessary support. In this article, we pose the question: How might cultural production through media making with community health workers (CHWs) contribute to taking action to address GBV and contribute to social change in a rural community? This qualitative participatory arts-based study with five female CHWs working from a clinic in a rural district of South Africa is positioned as critical research, using photographs in the production of media posters. We offer a close reading of the data and its production and discuss three data moments: CHWs drawing on insider cultural knowledge; CHWs constructing messages; and CHWs taking action. In our discussion, we take up the issue of cultural production and then offer concluding thoughts on 'beyond engagement' when the researchers leave the community.
Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest
Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.
8 June 2010 - South Dakota Governor M. Rounds signing the guest book with External Relations Office Adviser R. Voss, visiting the LHC superconducting Magnet test hall with Technology Department L. Bottura, in the CERN Control Centre with Beams Department Head P. Collier, ATLAS visitor Centre with Deputy Collaboration Spokesperson A. Lankford and visiting CMS Control Centre with Deputy Collaboration Spokesperson J. Incandela. LHC Communications and FNAL member K. Yurkewicz accompanies throughout (see complete delegation list below).
Teams (M. Brice/J.C. Gadmer)
CERN-HI-1006100 24: from left to right: Permanent Mission Representative A. Shybut; External Relations Office Adviser R. Voss; LHC Communications and FNAL K. Yurkewicz, Washington CSG Director for internationl programmes S. Sutcliffe-Stephenson; Technology Department Representative L. Bottura; South Dakota State Patrol D. Svendsen; CSG Executive Director and Former State Senator from Kansas D. Atkins;Office of the First Lady L. Svendsen; Office of the Governor K. Mueller; First Lady J. Rounds; South Dakota Governor M. Rounds; Washington State Senator T. Eide;Judge M. Eide; Assemblyman J. Oceguera and G. Oceguera (with son Jackson Oceguera, 5 months).
Sunday B. Akpan
Full Text Available The incidence of poverty is evidenced among rural farm households in developing societies. As a result of persistence poverty among rural farm households, there is a sudden upsurge in agricultural livelihood diversification and rural-urban migration resulting in high rate of urban unemployment. To help generate suitable policy variables to help tackle this rampaging issue in the South- south region of Nigeria, this study specifically analyses poverty and income inequality as well as identified determinants of poverty among rural farm households in Akwa Ibom State, Nigeria. Data were collected from 390 rural farm household heads spread across the rural areas of the State. Combination of sampling methods was employed to sample cross-sectional data from respondents. The study used descriptive tools and regression analysis (Tobit regressions to analyse information collected. The socio-economic analysis reveals that most farming household heads were male; an average of 12.3 years of formal was discovered; social capital formation was poor, while average age stood at 42.5 years. About 33.08 % of male headed households and 22.05 % of female-headed households live below poverty line in the study area. Income inequality index revealed 0.4210 for male headed households and 0.4531 for the female counterpart. The Tobit model estimates revealed that, household head farming experience, years in the social organisation, a level of formal education, farm and non-farm income were negative drivers of rural poverty in the region. Household’s age, household size, structure of land ownership and gender were positive drivers of poverty among rural farming households. It is recommended that sound family welfare packages should be implemented in the rural communities. Also, the social capital formation should be promoted among rural farming households, while adult education policies should be re-visited. The government of the region should also improve educational
Full Text Available The effects of stroke on stroke survivors are profound and affecttheir quality of life. The aim of this study was to establish the experience of peopleliving with stroke in low socioeconomic urban and rural areas of South Africa.A qualitative study using semi-structured interviews was used to collect data.Participants were identified from stroke registers and recruited from PHC clinicsin Soweto, Gauteng and Limpopo provinces. Participants had to have had a stroke,be above the age of 18 and had lived in the community six months to a year followingtheir stroke. The researcher or research assistant conducted the interviews ofparticipants who had had strokes as well as their caregivers in the home language of the participants. The interviewswere audio taped, transcribed and translated into English. A thematic content analysis was done.Thirty two participants were interviewed, 13 from Soweto, Gauteng, and 19 from rural Limpopo provinces. Theresults suggest that the sudden, overwhelming transformation as a result of a stroke forms a background for loss ofcommunity mobility, social isolation, role reversal within the family and community, loss of role within the family andcommunity, loss of meaningful activities of daily living, loss of hope and threat to livelihood amongst stroke survivorsliving in low socioeconomic areas of South Africa.An overwhelming picture of despondency was found, with few positive stories told in both settings. The themesidentified from the interviews reflected the experience and issues that a patient with stroke has to deal with in lowsocioeconomic areas of South Africa.
Mwenge Kahinda, Jean-marc; Taigbenu, Akpofure E.; Boroto, Jean R.
Halving the proportion of people without sustainable access to safe drinking water and basic sanitation, is one of the targets of the 7th Millennium Development Goals (MDGs). In South Africa, with its mix of developed and developing regions, 9.7 million (20%) of the people do not have access to adequate water supply and 16 million (33%) lack proper sanitation services. Domestic Rainwater Harvesting (DRWH), which provides water directly to households enables a number of small-scale productive activities, has the potential to supply water even in rural and peri-urban areas that conventional technologies cannot supply. As part of the effort to achieve the MDGs, the South African government has committed itself to provide financial assistance to poor households for the capital cost of rainwater storage tanks and related works in the rural areas. Despite this financial assistance, the legal status of DRWH remains unclear and DRWH is in fact illegal by strict application of the water legislations. Beyond the cost of installation, maintenance and proper use of the DRWH system to ensure its sustainability, there is risk of waterborne diseases. This paper explores challenges to sustainable implementation of DRWH and proposes some interventions which the South African government could implement to overcome them.
Kolahdooz, Fariba; Spearing, Kerry; Sharma, Sangita
Food quality, determined by micronutrient content, is a stronger determinant of nutritional status than food quantity. Health concerns resulting from the co-existence of over-nutrition and under-nutrition in low income populations in South Africa have been fully recognized in the last two decades. This study aimed to further investigate dietary adequacy amongst adults in rural KwaZulu-Natal, by determining daily energy and nutrient intakes, and identifying the degree of satisfaction of dietary requirements. Cross-sectional study assessing dietary adequacy from 24-hour dietary recalls of randomly selected 136 adults in Empangeni, KwaZulu-Natal, South Africa. Results are presented for men (n = 52) and women (n = 84) 19-50 and >50 years old. Mean energy intake was greatest in women >50 years (2852 kcal/day) and exceeded Dietary Reference Intake's for both men and women, regardless of age. Mean daily energy intake from carbohydrates was 69% for men and 67% for women, above the Dietary Reference Intake range of 45-65%. Sodium was also consumed in excess, and the Dietary Reference Intakes of vitamins A, B12, C, D, and E, calcium, zinc and pantothenic acid were not met by the majority of the population. Despite mandatory fortification of staple South African foods, micronutrient inadequacies are evident among adults in rural South African communities. Given the excess caloric intake and the rising prevalence of obesity and other non-communicable diseases in South Africa, a focus on diet quality may be a more effective approach to influence micronutrient status than a focus on diet quantity.
Full Text Available BACKGROUND: Food quality, determined by micronutrient content, is a stronger determinant of nutritional status than food quantity. Health concerns resulting from the co-existence of over-nutrition and under-nutrition in low income populations in South Africa have been fully recognized in the last two decades. This study aimed to further investigate dietary adequacy amongst adults in rural KwaZulu-Natal, by determining daily energy and nutrient intakes, and identifying the degree of satisfaction of dietary requirements. METHODS: Cross-sectional study assessing dietary adequacy from 24-hour dietary recalls of randomly selected 136 adults in Empangeni, KwaZulu-Natal, South Africa. RESULTS: Results are presented for men (n = 52 and women (n = 84 19-50 and >50 years old. Mean energy intake was greatest in women >50 years (2852 kcal/day and exceeded Dietary Reference Intake's for both men and women, regardless of age. Mean daily energy intake from carbohydrates was 69% for men and 67% for women, above the Dietary Reference Intake range of 45-65%. Sodium was also consumed in excess, and the Dietary Reference Intakes of vitamins A, B12, C, D, and E, calcium, zinc and pantothenic acid were not met by the majority of the population. CONCLUSION: Despite mandatory fortification of staple South African foods, micronutrient inadequacies are evident among adults in rural South African communities. Given the excess caloric intake and the rising prevalence of obesity and other non-communicable diseases in South Africa, a focus on diet quality may be a more effective approach to influence micronutrient status than a focus on diet quantity.
Majee, Wilson; Jooste, Karien; Aziato, Lydia; Anakwe, Adaobi
Given the emerging global youth disengagement epidemic, anticipated population growth, and the threat of continued rural-urban migration among young adults, recent research has focused on community leadership practice and the factors that influence youth engagement at the local level. Studying these practices and factors can elicit interventions that can improve youth engagement and youth health. This study engaged South African rural community leaders in interviews to collect perceptions and experiences on community leadership and factors that influence youth engagement and their health behaviors. Content analysis was used to analyze the data. Emergent themes are categorized into four domains: conceptualizations of leadership, current youth behaviors, barriers to youth engagement, and youth leadership opportunities and potential solutions. Findings demonstrate a clear grasp of the concept of community leadership among community leaders, and an awareness of the complex interplay of social, economic and environmental factors on youth disengagement and the potential interventions to promote more youth participation.
Jan Henk Dubbink
Full Text Available Abstract Background Sexual behaviour is a core determinant of the HIV and sexually transmitted infection (STI epidemics in women living in rural South Africa. Knowledge of sexual behaviour in these areas is limited, but constitutes essential information for a combination prevention approach of behavioural change and biomedical interventions. Methods This descriptive study was conducted in rural Mopani District, South Africa, as part of a larger study on STI. Women of reproductive age (18–49 years who reported sexual activity were included regardless of the reason for visiting the facility. Questionnaires were administered to 570 women. We report sexual behaviour by age group, ethnic group and self-reported HIV status. Results Young women (34 years; there was no difference for condom use during last sex act (36 % overall. Sotho women were more likely to report concurrent sexual partners whereas Shangaan women reported more frequent intravaginal cleansing and vaginal scarring practice in our analysis. HIV-infected women were older, had a higher number of lifetime sexual partners, reported more frequent condom use during the last sex act and were more likely to have a known HIV-infected partner than women without HIV infection; hormonal contraceptive use, fellatio, and a circumcised partner were less often reported. Conclusions This study provides insight into women’s sexual behaviour in a rural South African region. There are important differences in sexual behaviour by age group and ethnicity and HIV status; these should be taken into account when designing tailor-made prevention packages.
Molvik, Mari; Helland, Elin; Zulu, Siphosenkosi Gift
trichiura in schoolgirls in the rural areas of KwaZulu-Natal, South Africa. We also explored if S. haematobium can serve as a predictor for soil-transmitted helminths in this area. From 15 selected schools, 726 primary schoolgirls aged 10–12 years provided both urine and stool samples. The samples were...... interval =1.58–2.93; pwater contact and haematuria) were significantly associated with A. lumbricoides and T. trichiura infection. We have demonstrated a highly significant correlation and overall association between urogenital...
Full Text Available Oral lichen planus is a relatively common chronic inflammatory mucocutaneous disease which continues to challenge the dental professional with its wide spectrum of clinical involvement. This pilot study attempts to evaluate the status of oral lichen planus in a rural population from South Kerala in order to obtain such data as prevalence, distribution according to age, gender, clinical types and site of lesion .A drop in the age group of male population presenting with lichen planus was a significant finding in our study. However, more elaborate epidemiologic studies are required to probe further into this finding.
Tiongson, K H; Arneson, S I
A branch network of affiliate hospitals has been providing home care services to rural North Dakota residents successfully for a decade. Here's how this effective system meets the special challenges that a rural environment poses for hiring, training, scheduling, and supporting home care aides.
Matsika, R.; Erasmus, B.F.N.; Twine, W.C.
Energy security is central to achieving sustainable development and reducing poverty worldwide. Over 70% of the population of Sub-Saharan Africa, mostly in the rural areas, depend on wood fuel, as firewood or charcoal, to meet their primary domestic energy requirements. This dependence is projected to increase with population growth in the intermediate future, regardless of the implementation of rural electrification programmes.. Fuelwood shortages occur at the localised village level and are a chronic landscape syndrome, becoming more severe over time, with increasing population pressures and competing land-uses. In the South African context, the provision of electricity to rural households at subsidised rates would be expected to provide a viable alternative to fuelwood under conditions of scarcity. This paper compares the fuelwood consumption strategies of households in a fuelwood-scarce environment against those in fuelwood-abundant environment in order to illustrate the inelastic nature of the demand for fuelwood in rural communities, even in the face of severely depleted wood stocks. We seek to understand the mechanisms that households implement to ensure household fuelwood/energy security and how these responses aggregate at the landscape level to shape landscape dynamics. This will aid better planning of intervention policies in the future. - Highlights: ► Rural household demand for fuelwood is inelastic inspite of fuelwood scarcity. ► Electricity is incorporated into household energy mix but is rarely used exclusively. ► Opportunity-cost of wood collection is discounted by the lack of viable alternatives. ► Potential for land-use conflicts once communal woodland resources are depleted.
Averill, Jennifer B
A goal of the Healthy People 2010 initiative is to reduce or eliminate health disparities in vulnerable populations, including populations from rural and minority ethnic backgrounds. Rural communities, including elderly populations, experience lower rates of personal income, educational attainment, health-insurance coverage, access to emergency and specialty care services, and reported health status than do urban communities. A need exists to address identified research priorities, such as the perceptions of rural elders, their family members, and health care providers. The purposes of this study were to explore the health care perceptions, needs, and definitions of health for multicultural rural elders in one county of south-western New Mexico, and to consider practice implications. Informed consent procedures followed the University of New Mexico Health Sciences Center Human Research Review Committee guidelines. Research methods. This critical ethnography incorporated ethnographic interviews, ethnographic participant observation, photography, review of pertinent documents, and analysis of contextual factors. The sample consisted of 22 participants. Definitions of health varied with socioeconomic status, encompassing avoidance of contact with the health care system, obtaining needed medications, remaining independent, a sense of spiritual belonging, eating wisely, and exercising moderately. Three major concerns emerged from the analysis: the escalating cost of prescription drugs, access-to-care issues, and social isolation. The primary limitation was the small sample size. Although the researcher's position as an outsider to local communities may also have affected the outcome, it provided fresh insight to regional problems. The study addressed national research priorities for a vulnerable group of rural elders. Nursing implications include the need for expanded knowledge and educational preparation regarding elder issues and community-level services, inclusion of
Full Text Available Abstract Background Estimation of maternal mortality is difficult in developing countries without complete vital registration. The indirect sisterhood method represents an alternative in places where there is high fertility and mortality rates. The objective of the current study was to estimate maternal mortality indices using the sisterhood method in a rural district in south-west Ethiopia. Method We interviewed 8,870 adults, 15–49 years age, in 15 randomly selected rural villages of Bonke in Gamo Gofa. By constructing a retrospective cohort of women of reproductive age, we obtained sister units of risk exposure to maternal mortality, and calculated the lifetime risk of maternal mortality. Based on the total fertility for the rural Ethiopian population, the maternal mortality ratio was approximated. Results We analyzed 8503 of 8870 (96% respondents (5262 [62%] men and 3241 ([38%] women. The 8503 respondents reported 22,473 sisters (average = 2.6 sisters for each respondent who survived to reproductive age. Of the 2552 (11.4% sisters who had died, 819 (32% occurred during pregnancy and childbirth. This provided a lifetime risk of 10.2% from pregnancy and childbirth with a corresponding maternal mortality ratio of 1667 (95% CI: 1564–1769 per 100,000 live births. The time period for this estimate was in 1998. Separate analysis for male and female respondents provided similar estimates. Conclusion The impoverished rural area of Gamo Gofa had very high maternal mortality in 1998. This highlights the need for strengthening emergency obstetric care for the Bonke population and similar rural populations in Ethiopia.
Levecke, B; Dreesen, L; Barrionuevo-Samaniego, M; Ortiz, W Benitez; Praet, N; Brandt, J; Dorny, P
Although previous epidemiological surveys in Ecuador indicate the presence of Entamoeba histolytica, prevalence data of this parasite remain scarce. Most of the studies were based on microscopic examination, which does not allow a morphological differentiation from the non-pathogenic Ent. dispar and Ent. moshkovskii. In the present study, 674 stool samples from a South Ecuadorian rural community were screened for Entamoeba spp. Subsequently, molecular identification was performed on 101 samples containing Ent. histolytica/Ent. dispar/Ent. moshkovskii cysts. The study indicated the absence of Ent. histolytica in this South Ecuadorian community and confirmed the difficulty of differentiating Entamoeba spp. based on morphological features. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Lilian, R R; Mutasa, B; Railton, J; Mongwe, W; McINTYRE, J A; Struthers, H E; Peters, R P H
South Africa's paediatric antiretroviral therapy (ART) programme is managed using a monitoring and evaluation tool known as TIER.Net. This electronic system has several advantages over paper-based systems, allowing profiling of the paediatric ART programme over time. We analysed anonymized TIER.Net data for HIV-infected children aged ART in a rural district of South Africa between 2005 and 2014. We performed Kaplan-Meier survival analysis to assess outcomes over time. Records of 5461 children were available for analysis; 3593 (66%) children were retained in care. Losses from the programme were higher in children initiated on treatment in more recent years (P ART programme and highlights interventions to improve programme performance.
Department of the Interior — The Souris River, an international river originating in Canada’s Saskatchewan Province, flows south into the State of North Dakota and then back north into Canada’s...
... Director, Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota, and was necessary to...: 43 U.S.C. Chap. 3. Josh Alexander, Acting Chief Cadastral Surveyor, Division of Resources. [FR Doc...
Full Text Available Background: Although there are significant numbers of people displaced by war in Africa, very little is known about long-term changes in the fertility of refugees. Refugees of the Mozambican civil war (1977–1992 settled in many neighbouring countries, including South Africa. A large number of Mozambican refugees settled within the Agincourt sub-district, underpinned by a Health and Socio-demographic Surveillance Site (AHDSS, established in 1992, and have remained there. The AHDSS data provide a unique opportunity to study changes in fertility over time and the role that the fertility of self-settled refugee populations plays in the overall fertility level of the host community, a highly relevant factor in many areas of sub-Saharan Africa. Objectives: To examine the change in fertility of former Mozambican self-settled refugees over a period of 16 years and to compare the overall fertility and fertility patterns of Mozambicans to host South Africans. Design: Prospective data from the AHDSS on births from 1993 to 2009 were used to compare fertility trends and patterns and to examine socio-economic factors that may be associated with fertility change. Results: There has been a sharp decline in fertility in the Mozambican population and convergence in fertility patterns of Mozambican and local South African women. The convergence of fertility patterns coincides with a convergence in other socio-economic factors. Conclusion: The fertility of Mozambicans has decreased significantly and Mozambicans are adopting the childbearing patterns of South African women. The decline in Mozambican fertility has occurred alongside socio-economic gains. There remains, however, high unemployment and endemic poverty in the area and fertility is not likely to decrease further without increased delivery of family planning to adolescents and increased education and job opportunities for women.
Clements, Elizabeth Alice [UNESP
This thesis analyzes Brazil's present role in South-South development cooperation in Africa, focusing on the implementation and impact of Brazilian policies for rural territorial development in Mozambique. Specifically, two different programs for agricultural development-ProSAVANA and PAA Africa-are examined. ProSAVANA is an ongoing trilateral program run by the governments of Brazil, Japan and Mozambique that aims to modernize agriculture in three provinces in Northern Mozambique. PAA Africa...
M. Syahirman yusi; Umiyati Idris
The aim this study is to obtain the empirical evidence about the program effect of rural banking toward the micro and small agribusiness enterprises in South Sumatera. Primary data was collected through survey technique from 250 respondents and taken by random sampling method and was analyzed by structural equation modelling (SEM). The study result showed that in aggregate programs of rural banking which consisted of business financing, management skill, and business monitoring had a positive...
Modiehi Heather Sedibe; Pedro T. Pisa; Alison B. Feeley; Titilola M. Pedro; Kathleen Kahn; Shane A. Norris
The aim of this study was to investigate differences/similarities in dietary habits and eating practices between younger and older, rural and urban South African adolescents in specific environments (home, community and school) and their associations with overweight and obesity. Dietary habits, eating practices, and anthropometric measurements were performed on rural (n = 392, mean age = 13 years) and urban (n = 3098, mean age = 14 years) adolescents. Logistic regression analysis was used to ...
David E. Haugen; Michael Kangas; Susan J. Crocker; Charles H. Perry; Christopher W. Woodall; Brett J. Butler; Barry T. Wilson; Dan J. Kaisershot
The first completed annual inventory of North Dakota's forests reports estimates of more than 724,000 acres of forest land. Information about forest attributes and forest health is presented along with information on agents of change including changing land use patterns and the introduction of nonnative plants, insects, and disease.
Wiegand, Ryan E.; Hill, Elizabeth G.; Magruder, Kathryn M.; Slate, Elizabeth H.; Salinas, Carlos F.; London, Steven D.
Objective The aim of this study is to explore behavioral factors associated with toothache among African American adolescents living in rural South Carolina. Methods Using a self-administered questionnaire, data were collected on toothache experience in the past 12 months, oral hygiene behavior, dental care utilization, and cariogenic snack and non-diet soft drink consumption in a convenience sample of 156 African American adolescents aged 10-18 years old living in rural South Carolina. Univariable and multivariable logistic regression analyses were used to assess the associations between reported toothache experience and socio-demographic variables, oral health behavior, and snack consumption. Results Thirty-four percent of adolescents reported having toothache in the past 12 months. In univariable modeling, age, dental visit in the last two years, quantity and frequency of cariogenic snack consumption, and quantity of non-diet soft drink consumption were each significantly associated with experiencing toothache in the past 12 months (all p-values cariogenic snacks, and number of cans of non-diet soft drink consumed during the weekend significantly increased the odds of experiencing toothache in the past 12 months (all p-values ≤ 0.01). Conclusion Findings indicate age, frequent consumption of cariogenic snacks and number of cans of non-diet soft drinks are related to toothache in this group. Public policy implications related to selling cariogenic snacks and soft drink that targeting children and adolescents especially those from low income families are discussed. PMID:22085328
Schatz, Enid; Gómez-Olivé, Xavier; Ralston, Margaret; Menken, Jane; Tollman, Stephen
Unique to Africa, a means-tested non-contributory pension is available to South Africans. In 2006, women over 60 and men over 65 were pension-eligible. To explore the effect of the pension for health and wellbeing indicators of rural South African men and women, we analyze data from the WHO-INDEPTH Study of Global Ageing and Adult Health Survey, carried out in the Agincourt sub-district by the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) in 2006. Because pension receipt was not measured directly, our findings represent intent-to-treat (ITT) rather than treatment-on-the-treated (TOT) effects using age as an indicator for intent-to-treat. Overall, women report poorer wellbeing compared to men. However, women have a “honeymoon” period at ages 60–64, the first years of pension-eligibility, in which they report lower levels of worry and sadness, and higher overall happiness, life satisfaction, and quality of life as compared to younger and older women. For men, in contrast, reports of wellbeing worsen in the pre-pension years, followed by a similar but not as prominent pattern of favorable reports in the five years following pension-eligibility, and a decline in the next five-year period. Thus, while pensions continue to enhance financial wellbeing, our results suggest that their effect on social wellbeing may be gendered and transitory. Further research is needed to improve understanding of these dynamics. PMID:22884944
Delobelle, Peter; Rawlinson, Jakes L; Ntuli, Sam; Malatsi, Inah; Decock, Rika; Depoorter, Anne Marie
This paper is a report of a correlational study of the relationships between demographic variables, job satisfaction, and turnover intent among primary healthcare nurses in a rural area of South Africa. Health systems in Southern Africa face a nursing shortage fuelled by migration, but research on job satisfaction and turnover intent of primary healthcare nurses remains poorly described. A cross-sectional study with survey design was conducted in 2005 in all local primary healthcare clinics, including nurses on duty at the time of visit (n = 143). Scale development, anova, Spearman's rank correlation, and logistic regression were applied. Nurses reported satisfaction with work content and coworker relationships and dissatisfaction with pay and work conditions. Half of all nurses considered turnover within two years, of whom three in ten considered moving overseas. Job satisfaction was statistically significantly associated with unit tenure (P job satisfaction, age and education (P Satisfaction with supervision was the only facet significantly explaining turnover intent when controlling for age, education, years of nursing and unit tenure (P job satisfaction and retention of primary healthcare nurses in rural South Africa should rely not only on financial rewards and improved work conditions but also on adequate human resource management. © 2010 Blackwell Publishing Ltd.
Gao, Xiao-Li; McGrath, Colman; Lin, Huan-Cai
In China, there is a massive rural-urban migration and the children of migrants are often unregistered residents (a 'floating population'). This pilot study aimed to profile the oral health of migrant children in South China's principal city of migration and identify its socio-demographic/behavioural determinants. An epidemiological survey was conducted in an area of Guangzhou among 5-year-old migrant children (n = 138) who received oral examinations according to the World Health Organization criteria. Parents' oral health knowledge/attitude, child practices, and impact of children's oral health on their quality-of-life (QoL) were assessed. The caries rate and mean (SD) dmft were 86% and 5.17 (4.16), respectively, higher than those national statistics for both rural and urban areas (P Oral hygiene was satisfactory (DI-S Oral health impacts on QoL were considerable; 60% reported one or more impacts. 58% variance in 'dmft' was explained by 'non-local-born', 'low-educated parents', 'bedtime feeding', 'parental unawareness of fluoride's effect and importance of teeth', and 'poor oral hygiene' (all P oral health-related QoL (both P Oral health is poor among rural-urban migrant children and requires effective interventions in targeted sub-groups. © 2010 The Authors. International Journal of Paediatric Dentistry © 2010 BSPD, IAPD and Blackwell Publishing Ltd.
Connor, Linda H.
The United Nations 2015 Climate Change Conference established a framework for keeping global temperature increase “well below” two degrees Celsius through commitments by the parties to significant reductions in greenhouse gas emissions. The agreement has implications for the energy policies of all countries, not least major coal exporters like Australia. By contrast, the government's 2015 Energy White Paper lays out the vision for the country's future as a “global energy superpower” dominated by the export of fossil fuels for decades to come. Legislative frameworks around planning, land use, mining, heritage and environment have moved in synchrony with this agenda. Rural landowners in the big coal rich geological basins of Australia are directly impacted by current government policies on energy exports and on domestic supply. This article follows the coal value chain to rural communities in New South Wales where new mines are being built, and analyses the politics of land use, natural resources and energy from the vantage point of landowner engagement with government and corporations in the policy, legislative and regulatory domains. The need for more equitable, democratic and precautionary approaches to energy policy, heritage and environmental planning and agricultural land use is highlighted. - Highlights: • Australian energy policies prioritise coal and gas exports to emerging economies. • Rural landholders are marginalised in mining law, environmental protection legislation and planning regulations. • Disputes with companies centre on control of natural resources necessary for agriculture.
Van Den Ende, C.; Twisk, J.W.R.; Monyeki, K.D.
Objectives: To investigate the relationship between dietary intake and BMI of primary school children from a rural area of South Africa cross-sectionally. Both under and over nutrition remain major health problems in South Africa. In rural areas, where especially undernutrition leads to child
Sedibe, Heather M; Kahn, Kathleen; Edin, Kerstin; Gitau, Tabitha; Ivarsson, Anneli; Norris, Shane A
Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured "duo-interviews" were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of "convenient and less healthy foods". Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important facilitator of healthy eating, and breakfast
Narula, Kapil; Nagai, Yu; Pachauri, Shonali
This study is motivated by the goal of achieving ‘Universal Energy Access’ by 2030 and looks at electricity access for rural households in the South Asian region. The ‘MESSAGE-Access’ model is employed to assess the cost effectiveness of centralized and Decentralized Distributed Generation (DDG) technologies. Delivery mechanisms are modelled to include mini-grid and stand-alone systems and the analysis includes an estimation of rural household electricity demand from lighting and appliances. We assume two future demand scenarios with a ‘minimum threshold’ and a ‘higher threshold’ of electricity consumption of 65 and 420 kW h per household per year, respectively. We find that the cost of delivering electricity by centralized generation and grid distribution is up to four times the cost of stand-alone and mini-grid DDG options in the case of ‘minimum threshold’ demand scenario. These results are robust to alternate assumptions regarding costs of technologies. We also estimate that public subsidy bill for kerosene can be substantially reduced if all households switch to electricity as their primary source of lighting. Thus, promoting DDG options can reduce capital investments needed to meet access goals significantly and have an important role to play, in meeting the goal of universal electrification by 2030. - Highlights: ► We model and assess DDG options for rural electrification in South Asia. ► Particularly, when demand is low, off-grid and mini-grid are least cost options for electrification. ► DDG options can be 3–4 times cheaper than extending a central grid. ► Kerosene lighting is up to 6 times as expensive as electric lighting. ► If electricity replaces kerosene for lighting, large subsidy savings can be realized.
Wolff, G.T.; Kelly, N.A.; Ferman, M.A.; Morrissey, M.L.
Quantitative measurements of particulate composition was made at three rural sites: in central South Dakota, on the Louisiana Gulf Coastal, and in the Blue Ridge Mountains of Virginia. The first two sites were selected to determine background concentrations in continental polar and maritime tropical air masses, respectively, which affect the eastern United State during the summer. The Virginia site was selected as a receptor site, downwind of the midwestern source area. The South Dakota data established the background concentrations. These concentrations were similar to the levels in Louisiana when air parcels arrived from the Gulf of Mexico, without recently passing over the United States. Levels of fine particles (diameters less than 2.5 μm) were highest in Virginia and were due chiefly to sulfate. Using trajectory and statistical analyses, it is shown that the residence time of an air parcel over the midwestern source area was the most important variable in determining the sulface levels in the Blue Ridge Mountains
Erik Jon Byker
Full Text Available This article reports on a Public Private Partnership (PPP program in South India that provided information and communication technology (ICT to rural elementary schools. The article examined the current status of rural, government-run elementary schools in India by reviewing reports like the Annual Status of Education Report (ASER in India. Challenges like teacher absences, student drop-outs, lack of electricity, lack of separate toilets for genders, and a lack of teaching resources is discussed. To meet these challenges, the article describes the rise in popularity of India’s PPPs. Then the article reports on a case study of a PPP, called the SSA Foundation, which implemented a “one laptop per school” program in rural areas in the Indian States of Karnataka and Tamil Nadu. Using ethnographic data from field research, the case study includes a description of how the students in a rural Karnataka elementary school use their school’s laptop. The school was situated in a small village where most travel was non-motorized. Walking, usually without shoes, was the main form of transportation. A bicycle was considered a luxury. Most villagers worked in the surrounding ragi and millet fields; laboring, often with only simple tool blades. Wood fires were the main source of fuel for cooking. In this village, the school’s laptop became a prized possession. The case study offers a “thick description” (Geertz, 1973 of how the village school’s students used the laptop for learning basic computing skills and for learning English.
Christianson, A L; Zwane, M E; Manga, P; Rosen, E; Venter, A; Downs, D; Kromberg, J G R
The objective of the present study was to determine the prevalence of intellectual disability (ID) and its associated disabilities in rural South African children aged 2-9 years. It was undertaken in eight villages in the district of Bushbuckridge, Northern Province, South Africa. A two-phase design was utilized. The first phase involved screening children on a house-to-house basis by interviewing mothers or caregivers using an internationally validated questionnaire for detecting childhood disability in developing countries. The second phase consisted of a paediatric/neurodevelopmental assessment of the children who screened positive. A total of 6692 children were screened; 722 (10.8%) had a paediatric evaluation and 238 children were diagnosed with ID, giving a minimum observed prevalence of 35.6 per 1000 children in this population. The prevalence of severe and mild ID was 0.64 per 1000 and 29.1 per 1000 children, respectively. The male:female ratio of children with ID was 3:2. In the affected children, a congenital aetiology for the ID was determined in 49 subjects (20.6%), an acquired aetiology in 15 (6.3%) and the aetiology was undetermined in 174 children (73.1%). Epilepsy (15.5%) and cerebral palsy (8.4%) were the commonest associated disabilities. The present study represents the first data on the prevalence of ID and associated disabilities in rural South African children. The prevalence of ID was comparable with results from a study performed in one other African country (Zambia) as well as those from other developing countries. The data provide an initial factual insight into ID and its associated disabilities for healthcare, social service and educational policy planners. This study provides a basis for the initiation and development of appropriate and integrated services for the best possible care of individuals affected with these disabilities, and for their possible prevention.
The owner of a former gold mine in South Dakota turned off the pumps allowing water to begin accumulating in the tunnels below ground. The site had previously been proposed as the location for a new underground particle physics and astronomy laboratory (1 page).
Papandrea, Kate; Winefield, Helen; Livingstone, Andrew
Despite a paucity of research, adolescents living in rural areas appear to have a heightened risk for developing a mental health problem compared with their urban counterparts. The main objectives of this study were to contribute to building an evidence base of prevalence rates and determinants of internalising problems of adolescents in rural South Australia. A multidimensional Process Model was used as theoretical framework to enable an investigation of the various determinants from individual, family and community domains; specifically, the contribution of self-esteem, parental acceptance and elements of social capital at an individual level (ie participation in the local community and proactivity in a social context represented structural social capital, and feelings of trust and safety, and neighbourhood connections represented cognitive social capital). In this cross-sectional prospective study, a total of 388 Year 9 (2nd year of secondary school) students (208 females, 180 males) aged 13-15 years (mean age = 14.2 years) participated from 11 high schools within the Country Health South Australian area. These adolescents completed a battery of self-reported measures online at school. The results demonstrated that the adolescents experienced a 'normal' level of self-esteem and a 'moderate' level of perceived parental acceptance. The level of social capital was considered 'low' and the adolescents experienced a 'moderate' level of internalising symptoms. Based on the mean score of the Revised Child Anxiety & Depression Scales (RCADS), 25% of the adolescents experienced internalising symptoms ranging in severity from mild to severe, with no significant differences between males and females. Approximately 13% were considered above the clinical threshold, with 4% reporting experiencing severe symptoms. Relationships between all measures were investigated using Pearson product-moment correlations coefficients and associations between self-esteem, parental acceptance
Mitchell, Rebecca J; Lower, Tony
To compare differences in injury characteristics, health outcomes and treatment costs between urban and rural residents who were hospitalised following an injury. A retrospective examination of injury-linked hospitalisation and mortality data in New South Wales from 1 January 2010 to 30 June 2014. Urban (496 325) and rural (213 139) residents who were hospitalised following an injury. Demographic and injury characteristics, injury severity, hospital length of stay, 28-day hospital readmission, 90-day mortality and treatment cost. Rural residents had an increased likelihood of being hospitalised for injuries from motorcycles, vehicles, animate causes, venomous animals or plants and assault compared to urban residents. Rural residents were less likely to be readmitted to hospital within 28 days and had a lower length of stay and age-adjusted length of stay than urban residents. Injury-related hospitalisations for urban and rural residents cost $4.4 billion and $1.7 billion, respectively. Annually, acute injury treatment ($1.1 billion), rehabilitation ($130 million) and subacute non-acute patient care ($57 million) cost $1.3 billion ($990 million for urban and $384 million for rural residents) in New South Wales. Fall-related injuries and transport incidents were the costliest injury mechanisms for both urban and rural residents. Injuries contribute substantially to hospitalised morbidity and its cost. The development and implementation of injury prevention strategies targeting the most common injuries for urban and rural residents will go some way towards reducing hospitalised injury and its cost. © 2018 National Rural Health Alliance Ltd.
Amigun, B.; Mehlwana, M. [Council for Scientific and Industrial Research, Pretoria (South Africa). Sustainable Energy Futures, Natural Resources and the Environment; Musango, J.K. [Department of Energy (DoE), Pretoria (South Africa); Brent, A.C. [Stellenbosch Univ. (South Africa). Centre for Renewable and Sustainable Energy Studies
One of the key challenges of the energy policy in South Africa is to ensure that rural areas have access to electricity. This is reflected in the key energy policy documents (the 1998 Energy White Paper and the 2002 Renewable Energy White Paper). Both these documents identified renewable energy resources as immediate alternatives to grid electricity in especially remote rural communities that are characterised by low population densities. Centralised energy generation and transmission is very costly and inefficient in these areas due to greater transmission and distribution losses. While the cost of electricity in South Africa is relatively cheaper, it is not accessible for many rural households. There are still over two million households in rural areas without access to electricity. This paper presents a multi-criteria decision analysis (MCDA) using the Analytical Hierarchy Process (AHP) technique to compare various electricity technologies (mainly renewables) in a specific rural community of South Africa using social, economic, environment and technical indicators. These technologies were than ranked against each indicator assuming that the high-level criteria have equal importance for sustainable development. It is demonstrated that energy from wind is the most sustainable, followed by photovoltaic, anaerobic digestion (biogas) and then gasification. A sensitivity analysis was also performed to verify the stability of the priority ranking. The outcome of this study will specifically assist energy planners and decision-makers to choose the best alternative from a range of technology alternatives in a milieu of conflicting and competing criteria. (orig.)
Smith, Joe T.; Flake, Lester D.; Higgins, Kenneth F.; Kobriger, Gerald D.; Homer, Collin G.
Greater Sage-Grouse (Centrocercus urophasianus) have been declining in many states and provinces of North America, and North and South Dakota hold no exception to these declines. We studied effects of cultivated land on Greater Sage-Grouse lek abandonment in North and South Dakota. Landscape-level data were assessed using satellite imagery within a geographic information system. Comparisons were made of 1972-1976 and 1999-2000 percent cultivated and noncultivated land. These comparisons were made between land uses surrounding active leks versus inactive leks, active leks versus random locations, and abandoned regions versus active regions. The 1999-2000 imagery illustrated that percent cultivated land was greater near abandoned leks (4-km buffers) than near active leks in North Dakota or random sites, but this did not hold true in South Dakota. Comparison of an extensive region of abandoned leks with a region of active leks in North Dakota illustrated a similar increase as well as dispersion of cultivation within the abandoned region. However, 1972-1976 imagery revealed that this relationship between percentage of cultivated land and lek activity in North Dakota has been static over the last 30 years. Thus, if the decline of Greater Sage-Grouse is the result of cultivated land infringements, it occurred prior to 1972 in North Dakota.
Casale, Marisa; Lane, Tyler; Sello, Lebo; Kuo, Caroline; Cluver, Lucie
In many parts of the developing world, rural health requires focused policy attention, informed by reliable, representative health data. Yet there is surprisingly little published material to guide health researchers who face the unique set of hurdles associated with conducting field research in remote rural areas. In this paper we provide a detailed description of the key challenges encountered during health survey field research carried out in 2010 in a deep rural site in KwaZulu-Natal, South Africa. The aim of the field research was to collect data on the health of children aged 10 to 17 years old, and their primary adult caregivers, as part of a larger national health survey; the research was a collaboration between several South African and foreign universities, South African national government departments, and various NGO partners. In presenting each of the four fieldwork challenges encountered on this site, we describe the initial planning decisions made, the difficulties faced when implementing these in the field, and the adaptive strategies we used to respond to these challenges. We reflect on learnings of potential relevance for the research community. Our four key fieldwork challenges were scarce research capacity, staff relocation tensions, logistical constraints, and difficulties related to community buy-in. Addressing each of these obstacles required timely assessment of the situation and adaptation of field plans, in collaboration with our local NGO partner. Adaptive strategies included a greater use of local knowledge; the adoption of tribal authority boundaries as the smallest geopolitical units for sampling; a creative developmental approach to capacity building; and planned, on-going engagement with multiple community representatives. We argue that in order to maintain high scientific standards of research and manage to 'get the job done' on the ground, it is necessary to respond to fieldwork challenges that arise as a cohesive team, with timely
Edgemont uranium mill decommissioning, Fall River County, South Dakota (adoption as a final environmental impact statement (EIS) of the Nuclear Regulatory Commission's final EIS of September 1982): final environmental impact statement
Decommissioning of the existing uranium milling facilities at Edgemont, South Dakota is proposed. In this adoption by the Tennessee Valley Authority of the Nuclear Regulatory Commission's final environmental impact statement on the decommissioning, no significant deviations from that statement are presented. The project would prevent human exposure to radioactive material emitted by the defunct mill and its ancillary facilities. Reclamation of mill and waste impoundment sites would ensure their future usefulness for wildlife habitat and other purposes. Grading operations could result in occasional particulate levels that exceed federal air quality standards. As much as 105 acre-feet of water could be removed from the Pahasapa Aquifer. Disturbance of soils at the sites would degrade the quality of these soils. Approximately 501 acres of land, including 30 acres of land to be used as haul roads, would be denuded; 86 acres of farmland within the disposal site would be lost. All aquatic communities in Cottonwood Creek would be destroyed during cleanup operations, although the creek would be repopulated. Winddown tailings would increase downwind radiation levels during decommissioning activities
Full Text Available The purpose of this paper is to present research findings that investigate the extent of Internet usage as well as options for extending the current reach of the wireless network in Dwesa, a rural area in South Africa’s Eastern Cape Province. A mix...
Byker, Erik J.
The article's purpose is to compare case studies of computer technology use at two rural elementary schools across two international settings. This study uses the Social Construction of Technology (SCOT) theory to guide this comparative investigation of how elementary school teachers and students in East Texas and South India construct meaning for…
Durlinger, Bart; Durlinger, B.P.J.; Reinders, Angelina H.M.E.; Toxopeus, Marten E.
This paper evaluates the environmental effects of low power PV lighting products, which are increasingly used in rural areas in South East Asia, by means of a life cycle analysis (LCA). The main goals of the project are to determine (1) the environmental impacts, (2) which parts are contributing to
Netshandama, V. O.
The premise of this article is that the "jury is still out" to describe what effective Community Engagement entails in South African higher education institutions. The current discussions about community engagement and service learning do not cover the primary objective of adding value to the community, particularly of the rural-based…
Oyedemi, Toks; Mogano, Saki
Considering the importance of digital skills in university education, this article reports on a study which examined access to technology among first year students at a rural South African university. The study focused on the digital readiness of students prior to their admission to the university, since many universities provide access to…
Szabo, Christopher P; Allwood, Clifford W
This study was undertaken as part of an exploration of the potential risk for future eating disorders in the black female population of South Africa. Previous research has documented eating attitudes suggesting that such a risk exists in urban populations. A translated version of the Eating Attitudes Test (EAT-26) was applied in a Zulu speaking, rural population (n=361). A prevalence of 3% for abnormal eating attitudes was established. In keeping with the hypothesis, the findings suggest that the risk for developing an eating disorder in a rural population is somewhat lower. In this regard, there does appear to be an urban-rural divide, which may have implications for the prevention of the emergence of eating disorders in black, South African adolescents. However, the validity of the EAT-26 in this population is a consideration in interpreting the data. PMID:16633489
Yoon, Saunjoo L; Kim, Jeong-Hee
The aim of this study was to assess the prevalence of complementary and alternative medicines (CAM) use for managing pain and to investigate the factors predictive of current CAM use among rural older women in South Korea. Access to medical care among older adults in rural areas is poorer than in urban areas. A cross-sectional descriptive study with a stratified sample of 139 women aged over 65 with chronic pain residing in rural areas of Jeju Island, South Korea. A self-reported questionnaire was used to collect data. Most subjects reported using at least one type of CAM for relieving pain within the past 12 months. Almost half of them reported currently using CAM. Herbs were the most commonly used CAM. Only 'severity of pain' was presently associated with an increased use of CAM. It is imperative to take socio-geographic-cultural factors into consideration when planning health promotion programs and caring for clients. © 2013.
Full Text Available Purpose: To assess the visual outcome after cataract surgery in a south Indian population. Materials and Methods: Population-based cross-sectional study of subjects aged 40 years or more. Three thousand nine hundred and twenty-four rural subjects from 27 contiguous villages and 3850 urban subjects from five randomly selected divisions were studied. All subjects underwent a comprehensive ophthalmic examination that included visual acuity, refraction, slit-lamp biomicroscopy, applanation tonometry, gonioscopy, and dilated retinal examination. Statistical Analysis: Chi square test, t test and multivariate analysis were used. Results: Five hundred and twenty-eight (216 males, 312 females, 781 eyes rural subjects (13.5%, 95% confidence interval (CI 12.4% to 14.6% and 406 (197 males, 209 females, 604 eyes urban subjects (10.5%, 95% CI 9.6-11.5% had undergone cataract surgery. Outcome of cataract surgery was defined based on visual acuity. Using best-corrected visual acuity for classification, the single most important cause for visual impairment was cystoid macular edema in the aphakic group and posterior capsule opacification in the pseudophakic group. Aphakia (visual acuity of < 20/60 to ≤ 20/400 - odds ratio (OR 1.8; 95% CI 1.3 to 2.6%, visual acuity of < 20/400 - OR 6.2; 95% 4.0 to 9.8%, rural residence (visual acuity of < 20/60 to ≤ 20/400 - OR 3.2; 95% CI 2.2 to 4.5% and visual acuity of < 20/400 - OR OR 3.5; 95% CI 2.3 to 5.5% were associated with visual impairment. The urban cataract-operated population had significantly more pseudophakics ( P < 0.001, men ( P = 0.02 and literates ( P < 0.001. In the rural group the prevalence of cataract surgery (13.5% vs. 10.5%, P < 0.001 and number of people that had undergone cataract surgery within three years prior to examination ( P < 0.001 were significantly greater. In 30% of rural and 16% of urban subjects uncorrected refraction was the cause of visual impairment. Conclusions: Surgery
The State of North Dakota and the lignite industry are working together in a partnership called the Lignite Research, Development and Marketing Program. The program provides funds and supports activities which: preserve and enhance jobs and lignite production; ensure economic growth, stability and opportunity; and maintain a stable and competitive tax base. Since 1987, 70 grants totaling $24 million have been awarded. Each program dollar has resulted in nearly five of matching dollars. These program investments have yielded returns for the state and industry, including an additional $20 million annually from by-products at the Great Plains Synfuels Plant; about $1 million annually from improved reclamation practices; and combustion options, which preserve 2,000 megawatts of existing generation capacity. Research activities have identified future opportunities, including: the SynCoal demonstration plant, requiring 800,000 tons per year of new production; new chemical feedstock by-products from Great Plains worth an additional $26 million annually; revised reclamation practices that could substantially reduce cost; and potential new markets for upgraded lignite of about 12 million tons annually. This program helps ensure a healthy future for the North Dakota lignite industry, which currently represents 10% of the state's total economic base. Such a program is important because it will encourage the development of new and better uses of North Dakota's most abundant resource--lignite coal
Chhagan, Meera K; Van den Broeck, Jan; Luabeya, Kany-Kany Angelique; Mpontshane, Nontobeko; Bennish, Michael L
To describe the cost of diarrhoeal illness in children aged 6-24 months in a rural South African community and to determine the threshold prevalence of stunting at which universal Zn plus vitamin A supplementation (VAZ) would be more cost-effective than vitamin A alone (VA) in preventing diarrhoea. We conducted a cost analysis using primary and secondary data sources. Using simulations we examined incremental costs of VAZ relative to VA while varying stunting prevalence. Data on efficacy and societal costs were largely from a South African trial. Secondary data were from local and international published sources. The trial included children aged 6-24 months. The secondary data sources were a South African health economics survey and the WHO-CHOICE (CHOosing Interventions that are Cost Effective) database. In the trial, stunted children supplemented with VAZ had 2·04 episodes (95 % CI 1·37, 3·05) of diarrhoea per child-year compared with 3·92 episodes (95 % CI 3·02, 5·09) in the VA arm. Average cost of illness was $Int 7·80 per episode (10th, 90th centile: $Int 0·28, $Int 15·63), assuming a minimum standard of care (oral rehydration and 14 d of therapeutic Zn). In simulation scenarios universal VAZ had low incremental costs or became cost-saving relative to VA when the prevalence of stunting was close to 20 %. Incremental cost-effectiveness ratios were sensitive to the cost of intervention and coverage levels. This simulation suggests that universal VAZ would be cost-effective at current levels of stunting in parts of South Africa. This requires further validation under actual programmatic conditions.
Full Text Available Michel Garenne,1–3 Kathleen Kahn,1,4,5 Mark A Collinson,1,4,5 F Xavier Gómez-Olivé,1,5 Stephen Tollman1,4,51MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; 2Institut Pasteur, Epidémiologie des Maladies Emergentes, Paris, France; 3Institut de Recherche pour le Développement, UMI Résiliences, Centre Ile de France, Bondy, France; 4Centre for Global Health Research, Umeå University, Umeå, Sweden; 5INDEPTH Network, East Legon, Accra, GhanaBackground: Uncertainty in the levels of global maternal mortality reflects data deficiencies, as well as differences in methods and definitions. This study presents levels and trends in maternal mortality in Agincourt, a rural subdistrict of South Africa, under long-term health and sociodemographic surveillance.Methods: All deaths of women aged 15 years–49 years occurring in the study area between 1992 and 2010 were investigated, and causes of death were assessed by verbal autopsy. Two case definitions were used: “obstetrical” (direct causes, defined as deaths caused by conditions listed under O00-O95 in International Classification of Diseases-10; and “pregnancy-related deaths”, defined as any death occurring during the maternal risk period (pregnancy, delivery, 6 weeks postpartum, irrespective of cause.Results: The case definition had a major impact on levels and trends in maternal mortality. The obstetric mortality ratio averaged 185 per 100,000 live births over the period (60 deaths, whereas the pregnancy-related mortality ratio averaged 423 per 100,000 live births (137 deaths. Results from both calculations increased over the period, with a peak around 2006, followed by a decline coincident with the national roll-out of Prevention of Mother-to-Child Transmission of HIV and antiretroviral treatment programs. Mortality increase from direct causes was
Andersen, Mette-Helene Kronborg; Lykke, Anne Mette; Ilboudo, Jean-Baptiste
An approach for commercialising a product from Parkia biglobosa in order to improve the economic situation of rural women in south-western Burkina Faso was explored. Income is generated from sales of a derivative from the fermented seeds called soumbala. About one fifth of the women (18%) were...... involved in the sale of soumbala, and 34% of those not participating in soumbala sales were interested in getting involved, suggesting that there is a basis for expanding the soumbala trade. Possible factors that could motivate more women to participate in soumbala sales were sustainability, sowing...... of seeds and amount of seeds harvested per year. In addition, 90% of the informants managed Parkia sustainably, suggesting that enhanced exploitation of Parkia for commercial purposes can be ecologically sustainable if present management techniques are maintained. The results suggest that Parkia have...
Full Text Available Purpose: To understand the reasons why people in rural south India with visual impairment arising from various ocular diseases do not seek eye care. Materials and Methods: A total of 5,573 persons above the age of 15 were interviewed and examined in the South Indian state of Andhra Pradesh covering the districts of Adilabad, West Godavari and Mahaboobnagar. A pre-tested structured questionnaire on barriers to eye care was administered by trained field investigators. Results: Of the eligible subjects, 1234 (22.1%, N=5573 presented with distant visual acuity < 20/60 or equivalent visual field loss in the better eye. Of these, 898 (72.7%, N=1234 subjects had not sought treatment despite noticing a decrease in vision citing personal, economic and social reasons. The analysis also showed that the odds of seeking treatment was significantly higher for literates [odds ratio (OR 1.91, 95% confidence interval (CI 1.38 to 2.65], for those who would be defined as blind by visual acuity category (OR 1.35, 95% CI 0.96 to 1.90 and for those with cataract and other causes of visual impairment (OR 1.50, 95% CI 1.11 to 2.03. Barriers to seeking treatment among those who had not sought treatment despite noticing a decrease in vision over the past five years were personal in 52% of the respondents, economic in 37% and social in 21%. Conclusion: Routine planning for eye care services in rural areas of India must address the barriers to eye care perceived by communities to increase the utilization of services.
Graham S Cooke
Full Text Available In areas where adult HIV prevalence has reached hyperendemic levels, many infants remain at risk of acquiring HIV infection. Timely access to care and treatment for HIV-infected infants and young children remains an important challenge. We explore the extent to which public sector roll-out has met the estimated need for paediatric treatment in a rural South African setting.Local facility and population-based data were used to compare the number of HIV infected children accessing HAART before 2008, with estimates of those in need of treatment from a deterministic modeling approach. The impact of programmatic improvements on estimated numbers of children in need of treatment was assessed in sensitivity analyses.In the primary health care programme of HIV treatment 346 children <16 years of age initiated HAART by 2008; 245(70.8% were aged 10 years or younger, and only 2(<1% under one year of age. Deterministic modeling predicted 2,561 HIV infected children aged 10 or younger to be alive within the area, of whom at least 521(20.3% would have required immediate treatment. Were extended PMTCT uptake to reach 100% coverage, the annual number of infected infants could be reduced by 49.2%.Despite progress in delivering decentralized HIV services to a rural sub-district in South Africa, substantial unmet need for treatment remains. In a local setting, very few children were initiated on treatment under 1 year of age and steps have now been taken to successfully improve early diagnosis and referral of infected infants.
Martínez Pérez, Guillermo; Steele, Sarah J; Govender, Indira; Arellano, Gemma; Mkwamba, Alec; Hadebe, Menzi; van Cutsem, Gilles
To achieve UNAIDS 90-90-90 targets, alternatives to conventional HIV testing models are necessary in South Africa to increase population awareness of their HIV status. One of the alternatives is oral mucosal transudates-based HIV self-testing (OralST). This study describes implementation of counsellor-introduced supervised OralST in a high HIV prevalent rural area. Cross-sectional study conducted in two government-run primary healthcare clinics and three Médecins Sans Frontières-run fixed-testing sites in uMlalazi municipality, KwaZulu-Natal. Lay counsellors sampled and recruited eligible participants, sought informed consent and demonstrated the use of the OraQuick(™) OralST. The participants used the OraQuick(™) in front of the counsellor and underwent a blood-based Determine(™) and a Unigold(™) rapid diagnostic test as gold standard for comparison. Primary outcomes were user error rates, inter-rater agreement, sensitivity, specificity and predictive values. A total of 2198 participants used the OraQuick(™) , of which 1005 were recruited at the primary healthcare clinics. Of the total, 1457 (66.3%) were women. Only two participants had to repeat their OraQuick(™) . Inter-rater agreement was 99.8% (Kappa 0.9925). Sensitivity for the OralST was 98.7% (95% CI 96.8-99.6), and specificity was 100% (95% CI 99.8-100). This study demonstrates high inter-rater agreement, and high accuracy of supervised OralST. OralST has the potential to increase uptake of HIV testing and could be offered at clinics and community testing sites in rural South Africa. Further research is necessary on the potential of unsupervised OralST to increase HIV status awareness and linkage to care. © 2016 John Wiley & Sons Ltd.
Majuru, Batsirai; Jagals, Paul; Hunter, Paul R
Although a number of studies have reported on water supply improvements, few have simultaneously taken into account the reliability of the water services. The study aimed to assess whether upgrading water supply systems in small rural communities improved access, availability and potability of water by assessing the water services against selected benchmarks from the World Health Organisation and South African Department of Water Affairs, and to determine the impact of unreliability on the services. These benchmarks were applied in three rural communities in Limpopo, South Africa where rudimentary water supply services were being upgraded to basic services. Data were collected through structured interviews, observations and measurement, and multi-level linear regression models were used to assess the impact of water service upgrades on key outcome measures of distance to source, daily per capita water quantity and Escherichia coli count. When the basic system was operational, 72% of households met the minimum benchmarks for distance and water quantity, but only 8% met both enhanced benchmarks. During non-operational periods of the basic service, daily per capita water consumption decreased by 5.19l (pwater sources were 639 m further (p ≤ 0.001, 95% CI 560-718). Although both rudimentary and basic systems delivered water that met potability criteria at the sources, the quality of stored water sampled in the home was still unacceptable throughout the various service levels. These results show that basic water services can make substantial improvements to water access, availability, potability, but only if such services are reliable. Copyright © 2012 Elsevier B.V. All rights reserved.
Wagner, Ryan G.; Bottomley, Christian; Ngugi, Anthony K.; Ibinda, Fredrick; Gómez-Olivé, F. Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R.
Background Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. Methods A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. Results The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). Conclusions The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa. PMID:26053071
Wagner, Ryan G; Bottomley, Christian; Ngugi, Anthony K; Ibinda, Fredrick; Gómez-Olivé, F Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R; Wagner, Ryan; Twine, Rhian; Connor, Myles; Collinson, Mark; Masanja, Honratio; Mathew, Alexander; Kakooza, Angelina; Pariyo, George; Peterson, Stefan; Ndyo-mughenyi, Donald; Odhiambo, Rachael; Chengo, Eddie; Chabi, Martin; Bauni, Evasius; Kamuyu, Gathoni; Odera, Victor Mung'ala; Mageto, James O; Ae-Ngibise, Ken; Akpalu, Bright; Akpalu, Albert; Agbokey, Francis; Adjei, Patrick; Owusu-Agyei, Seth; Kleinschmidt, Immo; Doku, Victor C K; Odermatt, Peter; Neville, Brian; Sander, Josemir W; White, Steve; Nutman, Thomas; Wilkins, Patricia; Noh, John
Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.
Ryan G Wagner
Full Text Available Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs. Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease.A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package.The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0. Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5, with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR 2.6 (95%CI: 1.2-5.4, and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4.The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.
Said-Mohamed, Rihlat; Prioreschi, Alessandra; Nyati, Lukhanyo H; van Heerden, Alastair; Munthali, Richard J; Kahn, Kathleen; Tollman, Stephen M; Gómez-Olivé, Francesc Xavier; Houle, Brian; Dunger, David B; Norris, Shane A
The pre-pubertal socioeconomic environment may be an important determinant of age at menarche, adult height, body proportions and adiposity: traits closely linked to adolescent and adult health. This study explored differences in age at menarche, adult height, relative leg-length and waist circumference between rural and urban black South African young adult women, who are at different stages of the nutrition and epidemiologic transitions. We compared 18-23 year-old black South African women, 482 urban-dwelling from Soweto and 509 from the rural Mpumalanga province. Age at menarche, obstetric history and household socio-demographic and economic information were recorded using interview-administered questionnaires. Height, sitting-height, hip and waist circumference were measured using standardised techniques. Urban and rural black South African women differed in their age at menarche (at ages 12.7 and 14.5 years, respectively). In urban women, a one-year increase in age at menarche was associated with a 0.65 cm and 0.16% increase in height and relative leg-length ratio, respectively. In both settings, earlier age at menarche and shorter relative leg-length were independently associated with an increase in waist circumference. In black South African women, the earlier onset of puberty, and consequently an earlier growth cessation process, may lead to central fat mass accumulation in adulthood.
Suk, Min Hyun; Oh, Won-Oak; Im, YeoJin
With the recent growth of multicultural families in the Korean society, the importance of the role of qualified visiting nurses in the delivery of culturally sensitive health care has grown dramatically. As the primary health care provider for multicultural families enrolled in public community-based health care centers, the cultural competence of visiting nurses is an essential qualification for the provision of quality health care for multicultural families, especially in rural areas. Cultural competence of visiting nurses is based on their cultural awareness and empathetic attitude toward multicultural families. This study aimed to examine the levels of cultural competence, empowerment, and empathy in visiting nurses, and to verify the factors that affect the cultural competence of visiting nurses working with rural multicultural families in South Korea. Employing a cross-sectional descriptive study design, data from 143 visiting nurses working in rural areas were obtained. Data collection took place between November 2011 and August 2012. The measurement tools included the modified Korean version of the Cultural Awareness Scale, the Text of Items Measuring Empowerment, and the Interpersonal Reactivity Index to measure the level of empathy of visiting nurses. Analyses included descriptive statistics, a t-test, an ANOVA, a Pearson correlation coefficient analysis, and a multiple linear regression analysis. The cultural competence score of the visiting nurses was 3.07 on a 5-point Likert scale (SD = 0.30). The multiple regression analysis revealed that the cultural competence of visiting nurses was significantly influenced by experience of cultural education, empathy, and scores on the meaning subscale of the empowerment tool (R 2 = 10.2%). Institutional support to enhance visiting nurses' empowerment by assuring the significance of their job and specific strategies to enhance their empathy would be helpful to improve the cultural competence of visiting
Hayter, Arabella K M; Jeffery, Roger; Sharma, Chitra; Prost, Audrey; Kinra, Sanjay
Chronic diseases are now the leading cause of death and disability worldwide; this epidemic has been linked to rapid economic growth and urbanisation in developing countries. Understanding how characteristics of the physical, social, and economic environment affect behaviour in the light of these changes is key to identifying successful interventions to mitigate chronic disease risk. We undertook a qualitative study consisting of nine focus group discussions (FGDs) (n=57) in five villages in rural Andhra Pradesh, South India, to understand people's perceptions of community development and urbanisation in relation to chronic disease in rural transitional communities. Specifically, we sought to understand perceptions of change linked to diet, physical activity, and pollution (because these exposures are most relevant to chronic diseases), with the aim of defining future interventions. The transcripts were analysed thematically. Participants believed their communities were currently less healthy, more polluted, less physically active, and had poorer access to nutritious food and shorter life expectancies than previously. There were contradictory perceptions of the effects of urbanisation on health within and between individuals; several of the participants felt their quality of life had been reduced. In the present study, residents viewed change and development within their villages as an inevitable and largely positive process but with some negative health consequences. Understanding how these changes are affecting populations in transitional rural areas and how people relate to their environment may be useful to guide community planning for health. Measures to educate and empower people to make healthy choices within their community may help reduce the spread of chronic disease risk factors in future years.
Tom H Boyles
Full Text Available The prognosis of patients with HIV in Africa has improved with the widespread use of antiretroviral therapy (ART but these successes are threatened by low rates of long-term retention in care. There are limited data on predictors of retention in care, particularly from rural sites.Prospective cohort analysis of outcome measures in adults from a rural HIV care programme in Madwaleni, Eastern Cape, South Africa. The ART programme operates from Madwaleni hospital and seven primary care feeder clinics with full integration between inpatient and outpatient services. Outreach workers conducted home visits for defaulters.1803 adults initiated ART from June 2005 to May 2009. At the end of the study period 82.4% were in active care or had transferred elsewhere, 11.1% had died and 6.5% were lost to follow-up (LTFU. Independent predictors associated with an increased risk of LTFU were CD4 nadir >200, initiating ART as an inpatient or while pregnant, and younger age, while being in care for >6 months before initiating ART was associated with a reduced risk. Independent factors associated with an increased risk of mortality were baseline CD4 count 6 months before initiating ART and initiating ART while pregnant were associated with a reduced risk.Serving a socioeconomically deprived rural population is not a barrier to successful ART delivery. Patients initiating ART while pregnant and inpatients may require additional counselling and support to reduce LTFU. Providing HIV care for patients not yet eligible for ART may be protective against being LTFU and dying after ART initiation.
This study discusses factors inhibiting computer usage for work-related tasks among computer-literate professional nurses within rural healthcare facilities in South Africa. In the past two decades computer literacy courses have not been part of the nursing curricula. Computer courses are offered by the State Information Technology Agency. Despite this, there seems to be limited use of computers by professional nurses in the rural context. Focus group interviews held with 40 professional nurses from three government hospitals in northern KwaZulu-Natal. Contributing factors were found to be lack of information technology infrastructure, restricted access to computers and deficits in regard to the technical and nursing management support. The physical location of computers within the health-care facilities and lack of relevant software emerged as specific obstacles to usage. Provision of continuous and active support from nursing management could positively influence computer usage among professional nurses. A closer integration of information technology and computer literacy skills into existing nursing curricula would foster a positive attitude towards computer usage through early exposure. Responses indicated that change of mindset may be needed on the part of nursing management so that they begin to actively promote ready access to computers as a means of creating greater professionalism and collegiality. © 2011 Blackwell Publishing Ltd.
Madubansi, M.; Shackleton, C.M.
Following the democratic transition in South Africa in the early 1990s the government has implemented a widespread electrification programme, as well as introduced a free basic electricity allowance as a means of poverty alleviation. Yet there are limited longitudinal studies on the impacts of the introduction of electricity on the patterns of household energy use, and even more so in the neglected rural sector. This study reports on the patterns of household energy use in five rural settlements in 1991 and again in 2002. Results indicate a changing pattern of energy use for lighting and powering entertainment appliances, more specifically from dry-cell batteries and paraffin to electricity. Yet for thermal needs, most notably cooking, fuelwood has remained the most widespread fuel, and the amount used per month has not changed, despite increasing scarcity of wood in the local environment. There has been an increase in the proportion of households purchasing fuelwood as opposed to collecting their own. Overall, the mean total number of fuel types used per household has increased, indicating that electricity is simply viewed as an additional energy, rather than an alternative. Yet, electricity accounted for approximately 60% of expenditure on energy sources in 2002, despite the government's policy of a free basic allowance of 5-6 kWh per month. This has implications for energy supply costing, as well as the poverty alleviation dimensions of the whole programme
Laarhoven, J. van [Rural Electrification (Africa) Shell Solar BV, Helmond (Netherlands)
Prior to that, as an introduction, I'd like to tell you a bit about Shell solar and rural electrification from their perspective. If I could add something to the speech of Mr. Holm, I would gladly do that. Thirdly, I'd like to address the South African rural electrification market. I'd like to talk a bit about the system we have on the offering called the ''Powerhouse'' system, give you the Eastern Cape project status, and draw some conclusions with you. ''Jenza'' is a Zulu word, which means ''just do it - get on with it''. In a number of speeches today, I heard the words ''demonstration'', ''research'', ''study'', etc. I don't think the two billion people that have been on several occasions are waiting for more studies; I think they are waiting for initiatives - to ''just do it'' on a large scale. As Mr. Gehr pointed out, in Morocco there is a program of 200,000 customers, and they're running it.
Smith, Paul L.; Orville, Harold D.; Boe, Bruce A.; Stith, Jeffrey L.
An overview of the status of weather modification research in North and South Dakota (USA) is presented. The operational North Dakota Cloud Modification Projects has, since 1976, been seeding summer convective clouds for the dual objectives of hail suppression and rainfall enhancement. Research being carried out as part of a Federal/State cooperative program, in coordination with the operational activities, has included physical and statistical evaluation studies as well as numerical cloud modeling investigations. The statistical analyses provide some indications that the intended seeding effects are being obtained. The physical studies involve aircraft and radar observations and emphasize tracer experiments to study the transport and dispersion of seeding agents and the activation of ice nuclei. The modeling studies simulate the experiments and aid in investigation of the process involved and the effects of seeding. The 1989 North Dakota Thunderstorm Project, a major field study emphasizing physical and numerical modeling studies, is described briefly.
Manyema, M; Norris, S A; Said-Mohamed, R; Tollman, S T; Twine, R; Kahn, K; Richter, L M
Approximately 25% of the world's population consists of young people. The experience of violence peaks during adolescence and the early adult years. A link between personal experience of violence and mental health among young people has been demonstrated but rural-urban differences in these associations are less well known in low to middle income countries. The aim of this study was to investigate the associations between interpersonal violence and psychological distress among rural and urban young women. Data on experiences of violence and psychological distress were collected from a total of 926 non-pregnant young women aged between 18 and 22 years of age in rural and urban sites in South Africa. The General Health Questionnaire-28 was used to assess psychological distress as an indicator of mental health. Generalised structural equation models were employed to assess potential pathways of association between interpersonal violence and psychological distress. Thirty-four percent of the urban young women (n = 161) reported psychological distress compared to 18% of rural young women (n = 81). In unadjusted analysis, exposure to interpersonal violence doubled the odds of psychological distress in the urban adolescents and increased the odds 1.6 times in the rural adolescents. In adjusted models, the relationship remained significant in the urban area only (OR 1.84, 95% CI 1.13-3.00). Rural residence seemed protective against psychological distress (OR 0.41, 95% CI 0.24-0.69). Structural equation modelling did not reveal any direct association between exposure to interpersonal violence and psychological distress among rural young women. Stressful household events were indirectly associated with psychological distress, mediated by violence among young women in the urban area. The relationship between violence and psychological distress differs between urban and rural-residing young women in South Africa, and is influenced by individual, household and community
Charles S. Paulson
This resource update provides an overview of forest resources in North Dakota based on an inventory conducted by the USDA Forest Service, Forest Inventory and Analysis (FIA) program within the Northern Research Station in cooperation with the North Dakota Forest Service. Estimates are based on field data collected using the FIA annualized sample design and are updated...
David E. Haugen
This resource update provides an overview of forest resources in North Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station in cooperation with the North Dakota Forest Service. Estimates are based on field data collected using the FIA annualized sample design and are updated...
David E. Haugen
This resource update provides an overview of forest resources in North Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station in cooperation with the North Dakota Forest Service. Estimates are based on field data collected using the FIA annualized sample design and are updated...
D.E. Haugen; S.A. Pugh
This resource update provides an overview of forest resources in North Dakota based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station in cooperation with the North Dakota Forest Service. Estimates are based on field data collected using the FIA annualized sample design and are updated...
Ground water, the water we pump from the Earth through wells or that which flows naturally from springs, is one of North Dakota's most valuable resources. More than 60 percent of the people living in the State use ground water for one purpose of another. It is the only source of water for thousands of farm families and their livestock. Almost all smaller cities and villages depend solely on groudn water as a source of supply. Increasingly, ground water is being used to irrigate crops and grasslands (fig. 1) during protracted dry spells so common in North Dakota. During recent years there has been a rapid development of rural water ditribution systems in which thousands of farms and rurals residences are connected via underground pipeline to a single water source, usually wells pumping ground water.
Peltzer, K; Seakamela, M J; Manganye, L; Mamiane, K G; Motsei, M S; Mathebula, T T M
The aim of this study was to assess trauma events experienced and PTSD among 250 consecutive rural primary clinic patients (all Black Africans, 24% male and 76% female; M age 31.1 yr., SD = 11.8; range 18-65 years) in South Africa using the Trauma History Questionnaire and the PTSD Checklist-Civilian Version, interview administered. Results indicated that the mean number of traumatic events reported was 3.5 (SD = 2.9, range = 0-19) and was significantly higher among men (M= 4.9, SD = 3.5) than women (M = 3.0, SD = 2.6). Among the most frequently endorsed traumas among men were seeing someone seriously injured or killed (60%), serious accident (43.3%), and seeing dead bodies (43.3%), and among women natural disaster (mostly floods) (51.6%), news of a serious injury, life-threatening illness or unexpected death of someone close (31.1%), and seeing someone seriously injured or killed (30%). A current diagnosis of PTSD was found in 12.4% of the sample. Trauma incidence figures were high (M = 3.5) and were comparable with an urban Xhosa primary care population in South Africa (M = 3.8). A current indicative diagnosis of PTSD of 12.4% also compares with other studies; 19.9% among urban Xhosa primary care patients and 11.8% among American primary care patients.
MADHAVAN, SANGEETHA; SCHATZ, ENID J.
Aim To describe household change over a 10-year period of tremendous social, political, economic and health transformation in South Africa using data from the Agincourt health and demographic surveillance system in the rural northeast of South Africa. Methods Examination of household structure and composition at three points: 1992, 1997, and 2003. These three years loosely represent conditions immediately before the elections (1992), short term post-elections (1997), and longer term (2003), and span a period of notable increase in HIV prevalence. Results Average household size decreased and the proportion headed by females increased. The within-household dependency ratios for children and elders both decreased, as did the proportion of households containing foster children. The proportion with at least one maternal orphan doubled, but was still relatively small at 5.5%. Conclusions This analysis is a starting point for future investigations aimed at explaining how HIV/AIDS and other sociocultural changes post-apartheid have impacted on household organization. The analysis shows both consistency and change in measures of household structure and composition between 1992 and 2003. The changes do not include an increase in various types of “fragile families”, such as child-headed or skipped-generation households that might be expected due to HIV/AIDS. PMID:17676508
Full Text Available The study investigated the socio-economic impact of religious tourism (UAAC gathering on the local tourism industry and on surrounding rural communities in Vhembe District Municipality (VDM of South Africa. Questionnaires were used to collect data on pilgrims (visitors, businesses, and residents during, and immediately after the event. Statistical techniques were used to analyse the data to gain insight into the data as basis for answering the research questions posed in this study. The results revealed that majority of the pilgrims to the UAAC gathering were from the host province of Limpopo. Also, most pilgrims travel to the pilgrimage site solely for religious reasons. Another significant finding is that the average spending per pilgrim by pilgrims from the rest of South Africa is larger than their Limpopo and foreign pilgrim counterparts. Furthermore, the results showed that while businesses were positive about the pilgrimage’s contribution to increased sales from their businesses, they at the same time opined that the event does not generate any additional employment. This could be because out of every R100 of pilgrims spending only R2.16 remains in the local economy through leakages. Finally an important finding of the study is overall consensus among residents that the annual pilgrimage gathering promotes morality, improved socialization as well as a sense of feeling good and proud of their community.
Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut
Angela A. Morris-Paxton
Conclusion: In this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.
Full Text Available The aim of the study was to investigate five healthy dietary behaviours in a sample of rural and semi-urban South Africans. The sample consisted of 200 adults, 100 from an semi-urban area (Mankweng and 100 from a rural area (Tiberius in the central region of the Northern Province of South Africa. The two geographically different communities were chosen by convenience and the participants in the two communities were choosen by cluster sampling. Results indicate that about a third (30% in semi-urban and 34% in rural of the study sample are overweight and 18% are obese. A moderately high prevalence of six simple healthy dietary practices was found. However, there was a very low prevalence rate of eating fruits daily among both semi-urban (10% and rural dwellers (9%. Semi-urban dwellers showed significantly higher healthy diet behaviour than rural dwellers in regard to avoiding fat, trying to eat fiber, limiting red meat, and limiting salt. Men reported more than women that they tried to eat fiber and they had more often breakfast everyday. Being semi-urban and female were significantly associated with the healthy dietary index, whereas age, BMI, educational level and marital status were not. The results give insight into dietary health behaviour practices and the factors that influence them, which have practical implications for dietary health promotion.
F. Xavier Gómez-Olivé
Full Text Available Background: The population in developing countries is ageing, which is likely to increase the burden of non-communicable diseases and disability. Objective: To describe factors associated with self-reported health, disability and quality of life (QoL of older people in the rural northeast of South Africa. Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status, functional ability (WHODASi and quality of life (WHOQoL. Results: About 4,085 of 6,206 people eligible (65.8% completed the interview. Women (Odds Ratio (OR=1.30, 95% CI 1.09, 1.55, older age (OR=2.59, 95% CI 1.97, 3.40, lower education (OR=1.62, 95% CI 1.31, 2.00, single status (OR=1.18, 95% CI 1.01, 1.37 and not working at present (OR=1.29, 95% CI 1.06, 1.59 were associated with a low health status. Women were also more likely to report a higher level of disability (OR=1.38, 95% CI 1.14, 1.66, as were older people (OR=2.92, 95% CI 2.25, 3.78, those with no education (OR=1.57, 95% CI 1.26, 1.97, with single status (OR=1.25, 95% CI 1.06, 1.46 and not working at present (OR=1.33, 95% CI 1.06, 1.66. Older age (OR=1.35, 95% CI 1.06, 1.74, no education (OR=1.39, 95% CI 1.11, 1.73, single status (OR=1.28, 95% CI 1.10, 1.49, a low household asset score (OR=1.52, 95% CI 1.19, 1.94 and not working at present (OR=1.32; 95% CI 1.07, 1.64 were all associated with lower quality of life. Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems.
Wyatt, Gail E; Davhana-Maselesele, Mashudu; Zhang, Muyu; Wong, Lauren H; Nicholson, Fiona; Sarkissian, Alissa Der; Makhado, Lufuno; Myers, Hector F
Sexual assaults against women are a global health crisis, with alarmingly high rates in South Africa. However, we know very little about the circumstances and the aftermath of these experiences. Further, there is limited information about how factors specific to the rape (e.g., fighting back) versus those that are specific to the individual-and potentially modifiable-influence mental health outcomes. This study examined how situational characteristics of rape as well as individual and situational factors confer risk for symptoms of depression, posttraumatic stress disorder (PTSD), and dysfunctional sexual behavior at 12-month follow-up. Two hundred nine (N = 209) South African women were recruited from rural rape clinics in the Limpopo Province (LP) and North West Province (NWP) of South Africa. Interviews were conducted at baseline (within 6 months of the rape incident) and at 6 and 12 months by trained staff at the clinics in English or the women's native languages. Women were interviewed after services were provided in a private room. One hundred thirty-two (n = 132) women were lost to follow-up at 12 months, resulting in 77 women with interview data for all time points. Undermining by the survivor's social support system and an increased belief in myths about rape were associated with increased dysfunctional sexual practices and symptoms of depression. These findings demonstrate the need for interventions that address the most pervasive effects of rape over time. These behaviors can increase risks for revictimization and reduce psychological well-being in the aftermath of rape. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Charles Bitamazire Businge
Full Text Available Background: The prevalence of HIV among antenatal clients in South Africa has remained at a very high rate of about 29% despite substantial decline in several sub-Saharan countries. There is a paucity of data on risk factors for incident HIV infection among antenatal mothers and women within the reproductive age bracket in local settings in the Eastern Cape, South Africa. Objective: To establish the risk factors for incident HIV infection among antenatal clients aged 18–49 years attending public antenatal clinics in rural Eastern Cape, South Africa. Design: This was an unmatched case–control study carried out in public health antenatal clinics of King Sabata District Municipality between January and March 2014. The cases comprised 100 clients with recent HIV infection; the controls were 200 HIV-negative antenatal clients. Socio-demographic, sexual, and behavioral data were collected using interviewer-administered questionnaires adapted from the standard DHS5 women's questionnaire. Multivariate logistic regression models were used to identify the independent risk factors for HIV infection. A p<0.05 was considered statistically significant. Results: The independent risk factors for incident HIV infection were economic dependence on the partner, having older male partners especially among women aged ≤20 years, and sex under the influence of alcohol. Conclusions: Therefore, effective prevention of HIV among antenatal mothers in KSDM must target the improvement of the economic status of women, thereby reducing economic dependence on their sexual partners; address the prevalent phenomenon of cross-generation sex among women aged <20 years; and regulate the brewing, marketing, and consumption of alcohol.
Temple, Norman J; Steyn, Nelia P; Fourie, Jean; De Villiers, Anniza
We investigated the availability of healthier food choices and whether a healthier diet costs more than a diet commonly eaten by low-income families in South Africa. We visited 21 food stores in 14 rural towns of the Western Cape province of South Africa. We recorded the price and availability of 66 food items, including both commonly consumed foods as well as healthy options. Healthier food choices are available in supermarkets. However, many towns only have small food stores with a limited selection of healthy foods. We compared the prices of six commonly consumed foods with healthier versions of those foods (e.g., whole-wheat bread in place of white bread). Healthier foods typically cost between 10% and 60% more when compared on a weight basis (Rand per 100 g), and between 30% and 110% more when compared based on the cost of food energy (Rand per 100 kJ). Next, we compared the extra cost of a healthier diet compared to a typical South African menu. On average, for an adult male, the healthier diet costs Rand 10.2 (US$1.22) per day more (69% more). For a household with five occupants, the increased expenditure on food by eating a healthier diet is approximately Rand 1090 per month (US$140); this represents a high proportion (>30%) of the total household income for most of the population. Healthier food choices are, in general, considerably more expensive than commonly consumed foods. As a result, a healthy diet is unaffordable for the large majority of the population. Copyright © 2011 Elsevier Inc. All rights reserved.
Driscoll, Daniel G.; Bunkers, Matthew J.; Carter, Janet M.; Stamm, John F.; Williamson, Joyce E.
The Black Hills area of western South Dakota has a history of damaging flash floods that have resulted primarily from exceptionally strong rain-producing thunderstorms. The best known example is the catastrophic storm system of June 9-10, 1972, which caused severe flooding in several major drainages near Rapid City and resulted in 238 deaths. More recently, severe thunderstorms caused flash flooding near Piedmont and Hermosa on August 17, 2007. Obtaining a thorough understanding of peak-flow characteristics for low-probability floods will require a comprehensive long-term approach involving (1) documentation of scientific information for extreme events such as these; (2) long-term collection of systematic peak-flow records; and (3) regional assessments of a wide variety of peak-flow information. To that end, the U.S. Geological Survey cooperated with the South Dakota Department of Transportation and National Weather Service to produce this report, which provides documentation regarding the August 17, 2007, storm and associated flooding and provides a context through examination of other large storm and flood events in the Black Hills area. The area affected by the August 17, 2007, storms and associated flooding generally was within the area affected by the larger storm of June 9-10, 1972. The maximum observed 2007 precipitation totals of between 10.00 and 10.50 inches occurred within about 2-3 hours in a small area about 5 miles west of Hermosa. The maximum documented precipitation amount in 1972 was 15.0 inches, and precipitation totals of 10.0 inches or more were documented for 34 locations within an area of about 76 square miles. A peak flow of less than 1 cubic foot per second occurred upstream from the 2007 storm extent for streamflow-gaging station 06404000 (Battle Creek near Keystone); whereas, the 1972 peak flow of 26,200 cubic feet per second was large, relative to the drainage area of only 58.6 square miles. Farther downstream along Battle Creek, a 2007
The central purpose of this report is to present methods : for estimating the magnitude and frequency of floods on : urban and small, rural streams in the Southeast United States : with particular focus on Georgia, South Carolina, and North : Carolin...
In a particular way, the HIV pandemic exposes the prevailing gender relations and the definitions of male and female gender roles, both in intimate relationships and in the wider society. The HIV pandemic reveals the contradictions between women's legal rights and the persistence of women's cultural and sexual subordination. It reflects the impact of poverty, gender roles, culture and religion. Although HIV and AIDS cuts across class, South African rural black women's infection risk seems particularly high since they suffer notably from subordination and socio-economic hardships. Negotiating safer sex in marriage or intimate partnerships is very difficult for them in view of the traditional spaces in which they find themselves, where patriarchal structures are pervasive. Based on data obtained from a case study, this paper examines socio-cultural constraints to rural women's sexual agency in a patriarchal social order. These rules are based on a patriarchal code of respect, which is still pervasive in many aspects of the community under investigation. In terms of gender relations, the patriarchal code of respect is founded on an assumed 'naturalisation' of the two genders and the natural superiority of the male over the female. In terms of sexuality it is translated into male sex-right. The fear of HIV infection is omnipresent and results in unmarried women engaging in the negotiation of their wants and needs. Owing to the patriarchal code of respect, married women are perceived as having no choice in negotiating safer sex and are forced to put their lives at risk in contracting HIV. Unmarried women have greater although not endless choices in this regard. Although the study participants unexpectedly displayed a rather negative perception of other women, in order to strengthen women in their proximal environment the HIV epidemic may be seen as a vehicle for building solidarity among women in the community.
Jardim, Thiago Veiga; Reiger, Sheridan; Abrahams-Gessel, Shafika; Gomez-Olive, F Xavier; Wagner, Ryan G; Wade, Alisha; Bärnighausen, Till W; Salomon, Joshua; Tollman, Stephen; Gaziano, Thomas A
Assess awareness, treatment, and control of hypertension, as an indication of its management, in rural South Africa, especially regarding modifiers of these variables. A population-representative sample of adults aged at least 40 years residing in the rural Agincourt subdistrict (Mpumalanga Province) covered by a long-term health and sociodemographic surveillance system was recruited. In-person interviews, physical exams, and dried blood spots were collected. Hypertension awareness, treatment, and control rates were assessed. A regression model was built to identify predictors of those outcomes. The mean age of the 2884 hypertensive participants was 64.1 ± 12.7 years. Hypertension awareness rate was 64.4%, treatment among those aware was 89.3 and 45.8% of those treated were controlled. Considering aware and unaware hypertensives, treatment rate was 49.7% and control 22.8%. In the multivariable regression model, awareness was predicted by female sex, age at least 60 years, higher social economic status, prior cardiovascular disease (CVD), nonimmigrant status, literacy, and physical limitation. Improved control among those treated was predicted by age at least 60 years. Blood pressure control among all hypertensive study participants was predicted by female sex, being HIV-negative, age at least 60 years, nonimmigrant status, and prior CVD. High rates of awareness and treatment of hypertension as well as good levels of control were found in this population, probably explained by the long-term surveillance program conducted in the area. Considering the predictors of hypertension management, particular attention should be given to men, residents younger than 60 years, immigrants, and study participants without CVD as these characteristics were predictors of poor outcome.
Garenne, Michel L; Tollman, Stephen M; Collinson, Mark A; Kahn, Kathleen
To analyse trends in fertility rates and net reproduction rates in Agincourt, a rural area of South Africa located in the former homeland of Gazankulu near the Mozambican border. Trends are analysed in the context of widely available modern contraceptive methods and increasing HIV/AIDS. A health and demographic surveillance system has been in place since 1992, covering a population of approximately 70,000 persons, with an annual census update and comprehensive recording of births and deaths. It was complemented by a retrospective study of fertility at baseline. Retrospective and prospective data were used to calculate trends in fertility, survival, and net reproduction. When possible, they were compared with data from other censuses and surveys in the same ethnic group. The fertility transition has almost ended over a course of 25 years in Agincourt. The total fertility rate (TFR) averaged 6.0 in 1979 and 2.3 in 2004. Fertility declined in proportionate fashion in all age groups including adolescents in the recent period. The net reproduction rate (NRR) declined from 1.8 to 1.0 during the prospective period (1992-2004). At current rates of change in fertility and mortality, the NRR can be expected to reach 0.63 by the year 2010. The situation of a below-replacement fertility level is new for rural Africa, and is likely to have many demographic, economic and social implications. The population could decline in the country as a whole, and is nearly static in Agincourt because of negative migration flows balancing the small excess from natural increase.
Full Text Available Women live on average five years longer than men, and the sex difference in longevity is typically lower in populations with high mortality. South Africa-a high mortality population with a large sex disparity-is an exception, but the causes of death that contribute to this difference are not well understood.Using data from a demographic surveillance system in rural KwaZulu-Natal (2000-2014, we estimate differences between male and female adult life expectancy by HIV status. The contribution of causes of death to these life expectancy differences are computed with demographic decomposition techniques. Cause of death information comes from verbal autopsy interviews that are interpreted with the InSilicoVA tool.Adult women lived an average of 10.4 years (95% confidence Interval 9.0-11.6 longer than men. Sex differences in adult life expectancy were even larger when disaggregated by HIV status: 13.1 (95% confidence interval 10.7-15.3 and 11.2 (95% confidence interval 7.5-14.8 years among known HIV negatives and positives, respectively. Elevated male mortality from pulmonary tuberculosis (TB and external injuries were responsible for 43% and 31% of the sex difference in life expectancy among the HIV negative population, and 81% and 16% of the difference among people living with HIV.The sex differences in adult life expectancy in rural KwaZulu-Natal are exceptionally large, atypical for an African population, and largely driven by high male mortality from pulmonary TB and injuries. This is the case for both HIV positive and HIV negative men and women, signalling a need to improve the engagement of men with health services, irrespective of their HIV status.
Kinsman, John; Norris, Shane A.; Kahn, Kathleen; Twine, Rhian; Riggle, Kari; Edin, Kerstin; Mathebula, Jennifer; Ngobeni, Sizzy; Monareng, Nester; Micklesfield, Lisa K.
Background In South Africa, the expanding epidemic of non-communicable diseases is partly fuelled by high levels of physical inactivity and sedentary behaviour. Women especially are at high risk, and interventions promoting physical activity are urgently needed for girls in their adolescence, as this is the time when many girls adopt unhealthy lifestyles. Objective This qualitative study aimed to identify and describe facilitating factors and barriers that are associated with physical activity among adolescent girls in rural, north-eastern South Africa and, based on these, to develop a model for promoting leisure-time physical activity within this population. Design The study was conducted in and around three secondary schools. Six focus group discussions were conducted with adolescent girls from the schools, and seven qualitative interviews were held with sports teachers and youth leaders. The data were subjected to thematic analysis. Results Seven thematic areas were identified, each of which was associated with the girls’ self-reported levels of physical activity. The thematic areas are 1) poverty, 2) body image ideals, 3) gender, 4) parents and home life, 5) demographic factors, 6) perceived health effects of physical activity, and 7) human and infrastructural resources. More barriers to physical activity were reported than facilitating factors. Conclusions Analysis of the barriers found in the different themes indicated potential remedial actions that could be taken, and these were synthesised into a model for promoting physical activity among South African adolescent girls in resource-poor environments. The model presents a series of action points, seen both from the ‘supply-side’ perspective (such as the provision of resources and training for the individuals, schools, and organisations which facilitate the activities) and from the ‘demand-side’ perspective (such as the development of empowering messages about body image for teenage girls, and
Full Text Available Background: In South Africa, the expanding epidemic of non-communicable diseases is partly fuelled by high levels of physical inactivity and sedentary behaviour. Women especially are at high risk, and interventions promoting physical activity are urgently needed for girls in their adolescence, as this is the time when many girls adopt unhealthy lifestyles. Objective: This qualitative study aimed to identify and describe facilitating factors and barriers that are associated with physical activity among adolescent girls in rural, north-eastern South Africa and, based on these, to develop a model for promoting leisure-time physical activity within this population. Design: The study was conducted in and around three secondary schools. Six focus group discussions were conducted with adolescent girls from the schools, and seven qualitative interviews were held with sports teachers and youth leaders. The data were subjected to thematic analysis. Results: Seven thematic areas were identified, each of which was associated with the girls’ self-reported levels of physical activity. The thematic areas are 1 poverty, 2 body image ideals, 3 gender, 4 parents and home life, 5 demographic factors, 6 perceived health effects of physical activity, and 7 human and infrastructural resources. More barriers to physical activity were reported than facilitating factors. Conclusions: Analysis of the barriers found in the different themes indicated potential remedial actions that could be taken, and these were synthesised into a model for promoting physical activity among South African adolescent girls in resource-poor environments. The model presents a series of action points, seen both from the ‘supply-side’ perspective (such as the provision of resources and training for the individuals, schools, and organisations which facilitate the activities and from the ‘demand-side’ perspective (such as the development of empowering messages about body image for
Ranganathan, Meghna; Heise, Lori; Pettifor, Audrey; Silverwood, Richard J; Selin, Amanda; MacPhail, Catherine; Delany-Moretlwe, Sinead; Kahn, Kathleen; Gómez-Olivé, F Xavier; Hughes, James P; Piwowar-Manning, Estelle; Laeyendecker, Oliver; Watts, Charlotte
Introduction Young adolescent women in sub-Saharan Africa are three to four times more likely to be HIV-positive than boys or men. One of the relationship dynamics that is likely to be associated with young women's increased vulnerability to HIV is transactional sex. There are a range of HIV-related risk behaviours that may drive this vulnerability. However, to date, limited epidemiological data exist on the role of transactional sex in increasing HIV acquisition, especially among young women in sub-Saharan Africa. Our paper presents data on the prevalence of self-reported engagement in transactional sex and explores whether transactional sex is associated with increased risk of HIV infection among a cohort of young, rural, sexually active South African women. We also explore whether this relationship is mediated through certain HIV-related risk behaviours. Methods We analyzed baseline data from a phase III trial of conditional cash transfers for HIV prevention of 693 sexually active, school-going young women aged 13–20 years in rural South Africa. We examined the association between young women's engagement in transactional sex and HIV infection. Transactional sex is defined as a non-commercial, non-marital sexual relationship whereby sex is exchanged for money and/or gifts. We explored whether this relationship is mediated by certain HIV-related risk behaviours. We used logistic and multinomial regression and report unadjusted and adjusted odds ratios with 95% CI. Results Overall, 14% (n=97) of sexually active young women reported engaging in transactional sex. Engagement in transactional sex was associated with an increased risk of being HIV-positive (aOR: 2.5, CI: 95% 1.19–5.25, p=0.01). The effect size of this association remained nearly unchanged when adjusted for certain other dimensions of HIV risk that might help explain the underlying pathways for this relationship. Conclusions This study provides quantitative support demonstrating that transactional
Full Text Available Hypertension and excess body weight are major risk factors of cardiovascular morbidity and mortality in developing countries. In countries with a high HIV prevalence, it is unknown how increased antiretroviral treatment and care (ART coverage has affected the prevalence of overweight, obesity, and hypertension. We conducted a health survey in 2010 based on the WHO STEPwise approach in 14,198 adult resident participants of a demographic surveillance area in rural South Africa to investigate factors associated with hypertension and excess weight including HIV infection and ART status. Women had a significantly higher median body mass index (BMI than men (26.4 vs. 21.2 kg/m(2, p<0.001. The prevalence of obesity (BMI ≥ 30 kg/m(2 in women (31.3%, 95% confidence interval (CI 30.2-32.4 was 6.5 times higher than in men (4.9%, 95% CI 4.1-5.7, whereas prevalence of hypertension (systolic or diastolic blood pressure ≥ 140 or 90 mm Hg, respectively was 1.4 times higher in women than in men (28.5% vs 20.8%, p<0.001. In multivariable regression analysis, both hypertension and obesity were significantly associated with sex, age, HIV and ART status. The BMI of women and men on ART was on average 3.8 (95% CI 3.2-3.8 and 1.7 (95% CI 0.9-2.5 kg/m(2 lower than of HIV-negative women and men, respectively. The BMI of HIV-infected women and men not on ART was on average 1.2 (95% CI 0.8-1.6 and 0.4 (95% CI -0.1-0.9 kg/m(2 lower than of HIV-negative women and men, respectively. Obesity was a bigger risk factor for hypertension in men (adjusted odds ratio (aOR 2.99, 95% CI 2.00-4.48 than in women (aOR 1.64, 95% CI 1.39-1.92 and overweight (25 ≤ BMI<30 was a significant risk factor for men only (aOR 1.53 95% CI 1.14-2.06. Our study suggests that, cardiovascular risk factors of hypertension and obesity differ substantially between women and men in rural South Africa.
Steinert, Janina Isabel; Cluver, Lucie Dale; Melendez-Torres, G J; Vollmer, Sebastian
Composite indices have been prominently used in poverty research. However, validity of these indices remains subject to debate. This paper examines the validity of a common type of composite poverty indices using data from a cross-sectional survey of 2477 households in urban and rural KwaZulu-Natal, South Africa. Multiple-group comparisons in structural equation modelling were employed for testing differences in the measurement model across urban and rural groups. The analysis revealed substantial variations between urban and rural respondents both in the conceptualisation of poverty as well as in the weights and importance assigned to individual poverty indicators. The validity of a 'one size fits all' measurement model can therefore not be confirmed. In consequence, it becomes virtually impossible to determine a household's poverty level relative to the full sample. Findings from our analysis have important practical implications in nuancing how we can sensitively use composite poverty indices to identify poor people.
The provision of free basic water for domestic uses and a more equal distribution of water for productive uses are seen as important instruments to redress inequities from the past and eradicate poverty in South Africa (SA). Although the government committed itself to providing free basic water for all, this result is still far to be reached, particularly in rural areas. Financing of multiple use water services was identified as an important ingredient to insure improved access to water for r...
Kalu, Eziyi Iche; Wagbatsoma, Victoria; Ogbaini-Emovon, Ephraim; Nwadike, Victor Ugochukwu; Ojide, Chiedozie Kingsley
Introduction Various dermatoses, due to their morbidity characteristics, have been shown to negatively impact on learning. The most epidemiologically important seem to be the infectious types because of their transmissibility and amenability to simple school-health measures. The aim of this study was to assess the prevalence and sex/age correlates of infectious dermatoses in a rural South-eastern Nigerian community. Methods The pupils were proportionately recruited from the three primary scho...
Mashamba-Thompson, Tivani P; Jama, Ngcwalisa A; Sartorius, Benn; Drain, Paul K; Thompson, Rowan M
Key stakeholders' involvement is crucial to the sustainability of quality point-of-care (POC) diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC) clinics in South Africa. We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO) quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it) criteria for POC diagnostic services in resource-limited settings. 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients' needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.
Tivani P. Mashamba-Thompson
Full Text Available Introduction: Key stakeholders’ involvement is crucial to the sustainability of quality point-of-care (POC diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC clinics in South Africa. Method: We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it criteria for POC diagnostic services in resource-limited settings. Results: 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients’ needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Conclusions: Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.
Full Text Available To determine the prevalence and correlates of syphilis among pregnant women in rural areas of South China.Point-of-care syphilis testing was provided at 71 health facilities in less developed, rural areas of Guangdong Province. Positive samples were confirmed at a local referral center by toluidine red unheated serum tests (TRUST and Treponema pallidum particle agglutination (TPPA tests.Altogether 27,150 pregnant women in rural Guangdong were screened for syphilis. 106 (0.39% syphilis cases were diagnosed, of which 78 (73.6% received treatment for syphilis. Multivariate analysis revealed that older pregnant women (31-35 years old, aOR 2.7, 95% CI 0.99-7.32; older than 35 years old, aOR 5.9, 95% CI 2.13-16.34 and those with a history of adverse pregnant outcomes (aOR 3.64, 95% CI 2.30-5.76 were more likely to be infected with syphilis.A high prevalence of syphilis exists among pregnant women living in rural areas of South China. Enhanced integration of syphilis screening with other routine women's health services (OB GYN, family planning may be useful for controlling China's syphilis epidemic.
Twine, Rhian; Kahn, Kathleen; Scholtz, Alexandra; Norris, Shane A
When developing intervention research, it is important to explore issues from the community perspective. Interventions that promote adolescent health in South Africa are urgently needed, and Project Ntshembo ('hope') aims to improve the health of young women and their offspring in the Agincourt sub-district of rural northeast South Africa, actively using stakeholder involvement throughout the research process. This study aimed to determine adolescent health priorities according to key stakeholders, to align stakeholder and researcher priorities, and to form a stakeholder forum, which would be active throughout the intervention. Thirty-two stakeholders were purposefully identified as community members interested in the health of adolescents. An adapted Delphi incorporating face-to-face discussions, as well as participatory visualisation, was used in a series of three workshops. Consensus was determined through non-parametric analysis. Stakeholders and researchers agreed that peer pressure and lack of information, or having information but not acting on it, were the root causes of adolescent health problems. Pregnancy, HIV, school dropout, alcohol and drug abuse, not accessing health services, and unhealthy lifestyle (leading to obesity) were identified as priority adolescent health issues. A diagram was developed showing how these eight priorities relate to one another, which was useful in the development of the intervention. A stakeholder forum was founded, comprising 12 of the stakeholders involved in the stakeholder involvement process. The process brought researchers and stakeholders to consensus on the most important health issues facing adolescents, and a stakeholder forum was developed within which to address the issues. Stakeholder involvement as part of a research engagement strategy can be of mutual benefit to the researchers and the community in which the research is taking place.
Titilola M Pedro
Full Text Available This study aims to examine the associations between BMI, disordered eating attitude, body dissatisfaction in female adolescents, and descriptive attributes assigned to silhouettes of varying sizes in male and female adolescents, aged 11 to 15, in rural South Africa. Height and weight were measured to determine BMI. Age and sex-specific cut-offs for underweight and overweight/obesity were determined using the International Obesity Task Force cut-offs. Body image satisfaction using Feel-Ideal Discrepancy (FID scores, Eating Attitudes Test-26 (EAT-26, and perceptual female silhouettes were collected through self-administered questionnaires in 385 adolescents from the Agincourt Health and Socio-Demographic Surveillance System (HSDSS. Participants self-reported their Tanner pubertal stage and were classified as early pubertal ( 2. Mid to post pubertal boys and girls were significantly heavier, taller, and had higher BMI values than their early pubertal counterparts (all p<0.001. The prevalence of overweight and obesity was higher in the girls than the boys in both pubertal stages. The majority (83.5% of the girls demonstrated body dissatisfaction (a desire to be thinner or fatter. The girls who wanted to be fatter had a significantly higher BMI than the girls who wanted to be thinner (p<0.001. There were no differences in EAT-26 scores between pubertal groups, within the same sex, and between boys and girls within the two pubertal groups. The majority of the boys and the girls in both pubertal groups perceived the underweight silhouettes to be "unhappy" and "weak" and the majority of girls in both pubertal groups perceived the normal silhouettes to be the "best". These findings suggest a need for policy intervention that will address a healthy body size among South African adolescents.
Angotti, Nicole; Mojola, Sanyu A; Schatz, Enid; Williams, Jill R; Gómez-Olivé, F Xavier
Older adults have been largely overlooked in community studies of HIV in highly endemic African countries. In our rural study site in Mpumalanga Province, South Africa, HIV prevalence among those aged 50 and older is 16.5%, suggesting that older adults are at risk of both acquiring and transmitting HIV. This paper utilises community-based focus-group interviews with older rural South African men and women to better understand the normative environment in which they come to understand and make decisions about their health as they age in an HIV endemic setting. We analyse the dimensions of an inductively emerging theme: ku ti hlayisa (to take care of yourself). For older adults, 'taking care' in an age of AIDS represented: (1) an individualised pathway to achieving old-age respectability through the taking up of responsibilities and behaviours that characterise being an older person, (2) a set of gendered norms and strategies for reducing one's HIV risk, and (3) a shared responsibility for attenuating the impact of the HIV epidemic in the local community. Findings reflect the individual, interdependent and communal ways in which older rural South Africans understand HIV risk and prevention, ways that also map onto current epidemiological thinking for improving HIV-related outcomes in high-prevalence settings.
This page contains information about air and water in North Dakota, including state implementation programs (SIPs), air permitting, underground injection control (UIC) and National Pollution Discharge Elimination System (NPDES).
Reynolds, Lindsey; Cousins, Thomas; Newell, Marie-Louise; Imrie, John
In the context of low rates of participation in a prospective, population-based HIV surveillance programme, researchers at a surveillance site in rural KwaZulu-Natal, South Africa, conducted an operational study from January 2009 to February 2010, with the aim of improving participation rates, particularly in the provision of dried blood spots for the surveillance. Findings suggest, firstly, that consent to participation in the HIV surveillance is informed by the dynamics of relationality in the HIV surveillance "consent encounter." Secondly, it emerged that both fieldworkers and participants found it difficult to differentiate between HIV surveillance and HIV testing in the surveillance procedure, and tended to understand and explain giving blood under the aegis of the surveillance as an HIV test. The conflation of surveillance and testing, we argue, is not merely a semantic confusion, but reveals an important tension inherent to global health research between individual risks and benefits and collective good, or between private morality and public good. Because of these structural tensions, we suggest, the HIV surveillance consent encounter activates multiple gift economies in the collection of blood samples. Thinking beyond the complex ethical dimensions provoked by new forms of long-term surveillance and health research, we therefore suggest that deepening relations between scientists, fieldworkers, and study participants in locality deserve more careful methodological consideration and descriptive attention. Copyright © 2012 Elsevier Ltd. All rights reserved.
Mindry, Deborah L; Knight, Lucia; van Rooyen, Heidi
Various interventions have resulted in increased rates of HIV testing. However, encouraging men to acknowledge their risk for HIV, to test and link to treatment remains a challenge. In this study, we examine men's perspectives on navigating HIV risk in rural KwaZulu-Natal, South Africa. Qualitative interviews were conducted at four intervals over a three-year time period with a baseline cohort of 126 men and women. We found that men navigated HIV risk in their sexual relationships mainly by monitoring their partner's behaviour. Men expressed concerns about female respectability, invoking discourses on hlonipha rooted in Zulu cultural ideals and Christian ideals about women staying close to home. In the post-apartheid era, these concerns were inflected by anxieties over changing gender norms and the high rates and risks of infection in the region. HIV prevention discourses on behaviour intersected with men's efforts to assert their masculinity through the monitoring and controlling of women's behaviour. The potential negative impacts of this should be addressed. Prevention efforts need to focus on men's vulnerability to infection in terms of their own behaviour as well as the contexts in which they live.
Dorah U. Ramathuba
Full Text Available Objectives: The study assessed the knowledge, attitudes and breast cancer screening practices amongst women aged 30–65 years residing in a rural South African community. Method: A quantitative, descriptive cross-sectional design was used and a systematic sampling technique was employed to select 150 participants. The questionnaire was pretested for validity and consistency. Ethical considerations were adhered to in protecting the rights of participants. Thereafter, data were collected and analysed descriptively using the Predictive Analytics Software program. Results: Findings revealed that the level of knowledge about breast cancer of women in Makwarani Community was relatively low. The attitude toward breast cancer was negative whereas the majority of women had never performed breast cancer diagnostic methods. Conclusion: Health education on breast cancer screening practices is lacking and the knowledge deficit can contribute negatively to early detection of breast cancer and compound late detection. Based on the findings, community-based intervention was recommended in order to bridge the knowledge gap
Matinga, Margaret Njirambo; Annegarn, Harold J.
Debates on the nexus between energy and development emphasise that access to modern energy carriers such as electricity improve development outcomes. This paper discusses the impacts of electrification on educational outcomes, gender and power relations, income generation, feelings of inclusion and exclusion and health in the village of Tsilitwa in the rural Eastern Cape, South Africa. It is based on an ethnographic grounded theory study conducted in 2009. The paper shows that the impacts of electricity may not match the benefits cited in the literature, and are not experienced in the same way by everyone in the community. The study uncovers the weakness of ignoring individual and group agency, and the complexity of social settings when advocating interventions to improve quality of life. The paper recommends that researchers and policymakers consider using ethnographic methods to complement other methods and reveal context and its implications on the energy–development nexus that other methods may not capture. - Highlights: • Linkages between energy and development outcomes are complex and not deterministic. • Ethnography better reveals the complex relationship between energy and development. • People's contexts affect whether, how and who benefits from energy access. • Benefits like sense of worth and inclusion are often neglected in development. • Electrification can have negative impacts such as rising sense of income disparity
Full Text Available Land cover change analysis was performed for three catchments in the rural Eastern Cape, South Africa, for two time steps (2000 and 2014, to characterize landscape conversion trajectories for sustained landscape health. Land cover maps were derived: (1 from existing data (2000; and (2 through object-based image analysis (2014 of Landsat 8 imagery. Land cover change analysis was facilitated using land cover labels developed to identify landscape change trajectories. Land cover labels assigned to each intersection of the land cover maps at the two time steps provide a thematic representation of the spatial distribution of change. While land use patterns are characterized by high persistence (77%, the expansion of urban areas and agriculture has occurred predominantly at the expense of grassland. The persistence and intensification of natural or invaded wooded areas were identified as a degradation gradient within the landscape, which amounted to almost 10% of the study area. The challenge remains to determine significant signals in the landscape that are not artefacts of error in the underlying input data or scale of analysis. Systematic change analysis and accurate uncertainty reporting can potentially address these issues to produce authentic output for further modelling.
Full Text Available This paper seeks to understand the drivers and pathways of local livelihood change and the prospects for transformation towards a more sustainable future. Data are used from several studies, and a participatory social learning process, which formed part of a larger project in two sites in the Eastern Cape, South Africa. Secondary information from a wealth of related work is used to place our results within the historic context and more general trends in the country. Findings indicate that livelihoods in the rural Eastern Cape are on new trajectories. Agricultural production has declined markedly, at a time when the need for diversification of livelihoods and food security seems to be at a premium. This decline is driven by a suite of drivers that interact with, and are influenced by, other changes and stresses affecting local livelihoods. We distil out the factors, ranging from historical processes to national policies and local dynamics, that hamper peoples’ motivation and ability to respond to locally identified vulnerabilities and, which, when taken together, could drive households into a trap. We end by considering the transformations required to help local people evade traps and progress towards a more promising future in a context of increasing uncertainty.
Savarimuthu, R J S; Ezhilarasu, P; Charles, H; Antonisamy, B; Kurian, S; Jacob, K S
Post-partum depression, although heterogeneous, is often considered a medical disease when viewed from the biomedical perspective. However, recent reports from the Indian subcontinent have documented psychosocial causal factors. This study employed qualitative methodology in a representative sample of women in rural South India. Women in the post-partum period were assessed using the Tamil versions of the Short Explanatory Model Interview, the Edinburgh Postnatal Depression Scale and a semi-structured interview to diagnose ICD 10 depression. Socio-demographic and clinical details were also recorded. Some 137 women were recruited and assessed, of these, 26.3% were diagnosed to have post-partum depression. The following factors were associated with post-partum depression after adjusting for age and education: age less than 20 or over 30 years, schooling less than five years, thoughts of aborting current pregnancy, unhappy marriage, physical abuse during current pregnancy and after childbirth, husband's use of alcohol, girl child delivered in the absence of living boys and a preference for a boy, low birth weight, and a family history of depression. Post-partum depression was also associated with an increased number of causal models of illness, a number of non-medical models, treatment models and non-medical treatment models. Many social and cultural factors have a major impact on post-partum depression. Post-partum depression, when viewed from a biomedical framework, fails to acknowledge the role of context in the production of emotional distress in the post-partum period.
Kharsany, Ayesha B M; Frohlich, Janet A; Yende-Zuma, Nonhlanhla; Mahlase, Gethwana; Samsunder, Natasha; Dellar, Rachael C; Zuma-Mkhonza, May; Abdool Karim, Salim S; Abdool Karim, Quarraisha
Despite substantial progress in the delivery of HIV prevention programs, some communities continue to experience high rates of HIV infection. We report on temporal trends in HIV prevalence in pregnant women in a community in rural KwaZulu-Natal in South Africa. Annual, anonymous cross-sectional HIV sero-prevalence surveys were conducted between 2001 and 2013 among first visit prenatal clinic attendees. The time periods 2001 to 2003 were defined as pre-antiretroviral therapy (ART), 2004 to 2008 as early ART, and 2009 to 2013 as contemporary ART roll-out, to correspond with the substantial scale-up of ART program. Overall, HIV prevalence rose from 35.3% [95% confidence interval (CI): 32.3 to 38.3] pre-ART (2001-2003) to 39.0% (95% CI: 36.8 to 41.1) in the early ART (2004-2008) to 39.3% (95% CI: 37.2 to 41.4) in the contemporary ART (2009-2013) roll-out periods. In teenage women (age 20-24 and ≥ 25 years had a 1.7-fold (95% CI: 1.3-2.4; P = 0.001) and 3-fold (95% CI: 2.1 to 4.3; P age-disparate relationships, are needed to impact this HIV epidemic trajectory.
Pronyk, Paul M; Harpham, Trudy; Busza, Joanna; Phetla, Godfrey; Morison, Linda A; Hargreaves, James R; Kim, Julia C; Watts, Charlotte H; Porter, John D
While much descriptive research has documented positive associations between social capital and a range of economic, social and health outcomes, there have been few intervention studies to assess whether social capital can be intentionally generated. We conducted an intervention in rural South Africa that combined group-based microfinance with participatory gender and HIV training in an attempt to catalyze changes in solidarity, reciprocity and social group membership as a means to reduce women's vulnerability to intimate partner violence and HIV. A cluster randomized trial was used to assess intervention effects among eight study villages. In this paper, we examined effects on structural and cognitive social capital among 845 participants and age and wealth matched women from households in comparison villages. This was supported by a diverse portfolio of qualitative research. After two years, adjusted effect estimates indicated higher levels of structural and cognitive social capital in the intervention group than the comparison group, although confidence intervals were wide. Qualitative research illustrated the ways in which economic and social gains enhanced participation in social groups, and the positive and negative dynamics that emerged within the program. There were numerous instances where individuals and village loan centres worked to address community concerns, both working through existing social networks, and through the establishment of new partnerships with local leadership structures, police, the health sector and NGOs. This is among the first experimental trials suggesting that social capital can be exogenously strengthened. The implications for community interventions in public health are further explored.
Shrestha, R.M.; Kumar, S.; Toodoc, M.J.; Sharma, S.
South and Southeast (S and SE) Asian countries are characterized as being densely populated and having low access to electricity. In faet, about 59.2% and 37.8%, respectively, of the total population do not have access to electricity. Moreover, rural areas of the subregion also suffer from low electrification levels - only 30.1% in South Asia and around 51% in Southeast Asia compared to 68.2% and 89.9% in the urban areas, respectively. Some of the countries in the sutregion are at various stages of economic reforms, but all of which are moving from a centrally or heavily regulated economy to a more market- driven economy. The economic reforms in S&SE Asia have also permeated the power sector. A cursory look at the evolution of the electricity sector in some countries in the subregion reveal that the reforms undertaken in electricity sector during the early years were primarily aimed at addressing the issues of providing electricity to the people and then increasing electricity coverage. Later, in order to increase electricity coverage, institutions were established or 'carved out' from existing institutions to undertake national electrification programs to increase electricity coverage. In most cases, the electricity sectors remained under vertically integrated monopolies responsible for generation, transmission, and distribution but internal restructuring was undertaken for the purpose of increasing electricity coverage, especially in rural areas. In recent years, the reforms focused on fundamental major restructuring of the sector: separation or unbundling of the generation, transmission, and distribution; change in ownership from public to private sector, or at least increase in private sector participation by deregulating generation; and restructuring of electricity tariffs and gradually removing subsidies to better reflect economic or true costs of electricity supply. All these changes have geared towards increasing economic efficiency of the sector
Ameh, Soter; Klipstein-Grobusch, Kerstin; D'ambruoso, Lucia; Kahn, Kathleen; Tollman, Stephen M; Gómez-Olivé, Francesc Xavier
The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the quality of care in the novel ICDM model. This paper describes the viewpoints of operational managers and patients regarding quality of care in the ICDM model. In 2013, we conducted a case study of the seven PHC facilities in the rural Agincourt sub-district in northeast South Africa. Focus group discussions (n = 8) were used to obtain data from 56 purposively selected patients ≥18 years. In-depth interviews were conducted with operational managers of each facility and the sub-district health manager. Donabedian’s structure, process and outcome theory for service quality evaluation underpinned the conceptual framework in this study. Qualitative data were analysed, with MAXQDA 2 software, to identify 17 a priori dimensions of care and unanticipated themes that emerged during the analysis. The manager and patient narratives showed the inadequacies in structure (malfunctioning blood pressure machines and staff shortage); process (irregular prepacking of drugs); and outcome (long waiting times). There was discordance between managers and patients regarding reasons for long patient waiting time which managers attributed to staff shortage and missed appointments, while patients ascribed it to late arrival of managers to the clinics. Patients reported anti-hypertension drug stock-outs (structure); sub-optimal defaulter-tracing (process); rigid clinic appointment system (process). Emerging themes showed that patients reported HIV stigmatisation in the community due to defaulter-tracing activities of home-based carers, while
Full Text Available The present study is a result of an analysis of the 2010 Census, applied by IBGE, related to person with disability in rural areas located in 8 cities of half south of RS. The aim is to discuss the methodology of the Census and how the database is constructed, by the comprehension of the term disability. At this level, was performed a documental research to understand the definition of disability in the federal law, what enabled conclude that the number of person with disability in Brazil – in rural or urban areas – increased from previous Census, according with the definition adopted from IBGE and law. Analyzing the variant about gender, the database shows that the number of women with disability is higher than men with disability, both in rural and urban areas. But analyzing the number of person with disability in general, in rural areas the number is higher than in urban, independent of the gender. The results indicates that rural areas are more vulnerable and shows the importance in consider this elements to develop public policy directed to people with disability and towards the social development in this regions.
Zeitoun, O; Shemesh, N
In South Africa breast and cervical cancer are the most predominant cancers amongst women, with mortality rates reaching surprising proportions. As a result of the continued rise of these conditions it is vital to determine these women's awareness of both, so as to determine the exact factors contributing to this rise. Whilst both urban and rural areas are afflicted, this study focused primarily on women in a rural area. This was a descriptive cross-sectional study conducted in a shopping mall located in the rural area of Bushbuckridge, Mpumalanga, South Africa. A total of 300 women of reproductive age were randomly identified and requested to fill out a study questionnaire assessing their level of breast and cervical cancer awareness. A total of 300 women participated in the study. The mean age of participants was 35.66 with a range of 13.53. Overall levels of knowledge about breast and cervical cancer in rural Bushbuckridge were found to be reduced with 66.89% and 74.49% of women who rated themselves with a poor understanding of breast and cervical cancer knowledge respectively. Among the participating women, those over the age of 40, with higher level of education were found to be more cognizant in terms of breast and cervical cancer awareness with a 30% (p = 0.0923) and 52% (p < 0.001) respectively. Their younger and less educated counterparts had a 21% (p = 0.078) and 32% (p = 0.034) awareness of breast and cervical cancer, respectively. The leading source of information for both breast and cervical cancer was healthcare facilities with a 67.11% and 63.5% respectively. This study highlights the lack of awareness and knowledge of breast and cervical cancer in women living in the rural area of Bushbuckridge, South Africa. There is also evidence showing that the older and more educated women have better knowledge than their younger and less educated counterparts, therefore there is a need for increased breast and cervical cancer education and awareness campaigns
... DEPARTMENT OF AGRICULTURE Forest Service Dakota Prairie Grasslands, North Dakota; Oil and Gas... to prepare a supplemental environmental impact statement. SUMMARY: In June of 2003, the Dakota... Dakota Prairie Grasslands Land and Resource Management Plan, based on the 2001 Northern Great Plains...
Dwarkanath, Pratibha; Vasudevan, Anil; Thomas, Tinku; Anand, Sonia S; Desai, Dipika; Gupta, Milan; Menezes, Gladys; Kurpad, Anura V; Srinivasan, Krishnamachari
High frequency of low birth weight (LBW) is observed in rural compared with urban Indian women. Since maternal BMI is known to be associated with pregnancy outcomes, the present study aimed to investigate factors associated with BMI in early pregnancy of urban and rural South Indian women. Prospective observational cohort. A hospital-based study conducted at an urban and a rural health centre in Karnataka State. Pregnant women (n 843) aged 18-40 years recruited in early pregnancy from whom detailed sociodemographic, environmental, anthropometric and dietary intake information was collected. A high proportion of low BMI (32 v. 26 %, Pwomen were younger, had lower body weight, tended to be shorter and less educated. They lived in poor housing conditions, had less access to piped water and good sanitation, used unrefined fuel for cooking and had lower standard of living score. The age (β=0·21, 95 % CI 0·14, 0·29), education level of their spouse (β=1·36, 95 % CI 0·71, 2·71) and fat intake (β=1·24, 95 % CI 0·20, 2·28) were positively associated with BMI in urban women. Our findings indicate that risk factors associated with BMI in early pregnancy are different in rural and urban settings. It is important to study population-specific risk factors in relation to perinatal health.
Samuel, Prasanna; Antonisamy, Belavendra; Raghupathy, Palani; Richard, Joseph; Fall, Caroline H D
We examined associations between socio-economic status (SES) indicators and cardiovascular disease (CVD) risk factors among urban and rural South Indians. Data from a population-based birth cohort of 2218 men and women aged 26-32 years from Vellore, Tamilnadu were used. SES indicators included a household possessions score, attained education and paternal education. CVD risk factors included obesity, hypertension, impaired glucose tolerance or diabetes, plasma total cholesterol to high density lipoprotein (HDL) ratio and triglyceride levels and consumption of tobacco and alcohol. Multiple logistic regression analysis was used to assess associations between SES indicators and risk factors. Most risk factors were positively associated with possessions score in urban and rural men and women, except for tobacco use, which was negatively associated. Trends were similar with the participants' own education and paternal education, though weaker and less consistent. In a concurrent analysis of all the three SES indicators, adjusted for gender and urban/rural residence, independent associations were observed only for the possessions score. Compared with those in the lowest fifth of the score, participants in the highest fifth had a higher risk of abdominal obesity [odds ratio (OR) =6.4, 95% CI 3.4-11.6], high total cholesterol to HDL ratio (OR=2.4, 95% CI 1.6-3.5) and glucose intolerance (OR=2.8, 95% CI 1.9-4.1). Their tobacco use (OR=0.4, 95% CI 0.2-0.6) was lower. Except for hypertension and glucose intolerance, risk factors were higher in urban than rural participants independently of SES. In this young cohort of rural and urban south Indians, higher SES was associated with a more adverse CVD risk factor profile but lower tobacco use.
Berry, Narelle M; Coffee, Neil T; Nolan, Rebecca; Dollman, James; Sugiyama, Takemi
Although the health benefits of walking are well established, participation is lower in rural areas compared to urban areas. Most studies on walkability and walking have been conducted in urban areas, thus little is known about the relevance of walkability to rural areas. A computer-assisted telephone survey of 2402 adults (aged ≥18 years) was conducted to determine walking behaviour and perceptions of neighbourhood walkability. Data were stratified by urban (n = 1738) and rural (n = 664). A greater proportion of respondents reported no walking in rural (25.8%) compared to urban areas (18.5%). Compared to urban areas, rural areas had lower walkability scores and urban residents reported higher frequency of walking. The association of perceived walkability with walking was significant only in urban areas. These results suggest that environmental factors associated with walking in urban areas may not be relevant in rural areas. Appropriate walkability measures specific to rural areas should be further researched.
Wardle, J; Adams, J; Sibbritt, D
Homeopathy has attracted considerable recent attention from the Australian conventional medical community. However, despite such increased attention there has been little exploration of the interface between homeopathy and Australian conventional medical practice. This article addresses this research gap by exploring homeopathic practice and referral by rural and regional Australian general practitioners (GPs). A 27-item questionnaire was sent to all 1486 GPs currently practising in rural and regional New South Wales, Australia (response rate 40.7%). Few GPs in this study utilised homeopathy in their personal practice, with only 0.5% of GPs prescribing homeopathy in the past 12 months, and 8.5% referring patients for homeopathic treatment at least a few times over the past 12 months. Nearly two-thirds of GPs (63.9%) reported that they would not refer for homeopathy under any circumstances. Being in a remote location, receiving patient requests for homeopathy, observing positive responses from homeopathy previously, using complementary and alternative medicine (CAM) practitioners as information sources, higher levels of knowledge of homeopathy, and being interested in increasing CAM knowledge were all independently predictive of increased referral to homeopathy amongst GPs in this study. GPs in this study were less likely to refer to homeopathy if they used peer-reviewed literature as the major source of their information on CAM. Homeopathy is not integrated significantly in rural general practice either via GP utilisation or referral. There is significant opposition to homeopathy referral amongst rural and regional GPs, though some level of interaction with homeopathic providers exists. Copyright © 2013 The Faculty of Homeopathy. Published by Elsevier Ltd. All rights reserved.
McKee, Gregory J.
Cooperatives are a vital component of the North Dakota economy. Owned by their customers or by privately-held firms, cooperatives provide a variety of goods and services to North Dakota. Based on data provided by the North Dakota Secretary of State, 332 businesses operating in North Dakota identified themselves as cooperatives in 2010; 256 are headquartered in the state. The economic contribution of the North Dakota cooperatives reaches beyond the local communities where they are headquartere...
Elizabeth W. Kimani-Murage
Full Text Available Background: This article is a review of the PhD thesis by Elizabeth Kimani-Murage that explores the double burden of malnutrition in rural South Africa. This is in the context of a worryingly rapid increase in obesity and obesity-related diseases in low- and middle-income countries (LMICs including South Africa, and in the wake of on-going nutrition transition and lifestyle changes in these countries. Objective: To understand the profiles of malnutrition among children and adolescents in a poor, high HIV prevalent, transitional society in a middle-income country. Methods: A cross-sectional growth survey was conducted in 2007 targeting 4,000 children and adolescents aged 1–20 years. In addition, HIV testing was carried out on children aged 1–5 years and Tanner pubertal assessment among adolescents aged 9–20 years. Results: The study shows stunting at an early age and adolescent obesity, particularly among girls, that co-exists in the same socio-geographic population. The study also shows that HIV is an independent modifiable risk factor for poor nutritional outcomes in children and makes a significant contribution to nutritional outcomes at the individual level. Significant predictors of undernutrition at an early age, documented at individual, household, and community levels, include child's HIV status, age and birth weight, maternal age, age of household head, and area of residence. Significant predictors of overweight/obesity and risk for metabolic disease during adolescence, documented at individual and household levels include child's age, sex, and pubertal development, household-level food security, socio-economic status, and household head's highest education level. Conclusions: The combination of early stunting and adolescent obesity raises critical concerns in the wake of the rising public health importance of metabolic diseases in LMICs. This is because, both paediatric obesity and adult short stature are risk factors for
Dunger David B
Full Text Available Abstract Background Low- to middle-income countries are undergoing a health transition with non-communicable diseases contributing substantially to disease burden, despite persistence of undernutrition and infectious diseases. This study aimed to investigate the prevalence and patterns of stunting and overweight/obesity, and hence risk for metabolic disease, in a group of children and adolescents in rural South Africa. Methods A cross-sectional growth survey was conducted involving 3511 children and adolescents 1-20 years, selected through stratified random sampling from a previously enumerated population living in Agincourt sub-district, Mpumalanga Province, South Africa. Anthropometric measurements including height, weight and waist circumference were taken using standard procedures. Tanner pubertal assessment was conducted among adolescents 9-20 years. Growth z-scores were generated using 2006 WHO standards for children up to five years and 1977 NCHS/WHO reference for older children. Overweight and obesity for those 2 for overweight and obesity respectively were used for those ≥ 18 years. Waist circumference cut-offs of ≥ 94 cm for males and ≥ 80 cm for females and waist-to-height ratio of 0.5 for both sexes were used to determine metabolic disease risk in adolescents. Results About one in five children aged 1-4 years was stunted; one in three of those aged one year. Concurrently, the prevalence of combined overweight and obesity, almost non-existent in boys, was substantial among adolescent girls, increasing with age and reaching approximately 20-25% in late adolescence. Central obesity was prevalent among adolescent girls, increasing with sexual maturation and reaching a peak of 35% at Tanner Stage 5, indicating increased risk for metabolic disease. Conclusions The study highlights that in transitional societies, early stunting and adolescent obesity may co-exist in the same socio-geographic population. It is likely that this profile
Babi Moses, Lomoro Alfred; Guogping, Xiong; Celestino Ladu John, Leju
Migration is the movement of people from one ecological region to another; it may be on temporary or permanent basis. This research studies focused on the causes and consequences of rural-urban migration in Juba Metropolitan, Republic of South Sudan as a case study. The stratified random sampling method on the basis of existing payam (districts) was used to divide the study area into three zones of Juba, Kator and Munuku. Data were generated through primary and secondary sources. The data generated were analyzed using SPSS. The findings of the study show that Munuki payam covers most of the migrants. The study also reveals that males migrate more than the females in Juba and migration is high within the age cohorts of 30-39 years and 40-49 years old. Furthermore, the study revealed that the propensity to migrate is directly related to educational attainment. It can be inferred from the findings of the study that the majority of migrants in Juba Metropolitan migrated in search of employment while others migrated to continue their education while others migrated in search for basic amenities, to join relatives and get married. This means, until the imbalance or disparity in socio-economic development between the rural and urban areas are removed, no amount of persuasion or force can put a stop to rural-urban migration and its’ multiplying effects in Juba Metropolitan, Republic of South Sudan.
Oguonu, Tagbo; Obumneme-Anyim, Ijeoma N; Eze, Joy N; Ayuk, Adaeze C; Okoli, Chinyere V; Ndu, Ikenna K
Background Biofuels and other cooking fuels are used in households in low- and middle-income countries. Aim To investigate the impact of cooking fuels on lung function in children in urban and rural households in South-East Nigeria. Methods The multi-stage sampling method was used to enroll children exposed to cooking fuel in the communities. Lung function values FEV1, FVC and the FEV1/FVC ratio, were measured with ndd EasyOne R spirometer. Airflow limitation was determined with FEV1/FVC Z-score values at -1.64 as the lower limit of normal (LLN5). The Global Lung Function Initiative 2012 software was used to calculate the lung function indices. Results The median age (range) of the 912 children enrolled was 10.6 years (6-18). Altogether, 468 (51.6%) children lived in rural areas. Seven hundred and thirty-seven (80.7%) were directly exposed to cooking fuels (418/737, 56.5% in rural areas). Wood and kerosene were the dominant fuels in rural and urban households. The respective mean Z-scores of the exposed children in rural and urban were zFEV1 -0.62, FVC -0.21, FEV1/FVC -0.83 and zFEV1 -0.57, zFVC -0.14, FEV1/FVC -0.75. Few (5.2%, 38/737) of the children had airflow limitation. Most of them (60.5%, 25/38) lived in the rural community; the lowest FEV1/FVC Z-scores were those of exposed to a combination of fuels. Conclusion Exposure to cooking fuels affects lung function in children with airway limitation in a small proportion, Control measures are advocated to reduce the morbidity related to cooking fuels exposure.
North Dakota Department of Public Instruction, 2015
In the spring of 2015, the North Dakota Department of Public Instruction brought together tribal Elders from across North Dakota to share stories, memories, songs, and wisdom in order to develop the North Dakota Native American Essential Understandings (NDNAEU) to guide the learning of both Native and non-Native students across the state. They…
Madhavan, Sangeetha; Myroniuk, Tyler W; Kuhn, Randall; Collinson, Mark A
Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most extant research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. First, we offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household; and second, we demonstrate the value of this approach through an analysis of educational progress for boys and girls in rural South Africa. We use data from the 2002 round of the Agincourt Health and Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6-18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. The results suggest that non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Despite the wealth of literature on household structure and children's educational outcomes in sub-Saharan Africa, the conceptual basis of these effects has not been well articulated. We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations impact education.
Jones, Deborah L; Rodriguez, Violeta J; Babayigit, Suat; Chahine, Antonio; Weiss, Stephen M; Peltzer, Karl
Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated. Women were a mean of 28 years old (SD = 5.71). Risk of mother-to-child transmission (MTCT) of HIV (Mean = 0.43; SD = 0.33) had the greatest impact on decision-making, followed by partners' desires (M = 0.22; SD = 0.18), family preferences (M = 0.18; SD = 0.13), and community opinion (M = 0.17; SD = 0.13). MTCT was most important to women with greater HIV knowledge. However, WLHIV who had been diagnosed with HIV for a longer time placed more emphasis on partner preference and community opinion, and less importance on MTCT risk. Prevention of mother-to-child transmission (PMTCT) was less important to women experiencing intimate partner violence and those with depression. Findings highlight the need for tailored, focused interventions to support the unique circumstances of WLHIV and support the inclusion of families and/or partners in the counseling process. Results underscore the need for perinatal preconception counseling for women during routine HIV care.
Full Text Available Although home-based care (HBC programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs, in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs. An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data - CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25% of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers.
Sips, Ilona; Haeri Mazanderani, Ahmad; Schneider, Helen; Greeff, Minrie; Barten, Francoise; Moshabela, Mosa
Although home-based care (HBC) programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs), in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs). An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data - CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25%) of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers.
Full Text Available Background: Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. Objective: We offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household in rural South Africa. Methods: We use data from the 2002 round of the Agincourt Health and Socio-Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6‒18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. Results: Non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. Conclusions: The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Contribution: We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations are linked to an important outcome for children in sub-Saharan Africa.
Rosenberg, Molly; Pettifor, Audrey; Miller, William C; Thirumurthy, Harsha; Emch, Michael; Afolabi, Sulaimon A; Kahn, Kathleen; Collinson, Mark; Tollman, Stephen
Sexual activity may be less likely to occur during periods of school enrolment because of the structured and supervised environment provided, the education obtained and the safer peer networks encountered while enrolled. We examined whether school enrolment was associated with teen pregnancy in South Africa. Using longitudinal demographic surveillance data from the rural Agincourt sub-district, we reconstructed the school enrolment status from 2000 through 2011 for 15 457 young women aged 12-18 years and linked them to the estimated conception date for each pregnancy during this time. We examined the effect of time-varying school enrolment on teen pregnancy using a Cox proportional hazard model, adjusting for: age; calendar year; household socioeconomic status; household size; and gender, educational attainment and employment of household head. A secondary analysis compared the incidence of pregnancy among school enrolees by calendar time: school term vs school holiday. School enrolment was associated with lower teen pregnancy rates [adjusted hazard ratio (95% confidence interval): 0.57 (0.50, 0.65)].This association was robust to potential misclassification of school enrolment. For those enrolled in school, pregnancy occurred less commonly during school term than during school holidays [incidence rate ratio (95% confidence interval): 0.90 (0.78, 1.04)]. Young women who drop out of school may be at higher risk for teen pregnancy and could likely benefit from receipt of accessible and high quality sexual health services. Preventive interventions designed to keep young women in school or addressing the underlying causes of dropout may also help reduce the incidence of teen pregnancy. © The Author 2015; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.
Full Text Available Knowledge dissemination interventions (KDIs are integral to knowledge brokerage activities in research as part of the ethics of practice, but are seldom evaluated. In this case study, we critically reflect on an annual KDI as part of knowledge brokerage activities in the MRC/Wits-Agincourt Unit health and demographic surveillance system (HDSS in rural South Africa from 2001 to 2015. The HDSS findings on births, deaths and migrations, as well as nested research project results, were shared with villagers, village leaders and service providers. The data used for this case study comprised secondary analysis of 13 reports and 762 evaluation forms of annual village-based meetings; records of requests for data from stakeholders; and qualitative analysis of 15 individual and five focus group interviews with local leaders and service providers involving 60 people. Over time, the KDI evolved from taking place over one week a year to being extended over six months, and to include briefings with service providers and local leaders. Attendance at village-level meetings remained low at an average of 3 per cent of the total adult population. Since 2011, the KDI village-based meetings have developed into an embedded community forum for discussion of topical village issues. There has been a decrease in requests for health-care and other services from the research unit, with a concurrent increase in research-related questions and requests for data from service providers, village leaders and political representatives. We conclude that, in this setting, the dissemination of research findings is not a linear exchange of information from the researchers to village residents and their leadership, but is increasingly multi-directional. KDIs are a key component of knowledge brokerage activities and involve, influence and are influenced by other aspects of knowledge brokerage, such as identifying, engaging and connecting with stakeholders and supporting sustainability.
Jelsma, Jennifer; Maart, Soraya; Eide, Arne; Toni, Mzolisi; Loeb, Mitch
This study was to establish whether there was a difference in the characteristics of people who received a disability grant and those who did not in rural and urban samples of isiXhosa-speaking people with disability in South Africa. The sample was a convenience sample and was identified through a 'snowballing' process. A demographic survey and isiXhosa versions of the International Classification of Functioning, Disability and Health (ICF) and EQ-5D, a health-related quality of life measure were utilized. The sample consisted of 244 rural and 61 urban respondents, demonstrating a preponderance of physical disabilities. The groups who received or did not receive grants were equivalent in terms of age, gender, marital status and employment status. A significantly higher proportion of rural dwellers accessed the grant. The grant holders displayed significantly more problems related to mobility and to technology and policies and services relating to mobility and transport. Those who did not receive grants reported more barriers with regard to the attitudes of health workers but not with regard to any other aspect of social support. The majority of men and women with disability identified in this study received the grant, whether or not they lived in remote rural or in urban areas. As there were few differences between the groups, it is likely that several non-grant holders might qualify if they were informed of the grant and applied. The role of medical doctors as 'gatekeepers' to the grant might need to be examined.
The State of North Dakota and the Lignite Energy Council have formed a government/industry partnership to promote the use of North Dakota lignite. The partnership provides funding and management for the Lignite Research, Development and Marketing Program. The program funds activities which preserve and enhance jobs and lignite production; ensure economic growth, stability and opportunity; and maintain a stable and competitive tax base. Funding is provided for activities in three areas: marketing feasibility studies, small research projects, and demonstration projects. Funding is derived from the state coal severance tax. Approximately $3,000,000 annually is appropriated from coal severance revenues for program activities. North Dakota is the ninth largest coal producing state, with lignite as the only rank of coal found in the state. Energy is the second largest economic sector in North Dakota, and it currently comprises over 12% of the state's total economic base. This paper reviews the North Dakota lignite industry and describes studies and projects which have received funding from the program
Full Text Available The burden of dyslipidaemia is rising in many low income countries. However, there are few data on the prevalence of, or risk factors for, dyslipidaemia in Africa.In 2011, we used the WHO Stepwise approach to collect cardiovascular risk data within a general population cohort in rural south-western Uganda. Dyslipidaemia was defined by high total cholesterol (TC ≥ 5.2 mmol/L or low high density lipoprotein cholesterol (HDL-C 6% (men aOR=3.00, 95%CI=1.37-6.59; women aOR=2.74, 95%CI=1.77-4.27. The odds of high TC was also higher among married men, and women with higher education or high BMI.Low HDL-C prevalence in this relatively young rural population is high whereas high TC prevalence is low. The consequences of dyslipidaemia in African populations remain unclear and prospective follow-up is required.
Full Text Available Liezel Ennion, Anthea Rhoda Department of Physiotherapy, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa Background: Major lower limb amputations result in a significant sense of loss, psychological stress, and decrease in function and overall quality of life for the amputee. The holistic, patient-centered prosthetic rehabilitation of an amputee requires input from a team of dedicated health professionals from different disciplines commonly referred to as a multidisciplinary team (MDT. MDT rehabilitation is considered crucial in the reintegration of the amputee into the community, as well as for providing psychological support after limb loss. Multidisciplinary and interdisciplinary rehabilitation has been proven to be more successful than therapy provided by individual therapists in a number of different populations, regardless of the population studied. However, in most developing countries, there is a significant lack of multidisciplinary rehabilitation.Aim: To explore the roles and challenges of the members of the MDT involved in trans-tibial amputation rehabilitation in a rural community in South Africa (SA.Design: An explorative sequential qualitative descriptive study.Setting: A rural district in the KwaZulu Natal province in SA.Participants: Nine prosthetic users, three surgeons, three traditional healers, 17 therapists, four prosthetists, and four community health workers.Instruments for data collection: Semistructured interviews and focus group discussions.Results: The roles of the members of the MDT were clarified, and various members of the MDT highlighted specific challenges relating to their experiences and roles in the rehabilitation team. Lack of interdisciplinary rehabilitation and communication among team members, as well as lack of resources, and patient education negatively impact the rehabilitation of trans-tibial amputees.Conclusion: Aiming to address the limited resources
Full Text Available Context: There is a shortage of voluntary blood donors in developing countries which are, therefore, more dependent on replacement donors. Aim: To study the knowledge, attitude, and practices regarding voluntary blood donation in a rural block in Vellore, South India. Settings and Designs: A cross-sectional survey in randomly selected villages of a rural block in Vellore, South India. Materials and Methods: Knowledge, attitude, and practices were assessed using a pilot-tested, semi-structured, interviewer-administered questionnaire on randomly chosen rural adults aged between 18 and 60 years. Results: Of the 104 individuals interviewed, 90% were aware of voluntary blood donation, the main source of this awareness being television. Nearly, two-thirds of the participants felt they would fall sick by donating blood and that women and manual laborers were not capable of blood donation. Among the interviewed, 70.3% were of the opinion that blood can purchased with money. Only 44% were willing to donate blood on a voluntary basis. Perceived weakness and a misconception on the apparent lack of blood were the major reasons for unwillingness to donate blood. There was a significant association between willingness to donate blood and educational status as well as occupation, with the less educated and manual laborers unwilling to donate blood on a voluntary basis (odds ratio [OR] = 3.758, confidence interval [CI] = 1.54–9.156; OR = 5.333, CI = 1.429–19.90, respectively. Conclusions: The study found that although awareness on voluntary blood donation among individuals in the rural community was widespread, hesitancy to donate blood in real life situation was high. Since voluntary unpaid donors are the best candidates for blood donation, community being the best available source, education, and motivation of the community should play a greater role in increasing voluntary blood donation.
Berheto, Tezera M; Mikitie, Wondafrash K; Argaw, Alemayehu
Malnutrition that occurs during adolescence has important consequences for the future growth and development of the individual, particularly in girls in developing countries. Besides limiting growth, adolescent malnutrition has important consequences for society. Despite this, there is a lack of information on the nutritional status of adolescent girls in Ethiopia. This study was therefore performed to help redress this lack of data and to provide information for future improvements by health planners and policy makers. A comparative cross-sectional study design was employed to determine the urban-rural disparity in nutritional status of adolescent school girls in the Mizan district in south-western Ethiopia. A two-stage sampling procedure was used to randomly select 622 adolescent girls, 311 each from urban and rural locations. Trained field workers used structured questionnaires to obtain the desired information from the respondents. Anthropometric measurements of height and weight were collected using standard procedures and appropriate quality control measures. Height-for-age Z-scores and body mass index (BMI)-for-age Z-scores were generated using AnthroPlus software. The independent sample t-test and χ2 test were used to determine statistical significance. There were no significant differences in the ages or physical activities of the two populations of girls studied. Consumption of cereal, vegetables, sweets, sugars, fats, meat, and eggs was similar between the two groups, although slight differences were found with regard to legumes, milk, and fruit consumption. No significant differences were found in the prevalence of mild underweight girls and overweight girls in the urban and rural groups (26.5% vs 22.3% and 7.5% vs 5.2%, respectively). Significant stunting was, however, present in the rural population (40.9% vs. 17.8% in the urban group). Although overall lower than the reference data provided by WHO, the mean BMI-for-age Z-scores and height-for-age Z
Samuel T. Ntuli
Full Text Available Background: Hypertension is problem already faced by urban populations of South Africa, but little is known about its prevalence and risk factors in rural areas. Aim: To assess the prevalence of and risk factors associated with hypertension amongst adults in a rural community in South Africa. Setting: Dikgale Health and Demographic Surveillance Site, Limpopo Province, South Africa. Methods: A community-based cross-sectional survey was carried out at this site where individuals aged 15 years and older were screened using a locally adapted version of the World Health Organization STEPwise questionnaire. Demographics, anthropometry and three independent blood pressure (BP readings were taken. The average of the three BP measurements was used in analysis, and hypertension taken as systolic and diastolic BP of ≥ 140 or ≥ 90 mmHg respectively, or at least a two-week history of antihypertensive treatment. Analysis included the Chi-square test and statistical significance was set at p ≤ 0.05. Results: A total of 1407 individuals were interviewed, of whom 1281 had complete BP, weight and height measurements taken. The mean age of participants was 44.2 ± 2 0.9 years (range 15–98 years, 63% were female, 55% were single and 90% were unemployed, whilst 13% were tobacco smokers and 20% reported drinking alcohol. Overall prevalence of hypertension was 41% and this was significantly associated with age and marital status. Conclusion: The prevalence of hypertension was found to be high. Prevention strategies are urgently needed to address this life-threatening and important risk factor for cardiovascular disease in rural Limpopo Province.
Rural Poverty is one of the greatest social problems confronting the world today. The problem is more pronounced in the developing countries. Ghana is no exception to this global problem of rural poverty. Ghana as a nation has adopted a lot of measures to address poverty. From the early 1980's to 2002, the country has ...
Full Text Available dominated, followed by restaurants4. In South Africa the businesses in electrified areas were distinctly more numerous than those in the un- electrified areas. Tuckshops and taverns5 (fig 4) were dominant in both electrified and un-electrified areas... of groceries 4 A restaurant in rural areas does not provide waiter services 5 A tavern is a up market bar with more entertainment options, usually frequented by teenagers 0 5 10 15 20 25 30 35 40 45 Ba r/s he be e n G e n de a le r...
von Gaudecker, Jane R; Taylor, Ann Gill; Keeling, Arlene W; Buelow, Janice M; Benjamin, Sailas
In India, women with epilepsy face unique challenges. A focused ethnography of six women within the epilepsy treatment gap was conducted in rural South India. Women were asked to describe their day-to-day lives. Data were collected through open-ended, semistructured interview questions, participant observation, and field notes. Thematic analysis was done. The disease-related stigma contributed to the women's physical, psychological, and emotional struggles; the women and their family members made every effort to conceal the disease. Educational interventions to create awareness could help women seek effective treatments for their seizures, thereby reducing the stigma and improving the quality of their lives.
Clottey, Emmanuel N; Scott, Alison J; Alfonso, Moya L
An increasing number of grandparents in rural USA are serving as primary caregivers for their grandchildren because of parental incarceration, addiction, joblessness, or illness. Low-income, African American women from the South are overrepresented in this growing population. There is a paucity of research exploring the challenges faced by rural grandparent caregivers, and past studies have not explicitly addressed the potential consequences of rural grandparent caregiving for health. The purpose of this qualitative study was to explore grandparent caregiving among rural, low-income, African American grandmothers in a community in the American South, and to identify challenges to health that arose in that context. McLeroy's social ecological model (SEM) was used to examine these challenges at multiple levels of influence. This qualitative interview-based study was conducted in a high-poverty community in rural Georgia. In-depth interviews were conducted with African American grandparent caregivers and key informants from local community-based organizations. A key informant assisted in identifying initial interview participants, and then snowball sampling was used to recruit additional participants. Interview questions were grouped under five domains (intrapersonal, interpersonal, community, organizational, and policy), according to the levels of the SEM. Iterative content analysis of interview transcripts was utilized. Transcripts were coded to identify text segments related to each domain of the SEM, which were grouped together for analysis by domain. Reflexive memo-writing aided in development of themes, and data quality was assessed using Lincoln and Guba's trustworthiness criteria. Rural African American grandparent caregivers faced a range of challenges to health. Direct physical challenges included chronic pain that interfered with sleep and daily functioning, mobility issues exacerbated by child care, and the pressure of managing their own medical conditions
Full Text Available Women have better patient outcomes in HIV care and treatment than men in sub-Saharan Africa. We assessed--at the population level--whether and to what extent mass HIV treatment is associated with changes in sex disparities in adult life expectancy, a summary metric of survival capturing mortality across the full cascade of HIV care. We also determined sex-specific trends in HIV mortality and the distribution of HIV-related deaths in men and women prior to and at each stage of the clinical cascade.Data were collected on all deaths occurring from 2001 to 2011 in a large population-based surveillance cohort (52,964 women and 45,688 men, ages 15 y and older in rural KwaZulu-Natal, South Africa. Cause of death was ascertained by verbal autopsy (93% response rate. Demographic data were linked at the individual level to clinical records from the public sector HIV treatment and care program that serves the region. Annual rates of HIV-related mortality were assessed for men and women separately, and female-to-male rate ratios were estimated in exponential hazard models. Sex-specific trends in adult life expectancy and HIV-cause-deleted adult life expectancy were calculated. The proportions of HIV deaths that accrued to men and women at different stages in the HIV cascade of care were estimated annually. Following the beginning of HIV treatment scale-up in 2004, HIV mortality declined among both men and women. Female adult life expectancy increased from 51.3 y (95% CI 49.7, 52.8 in 2003 to 64.5 y (95% CI 62.7, 66.4 in 2011, a gain of 13.2 y. Male adult life expectancy increased from 46.9 y (95% CI 45.6, 48.2 in 2003 to 55.9 y (95% CI 54.3, 57.5 in 2011, a gain of 9.0 y. The gap between female and male adult life expectancy doubled, from 4.4 y in 2003 to 8.6 y in 2011, a difference of 4.3 y (95% CI 0.9, 7.6. For women, HIV mortality declined from 1.60 deaths per 100 person-years (95% CI 1.46, 1.75 in 2003 to 0.56 per 100 person-years (95% CI 0.48, 0.65 in
Mojola, Sanyu A; Williams, Jill; Angotti, Nicole; Gómez-Olivé, F Xavier
South Africa has the highest number of people living with HIV in the world (over 6 million) as well as a rapidly aging population, with 15% of the population aged 50 and over. High HIV prevalence in rural former apartheid homeland areas suggests substantial aging with HIV and acquisition of HIV at older ages. We develop a life course approach to HIV vulnerability, highlighting the rise and fall of risk and protection as people age, as well as the role of contextual density in shaping HIV vulnerability. Using this approach, we draw on an innovative multi-method data set collected within the Agincourt Health and Demographic Surveillance System in South Africa, combining survey data with 60 nested life history interviews and 9 community focus group interviews. We examine HIV risk and protective factors among adults aged 40-80, as well as how and why these factors vary among people at older ages. Copyright © 2015 Elsevier Ltd. All rights reserved.
Interpretation & conclusions: The dietary profile of this rural south Indian population reflected unhealthy choices, with the high consumption of refined cereals in the form of polished white rice and low intake of protective foods like fruits, vegetables, n-3 poly and monounsaturated fatty acids. This could potentially contribute to the increase in prevalence of NCDs like diabetes, hypertension and cardiovascular diseases in rural areas and calls for appropriate remedial action.
Jaya, Ziningi; Drain, Paul K.; Mashamba-Thompson, Tivani P.
Introduction Rapid HIV tests have improved access to HIV diagnosis and treatment by providing quick and convenient testing in rural clinics and resource-limited settings. In this study, we evaluated the quality management system for voluntary and provider-initiated point-of-care HIV testing in primary healthcare (PHC) clinics in rural KwaZulu-Natal (KZN), South Africa. Material and methods We conducted a quality assessment audit in eleven PHC clinics that offer voluntary HIV testing and couns...
Pienaar, Michélle; van Rooyen, Francois C; Walsh, Corinna M
Higher socioeconomic status impacts profoundly on quality of life. Life-event stressors, such as loss of employment, marital separation/divorce, death of a spouse and food insecurity, have been found to accelerate disease progression among people with human immunodeficiency virus (HIV). The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa. Sociodemographic and food security factors associated with HIV status were determined in 886 households. Logistic regression with forward selection (p rural participants, 97 (17.1%) were HIV-infected, and 172 (40.6%) of the 424 urban participants. A relatively high percentage of respondents had never attended school, while very few participants in all areas had a tertiary education. The unemployment rate of HIV-infected adults was higher than that of HIV-uninfected adults. A high percentage of respondents in all areas reported running out of money to buy food, with this tendency occurring significantly more among urban HIV-infected than HIV-uninfected respondents. In all areas, a high percentage of HIV-infected respondents relied on a limited number of foods to feed their children, with significantly more HIV-infected urban respondents compared to their uninfected counterparts reporting this. Most participants in all areas had to cut the size of meals, or ate less because there was not enough food in the house or not enough money to buy food. During periods of food shortage, more than 50% of respondents in all areas asked family, relatives or neighbours for assistance with money and/or food, which occurred at a higher percentage of HIV-infected rural participants compared to HIV-uninfected rural participants. More than half of all