Prevalence of 1691G>A FV mutation in Poland compared with that in other Central, Eastern and South-Eastern European countries.

Science.gov (United States)

Adler, Grażyna; Clark, Jeremy S C; Loniewska, Beata; Czerska, Ewa; Salkic, Nermin N; Ciechanowicz, Andrzej

2012-05-01

The 1691G>A FV variant has been described as a common genetic risk factor in venous thromboembolism. The purpose of this study was to provide a further frequency value for 1691G>A FV in Poland and to collate summary data from Central (Poland, Czech, Slovakia), Eastern (Russia, Belarus, Ukraine) and South-Eastern (Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Macedonia, Bulgaria) European countries. For this purpose in 2007 the 1691G>A FV variant was analyzed by polymerase chain reaction-restriction fragment length polymorphism from DNA collected in 2005-2006. We studied 650 subjects: 400 newborns and 250 older individuals (mean age 46.1 y) from Poland and compared results with reports from other countries, as well as with the frequency trend of 845G>A HFE across South-Eastern European countries using centroid cities. From our 1691G>A FV study we identified 626 GG homozygotes, 23 GA heterozygotes, and 1 AA homozygote (n = 650), giving an A allele frequency of 1.9%, and a summed frequency value for Poland of 2.0% (n = 1588); the frequency in Central European countries was 3.9% (n = 4559), mostly due to the high value in the Czech Republic: 5.1% (n = 2819); the South-Eastern European countries had 2.5% (n = 2410). Among the Eastern European countries the 1691G>A FV allele frequency was 1.9% (n=791), between the South-Eastern and Eastern European countries there was no significant difference (p=0.17). We confirm that the 1691G>A FV allele frequency in Poland, as well as other countries compared, is significantly lower than that in Czech.

Health and economic growth in South East, Nigeria | Umezinwa ...

African Journals Online (AJOL)

African Research Review ... In the South eastern states of Nigeria, health cannot be said to be making any significant impact in economic growth. ... There will be a meaningful economic improvement if ever there is a combined proactive engagement in healthcare delivery by the state governments and the citizens.

Seropositivity of agents causing abortion in local goat breeds in Eastern and South-eastern Anatolia, Turkey

OpenAIRE

BABÜR, Cahit; Tan, Tolga; ATASEVEN, Lale; ATASEVEN, Veysel Soydal; OĞUZOĞLU, Tuba Çiğdem

2006-01-01

The epidemiological information has not been available on the seroprevalenceof agents causing abortion and genital tract infection in indigenousgoats of Eastern and South-eastern regions of Turkey, yet. In these regions,the goats have importance for local economy and their production of meat,milk and mohair. There are also differences of the husbandry and climateconditions between two regions. The objective of this study was to describethe seroprevalence and distribution of antibodies to agen...

Assessing health literacy in the eastern and middle-eastern cultures

OpenAIRE

Nair, Satish Chandrasekhar; Satish, Karthyayani Priya; Sreedharan, Jayadevan; Ibrahim, Halah

2016-01-01

Abstract Background Health literacy is a term employed to assess the ability of people to meet the increasing demands related to health in a rapidly evolving society. Low health literacy can affect the social determinants of health, health outcomes and the use of healthcare services. The purpose of the study was to develop a survey construct to assess health literacy within the context of regional culture. Different socioeconomic status among the Eastern and Middle Eastern countries may restr...

INTERNET ADDICTION IN BALKAN AND SOUTH-EASTERN EUROPEAN COUNTRIES

Directory of Open Access Journals (Sweden)

Ioannis PETASAKIS

2012-12-01

Full Text Available The use of Internet has increased dramatically in recent years. Although there is no standardized definition of Internet addiction, there is acknowledgement among researchers that this phenomenon does exist. In this study, we identify various similarities and differences among people in the Balkan and South-Eastern European countries about Internet addiction. There are many factors such as cultural differences, gender differences, psychosocial variables, computer attitudes and time.We present the experience from studies concerning Internet addiction in all over the world. A specific research with the use of Young's 20-scale was also conducted in five Balkan and South-Eastern European countries (Republic of Moldova, Romania, Republic of Bulgaria, Hellenic Republic, Republic of Cyprus.The findings are interesting. Although there is a need for Interest using, there are also cases where the addiction, dependence and abuse is apparent.

Vertebrate endemism in south-eastern Africa numerically redefines a biodiversity hotspot.

Science.gov (United States)

Perera, Sandun J; ProcheŞ, Şerban; Ratnayake-Perera, Dayani; Ramdhani, Syd

2018-02-20

We use numerical methods to explore patterns of vertebrate endemism in south-eastern Africa, refining the boundaries of the intuitively-defined Maputaland-Pondoland-Albany biodiversity hotspot, also proposing a zoogeographic regionalisation. An incidence matrix of 300 vertebrate species endemic to south-eastern Africa sensu lato in 37 operational geographic units were used in (a) phenetic cluster analysis (PCA) using the algorithm of unweighted pair-group method with arithmetic averages (phenetic approach), and (b) parsimony analysis of endemicity (PAE; parsimony approach), in order to numerically evaluate the bioregional delimitations. The analyses provide a valid biogeographical entity 37% larger than the Maputaland-Pondoland-Albany hotspot, but substantially (131%) higher in vertebrate endemicity viz. the Greater Maputaland-Pondoland-Albany (GMPA) region of vertebrate endemism. South-east Africa is recognised as a dominion in the global zoogeographical area hierarchy, with subordinate units including the GMPA province. Various spatially-based measures of endemism were mapped for vertebrate species restricted to the dominion, i.e. endemic to south-eastern Africa sensu stricto. Areas and centres of endemism detected respectively from PAE and PCA, within the south-east Africa dominion also support the refined boundary of the GMPA region of endemism, which provides a better spatial conservation priority compared to the Maputaland-Pondoland-Albany hotspot. Reptiles and amphibians are found to be the main drivers of the overall pattern of endemism, while the pattern in freshwater fish is the most distinctive. Our analyses also indicate a good congruence of the centres of endemism across different terrestrial vertebrate taxa.

The household costs of visceral leishmaniasis care in south-eastern Nepal.

Directory of Open Access Journals (Sweden)

Surendra Uranw

Full Text Available BACKGROUND AND OBJECTIVES: Visceral leishmaniasis (VL is an important public health problem in south-eastern Nepal affecting very poor rural communities. Since 2005, Nepal is involved in a regional initiative to eliminate VL. This study assessed the economic impact of VL on households and examined whether the intensified VL control efforts induced by the government resulted in a decrease in household costs. METHODS: Between August and September 2010, a household survey was conducted among 168 patients that had been treated for VL within 12 months prior to the survey in five districts in south-eastern Nepal. We collected data on health-seeking behaviour, direct and indirect costs and coping strategies. RESULTS: The median total cost of one episode of VL was US$ 165 or 11% of annual household income. The median delay between the onset of symptoms and presentation to a qualified provider was 25 days. Once the patient presented to a qualified provider, the delay to correct diagnosis was minimal (median 3 days. Direct and indirect costs (income losses represented 47% and 53% of total costs respectively. Households used multiple strategies to cope with the cost of illness, mainly mobilizing cash/savings (71% or taking a loan (56%. CONCLUSIONS: The provision of free VL diagnosis and drugs by the Nepalese control programme has been an important policy measure to reduce the cost of VL to households. But despite the free VL drugs, the economic burden is still important for households. More effort should be put into reducing indirect costs, in particular the length of treatment, and preventing the transmission of VL through vector control.

The ‘Mycenaeans’ in the south-eastern Aegean revisited

NARCIS (Netherlands)

Eerbeek, J.

2014-01-01

The main subject of this dissertation is the Mycenaean archaeological evidence from the south-eastern Aegean. The term "Mycenaean" is typically used to refer to the dominant archaeological culture of the central and southern Greek mainland during the Late Bronze Age, which is dated between about

Enhancing the Utilization of Information Communication Technology (ICT) among Home Economics Lecturers in South Eastern Nigeria

Science.gov (United States)

Ejinkeonye, Uju Bridget; Usoroh, Comfort I.

2016-01-01

The study was on enhancing the utilization of information communication Technology (ICT) among Home Economics lecturers in south Eastern Nigeria. The study adopted a survey method. The area of the study is south eastern Nigeria. Three research questions guided the study. The population was made up of 63 Home Economics lecturers from the six…

Causal attribution of mental illness in South-Eastern Nigeria.

Science.gov (United States)

Ikwuka, Ugo; Galbraith, Niall; Nyatanga, Lovemore

2014-05-01

Understanding of mental illness in sub-Saharan Africa has remained under-researched in spite of the high and increasing neuropsychiatric burden of disease in the region. This study investigated the causal beliefs that the Igbo people of south-eastern Nigeria hold about schizophrenia, with a view to establishing the extent to which the population makes psychosocial, biological and supernatural attributions. Multi-stage sampling was used to select participants (N = 200) to which questionnaires were administered. Mean comparison of the three causal models revealed a significant endorsement of supernatural causation. Logistic regressions revealed significant contributions of old age and female gender to supernatural attribution; old age, high education and Catholic religious denomination to psychosocial attributions; and high education to biological attributions. It is hoped that the findings would enlighten, augment literature and enhance mental health care service delivery.

‘Irrigation by night’ in the Eastern Cape, South Africa

NARCIS (Netherlands)

Horst, van der Bram; Hebinck, P.G.M.

2017-01-01

This paper addresses water-related issues in the Eastern Cape, South Africa. Irrigation development and providing water for human consumption have been key factors in the country’s rural development planning, notably during the post-apartheid era when the Reconstruction and Development Programme

Preliminary geology of eastern Umtanum Ridge, South-Central Washington

Energy Technology Data Exchange (ETDEWEB)

Goff, F.E.

1981-01-01

The basalt stratigraphy and geologic structures of eastern Umtanum Ridge have been mapped and studied in detail to help assess the feasibility of nuclear waste terminal storage on the Hanford Site in southeastern Washington State. Eastern Umtanum Ridge is an asymmetric east-west-trending anticline of Columbia River basalt that plunges 5 degrees eastward into the Pasco Basin. Geologic mapping and determination of natural remanent magnetic polarity and chemical composition reveal that flows of the Pomona and Umatilla Members (Saddle Mountains Basalt), Priest Rapids and Frenchman Springs Members (Wanapum Basalt), and Grande Ronde Basalt were erupted as fairly uniform sheets. The Wahluke and Huntzinger flows (Saddle Mountains Basalt) fill a paleovalley cut into Wanapum Basalt. No evidence was found to indicate Quaternary-age movement on any structures in the map area. The basalt strata on the south limb of the Umtanum anticline display relatively little tectonic deformation since Miocene-Pliocene time. Thus, the buried south flank of Umtanum Ridge may provide an excellent location for a nuclear waste repository beneath the Hanford Site.

Preliminary geology of eastern Umtanum Ridge, South-Central Washington

International Nuclear Information System (INIS)

Goff, F.E.

1981-01-01

The basalt stratigraphy and geologic structures of eastern Umtanum Ridge have been mapped and studied in detail to help assess the feasibility of nuclear waste terminal storage on the Hanford Site in southeastern Washington State. Eastern Umtanum Ridge is an asymmetric east-west-trending anticline of Columbia River basalt that plunges 5 degrees eastward into the Pasco Basin. Geologic mapping and determination of natural remanent magnetic polarity and chemical composition reveal that flows of the Pomona and Umatilla Members (Saddle Mountains Basalt), Priest Rapids and Frenchman Springs Members (Wanapum Basalt), and Grande Ronde Basalt were erupted as fairly uniform sheets. The Wahluke and Huntzinger flows (Saddle Mountains Basalt) fill a paleovalley cut into Wanapum Basalt. No evidence was found to indicate Quaternary-age movement on any structures in the map area. The basalt strata on the south limb of the Umtanum anticline display relatively little tectonic deformation since Miocene-Pliocene time. Thus, the buried south flank of Umtanum Ridge may provide an excellent location for a nuclear waste repository beneath the Hanford Site

Mapping health research capacity in 17 countries of the former Soviet Union and south-eastern Europe: an exploratory study.

Science.gov (United States)

Santoro, Alessio; Glonti, Ketevan; Bertollini, Roberto; Ricciardi, Walter; McKee, Martin

2016-04-01

Policies to improve health status, tackle disease and ensure equitable access to healthcare should be informed by evidence derived from high-quality research. However, health research capacity is unevenly distributed across countries, as revealed by mapping exercises that have been undertaken to provide a basis for concerted action to strengthen capacity. This study systematically describes capacity to undertake health research in the countries of the former Soviet Union and south-eastern Europe and identifies the elements required to create a national health research system. The mapping exercise comprised two elements: a survey of key informants in the respective countries and a bibliometric analysis of scientific publications in the field of public health. Our results confirm that health research remains a low priority in some countries of the WHO European Region. In these countries, most of the literature was produced by researchers outside the country, often to inform international donors. This study provides important information for countries seeking to initiate action to strengthen their research capacity. There is a need for a comprehensive strategy with sustained investment in training and career development of researchers. There is also a need to create new funding systems to provide financial support to those undertaking policy-relevant research. International collaboration and investment in mechanisms to bridge the gap between research and policy are urgently required. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Shelf spawning habitat of Emmelichthys nitidus in south-eastern Australia - Implications and suitability for egg-based biomass estimation

Science.gov (United States)

Neira, Francisco J.; Lyle, Jeremy M.; Keane, John P.

2009-03-01

The spawning habitat of Emmelichthys nitidus (Emmelichthyidae) in south-eastern Australia is described from vertical ichthyoplankton samples collected along the shelf region off eastern through to south-western Tasmania during peak spawning in October 2005-06. Surveys covered eastern waters in 2005 (38.8-43.5°S), and both eastern and southern waters in 2006 (40.5°S around to 43.5°S off the south-west). Eggs ( n = 10,393) and larvae ( n = 378) occurred along eastern Tasmania in both years but were rare along southern waters south and westwards of 43.5°S in 2006. Peak egg abundances (1950-2640 per m -2) were obtained off north-eastern Tasmania (40.5-41.5°S) between the shelf break and 2.5 nm inshore from the break. Eggs were up to 5-days old, while nearly 95% of larvae were at the early preflexion stage, i.e. close to newly emerged. Average abundances of aged eggs pooled across each survey declined steadily from day-1 to day-5 eggs both in 2005 (97-18) and 2006 (175-34). Moreover, day-1 egg abundances were significantly greater 2.5 nm at either side of the break, including at the break, than in waters ≥5 nm both inshore and offshore from the break. These results, complemented with egg and larval data obtained in shelf waters off New South Wales (NSW; 35.0-37.7°S) in October 2002-03, indicate that the main spawning area of E. nitidus in south-eastern Australia lies between 35.5°S off southern NSW and 43.5°S off south-eastern Tasmania, and that spawning activity declines abruptly south and westwards of 43.5°S around to the south-west coast. In addition, quotient analyses of day-1 egg abundances point to a preferred spawning habitat contained predominantly within a 5 nm corridor along the shelf break, where waters are 125-325 m deep and median temperatures 13.5-14.0 °C. Spawning off eastern Tasmania is timed with the productivity outburst typical of the region during the austral spring, and the temperature increase from the mixing between the southwards

A hotspot of large branchiopod diversity in south-eastern Zimbabwe ...

African Journals Online (AJOL)

Large branchiopods are considered threatened across much of their global range. However, because several regions, including Zimbabwe in general and its south-eastern lowveld in particular, remain largely unstudied, interpretations of species distribution patterns are often based on limited data. A detailed study of large ...

Kidnapping in the South eastern States of contemporary Nigeria: An ...

African Journals Online (AJOL)

The study empirically investigate salient social and demographic characteristics as determinants of kidnapping in the South-eastern States of contemporary Nigeria using inmates detained on the grounds of kidnapping in Abakaliki and Umuahia Prisons as a unit of analysis. The study adopted a cross-sectional research ...

Gravity and magnetic modelling in the Vrancea Zone, south-eastern Carpathians: Redefinition of the edge of the East European Craton beneath the south-eastern Carpathians

NARCIS (Netherlands)

Bocin, A.; Stephenson, R.; Matenco, L.; Mocanu, V.

2013-01-01

A 2D gravity and magnetic data model has been constructed along a 71. km densely observed profile, called DACIA PLAN GRAV MAN's. The profile crosses part of the nappe pile of the south-eastern Carpathians and includes the seismically active Vrancea Zone and was acquired with the objective to

Surgical Indications for Eye Removal in Enugu, South Eastern Nigeria

African Journals Online (AJOL)

Objective: To determine the surgical indications for removal of the eye in Enugu in south eastern Nigeria. Method: Retrospective case series review. Results: At the University of Nigeria Teaching Hospital Enugu, between 1st January 1994 and 31st December 2003, 106 eyes of 106 patients, comprising 71 (67.0%) males ...

eHealth Literacy Skills Among Undergraduate Nursing Students in the U.S. and South Korea.

Science.gov (United States)

Park, Hyejin; Park, Hyunmi

2016-01-01

Online health information is a critical resource for health consumers. Nursing professionals need to be eHealth literate to support patients and their families. The purpose of the study was to explore eHealth literacy skills among undergraduate nursing students in the U.S. and South Korea. One hundred and sixty-nine undergraduate nursing students in two universities, one in the southern area of the U.S. and one in the eastern area of South Korea, participated. Participants were asked to complete the eHealth Literacy Scale. The majority of participants perceived that the Internet is a useful or very useful tool in helping them make health-related decisions. The participants either agreed or strongly agreed with the 7 items of the eHealth literacy scale except an item such as they can call high to low quality of online health information. The U.S students have higher mean scores of all eHealth literacy items than students of South Korea.

HTA and decision-making processes in Central, Eastern and South Eastern Europe: Results from a survey.

Science.gov (United States)

García-Mochón, Leticia; Espín Balbino, Jaime; Olry de Labry Lima, Antonio; Caro Martinez, Araceli; Martin Ruiz, Eva; Pérez Velasco, Román

2017-03-31

To gain knowledge and insights on health technology assessment (HTA) and decision-making processes in Central, Eastern and South Eastern Europe (CESEE) countries. A cross-sectional study was performed. Based on the literature, a questionnaire was developed in a multi-stage process. The questionnaire was arranged according to 5 broad domains: (i) introduction/country settings; (ii) use of HTA in the country; (iii) decision-making process; (iv) implementation of decisions; and (v) HTA and decision-making: future challenges. Potential survey respondents were identified through literature review-with a total of 118 contacts from the 24 CESEE countries. From March to July 2014, the survey was administered via e-mail. A total of 22 questionnaires were received generating an 18.6% response rate, including 4 responses indicating that their institutions had no involvement in HTA. Most of the CESEE countries have entities under government mandates with advisory functions and different responsibilities for decision-making, but mainly in charge of the reimbursement and pricing of medicines. Other areas where discrepancies across countries were found include criteria for selecting technologies to be assessed, stakeholder involvement, evidence requirements, use of economic evaluation, and timeliness of HTA. A number of CESEE countries have created formal decision-making processes for which HTA is used. However, there is a high level of heterogeneity related to the degree of development of HTA structures, and the methods and processes followed. Further studies focusing on the countries from which information is scarcer and on the HTA of health technologies other than medicines are warranted. Reviews/comparative analyses. Copyright © 2017 Elsevier B.V. All rights reserved.

Food and vices in south-eastern Nigeria: implications for poverty ...

African Journals Online (AJOL)

The objectives include among others an examination of the nature of poverty in South-Eastern Nigeria; an investigation to ascertain whether or not, poverty results in hunger, etc. The following were the findings: Hunger seems to have ravaged our society. This is because majority of our people are poor and are unable to ...

Out-of-pocket payments, health care access and utilisation in south-eastern Nigeria: a gender perspective.

Science.gov (United States)

Onah, Michael N; Govender, Veloshnee

2014-01-01

Out-of-pocket (OOP) payments have severe consequences for health care access and utilisation and are especially catastrophic for the poor. Although women comprise the majority of the poor in Nigeria and globally, the implications of OOP payments for health care access from a gender perspective have received little attention. This study seeks to fill this gap by using a combination of quantitative and qualitative analysis to investigate the gendered impact of OOPs on healthcare utilisation in south-eastern Nigeria. 411 households were surveyed and six single-sex Focus Group Discussions conducted. This study confirmed the socioeconomic and demographic vulnerability of female-headed households (FHHs), which contributed to gender-based inter-household differences in healthcare access, cost burden, choices of healthcare providers, methods of funding healthcare and coping strategies. FHHs had higher cost burdens from seeking care and untreated morbidity than male-headed households (MHHs) with affordability as a reason for not seeking care. There is also a high utilisation of patent medicine vendors (PMVs) by both households (PMVs are drug vendors that are unregulated, likely to offer very low-quality treatment and do not have trained personnel). OOP payment was predominantly the means of healthcare payment for both households, and households spoke of the difficulties associated with repaying health-related debt with implications for the medical poverty trap. It is recommended that the removal of user fees, introduction of prepayment schemes, and regulating PMVs be considered to improve access and provide protection against debt for FHHs and MHHs. The vulnerability of widows is of special concern and efforts to improve their healthcare access and broader efforts to empower should be encouraged for them and other poor households.

Glazed pottery of the South-Eastern Crimea from the excavations of the Tsarev settlement

Directory of Open Access Journals (Sweden)

Iudin Nikita I.

2015-09-01

Full Text Available The article deals with the findings of glazed ceramics produced in the South-Eastern Crimea, and then excavated at the Tsarev settlement. Their typology, chronology and topography are being introduced by the author. On the basis of the 165 analyzed fragments and whole vessels the author suggests a 4-level classification scheme, which includes the production center, functional purpose of the items, morphological characteristics and ornamentation of the vessels. Basic types and variations of vessels’ shapes are being described according to three major chronological periods: 1. Early 1300s, 2. 1330s, 3. The second half of the 14th century. Notably, the earliest findings of ceramics dated by the first two periods were located on the South-Eastern part of the Tsarev settlement. Most of all, its are the bowls on a circular underpan lacking ornamentation and covered with green transparent glazing. Since the second half of the 14th century the vessels from the South-Eastern Crimea had been widely spread on the entire area of the settlement. The assortment of vessels’ shapes used at this time along with jars and bowls, was now widened by aftobes and apothecary amphoras.

Physical fertility of degraded acid sands in South-eastern Nigeria ...

African Journals Online (AJOL)

We evaluated the physical fertility of degraded and undegraded acid sands in Akwa Ibom State, South-eastern Nigeria. The soils were similar in texture, being predominantly sandy, averaging 90.1% in degraded and 89.9% in undegraded soil. Bulk density averaged 1.50g/cm3 and 1.45g/cm3, while macropores averaged ...

Age and sex prevalence of infectious dermatoses among primary school children in a rural South-Eastern Nigerian community

OpenAIRE

Kalu, Eziyi Iche; Wagbatsoma, Victoria; Ogbaini-Emovon, Ephraim; Nwadike, Victor Ugochukwu; Ojide, Chiedozie Kingsley

2015-01-01

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...

Gravity and magnetic modelling in the Vrancea Zone, south-eastern Carpathians: Redefinition of the edge of the East European Craton beneath the south-eastern Carpathians

Science.gov (United States)

Bocin, A.; Stephenson, R.; Matenco, L.; Mocanu, V.

2013-11-01

A 2D gravity and magnetic data model has been constructed along a 71 km densely observed profile, called DACIA PLAN GRAV MAN's. The profile crosses part of the nappe pile of the south-eastern Carpathians and includes the seismically active Vrancea Zone and was acquired with the objective to illuminate the basement structure and affinity in this area. The modelling approach was to create an initial model from well constrained geological information, integrate it with previous seismic ray tracing and tomographic models and then alter it outside the a priori constraints in order to reach the best fit between observed and calculated potential field anomalies. The results support a realignment of the position of the TTZ (Tornquist-Teisseyre Zone), the profound tectonic boundary within Europe that separates Precambrian cratonic lithosphere of the East European Craton (EEC) from younger accreted lithosphere of Phanerozoic mobile belts to its west. The TTZ is shown to lie further to the south-west than was previously inferred within Romania, where it is largely obscured by the Carpathian nappes. The crust of the EEC beneath the south-eastern Carpathians is inferred to terminate along a major crustal structure lying just west of the Vrancea seismogenic zone. The intermediate depth seismicity of the Vrancea Zone therefore lies within the EEC lithosphere, generally supporting previously proposed models invoking delamination of cratonic lithosphere as the responsible mechanism.

The south-eastern North Sea : losses of vertebrate fauna during the past 2000 years

NARCIS (Netherlands)

Wolff, W.J.

At least 31 species of marine mammals, marine and coastal birds, and marine and anadromous fish have disappeared temporarily or permanently from the coasts of The Netherlands and in most cases also from the south-eastern North Sea (south of 54 degrees N) during the past 2000 years-In 18-22 cases,

Assessment of common otolaryngological diseases among children in rural primary schools in south eastern Nigeria.

Science.gov (United States)

Ukaegbe, Onyinyechi C; Umedum, Nnaemeka G; Chime, Ethel N; Orji, Foster T

2016-10-01

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.

Vulnerability and resilience of competing land-based livelihoods in south eastern Zimbabwe

NARCIS (Netherlands)

Murungweni, C.

2011-01-01

Key words: vulnerability; resilience; livelihood; drought; Great Limpopo Transfrontier Conservation Area; south eastern Zimbabwe.

Vulnerability and resilience have emerged as powerful analytical concepts in the study of socio-ecological systems. In this research these concepts are used

West Nile virus circulation in South-Eastern Romania, 2011 to 2013.

Science.gov (United States)

Dinu, S; Cotar, A I; Pănculescu-Gătej, I R; Fălcuţă, E; Prioteasa, F L; Sîrbu, A; Oprişan, G; Bădescu, D; Reiter, P; Ceianu, C S

2015-05-21

Lineage 2 West Nile virus (WNV), previously found only in sub-Saharan Africa and Madagascar, was identified in Hungary in 2004 and has rapidly expanded in Europe in the past decade. Following a significant outbreak of West Nile fever with neurological cases caused by lineage 1 WNV in Romania in 1996, scattered cases have been recorded in the south-east of the country in each transmission season. Another outbreak, affecting a larger area and caused by lineage 2 WNV, was recorded in 2010. We analysed human sera from neuroinvasive West Nile fever cases and mosquitoes, sampled in south-eastern Romania between 2011 and 2013, for the presence of WNV genome, and obtained partial NS5 and envelope glycoprotein sequences. Human- and mosquito-derived WNV sequences were highly similar (99%) to Volgograd 2007 lineage 2 WNV and differed from isolates previously detected in central and southern Europe. WNV was detected in one pool of Culex pipiens s.l. males, documenting vertical transmission. Lineage 4 WNV, of unknown pathogenicity to mammals, was found in the amphibian-feeding mosquito Uranotaenia unguiculata from the Danube Delta. Our results present molecular evidence for the maintenance of the same isolates of Volgograd 2007-like lineage 2 WNV in south-eastern Romania between 2011 and 2013.

Issues in Health Care of Middle Eastern Patients

Science.gov (United States)

Lipson, Juliene G.; Meleis, Afaf I.

1983-01-01

Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. Although Middle Easterners vary ethnically, they do share a core of common values and behavior that include the importance of affiliation and family, time and space orientations, interactional style and attitudes toward health and illness. Problems in providing health care involve obtaining adequate information, “demanding behavior” by a patient's family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or “bad news.” There are guidelines that will provide an understanding of the cultural characteristics of Middle Easterners and, therefore, will improve rather than impede their health care. A personal approach and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. PMID:6364575

Risk factors for incident HIV infection among antenatal mothers in rural Eastern Cape, South Africa

Directory of Open Access Journals (Sweden)

Charles Bitamazire Businge

2016-01-01

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.

Out-of-pocket payments, health care access and utilisation in south-eastern Nigeria: a gender perspective.

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Michael N Onah

Full Text Available Out-of-pocket (OOP payments have severe consequences for health care access and utilisation and are especially catastrophic for the poor. Although women comprise the majority of the poor in Nigeria and globally, the implications of OOP payments for health care access from a gender perspective have received little attention. This study seeks to fill this gap by using a combination of quantitative and qualitative analysis to investigate the gendered impact of OOPs on healthcare utilisation in south-eastern Nigeria. 411 households were surveyed and six single-sex Focus Group Discussions conducted. This study confirmed the socioeconomic and demographic vulnerability of female-headed households (FHHs, which contributed to gender-based inter-household differences in healthcare access, cost burden, choices of healthcare providers, methods of funding healthcare and coping strategies. FHHs had higher cost burdens from seeking care and untreated morbidity than male-headed households (MHHs with affordability as a reason for not seeking care. There is also a high utilisation of patent medicine vendors (PMVs by both households (PMVs are drug vendors that are unregulated, likely to offer very low-quality treatment and do not have trained personnel. OOP payment was predominantly the means of healthcare payment for both households, and households spoke of the difficulties associated with repaying health-related debt with implications for the medical poverty trap. It is recommended that the removal of user fees, introduction of prepayment schemes, and regulating PMVs be considered to improve access and provide protection against debt for FHHs and MHHs. The vulnerability of widows is of special concern and efforts to improve their healthcare access and broader efforts to empower should be encouraged for them and other poor households.

The prevalence and distribution of Argas walkerae (Acari: Argasidae in the eastern region of the Eastern Cape Province, South Africa : research communications

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N. Nyangiwe

2008-09-01

Full Text Available The prevalence and geographic distribution of the fowl tampan, Argas walkerae Kaiser & Hoogstraal, 1969 was determined in the eastern region of the Eastern Cape Province, South Africa by inspecting two fowl houses in the vicinity of each of 72 randomly selected communal cattle dip-tanks. Tampans were collected from 102 (70.8 % of the 144 fowl houses in the neighbourhood of 57 (79.2 % of the 72 selected dip-tanks, and the localities of the collections were mapped. Argas walkerae was present in fowl houses from the warm coastal regions of the Indian Ocean in the south to the cold and mountainous Drakensberg in the north-east of the Province. Taking into account the probable sensitivity of the sampling method, it is estimated that A. walkerae is likely to be present in fowl houses belonging to between 74 and 84 % of communities making use of cattle dip-tanks in the eastern region of the Eastern Cape Province, and that when it is present, between 64 and 75 % of fowl houses will be infested. The geographic distribution of A. walkerae seemed to be more strongly associated with the presence of fowls and fowl houses containing raw or processed wood in their structure than with climate.

The provision of Primary Health Care in two rural districts of the Eastern Cape Province with particular reference to human resources and accessibility

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M. Thipanyana

1998-09-01

Full Text Available The provision of Primary Health Care Services (PHC is still a problem in developing countries like South Africa. In other countries, one finds enough human resources whilst in other countries there may be enough material resources. A both qualitative and quantitative research was conducted at Mqanduli and part of the Eastern Elliotdale districts in the Eastern Cape Province with the aim of investigating the provision of Primary health Care Services, reference was made to the availability of human resources and accessibility of PHC services.

South-South Collaboration in Health Biotechnology: Growing ...

International Development Research Centre (IDRC) Digital Library (Canada)

2012-01-01

Jan 1, 2012 ... South-South Collaboration in Health Biotechnology: Growing Partnerships amongst Developing ... the availability of more affordable health products and services. ... of Health Research, New Principal Investigator Award (2007-2012). ... water management: Innovative solutions from the Global South”.

The South Eastern Europe Higher Education Area: Is it possible?

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L.D. Lacrama

2007-01-01

Full Text Available Through history, South Eastern Europe has been a difficult and highly heterogeneous area of the continent. Nevertheless, recent developments have proved that a better future is possible. An important component of this genuine healing process is establishing connections and partnerships among universities inside the region. The present paper advocates the use of modern educational technology in order to implement common scientific and educational programs in this area.

Factors affecting adherence to antiretroviral therapy among pregnant women in the Eastern Cape, South Africa.

Science.gov (United States)

Adeniyi, Oladele Vincent; Ajayi, Anthony Idowu; Ter Goon, Daniel; Owolabi, Eyitayo Omolara; Eboh, Alfred; Lambert, John

2018-04-13

Context-specific factors influence adherence to antiretroviral therapy (ART) among pregnant women living with HIV. Gaps exist in the understanding of the reasons for the variable outcomes of the prevention of mother-to-child transmission (PMTCT) programme at the health facility level in South Africa. This study examined adherence levels and reasons for non-adherence during pregnancy in a cohort of parturient women enrolled in the PMTCT programme in the Eastern Cape, South Africa. This was a mixed-methods study involving 1709 parturient women in the Eastern Cape, South Africa. We conducted a multi-centre retrospective analysis of the mother-infant pair in the PMTCT electronic database in 2016. Semi-structured interviews of purposively selected parturient women with self-reported poor adherence (n = 177) were conducted to gain understanding of the main barriers to adherence. Binary logistic regression was used to determine the independent predictors of ART non-adherence. A high proportion (69.0%) of women reported perfect adherence. In the logistic regression analysis, after adjusting for confounding factors, marital status, cigarette smoking, alcohol use and non-disclosure to a family member were the independent predictors of non-adherence. Analysis of the qualitative data revealed that drug-related side-effects, being away from home, forgetfulness, non-disclosure, stigma and work-related demand were among the main reasons for non-adherence to ART. Non-adherence to the antiretroviral therapy among pregnant women in this setting is associated with lifestyle behaviours, HIV-related stigma and ART side-effects. In order to eliminate mother-to-child transmission of HIV, clinicians need to screen for these factors at every antenatal clinic visit.

Molecular phylogenetics and systematic revision of the south-eastern Australian Helicarionidae (Gastropoda, Stylommatophora)

NARCIS (Netherlands)

Hyman, I.T.; Iglesia Lamborena, de la I.; Köhler, F.

2017-01-01

The south-eastern Australian helicarionid clade currently comprises six genera of snails and semislugs united by genital characters, including an epiphallic flagellum that produces a spiraling, spinose spermatophore, the absence of an epiphallic caecum, and the presence of at most a very short

Mycobacterium tuberculosis infection in cattle from the Eastern Cape Province of South Africa.

Science.gov (United States)

Hlokwe, Tiny Motlatso; Said, Halima; Gcebe, Nomakorinte

2017-10-10

Mycobacterium tuberculosis is the main causative agent of tuberculosis (TB) in human and Mycobacterium bovis commonly causes tuberculosis in animals. Transmission of tuberculosis caused by both pathogens can occur from human to animals and vice versa. In the current study, M. tuberculosis, as confirmed by polymerase chain reaction (PCR) using primers targeting 3 regions of difference (RD4, RD9 and RD12) on the genomes, was isolated from cattle originating from two epidemiologically unrelated farms in the Eastern Cape (E.C) Province of South Africa. Although the isolates were genotyped with variable number of tandem repeat (VNTR) typing, no detailed epidemiological investigation was carried out on the respective farms to unequivocally confirm or link humans as sources of TB transmission to cattle, a move that would have embraced the 'One Health' concept. In addition, strain comparison with human M. tuberculosis in the database from the E.C Province and other provinces in the country did not reveal any match. This is the first report of cases of M. tuberculosis infection in cattle in South Africa. The VNTR profiles of the M. tuberculosis strains identified in the current study will form the basis for creating M. tuberculosis VNTR database for animals including cattle for future epidemiological studies. Our findings however, call for urgent reinforcement of collaborative efforts between the veterinary and the public health services of the country.

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

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Angela A. Morris-Paxton

2018-04-01

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.

Performance of a multi-RCM ensemble for South Eastern South America

Energy Technology Data Exchange (ETDEWEB)

Carril, A.F.; Menendez, C.G.; Salio, P. [Ciudad Universitaria, Ciudad Autonoma de Buenos Aires, Centro de Investigaciones del Mar y la Atmosfera (CIMA), CONICET-UBA, Buenos Aires (Argentina); Universidad de Buenos Aires, Departamento de Ciencias de la Atmosfera y los Oceanos (DCAO), FCEN, Buenos Aires (Argentina); UMI IFAECI/CNRS, Buenos Aires (Argentina); Remedio, A.R.C.; Jacob, D.; Pfeifer, S. [Max Planck Institute for Meteorology (MPI-M), Hamburg (Germany); Robledo, F.; Tencer, B. [Universidad de Buenos Aires, Departamento de Ciencias de la Atmosfera y los Oceanos (DCAO), FCEN, Buenos Aires (Argentina); Soerensson, A.; Zaninelli, P. [Ciudad Universitaria, Ciudad Autonoma de Buenos Aires, Centro de Investigaciones del Mar y la Atmosfera (CIMA), CONICET-UBA, Buenos Aires (Argentina); UMI IFAECI/CNRS, Buenos Aires (Argentina); Boulanger, J.P. [LOCEAN, UMR CNRS/IRD/UPMC, Paris (France); Castro, M. de; Sanchez, E. [Universidad de Castilla-La Mancha (UCLM), Toledo (Spain); Le Treut, H.; Li, L.Z.X. [Sciences de l' Environnement en Ile de France, Laboratoire de Meteorologie Dynamique (LMD), Institut-Pierre-Simon-Laplace et Ecole Doctorale, Paris (France); Penalba, O.; Rusticucci, M. [Universidad de Buenos Aires, Departamento de Ciencias de la Atmosfera y los Oceanos (DCAO), FCEN, Buenos Aires (Argentina); UMI IFAECI/CNRS, Buenos Aires (Argentina); Samuelsson, P. [Swedish Meteorological and Hydrological Institute (SMHI), Norrkoeping (Sweden)

2012-12-15

The ability of four regional climate models to reproduce the present-day South American climate is examined with emphasis on La Plata Basin. Models were integrated for the period 1991-2000 with initial and lateral boundary conditions from ERA-40 Reanalysis. The ensemble sea level pressure, maximum and minimum temperatures and precipitation are evaluated in terms of seasonal means and extreme indices based on a percentile approach. Dispersion among the individual models and uncertainties when comparing the ensemble mean with different climatologies are also discussed. The ensemble mean is warmer than the observations in South Eastern South America (SESA), especially for minimum winter temperatures with errors increasing in magnitude towards the tails of the distributions. The ensemble mean reproduces the broad spatial pattern of precipitation, but overestimates the convective precipitation in the tropics and the orographic precipitation along the Andes and over the Brazilian Highlands, and underestimates the precipitation near the monsoon core region. The models overestimate the number of wet days and underestimate the daily intensity of rainfall for both seasons suggesting a premature triggering of convection. The skill of models to simulate the intensity of convective precipitation in summer in SESA and the variability associated with heavy precipitation events (the upper quartile daily precipitation) is far from satisfactory. Owing to the sparseness of the observing network, ensemble and observations uncertainties in seasonal means are comparable for some regions and seasons. (orig.)

Quality of life and sex-differences in a South-Eastern Nigerian stroke ...

African Journals Online (AJOL)

This study set out to provide preliminary data on the QOL of stroke survivors in South-Eastern Nigeria and also investigate sex-differences in the QOL. Methods One hundred and three volunteering stroke survivors (53 males, 50 females) were recruited from various settings. The Stroke-Specific Quality of Life (SS-QOL) scale ...

Old age mortality in Eastern and South-Eastern Asia

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Danan Gu

2013-11-01

Full Text Available Background: Eastern and South-Eastern Asian countries have witnessed a marked decline in old age mortality in recent decades. Yet no studies have investigated the trends and patterns in old age morality and cause-of-death in the region. Objective: We reviewed the trends and patterns of old age mortality and cause-of-death for countries in the region. Methods: We examined data on old age mortality in terms of life expectancy at age 65 and age-specific death rates from the 2012 Revision of the World Population Prospects for 14 countries in the region (China, Hong Kong, Democratic People's Republic of Korea, Indonesia, Japan, Lao People's Democratic Republic, Myanmar, Malaysia, Mongolia, Philippines, Republic of Korea, Singapore, Thailand, and Viet Nam and data on cause-of-death from the WHO for five countries (China, Hong Kong, Japan, Republic of Korea, and Singapore from 1980 to 2010. Results: While mortality transitions in these populations took place in different times, and at different levels of socioeconomic development and living environment, changes in their age patterns and sex differentials in mortality showed certain similarities: women witnessed a similar decline to men in spite of their lower mortality, and young elders had a larger decline than the oldest-old. In all five countries examined for cause-of-death, most of the increases in life expectancy at age 65 in both men and women were attributable to declines in mortality from stroke and heart disease. GDP per capita, educational level, and urbanization explained much of the variations in life expectancy and cause-specific mortality, indicating critical contributions of these basic socioeconomic development indicators to the mortality decline over time in the region. Conclusions: These findings shed light on the relationship between epidemiological transition, changing age patterns of mortality, and improving life expectancy in these populations.

Extreme negative coexceedances in South Eastern European stock markets

DEFF Research Database (Denmark)

Tevdovski, Dragan

The aim of this paper is to analyze the financial integration of the South Eastern Europe (SEE) stock markets. We use a multinomial logistic regression to analyze how persistence, asset class and volatility effects are related with negative coexceedances in SEE markets. We find evidence in favor...... of the continuation hypothesis in SEE stock markets. However, the factors associated with the coexceedances differ between the EU member countries from SEE and EU accession countries from SEE stock markets.The EU member countries are more dependent from the signals from major EU economies, while the accession...

Occurrence and mineralogy of ferruginous bauxites along the eastern seaboard of South Africa

International Nuclear Information System (INIS)

Fitzpatrick, R.W.

1983-01-01

The distribution of ferruginous bauxites along the eastern seaboard of South Africa is shown in a small-scale map and their genesis is briefly described. The aluminium oxide, iron oxide, primary slightly-altered iron and titanium oxides and layer silicate minerals in some typical ferruginous bauxites from the eastern seaboard of South Africa have been investigated by X-ray powder diffraction (XRD), infra-red spectroscopy (IR), thin section, electron optical (SEM and TEM) and chemical extraction analysis. The dominant aluminium oxide mineral is well-crystalline gibbsite. Traces of boehmite were identified in some samples. The dominant iron oxide mineral is finely-divided goethite containing from 20 to 25 mole per cent AIO(OH), this being the mineral which gives the bauxites their characteristic yellowish colour. The reddish bauxites also contain finely-divided Al-substituted hematite which masks the colour of the goethite. The aluminium incorporated in the iron oxide structures is not recoverable by the normal Bayer Process

Establishing priorities for advocacy in South African Health.

Science.gov (United States)

Mametja, D; Jinabhai, C C; Ngwane, N; Dolan, C; Twala, J; Mackenzie, A; Gear, J; Russo, R; Tollman, S; Pugh, A

1993-01-01

To develop an appropriate health policy agenda, the National Progressive Primary Health Care Network (NPPHC) and the South African Health and Social Services Organization (SAHSSO) conducted situational analyses in 4 areas: an informal peri-urban area within the Durban functional region in Natal, a rural area in the Mhala-Mapulaneng district in the North Eastern Transvaal, the informal settlement of Botshabelo in the Orange Free State, and a dense township dwelling in Soweto. The analyses were based on interviews with health workers and community leaders, a national survey, and a questionnaire for health service administrators. All 4 areas were characterized by poverty, unemployment, low educational levels, lack of a clean water supply or refuse removal system, housing shortages or overcrowding, and political violence. Preventable diseases, such as water-borne diarrhea and malnutrition, cause substantial morbidity, yet health services tend to be inaccessible, distributed inequitably, of poor quality, and with unclear administrative structures. Community members interviewed indicated that clinic fees were too high, especially given the low quality of care, and there was a general mistrust of the competency of doctors and nurses. There was a lack of consensus on the meaning of community participation; some viewed it as a vehicle for empowerment, while others felt the strategy would be exploited as a means to deny government assistance. Overall, respondents were supportive of a greater role for community health workers and more involvement on the part of nongovernmental organizations. A priority, at present, is attention to the many socioeconomic factors that are compromising the health of black South Africans and overshadowing the rationalization of health services.

PROCSEE: Policy Challenges for Professional Higher Education in Central and South-Eastern Europe

Science.gov (United States)

Policnik, Jasmina; Sauli Miklavcic, Alicia Leonor; Alupei-Durach, Flavia; Nožica, Žarko; Chrást, Ondrej; Voldánová, Iva; Karpíšek, Michal; Dinya, László; Medve, Anna; Wéber, György; Racsko, Réka; Perényi, Petra; Camilleri, Anthony F.

2016-01-01

PROCSEE is a policy-oriented project, aimed at strengthening the provision of professional higher education, by strengthening the policy-work conducted by umbrella organizations representing professional higher education institutions in Central and South-Eastern in Europe. Working together over three years, the project intends to: (1) identify the…

Public Integrity and Performance of Governance. A Comparative Study for South-Eastern Europe

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Lucica Matei

2009-07-01

Full Text Available The studies concerning the impact of corruption on the effectiveness of governance are numerous, valorising profound approaches, based on criteria and standards related to good governance, organizational behaviour.The concepts and mechanisms specific for econometrics and statistics provide the quantitative support for qualitative analyses, substantiating public policies, in view to assure effectiveness in performance measurement.For all South-Eastern European countries, the level of development and social organization determines specific ethical behaviours. In this context, the current paper aims a comparative economic and social evaluation of the correlations between corruption, performance and economic freedom in South-Eastern European countries, including Romania.The working hypotheses turn into consideration the following issues:- corruption holds national specific character and the statistic, econometric or sociologic analyses reveal that it is stable during the time;- an effective governance leads to increasing the citizens’ welfare;- if a country is poor and the economic freedom is reduced than the bureaucratic and political system tends to be more corrupted;- the perspective of accession into the EU has led to the perception concerning the reduction of the corruption level.The above hypotheses will be completed and we shall achieve comparative analyses, relevant for the group of South-Eastern European countries. The above quantitative analyses will use both own results of the researches carried out by the authors and public results of World Bank, Transparency International and Heritage Foundation, as well as results of authorities responsible for national statistics. The comparative research is achieved on a 10 years period, comprising also the moment of accession into the European Union for some states.

Scaphitid ammonites from the Upper Cretaceous of KwaZulu-Natal and Eastern Cape Province, South Africa

Science.gov (United States)

Kennedy, William James; Klinger, Herbert Christian

2013-12-01

Kennedy, W.J. and Klinger, H.C. 2013. Scaphitid ammonites from the Upper Cretaceous of KwaZulu-Natal and Eastern Cape Province, South Africa. Acta Geologica Polonica, 63 (4), 527-543. Warszawa. Scaphitid ammonites are described and illustrated from the Upper Cretaceous of the coastal region of north-eastern South Africa. Scaphites kieslingswaldensis Langenhan and Grundey, 1891, Scaphites manasoaensis Collignon, 1965, and Yezoites concinna sp. nov. occur in the Coniacian part of the St Lucia Formation in northern KwaZulu-Natal. A further Yezoites sp. may also be from this level. Argentoscaphites corrugatus sp. nov. occurs in the Santonian to Lower Campanian Mzamba Formation on the northernmost coast of Eastern Cape Province. Yezoites australis sp. nov. occurs in the Upper Santonian part of the St Lucia and Mzamba formations of these areas, and Scaphites reesidei Collignon, 1969, is recorded from the Lower Campanian part of the Mzamba Formation. The scaphitid assemblage includes species previously described from Western Europe and Madagascar, together with Argentoscaphites, previously known only from Patagonia (and possibly South India). Dimorphism is recognised in Scaphites reesidei, Yezoites concinna sp. nov. and Y. australis sp. nov. Argentoscaphites corrugatus sp. nov. and Yezoites sp. are represented by microconchs only. Dimorphism has not been recognised in Scaphites kieslingswaldensis.

Extensiveness and Effectiveness of Corporate Governance Regulations in South-Eastern Europe

OpenAIRE

Ana Bobirca; Paul-Gabriel Miclaus

2007-01-01

The purpose of the article is to illustrate the main characteristics of the corporate governance challenge facing the countries of South-Eastern Europe (SEE) and to subsequently determine and assess the extensiveness and effectiveness of corporate governance regulations in these countries. Therefore, we start with an overview on the subject of the key problems of corporate governance in transition. We then address the issue of corporate governance measurement for SEE coun...

Healthcare provider views on the health effects of biomass fuel collection and use in rural Eastern Cape, South Africa: an ethnographic study.

Science.gov (United States)

Matinga, Margaret Njirambo; Annegarn, Harold J; Clancy, Joy S

2013-11-01

Policymakers at global level recognise that household biomass use in developing countries has significant health consequences. However, it is unclear how local-level health professionals perceive and respond to such health effects. This paper which is derived from the findings of a larger study on perceptions and responses to the harmful health effects of carrying heavy firewood loads and to smoke from cooking fires is based on a study conducted in South Africa among managers of health programmes and community nurses of Qaukeni and Mhlontlo municipalities in rural Eastern Cape. Interviews and participant observations were conducted in 2009 using ethnographic grounded theory approaches. In addition to a 10-month period of ethnographic fieldwork, ten programme managers and nurses in two villages were interviewed about health patterns in the villages that they serve, their perceptions of, and responses to the health effects of carrying heavy firewood loads, and inhalation of smoke from wood and dung cooking fires, their professional qualifications and experience, their own household energy use; and observations made as they served clinic clients. Results show that these programme managers and nurses perceive the health effects of carrying heavy loads of firewood and of cooking smoke as minor. Sometimes, nurses give women symptomatic relief for musculoskeletal pain resulting from carrying heavy loads. We posit that their perceptions are derived from customary neglect of work-related health and non-communicable diseases, cultural interpretations of womanhood, limited access to relevant information, and limited interactions between health and energy sector professionals. We conclude that culturally and gender-sensitive awareness programmes are needed for local-level health professionals to effectively address health effects of biomass collection and use. This paper provides new insights into overlooked differences between globally-driven initiatives to address health

Forensic mental health services: Current service provision and planning for a prison mental health service in the Eastern Cape

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Kiran Sukeri

2016-05-01

Full Text Available Objectives: No research data exists on forensic psychiatric service provision in the Eastern Cape, Republic of South Africa. The objective of this research was to assess current forensic psychiatric service provision and utilisation rates at Fort England Hospital. This is important in improving and strengthening the service. A related objective was to develop a model for a provincial prison mental health service. Methodology: This study is a situational analysis of an existing forensic psychiatric service in the Eastern Cape. The design of the study was cross sectional. An audit questionnaire was utilised to collate quantitative data, which was submitted to Fort England Hospital, Grahamstown. A proposed prison mental health service was developed utilising prevalence rates of mental illness among prisoners to calculate bed and staff requirements for an ambulatory and in-patient service. Results: During the study period a total of 403 remand detainees were admitted to the forensic psychiatry division of Fort England Hospital. The average length of stay was 494 days and the bed utilisation rate was determined at 203.54%. We estimate that to provide a provincial prison mental health service to treat psychotic illnesses and major depression the province requires a 52 bedded facility and a total staff complement of approximately 31. Conclusions: Forensic psychiatric services include the assessment, management and treatment of mentally disordered persons in conflict with the law and prisoners requiring psychiatric assessments. The Eastern Cape Province does not have plans or policies to assess and manage mentally ill offenders, resulting in an increased load on available services. We recommend that an inter-departmental task team, which includes Health, Justice and Constitutional Development and Correctional Services, should be established in the province, to develop a strategy to assist in the development of an effective and efficient forensic

Acceptability of general practice services for Afghan refugees in south-eastern Melbourne.

Science.gov (United States)

Manchikanti, Prashanti; Cheng, I-Hao; Advocat, Jenny; Russell, Grant

2017-04-01

Over 750000 refugees have resettled in Australia since 1945. Despite complex health needs related to prior traumatic experiences and the challenges of resettlement in a foreign country, refugees experience poor access to primary care. Health and settlement service providers describe numerous cultural, communication, financial and health literacy barriers. This study aimed to investigate the acceptability of general practitioner (GP) services and understand what aspects of acceptability are relevant for Afghan refugees in south-eastern Melbourne. Semi-structured interviews were conducted with two Afghan community leaders and 16 Dari- or English-speaking Afghan refugees who accessed GP services. Two distinct narratives emerged - those of recently arrived refugees and established refugees (living in Australia for 3 years or longer). Transecting these narratives, participants indicated the importance of: (1) a preference for detailed clinical assessments, diagnostic investigations and the provision of prescriptions at the first consultation; (2) 'refugee-friendly' staff; and (3) integrated, 'one-stop-shop' GP clinic features. The value of acceptable personal characteristics evolved over time - GP acceptability was less a consideration for recently arrived, compared with more, established refugees. The findings reinforce the importance of tailoring healthcare delivery to the evolving needs and healthcare expectations of newly arrived and established refugees respectively.

Occurrences of Organochlorine Pesticides along the Course of the Buffalo River in the Eastern Cape of South Africa and Its Health Implications

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Abdulrazaq Yahaya

2017-11-01

Full Text Available Most organochlorine pesticides (OCPs which are increasingly used in agriculture and industry are not biodegradable and thereby persist in the environment for a very long period of time. They are capable of negatively impacting the health of humans and biota when present in a higher concentration than recommended. This study evaluated the concentrations of 17 OCPs in surface water samples collected from six sampling sites along the course of the Buffalo River in Eastern Cape, South Africa, between December 2015 and May 2016. The samples were subjected to solvent extraction, followed by florisil clean up, and analyzed using gas chromatography coupled with an electron capture detector. The individual concentrations of OCPs detected ranged from South Africa.

Posttraumatic Stress Disorder and Barriers to Care in Eastern Cape Province, South Africa.

Science.gov (United States)

Topper, Kegan; van Rooyen, Kempie; Grobler, Christoffel; van Rooyen, Dalena; Andersson, Lena M C

2015-08-01

A range of barriers to seeking mental health care in low- and middle-income countries has been investigated. Little, however, is known of the barriers to care and help-seeking behavior among people with posttraumatic stress disorder (PTSD) in low- and middle-income countries. This was a population-based study including 977 people aged 18-40 years from the Eastern Cape Province in South Africa. Current PTSD was assessed by using a diagnostic questionnaire (Mini International Psychiatric Interview). An additional questionnaire captured socioeconomic and health-related data. The prevalence of current PTSD was 10.8%. Only 48.1% of people with current PTSD accessed health care services. Younger people aged 18 to 29 years were less likely to seek health care, OR = 0.36, 95% CI [0.15, 0.85]. People earning a salary or wage, OR = 2.91, 95% CI [1.26, 6.71]; and those with tuberculosis, OR = 11.63, 95% CI [1.42, 95.56], were more likely to seek health care. A range of barriers to seeking care were identified, the most striking being stigma and a lack of knowledge regarding the nature and treatment of mental illness. People with current PTSD may seek help for other health concerns and brief screening means those affected may be readily identified. Copyright © 2015 Wiley Periodicals, Inc., A Wiley Company.

Prevalence of Taenia solium cysticercosis in swine from a community-based study in 21 villages of the Eastern Cape Province, South Africa

OpenAIRE

Krecek, R C; Michael, L M; Schantz, P M; Ntanjana, L; Smith, M F; Dorny, P; Harrison, L J S; Grimm, F; Praet, N; Willingham, A L

2008-01-01

The pork tapeworm, Taenia solium, causative organism of porcine cysticercosis and human neurocysticercosis is known to occur in areas of South Africa including Eastern Cape Province but, despite increasing reports of its occurrence throughout the subregion, the prevalence is yet to be clearly established. The parasite presents a potentially serious agricultural problem and public health risk in endemic areas. The human populations considered to be at highest risk of infection with this zoonot...

Genetic diversity and occurrence of the F129L substitutions among isolates of Alternaria solani in south-eastern Sweden.

Science.gov (United States)

Odilbekov, Firuz; Edin, Eva; Garkava-Gustavsson, Larisa; Hovmalm, Helena Persson; Liljeroth, Erland

2016-01-01

Early blight, caused by the fungus Alternaria solani, occurs on potato mainly in the south-eastern part of Sweden, but also in other parts of the country. The aim of this study was to investigate the genetic diversity of A. solani populations from different potato growing regions in south-eastern Sweden using AFLP marker analysis. In addition, the cultured isolates were examined for substitutions in the gene encoding cytochrome b , associated with loss of sensitivity against QoI fungicides. Nei's gene diversity index for the Swedish populations of A. solani revealed a gene diversity of up to 0.20. Also genetic differentiation was observed among populations of A. solani from different locations in south-eastern Sweden. The mitochondrial genotype of the isolates of A. solani was determined and both known genotypes, GI (genotype 1) and GII (genotype 2), were found among the isolates. The occurrence of the F129L substitution associated with a loss of sensitivity to strobilurins was confirmed among the GII isolates. In vitro conidial germination tests verified that isolates containing the F129L substitution had reduced sensitivity to azoxystrobin and, at a lower extent, to pyraclostrobin. Genetic diversity was relatively high among isolates of A. solani in south-eastern part of Sweden. F129L substitutions, leading to reduced sensitivity to strobilurins, have been established in field populations, which may have implications for the future efficacy of QoI fungicides.

Frequency and impact of Holocene fire in eastern South Island, New Zealand

International Nuclear Information System (INIS)

Rogers, G.M.; Walker, S.; Basher, L.M.; Lee, W.G.

2007-01-01

Our evaluation of pre-settlement Holocene (10,000-1000 BP) fire, using radiocarbon-dated charcoals and pollen and charcoal spectra in pollen diagrams, concludes that fires were infrequent and patchy in the eastern South Island of New Zealand. Charcoal radiocarbon dates point to three broad phases of fire frequency: infrequent patchy fires from 10,000 to 2600 BP; a slightly increased frequency between 2600 and 1000 BP; and an unprecedented increase of fires after 1000 BP, which peaked between 800 and 500 BP. We suggest that natural fire was driven more by vegetation flammability (with ignitibility and combustibility components) than climate within this rain-shadow region, that plant chemistry principally determined fire frequency, and that topography determined the extent of fire. The review suggests that there were rare spatial and temporal instances of a feedback relationship between fire and early-successional grasses in eastern South Island. This occurred only within narrow-range, cool environments, whose equilibrium communities were of flammable, phenolic-rich woody species and grasses, and was predominantly in the late pre-settlement period. Elsewhere, grasses and herbs were understorey components to otherwise low-flammability, hardwood forest and scrub. (author). 47 refs., 6 figs., 4 tabs

Most common road safety engineering deficiencies in South Eastern Europe as a part of safe system approach

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Jovanov, D.; Vollpracht, H. J.; Beles, H.; Popa, V.; Tolea, B. A.

2017-10-01

Most common road safety engineering deficiencies identified by the authors in South Eastern Europe, including Romania, have been collected together and presented in this paper as a part of road safety unbreakably connected to the safe system approach (driver-vehicle-road). In different South Eastern Europe countries Road Safety Audit (RSA), Road Safety Inspection (RSI), as well as Black Spot Management (BSM) was introduced and practical implementation experience enabled the authors to analyze the road safety problems. Typical road safety engineering deficiencies have been presented in 8 different subsections, based on PIARC (World Road Association) RSA approach. This paper presents collected common road safety problems with relevant illustrations (real pictures) with associated accident risks.

Vertical and horizontal extension of the oxygen minimum zone in the eastern South Pacific Ocean

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Fuenzalida, Rosalino; Schneider, Wolfgang; Garcés-Vargas, José; Bravo, Luis; Lange, Carina

2009-07-01

Recent hydrographic measurements within the eastern South Pacific (1999-2001) were combined with vertically high-resolution data from the World Ocean Circulation Experiment, high-resolution profiles and bottle casts from the World Ocean Database 2001, and the World Ocean Atlas 2001 in order to evaluate the vertical and horizontal extension of the oxygen minimum zone (oxygen minimum zone to be 9.82±3.60×10 6 km 2 and 2.18±0.66×10 6 km 3, respectively. The oxygen minimum zone is thickest (>600 m) off Peru between 5 and 13°S and to about 1000 km offshore. Its upper boundary is shallowest (zone in some places. Offshore, the thickness and meridional extent of the oxygen minimum zone decrease until it finally vanishes at 140°W between 2° and 8°S. Moving southward along the coast of South America, the zonal extension of the oxygen minimum zone gradually diminishes from 3000 km (15°S) to 1200 km (20°S) and then to 25 km (30°S); only a thin band is detected at ˜37°S off Concepción, Chile. Simultaneously, the oxygen minimum zone's maximum thickness decreases from 300 m (20°S) to less than 50 m (south of 30°S). The spatial distribution of Ekman suction velocity and oxygen minimum zone thickness correlate well, especially in the core. Off Chile, the eastern South Pacific Intermediate Water mass introduces increased vertical stability into the upper water column, complicating ventilation of the oxygen minimum zone from above. In addition, oxygen-enriched Antarctic Intermediate Water clashes with the oxygen minimum zone at around 30°S, causing a pronounced sub-surface oxygen front. The new estimates of vertical and horizontal oxygen minimum zone distribution in the eastern South Pacific complement the global quantification of naturally hypoxic continental margins by Helly and Levin [2004. Global distribution of naturally occurring marine hypoxia on continental margins. Deep-Sea Research I 51, 1159-1168] and provide new baseline data useful for studies on the

Abundance of Armillaria within old-growth eastern hemlock stands in South-Central Pennsylvania

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Matthew S. Fromm; Donald D. Davis

2007-01-01

Abstract—In early summer 2002, 329 soil-sampling pits were dug within an old-growth, eastern hemlock (Tsuga canadensis [L.] Carrière) stand in south-central Pennsylvania recently infested with the hemlock woolly adelgid (Adelges tsugae Annand). For comparison, 199 similar pits were dug in an adjacent hardwood stand. Rhizomorphs of...

Tuberculosis among transhumant pastoralist and settled communities of south-eastern Mauritania

OpenAIRE

L?, Aissata; Tall-Dia, Anta; Bonfoh, Bassirou; Schelling, Esther

2016-01-01

Background: Transhumant pastoralists of Mauritania were assumed to have a high prevalence of tuberculosis (TB) because of reduced access to diagnostic testing. No population-based survey on TB has been published for Mauritania.Objective: The goal of this study was to estimate the prevalence of presumptive TB cases among mobile pastoralists and villagers in a remote zone of Mauritania.Design: In the south-eastern province of Hodh Ech Chargui, 250 adult pastoralists and 250 villagers were rando...

Correlates of risky sexual behaviors in recently traditionally circumcised men from initiation lodges in the Eastern Cape, South Africa.

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Nyembezi, Anam; Sifunda, Sibusiso; Funani, Itumeleng; Ruiter, Robert A C; Van Den Borne, Bart; Reddy, Priscilla S

This exploratory quantitative study examines past risky sexual behaviors among young men who were circumcised as part of a rite of passage to adulthood embedded within a cultural and traditional belief system in the Eastern Cape Province in South Africa. Following permission from the Eastern Cape House of Traditional Leaders (ECHOTL), individual face-to-face interviews using a structured questionnaire were conducted among 114 initiates. The mean age of the participants was 18.9 years, ranging from 15 to 32 years old. About 79.8% reported already having had sex with a woman prior to initiation. Of those, 89% reported that they ever used condoms when having sex, and 61% reported consistent use. Logistic regression analysis showed that consistent condom use increased with higher educational levels. Those involved in other risky health behaviors (specifically, smoking) were also more likely to report inconsistent condom use. Most participants had positive beliefs about male circumcision and STI/HIV transmission. This study provides a first look at the sexual behaviors of young men at the time of their initiation in adulthood, a process that is intended to make it socially acceptable to initiate sexual relations and highlights a major public health challenge in integrating the protective health benefits of circumcision with indigenous cultural practices.

Glacial-interglacial vegetation dynamics in South Eastern Africa coupled to sea surface temperature variations in the Western Indian Ocean

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Dupont, L.M.; Caley, T.; Kim, J.H.; Castañeda, I.S; Malaize, B.; Giraudeau, J.

2011-01-01

Glacial-interglacial fluctuations in the vegetation of South Africa might elucidate the climate system at the edge of the tropics between the Indian and Atlantic Oceans. However, vegetation records covering a full glacial cycle have only been published from the eastern South Atlantic. We present a

Migratory preferences of humpback whales between feeding and breeding grounds in the eastern South Pacific

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Acevedo, Jorge; Aguayo-lobo, Anelio; Allen, Judith; Botero-acosta, Natalia; Capella, Juan; Castro, Cristina; Rosa, Luciano Dalla; Denkinger, Judith; Félix, Fernando; Flórez-gonzález, Lilian; Garita, Frank; Guzmán, Héctor M.; Haase, Ben; Kaufman, Gregory; Llano, Martha; Olavarría, Carlos; Pacheco, Aldo S.; Plana, Jordi; Rasmussen, Kristin; Scheidat, Meike; Secchi, Eduardo R.; Silva, Sebastian; Stevick, Peter T.

2017-01-01

Latitudinal preferences within the breeding range have been suggested for Breeding Stock G humpback whales that summer in different feeding areas of the eastern South Pacific. To address this hypothesis, humpback whales photo-identified from the Antarctic Peninsula and the Fueguian Archipelago

Rural development and the role of game farming in the Eastern Cape, South Africa

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Pasmans, Thijs; Hebinck, Paul

2017-01-01

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

Toward an Understanding of People Management Issues in SMEs: a South-Eastern European Perspective

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Szamosi, Leslie T.; Duxbury, Linda; Higgins, Chris

2004-01-01

The focus of this paper is on developing an understanding, and benchmarking, human resource management HRM issues in small and medium enterprises SMEs in South-Eastern Europe. The importance of SMEs in helping transition-based economies develop is critical, but at the same time the research indicates that the movement toward westernized business…

Spatial statistics detect clustering patterns of kidney diseases in south-eastern Romania

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Ruben I.

2016-02-01

Full Text Available Medical geography was conceptualized almost ten years ago due to its obvious usefulness in epidemiological research. Still, numerous diseases in many regions were neglected in these aspects of research, and the prevalence of kidney diseases in Eastern Europe is such an example. We evaluated the spatial patterns of main kidney diseases in south-eastern Romania, and highlighted the importance of spatial modeling in medical management in Romania. We found two statistically significant hotspots of kidney diseases prevalence. We also found differences in the spatial patterns between categories of diseases. We propose to speed up the process of creating a national database of records on kidney diseases. Offering the researchers access to a national database will allow further epidemiology studies in Romania and finally lead to a better management of medical services.

Cross-Spectrum of Wind Speed for Meso-Gamma Scales in the Upper Surface Layer over South-Eastern Australia

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Woods, Milton J.; Davy, Robert J.; Russell, Christopher J.; Coppin, Peter A.

2011-10-01

Analytical expressions for the cross-spectrum of wind speed are developed for the stochastic simulation of wind power in south-eastern Australia. The expressions are valid for heights above the ground in the range 40-80 m, site separations of 1-30 km, and frequencies of (1/6)-3 cycles h-1. The influence of site separation distance is taken into account, as are variables that are defined for blocks of time. These variables include the mean and standard deviation of wind speed and the mean wind direction. The parameters of the model equations are determined by non-linear least-squares regression with cross-validation over 10 years of wind measurements from 84 towers in south-eastern Australia.

Synergistic effects of drought and deforestation on the resilience of the south-eastern Amazon rainforest

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Staal, A.; Dekkers, S.; Hirota Magalhaes, M.; Nes, van E.H.

2015-01-01

The south-eastern Amazon rainforest is subject to ongoing deforestation and is expected to become drier due to climate change. Recent analyses of the distribution of tree cover in the tropics show three modes that have been interpreted as representing alternative stable states: forest, savanna and

Emerging Administrations and Sustainable Development in South-Eastern Europe. Case study: Romania and Bulgaria

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Bogdan Berceanu

2012-12-01

Full Text Available Fifteen years ago, Agenda 21, the United Nations' call to action for sustainable development, envisaged that the necessary harmonization and extension of existing policies and plans would occur through the adoption of an identifiable strategy for sustainable development. Since then, sustainable development is a widely used phrase and idea and it has many different meanings and therefore provokes many different responses. The aim of the article is to explore the role of the emerging South-Eastern administrations in the sustainable development under the changes and rules imposed by the European Union pressure. We will analyze both concepts, emerging administrations and sustainable development from the perspective of system theory and we will make the link with the concept of emergence, which is utilized to research and to analyze the nature of the changes in the public administration starting from the approach of the systemic theory. The research will be focused on the states form the south-eastern Europe, thus in the case study we will make a comparison between Romania and Bulgaria, as new member states of the European Union.

Morphological characteristics of the Hermann's tortoise (Testudo hermanni Gmelin, 1789 in the south-eastern part of Kosovo and Metohija

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Labus Nenad

2016-01-01

Full Text Available In this paper we present the results of the analysis of morphological characteristics of the Hermann's tortoise from three localities in south­eastern part of Kosovo and Metohija. 75 adult Hermann's tortoises (33 males and 42 females have been analyzed. Morphometric analysis has been done on 7 traits. We considered the plastron black pigmentation patterns and frequencies for each pigmentation states were calculated. Females were larger than males for all morphometric traits. Based on the most important dimensions of carapace and plastron length and width, the Hermann's tortoises from the south-eastern part of Kosovo and Metohija are the most similar to the individuals of the population from the southern part of the Balkan Peninsula (the southern part of Serbia and the northern part of Greece. In relation to the populations from central and eastern Serbia, individuals from our studied area have higher values.

Child Physical Abuse Prevalence, Characteristics, Predictors, and Beliefs about Parent-Child Violence in South Asian, Middle Eastern, East Asian, and Latina Women in the United States

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Maker, Azmaira H.; Shah, Priti V.; Agha, Zia

2005-01-01

The present study examined the prevalence, characteristics, beliefs, and demographic predictors of parent-child physical violence among South Asian, Middle Eastern, East Asian, and Latina women in the United States. Two hundred fifty-one college-educated women from a middle to high SES (South Asian/Middle Eastern, n = 93; East Asian, n = 72;…

Maternal and infant health of Eastern Europeans in Bradford, UK: a qualitative study.

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Richards, Jessica; Kliner, Merav; Brierley, Shirley; Stroud, Laura

2014-09-01

This qualitative study aimed to investigate maternal and infant health needs within Eastern European populations in Bradford. Evidence suggested that migrants from Eastern Europe had poor maternal and child health and increased rates of infant mortality. Health visitors, community midwives and specialist voluntary workers were involved. Eleven interviews took place. They were semi-structured and analysed using a thematic approach. A number of health needs were identified in Eastern European populations, including high rates of smoking and poor diet. Wider determinants of health such as poverty and poor housing were cited as commonplace for Eastern European migrants. There were numerous cultural barriers to health, such as discrimination, mobility, cultural practices regarding age at pregnancy, and disempowerment of women. Lastly, access to health services was identified as a significant issue and this was impacting on staff working with this population. This study demonstrated the complexity and interaction of health and social factors and their influence on utilisation of health services.

Summer Roost Tree Selection by Eastern Red, Seminole, and Evening Bats in the Upper Coastal Plain of South Carolina

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Menzel, M.A.; Carter, T.C.; Ford, W.M.; Chapman, B.R.; Ozier, J.

2000-01-01

Radiotraction of six eastern red bats, six seminole bats and twenty-four evening bats to 55, 61, and 65 day roosts during 1996 to 1997 in the Upper Coastal Plain of South Carolina. For each species, testing was done for differences between used roost trees and randomly located trees. Also tested for differences between habitat characteristics surrounding roost trees and randomly located trees. Eastern Red and Seminole bats generally roosted in canopies of hardwood and pine while clinging to foilage and small branches. Evening bats roosted in cavities or under exfoliating bark in pines and dead snags. Forest management strategies named within the study should be beneficial for providing roosts in the Upper Coastal Plain of South Carolina.

ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa.

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Ruxwana, Nkqubela L; Herselman, Marlien E; Conradie, D Pieter

Information and Communication Technology (ICT) solutions (e.g. e-health, telemedicine, e-education) are often viewed as vehicles to bridge the digital divide between rural and urban healthcare centres and to resolve shortcomings in the rural health sector. This study focused on factors perceived to influence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes. Attention was also given to two psychological variables that may underlie an individual&s acceptance and use of ICTs: usefulness and ease of use. Recommendations are made with regard to how ICTs can be used more effectively to improve health systems at fi ve rural healthcare centres where questionnaire and interview data were collected: St. Lucy&s Hospital, Nessie Knight Hospital, the Tsilitwa Clinic, the Madzikane Ka-Zulu Memorial Hospital and the Nelson Mandela General Hospital.

THE DAY OF THE WEEK EFFECT IN SOUTH EASTERN EUROPE STOCK MARKETS

OpenAIRE

DRAGAN TEVDOVSKI; MARTIN MIHAJLOV; IGOR SAZDOVSKI

2012-01-01

The main aim of this research is to examine existence of day of the week effect on the stock market indices in five countries from South Eastern Europe (SEE): Bosnia and Herzegovina, Bulgaria, Croatia, Macedonia and Serbia in the most recent period which is characterized by the bear market (from 2006 to 2011). The methodology used the regression with dummy variables, or so called Analysis of Variance (ANOVA) model. In addition Wald test is applied. The results imply that the mean daily return...

Corallimorpharia collected during the CANCAP expeditions (1976-1986) in the south-eastern part of the North Atlantic*

NARCIS (Netherlands)

Hartog, den J.C.; Ocaña, O.; Brito, A.

1993-01-01

Species of Corallimorpharia collected during the CANCAP expeditions in the south-eastern part of the North Atlantic are described and discussed, altogether five species belonging to three genera of Corallimorphidae: the shallow water forms Corynactis viridis Allman, 1846, Pseudocorynactis

Circulation, eddies, oxygen, and nutrient changes in the eastern tropical South Pacific Ocean

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Czeschel, R.; Stramma, L.; Weller, R. A.; Fischer, T.

2015-06-01

A large subsurface oxygen deficiency zone is located in the eastern tropical South Pacific Ocean (ETSP). The large-scale circulation in the eastern equatorial Pacific and off the coast of Peru in November/December 2012 shows the influence of the equatorial current system, the eastern boundary currents, and the northern reaches of the subtropical gyre. In November 2012 the equatorial undercurrent (EUC) is centered at 250 m depth, deeper than in earlier observations. In December 2012, the equatorial water is transported southeastward near the shelf in the Peru-Chile undercurrent (PCUC) with a mean transport of 1.4 Sv. In the oxygen minimum zone (OMZ), the flow is overlaid with strong eddy activity on the poleward side of the OMZ. Floats with parking depth at 400 m show fast westward flow in the mid-depth equatorial channel and sluggish flow in the OMZ. Floats with oxygen sensors clearly show the passage of eddies with oxygen anomalies. The long-term float observations in the upper ocean lead to a net community production estimate at about 18° S of up to 16.7 mmol C m-3 yr-1 extrapolated to an annual rate and 7.7 mmol C m-3 yr-1 for the time period below the mixed layer. Oxygen differences between repeated ship sections are influenced by the Interdecadal Pacific Oscillation (IPO), by the phase of El Niño, by seasonal changes, and by eddies, and hence have to be interpreted with care. At and south of the Equator the decrease in oxygen in the upper ocean since 1976 is related to an increase in nitrate, phosphate, and in part silicate.

Managing wetlands for disaster risk reduction: A case study of the eastern Free State, South Africa

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Johannes A. Belle

2018-03-01

Full Text Available This article investigated the knowledge and practice of a nature-based solution to reduce disaster risks of drought, veld fires and floods using wetlands in the eastern Free State, South Africa. A mixed research method approach was used to collect primary data using three data collection tools, namely questionnaires, interviews and field observations. Ninety-five wetlands under communal and private ownership as well as a few in protected areas were sampled, with their users completing questionnaires. The study showed that communal wetlands were more degraded, while wetlands in protected areas and in private commercial farms were in a good ecological state. An extensive literature review reveals that healthy wetlands are effective buffers in reducing disaster risks such as drought, veld fires and floods which are recurrent in the study area. Therefore, through better land-use and management practices, backed by education and awareness, wetlands could be good instruments to mitigate recurrent natural hazards in the agriculturally dominated eastern Free State in South Africa.

The near-eastern roots of the Neolithic in South Asia.

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Kavita Gangal

Full Text Available The Fertile Crescent in the Near East is one of the independent origins of the Neolithic, the source from which farming and pottery-making spread across Europe from 9,000 to 6,000 years ago at an average rate of about 1 km/yr. There is also strong evidence for causal connections between the Near-Eastern Neolithic and that further east, up to the Indus Valley. The Neolithic in South Asia has been far less explored than its European counterpart, especially in terms of absolute (14C dating; hence, there were no previous attempts to assess quantitatively its spread in Asia. We combine the available (14C data with the archaeological evidence for early Neolithic sites in South Asia to analyze the spatio-temporal continuity of the Neolithic dispersal from the Near East through the Middle East and to the Indian subcontinent. We reveal an approximately linear dependence between the age and the geodesic distance from the Near East, suggesting a systematic (but not necessarily uniform spread at an average speed of about 0.65 km/yr.

Self-perceived health among Eastern European immigrants over 50 living in Western Europe.

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Lanari, D; Bussini, O; Minelli, L

2015-01-01

This paper examines whether Eastern European immigrants aged 50 and over living in Northern and Western Europe face a health disadvantage in terms of self-perceived health, with respect to the native-born. We also examined health changes over time (2004-2006-2010) through the probabilities of transition among self-perceived health states, and how they vary according to nativity status and age group. Data were obtained from the Survey of Health, Ageing and Retirement in Europe (SHARE). Logistic regressions and probabilities of transition were used. Results emphasise the health disadvantage of Eastern European immigrants living in Germany, France and  Sweden with respect to the native-born, even after controlling for socio-economic status. Probabilities of transition also evidenced that people born in Eastern Europe were more likely to experience worsening health and less likely to recover from sickness. This paper suggests that health inequalities do not affect immigrant groups in equal measure and confirm the poorer and more steeply deteriorating health status of Eastern European immigrants.

Cultural stereotypes of women from South Asian communities: mental health care professionals' explanations for patterns of suicide and depression.

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Burr, J

2002-09-01

Low rates of treated depression and high rates of suicide in women from some South Asian communities are evident in epidemiological studies in the UK. It is argued here that explanations for these apparent differences are likely to be located in stereotypes of repressive South Asian cultures. This small scale study, utilising focus groups and individual interviews, sought to explore the construction of cultural stereotypes within mental health discourse with specific reference to stereotypes of women from South Asian communities. Mental health carers from a UK inner city area of relatively high social deprivation were targeted. Focus groups were conducted with a range of mental health care professionals who worked in both inpatient and outpatient mental health care services. In addition, individual interviews were conducted with consultant psychiatrists and General Practitioners. Extensive reference is made in this paper to the content of focus groups and interviews and how health carer's knowledge about and experience of South Asian cultures and caring for women from these communities was contextualised. Mental health care professionals constructed cultural difference in terms of fixed and immutable categories which operated to inferiorise Britain's South Asian communities. It is argued that their knowledge is constructed upon stereotypes of western culture as superior to a construction of eastern cultures as repressive, patriarchal and inferior to a western cultural ideal. Ultimately, it is argued that these stereotypes become incorporated as 'fact' and have the potential to misdirect diagnosis and therefore, also misdirect treatment pathways.

South-South cooperation in health: bringing in theory, politics, history, and social justice.

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Birn, Anne-Emanuelle; Muntaner, Carles; Afzal, Zabia

2017-10-02

Since the mid-2000s, the practice of South-South cooperation in health (SSC) has attracted growing attention among policymakers, health and foreign affairs ministries, global health agencies, and scholars from a range of fields. But the South-South label elucidates little about the actual content of the cooperation and conflates the "where" with the "who, what, how, and why". While there have been some attempts to theorize global health diplomacy and South-South cooperation generally, these efforts do not sufficiently distinguish among the different kinds of practices and political values that fall under the South-South rubric, ranging from economic and geopolitical interests to social justice forms of solidarity. In the spirit of deepening theoretical, historical, and social justice analyses of SSC, this article: (1) critically revisits international relations theories that seek to explain SSC, exploring Marxian and other heterodox theories ignored in the mainstream literature; (2) traces the historical provenance of a variety of forms of SSC; and (3) introduces the concept of social justice-oriented South-South.

THE STRATEGIC IMPORTANCE AND THE ACTORS OF SOUTH-EASTERN EUROPE

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Florin Eduard GROSARU

2012-01-01

Full Text Available There is no doubt regarding the importance that south-eastern Europe has gained over the past years in geopolitical and geostrategic terms. Due to its history and considering the changes that have taken place here after the fall of the Iron Curtain, and also as a consequence of the “hot spots” emerged here on ideological, political, economic and terrorist grounds, this part of the continent still is an area of control and interests confrontations orchestrated by the actors that provide the international affairs with a multipolar dimension. All the aforementioned factors lead to various phenomena in which individual or group interests result in regional as well as global consequences.

Public health implications of changing patterns of recruitment into the South African mining industry, 1973-2012: a database analysis.

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Ehrlich, Rodney; Montgomery, Alex; Akugizibwe, Paula; Gonsalves, Gregg

2017-08-03

The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of information on this population. This study analysed the major South African mining recruitment database for the period 1973 to 2012 by calendar intervals and demographic and occupational characteristics. Changes in area of recruitment were mapped using a geographic information system. The database contained over 10 million contracts, reducible to 1.64 million individuals. Major trends relevant to health projection were a decline in gold mining employment, the major source of silicosis; increasing recruitment of female miners; and shifts in recruitment from foreign to South African miners, from the Eastern to the Northwestern parts of South Africa, and from company employees to contractors. These changes portend further externalisation of the burden of mining lung disease to home communities, as miners, particularly from the gold sector, leave the industry. The implications for health, surveillance and health services of the growing number of miners hired as contractors need further research, as does the health experience of female miners. Overall, the information in this report can be used for projection of disease burden and direction of compensation, screening and treatment services for the ex-miner population throughout Southern Africa.

Environmental noise and cardiovascular disease in adults: Research in Central, Eastern and South-Eastern Europe and Newly Independent States

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L′ubica Argalášová-Sobotová

2013-01-01

Full Text Available The adverse effects of noise on health have been intensely explored in the past 50 years. However, the scope of research conducted in the Central and Eastern Europe, South-East Europe, and Newly Independent States is not well-known. The aim of this review was to present studies on cardiovascular effects of environmental noise in adults published since 1965 and to point out the most important issues that need to be addressed in the future. More than 100 papers on noise and health and about 20 papers on cardiovascular effects of environmental noise in adults were identified by literature search. The authors reviewed scientific international and local journals, conference proceedings, and local reports published in national languages. The major endpoints were high blood pressure, ischemic heart disease, and myocardial infarction. The target populations were adults. Experimental and exposure-assessment studies, field, empirical studies, social surveys, and epidemiological studies are presented. The major sources of environmental noise were road and air traffic. The results were presented in tables and the most relevant articles were briefly discussed. The importance of this review is that it refers to some countries that no longer exist in the same political and governmental systems. The strength of this paper is that it includes publications that were not evaluated in earlier systematic reviews. Strategies for future noise-related research on national and global level are proposed.

Using Key Informant Method to Determine the Prevalence and Causes of Childhood Blindness in South-Eastern Nigeria.

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Aghaji, Ada E; Ezegwui, Ifeoma R; Shiweobi, Jude O; Mamah, Cyril C; Okoloagu, Mary N; Onwasigwe, Ernest N

2017-12-01

To determine the prevalence and causes of childhood blindness in an underserved community in south-eastern Nigeria using the key informant method. This was a descriptive cross-sectional study. Key informants (KI) appointed by their respective communities received 1-day training on identification of blind children in their communities. Two weeks later, the research team visited the agreed sites within the community and examined the identified children. The World Health Organization eye examination record for blind children was used for data collection. Data entry and analysis were done with the Statistical Package for Social Sciences (SPSS) version 17.0. Fifteen blind or severely visually impaired children (age range 3 months to 15 years) were identified in this community; nine of these were brought by the KIs. The prevalence of childhood blindness/severe visual impairment (BL/SVI) was 0.12 per 1000 children. By anatomical classification, operable cataract in 6 (40.0%) was the leading cause of BL/SVI in the series; followed by optic nerve lesions (atrophy/hypoplasia) in 3 (20.0%). The etiology of BL/SVI is unknown for the majority of the children (66.7%). It was presumed hereditary in four children (26.7%). Sixty percent of the blindness was judged avoidable. Only three children (20.0%) were enrolled in the Special Education Centre for the Blind. The prevalence of childhood BL/SVI in our study population is low but over half of the blindness is avoidable. There may be a significant backlog of operable childhood cataract in south-eastern Nigeria. The KI method is a practical method for case finding of blind children in rural communities.

The symptom experience of people living with HIV and AIDS in the Eastern Cape, South Africa

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Phaswana-Mafuya Nancy

2008-12-01

Full Text Available Abstract Background Symptom management for persons living with HIV (PLHIV or AIDS is an important part of care management. Limited information about symptom prevalence exists about HIV infected persons in South Africa, in particular in the context of antiretroviral treatment (ART. The aim of this study was to assess HIV symptoms and demographic, social and disease variables of people living with HIV in South Africa. Methods In 2007 607 PLHIV, sampled by all districts in the Eastern Cape Province and recruited through convenience sampling, were interviewed by PLHIV at health facilities, key informants in the community and support groups. Results Two-thirds of the PLHIV (66% classified themselves with being given an AIDS (advanced stage of HIV diagnosis, 48% were currently on ART, 35% were currently on a disability grant for HIV/AIDS and for 13% the disability grant had been stopped. Participants reported that on the day of the interview, they were experiencing an average of 26.1 symptoms out of a possible 64. In a regression model with demographic and social variables, higher HIV symptom levels were associated with lower educational levels, higher age, urban residence and not on a disability grant, lack of enough food and having a health insurance, and in a regression model with demographic, social and disease variables only being on ART, lack of enough food and having a health insurance were associated with HIV symptoms. Conclusion Symptom assessment provides information that may be valuable in evaluating AIDS treatment regimens and defining strategies to improve quality of life. Because of the high levels of symptoms reported, the results imply an urgent need for effective health care, home- and community-based as well as self-care symptom management to help patients and their families manage and control AIDS symptoms.

Observations on inshore and pelagic Dolphins on the South-Eastern Cape coast of South Africa

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G. S Saayman

1972-12-01

Full Text Available The occurrence, size and seaward distribution of schools of inshore and pelagic dolphins is described for three study areas on the south-eastern Cape coast (Algoa Bay; the Tsitsikama Coastal National Park and Plettenberg Bay. Inshore dolphins {Tursiops and Sousa sp. frequented the coastline in relatively small schools whereas pelagic dolphins {Delphinus delphis and Stenella caeruleoalba occurred in very large schools far out to sea. Different ecological zones were used by Sousa for feeding and for social behaviour and maintenance activities. The frequency of occurrence of Sousa at Plettenberg Bay was not affected by seasonal fluctuations in sea surface temperatures. The role of dolphins as predators and their implication in the regulation of the ecosystem of the Tsitsikama Coastal National Park is discussed.

Reaching the Objectives of Sustainable Development on the Basis of the Creative Industries – A South and Eastern European Analysis

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Mihai Costică

2016-03-01

Full Text Available The reduction of the development gap of South and East European economy compared with the rest of the developed countries represent an important condition to achieve the goal of „healthy development“ of European Union. High level of competitiveness in West European industries as well as new policy of sustainable development causes a rethinking of strategy of individual countries. Creative industries may contribute to the efficient utilization of local resources and individual characteristics. Using the culture like an “engine” of regional development, in South and Eastern Europe, countries can generate many positive and lasting effects on these economies. This article presents the role and evolution of creative goods and industries in South and Eastern European countries, and aims to prefigure their impact on sustainable development of these regions. The involvement of these goods in international trade may improve or rehabilitate the position of different economies at European level.

Seasonal forecasts of the SINTEX-F coupled model applied to maize yield and streamflow estimates over north-eastern South Africa

CSIR Research Space (South Africa)

Malherbe, J

2014-07-01

Full Text Available -1 Meteorological Applications Vol. 21(3) Seasonal forecasts of the SINTEX-F coupled model applied to maize yield and streamflow estimates over north-eastern South Africa J. Malherbe,a* W. A. Landman,b,c C. Olivier,d H. Sakumae and J- J. Luof a Institute... for Soil, Climate and Water, Agricultural Research Council, Pretoria, South Africa b Council for Scientific and Industrial Research, Natural Resources and the Environment, Pretoria, South Africa c Department of Geography, Geoinformatics and Meteorology...

Widespread functional anoxia in the oxygen minimum zone of the Eastern South Pacific

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Thamdrup, Bo; Dalsgaard, Tage; Revsbech, Niels Peter

Oxygen minimum zones (OMZs) as found in the Eastern Pacific and Indian Ocean are biogeochemical hot spots with a disproportionately large role in the marine nitrogen cycle, and they are important components of the highly productive ecosystems in which they occur. Although the oxygen-depleted waters have been known for a century, oxygen levels inside them are not well constrained and the regulation of their anaerobic processes by oxygen is poorly understood. We deployed highly sensitive STOX oxygen sensors with a detection limit of 10 nmol kg-1 in combination with conventional hydrographic oxygen sensors along a cruise track transecting the Eastern South Pacific OMZ from South to North along the coast of Chile and Peru. Oxygen was below the detection limit throughout the ˜200 m thick OMZ core in most casts with STOX sensors. The only exception was an offshore location off Peru where oxygen was 10-50 nmol kg-1 in the core, likely as the result of a transient intrusion. Oxygen was also not detected in the OMZ core in further casts with conventional sensors, which had a detection limit of 90 nmol kg-1 after STOX-based zero calibration. Our measurements tighten the constraints on typical oxygen concentrations in the inner part of the OMZ by at least an order of magnitude relative to previous reports. Nitrite only accumulated when oxygen was depleted below 50 nmol kg-1, which indicates that nitrogen cycling is much more sensitive to oxygen than previously estimated. We argue that extreme oxygen depletion to low nanomalar or even picomolar concentrations is a normal condition in the South Pacific OMZ, and suggest that the OMZ core is in fact functionally anoxic over wide regions for extended periods. Our results further indicate that oxygen dynamics in the low nanomolar range play an important role in OMZ biogeochemistry.

Health and Human Rights in Karen State, Eastern Myanmar.

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Davis, William W; Mullany, Luke C; Shwe Oo, Eh Kalu; Richards, Adam K; Iacopino, Vincent; Beyrer, Chris

2015-01-01

Decades of conflict in eastern Myanmar have resulted in high prevalence of human rights violations and poor health outcomes. While recent ceasefire agreements have reduced conflict in this area, it is unknown whether this has resulted in concomitant reductions in human rights violations. We conducted a two-stage cluster survey of 686 households in eastern Myanmar to assess health status, access to healthcare, food security, exposure to human rights violations and identification of alleged perpetrators over the 12 months prior to January 2012, a period of near-absence of conflict in this region. Household hunger (FANTA-2 scale) was moderate/high in 91 (13.2%) households, while the proportion of households reporting food shortages in each month of 2011 ranged from 19.9% in December to 47.0% in September, with food insecurity peaking just prior to the harvest. Diarrhea prevalence in children was 14.2% and in everyone it was 5.8%. Forced labor was the most common human rights violation (185 households, 24.9%), and 210 households (30.6%) reported experiencing one or more human rights violations in 2011. Multiple logistic regression analysis identified associations between human rights violations and poor health outcomes. Human rights violations and their health consequences persist despite reduced intensity of conflict in eastern Myanmar. Ceasefire agreements should include language that protects human rights, and reconciliation efforts should address the health consequences of decades of human rights violations.

Groundwater intensive use and mining in south-eastern peninsular Spain: Hydrogeological, economic and social aspects.

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Custodio, Emilio; Andreu-Rodes, José Miguel; Aragón, Ramón; Estrela, Teodoro; Ferrer, Javier; García-Aróstegui, José Luis; Manzano, Marisol; Rodríguez-Hernández, Luis; Sahuquillo, Andrés; Del Villar, Alberto

2016-07-15

Intensive groundwater development is a common circumstance in semiarid and arid areas. Often abstraction exceeds recharge, thus continuously depleting reserves. There is groundwater mining when the recovery of aquifer reserves needs more than 50years. The MASE project has been carried out to compile what is known about Spain and specifically about the south-eastern Iberian Peninsula and the Canary Islands. The objective was the synthetic analysis of available data on the hydrological, economic, managerial, social, and ethical aspects of groundwater mining. Since the mid-20th century, intensive use of groundwater in south-eastern Spain allowed extending and securing the areas with traditional surface water irrigation of cash crops and their extension to former dry lands, taking advantage of good soils and climate. This fostered a huge economic and social development. Intensive agriculture is a main activity, although tourism plays currently an increasing economic role in the coasts. Many aquifers are relatively high yielding small carbonate units where the total groundwater level drawdown may currently exceed 300m. Groundwater storage depletion is estimated about 15km(3). This volume is close to the total contribution of the Tagus-Segura water transfer, but without large investments paid for with public funds. Seawater desalination complements urban supply and part of cash crop cultivation. Reclaimed urban waste water is used for irrigation. Groundwater mining produces benefits but associated to sometimes serious economic, administrative, legal and environmental problems. The use of an exhaustible vital resource raises ethical concerns. It cannot continue under the current legal conditions. A progressive change of water use paradigm is the way out, but this is not in the mind of most water managers and politicians. The positive and negative results observed in south-eastern Spain may help to analyse other areas under similar hydrogeological conditions in a less

[[History of Community Health in Africa. The Swiss Medical Missionaries' Endeavour in South Africa].

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Mabika, Hines

2015-01-01

It was not Dutch settlers nor British colonizers who introduced public and community health practice in north-eastern South Africa but medical doctors of the Swiss mission in southern Africa. While the history of medical knowledge transfer into 19th-20th century Africa emphasises colonial powers, this paper shows how countries without colonies contributed to expand western medical cultures, including public health. The Swiss took advantage of the local authorities' negligence, and implemented their own model of medicalization of African societies, understood as the way of improving health standards. They moved from a tolerated hospital-centred medicine to the practice of community health, which was uncommon at the time. Elim hospital's physicians moved back boundaries of segregationist policies, and sometime gave the impression of being involved in the political struggle against Apartheid. Thus, Swiss public health activities could later be seen as sorts of seeds that were planted and would partly reappear in 1994 with the ANC-projected national health policy.

Rabies in the Eastern Cape Province of South Africa - where are we going wrong?

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S.J. Van Sittert

2010-05-01

Full Text Available Rabies is a growing problem in the Eastern Cape Province of South Africa. This study investigated dog ecology, vaccination coverage and rabies neutralising antibody levels in 203 randomly selected dogs within a local municipality in the former Transkei area. Responses to vaccination were also evaluated in 80 of these dogs. The population was remarkably uniform in size, breed and condition. Slightly over 1/5th of the population was between 6 weeks and 1 year of age, while very few dogs reached 10 years or older. According to owner responses, the Animal Health Technicians achieved a total vaccination coverage of 65 % of owned dogs over several years, but only 56 % within the previous 12 months. Only 32%of dogs had adequate circulating rabies virus neutralisation antibodies (≥0.5IU/ℓ. After vaccination, 83 % had seroconverted to this level. The magnitude of seroconversion was independent of body condition or age. This study proposes a different approach to vaccination strategies than those currently employed in certain areas of the province.

Current status of transplantation and organ donation in the Balkans--could it be improved through the South-eastern Europe Health Network (SEEHN) initiative?

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Spasovski, Goce; Busic, Mirela; Pipero, Pellumb; Sarajlić, Lada; Popović, Andreja Subotić; Dzhaleva, Theodora; Codreanu, Igor; Ratković, Marina Mugosa; Popescu, Irinel; Lausević, Mirjana; Avsec, Danica; Raley, Lydia; Ekberg, Henrik; Ploeg, Rutger; Delmonico, Francis

2012-04-01

Organ donation and transplantation activity in the majority of Balkan countries (Albania, Bosnia and Herzegovina, Croatia, Macedonia, Moldova, Montenegro, Serbia, Romania and Bulgaria) are lagging far behind international averages. Inadequate financial resources, unclear regional data and lack of government infrastructure are some of the issues which should be recognized to draw attention and lead to problem-solving decisions. The Regional Health Development Centre (RHDC) Croatia, a technical body of the South-eastern Europe Health Network (SEEHN), was created in 2011 after Croatia's great success in the field over the last 10 years. The aim of the RHDC is to network the region and provide individualized country support to increase donation and transplantation activity in collaboration with professional societies (European Society of Organ Transplantation, European Transplant Coordinators Organization, The Transplantation Society and International Society of Organ Donation and Procurement). Such an improvement would in turn likely prevent transplant tourism. The regional data from 2010 show large discrepancies in donation and transplantation activities within geographically neighbouring countries. Thus, proposed actions to improve regional donation and transplantation rates include advancing living and deceased donation through regular public education, creating current and accurate waiting lists and increasing the number of educated transplant nephrologists and hospital coordinators. In addition to the effort from the professionals, government support with allocated funds per deceased donation, updated legislation and an established national coordinating body is ultimately recognized as essential for the successful donation and transplantation programmes. By continuous RHDC communication and support asked from the health authorities and motivated professionals from the SEEHN initiative, an increased number of deceased as well as living donor kidney

Breakfast habits and heath perceptions in South-eastern Spanish adolescents

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Soriano-Ayala Encarnación

2016-01-01

Full Text Available The principal aims of this study are to describe breakfast consumption patterns of south-eastern Spanish adolescents, examine the relationship between breakfast consumption and feelings of well-being and fitness and compare breakfast behaviour between men and women to identify if there is a gender gap. Design: A cross-sectional research with cluster sampling in two primary schools and seven secondary schools. The instrument used was a modified version of the Kidscreen-27 questionnaire. Sample: 2,125 students aged between 10 and 19 years old from different nationalities, mainly Romanian, Moroccan and Spanish. Results: The study identifies some youngsters who skip breakfast and no have no food intake over the course of the morning. About 35% of the teenagers skip daily breakfast before they leave for school, and a worrying 1,8% do not eat any food during the whole morning. Questionnaire outcomes also expresses that the amount of biscuits ingested increased as the number of times that adolescents have breakfast at home decreases. There are significant gender differences, women it less foods than men. Differences are especially significant in case of milk, bread or cereals and butter or oil. Finally, chisquare contrast analysis show students that have breakfast before leaving to school perceive better feelings about how well and fit they are than those student who do not have breakfast daily. Conclusions. Findings supports the need for further enhance health education programs focused on breakfast habits, especially with women. This study is part of the project “Education for Cross-cultural Health in Immigrant and Native Adolescents from Almeria: Analysis and intervention for optimization and improvement” supported by the National R+D Plan of the Ministry of Economy and Finance (Ref: EDU2011-26887

Fault displacement along the Naruto-South fault, the Median Tectonic Line active fault system in the eastern part of Shikoku, southwestern Japan

OpenAIRE

高田, 圭太; 中田, 高; 後藤, 秀昭; 岡田, 篤正; 原口, 強; 松木, 宏彰

1998-01-01

The Naruto-South fault is situated of about 1000m south of the Naruto fault, the Median Tectonic Line active fault system in the eastern part of Shikoku. We investigated fault topography and subsurface geology of this fault by interpretation of large scale aerial photographs, collecting borehole data and Geo-Slicer survey. The results obtained are as follows; 1) The Naruto-South fault runs on the Yoshino River deltaic plain at least 2.5 km long with fault scarplet. the Naruto-South fault is o...

The Potential Financial Costs of Climate Change on Health of Urban and Rural Citizens: A Case Study of Vibrio cholerae Infections at Bukavu Town, South Kivu Province, Eastern of Democratic Republic of Congo.

Science.gov (United States)

Munyuli, Mb Théodore; Kavuvu, J-M Mbaka; Mulinganya, Guy; Bwinja, G Mulinganya

2013-01-01

Cholera epidemics have a recorded history in eastern Congo dating to 1971. A study was conducted to find out the linkage between climate variability/change and cholera outbreak and to assess the related economic cost in the management of cholera in Congo. This study integrates historical data (20 years) on temperature and rainfall with the burden of disease from cholera in South-Kivu province, eastern Congo. Analyses of precipitation and temperatures characteristics in South-Kivu provinces showed that cholera epidemics are closely associated with climatic factors variability. Peaks in Cholera new cases were in synchrony with peaks in rainfalls. Cholera infection cases declined significantly (Pwater sources by the bacteria (Vibrio cholerae). The consumption of polluted water, promiscuity, population density and lack of hygiene are determinants favoring spread and infection of the bacteria among human beings living in over-crowded environments.

The Transmission of Foreign Shocks to South Eastern European Economies

DEFF Research Database (Denmark)

Petrevski, Goran; Bogoev, Jane; Tevdovski, Dragan

2014-01-01

This paper investigates the transmission of foreign shocks to economic activity and macroeconomic policies in the South Eastern European (SEE) economies with fixed exchange rate regimes: Croatia, Macedonia and Bulgaria. Specifically, we provide empirical evidence on the influence of the EMU policy...... with rigid exchange rate regimes, with different degree of integration within the EU. As for the methodological issues, we employ recursive Vector Auto regressions to identify the exogenous shocks in the euro-area. Generally, the estimated results imply that euro-zone economic activity has significant...... reference rate are relatively quickly transmitted to domestic money market rates. We can explain these effects by several factors, such as: the fixed exchange rates, the relatively high integration of SEE financial markets to EMU financial markets as well as the dependence of banks on foreign financing...

Improving the public health sector in South Africa: eliciting public preferences using a discrete choice experiment.

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Honda, Ayako; Ryan, Mandy; van Niekerk, Robert; McIntyre, Diane

2015-06-01

The introduction of national health insurance (NHI), aimed at achieving universal coverage, is the most important issue currently on the South African health policy agenda. Improvement in public sector health-care provision is crucial for the successful implementation of NHI as, regardless of whether health-care services become more affordable and available, if the quality of the services provided is not acceptable, people will not use the services. Although there has been criticism of the quality of public sector health services, limited research is available to identify what communities regard as the greatest problems with the services. A discrete choice experiment (DCE) was undertaken to elicit public preferences on key dimensions of quality of care when selecting public health facilities in South Africa. Qualitative methods were applied to establish attributes and levels for the DCE. To elicit preferences, interviews with community members were held in two South African provinces: 491 in Western Cape and 499 in Eastern Cape. The availability of necessary medicine at health facilities has the greatest impact on the probability of attending public health facilities. Other clinical quality attributes (i.e. provision of expert advice and provision of a thorough examination) are more valued than non-clinical quality of care attributes (i.e. staff attitude, treatment by doctors or nurses, and waiting time). Treatment by a doctor was less valued than all other attributes. Communities are prepared to tolerate public sector health service characteristics such as a long waiting time, poor staff attitudes and lack of direct access to doctors if they receive the medicine they need, a thorough examination and a clear explanation of the diagnosis and prescribed treatment from health professionals. These findings prioritize issues that the South African government must address in order to meet their commitment to improve public sector health-care service provision. Published

Child physical abuse: prevalence, characteristics, predictors, and beliefs about parent-child violence in South Asian, Middle Eastern, East Asian, and Latina women in the United States.

Science.gov (United States)

Maker, Azmaira H; Shah, Priti V; Agha, Zia

2005-11-01

The present study examined the prevalence, characteristics, beliefs, and demographic predictors of parent-child physical violence among South Asian, Middle Eastern, East Asian, and Latina women in the United States. Two hundred fifty-one college-educated women from a middle to high SES (South Asian/Middle Eastern, n = 93; East Asian,n = 72; Latina,n = 86) completed a self-report survey on childhood experiences and beliefs regarding physical abuse. Seventy-three percent of the South Asian and Middle Eastern sample, 65% of the East Asian sample, and 78% of the Latina sample reported experiencing at least one type of physical abuse. Significant differences in characteristics and perpetrators of abuse were found across groups. Demographic factors did not predict physical abuse. Experiencing physical abuse was the only predictor for acceptance of physical discipline and as a parental privilege or right across groups. Implications of alternate cultural models of family violence based on beliefs and exposure to violence are discussed.

Ten-year secular trend of overweight and obesity in school children in south-eastern Poland

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Artur Mazur

2014-09-01

Full Text Available Objective. To examine the trend in prevalence of overweight and obesity in schoolchildren from south-eastern Poland over a 10-year period. Materials and Method. A cross-sectional study was conducted in randomly selected primary schools. In total, 4,248 children (2,182 boys and 2,066 girls, mean age 10.5±2.4 years, were examined in 1998, and 2,412 children (1,184 boys and 1,228 girls, mean age 10.5±2.3 years in 2008. In each school the entire population was studied. Results. In 2008, the prevalence of overweight in girls was 13.3% and obesity 7.7%, compared to 12.0% and 10.1% in 1998. The decrease in obesity prevalence was statistically significant. In boys, the prevalence of overweight in 2008 was 14.2% and obesity 6.4%, compared to 10.5% and 6.8% in 1998. The increase in overweight prevalence among boys was statistically significant. Conclusions. A trend toward stabilization of the prevalence of overweight and obesity was noted in school children from south-eastern Poland between 1998–2008. The declining prevalence of obesity in girls and increased prevalence of overweight in boys demonstrates that in this age group of children the secular trend is gender dependent.

USA, Russia and the Geopolitical Theatre in the South-Eastern Europe: The Place of Romania

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Florin Pintescu

2010-12-01

Full Text Available Core issues addressed in this article are: the existing threats to address the interests of the US geopolitical and geostrategical, particularly in South-Eastern Europe; the resources available to the American State for the protection of those interests; main features (elements geopolitical of Romania; importance for Romania's Alliance with US. Only states or groups of states that may threaten the economic interests of the U.S. military are originated from Eurasia: China, Russia, the Organization of Shanghai cooperation, the European Union. The main opponent of the U.S. in South-Eastern Europe is Russia. Geostrategical interests of Russia remains fundamentally the attempt to divide alliance NATO (in particular by providing the economic benefits of Germany and France and isolate Eastern Europe; in this way, the US military presence in Europe would become problematic. Currently, the US has enough economic and military means in order to avoid this situation.Geopolitical and geostrategical problems of Romania are of two kinds: external and internal. Externally, Romania has some diplomatic disagreements with Ukraine. At the same time, Romania was not able to resolve in the manner of the former Federal Republic of Germany, a consequence of the Second World War: the unification with the Republic of Moldova, the State created artificially by former USSR after the Second World War. Internally, the main geopolitical problems of Romania are the following: underdevelopment and the absence of real economic competitiveness of industry and agriculture; the demographic decline, lowering the standard of living of population. In the absence of support of the USA for Romania, this country will increase the degree of economic dependence towards Russia.

The drought of the 1890s in south-eastern Africa

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Pribyl, Kathleen; Nash, David; Klein, Jorgen; Endfield, Georgina

2016-04-01

During the second half of the 1890s south-eastern Africa, from modern day Zimbabwe and Botswana down to South Africa, was hit by a drought driven ecological crisis. Using instrumental observations and previously unexploited documentary records in the form of British administrative sources, reports and letters by various Protestant mission societies and newspapers, the extent, duration and severity of the drought are explored. Generally the period was marked by a delayed onset of the rainy season of several months; rainfall totals dropped and perennial rivers such as the Limpopo dried up. The delay of the rainy season negatively impacted the rain-fed agriculture. Recurrent drought conditions during the rainy season frequently withered the young crops. In the interior of southern Africa, on the border of the Kalahari desert, the drought was more severe and continuous than towards the coast of the Indian Ocean. The prolonged dry conditions furthered the outbreak of locust plagues and cattle disease, which in the 1890s took the disastrous form of Rinderpest. A model is established showing how the drought as the original driver of the crisis, triggered a cascade of responses from harvest failure to famine and finally leading to profound socio-economic change.

Home management practices and its impact on malaria prevalence amongst pregnant women in South-Eastern Nigeria

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Blessing Uzoamaka Ejike

2017-02-01

Full Text Available Objective: To assess and compare the impact of home management of malaria prevalence amongst pregnant women in Aba South Local Government Area of Abia State, Eastern Nigeria. Methods: Blood samples from 432 pregnant women who attended Primary Health Care Centre and Abia State University Teaching Hospital were examined using Giemsa-stained thick and thin films. Structured questionnaires were also administered to the women from whom blood samples were collected. Results: Most of the respondents 192 (44.4% were found to use insecticide-treated nets (ITNs with a malaria prevalence of 27.1%. Other home management strategies used were burning of local plants 3 (0.7% with a malaria prevalence of 33.3%. Those who did not own ITNs had a malaria prevalence of 86.7%. Conclusions: The need to intensify effort on educating pregnant women on the proper use of home management strategies especially the use of ITNs and local plants that have anti mosquito activity is encouraged.

Variations in Nutrients Composition of Most Commonly Consumed Cassava (Manihot esculenta Mixed Dishes in South-Eastern Nigeria

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G. I. Davidson

2017-01-01

Full Text Available Variations in nutrient composition of most commonly consumed cassava (Manihot esculenta mixed dishes in South-eastern Nigeria were determined. Four communities were randomly selected from each of the five states in the South-east. Focus group discussions (FGD were conducted in each of the communities to determine commonly consumed foods and variations in recipes. 24-Hour dietary recall was conducted using 50 randomly selected households in those communities. Recipes collected during the FGD were standardized, prepared, and chemically analysed using standard methods. Data were analysed using descriptive statistics. Cassava-based dishes were the most commonly consumed in South-eastern Nigeria. Ninety-two percent of the study population ate cassava either in form of “fufu” (fermented cassava meal/garri (fermented and roasted cassava meal with soup or as “abacha” (tapioca salad. Commonly consumed soups were melon (Citrullus vulgaris seeds, “ora” (Pterocarpus soyauxii, and vegetable soups. Seven melon seed, six “ora,” and four vegetable soups and five “abacha” variations were identified. Except for vegetable soup, coefficient of variation for moisture was <10%, while large variations (19–71% were observed for energy and nutrients. These variations in cassava-based dishes need to be reflected in the country-specific food composition database to enable nutrient intake assessment or provision of dietary guidance using such food composition database as a reference material to be more effective.

Glacial-interglacial vegetation dynamics in South Eastern Africa coupled to sea surface temperature variations in the Western Indian Ocean

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L. M. Dupont

2011-11-01

Full Text Available Glacial-interglacial fluctuations in the vegetation of South Africa might elucidate the climate system at the edge of the tropics between the Indian and Atlantic Oceans. However, vegetation records covering a full glacial cycle have only been published from the eastern South Atlantic. We present a pollen record of the marine core MD96-2048 retrieved by the Marion Dufresne from the Indian Ocean ∼120 km south of the Limpopo River mouth. The sedimentation at the site is slow and continuous. The upper 6 m (spanning the past 342 Ka have been analysed for pollen and spores at millennial resolution. The terrestrial pollen assemblages indicate that during interglacials, the vegetation of eastern South Africa and southern Mozambique largely consisted of evergreen and deciduous forests. During glacials open mountainous scrubland dominated. Montane forest with Podocarpus extended during humid periods was favoured by strong local insolation. Correlation with the sea surface temperature record of the same core indicates that the extension of mountainous scrubland primarily depends on sea surface temperatures of the Agulhas Current. Our record corroborates terrestrial evidence of the extension of open mountainous scrubland (including fynbos-like species of the high-altitude Grassland biome for the last glacial as well as for other glacial periods of the past 300 Ka.

Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis

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Rodney Ehrlich

2017-08-01

Full Text Available Abstract Background The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of information on this population. Methods This study analysed the major South African mining recruitment database for the period 1973 to 2012 by calendar intervals and demographic and occupational characteristics. Changes in area of recruitment were mapped using a geographic information system. Results The database contained over 10 million contracts, reducible to 1.64 million individuals. Major trends relevant to health projection were a decline in gold mining employment, the major source of silicosis; increasing recruitment of female miners; and shifts in recruitment from foreign to South African miners, from the Eastern to the Northwestern parts of South Africa, and from company employees to contractors. Conclusions These changes portend further externalisation of the burden of mining lung disease to home communities, as miners, particularly from the gold sector, leave the industry. The implications for health, surveillance and health services of the growing number of miners hired as contractors need further research, as does the health experience of female miners. Overall, the information in this report can be used for projection of disease burden and direction of compensation, screening and treatment services for the ex-miner population throughout Southern Africa.

Water and temperature stress define the optimal flowering period for wheat in south-eastern Australia

OpenAIRE

Evans, John; Kirkegaard, John; Hunt, James; Flohr, Bonnie

2017-01-01

Across the Australian wheat belt, the time at which wheat flowers is a critical determinant of yield. In all environments an optimal flowering period (OFP) exists which is defined by decreasing frost risk, and increasing water and heat stress. Despite their critical importance, OFPs have not been comprehensively defined across south eastern Australia′s (SEA) cropping zone using yield estimates incorporating temperature, radiation and water-stress. In this study, the widely validated cropping ...

A new Cyrtanthus species(Amaryllidaceae: Cyrtantheae endemic to the Albany Centre, Eastern Cape, South Africa

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D. A. Snijman

2003-09-01

Full Text Available Cyrtanthus macmasteri Snijman is a rare new species from the Albany Centre of endemism. Eastern Cape. South Africa. Most closely related to C.  galpinii Baker, and autumn-flowering species with a single or rarely-flowered inflorescence from the northern regions of southern Africa. C macmasteri is distinguished by a 3 to 6-flowered inflorescence. It grows on steep banks of the Great Kei River and its tributaries and flowers in summer.

Transport of North Pacific 137Cs labeled waters to the south-eastern Atlantic Ocean

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Sanchez-Cabeza, J. A.; Levy, I.; Gastaud, J.; Eriksson, M.; Osvath, I.; Aoyama, M.; Povinec, P. P.; Komura, K.

2011-04-01

During the reoccupation of the WOCE transect A10 at 30°S by the BEAGLE2003 cruise, the SHOTS project partners collected a large number of samples for the analysis of isotopic tracers. 137Cs was mostly deposited on the oceans surface during the late 1950s and early 1960s, after the atmospheric detonation of large nuclear devices, which mostly occurred in the Northern Hemisphere. The development of advanced radioanalytical and counting techniques allowed to obtain, for the first time in this region, a zonal section of 137Cs water concentrations, where little information existed before, thus constituting an important benchmark for further studies. 137Cs concentrations in the upper waters (0-1000 m) of the south-eastern Atlantic Ocean are similar to those observed in the south-western Indian Ocean, suggesting transport of 137Cs labeled waters by the Agulhas current to the Benguela Current region. In contrast, bomb radiocarbon data do not show this feature, indicating the usefulness of 137Cs as a radiotracer of water mass transport from the Indian to the South Atlantic Ocean.

Occurrence of tongue worm, Linguatula cf. serrata (Pentastomida: Linguatulidae in wild canids and livestock in south-eastern Australia

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Shokoofeh Shamsi

2017-12-01

Full Text Available Pentastomids are obligate zoonotic arthropod parasites utilising canids and vulpids as their definitive hosts and several herbivorous species as their intermediate hosts. Reported only 10 times in Australia over the last 150 years as incidental findings, adult Pentastomids referred to as Linguatula serrata have been encountered in nasal cavities of domestic and wild dogs, and foxes. Nymphs have been reported in cattle and rabbits. In the present study, a number of potential definitive hosts, including red foxes (Vulpes vulpes, wild dogs (Canis lupus dingo and C.l. dingo x C. familiaris and feral cats (Felis catus, and intermediate hosts cattle (Bos taurus, sheep (Ovis aries, feral pigs (Sus scrofa, rabbits (Oryctolagus cuniculus, goats (Capra hircus and a European hare (Lepus europaeus, from the highlands of south-eastern Australia were examined. Of the animals examined 67.6% of wild dogs (n = 37, 14.5% of red foxes (n = 55 and 4.3% of cattle (n = 164 were found to be infected with Pentastomids, herein identified as Linguatula cf. serrata. The common occurrence of the parasite in wild dogs and less frequently in foxes suggests these wild canids have potential to act as a reservoir for infection of livestock, wildlife, domestic dogs and possibly humans. The unexpected high frequency of the parasite in wild dogs and foxes in south-eastern Australia suggests the parasite is more common than previously realised. Of the potential intermediate hosts in the region, only 4.3% of cattle were found to be infected with pentastomid nymphs which suggest the search for the host(s acting as the main intermediate host in the region should continue. Future studies should investigate transmission patterns, health impacts on hosts and whether the parasite has zoonotic significance in Australia. Keywords: Tongue worm, Australia, Linguatulidae, Pentastomida

South Africa: a 21st century apartheid in health and health care?

Science.gov (United States)

Mooney, Gavin H; McIntyre, Diane E

The current crisis in health and health care in South Africa results from a combination of factors: the legacy of apartheid; issues of poverty, income inequality and AIDS; and the more recent influence of neoliberal economic policies and globalisation. The legacy of apartheid has meant that both health and health care are skewed along racial lines, and 60% of health care expenditure goes largely to the 14% of the population who have private health insurance. A more equitable distribution of health care resources will result from the promised National Health Insurance, the details of which are still being debated. The AIDS epidemic in South Africa was exacerbated by the government not introducing antiretroviral treatment (ART) until the early 2000s. In 2005, it was estimated that more than 5.5 million South Africans were infected with HIV. Now all those with a CD4 count below 200 are eligible for ART. A better health service will not be enough to improve the health of South Africans. A whole-of-government approach is needed to address the persistent problems of poverty and inequality.

Mechanisms of P* reduction in the eastern tropical South Pacific

DEFF Research Database (Denmark)

Meyer, Judith; Löscher, Carolin R.; Lavik, Gaute

2017-01-01

Water masses influenced by oxygen minimum zones (OMZ) feature low inorganic nitrogen (N) to phosphorus (P) ratios. The surplus of P over N is thought to favor non-Redfield primary production by bloom-forming phytoplankton species. Additionally, excess phosphate (P*) is thought to provide a niche...... Redfield proportions throughout the sampling area, the stoichiometry of particulate organic nitrogen to phosphorus (PON:POP) generally exceeded ratios of 16:1. Despite PON:POP ≥ 16, high P*-values in the surface layer (0-50 m) above the shelf rapidly decreased as water masses were advected offshore...... for nitrogen fixing organisms. In order to assess the effect of low inorganic nutrient ratios on the stoichiometry and composition of primary producers, biogeochemical measurements were carried out in 2012 during a research cruise in the eastern tropical South Pacific (ETSP). Based on pigment analyses...

Human resource management practices in a medical complex in the Eastern Cape, South Africa: assessing their impact on the retention of doctors.

Science.gov (United States)

Longmore, Bruce; Ronnie, Linda

2014-03-26

Human resource management (HRM) practices have the potential to influence the retention of doctors in the public health sector. To explore the key human resource (HR) practices affecting doctors in a medical complex in the Eastern Cape, South Africa. We used an open-ended questionnaire to gather data from 75 doctors in this setting. The most important HR practices were paying salaries on time and accurately, the management of documentation, communication, HR staff showing that they respected and valued the doctors, and reimbursement for conferences and special leave requests. All these practices were judged to be poorly administered. Essential HR characteristics were ranked in the following order: task competence of HR staff, accountability, general HR efficiency, occupation-specific dispensation adjustments and performance management and development system efficiency, and availability of HR staff. All these characteristics were judged to be poor. HRM practices in this Eastern Cape medical complex were inadequate and a source of frustration. This lack of efficiency could lead to further problems with regard to retaining doctors in public sector service.

FOREIGN DIRECT INVESTMENTS IN SOUTH-EASTERN EUROPE COUNTRIES ANALYSIS OF INFLUENCE FACTORS

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Nenad POPOVIĆ

2010-01-01

Full Text Available That influences the inflow of foreign direct investments (FDIs into South-Eastern Europe (SEE, whereby main emphasis will be put on republics of Former Yugoslavia, but also with some references to Romania’s case.Choice of the countries for comparison is made upon assumption that they were characterized by relatively the same industrial, market and social development before they entered the process of transition, so comparisons from the aspect of achieved results is of scientific importance. Special attention will be directed to the result made by the Republic of Serbia in the process of attracting FDIs. First of all, main terms of foreign direct investments will be defined in this paper and we will give general review of literature related to allocation of foreign direct investments. Then, recent trends of foreign direct investments in south-astern Europe will be described. Finally, the factors that influence allocation of FDIs,as well as relationship between index of global competitiveness of observed countries and accumulated FDIs during period of transition will be analyzed.

Synergistic effects of drought and deforestation on the resilience of the south-eastern Amazon rainforest

OpenAIRE

Staal, A.; Dekkers, S.; Hirota Magalhaes, M.; Nes, van, E.H.

2015-01-01

The south-eastern Amazon rainforest is subject to ongoing deforestation and is expected to become drier due to climate change. Recent analyses of the distribution of tree cover in the tropics show three modes that have been interpreted as representing alternative stable states: forest, savanna and treeless states. This situation implies that a change in environmental conditions, such as in the climate, could cause critical transitions from a forest towards a savanna ecosystem. Shifts to savan...

The Mental Health System in North-Eastern Nigeria: A WHO-AIMS ...

African Journals Online (AJOL)

PROMOTING ACCESS TO AFRICAN RESEARCH ... The definition of a detailed description of the mental health system of the north-eastern region ... for regional mental health Gap action Plan (mhGAP) policy formulation and implementation.

Diagnostic and management practices for phenylketonuria in 19 countries of the South and Eastern European Region: survey results.

Science.gov (United States)

Giżewska, Maria; MacDonald, Anita; Bélanger-Quintana, Amaya; Burlina, Alberto; Cleary, Maureen; Coşkun, Turgay; Feillet, François; Muntau, Ania C; Trefz, Friedrich K; van Spronsen, Francjan J; Blau, Nenad

2016-02-01

To avoid potentially severe outcomes, phenylketonuria (PKU) must be detected as soon as possible after birth and managed with life-long treatment. A questionnaire-based survey was performed to document diagnosis and management practices for PKU in a region of Southern and Eastern Europe. Prevalence and management data were obtained from 37/59 (63 %) centres within 19/22 (86%) contacted countries (N = 8600 patients). The main results' analysis was based on completed questionnaires obtained from 31 centres (53%) within 15 countries (68%). A median of 10 % of patients per centre had been diagnosed after the newborn period. Metabolic dieticians and specialised adult PKU clinics were lacking in 36 and 84% of centres, respectively. In 26% of centres, treatment initiation was delayed until >15 days of life. Blood phenylalanine (Phe) thresholds to start treatment and upper Phe targets were inconsistent across centres. Ten percent of centres reported monitoring Phe every 2 weeks for pregnant women with PKU, which is insufficient to minimise risk of neonatal sequalae. Sapropterin dihydrochloride treatment was available in 48% of centres, with 24-h responsiveness tests most common (36%). Only one centre among the five countries lacking newborn screening provided a completed questionnaire. Targeted efforts by health care professionals and governments are needed to optimise diagnostic and management approaches for PKU in Southern and Eastern Europe. PKU must be detected early and optimally managed throughout life to avoid poor outcomes, yet newborn screening is not universal and diagnostic and management practices for PKU are known to vary widely between different centres and countries. Targeted efforts by health care professionals and governments are needed to optimise diagnostic and management approaches. PKU management practices are documented in 19 South and Eastern European countries indicating a heterogeneous situation across the region. Key areas for improvement

DOES THE HIGHER EDUCATION PROMOTE STUDENTS’ ENTREPRENEURIAL POTENTIAL IN THE SOUTH-EASTERN EUROPEAN COUNTRIES?

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DIMITAR NIKOLOSK

2014-05-01

Full Text Available Nowadays, there is a widespread recognition that business start-ups are a driving force of economic growth and significant job creation. Given the segmented characteristics of the labour markets, youth population is among those segments that are disproportionally affected by high and sustained unemployment. The situation with youth unemployment is particularly unfavourable in developing countries such as South-Eastern European countries where almost half of the active young population is jobless. Even though the governments in these countries have repeatedly undertaken measures for improving the position of youth on the labour markets, it seems that these endeavours have not reached the planned goals. From this perspective, it is important to analyse the potential contribution of education, and particularly the higher education to the development of entrepreneurship. The aim of this paper is to assess the role of the higher education in South-Eastern European countries in fostering the students’ entrepreneurial potential. For this purpose we have carried out a survey on representative samples of students in two universities: “St. Kliment Ohridski” (Macedonia and “Aleksander Xhuvani” (Albania. We found that considerable number of surveyed students have ideas for starting own businesses, but only a small portion of them attempted to develop their business ideas in practice. As a consequence, we can conclude that there exists a wide room for further policy recommendations that will shape directions for future reforms in the SEECs higher education systems and will improve the students’ entrepreneurial potential

EGNOS Based APV Procedures Development Possibilities In The South-Eastern Part Of Poland

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Kaleta Wojciech Z.

2014-06-01

Full Text Available On 14th and 15th March 2011 for the first time approach with vertical guidance (APV-I was conducted on Polish territory in Katowice, Kraków and Mielec. This was the milestone for GNSS (Global Navigation Satellite System and Area Navigation (RNAV use as a new instrument approach chance for NPA (Non-Precision Approach and PA (Precision Approach in Poland. The paper presents the experiment study of EGNOS SIS (Signal in Space due to APV (Approach with Vertical Guidance procedures development possibilities in the south-eastern part of Poland. Researches were conducted from January 2014 till June 2014 in three Polish cities: Warszawa, Kraków and Rzeszów. EGNOS as SBAS (Satellite Based Augmentation System in according with ICAO's Annex 10 has to meet restrictive requirements for three dimensional accuracy, system integrity, availability and continuity of SIS. Because of ECAC (European Civil Aviation Conference states to EGNOS coverage in the eastern part of Europe, location of mention above stations, shows real usefulness for SIS tests and evaluation of the results [EUROCONTROL, 2008].

Burden of trachoma in five counties of Eastern Equatoria state, South Sudan: Results from population-based surveys.

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Angelia M Sanders

2017-06-01

Full Text Available In order to decrease the prevalence of trachoma within the country, the Republic of South Sudan has implemented components of the SAFE strategy in various counties since 2001. Five counties in Eastern Equatoria state were surveyed in order to monitor progress of programmatic interventions and determine if additional rounds of Mass Drug Administration with azithromycin were needed.Five counties (Budi, Lafon, Kapoeta East, Kapoeta South and Kapoeta North were surveyed from April to October 2015. A cross-sectional, multi-stage, cluster-random sampling was used. All present, consenting residents of selected households were examined for all clinical signs of trachoma using the World Health Organization (WHO simplified grading system. 14,462 individuals from 3,446 households were surveyed. The prevalence of trachomatous inflammation-follicular (TF in children ages one to nine years ranged from 17.4% (95% Confidence Interval (CI: 11.4%, 25.6% in Budi county to 47.6%, (95% CI: 42.3%, 53.0% in Kapoeta East county. Trachomatous trichiasis (TT was also highly prevalent in those 15 years and older, ranging between 2.6% (95% CI: 1.6%, 4.0% in Kapoeta South to 3.9% (95% CI: 2.4%, 6.1% in Lafon. The presence of water and sanitation were low in all five counties, including two counties which had a complete absence of latrines in all surveyed clusters.To our knowledge, these were the first trachoma surveys conducted in the Republic of South Sudan since their independence in 2011. The results show that despite years of interventions, four of the five surveyed counties require a minimum of five additional years of SAFE strategy implementation, with the fifth requiring at minimum three more years.

South Asian populations in Canada: migration and mental health

Science.gov (United States)

2014-01-01

Background South Asian populations are the largest visible minority group in Canada; however, there is very little information on the mental health of these populations. The objective of this study was to determine the prevalence rates and characteristics of mental health outcomes for South Asian first-generation immigrant and second-generation Canadian-born populations. Methods The Canadian Community Health Survey (CCHS) 2011 was used to calculate the estimated prevalence rates of the following mental health outcomes: mood disorders, anxiety disorders, fair-poor self-perceived mental health status, and extremely stressful life stress. The characteristics associated with these four mental health outcomes were determined through multivariate logistic regression analysis of merged CCHS 2007–2011 data. Results South Asian Canadian-born (3.5%, 95% CI 3.4-3.6%) and South Asian immigrant populations (3.5%, 95% CI 3.5-3.5%) did not vary significantly in estimated prevalence rates of mood disorders. However, South Asian immigrants experienced higher estimated prevalence rates of diagnosed anxiety disorders (3.4%, 95% CI 3.4-3.5 vs. 1.1%, 95% CI 1.1-1.1%) and self-reported extremely stressful life stress (2.6%, 95% CI 2.6-2.7% vs. 2.4%, 95% CI 2.3-2.4%) compared to their Canadian-born counterparts. Lastly, South Asian Canadian-born populations had a higher estimated prevalence rate of poor-fair self-perceived mental health status (4.4%, 95% CI 4.3-4.5%) compared to their immigrant counterparts (3.4%, 95% CI 3.3-3.4%). Different profiles of mental health determinants emerged for South Asian Canadian-born and immigrant populations. Female gender, having no children under the age of 12 in the household, food insecurity, poor-fair self-rated health status, being a current smoker, immigrating to Canada before adulthood, and taking the CCHS survey in either English or French was associated with greater risk of negative mental health outcomes for South Asian immigrant

Eastern South Pacific water mass geometry during the last glacial-interglacial transition

Science.gov (United States)

De Pol-Holz, R.; Reyes, D.; Mohtadi, M.

2012-12-01

The eastern South Pacific is characterized today by a complex thermocline structure where large salinity and oxygen changes as a function of depth coexist. Surface waters from tropical origin float on top of subantarctic fresher water (the so-called 'shallow salinity minimum of the eastern south Pacific'), which in turn, flow above aged equatorial and deeper recently ventilated Antarctic Intermediate waters. Little is known however about the water mass geometry changes that could have occurred during the last glacial maximum boundary conditions (about 20,000 years before the present), despite this information being critical for the assessment of potential mechanisms that have been proposed as explanations for the deglacial onset of low oxygen conditions in the area and the atmospheric CO2 increase during the same time. Here we present benthic and planktonic foraminifera stable isotope and radiocarbon data from a set of sediment cores from the Chilean continental margin covering a large -yet still limited- geographical area and depth range. Sedimentations rates were relatively high (>10 cm/kyr) precluding major caveats from bioturbation in all of our archives. The distribution of δ13C of ΣCO2 shows the presence of a very depleted (δ13C < -1‰ V-PDB) water mass overlaying more recently ventilated waters at intermediate depths as indicated by thermocline foraminifer dwellers being more depleted in 13C than the benthic species. The origin of this depleted end-member is probably upwelling from the Southern Ocean as expressed by the radiocarbon content and the large reservoir effect associated with the last glacial maximum and the beginning of the deglaciation along the margin. Our data suggest that the Tropical waters that today bath the lower latitude cores was displaced by surface waters of southern origin and therefore in line with the evidence of a latitudinal shift of the frontal systems.

THE ECONOMIC SITUATION IN SOUTH EASTERN EUROPE: A POSSIBLE THREAT TO THE SECURITY SYSTEMS

Directory of Open Access Journals (Sweden)

Oana-Andreea PIRNUTA

2012-01-01

Full Text Available The entire world has had to face the draconian effects of the economic recession recently. One of the regions marked by severe economic damages has been South Eastern Europe. The present article aims at analyzing the current economic situation in this particular region by trying to identify the strong and weak points, as well as possible ways to solve these specific issues. This paper lays emphasis upon states, such as: Turkey, Greece and Romania, but also on certain facts about the other states belonging to the previously mentioned region.

Health development experience in North and South Korea.

Science.gov (United States)

Kim, H J; Ahn, Y S; Lee, S G

2001-01-01

The purpose of this study is to compare the difference in health status between South Koreans and North Koreans and to identify factors responsible for the remarkable improvements in the health status of South Koreans. In order to examine the causes of the difference in health level, the health indices and their determinants of two Koreas were analyzed in time order. As of the year 2000, the average life expectancy at birth is 71.0 years for men and 78.6 years for women in South Korea, which is longer than that of North Korea by 8.1 for men and 11.2 for women. Infant mortality rate in 1998 was 9.0 per 1,000 live births in South Korea and 54.0 in North Korea. Since being liberated from Japanese ruling in 1945, South Korea has achieved remarkable economic growth under democracy and a market economy system. On the other hand, North Korea has maintained a socialistic system. North Korea has suffered from economic crisis since the 1990s. From this point it could be said that economic status is the major factor for the differences in health level between the two Koreas. Economic status not only directly influences health level but also indirectly affects it through influences on nutrition, hygiene, health resources, and other intervening factors. The South Korean government has concentrated its limited resources on public health activities such as tuberculosis control, family planning (FP), and maternal and child health (MCH) programmes whereas the private sector has taken charge of constructing the health delivery system including health facilities and human resources. In order to solve the problem, which might occur in the private-oriented medical care system, the South Korean government has introduced the national health insurance programme and enforced regulation policies. Many developing countries which are suffering from poverty and disease, can learn from the experience of Korea that had suffered from similar problems up to the early 1970s.

Characterizing Degradation Gradients through Land Cover Change Analysis in Rural Eastern Cape, South Africa

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Zahn Münch

2017-02-01

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.

Tuberculosis among transhumant pastoralist and settled communities of south-eastern Mauritania

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Aissata Lô

2016-05-01

Full Text Available Background: Transhumant pastoralists of Mauritania were assumed to have a high prevalence of tuberculosis (TB because of reduced access to diagnostic testing. No population-based survey on TB has been published for Mauritania. Objective: The goal of this study was to estimate the prevalence of presumptive TB cases among mobile pastoralists and villagers in a remote zone of Mauritania. Design: In the south-eastern province of Hodh Ech Chargui, 250 adult pastoralists and 250 villagers were randomly enrolled using multistage cluster sampling in February 2012. A TB centre nurse examined participants using a standard clinical protocol, and a participant questionnaire was completed. Focus group discussions and interviews were conducted with community members and health personnel, respectively. Results: Fourteen new presumptive TB cases were identified, leading to an overall prevalence of 2.8%, (95% confidence interval (CI 1.5–4.7%. The prevalence was non-significantly higher among villagers than pastoralists (3.6% vs. 2.0%. Assuming illness duration was 3 years and all presumptive cases started treatment, an overall crude incidence of 933 cases/100,000 was derived. Five of six presumptive cases in Djiguenni were confirmed by sputum smear microscopy, but none out of eight presumptive cases were confirmed in Néma, although the same nurse performed all clinical examinations in both departments. This result was attributed to the use of expired reagents in Néma. Communities mentioned distance rather than lack of information as the main constraint to seeking diagnosis, but poor diagnostic centre performance also delayed decision-making. Conclusions: TB prevalences were high among both pastoralists and villagers. None of the 14 presumptive cases sought prior diagnostic testing. TB diagnostic centres in the remote rural study zone were poorly equipped. These centres must remain in operation to reduce TB incidence in vulnerable communities in insecure

'My wife, you are supposed to have a rest now': an analysis of norms influencing men's role in prenatal care in south-eastern Tanzania.

Science.gov (United States)

Gross, Karin; Mayumana, Iddy; Obrist, Brigit

2013-04-01

Men as sexual partners, fathers and household heads have a direct bearing on women's reproductive health. However, little is known about the influence of changing norms and values on men's role in ensuring women's health during pregnancy and childbirth. This study from rural south-eastern Tanzania explores men's and women's discussions on men's roles and responsibilities in prenatal care and links them to an analysis of norms and values at the household level and beyond. Data from eight focus group discussions with men and women were consensually coded and analysed using a qualitative content analysis. Four dimensions of norms and values, which emerged from analysis, bear upon men's support towards pregnant women: changing gender identities; changing family and marriage structures; biomedical values disseminated in health education; and government regulations. The findings suggest that Tanzanian men are exposed to a contradictory and changing landscape of norms and values in relation to maternal health.

The Tectonic Boundary Between Eastern Subbaisin and South-West Subbasin of the South China Sea Revealed from the Normalized Magnetic Source Strength

Science.gov (United States)

Guo, L.; Meng, X.

2014-12-01

The South China Sea (SCS), surrounded by the Eurasia, Pacific and India-Australia plates, is one of the largest marginal seas in the Western Pacific. It was formed by the interaction of the three plates and the seafloor spreading during Late Oligocene time to Early Miocene time. The boundary between Eastern Subbaisin and South-west Subbasin of the SCS has long been debated in the literature. Refining the boundary is one of the crucial tasks for correctly understanding the seafloor spreading model of the SCS. Due to few drills on the deep ocean basin of the SCS, magnetic data become important information for refining the boundary. However, the interpretation of magnetic data in the SCS suffers from the remanent magnetization of ocean crust as well as igneous rock and seamounts. The conventional reduction-to-pole anomalies at low latitudes usually neglect the remanent magnetization, making the interpretation incorrect. Here, we assembled high-resolution total magnetic intensity (TMI) data around the ocean basin of the SCS, and then did a special transformation of the TMI anomalies with a varying magnetic inclinations algorithm to obtain the normalized source strength (NSS). The NSS has advantage of insensitivity to remanent magnetization, benefitting correct interpretation. The NSS presents discriminative features from east to west in the ocean basin. The boundary of the discriminative features is clear and just ranges from the northeastern edge of the Zhongsha Islands running in the southeast direction to the northeastern edge of the Reed Bank. These imply that magnetic structure and tectonic features in the crust are discriminative between both sides of this boundary. It can be deduced that this boundary is the tectonic boundary between Eastern Subbaisin and South-west Subbasin. We acknowledge the financial support of the National Natural Science Foundation of China (41374093) and the SinoProbe-01-05 project.

Silurian deltaic progradation, Tassili n’Ajjer plateau, south-eastern Algeria: Sedimentology, ichnology and sequence stratigraphy

OpenAIRE

Djouder, Hocine; Lüning, Sebastian; Da Silva, Anne-Christine; Abdallah, Hussein; Boulvain, Frédéric

2018-01-01

The economic potential for unconventional shale oil and gas production in the Silurian of the Berkine – Ghadames and Illizi basins (BGI) in south-eastern Algeria has been recently confirmed through exploration drilling. The aim of the present paper attempts a better understanding of the Intra-Tassilian depression within the entire Silurian of the Tassili n’Ajjer plateau. The continuous deposits of the Silurian are exposed at the southern margin of the prolific BGI basins, in the Tassili n’Ajj...

health services in South Africa

African Journals Online (AJOL)

2013-06-03

Jun 3, 2013 ... Health programming for men who have sex with men (MSM) in South ... and institutionalised stigma within the public healthcare ... reduction services for MSM who use drugs, or ... Screen and address mental health issues.

Online Health Search Experience: Sentiments from South East Asia

Directory of Open Access Journals (Sweden)

Anushia Inthiran

2016-12-01

Full Text Available Performing an online health search is a popular activity conducted on the Internet. Research studies from developed countries provide information on source used, type of search performed and devices used to perform the search. However, the same cannot be said about the online health information searching scene in South East Asia. Online health information searching is gaining popularity in South East Asia. Citizens in these countries are turning to the Internet to obtain health information quickly. Current research studies pertaining to online health information searching in South East Asian is limited, particularly relating to search experiences of South East Asian health searchers. Search experience is pertinent asit could deter or encourage the possibility of conducting future health searches. In this research study, a user study was conducted to describe the online search experience of South East Asian health searchers. A face to face interview with 50 participants was conducted. The interview was audio recorded and transcribed verbatim. Results indicate participants have positive and negative search experiences. In some cases, post search outcomes influenced the search experience. Results of this research study contribute to the growing domain of knowledge in relation to online health information searching. Results of this study also provide an understanding pertaining to the search experience of South East Asian online health searchers.

Desertification of subtropical thicket in the Eastern Cape, South Africa: Are there alternatives?

Science.gov (United States)

Kerley, G I; Knight, M H; de Kock, M

1995-01-01

The Eastern Cape Subtropical Thicket (ECST) froms the transition between forest, semiarid karroid shrublands, and grassland in the Eastern Cape, South Africa. Undegraded ECST forms an impenetrable, spiny thicket up to 3 m high consisting of a wealth of growth forms, including evergreen plants, succulent and deciduous shrubs, lianas, grasses, and geophytes. The thicket dynamics are not well understood, but elephants may have been important browsers and patch disturbance agents. These semiarid thickets have been subjected to intensive grazing by domestic ungulates, which have largely replaced indigenous herbivores over the last 2 centuries. Overgrazing has extensively degraded vegetation, resulting in the loss of phytomass and plant species and the replacement of perennials by annuals. Coupled with these changes are alterations of soil structure and secondary productivity. This rangeland degradation has largely been attributed to pastoralism with domestic herbivores. The impact of indigenous herbivores differs in scale, intensity, and nature from that of domestic ungulates. Further degradation of the ECST may be limited by alternative management strategies, including the use of wildlife for meat production and ecotourism. Producing meat from wildlife earns less income than from domestic herbivores but is ecologically sustainable. The financial benefits of game use can be improved by developing expertise, technology, and marketing. Ecotourism is not well developed in the Eastern Cape although the Addo Elephant National Park is a financial success and provides considerable employment benefits within an ecologically sustainable system. The density of black rhinoceros and elephant in these thickets is among the highest in Africa, with high population growth and the lowest poaching risk. The financial and ecological viability of ecotourism and the conservation status of these two species warrant expanding ecotourism in the Eastern Cape, thereby reducing the probability of

A study on students' acceptance of mobile phone use to seek health information in South Africa.

Science.gov (United States)

Cilliers, Liezel; Viljoen, Kim Lee-Anne; Chinyamurindi, Willie Tafadzwa

2018-05-01

In South Africa, inequitable access to healthcare information has made many young people with limited resources more vulnerable to health risks. Mobile phones present a unique opportunity to address this problem due to the high penetration of mobile phones in South Africa and the popularity of these devices among young adults. This research sought to examine the adoption of mobile phones to access health information among students at a traditional university in the Eastern Cape, South Africa. A cross-sectional survey approach was used to collect information from a convenience sample of 202 university students (58 males; 104 females), the majority (71.3%) of whom were aged between 18 and 27 years and of Black African ethnicity (75.2%). The unified theory of acceptance and use of technology (UTAUT) framework formed the theoretical foundation for the questionnaire. A research model was developed to test the hypotheses that behavioural intention to use a mobile phone to access health information would be influenced by: perceived usefulness (PU), perceived effort, social influence (SI), attitude towards technology (AT) and mobile phone experience. Factor analyses indicated that the research model explained 36% of the variance in behavioural intention to use mobile devices to search for health-related queries, with PU being the largest predictor, followed by mobile experience, SI, and AT. Perceived effort did not make a statistically significant contribution. Using mobile phones to disseminate health information to students is a useful, convenient, and cost-effective health-promotion strategy. This research has contributed to the body of knowledge concerning the applicability of the UTAUT framework to study the adoption of technology and provided useful information to guide future research and implementation of mHealth initiatives.

Prevalence and characterisation of non-cholerae Vibrio spp. in final effluents of wastewater treatment facilities in two districts of the Eastern Cape Province of South Africa: implications for public health.

Science.gov (United States)

Okoh, Anthony I; Sibanda, Timothy; Nongogo, Vuyokazi; Adefisoye, Martins; Olayemi, Osuolale O; Nontongana, Nolonwabo

2015-02-01

Vibrios and other enteric pathogens can be found in wastewater effluents of a healthy population. We assessed the prevalence of three non-cholerae vibrios in wastewater effluents of 14 wastewater treatment plants (WWTP) in Chris Hani and Amathole district municipalities in the Eastern Cape Province of South Africa for a period of 12 months. With the exception of WWTP10 where presumptive vibrios were not detected in summer and spring, presumptive vibrios were detected in all seasons in other WWTP effluents. When a sample of 1,000 presumptive Vibrio isolates taken from across all sampling sites were subjected to molecular confirmation for Vibrio, 668 were confirmed to belong to the genus Vibrio, giving a prevalence rate of 66.8 %. Further, molecular characterisation of 300 confirmed Vibrio isolates revealed that 11.6 % (35) were Vibrio parahaemolyticus, 28.6 % (86) were Vibrio fluvialis and 28 % (84) were Vibrio vulnificus while 31.8 % (95) belonged to other Vibrio spp. not assayed for in this study. Antibiogram profiling of the three Vibrio species showed that V. parahaemolyticus was ≥50 % susceptible to 8 of the test antibiotics and ≥50 % resistant to only 5 of the 13 test antibiotics, while V. vulnificus showed a susceptibility profile of ≥50 % to 7 of the test antibiotics and a resistance profile of ≥50 % to 6 of the 13 test antibiotics. V. fluvialis showed ≥50 % resistance to 8 of the 13 antibiotics used while showing ≥50 % susceptibility to only 4 antibiotics used. All three Vibrio species were susceptible to gentamycin, cefuroxime, meropenem and imipenem. Multiple antibiotic resistance patterns were also evident especially against such antibiotics as tetracyclin, polymixin B, penicillin G, sulfamethazole and erythromycin against which all Vibrio species were resistant. These results indicate a significant threat to public health, more so in the Eastern Cape Province of South Africa which is characterised by widespread poverty, with more than a

Improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics in south-western and south-eastern Nigeria - A service development report.

Science.gov (United States)

Bakare, Muideen O; Bello-Mojeed, Mashudat A; Munir, Kerim M; Duduyemi, Olaniyi O; Orovwigho, Andrew O; Odetunde, Odutola I; Taiwo, Olufemi G; Olofinlade, Jushua A; Omotoso, Olakunle N; Famurewa, Olayinka H; Omolabi, Oladipupo O; Jejeloye, Adebayo O

2017-01-01

We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.

Health Care Performance and Health Financing Systems in Countries from Central and Eastern Europe

Directory of Open Access Journals (Sweden)

Sorin Gabriel ANTON

2012-02-01

Full Text Available A common feature of all health systems from emerging economies is the shortage of financial resources. This fact is currently exacerbated by the economic crisis that has led many governments to reconsider the level of public spending in the health sector. Starting from the Romanian experience, the paper aims to highlight the linkage between the performance of the health system and the total health spending for selected countries from Central and Eastern Europe. Romania has the lowest level of health expenditure as percentage of GDP in Europe, even if its growth rate for 2003-2008 was the highest. In addition, empirical evidence shows that these resources are used inefficiently. Despite the increasing resources allocated to the health sector, statistical analysis shows that health system efficiency, as measured by under-5 (child mortality rate, is still low. We use regression analysis based on crosssection data in order to explain the differences in health expenditure and their implication on the system efficiency. Health data have been provided by international organizations. Crosssection regression results suggest that totalhealth spending and GDP per capita are the most important factors explaining differences in health status across Central and Eastern European countries, though other lifestyle factors could play important roles.

Failure to Thrive? The Community Literacy Strand of the Additive Bilingual Project at an Eastern Cape Community School, South Africa

Science.gov (United States)

Hunt, George

2007-01-01

This paper discusses an attempt to establish community literacy procedures in an Eastern Cape community school. The school hosts the Additive Bilingual Education (ABLE) project, a cooperation between UK and South African universities and the school trust. The community literacy strand of the project encourages family members to contribute oral…

New politics, an opportunity for maternal health advancement in eastern myanmar: an integrative review.

Science.gov (United States)

Loyer, Adam B; Ali, Mohammed; Loyer, Diana

2014-09-01

Myanmar (formerly Burma) is a southeast Asian country, with a long history of military dictatorship, human rights violations, and poor health indicators. The health situation is particularly dire among pregnant women in the ethnic minorities of the eastern provinces (Kachin, Shan, Mon, Karen and Karenni regions). This integrative review investigates the current status of maternal mortality in eastern Myanmar in the context of armed conflict between various separatist groups and the military regime. The review examines the underlying factors contributing to high maternal mortality in eastern Myanmar and assesses gaps in the existing research, suggesting areas for further research and policy response. Uncovered were a number of underlying factors uniquely contributing to maternal mortality in eastern Myanmar. These could be grouped into the following analytical themes: ongoing conflict, health system deficits, and political and socioeconomic influences. Abortion was interestingly not identified as an important contributor to maternal mortality. Recent political liberalization may provide space to act upon identified roles and opportunities for the Myanmar Government, the international community, and non-governmental organizations (NGOs) in a manner that positively impacts on maternal healthcare in the eastern regions of Myanmar. This review makes a number of recommendations to this effect.

Environmental noise and sleep disturbance: Research in central, eastern and south-eastern Europe and newly independent states

Directory of Open Access Journals (Sweden)

Gordana Ristovska

2013-01-01

Full Text Available Countries from South-East Europe (SEE, Central and Eastern Europe (CEE and Newly Independent States (NIS are in the process of harmonization with European environmental noise legislation. However, research work on noise and health was performed in some countries independently of harmonization process of adoption and implementation of legislation for environmental noise. Aim of this review is to summarize available evidence for noise induced sleep disturbance in population of CEE, SEE and NIS countries and to give directions for further research work in this field. After a systematic search through accessible electronic databases, conference proceedings, PhD thesis, national reports and scientific journals in English and non-English language, we decided to include six papers and one PhD thesis in this review: One paper from former Yugoslavia, one paper from Slovakia, one paper from Lithuania, two papers from Serbia and one paper, as also one PhD thesis from The Former Yugoslav Republic of Macedonia. Noise exposure assessment focused on road traffic noise was mainly performed with objective noise measurements, but also with noise mapping in case of Lithuanian study. Sleep disturbance was assessed with the questionnaire based surveys and was assumed from dose-effect relationship between night-time noise indicator (Lnight for road traffic noise and sleep disturbance (for Lithuanian study. Although research evidence on noise and sleep disturbance show to be sufficient for establishing dose response curves for sleep disturbance in countries where studies were performed, further research is needed with particular attention to vulnerable groups, other noise sources, development of laboratory research work and common methodology in assessment of burden of diseases from environmental noise.

Environmental noise and sleep disturbance: research in Central, Eastern and South-Eastern Europe and Newly Independent States.

Science.gov (United States)

Ristovska, Gordana; Lekaviciute, Jurgita

2013-01-01

Countries from South-East Europe (SEE), Central and Eastern Europe (CEE) and Newly Independent States (NIS) are in the process of harmonization with European environmental noise legislation. However, research work on noise and health was performed in some countries independently of harmonization process of adoption and implementation of legislation for environmental noise. Aim of this review is to summarize available evidence for noise induced sleep disturbance in population of CEE, SEE and NIS countries and to give directions for further research work in this field. After a systematic search through accessible electronic databases, conference proceedings, PhD thesis, national reports and scientific journals in English and non-English language, we decided to include six papers and one PhD thesis in this review: One paper from former Yugoslavia, one paper from Slovakia, one paper from Lithuania, two papers from Serbia and one paper, as also one PhD thesis from The Former Yugoslav Republic of Macedonia. Noise exposure assessment focused on road traffic noise was mainly performed with objective noise measurements, but also with noise mapping in case of Lithuanian study. Sleep disturbance was assessed with the questionnaire based surveys and was assumed from dose-effect relationship between night-time noise indicator (Lnight ) for road traffic noise and sleep disturbance (for Lithuanian study). Although research evidence on noise and sleep disturbance show to be sufficient for establishing dose response curves for sleep disturbance in countries where studies were performed, further research is needed with particular attention to vulnerable groups, other noise sources, development of laboratory research work and common methodology in assessment of burden of diseases from environmental noise.

Near-vertical seismic reflection image using a novel acquisition technique across the Vrancea Zone and Foscani Basin, south-eastern Carpathians (Romania).

NARCIS (Netherlands)

Panea, I; Stephenson, R.A.; Knapp, C.; Mocanu, V.I.; Drijkoningen, G.; Matenco, L.C.; Knapp, J.; Prodehl, K.

2005-01-01

The DACIA PLAN (Danube and Carpathian Integrated Action on Process in the Lithosphere and Neotectonics) deep seismic sounding survey was performed in August-September 2001 in south-eastern Romania, at the same time as the regional deep refraction seismic survey VRANCEA 2001. The main goal of the

'Health psychology' or 'psychology for health'? A history of psychologists' engagement with health in South Africa.

Science.gov (United States)

Yen, Jeffery; Vaccarino, Oriana

2018-03-01

In contrast to the institutionalization of health psychology in North America and Europe, much psychological work on health issues in South Africa emerged as part of a critical revitalization of South African psychology as a whole, coinciding with the dismantling of Apartheid and global shifts in health discourse. The field's development reflects attempts to engage with urgent health problems in the context of rapid sociopolitical changes that followed democratic transition in the 1990s, and under new conditions of knowledge production. We provide an account of these issues, as well as reflections on the field's future, as inflected through the experiences of 12 South African psychologists whose careers span the emergence of health-related psychology to the present day.

Utilisation and costs of nursing agencies in the South African public health sector, 2005-2010.

Science.gov (United States)

Rispel, Laetitia C; Angelides, George

2014-01-01

Globally, insufficient information exists on the costs of nursing agencies, which are temporary employment service providers that supply nurses to health establishments and/or private individuals. The aim of the study was to determine the utilisation and direct costs of nursing agencies in the South African public health sector. A survey of all nine provincial health departments was conducted to determine utilisation and management of nursing agencies. The costs of nursing agencies were assumed to be equivalent to expenditure. Provincial health expenditure was obtained for five financial years (2005/6-2009/10) from the national Basic Accounting System database, and analysed using Microsoft Excel. Each of the 166,466 expenditure line items was coded. The total personnel and nursing agency expenditure was calculated for each financial year and for each province. Nursing agency expenditure as a percentage of the total personnel expenditure was then calculated. The nursing agency expenditure for South Africa is the total of all provincial expenditure. The 2009/10 annual government salary scales for different categories of nurses were used to calculate the number of permanent nurses who could have been employed in lieu of agency expenditure. All expenditure is expressed in South African rands (R; US$1 ∼ R7, 2010 prices). Only five provinces reported utilisation of nursing agencies, but all provinces showed agency expenditure. In the 2009/10 financial year, R1.49 billion (US$212.64 million) was spent on nursing agencies in the public health sector. In the same year, agency expenditure ranged from a low of R36.45 million (US$5.20 million) in Mpumalanga Province (mixed urban-rural) to a high of R356.43 million (US$50.92 million) in the Eastern Cape Province (mixed urban-rural). Agency expenditure as a percentage of personnel expenditure ranged from 0.96% in KwaZulu-Natal Province (mixed urban-rural) to 11.96% in the Northern Cape Province (rural). In that financial year

Faculty of health sciences, walter sisulu university: training doctors from and for rural South african communities.

Science.gov (United States)

Iputo, Jehu E

2008-10-01

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

Biological parameters and feeding behaviour of invasive whelk Rapana venosa Valenciennes, 1846 in the south-eastern Black Sea of Turkey

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Hacer Saglam

2014-06-01

Full Text Available Objective: To determine length-weight relationships, growth type and feeding behavior of the benthic predator Rapa whelk at the coast of Camburnu, south-eastern Black Sea. Methods: Rapa whelk was monthly collected by dredge sampling on the south-eastern Black Sea at 20 m depth. The relationships between morphometric parameters of Rapa whelk were described by linear and exponential models. The allometric growth of each variable relative to shell length (SL was calculated from the function Y=aSLb or logY=loga+blogSL. The functional regression b values were tested by t-test at the 0.05 significance level if it was significantly different from isometric growth. The total time spent on feeding either on mussel tissue or live mussels was recorded for each individual under controlled conditions in laboratory. Results: The length-weight relationships showed positive allometric growth and no inter-sex variability. Body size in the male population was significantly higher than in the individuals of the female. All characters in males and females showed a trend towards allometry rather than isometry. While the total time spent feeding increased with increasing prey size the total time that Rapana venosa spent feeding decreased with increasing Rapa whelk size. The total average feeding time needed by Rapa whelks was 160 min. But they took 310 min on live mussels in 27-28 °C in the laboratory conditions. Conclusions: Length and weight relationships, growth type, total time spent feeding of this species were explained in details for this region. It would be useful to sustainable management in the south-eastern Black Sea of Turkey. The results about the feeding behaviour of this species will contribute to the understanding of the role of this species within the ecosystem.

Health Data Recording, Reporting and Utilization Practices Among ...

African Journals Online (AJOL)

Health Data Recording, Reporting and Utilization Practices Among Primary Health Care Workers in Enugu State, South Eastern Nigeria. ... of PHC workers used notepads, 52.3% used notebooks while only 47.7% used health management information system (HMIS) forms to record data. ... AJOL African Journals Online.

Publication ethics in biomedical journals from countries in Central and Eastern Europe.

Science.gov (United States)

Broga, Mindaugas; Mijaljica, Goran; Waligora, Marcin; Keis, Aime; Marusic, Ana

2014-03-01

Publication ethics is an important aspect of both the research and publication enterprises. It is particularly important in the field of biomedical science because published data may directly affect human health. In this article, we examine publication ethics policies in biomedical journals published in Central and Eastern Europe. We were interested in possible differences between East European countries that are members of the European Union (Eastern EU) and South-East European countries (South-East Europe) that are not members of the European Union. The most common ethical issues addressed by all journals in the region were redundant publication, peer review process, and copyright or licensing details. Image manipulation, editors' conflicts of interest and registration of clinical trials were the least common ethical policies. Three aspects were significantly more common in journals published outside the EU: statements on the endorsement of international editorial standards, contributorship policy, and image manipulation. On the other hand, copyright or licensing information were more prevalent in journals published in the Eastern EU. The existence of significant differences among biomedical journals' ethical policies calls for further research and active measures to harmonize policies across journals.

Aspects of sismo-tectonic stability in the South-Eastern region of Brazil of interest to geology of engineering

International Nuclear Information System (INIS)

Mioto, J.A.; Hasui, Y.

1982-01-01

The occurence of earthquakes in Brazil, mainly in the South-eastern region, and its relationship with the geologic features has been discussed by many Authors since the beginning of this Century. It is difficult to define intraplate seismicity and to understand the actual epirogenic displacent, but the definition of the regional stability is important for enginnering purposes and have been considered through seismologic, morphotectonic and geologic criteria. (Author) [pt

Analysis and evaluation of WRF microphysical schemes for deep moist convection over south-eastern South America (SESA) using microwave satellite observations and radiative transfer simulations

Science.gov (United States)

Sol Galligani, Victoria; Wang, Die; Alvarez Imaz, Milagros; Salio, Paola; Prigent, Catherine

2017-10-01

In the present study, three meteorological events of extreme deep moist convection, characteristic of south-eastern South America, are considered to conduct a systematic evaluation of the microphysical parameterizations available in the Weather Research and Forecasting (WRF) model by undertaking a direct comparison between satellite-based simulated and observed microwave radiances. A research radiative transfer model, the Atmospheric Radiative Transfer Simulator (ARTS), is coupled with the WRF model under three different microphysical parameterizations (WSM6, WDM6 and Thompson schemes). Microwave radiometry has shown a promising ability in the characterization of frozen hydrometeors. At high microwave frequencies, however, frozen hydrometeors significantly scatter radiation, and the relationship between radiation and hydrometeor populations becomes very complex. The main difficulty in microwave remote sensing of frozen hydrometeor characterization is correctly characterizing this scattering signal due to the complex and variable nature of the size, composition and shape of frozen hydrometeors. The present study further aims at improving the understanding of frozen hydrometeor optical properties characteristic of deep moist convection events in south-eastern South America. In the present study, bulk optical properties are computed by integrating the single-scattering properties of the Liu(2008) discrete dipole approximation (DDA) single-scattering database across the particle size distributions parameterized by the different WRF schemes in a consistent manner, introducing the equal mass approach. The equal mass approach consists of describing the optical properties of the WRF snow and graupel hydrometeors with the optical properties of habits in the DDA database whose dimensions might be different (Dmax') but whose mass is conserved. The performance of the radiative transfer simulations is evaluated by comparing the simulations with the available coincident

Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa.

Science.gov (United States)

Peltzer, Karl; Nqeketo, Ayanda; Petros, George; Kanta, Xola

2008-06-18

Training designed to improve circumcision knowledge, attitude and practice was delivered over 5 days to 34 traditional surgeons and 49 traditional nurses in the Eastern Cape, South Africa. Training included the following topics: initiation rites; statutory regulation of traditional male circumcision and initiation into Manhood (TCIM); structure and function of the male sex organs; procedure of safe circumcision, infection control; sexually transmitted infections (STIs); HIV/AIDS; infection control measures; aftercare of the initiate including after care of the circumcision wound and initiate as a whole; detection and early management of common complications of circumcision; nutrition and fluid management; code of conduct and ethics; and sexual health education. The evaluation of the training consisted of a prospective assessment of knowledge and attitude immediately prior to and after training. Significant improvement in knowledge and/or attitudes was observed in legal aspects, STI, HIV and environmental aspects, attitudes in terms of improved collaboration with biomedical health care providers, normal and abnormal anatomy and physiology, sexually transmitted infections and including HIV, circumcision practice and aftercare of initiates. We concluded that safer circumcision training can be successfully delivered to traditional surgeons and nurses.

South Africa and the Global Recruitment of Health Professionals ...

African Journals Online (AJOL)

South Africa and the Global Recruitment of Health Professionals. ... The aim of this article is to provide insight into patterns of organised recruiting of skilled health personnel from South Africa. ... AJOL African Journals Online. HOW TO USE ...

Markov chain analysis of the rainfall patterns of five geographical locations in the south eastern coast of Ghana

Directory of Open Access Journals (Sweden)

Meshach Tettey

2017-08-01

Full Text Available Abstract This study develops an objective rainfall pattern assessment through Markov chain analysis using daily rainfall data from 1980 to 2010, a period of 30 years, for five cities or towns along the south eastern coastal belt of Ghana; Cape Coast, Accra, Akuse, Akatsi and Keta. Transition matrices were computed for each town and each month using the conditional probability of rain or no rain on a particular day given that it rained or did not rain on the previous day. The steady state transition matrices and the steady state probability vectors were also computed for each town and each month. It was found that, the rainy or dry season pattern observed using the monthly steady state rainfall vectors tended to reflect the monthly rainfall time series trajectory. Overall, the probability of rain on any day was low to average: Keta 0.227, Akuse 0.382, Accra 0.467, Cape Coast, 0.50 and Akatsi 0.50. In particular, for Accra, the rainy season was observed to be in the months of May to June and September to October. We also determined that the probability of rainfall generally tended to increase from east to west along the south eastern coast of Ghana.

A hypocystal archeopyle in a freshwater dinoflagellate from the Peridinium umbonatum group (Dinophyceae) from Lake Nero di Cornisello, South Eastern Alps, Italy

DEFF Research Database (Denmark)

Tardio, Massimiliano; Ellegaard, Marianne; Lundholm, Nina

2009-01-01

Cornisello, a low-alkalinity high mountain lake of the Adamello mountain range (2233m above sea level, South Eastern Alps, Italy). The archeopyle is large, clearly hypocystal, polygonal, and slightly peanut-shaped. The species producing this cyst belongs to the Peridinium umbonatum group and is described...

Mental health symptoms following war and repression in eastern Afghanistan

NARCIS (Netherlands)

Scholte, Willem F.; Olff, Miranda; Ventevogel, Peter; de Vries, Giel-Jan; Jansveld, Eveline; Cardozo, Barbara Lopes; Crawford, Carol A. Gotway

2004-01-01

Context Decades of armed conflict, suppression, and displacement resulted in a high prevalence of mental health symptoms throughout Afghanistan. Its Eastern province of Nangarhar is part of the region that originated the Taliban movement. This may have had a distinct impact on the living

Psychology and health after apartheid: Or, Why there is no health psychology in South Africa.

Science.gov (United States)

Yen, Jeffery

2016-05-01

As part of a growing literature on the histories of psychology in the Global South, this article outlines some historical developments in South African psychologists' engagement with the problem of "health." Alongside movements to formalize and professionalize a U.S.-style "health psychology" in the 1990s, there arose a parallel, eclectic, and more or less critical psychology that contested the meaning and determinants of health, transgressed disciplinary boundaries, and opposed the responsibilization of illness implicit in much health psychological theorizing and neoliberal discourse. This disciplinary bifurcation characterized South African work well into the postapartheid era, but ideological distinctions have receded in recent years under a new regime of knowledge production in thrall to the demands of the global market. The article outlines some of the historical-political roots of key trends in psychologists' work on health in South Africa, examining the conditions that have impinged on its directions and priorities. It raises questions about the future trajectories of psychological research on health after 20 years of democracy, and argues that there currently is no "health psychology" in South Africa, and that the discipline is the better for it. (c) 2016 APA, all rights reserved).

The impact of black wattle encroachment of indigenous grasslands on soil carbon, Eastern Cape, South Africa

DEFF Research Database (Denmark)

Oelofse, Myles; Birch-Thomsen, Torben; Magid, Jakob

2016-01-01

adverse environmental impacts in South Africa. Little is known about the effects of black wattle encroachment on soil carbon, therefore the aim of this study was to investigate the impact of black wattle encroachment of natural grassland on soil carbon stocks and dynamics. Focussing on two sites...... in the Eastern Cape, South Africa, the study analysed carbon stocks in soil and litter on a chronosequence of black wattle stands of varying ages (up to >50 years) and compared these with adjacent native grassland. The study found that woody encroachment of grassland at one site had an insignificant effect...... on soil and litter carbon stocks. The second site showed a clear decline in combined soil and litter carbon stocks following wattle encroachment. The lowest stock was in the oldest wattle stand, meaning that carbon stocks are still declining after 50 years of encroachment. The results from the two sites...

Morphological records of storm floods exemplified by the impact of the 1872 Baltic storm on a sandy spit system in south-eastern Denmark

DEFF Research Database (Denmark)

Clemmensen, Lars B; Bendixen, Mette; Hede, Mikkel Ulfeldt

2014-01-01

Beach-ridge systems are important geo-archives providing evidence for past wave climate including catastrophic storm flood events. This study investigates the morphological impacts of the 1872 Baltic storm flood on a beach-ridge system (sandy spit) in south-eastern Denmark and evaluates the frequ...

Chemical Quality of Water in Anopheles stephensi Habitats and its susceptibility to different insecticides in South Eastern of Iran

International Nuclear Information System (INIS)

Davari, B.; Vatandoost, H.

2009-01-01

Using of insecticides depends on the knowledge of the susceptibility levels of malaria vectors to these chemical. In this study, the chemical quality of water in the larval breeding habitats and the susceptibility levels of Anopheles stephensi to DDT 4% dieldrin 0.4% permethrin 0.75, cyfluthrin 0.15 deltamethrin 0.05% and lambdacyhalothrin 0.05% were investigated according to WHO method in south eastern of Iran. (Author)

mHealth implementation in South Africa

CSIR Research Space (South Africa)

Botha, Adele

2016-05-01

Full Text Available to incorporate a wide range of Mhealth applications to service the Health System information needs and end user needs. This paper aims to describe the current state of mHealth applications and implementation in South Africa by a review of reported MHealth...

Relationships between the surface concentration of particulate organic carbon and optical properties in the eastern South Pacific and eastern Atlantic Oceans

Directory of Open Access Journals (Sweden)

D. Stramski

2008-02-01

Full Text Available We have examined several approaches for estimating the surface concentration of particulate organic carbon, POC, from optical measurements of spectral remote-sensing reflectance, R_rs(λ, using field data collected in tropical and subtropical waters of the eastern South Pacific and eastern Atlantic Oceans. These approaches include a direct empirical relationship between POC and the blue-to-green band ratio of reflectance, R_rs(λ_B/R_rs(555, and two-step algorithms that consist of relationships linking reflectance to an inherent optical property IOP (beam attenuation or backscattering coefficient and POC to the IOP. We considered two-step empirical algorithms that exclusively include pairs of empirical relationships and two-step hybrid algorithms that consist of semianalytical models and empirical relationships. The surface POC in our data set ranges from about 10 mg m⁻³ within the South Pacific Subtropical Gyre to 270 mg m⁻³ in the Chilean upwelling area, and ancillary data suggest a considerable variation in the characteristics of particulate assemblages in the investigated waters. The POC algorithm based on the direct relationship between POC and R_rs(λ_B/R_rs(555 promises reasonably good performance in the vast areas of the open ocean covering different provinces from hyperoligotrophic and oligotrophic waters within subtropical gyres to eutrophic coastal upwelling regimes characteristic of eastern ocean boundaries. The best error statistics were found for power function fits to the data of POC vs. R_rs(443/R_rs(555 and POC vs. R_rs(490/R_rs(555. For our data set that includes over 50 data pairs, these relationships are characterized by the mean normalized bias of about 2% and the normalized root mean square error of about 20%. We

FORECASTING AND ADAPTATION METHODS FOR HISTORICAL DEVELOPMENT USED FOR TOURIST PURPOSE IN CITIES OF SOUTH-EASTERN CHINA

Directory of Open Access Journals (Sweden)

Qai Liu

2008-01-01

Full Text Available The paper considers methodological statements concerning formation and development of cultural and tourist zones and complexes in the Chinese cities with precious historical and cultural heritage. Characteristic types of historical buildings in the cities of the Tsiansu province which are located in the south-eastern part ofChinaare given in the paper. The paper contains methods for renovation of historical development for tourist purpose and gives proposals pertaining to arrangement of tourist service objects there that permit to preserve individual image of historical regions.

Practical value of urban geography in urban planning - case study of the south-eastern part of Trbovlje

Directory of Open Access Journals (Sweden)

Naja Marot

2006-12-01

Full Text Available Two centuries of mining have significantly changed the town of Trbovlje in economic, social and spatial terms. This is especially evident in the south-eastern part of the town. On the basis of general geographical analysis of spatial, demographic and economic development, a query of public opinion and a survey of experts' ideas, with description of successful English urban renewal project we try to find out the most effective model and context of the future development in the area in question.

South Asia's health promotion kaleidoscope.

Science.gov (United States)

Mukhopadhyay, Alok

2007-01-01

South Asia has 22 percent of the world's population but only 1.3 percent of the global income. Consequently 40 percent of the population is living in absolute poverty. However the health transition in some of its countries including India and Sri Lanka is a testimony to the fact that there are proven solutions to the problems of health and development within the region. The countries of the region have much in common, including a democratic political system, four major religions, a vibrant and living tradition of voluntarism and an extensive health infrastructure which is operating well below par. Despite the underlying unity, South Asia enjoys enormous cultural, linguistic and ethnic diversity. In this large, complex and vibrant region, health promotion is a challenging task, but it also holds the key to a dramatic change in the global health situation. Many of these solutions lie in wider areas of socio-political action. There are much needed shifts in the health promotion and development efforts, particularly in the area of poverty and social justice; gender inequity; population stabilisation; health and environment; control of communicable and non-communicable diseases; and urban health strategies. The principle of cooperation, partnership and intersectoral collaboration for health will be explored. Developing an appropriate, sustainable and people centred health and development strategy in the coming decades is an enormous challenge. There has been an attempt to focus on the emerging needs of the region, which call for health promotion, and involvement of civil society, private sector and the governments bestowed with the increased responsibility of ensuring health security for people. Strengthening the existing health systems, allocating adequate resources for health development and ensuring community participation are all prerequisites to the success of health promotion in the region.

The health and health system of South Africa: historical roots of current public health challenges.

Science.gov (United States)

Coovadia, Hoosen; Jewkes, Rachel; Barron, Peter; Sanders, David; McIntyre, Diane

2009-09-05

The roots of a dysfunctional health system and the collision of the epidemics of communicable and non-communicable diseases in South Africa can be found in policies from periods of the country's history, from colonial subjugation, apartheid dispossession, to the post-apartheid period. Racial and gender discrimination, the migrant labour system, the destruction of family life, vast income inequalities, and extreme violence have all formed part of South Africa's troubled past, and all have inexorably affected health and health services. In 1994, when apartheid ended, the health system faced massive challenges, many of which still persist. Macroeconomic policies, fostering growth rather than redistribution, contributed to the persistence of economic disparities between races despite a large expansion in social grants. The public health system has been transformed into an integrated, comprehensive national service, but failures in leadership and stewardship and weak management have led to inadequate implementation of what are often good policies. Pivotal facets of primary health care are not in place and there is a substantial human resources crisis facing the health sector. The HIV epidemic has contributed to and accelerated these challenges. All of these factors need to be addressed by the new government if health is to be improved and the Millennium Development Goals achieved in South Africa.

Epidemiological Study of Hepatitis A Infection in Eastern Bulgaria.

Science.gov (United States)

Tsankova, Gabriela St; Todorova, Tatina T; Ermenlieva, Neli M; Popova, Tsvetelina K; Tsankova, Dayana T

2017-03-01

Hepatitis A virus (HAV) infection is an acute, self-limited liver disease transmitted usually through the faecal-oral route via person-to-person contact. Bulgaria has intermediate HAV endemicity with higher susceptibility among adults and recurrent outbreaks. As HAV infection is strongly related to human movements and represents a significant risk to travelers and migrants, as well as to local population receiving these groups, we set out to analyze the epidemiological data on hepatitis A in five of the largest tourist border regions of Bulgaria located in its eastern part: Varna, Shumen, Dobrich, Burgas and Yambol. We reviewed retrospectively all reported cases of acute hepatitis A in the eastern regions of Bulgaria over a 7-year period between 2008 and 2014. A total of 2879 newly infected patients were registered during the study period, the number varying widely: from 190 cases in 2014 to 923 in 2012. The average incidence of HAV was higher in the south-eastern regions than in the northeastern regions (55.30%000 vs 15.04%000 respectively, p < 0.0001). The most affected age group in all regions was the 5-9-year olds (p < 0.0001) and males were significantly more susceptible to HAV (p = 0.02). Hepatitis A is still a major public health problem in Bulgaria; there is a significant difference in the incidence of the disease between the regions in the south-east and those in the north-east and between the different age groups and sexes.

Incidence of haematological malignancies, Eastern Cape Province; South Africa, 2004-2013.

Science.gov (United States)

Oelofse, Diana; Truter, Ilse

2018-04-01

The incidence of haematological malignancies in Africa's rapidly urbanising populations is insufficiently explored. Reliable population-based cancer statistics, however, continues to be a scarce resource in Africa and tends to be urban biased with limited rural coverage. In addition, many haematological malignancies are regarded as rare cancers, a sub-group that often affects the young disproportionately and require advanced diagnostic services and facilities able to deliver costly sophisticated treatments. This study provides a first attempt to estimate the incidence of haematological malignancies among the Eastern Cape Province population of South Africa. Multiple public- and private sector data archives and resources were utilised to optimise the identification of incident cases, including clinical records; bone marrow; cytology; histology; flow cytometry and cytogenetic records. Crude incidence, age-and gender-standardised rates are presented and comparison made with existing national data and select data from other economically developed countries and global institutions. A total of 3603 incident cases were identified between 2004 and 2013. Mature lymphoid malignancies accounted for approximately 60% (n = 2153), myeloma/plasma cell neoplasms 13% (n = 465), acute leukaemia 17% (n = 596), chronic myeloid leukaemia 4% (n = 155) and other myeloproliferative neoplasms 6% (n = 234) when stratified according to conventional groups. Most subtypes increase with age, with male excess. Haematological malignancies in the Eastern Cape Province show disparities in gender and pathology-specific incidence patterns. The present study suggest that haematological malignancies are not uncommon in this region and the incidence rate of at least one rare subtype, APL, is comparable with some European populations. Copyright © 2018 Elsevier Ltd. All rights reserved.

Barriers and Incentives to Potential Adoption of Biofuels Crops by Smallholder Farmers in the Eastern Cape Province, South Africa

OpenAIRE

Cheteni, Priviledge; Mushunje, Abbyssinia; Taruvinga, Amon

2014-01-01

The main objective of this study was to identify barriers and incentives that influence the potential adoption of biofuel crops by smallholder farmers. The study utilized a semi-structured questionnaire to record responses from 129 smallholder farmers that were identified through a snowballing sampling technique. The respondents were from the Oliver Tambo and Chris Hani District Municipalities in the Eastern Cape Province, South Africa. A Heckman two-step model was applied to analyze the dat...

Health information systems to improve health care: A telemedicine case study

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Liezel Cilliers

2013-03-01

Full Text Available Background: E-health has been identified as an integral part of the future of South African public healthcare. Telemedicine was first introduced in South Africa in 1997 and since then the cost of running the Telemedicine projects has increased substantially. Despite these efforts to introduce the system, only 34% of the Telemedicine sites in South Africa are functional at present. Objectives: Literature has suggested that one of the barriers to the successful implementation of health information systems is the user acceptance by health care workers of systems such as Telemedicine. This study investigated the user acceptance of Telemedicine in the public health care system in the Eastern Cape Province, making use of the Unified Theory of the Use and Acceptance of Technology. Method: The study employed a quantitative survey approach. A questionnaire was developed making use of existing literature and was distributed to various clinics around the province where Telemedicine has been implemented. Statistics were produced making use of Statistical Package for the Social Sciences (SPSS. Results: In general, the health care workers did understand the value and benefit of health information systems to improve the effectiveness and efficiency of the health care system. The barriers to the effective implementation of a health information system include the lack of knowledge and the lack of awareness regarding the Telemedicine system. This in turn means that the user is apprehensive when making use of the system thus contributing to less frequent usage. Conclusion: Health care workers do acknowledge that information systems can help to increase the effectiveness of the health care system. In general, the acceptance of Telemedicine in the Eastern Cape Department of Health is positive, but in order to integrate it into standard work practices, more must be done with regards to the promotion and education of telemedicine.

Uplift of quaternary shorelines in eastern Patagonia: Darwin revisited

Science.gov (United States)

Pedoja, Kevin; Regard, Vincent; Husson, Laurent; Martinod, Joseph; Guillaume, Benjamin; Fucks, Enrique; Iglesias, Maximiliano; Weill, Pierre

2011-04-01

During his journey on the Beagle, Darwin observed the uniformity in the elevation of coastal Eastern Patagonia along more than 2000 km. More than one century later, the sequences of Quaternary shorelines of eastern Patagonia have been described and their deposits dated but not yet interpreted in terms of geodynamics. Consequently, we i) mapped the repartition of the Quaternary coastal sequences in Argentinean Patagonia, ii) secured accurate altitudes of shoreline angles associated with erosional morphologies (i.e. marine terraces and notches), iii) took into account previous chrono-stratigraphical interpretations in order to calculate mean uplift rates since ~ 440 ka (MIS 11) and proposed age ranges for the higher and older features (up to ~ 180 m), and iv) focused on the Last Interglacial Maximum terrace (MIS 5e) as the best constrained marine terrace (in terms of age and altitude) in order to use it as a tectonic benchmark to quantify uplift rates along the entire passive margin of Eastern South America. Our results show that the eastern Patagonia uplift is constant through time and twice the uplift of the rest of the South American margin. We suggest that the enhanced uplift along the eastern Patagonian coast that interested Darwin during his journey around South America on the Beagle could originate from the subduction of the Chile ridge and the associated dynamic uplift.

Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis.

Science.gov (United States)

El-Jardali, Fadi; Akl, Elie A; Karroum, Lama Bou; Kdouh, Ola; Akik, Chaza; Fadlallah, Racha; Hammoud, Rawan

2014-08-20

Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors' affiliations, and countries where included primary studies were conducted. Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews (8.5%) included primary

Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis

Science.gov (United States)

2014-01-01

Background Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. Methods We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors’ affiliations, and countries where included primary studies were conducted. Results Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews

Population specific biomarkers of human aging: a big data study using South Korean, Canadian and Eastern European patient populations.

Science.gov (United States)

Mamoshina, Polina; Kochetov, Kirill; Putin, Evgeny; Cortese, Franco; Aliper, Alexander; Lee, Won-Suk; Ahn, Sung-Min; Uhn, Lee; Skjodt, Neil; Kovalchuk, Olga; Scheibye-Knudsen, Morten; Zhavoronkov, Alex

2018-01-11

Accurate and physiologically meaningful biomarkers for human aging are key to assessing anti-aging therapies. Given ethnic differences in health, diet, lifestyle, behaviour, environmental exposures and even average rate of biological aging, it stands to reason that aging clocks trained on datasets obtained from specific ethnic populations are more likely to account for these potential confounding factors, resulting in an enhanced capacity to predict chronological age and quantify biological age. Here we present a deep learning-based hematological aging clock modeled using the large combined dataset of Canadian, South Korean and Eastern European population blood samples that show increased predictive accuracy in individual populations compared to population-specific hematologic aging clocks. The performance of models was also evaluated on publicly-available samples of the American population from the National Health and Nutrition Examination Survey (NHANES). In addition, we explored the association between age predicted by both population-specific and combined hematological clocks and all-cause mortality. Overall, this study suggests a) the population-specificity of aging patterns and b) hematologic clocks predicts all-cause mortality. Proposed models added to the freely available Aging.AI system allowing improved ability to assess human aging. © The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America.

Two new species of Indigofera L. (Leguminosae) from the Sneeuberg Centre of Floristic Endemism, Great Escarpment (Eastern and Western Cape, South Africa).

Science.gov (United States)

Clark, V Ralph; Schrire, Brian D; Barker, Nigel P

2015-01-01

Two new species of Indigofera L. (Leguminosae) are described from the Sneeuberg Centre of Floristic Endemism on the southern Great Escarpment, Eastern and Western Cape Provinces, South Africa. Both species are localised high-altitude endemics. Indigoferamagnifica Schrire & V.R. Clark is confined to the summit plateau of the Toorberg-Koudeveldberg-Meelberg west of Graaff-Reinet, and complements other western Sneeuberg endemics such as Ericapasserinoides (Bolus) E.G.H. Oliv. and Faurearecondita Rourke & V.R. Clark. Indigoferaasantasanensis Schrire & V.R. Clark is confined to a small area east of Graaff-Reinet, and complements several other eastern Sneeuberg endemics such as Euryopsexsudans B. Nord & V.R. Clark and Euryopsproteoides B. Nord. & V.R. Clark. Based on morphology, both new species belong to the Cape Clade of Indigofera, supporting a biogeographical link between the Cape Floristic Region and the Sneeuberg, as well as with the rest of the eastern Great Escarpment.

Systematic Review of Breast Cancer Biology in Developing Countries (Part 1): Africa, the Middle East, Eastern Europe, Mexico, the Caribbean and South America

International Nuclear Information System (INIS)

Bhikoo, Riyaz; Srinivasa, Sanket; Yu, Tzu-Chieh; Moss, David; Hill, Andrew G

2011-01-01

There has been no systematic appraisal of ethnicity-based variations in breast cancer (BC) biology amongst women from developing countries. A qualitative systematic review was conducted of breast cancer size, stage, grade, histological type, extra-mammary involvement, hormone receptor status as well as patient demographics. This review includes patients from Africa, the Middle East, Eastern Europe, Mexico, the Caribbean and South America. BC in these regions present at an earlier age with large aggressive tumours. Distant metastases are frequently present at the time of diagnosis. African women have a higher frequency of triple negative tumours. Over half of Middle Eastern women have lymph node involvement at the time of diagnosis. Despite experiencing a lower incidence compared to the Ashkenazi Jewish population, Palestinian women have poorer five-year survival outcomes. The majority of women from Mexico and South America have stage two or three disease whilst over sixty percent of women from Eastern Europe have either stage one or stage two disease. The biological characteristics of BC in the Caribbean cannot be fully assessed due to a paucity of data from the region. BC amongst the developing world is characterised by an early peak age of onset with aggressive biological characteristics. Strategies that improve breast cancer awareness, address amenable risk factors and improve early detection are essential

Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

Directory of Open Access Journals (Sweden)

Lucie Cluver, PhD

2013-12-01

Funding: UK Economic and Social Research Council, South African National Research Foundation, Health Economics and AIDS Research Division at University of KwaZulu-Natal, South African National Department of Social Development, Claude Leon Foundation, John Fell Fund, Nuffield Foundation, and Regional Interagency Task Team for Children affected by AIDS—Eastern and Southern Africa.

Rising Against the Thieves. Anti-Corruption Campaigns in South-Eastern Europe

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Chiara Milan

2018-01-01

Full Text Available Since the 2010s, bottom-up anti-corruption mobilizations have broken out in different countries of south-eastern Europe. Bosnia-Herzegovina in 2014 and Macedonia in 2015 and 2016 were amongst the states in democratic and economic transition in which thousands of people took to the streets to express their discontent against a ruling class blamed for corruption. Although triggered by different events, these mobilizations present a number of similarities. Building on qualitative interviews and ethnographic observation of interactions on social media platforms, this article investigates the discursive strategies that movement organizers used to frame their claims and the protestors' identity in both countries. The article explores the ways in which protest leaders in the two countries appropriated the topic of corruption "from below" to delegitimize the ruling class using similar motivational, identity and diagnostic frames, notwithstanding the protests being spurred by diverse events. Furthermore, it elucidates the similarities and differences among the prognostic frames, that is, the proposed solutions to the problem of political corruption.

Eastern Health Board Regional Orthodontic Service: an initial audit.

LENUS (Irish Health Repository)

Dowling, P A

1997-01-01

This initial audit of 600 recently assessed Eastern Health Board orthodontic patients suggests that a large number of them (47 per cent) requires referral for routine restorative and preventive dental care. Closer links are needed with general dental practitioners and community dental surgeons to resolve these needs. The trend for a high referral of females and Class 11 Division 1 malocclusion type correlated well with studies in other countries.

Health tourism in South Africa: opportunities and possibilities

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Unathi Sonwabile Henama

2014-01-01

Full Text Available The tourism industry is one industry that has grown in leaps and bound since the watershed moment in 1994. Mining and manufacturing have declined their share of gross domestic product contribution, whilst tourism has been a perennial growth sector. The growth of tourism has resulted in tourism becoming a priority sector by government and the private sector. Tourism creates jobs, attracts investment, foreign exchange and diversifies the economy. Health tourism can be regarded within the definition of special interest tourism, which is regarded as ‘’new tourism’’. The private healthcare system in South Africa is world class, and the growth of tourism has led to synergies being formed for the development of medical tourism in South Africa. The paper reviews health and medical tourism secondary literature to present an argument for the development of the industry, and the identification of obstacles to the growth of health tourism. There is paucity of academic gaze on medical tourism and the secondary research will present certain findings that will be of benefit to the health tourism industry in South Africa.

Health Expenditure Growth under Single-Payer Systems: Comparing South Korea and Taiwan.

Science.gov (United States)

Cheng, Shou-Hsia; Jin, Hyun-Hyo; Yang, Bong-Min; Blank, Robert H

2018-05-03

Achieving universal health coverage has been an important goal for many countries worldwide. However, the rapid growth of health expenditures has challenged all nations, both those with and without such universal coverage. Single-payer systems are considered more efficient for administrative affairs and may be more effective for containing costs than multipayer systems. However, South Korea, which has a typical single-payer scheme, has almost the highest growth rate in health expenditures among industrialized countries. The aim of the present study is to explicate this situation by comparing South Korea with Taiwan. This study analyzed statistical reports published by government departments in South Korea and Taiwan from 2001 to 2015, including population and economic statistics, health statistics, health expenditures, and social health insurance reports. Between 2001 and 2015, the per capita national health expenditure (NHE) in South Korea grew 292%, whereas the corresponding growth of per capita NHE in Taiwan was only 83%. We find that the national health insurance (NHI) global budget cap in Taiwan may have restricted the growth of health expenditures. Less comprehensive benefit coverage for essential diagnosis/treatment services under the South Korean NHI program may have contributed to the growth of out-of-pocket payments. The expansion of insurance coverage for vulnerable individuals may also contribute to higher growth in NHE in South Korea. Explicit regulation of health care resource distribution may also lead to more limited provisioning and utilization of health services in Taiwan. Under analogous single-payer systems, South Korea had a much higher growth in health spending than Taiwan. The annual budget cap for total reimbursement, more comprehensive coverage for essential diagnosis and treatment services, and the regulation of health care resource distribution are important factors associated with the growth of health expenditures. Copyright © 2018

Eastern Arc Mountains and their national and global importance ...

African Journals Online (AJOL)

The Eastern Arc Mountains comprise a chain of separate mountain blocks running from southern Kenya through Tanzania in a crescent or arc shape. In Tanzania, the Eastern Arc consists of North and South Pare, East and West Usambaras, Nguru, Ukaguru, Rubeho, Uluguru, Udzungwa and Mahenge Mountains.

Antenatal care in practice: an exploratory study in antenatal care clinics in the Kilombero Valley, south-eastern Tanzania

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Kessy Flora

2011-05-01

Full Text Available Abstract Background The potential of antenatal care for reducing maternal morbidity and improving newborn survival and health is widely acknowledged. Yet there are worrying gaps in knowledge of the quality of antenatal care provided in Tanzania. In particular, determinants of health workers' performance have not yet been fully understood. This paper uses ethnographic methods to document health workers' antenatal care practices with reference to the national Focused Antenatal Care guidelines and identifies factors influencing health workers' performance. Potential implications for improving antenatal care provision in Tanzania are discussed. Methods Combining different qualitative techniques, we studied health workers' antenatal care practices in four public antenatal care clinics in the Kilombero Valley, south-eastern Tanzania. A total of 36 antenatal care consultations were observed and compared with the Focused Antenatal Care guidelines. Participant observation, informal discussions and in-depth interviews with the staff helped to identify and explain health workers' practices and contextual factors influencing antenatal care provision. Results The delivery of antenatal care services to pregnant women at the selected antenatal care clinics varied widely. Some services that are recommended by the Focused Antenatal Care guidelines were given to all women while other services were not delivered at all. Factors influencing health workers' practices were poor implementation of the Focused Antenatal Care guidelines, lack of trained staff and absenteeism, supply shortages and use of working tools that are not consistent with the Focused Antenatal Care guidelines. Health workers react to difficult working conditions by developing informal practices as coping strategies or "street-level bureaucracy". Conclusions Efforts to improve antenatal care should address shortages of trained staff through expanding training opportunities, including health worker

Hydrochemical and toxicological characteristics of state national nature park “Kolsay Kolderi" lakes (Kungei Alatau, South-Eastern Kazakhstan

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Krupa Elena G.

2016-05-01

Full Text Available In August 2015 four ultrafresh mountain lakes of Kolsay National Nature Park, located at an altitude of 1829–3170 m a.s.l., were examined. The water mineralization of the lakes decreased from 123.9 to 26.6 mg/dm3 with decreasing altitude above sea level. The concentration of dissolved organic matter and nitrogen compounds was at levels below the temporary maximum allowable concentration (MAC. Phosphorus has not been found in the water. The concentration of iron in the water has reached 44.0–440.0 g/dm3. The concentration of heavy metals in the water, except copper, was 10–100 times lower than the maximum allowable concentrations for standards of fishery waterbodies. The concentration of copper in water exceeded the permissible limits 2.6–5.5 times. The concentration of lead, copper, zinc, nickel and chromium in water has decreased from Lower Kolsay to Upper Kolsay. The most highland and shallow lake, which located under the Sarybulak mountain pass, had a higher concentration of lead, copper, zinc and nickel in the water than in the downstream lakes. The concentration of zinc, cadmium, lead, chromium, cobalt and nickel in the water of the other high mountain reservoirs of South-Eastern Kazakhstan has not exceeded 0.7 of MAC temporary. The concentration of copper has reached 1.5–13.9 of MAC temporary. In mountain lakes and reservoirs, the metal concentrations in the water decreased at lower altitudes, similar but less pronounce to their spatial dynamics in mountain rivers. Background concentration of cadmium and zinc in the mountain reservoirs of South-Eastern Kazakhstan was equivalent to the uncontaminated waters of the Tien Shan, the Alps and the Western Sayan mountain ranges. However, the concentration of copper, lead and chromium were higher respectively. Considering the remoteness of the region from the sources of anthropogenic influences, the background concentrations of heavy metals for water reservoirs of South-Eastern Kazakhstan

Patient experiences and health system responsiveness in South Africa

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Peltzer Karl

2009-07-01

Full Text Available Abstract Background Patients' views are being given more and more importance in policy-making. Understanding populations' perceptions of quality of care is critical to developing measures to increase the utilization of primary health care services. Using the data from the South African World Health Survey (WHS, the current study aims to evaluate the degree of health care service responsiveness (both out-patient and in-patient and comparing experiences of individuals who used public and private services in South Africa. Methods A population-based survey of 2352 participants (1116 men and 1236 women was conducted in South Africa in 2003, the WHS – as part of a World Health Organization (WHO project focused on health system performance assessment in member countries. Results Health care utilization was among those who attended in-patient care 72.2% attended a public and 24.3% a private facility, and of those who attended out-patient care 58.7% attended a public and 35.7% a private facility. Major components identified for out-patient care responsiveness in this survey were highly correlated with health care access, communication and autonomy, secondarily to dignity, confidentiality and quality of basic amenities, and thirdly to health problem solution. The degree of responsiveness with publicly provided care was in this study significantly lower than in private health care. Overall patient non-responsiveness for the public out-patient service was 16.8% and 3.2% for private care. Discrimination was also one of the principal reasons for non-responsiveness in all aspects of provided health care. Conclusion Health care access, communication, autonomy, and discriminatory experiences were identified as priority areas for actions to improve responsiveness of health care services in South Africa.

Breeding biology of the eastern population of the Short-clawed Lark ...

African Journals Online (AJOL)

Breeding biology of the eastern population of the Short-clawed Lark in South Africa. ... courtship and copulation behaviour, the incubation period, description of the ... In contrast with the single-brooded western population, the eastern ...

Overview of Iodine Deficiency Prevention Strategies in the South-Eastern Europe and Central Asia Region: 2009–2016

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Gregory A. Gerasimov

2018-02-01

Full Text Available Universal salt iodization (USI strategies gained strong momentum in countries of the Southern Europe and Central Asia (SECA region during the 2000–2009 decade. By the end of the first decade, several countries in the region had already reached the goal of optimum iodine nutrition; other countries were quickly approaching this goal, and in only a few countries the progress toward USI had remained slow. This paper reports an overview of the two Sub-Regional workshops (for countries of Eastern Europe and Central Asia and South-Eastern Europe conducted in 2015 and 2016. Both workshops demonstrate that the SECA region remains on track in the pursuit of USI for sustainable IDD elimination. Notwithstanding the noted imperfections, none of the data or information from countries of the region suggested that the conquest of iodine deficiency is seriously threatened. However, more efforts should be made to develop and streamline USI strategies in Russia and Ukraine, two major countries that are lagging behind.

NGO management and health care financing approaches in the Eastern Democratic Republic of the Congo.

Science.gov (United States)

Dijkzeul, D; Lynch, C A

2006-01-01

The role of cost-sharing in health care is a crucial, yet contentious issue. In conflict situations, cost-sharing becomes even more controversial as health and other institutions are failing. In such situations, NGOs manage health programmes which aim to aid populations in crisis and improve or at least sustain a deteriorating health system. This study looks at the issue of cost-sharing in the wider context of utilization rates and management approaches of three NGOs in the chronic, high-mortality crisis of the eastern DRC. Approaches to increase access to health care were found to exist, yet cost-recovery, even on the basis of maximum utilization rates, would only partially sustain the health system in the eastern DRC. Factors external to the direct management of NGO health programs, such as the wider economic and security situation, local management structures, and international donor policies, need to be taken into account for establishing more integrated management and financing approaches.

How front-line healthcare workers respond to stock-outs of essential medicines in the Eastern Cape Province of South Africa.

Science.gov (United States)

Hodes, R; Price, I; Bungane, N; Toska, E; Cluver, L

2017-08-25

Shortages of essential medicines are a daily occurrence in many of South Africa (SA)'s public health facilities. This study focuses on the responses of healthcare workers to stock-outs, investigating how actors at the 'front line' of public health delivery understand, experience and respond to shortages of essential medicines and equipment in their facilities. Findings are based on focus groups, observations and interviews with healthcare workers and patients at healthcare facilities in the Eastern Cape Province of SA, conducted as part of the Mzantsi Wakho study. The research revealed a discrepancy between 'informal' definitions of stock-outs and their reporting through formal stock-out management channels. Front-line healthcare workers had designed their own systems for classifying the severity of stock-outs, based on the product in question, and on their potential to access stocks from other facilities. Beyond formal systems of procurement and supply, healthcare workers had established vast networks of alternative communication and action, often using personal resources to procure medical supplies. Stock-outs were only reported when informal methods of stock-sharing did not secure top-up supplies. These findings have implications for understanding the frequency and severity of stock-outs, and for taking action to prevent and manage stock-outs effectively.

Mast fruiting is a frequent strategy in woody species of eastern South America.

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Natalia Norden

Full Text Available BACKGROUND: It is thought that mast seeding is a rare reproductive strategy in the tropics, since tropical climates are less variable, and fruit consumers tend to be more generalist in these regions. However, previous tests of this hypothesis were based on only few tropical datasets, and none from tropical South America. Moreover, reproductive strategies have been quantified based on the coefficient of variation of interannual seed production, an index that potentially confounds masting and high interannual variability in seed production. METHODOLOGY/PRINCIPAL FINDINGS: We developed a new approach to model the monthly variability in seed production for 28 tree species, and 20 liana species monitored during 5 years in a tropical forest of Central French Guiana. We found that 23% of the species showed a masting pattern, 54% an annual fruiting pattern, and 23% an irregular fruiting pattern. The majority of masting species were trees (8 out of 11, most of them animal-dispersed. The classification into reproductive strategies based on the coefficient of variation was inconsistent with our results in nearly half of the cases. CONCLUSIONS/SIGNIFICANCE: Our study is the first to clearly evidence the frequency of the masting strategy in a tropical forest community of Eastern South America. The commonness of the masting strategy in tropical plants may promote species coexistence through storage dynamics.

Indicators of post-productivism in South Africa’s “platteland”: A second home case study of Rosendal, Eastern Free State

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Hay Anette

2017-09-01

Full Text Available The idea of post-productivism has been found to apply extensively in developed countries, but has been studied less in developing countries. A recent study in South Africa on second homes demonstrated that some rural spaces are slowly evolving into post-productivist countrysides, especially during weekends, month-ends and peak holiday periods. Wilson and Rigg’s six indicators were utilised to assess the rural town of Rosendal in the Eastern Free State of South Africa, the adjacent black township of Mautse and the surrounding farming area, to determine whether the notion of post-productivism can be exported from the developed North to a developing world context. Some of the indicators have been found to be highly relevant in this case study, but others have been found to be nearly irrelevant. Also important to note is that the meaning of these indicators may be different when applied to the developing South.

Wood pellets, what else? : Greenhouse gas parity times of European electricity from wood pellets produced in the south-eastern United States using different softwood feedstocks

NARCIS (Netherlands)

Hanssen, Steef V.; Duden, Anna S.; Junginger, Martin; Dale, Virginia H.; van der Hilst, Floortje

Several EU countries import wood pellets from the south-eastern United States. The imported wood pellets are (co-)fired in power plants with the aim of reducing overall greenhouse gas (GHG) emissions from electricity and meeting EU renewable energy targets. To assess whether GHG emissions are

Comparison between weather station data in south-eastern Italy and CRU precipitation datasets

Science.gov (United States)

Miglietta, D.

2009-04-01

Monthly precipitation data in south-eastern Italy from 1920 to 2005 have been extensively analyzed. Data were collected in almost 200 weather stations located 10-20km apart from each other and almost uniformly distributed in Puglia and Basilicata regions. Apart from few years around world war II, time series are mostly complete and allow a reliable reconstruction of climate variability in the considered region. Statistically significant trends have been studied by applying the Mann-Kendall test to annual, seasonal and monthly values. A comparison has been made between observations and precipitation data given by the Climate Research Unit (CRU), University of East Anglia, with both low (30') and high (10') space resolution grid. In particular, rainfall records, time series behaviors and annual cycles at each station have been compared to the corresponding CRU data. CRU time series show a large negative trend for winter since 1970. Trend is not significant if the whole 20th century is considered (both for the whole year and for winter only). This might be considered as an evidence of recent acceleration towards increasingly dry conditions. However correlation between CRU data and observations is not very high and large percent errors are present mainly in the mountains regions, where observations show a large annual cycle, with intense precipitation in winter, which is not present in CRU data. To identify trends, therefore observed data are needed, even at monthly scale. In particular observations confirm the overall trend, but also indicate large spatial variability, with locations where precipitation has even increased since 1970. Daily precipitation data coming from a subset of weather stations have also been studied for the same time period. The distributions of maximum annual rainfalls, wet spells and dry spells were analyzed for each station, together with their time series. The tools of statistical analysis of extremes have been used in order to evaluate

South Africans in flux: Exploring the mental health impact of ...

African Journals Online (AJOL)

In the context of post-apartheid South Africa mental health professionals are increasingly faced with the complexities linked to people leaving the country, those left behind and those returning. In an attempt to illustrate the mental health challenges linked to the South African migration phenomenon, this article will firstly ...

The Implications of the Developmental Origins of Health and Disease on Public Health Policy and Health Promotion in South Africa.

Science.gov (United States)

Reddy, Sasiragha Priscilla; Mbewu, Anthony David

2016-11-09

The developmental origins of health and disease (DOHaD) hypothesis states that environmental influences in utero and in early life can determine health and disease in later life through the programming of genes and/or altered gene expression. The DOHaD is likely to have had an effect in South Africa during the fifty years of apartheid; and during the twenty years since the dawn of democracy in 1994. This has profound implications for public health and health promotion policies in South Africa, a country experiencing increased prevalence of noncommunicable diseases (NCDs) and risk factors and behaviours for NCDs due to rapid social and economic transition, and because of the DOHaD. Public health policy and health promotion interventions, such as those introduced by the South African Government over the past 20 years, were designed to improve the health of pregnant women (and their unborn children). They could in addition, through the DOHaD mechanism, reduce NCDs and their risk factors in their offspring in later life. The quality of public health data over the past 40 years in South Africa precludes the possibility of proving the DOHaD hypothesis in that context. Nevertheless, public health and health promotion policies need to be strengthened, if South Africa and other low and middle income countries (LMICs) are to avoid the very high prevalence of NCDs seen in Europe and North America in the 50 years following the Second World War, as a result of socio economic transition and the DOHaD.

Ethical issues in the transformation of health policy in South Africa.

Science.gov (United States)

Pillay, Y G

1992-07-01

There have, of late, been repeated calls for the transformation of the South African health care system. While there are political and economic consequences involved, there are also bio-ethical sequelae. This paper attempts to explore some of the bio-ethical dilemmas that confront both the 'consumers' and the architects of a new health policy (including the State; professional health groupings, e.g. the Medical Association of South Africa; and the so-called progressive health organisations, e.g. the National Medical and Dental Association and the South African Health Workers' Congress). While the literature has focused on libertarian and utilitarian ethical theories, communitarian perspectives are not often mentioned. This paper attempts to redress this perceived deficit.

Left Dislocation in North-Eastern Neo-Aramaic dialects | Khan ...

African Journals Online (AJOL)

The North-Eastern Neo-Aramaic (NENA) dialects, which are the focus of this paper, were spoken across a wide area encompassing northern Iraq, north-west Iran, south-eastern Turkey, Armenia and Georgia. In these spoken dialects a distinction should be made between two major types of Left Dislocation (LD) structures.

Effects of Biosolids Application on Pasture and Grape Vines in South-Eastern Australia

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David Nash

2011-01-01

Full Text Available Biosolids were applied to a pasture and a vineyard in south-eastern Australia. At both sites, soil Cd, Cu, and Zn concentrations linearly increased with biosolids application rates although not to the extent of exceeding soil quality guidelines. Biosolids marginally increased soil C and N concentrations at the pasture site but significantly increased P concentrations. With lower overall soil fertility at the vineyard, biosolids increased C, N, and P concentrations. At neither site did biosolids application affect soil microbial endpoints. Biosolids increased pasture production compared to the unfertilised control but had little effect on grape production or quality. Interestingly, over the 3-year trial, there was no difference in pasture production between the biosolids treated plots and plots receiving inorganic fertiliser. These results suggest that biosolids could be used as a fertiliser to stimulate pasture production and as a soil conditioner to improve vineyard soils in this region.

Environmental Studies of Natural Radioactivity at Nugrus -Sikait Area, South Eastern Desert, Egypt

International Nuclear Information System (INIS)

Sroor, A.; EI-Shershaby, A.; EI- Bahi, S.; Ali, N.; Ibrahim, M.E.

2008-01-01

Twenty seven representative samples were collected from two locations; Wadi Nugrus and Wadi Sikait, south Eastern Desert, Egypt. The area is characterized by abnormal radioactivity and has several archaeological sites (Sikait Temple). Emerald mining is a wide spread activity since Pharonic times at Sikait - Nugrus area. The concentration of the natural radionuclides ( 238 U-series, 232 Th-series and 40 K) are measured in all the rock samples by two techniques (HpGe detector and NaI(TI) detector). The Ra e q, and H e x for all samples are also determined. A comparative study between NaI and HpGe- detectors were carried out. The present work indicated that the equilibrium/disequilibrium ratios by using HpGe detector are more precise than that of Nal detectors. The radioactivity at Wadi Nugrus is higher than Wadi Sikait and also higher than the permissible level

National health insurance reform in South Africa: estimating the implications for demand for private health insurance.

Science.gov (United States)

Okorafor, Okore Apia

2012-05-01

A recent health reform proposal in South Africa proposes universal access to a comprehensive package of healthcare services in the public sector, through the implementation of a national health insurance (NHI) scheme. Implementation of the scheme is likely to involve the introduction of a payroll tax. It is implied that the introduction of the payroll tax will significantly reduce the size of the private health insurance market. The objective of this study was to estimate the impact of an NHI payroll tax on the demand for private health insurance in South Africa, and to explore the broader implications for health policy. The study applies probit regression analysis on household survey data to estimate the change in demand for private health insurance as a result of income shocks arising from the proposed NHI. The introduction of payroll taxes for the proposed NHI was estimated to result in a reduction to private health insurance membership of 0.73%. This suggests inelasticity in the demand for private health insurance. In the literature on the subject, this inelasticity is usually due to quality differences between alternatives. In the South African context, there may be other factors at play. An NHI tax may have a very small impact on the demand for private health insurance. Although additional financial resources will be raised through a payroll tax under the proposed NHI reform, systemic problems within the South African health system can adversely affect the ability of the NHI to translate additional finances into better quality healthcare. If these systemic challenges are not adequately addressed, the introduction of a payroll tax could introduce inefficiencies within the South African health system.

Health risks of climate change in the World Health Organization South-East Asia Region.

Science.gov (United States)

Bowen, Kathryn J; Ebi, Kristie L

2017-09-01

Countries in the World Health Organization (WHO) South-East Asia Region are particularly vulnerable to a changing climate. Changes in extreme weather events, undernutrition and the spread of infectious diseases are projected to increase the number of deaths due to climate change by 2030, indicating the need to strengthen activities for adaptation and mitigation. With support from the WHO Regional Office for South-East Asia and others, countries have started to include climate change as a key consideration in their national public health policies. Further efforts are needed to develop evidence-based responses; garner the necessary support from partner ministries; and access funding for activities related to health and climate change. National action plans for climate change generally identify health as one of their priorities; however, limited information is available on implementation processes, including which ministries and departments would be involved; the time frame; stakeholder responsibilities; and how the projects would be financed. While progress is being made, efforts are needed to increase the capacity of health systems to manage the health risks of climate change in South-East Asia, if population health is to be protected and strengthened while addressing changing weather and climate patterns. Enhancing the resilience of health systems is key to ensuring a sustainable path to improved planetary and population health.

The role of the state in stock farming in rural areas: A case study of Hertzog, Eastern Cape, South Africa

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Vimbai R. Jenjezwa

2014-08-01

Full Text Available This study examined the role of the state in providing veterinary services to resource-poor stock farmers. Communal stock farmers in most rural areas have low incomes and generally poor access to commercial veterinary healthcare. The state veterinary services thus offer a means for stock farmers to maintain the health of their livestock and receive information on animal healthcare. Interviews and participant observation were used to collect data about animal healthcare practices in Hertzog, a village in the Eastern Cape Province of South Africa.The findings were that the state played an important role in animal healthcare and in the education of farmers. However, the lack of a skilled workforce was a constraint to effective service delivery, whilst veterinary educational institutions that disseminate information to the stock farmers were not utilised. It is thus important to fully utilise training centres to educate stock farmers and for more incentives to be given to state employees, so as to attract the necessary skilled personnel to improve service delivery.

Serum concentrations of organochlorine compounds and predictors of exposure in children living in agricultural communities from South-Eastern Spain

DEFF Research Database (Denmark)

González-Alzaga, B.; Lacasaña, M.; Hernández, A. F.

2017-01-01

BACKGROUND: Information on exposure levels to organochlorine compounds (OCs) in child population is limited, despite their greater vulnerability to the adverse health effects of these chemicals. OBJECTIVE: To determine serum concentrations of 10 OCs (including organochlorine pesticides and polych...... are no longer used. Their presence in children serum can be explained by their high lipophilicity and environmental persistence, leading to contamination of fatty food. In this line, fish consumption seemed to be the most relevant determinant of OC levels found in our study....... and polychlorinated biphenyls -PCBs-) in children living in agricultural communities from Almería (South-Eastern Spain), and to identify the main predictors of exposure related to socio-economic characteristics, diet and lifestyle. METHODS: A cross-sectional study was conducted on 133 children aged 6-11 years...... selected from public schools of the study area. OCs compounds were determined in serum samples by GC/ECD. Anthropometric measures were obtained during sample collection. Information on sociodemographic characteristics, parental occupation, residential history, lifestyle and frequency of food consumption...

DISCUSSING THE ROLE OF MIGRATION AND EDUCATION IN FIGHTING ECONOMIC VULNERABILITY IN SOUTH-EASTERN EUROPE

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Monica Raileanu-Szeles

2016-11-01

Full Text Available This paper aims to examine the effects of the net migration rate and higher education on a set of economic vulnerability indicators in the South-Eastern EU countries, when controlling inter alia for other explanatory variables. These relationships are explored by panel data regression models, using macroeconomic variables collected over 10 years from the Eurostat dataset. The random effects Generalized Least Squares (GLS and the system Generalized Method of Moments (GMM estimators are comparatively examined. The paper finds that the tertiary education attainments do not represent a significant determinant of income inequality and subjective well-being, while the net migration rate and lifelong learning exert a significant and powerful impact on most our measures of economic vulnerability over the period of analysis.

Wild and native plants and mushrooms sold in the open-air markets of south-eastern Poland.

Science.gov (United States)

Kasper-Pakosz, Renata; Pietras, Marcin; Łuczaj, Łukasz

2016-10-07

The study of plants and fungi sold in open-air markets is an important part of ethnobotanical enquiry. Only few such studies were carried out in Europe. Four of the largest open-air markets of south-eastern Poland were visited regularly, and the plants sold in them were recorded between 2013 and 2015. The aim of the study was to record native and/or wild species sold in the markets. All the plants sold in the markets were photographed regularly. In each market, 25 sellers were interviewed. Voucher specimens were collected and fungi were identified using DNA barcoding. Altogether, 468 species of plants were recorded, 117 of them native to south-eastern Poland - 19 only collected from the wild and 11 both wild and cultivated. Seventeen of the species are under legal protection. Most protected plants were sold from cultivation, although proper authorization procedures had not been performed. Thirty-two species of fungi were sold (including two cultivated species), all of them for culinary purposes. Two species (Lactarius quieticolor, Leccinum schistophilum) are new to the mycobiota of Poland. Ornamental plants constituted a large section of the market, and they dominated the group of native species. Food plants dominated among wild-collected plants and were sold mainly as fruits for jams, juices and alcoholic drinks, or as culinary herbs. Very few medicinal or green vegetable plants were sold. An interesting feature of the markets was the sale of Ledum palustre as an insect repellent. Finding two species of fungi which are new to Poland highlights the importance of DNA barcoding in ethnomycological studies. Most items in the markets are ornamental plants, or edible fruits and mushrooms. Very few medicinal plants and green vegetables are sold, which differentiates the markets from southern European ones. Such a pattern is probably the model for most central European markets.

Antibiotic-Resistant Pathogenic Escherichia Coli Isolated from Rooftop Rainwater-Harvesting Tanks in the Eastern Cape, South Africa

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Mokaba Shirley Malema

2018-05-01

Full Text Available Although many developing countries use harvested rainwater (HRW for drinking and other household purposes, its quality is seldom monitored. Continuous assessment of the microbial quality of HRW would ensure the safety of users of such water. The current study investigated the prevalence of pathogenic Escherichia coli strains and their antimicrobial resistance patterns in HRW tanks in the Eastern Cape, South Africa. Rainwater samples were collected weekly between June and September 2016 from 11 tanks in various areas of the province. Enumeration of E. coli was performed using the Colilert®18/Quanti-Tray® 2000 method. E. coli isolates were obtained and screened for their virulence potentials using polymerase chain reaction (PCR, and subsequently tested for antibiotic resistance using the disc-diffusion method against 11 antibiotics. The pathotype most detected was the neonatal meningitis E. coli (NMEC (ibeA 28% while pathotype enteroaggregative E. coli (EAEC was not detected. The highest resistance of the E. coli isolates was observed against Cephalothin (76%. All tested pathotypes were susceptible to Gentamicin, and 52% demonstrated multiple-antibiotic resistance (MAR. The results of the current study are of public health concern since the use of untreated harvested rainwater for potable purposes may pose a risk of transmission of pathogenic and antimicrobial-resistant E. coli.

Antibiotic-Resistant Pathogenic Escherichia Coli Isolated from Rooftop Rainwater-Harvesting Tanks in the Eastern Cape, South Africa.

Science.gov (United States)

Malema, Mokaba Shirley; Abia, Akebe Luther King; Tandlich, Roman; Zuma, Bonga; Mwenge Kahinda, Jean-Marc; Ubomba-Jaswa, Eunice

2018-05-01

Although many developing countries use harvested rainwater (HRW) for drinking and other household purposes, its quality is seldom monitored. Continuous assessment of the microbial quality of HRW would ensure the safety of users of such water. The current study investigated the prevalence of pathogenic Escherichia coli strains and their antimicrobial resistance patterns in HRW tanks in the Eastern Cape, South Africa. Rainwater samples were collected weekly between June and September 2016 from 11 tanks in various areas of the province. Enumeration of E. coli was performed using the Colilert ® 18/Quanti-Tray ® 2000 method. E. coli isolates were obtained and screened for their virulence potentials using polymerase chain reaction (PCR), and subsequently tested for antibiotic resistance using the disc-diffusion method against 11 antibiotics. The pathotype most detected was the neonatal meningitis E. coli (NMEC) ( ibeA 28%) while pathotype enteroaggregative E. coli (EAEC) was not detected. The highest resistance of the E. coli isolates was observed against Cephalothin (76%). All tested pathotypes were susceptible to Gentamicin, and 52% demonstrated multiple-antibiotic resistance (MAR). The results of the current study are of public health concern since the use of untreated harvested rainwater for potable purposes may pose a risk of transmission of pathogenic and antimicrobial-resistant E. coli.

Uranium mining in Eastern Germany

International Nuclear Information System (INIS)

Sauer, H.D.

1990-01-01

A problem which simply does not exist in Western Germany is the uranium mining in the South of Eastern Germany (SDAG Wismuth). The cleaning up and control measure which are urgently needed will be a task for more than one generation. (orig./HP) [de

Phylogeography of a Morphologically Cryptic Golden Mole Assemblage from South-Eastern Africa.

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Samantha Mynhardt

Full Text Available The Greater Maputaland-Pondoland-Albany (GMPA region of southern Africa was recently designated as a centre of vertebrate endemism. The phylogeography of the vertebrate taxa occupying this region may provide insights into the evolution of faunal endemism in south-eastern Africa. Here we investigate the phylogeographic patterns of an understudied small mammal species assemblage (Amblysomus endemic to the GMPA, to test for cryptic diversity within the genus, and to better understand diversification across the region. We sampled specimens from 50 sites across the distributional range of Amblysomus, with emphasis on the widespread A. hottentotus, to analyse geographic patterns of genetic diversity using mitochondrial DNA (mtDNA and nuclear intron data. Molecular dating was used to elucidate the evolutionary and phylogeographic history of Amblysomus. Our phylogenetic reconstructions show that A. hottentotus comprises several distinct lineages, or evolutionarily significant units (ESUs, some with restricted geographic ranges and thus worthy of conservation attention. Divergence of the major lineages dated to the early Pliocene, with later radiations in the GMPA during the late-Pliocene to early-Pleistocene. Evolutionary diversification within Amblysomus may have been driven by uplift of the Great Escarpment c. 5-3 million years ago (Ma, habitat changes associated with intensification of the east-west rainfall gradient across South Africa and the influence of subsequent global climatic cycles. These drivers possibly facilitated geographic spread of ancestral lineages, local adaptation and vicariant isolation. Our study adds to growing empirical evidence identifying East and southern Africa as cradles of vertebrate diversity.

Human Linguatulosis Caused by Linguatula serrata in the City of Kerman, South-eastern Iran- Case Report.

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Rostam Yazdani

2014-06-01

Full Text Available Human linguatulosis poses an important medical and veterinary concern in endemic countries. Animals, as reservoir host, play a major role in transmission of infestation and epidemiology of the disease. This study reports a case of human linguatulosis caused by Linguatula serrata in the city of Kerman, South-eastern Iran. A woman suffering from upper respiratory symptoms is presented. The patient consumed raw liver of sheep who was admitted to the Afzalipour University Hospital in Kerman for the symptoms of upper respiratory tract. In microscopic examination of the nasopharyngeal discharge, L. serrata was detected. This report has future medical implication in precise diagnosis of L. serrata in patients with complaints of nasopharyngeal symptoms.

Endoparasites of the Eastern Rock Sengi (Elephantulus myurus) from South Africa.

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Lutermann, Heike; Medger, Katarina; Junker, Kerstin

2015-12-01

The endoparasite fauna of the eastern rock sengi ( Elephantulus myurus Thomas and Schwann) was studied for the first time for any sengi species from September 2007 until August 2008 in the Limpopo Province of South Africa. From the 121 sengis examined, we recovered 11 endoparasite taxa, including 9 nematodes, 1 cestode family (Hymenolepididae), and 1 pentastomid species (Armillifer armillatus (Wyman, 1834)). The overall endoparasite prevalence was high, at 100%, and largely attributable to the nematode Maupasina weissi Seurat, 1913 , with only a single individual being parasite free. Despite the high diversity, species richness was low (1.58 ± 0.06) and only M. weissi and spiruroid larvae occurred at a prevalence exceeding 8%. The abundance of M. weissi varied significantly between seasons and was lowest in summer and autumn. In contrast, the abundance of spiruroid larvae remained relatively constant across seasons in males, but was significantly higher in spring and summer compared to winter in females. These patterns may be generated by an accumulation of M. weissi with age as well as sex-specific seasonal shifts in diet. An updated list on the hosts and geographic range of parasites of sengis is provided.

Mental health policy: Options for South Africa

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Y. G. Pillay

1993-03-01

Full Text Available This paper emphasizes the need for mental health professionals to become involved in developing mental health policies in South Africa. In particular, it examines three options that are currently the focus of attention with respect to national health options, i.e. a free market system, a national health service (NHS and a national health insurance system (NHIS. While the paper does not provide support for any one of these options it does attempt to investigate some of the implications of each option for the funding and delivery of mental health care.

Management Of Boy Child School Drop Out In South-East Nigeria ...

African Journals Online (AJOL)

out in the south eastern geo-political zone of Nigeria and used available statistics to show that there is high incidence of male child drop out in the south eastern states of Nigeria. Furthermore, it examined the causes of male-child drop out to ...

The influence of social capital and socio-economic conditions on self-rated health among residents of an economically and health-deprived South African township

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Cramm Jane M

2011-11-01

Full Text Available Abstract Background Surprisingly few studies have investigated the interplay of multiple factors affecting self-rated health outcomes and the role of social capital on health in developing countries, a prerequisite to strengthening our understanding of the influence of social and economic conditions on health and the most effective aid. Our study aimed to identify social and economic conditions for health among residents of an economically and health-deprived community. Methods Data were gathered through a survey administered to respondents from 1,020 households in Grahamstown a suburb in the Eastern Cape, South Africa (response rate 97.9%. We investigated the influence of social and economic conditions (education, employment, income, social capital, housing quality and neighborhood quality on self-rated health. We used ordinal logistic regression analyses to identify the relationship of these conditions and self-rated health. Results Our study found that education and social capital positively correlated with health; unemployment, poor educational level and advanced age negatively correlated. We found no significant correlations between self-rated health and housing quality, neighbourhood quality, income, gender, or marital status. Conclusion We highlight the possible impacts of social capital, employment, and education on health, and suggest that health outcomes may be improved through interventions beyond the health system: creating job opportunities, strengthening social capital, bettering educational systems, and promoting educational access. Policymakers should consider the benefits of such programmes when addressing health outcomes in financially distressed districts.

Achieving universal health coverage in South Africa through a district health system approach: conflicting ideologies of health care provision.

Science.gov (United States)

Fusheini, Adam; Eyles, John

2016-10-07

Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health system with UHC through developing a national health insurance (NHI) program. This will be practically achieved through a decentralized approach, the district health system, the main vehicle for delivering services since democracy. We utilize a review of relevant documents, conducted between September 2014 and December 2015 of district health systems (DHS) and UHC and their ideological underpinnings, to explore the opportunities and challenges, of the district health system in achieving UHC in South Africa. Review of data from the NHI pilot districts suggests that as South Africa embarks on reforms toward UHC, there is a need for a minimal universal coverage and emphasis on district particularity and positive discrimination so as to bridge health inequities. The disparities across districts in relation to health profiles/demographics, health delivery performance, management of health institutions or district management capacity, income levels/socio-economic status and social determinants of health, compliance with quality standards and above all the burden of disease can only be minimised through positive discrimination by paying more attention to underserved and disadavantaged communities. We conclude that in South Africa the DHS is pivotal to health reform and UHC may be best achieved through minimal universal coverage with positive discrimination to ensure disparities across districts in relation to disease burden, human resources, financing and investment, administration and management capacity, service readiness and availability and the health access inequalities are consciously

THE DAY OF THE WEEK EFFECT IN SOUTH EASTERN EUROPE STOCK MARKETS

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MARTIN MIHAJLOV

2012-09-01

Full Text Available The main aim of this research is to examine existence of day of the week effect on the stock market indices infive countries from South Eastern Europe (SEE: Bosnia and Herzegovina, Bulgaria, Croatia, Macedonia and Serbiain the most recent period which is characterized by the bear market (from 2006 to 2011. The methodology used theregression with dummy variables, or so called Analysis of Variance (ANOVA model. In addition Wald test is applied.The results imply that the mean daily return of the all five SEE indices is negative on Monday. The day of the weekeffect is found only in Croatian and Bulgarian Stock Market. In both stock markets, the mean daily returns of theleading indices are lower on Monday than the other days of the week and the results are statistically significant. Thelower Monday mean daily returns are found also in Macedonian stock exchange index, but the results are notstatistically significant. The mean daily returns of BELEX15 and BIFX indices in Tuesday are lower than mean dailyreturn on Monday, but also without statistical significance.

Staff and bed distribution in public sector mental health services in ...

African Journals Online (AJOL)

Background. The Eastern Cape Province of South Africa is a resource-limited province with a fragmented mental health service. Objective. To determine the current context of public sector mental health services in terms of staff and bed distribution, and how this corresponds to the population distribution in the province.

Transition, Reconstruction and Stability in South-Eastern Europe. The Role of Vocational Education and Training. Working Document. [European Training Foundation and Kulturkontakt Austria Joint Workshop on "Civil Society and Vocational Education Training. The Role of Democratic Citizenship and Diversity Education" (Mavrovo, Former Yugoslav Republic of Macedonia, September 9-11, 1999)].

Science.gov (United States)

European Training Foundation, Turin (Italy).

This document includes the following papers: "The European Training Foundation's Experience in Supporting Human Resource Development in South-Eastern Europe" (Peter de Rooij); "Transition, Reconstruction and Stability in South-Eastern Europe; The Role of Vocational Education and Training" (Cesar Birzea, Peter Grootings, Tzako…

Distance decay and persistent health care disparities in South Africa.

Science.gov (United States)

McLaren, Zoë M; Ardington, Cally; Leibbrandt, Murray

2014-11-04

Access to health care is a particular concern given the important role of poor access in perpetuating poverty and inequality. South Africa's apartheid history leaves large racial disparities in access despite post-apartheid health policy to increase the number of health facilities, even in remote rural areas. However, even when health services are provided free of charge, monetary and time costs of travel to a local clinic may pose a significant barrier for vulnerable segments of the population, leading to overall poorer health. Using newly available health care utilization data from the first nationally representative panel survey in South Africa, together with administrative geographic data from the Department of Health, we use graphical and multivariate regression analysis to investigate the role of distance to the nearest facility on the likelihood of having a health consultation or an attended birth. Ninety percent of South Africans live within 7 km of the nearest public clinic, and two-thirds live less than 2 km away. However, 14% of Black African adults live more than 5 km from the nearest facility, compared to only 4% of Whites, and they are 16 percentage points less likely to report a recent health consultation (p apartheid but progress is still needed to achieve equity in health care access.

Desegregating health statistics and health research in South Africa ...

African Journals Online (AJOL)

Objective. This article aims: (I) to re-examine the use and usefulness of categorisation based on 'race'. ethnicity and 'population group' membership in public heatth research; and (ii) to assess the consequences of using these categories for describing, analysing and redressing disparities in health within South Africa The ...

Letter to Editor: RESITA NETWORK - ACADEMIC ENTREPRENEURSHIP AND INNOVATION NETWORK OF SOUTH EASTERN EUROPEAN UNIVERSITIES: AN EXAMPLE OF SUCCESSFUL NETWORKING IN ENTREPRENEURSHIP AND INNOVATION AT ACADEMIC LEVEL

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Peter Schulte

2013-05-01

Full Text Available The foundation, development, activities, and wider social impact of the AcademicEntrepreneurship and Innovation Network of South Eastern European Universities, or shortlyRESITA Network, is presented in this paper as a positive example of successful networking inentrepreneurship and innovation at academic level.

A time for new north-south relationships in global health.

Science.gov (United States)

Kim, Jin Un; Oleribe, Obinna; Njie, Ramou; Taylor-Robinson, Simon D

2017-01-01

The modern concept of globalization in health care and clinical research often carries a positive message for the "Global South" nations of Africa, South America and Southeast Asia. However, bioethical abuse of participants in clinical trials still exists in the Global South. Unethical studies directed by the "Global North", formed by the medically advanced nations in North America, Western Europe and Japan, have been hugely concerning. The issue between the Global North and South is a well-recognized socioeconomic phenomenon of globalization. Medical exploitation has its roots in the socioeconomic interactions of a postcolonial world, and solutions to reducing exploitation require a deeper understanding of these societal models of globalization. We explore the fundamental causes of imbalance and suggest solutions. Reflecting on the globalization model, there must be an effort to empower the Global South nations to direct and govern their own health care systems efficiently on the basis of equality.

Going like gangbusters: transnational tobacco companies "making a killing" in South America.

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Stebbins, K R

2001-06-01

This article reports on the recent growth of transnational tobacco companies (TTCs) in South America. Although some scholarly attention has been directed toward such growth in Asia and eastern Europe, South America has also been targeted by the TTCs' aggressive expansionist practices in recent years. Fighting "Big Tobacco" is entirely different from combating most public health problems. Unlike cigarettes, most infectious diseases and maternal and child health problems never provide profits to transnational corporations and governments. Also, most public health problems (with alcohol being another notable exception) are not exacerbated by extensive advertising campaigns that promote the cause of the health problems. Supported by data gathered during three months of fieldwork in Ecuador, Peru, Chile, and Argentina in 1997, this article suggests that the TTCs' marketing strategies override cultural differences in the choices people make regarding smoking and health. Combining critical medical anthropology and public health, this article concludes that unless dramatic actions are taken, an avoidable outbreak of tobacco-related diseases will eventually reach epidemic proportions on the South American continent. It is also a "call to arms" for more medical anthropologists to investigate tobacco-related matters around the world.

A digital health innovation ecosystem for South Africa

CSIR Research Space (South Africa)

Herselman, Marlien

2016-05-01

Full Text Available The purpose of this paper is to provide an overview of how a digital health innovation ecosystem was conceptualised and validated for South Africa. Largely, we focus on defining strategies to build Digital Health Innovation Ecosystems in the context...

Lessons from the past: Historical perspectives of mental health in the ...

African Journals Online (AJOL)

The development of mental health services in the Eastern Cape Province is inextricably entwined in South Africa's colonial history and the racist policy of apartheid. Prior to the development of mental hospitals, mental health services were provided through a network of public and mission hospitals. This paper explores the ...

Historical perspectives of mental health in the Eastern Cape

African Journals Online (AJOL)

ment approved the spending of GBP50 000 towards the settlement of .... Mission hospitals contributed significantly to the development of health ... cheap accommodation for the black insane, which resulted in a saving ..... Wu M. Between universalism and racism: Tensions in theories of treatment in South African psychiatry.

Variability in the air–sea interaction patterns and timescales within the south-eastern Bay of Biscay, as observed by HF radar data

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A. Fontán

2013-04-01

Full Text Available Two high-frequency (HF radar stations were installed on the coast of the south-eastern Bay of Biscay in 2009, providing high spatial and temporal resolution and large spatial coverage of currents in the area for the first time. This has made it possible to quantitatively assess the air–sea interaction patterns and timescales for the period 2009–2010. The analysis was conducted using the Barnett–Preisendorfer approach to canonical correlation analysis (CCA of reanalysis surface winds and HF radar-derived surface currents. The CCA yields two canonical patterns: the first wind–current interaction pattern corresponds to the classical Ekman drift at the sea surface, whilst the second describes an anticyclonic/cyclonic surface circulation. The results obtained demonstrate that local winds play an important role in driving the upper water circulation. The wind–current interaction timescales are mainly related to diurnal breezes and synoptic variability. In particular, the breezes force diurnal currents in waters of the continental shelf and slope of the south-eastern Bay. It is concluded that the breezes may force diurnal currents over considerably wider areas than that covered by the HF radar, considering that the northern and southern continental shelves of the Bay exhibit stronger diurnal than annual wind amplitudes.

Changing Livelihoods and Landscapes in the Rural Eastern Cape, South Africa: Past Influences and Future Trajectories

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Sheona Shackleton

2015-11-01

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.

Towards measuring the transaction costs of co-management in Mkambati Nature Reserve, Eastern Cape, South Africa.

Science.gov (United States)

Blore, M L; Cundill, G; Mkhulisi, M

2013-11-15

During the last three decades, there has been an increased pursuit of participatory approaches to managing natural resources. In South Africa, this has been evident in the management of protected areas. In particular, land claims, which affect much of the conservation estate in South Africa, frequently result in co-management of protected areas by claimant communities and conservation agencies. This is occurring against a backdrop of declining state subsidies and growing expectations that South African conservation agencies will finance themselves while simultaneously stimulating local economic opportunities. In this context, it is important for co-management partners to understand and monitor the cost-effectiveness of management processes in achieving both the socio-economic and ecological targets of conservation management. Transaction costs are useful in gauging the cost-effectiveness of policies and institutions; however there is little methodological guidance for measuring transaction costs empirically. This study develops and tests a transaction costs model for a co-managed nature reserve in the Eastern Cape province of South Africa. Transaction costs were quantified by taking into account the total time spent in meetings annually, the daily opportunity cost of participants' time and the travel costs associated with attending such meetings. A key limitation in the development of this model was a lack of record keeping by the conservation agency. The model developed in this study offers a practical means for co-management partners in similar contexts to monitor how transaction costs change over time. Copyright © 2013 Elsevier Ltd. All rights reserved.

Implementation of the biomass gasification project for community empowerment at Melani village, Eastern Cape, South Africa

Energy Technology Data Exchange (ETDEWEB)

Mamphweli, Ntshengedzeni S.; Meyer, Edson L. [University of Fort Hare, Institute of Technology, Private Bag X1314, Alice 5700 (South Africa)

2009-12-15

Eskom and the University of Fort Hare are engaged in a biomass gasification project using the System Johansson Biomass gasifier (SJBG). The SJBG installed at Melani village in the Eastern Cape province of South Africa is used to assess the viability and affordability of biomass gasification in South Africa. A community needs assessment study was undertaken at the village before the installation of the plant. The study revealed the need for low-cost electricity for small businesses including growing of crops, chicken broilers, manufacturing of windows and door frames, sewing of clothing, bakery etc. It was also found that the community had a problem with the socio-environmental aspects of burning biomass waste from the sawmill furnace as a means of waste management. The SJBG uses the excess biomass materials (waste) to generate low-cost electricity to drive community economic development initiatives. A study on the properties and suitability of the biomass materials resulting from sawmill operation and their suitability for gasification using the SJBG was undertaken. The study established that the biomass materials meet the requirements for the SJBG. A 300 Nm{sup 3}/h SJBG was then manufactured and installed at the village. (author)

Corrigendum to "Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe" [Quat. Sci. Rev. 154C (2016) 130-142

Science.gov (United States)

Zeeden, C.; Kels, H.; Hambach, U.; Schulte, P.; Protze, J.; Eckmeier, E.; Marković, S. B.; Klasen, N.; Lehmkuhl, F.

2018-05-01

In the article 'Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe' (Zeeden et al., 2016) we employed rock magnetic and grain size proxy data in combination with OSL- and correlative age models. The data and dating is combined to discuss glacial-interglacial paleoclimate variability in an Eurasian context. This dataset was also interpreted regarding the dust source in the eastern Carpathian (Middle Danube) Basin.

Trends of Empirical Research in South Korean Mental Health Social Work

Science.gov (United States)

Song, In Han; Lee, Eun Jung

2017-01-01

Since the introduction of evidence-based practice in South Korea, it has gained significant attention for its potential to promote the efficacy of social work services and to integrate knowledge and practice in mental health social work. In order to see how empirical research in South Korean mental health social work has changed, we examined…

Quantitative morphotectonic analysis of the South-Eastern Carpathians

Science.gov (United States)

Ionuţ Cristea, Alexandru

2015-04-01

South-Eastern Carpathians (Vrancea Region) have received an increasing scientific attention during the past years, mostly resulting in a detailed reconstruction of their exumation history. Moreover structural and thermocronological data suggest that the frontal part of the SE Carpathians conserves the youngest topography in the Romanian Carpathians resulting from a deformational process occurring during the late Pliocene - Early Pleistocene. This significant tectonic activity continues to the present time as it is confirmed by the geodetic measurements and by the frequency of crustal earthquakes. The specific effects of the Quaternary deformations on the regional fluvial system were associated so far with an increased incision and the formation of the degradational (strath) terraces, downstream tiling of terraces, the establishment of local drainage divides and young longitudinal river profiles. Our study further investigates the possible influence of the recent tectonic activity on the characteristics of the drainage basins in the area and the distribution of the over-steepened stream reaches using spatial autocorrelation techniques (Getis Ord Gi* statistics and Anselin's Local Moran's I). For the first, hypsometric integrals (Hi) and transverse topographic symmetry factor were analyzed. For the last, we used locally computed normalized channel steepness index (ksn). Due to the highly variable lithology in the region (specific to the Flysch areas), additional correlations of the determined values with the geological units and rock types have been made in order to assess the effects. The results show that the geographic clustering of the high Hi and ksn values is more significant than the lithological one, and, although the rock strength have local influences, this is not sufficient to explain the regional distribution of the values, generally between 26.5o and 26.66o E (p

Application of thermoluminescence dating on pressed crystalline samples to determine the geological age at some areas in Eastern South, Vietnam

International Nuclear Information System (INIS)

Do Duy Khiem; Luu Anh Tuyen; Phan Trong Phuc; Nguyen Thi Ngoc Hue; Pham Thi Hue; La Ly Nguyen; Ha Quang Hai

2016-01-01

The terrestrial part of eastern margin of the Mekong Basin is formed by outcrop of the pre-Holocen Cenozoic sequence. Almost previous studies concerned in using relative methods in geologic dating at the Mekong Basin, therefore, the ages of its stratigraphy are still unclear. The thermoluminescence (TL) dating was considered as one of the precise methods in geologic dating. In our study, we used TL dating for some areas at Eastern South, Vietnam including Ba Mieu Formation and the Thu Duc Formation at some areas in Dong Nai province and Ho Chi Minh City. This work has been the first application of TL for in geologic dating by a domestic laboratory. Experimental measurements of TL were performed using pressed crystalline quartz specimens from sediment samples. The results show that the Ba Mieu Formation was deposited about 238±22 ka and the Thu Duc Formation was deposited about 199±21 ka. (author)

A time for new north–south relationships in global health

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Kim JU

2017-11-01

Full Text Available Jin Un Kim,1 Obinna Oleribe,2 Ramou Njie,3 Simon D Taylor-Robinson1 1Division of Digestive Health, Department of Surgery and Cancer, Imperial College London, London, UK; 2Excellence and Friends Management Care Centre, Abuja, Nigeria; 3MRC, Serekunda, The Gambia Abstract: The modern concept of globalization in health care and clinical research often carries a positive message for the “Global South” nations of Africa, South America and Southeast Asia. However, bioethical abuse of participants in clinical trials still exists in the Global South. Unethical studies directed by the “Global North”, formed by the medically advanced nations in North America, Western Europe and Japan, have been hugely concerning. The issue between the Global North and South is a well-recognized socioeconomic phenomenon of globalization. Medical exploitation has its roots in the socioeconomic interactions of a postcolonial world, and solutions to reducing exploitation require a deeper understanding of these societal models of globalization. We explore the fundamental causes of imbalance and suggest solutions. Reflecting on the globalization model, there must be an effort to empower the Global South nations to direct and govern their own health care systems efficiently on the basis of equality. Keywords: global health, bioethics, clinical trials, Africa, exploitation, imperialism

Private sector health reform in South Africa.

Science.gov (United States)

Van Den Heever, A M

1998-06-01

This paper discusses some of the trends, debates and policy proposals in relation to the financing of the private health sector in South Africa. The public and private sectors in South Africa are of equivalent size in terms of overall expenditure, but cover substantially different population sizes. Within this context the government has reached the unavoidable conclusion that the private sector has to play some role in ensuring that equity, access and efficiency objectives are achieved for the health system as a whole. However, the private sector is some way off from taking on this responsibility. Substantial increases in per capita costs over the past 15 years, coupled with a degree of deregulation by the former government, have resulted in increasing instability and volatility. The development of a very competitive medical scheme (health insurance) market reinforced by intermediaries with commercial interests has accelerated trends toward excluding high health risks from cover. The approach taken by the government has been to define a new environment which leaves the market open for extensive competition, but removes from schemes the ability to compete by discriminating against high health risks. The only alternatives left to the private market, policy makers hope, will be to go out of business, or to survive through productivity improvements.

South-South Cooperation in health professional education: A literature review

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L du toit

2017-03-01

Full Text Available In the literature on the evolution of funding approaches there is criticism of traditional funding strategies and the promotion of inclusive models, such as South-South Cooperation (SSC and triangular models. The latter are felt to have a number of advantages. This article has four broad objectives: (i to present a literature review on the evolution of Southern approaches to development co-operation; (ii to indicate examples of current co-operative programmes in health and health professional education in Africa; (iii to assess the advantages and disadvantages of these models; and (iv to mention some emerging issues in monitoring and evaluation. The Boolean logic approach was used to search for applicable literature within three topic layers. Searches were conducted using PubMed, PLoS and other accessible databases. An initial draft of the article was presented to a group of academics and researchers at the Flemish Inter-University Council (VLIR-UOS-Primafamed annual workshop held in August 2010 in Swaziland. Comments and suggestions from the group were included in later versions of the article. It is important to note that the existence of various funding models implemented by a variety of actors makes it difficult to measure their effects. In health and health professional education, however, SSC and triangular models of aid provide conditions for more effective programming through their focus on participation and long-term involvement. With an eye towards evaluating programmes, a number of salient issues are emerging. The importance of context is highlighted.

Strategic Military Colonisation: The Cape Eastern Frontier 1806–1872

African Journals Online (AJOL)

The Cape Eastern Frontier of South Africa offers a fascinating insight into British military strategy as well as colonial development. The Eastern Frontier was for over 100 years a very turbulent frontier. It was the area where the four main population groups (the Dutch, the British, the Xhosa and the Khoikhoi) met, and in many ...

Obesity and health problems among South African healthcare workers

African Journals Online (AJOL)

Background: Obesity has reached epidemic proportions globally. In South Africa, 56% of white men, 49% of black men and 75% of black women have been reported to be overweight or obese. The focus of this study is on South African healthcare workers (HCW), because they are considered role models for health for ...

Towards environment and health promoting South African schools.

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Mathee, A; Byrne, J

1996-03-01

This article describes the activities of the Greater Johannesburg Healthy Schools Program of the World Health Organization's (WHO) Healthy Cities Project in South Africa. Healthy Cities projects emphasize community participation, intersectoral action, supportive environments for health, and a settings approach. Children in South Africa, are exposed to environmental and health hazards in the school setting including poor building design, poor equipment, and understaffing. The Healthy Schools initiative in Greater Johannesburg, is a pilot for enhancing environmental quality, health, and well-being among students. Schools include those in an informal settlement in an industrial area, an inner city district, and in a suburban area. The initiative includes research, establishment of environmental and health committees, development of an action plan, and evaluation and feedback. The plan aims to promote environmental and health sustainability, to empower children to become full participants in the community, and to support teachers and parents in the promotion of health-enhancing school environments. The program builds upon the lessons learned from several local school initiatives. Initiatives include an anti-smoking poster competition involving over 10,000 students, special environmental and health awareness days, consciousness raising among high school students about air pollution, and local efforts to engage students in environmental clean-up days.

Guest Editorial: Health financing lessons from Thailand for South ...

African Journals Online (AJOL)

Guest Editorial: Health financing lessons from Thailand for South Africa on the path towards universal health coverage. Mark Blecher, Anban Pillay, Walaiporn Patcharanarumol, Warisa Panichkriangkrai, Viroj Tangcharoensathien, Yot Teerawattananon, Supasit Pannarunothai, Jonatan Davén ...

Prevalence of depression among health workers in Enugu, South ...

African Journals Online (AJOL)

Aims: Determination of the prevalence and distribution of depression among health workers at tertiary level of health care delivery in Enugu South East Nigeria. Settings and Design: A cross‑sectional descriptive survey of depression in health workers at tertiary level. Subjects and Methods: By proportional quota sampling, ...

Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa

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Leon Natalie

2012-11-01

Full Text Available Abstract Background Mobile phone technology has demonstrated the potential to improve health service delivery, but there is little guidance to inform decisions about acquiring and implementing mHealth technology at scale in health systems. Using the case of community-based health services (CBS in South Africa, we apply a framework to appraise the opportunities and challenges to effective implementation of mHealth at scale in health systems. Methods A qualitative study reviewed the benefits and challenges of mHealth in community-based services in South Africa, through a combination of key informant interviews, site visits to local projects and document reviews. Using a framework adapted from three approaches to reviewing sustainable information and communication technology (ICT, the lessons from local experience and elsewhere formed the basis of a wider consideration of scale up challenges in South Africa. Results Four key system dimensions were identified and assessed: government stewardship and the organisational, technological and financial systems. In South Africa, the opportunities for successful implementation of mHealth include the high prevalence of mobile phones, a supportive policy environment for eHealth, successful use of mHealth for CBS in a number of projects and a well-developed ICT industry. However there are weaknesses in other key health systems areas such as organisational culture and capacity for using health information for management, and the poor availability and use of ICT in primary health care. The technological challenges include the complexity of ensuring interoperability and integration of information systems and securing privacy of information. Finally, there are the challenges of sustainable financing required for large scale use of mobile phone technology in resource limited settings. Conclusion Against a background of a health system with a weak ICT environment and limited implementation capacity, it remains

Factors enabling and inhibiting facilitator development: lessons learned from Essentials of Care in South Eastern Sydney Local Health District

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Tamera Watling

2015-11-01

Full Text Available Background: Building and sustaining facilitation capacity for the creation of person-centred workplace cultures is a strategic priority of the South Eastern Sydney Local Health District Nursing and Midwifery Practice and Workforce Unit. Skilled facilitation is considered critical to the successful implementation and sustainability of practice development-based programmes, including Essentials of Care. Review of facilitator activity across the district revealed that less than half of those who had participated in a facilitation development programme were actively applying their knowledge to the facilitation of Essentials of Care. Aim: To understand the enablers and barriers to the development and application of facilitation skills and the implementation of Essentials of Care from the perspective of the programme’s facilitators. The purpose was to inform ongoing strategies to build and sustain facilitation capacity for its effective implementation. Method: A 21-question qualitative survey was designed using Survey Monkey. Questions were framed to allow free text responses for qualitative content analysis. Ethics approval was applied for and deemed unnecessary by the local health district ethics committee; the committee deemed the project to be a quality improvement activity not requiring independent ethical review. The survey was distributed electronically to 230 health professionals who had participated in the facilitation development programme between 2008 and 2013. Findings: The key enablers for both facilitator development and implementation of Essentials of Care were time, engagement of staff and leadership support. Additional enablers for facilitation development included access to development opportunities and practical application of skills. Facilitation was an enabler of Essentials of Care implementation. Leadership support is pivotal, especially where time and patient acuity impinge on the release of staff for facilitated activities

The bladed Bangiales (Rhodophyta) of the South Eastern Pacific: Molecular species delimitation reveals extensive diversity.

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Guillemin, Marie-Laure; Contreras-Porcia, Loretto; Ramírez, María Eliana; Macaya, Erasmo C; Contador, Cristian Bulboa; Woods, Helen; Wyatt, Christopher; Brodie, Juliet

2016-01-01

A molecular taxonomic study of the bladed Bangiales of the South Eastern Pacific (coast of Chile) was undertaken based on sequence data of the mitochondrial COI and chloroplast rbcL for 193 specimens collected from Arica (18°S) in the north to South Patagonia (53°S) in the south. The results revealed for the first time that four genera, Porphyra, Pyropia, Fuscifolium and Wildemania were present in the region. Species delimitation was determined based on a combination of a General Mixed Yule Coalescence model (GMYC) and Automatic Barcode Gap Discovery (ABGD) coupled with detection of monophyly in tree reconstruction. The overall incongruence between the species delimitation methods within each gene was 29%. The GMYC method led to over-splitting groups, whereas the ABGD method had a tendency to lump groups. Taking a conservative approach to the number of putative species, at least 18 were recognized and, with the exception of the recently described Pyropia orbicularis, all were new to the Chilean flora. Porphyra and Pyropia were the most diverse genera with eight 'species' each, whereas only a 'single' species each was found for Fuscifolium and Wildemania. There was also evidence of recently diverging groups: Wildemania sp. was distinct but very closely related to W. amplissima from the Northern Hemisphere and raises questions in relation to such disjunct distributions. Pyropia orbicularis was very closely related to two other species, making species delimitation very difficult but provides evidence of an incipient speciation. The difference between the 'species' discovered and those previously reported for the region is discussed in relation to the difficulty of distinguishing species based on morphological identification. Copyright © 2015 Elsevier Inc. All rights reserved.

Regional South Australia Health (RESONATE) survey: study protocol

Science.gov (United States)

Jones, Martin; Gillam, Marianne; May, Esther

2018-01-01

Introduction Access to quality healthcare services is considered a moral right. However, for people living in regional locations, timely access to the services that they need may not always be possible because of structural and attitudinal barriers. This suggests that people living in regional areas may have unmet healthcare needs. The aim of this research will be to examine the healthcare needs, expectations and experiences of regional South Australians. Methods and analysis The Regional South Australia Health (RESONATE) survey is a cross-sectional study of adult health consumers living in any private or non-private dwelling, in any regional, rural, remote or very remote area of South Australia and with an understanding of written English. Data will be collected using a 45-item, multidimensional, self-administered instrument, designed to measure healthcare need, barriers to healthcare access and health service utilisation, attitudes, experiences and satisfaction. The instrument has demonstrated acceptable psychometric properties, including good content validity and internal reliability, good test–retest reliability and a high level of acceptability. The survey will be administered online and in hard-copy, with at least 1832 survey participants to be recruited over a 12-month period, using a comprehensive, multimodal recruitment campaign. Ethics and dissemination The study has been reviewed and approved by the Human Research Ethics Committee of the University of South Australia. The results will be actively disseminated through peer-reviewed journals, conference presentations, social media, broadcast media, print media, the internet and various community/stakeholder engagement activities. PMID:29654014

Drought, ecological crisis and famine in late nineteenth century south-eastern Africa

Science.gov (United States)

Pribyl, Kathleen; Nash, David J.; Klein, Jørgen; Endfield, Georgina H.

2017-04-01

In the second half of the 1890s a drought-driven ecological crisis took hold in the region of modern-day Botswana, Zimbabwe and northern, central and eastern South Africa. A number of years of very late rainy seasons had severe repercussions for the rain-fed agriculture. Sowing was delayed and the young crops suffered from below average summer rainfall levels. Drawing on a wide variety of documentary sources - administrative records, writings by members of missionary societies and local newspapers - this paper outlines how the drought drove the ecological crisis and aggravated a locust infestation and the cattle plague (rinderpest). Whereas the locusts found better breeding conditions in areas that were normally too humid for them, the drought also facilitated the spread of rinderpest by reducing the number of watering holes and by forcing the cattle into an immunodepressed state due to malnutrition. The locusts contributed to the loss of grain crops, and the rinderpest decimated cattle herds by more than 90 per cent in areas where the disease coincided with the drought. As agriculture as well as the pastoral sector were hit hard, famine conditions developed in the interior of the region.

Radioactivity of some domestic and imported building materials from South Eastern Europe

International Nuclear Information System (INIS)

Krstic, D.; Nikezic, D.; Stevanovic, N.; Vucic, D.

2007-01-01

Radioactivity of some building materials, gypsum, ceramic, marble, granite, etc., imported from some neighbour countries of South Eastern Europe (Macedonia, Greece and Bulgaria) or produced in Serbia is presented in this paper. Measurements were done with HpGe detector and multichannel analyser. Activity concentration index, I, defined in [EC 1999, 1999. European Commission. Radiation Protection Unit, Radiological protection principles concerning the natural radioactivity of building materials. Radiat. Prot. 112] was calculated for each investigated sample. The ranges of I are 0.0297-1.2545 and 0.0376-0.1521 for Macedonian and Bulgarian gypsum, respectively. The ranges of I for marble are 0.0124-0.6245, 0.0104-1.2089 and 0.0162-0.6747 for Macedonian, Greek and Bulgarian, respectively. The range of I for Greek ceramic and granite are 0.3508-1.0152 and 0.0438-1.0062, respectively. Concentration of natural radionuclides ( 226 Ra, 232 Th and 40 K) are in usual range (except few exceptions) and below maximal permitted values, so that examined materials could be used for construction of new buildings (for interior and external works) as well as for covering of pavements, floors, etc

Radioactivity of some domestic and imported building materials from South Eastern Europe

Energy Technology Data Exchange (ETDEWEB)

Krstic, D. [Faculty of Science, University of Kragujevac, R. Domanovic 12, Kragujevac 34000 (Serbia); Nikezic, D. [Faculty of Science, University of Kragujevac, R. Domanovic 12, Kragujevac 34000 (Serbia)], E-mail: nikezic@kg.ac.yu; Stevanovic, N. [Faculty of Science, University of Kragujevac, R. Domanovic 12, Kragujevac 34000 (Serbia); Vucic, D. [Institute oF Occupational Health, Vojislav Ilic bb, Nis 18000 (Serbia)

2007-11-15

Radioactivity of some building materials, gypsum, ceramic, marble, granite, etc., imported from some neighbour countries of South Eastern Europe (Macedonia, Greece and Bulgaria) or produced in Serbia is presented in this paper. Measurements were done with HpGe detector and multichannel analyser. Activity concentration index, I, defined in [EC 1999, 1999. European Commission. Radiation Protection Unit, Radiological protection principles concerning the natural radioactivity of building materials. Radiat. Prot. 112] was calculated for each investigated sample. The ranges of I are 0.0297-1.2545 and 0.0376-0.1521 for Macedonian and Bulgarian gypsum, respectively. The ranges of I for marble are 0.0124-0.6245, 0.0104-1.2089 and 0.0162-0.6747 for Macedonian, Greek and Bulgarian, respectively. The range of I for Greek ceramic and granite are 0.3508-1.0152 and 0.0438-1.0062, respectively. Concentration of natural radionuclides ({sup 226}Ra, {sup 232}Th and {sup 40}K) are in usual range (except few exceptions) and below maximal permitted values, so that examined materials could be used for construction of new buildings (for interior and external works) as well as for covering of pavements, floors, etc.

Health sector reforms in Central and Eastern Europe

Directory of Open Access Journals (Sweden)

2004-04-01

Full Text Available The political and economic transition of the 1990s in the countries of central and eastern Europe has been accompanied by wide ranging health care reform. The initial Soviet model has given way to a variety of forms of health insurance. Yet, as this paper argues, reform has too often been preoccupied with ideological imperatives, such as provider autonomy and the creation of funds separate from government, and has given much less thought to the contribution that health care can make to population health. The paper begins by examining the changing nature of health care. It recalls how the Soviet model was able to provide basic care to dispersed populations at low cost but notes how this is no longer sufficient in the face of an increasingly complex health care environment. This complexity reflects several factors, such as the growth in chronic disease, the emergence of new forms of infectious disease, and the introduction of new treatments requiring integrated delivery systems. It reviews evidence on how the former communist countries failed to keep up with developments in the west from the 1970s onwards, at a time when the complexity of health care was becoming apparent. It continues by setting out a framework for the organisation of health care based on the goal of health gain. This involves a series of activities that can be summarised as active purchasing, and which include assessment of health needs, designing effective packages of care, and monitoring outcomes. It concludes by arguing that a new relationship is needed between the state and the organisations involved in funding and delivering health care, to design a system that will tackle the considerable health needs of the people who live in this region.

Effects of Bio solids Application on Pasture and Grape Vines in South-Eastern Australia

International Nuclear Information System (INIS)

Nash, D.; Butler, C.; Cody, J.; Warne, M.S.J.; McLaughlin, M.J.; Heemsbergen, D.; Broos, K.; McLaughlin, M.J.; Heemsbergen, D.; Broos, K.; Bell, M.; Barry, G.; Pritchard, D.; Penny, N.; Penny, N.

2011-01-01

Bio solids were applied to a pasture and a vineyard in south-eastern Australia. At both sites, soil Cd, Cu, and Zn concentrations linearly increased with bio solids application rates although not to the extent of exceeding soil quality guidelines. Bio solids marginally increased soil C and N concentrations at the pasture site but significantly increased P concentrations. With lower overall soil fertility at the vineyard, bio solids increased C, N, and P concentrations. At neither site did bio solids application affect soil microbial endpoints. Bio solids increased pasture production compared to the unfertilised control but had little effect on grape production or quality. Interestingly, over the 3-year trial, there was no difference in pasture production between the bio solids treated plots and plots receiving inorganic fertiliser. These results suggest that bio solids could be used as a fertiliser to stimulate pasture production and as a soil conditioner to improve vineyard soils in this region.

Women's health, HIV/AIDS and the workplace in South Africa.

Science.gov (United States)

Sprague, Courtenay

2008-11-01

This work explores the connections between gender inequality, HIV/AIDS and women's health in the world of work in South Africa. These connections are located within a context of significant reversals in development, specifically declining life expectancy and premature mortality for South Africans - particularly for women. By relying on the existing literature and interviews with 33 key informants, the paper examines the extent to which South African workplaces are recognising women's social and biological vulnerability to HIV. In particular, the paper considers the potential role of the workplace in responding to growing evidence that links gender and health by establishing targeted HIV/AIDS interventions. The findings suggest that the vast majority of company representatives do not recognise women's social and biological vulnerability and related social norms vis-à-vis HIV and AIDS. Importantly, most workplaces are not initiating programmes that specifically address women's or men's health. The author briefly identifies factors that may help explain the current state of knowledge and practice in the realm of HIV and women's health in the workplace, and puts forward suggestions for future research.

Health Research Ethics Committees in South Africa 12 years into democracy

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Myer Landon

2007-01-01

Full Text Available Abstract Background Despite the growth of biomedical research in South Africa, there are few insights into the operation of Research Ethics Committees (RECs in this setting. We investigated the composition, operations and training needs of health RECs in South Africa against the backdrop of national and international guidelines. Methods The 12 major health RECs in South Africa were surveyed using semi-structured questionnaires that investigated the composition and functions of each REC as well as the operational issues facing committees. Results Health RECs in SA have an average of 16 members and REC members are predominantly male and white. Overall, there was a large discrepancy in findings between under-resourced RECs and well resourced RECs. The majority of members (56% are scientists or clinicians who are typically affiliated to the same institution as the health REC. Community representatives account for only 8% of membership. Training needs for health REC members varied widely. Conclusion Most major health RECs in South Africa are well organized given the resource constraints that exist in relation to research ethics in developing countries. However, the gender, racial and occupational diversity of most of these RECs is suboptimal, and most RECs are not constituted in accordance with South African guidelines. Variability in the operations and training needs of RECs is a reflection of apartheid-entrenched influences in tertiary education in SA. While legislation now exists to enforce standardization of research ethics review systems, no provision has been made for resources or capacity development, especially to support historically-disadvantaged institutions. Perpetuation of this legacy of apartheid represents a violation of the principles of justice and equity.

The South African Health Department's contribution to Social ...

African Journals Online (AJOL)

Adele

2004-05-20

May 20, 2004 ... health insurance, which will ensure that families of all people in formal employment have ... parent and does not harm the health services of the source country. Bilateral ... On-going research and dialogue has ensured that we have better ... South Africa has ample evidence of genetic make-up plus social-.

Sympatric and allopatric combinations of Lymnaea columella and Fasciola hepatica from southern and south-eastern Brazil.

Science.gov (United States)

Coelho, L H L; Lima, W S; Guimaraes, M P

2009-09-01

Experimental infections of Lymnaea columella with Fasciola hepatica were carried out to test the effect of sympatric and allopatric combinations between parasite and host, by using snails and flukes from southern and south-eastern Brazil. Four groups of 50 snails were infected with four miracidia per snail: two groups in sympatric and two groups in allopatric combinations. Sympatric combinations between parasite and host were more efficient than allopatric ones when snails from Itajubá were used, but the opposite was observed in infections involving snails from Pelotas. The sympatric association between L. columella and F. hepatica from Itajubá was significantly higher than in the other combinations. We concluded that the host-parasite relationship between L. columnella and F. hepatica may vary according to the geographical origin of the snails and flukes involved.

Service transformation plans in the Eastern Cape informed by a needs-based gap analysis

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Kiran Sukeri

2015-05-01

Full Text Available Objectives. Part I of this research paper presented a needs and gap analysis for the management of schizophrenia, bipolar mood disorder and major depression for the Eastern Cape Province, South Africa. It identified deficits and inequitable distribution of human resources and beds in the province. In this article, Part II, the authors propose a plan for public sector mental health services to address the human resource needs in the poorer eastern regions of the province. The plan focuses on human resource training and development.  Methods. Evidence-based data on staff development in mental health from low-middle income countries were utilised to develop strategies to increase staff capacity to address unmet need. A financing model with a poverty index was developed to sustain a needs-based plan. Databases searched included Pubmed, Medline, Google and Google Scholar. The key words used included: mental health, mental health training, mental health resources, mental health in low-middle-income countries, mental health policy and plans, mental health needs- based planning, primary healthcare, primary mental healthcare, mental health financing. In addition the websites of the World Health Organization and the World Psychiatric Association were searched for similar resources. Conclusions. It is feasible, with careful attention to planning and implementation of evidence-based tools, to improve public mental health service delivery in this province. Sustained political will and professional commitment will ensure successful delivery of mental health services in a resource-limited province.

Dissolved iron distribution in the tropical and sub tropical South Eastern Pacific

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S. Blain

2008-02-01

Full Text Available Dissolved iron (DFe distributions (<0.2 μm were determined in the upper water column (0–400 m of the south eastern tropical and subtropical Pacific, in October–November 2004. Data were collected along a transect extending from the Marquesas Islands to the Chilean coast with most of the stations located in the south Pacific gyre. The concentrations of DFe presented large variability with highest values observed at both extremities of the transect. In the Chilean upwelling, DFe concentrations ranged between 1.2–3.9 nM. These high values result from inputs from the continental margin and are likely maintained by anoxic conditions in the water corresponding to the Oxygen Minimum Zone (OMZ. In subsurface waters near the Marquesas, that were also associated with the extension of the OMZ, DFe concentrations varied between 0.15–0.41 nM. Vertical transport of this water by mesoscale activity eastward of the archipelago may explain the dissymmetric east-west distribution of chlorophyll-a evidenced by satellite images. Using the new tracer Fe*=DFe−r_Fe:P (PO₄³⁻ we show that DFe was in deficit compared to PO₄³⁻ resulting from the remineralisation of organic matter. This suggests that the Marquesas islands and the surrounding plateau are not a significant source of DFe. In the gyre, DFe concentrations in the upper 350 m water column were around 0.1 nM and the ferricline was located well below the nitracline. These low concentrations reflect the low input of DFe from the atmosphere, from the ventilation of the upper thermocline with water containing low DFe, and from the low biological activity within this ultra oligotrophic gyre.

Childhood Mortality in Federal Medical Centre Umuahia, South Eastern Nigeria

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Charles, Nwafor Chukwuemeka; Chuku, Abali; Anazodo, Nnoli Martin

2014-01-01

Objectives This study aimed to evaluate the mortality pattern in children seen at Federal Medical Centre Umuahia (FMCU) Abia state, South Eastern Nigeria. Methods A retrospective cross sectional descriptive study over a 5-year period from January 1, 2004 to December 31, 2008 using data retrieved from the hospital’s medical records department. Results A total of 3,814 children were admitted in the hospital and 434 of them died giving a mortality rate of 11%. The mean age was 1.7 (Std D of 3.19). Two hundred and thirty eight of them were males while 196 of them were females giving a sex ratio of 1.2:1. Majority of the mortality (49%) occurred within 24 hours of admission. The major causes of death during neonatal period were birth asphyxia (34%), prematurity (24%) and neonatal sepsis (24%). Malaria was the leading cause of death beyond the neonatal period accounting for 42% of cases. Other common mortality causes were pneumonia, septicaemia, diarrhea, HIV AIDS and meningitis each accounting for 10%, 10%, 7%, 7% and 5% respectively. The months of July, May and March accounted for most deaths (12%, 12% and 11% respectively). Conclusion Birth asphyxia and malaria associated deaths were responsible for most deaths during neonatal and beyond neonatal periods respectively. Presence of trained personal at all deliveries will help to reduce neonatal asphyxia. Efforts should be made to reinforce the existing effective malaria control tools. PMID:25337306

Childhood Mortality in Federal Medical Centre Umuahia, South Eastern Nigeria

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Nwafor Chukwuemeka Charles

2014-09-01

Full Text Available Objective: This study aimed to evaluate the mortality pattern in children seen at Federal Medical Centre Umuahia (FMCU Abia state, South Eastern Nigeria. Methods: A retrospective cross sectional descriptive study over a 5-year period from January 1, 2004 to December 31, 2008 using data retrieved from the hospital’s medical records department. Results: A total of 3,814 children were admitted in the hospital and 434 of them died giving a mortality rate of 11%. The mean age was 1.7 (Std D of 3.19. Two hundred and thirty eight of them were males while 196 of them were females giving a sex ratio of 1.2:1. Majority of the mortality (49% occurred within 24 hours of admission. The major causes of death during neonatal period were birth asphyxia (34%, prematurity (24% and neonatal sepsis (24%. Malaria was the leading cause of death beyond the neonatal period accounting for 42% of cases. Other common mortality causes were pneumonia, septicaemia, diarrhea, HIV AIDS and meningitis each accounting for 10%, 10%, 7%, 7% and 5% respectively. The months of July, May and March accounted for most deaths (12%, 12% and 11% respectively. Conclusion: Birth asphyxia and malaria associated deaths were responsible for most deaths during neonatal and beyond neonatal periods respectively. Presence of trained personal at all deliveries will help to reduce neonatal asphyxia. Efforts should be made to reinforce the existing effective malaria control tools.

THE FIELD OF RECENT TECTONIC STRESSES IN CENTRAL AND SOUTH-EASTERN ASIA

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Yu. L. Rebetsky

2014-01-01

Full Text Available  The publication presents results of the study aimed at reconstruction of recent crustal stresses for Central and South-Eastern Asia with application of the method of cataclastic analysis of displacements caused by ruptures, which was proposed by Yu.L. Rebetsky. Two sources of seismic data were referred to: (1 the catalog comprising data from publications covering the period from 1904 to 1992, and (2 the Global Centroid Moment Tensor (CMT Database of earthquake mechanisms (http://earthquake.usgs.gov/eqarchives/sopor, which covers the period from 1978 to 2010. The method of cataclastic analysis in its earliest version was applied in 1996 and 1997 when seismic data from the first catalog were analyzed, and it yielded only parameters of stress ellipsoids; the reconstructions were published in a Russian-Chinese journal (it does not exist now. In this paper, these reconstructions are presented in new graphical formats of GIS. Data from the Global CMT Database were analyzed by the method of cataclastic analysis in the new revision with application of its stages 1 and 2. Based on the calculations, orientations of axes of principal stresses, types of ellipsoids, correlations between spherical and deviatoric components of stress tensors, and reduced stresses were determined. The two sets of reconstructions are compared in this paper. The catalog of earthquake focal mechanisms for the period from 1904 to 1992 consolidated information provided by different authors, and thus focal data for many seismic events were highly inconsistent; therefore, the reliability of reconstructions based on such data seems to be lower than that on the basis the Global CMT Database for the period from 1978 to 2010. Some of the reconstructed stress tensor parameters are mapped. For the areas which data are given in the Global CMT Database and considered as more reliable, mapping is based on stress parameters calculated from such data. For the areas that are not covered by the

Firm's health going south. Federal authorities charge HealthSouth, leader Scrushy with 'massive accounting fraud,' systematic betrayal of investors.

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Romano, Michael

2003-03-24

HealthSouth and its chief executive Richard Scrushy, left, find themselves coping with a public relations nightmare after federal officials last week charged the rehabilitation giant with "massive accounting fraud" and a systematic betrayal of tens of thousands of investors.

Evidence of Variscan and Alpine tectonics in the structural and thermochronological record of the central Serbo-Macedonian Massif (south-eastern Serbia)

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Antić, Milorad D.; Kounov, Alexandre; Trivić, Branislav; Spikings, Richard; Wetzel, Andreas

2017-07-01

The Serbo-Macedonian Massif (SMM) represents a composite crystalline belt within the Eastern European Alpine orogen, outcropping from the Pannonian basin in the north to the Aegean Sea in the south. The central parts of this massif (south-eastern Serbia) consist of the medium- to high-grade Lower Complex and the low-grade Vlasina Unit. Outcrop- and micro-scale ductile structures in this area document three major stages of ductile deformation. The earliest stage D1 is related to isoclinal folding, commonly preserved as up to decimetre-scale quartz-feldspar rootless fold hinges. D2 is associated with general south-eastward tectonic transport and refolding of earlier structures into recumbent metre- to kilometre-scale tight to isoclinal folds. Stages D1 and D2 could not be temporally separated and probably took place in close sequence. The age of these two ductile deformation stages was constrained to the Variscan orogeny based on indirect geological evidence (i.e. ca. 408-ca. 328). During this period, the SMM was involved in a transpressional amalgamation of the western and eastern parts of the Galatian super-terrane and subsequent collision with Laurussia. Outcrop-scale evidence of the final stage D3 is limited to spaced and crenulation cleavage, which are probably related to formation of large-scale open upright folds as reported previously. 40Ar/39Ar thermochronology was applied on hornblende, muscovite, and biotite samples in order to constrain the age of tectonothermal events and activity along major shear zones. These 40Ar/39Ar data reveal three major cooling episodes affecting the central SMM. Cooling below greenschist facies conditions in the western part of the Vlasina Unit took place in a post-orogenic setting (extensional or transtensional) in the early Permian (284 ± 1 Ma). The age of activity along the top-to-the-west shear zone formed within the orthogneiss in the Božica area of the Vlasina Unit was constrained to Middle Triassic (246 ± 1 Ma). This

Exploring corruption in the South African health sector.

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Rispel, Laetitia C; de Jager, Pieter; Fonn, Sharon

2016-03-01

Recent scholarly attention has focused on weak governance and the negative effects of corruption on the provision of health services. Employing agency theory, this article discusses corruption in the South African health sector. We used a combination of research methods and triangulated data from three sources: Auditor-General of South Africa reports for each province covering a 9-year period; 13 semi-structured interviews with health sector key informants and a content analysis of print media reports covering a 3-year period. Findings from the Auditor-General reports showed a worsening trend in audit outcomes with marked variation across the nine provinces. Key-informants indicated that corruption has a negative effect on patient care and the morale of healthcare workers. The majority of the print media reports on corruption concerned the public health sector (63%) and involved provincial health departments (45%). Characteristics and complexity of the public health sector may increase its vulnerability to corruption, but the private-public binary constitutes a false dichotomy as corruption often involves agents from both sectors. Notwithstanding the lack of global validated indicators to measure corruption, our findings suggest that corruption is a problem in the South African healthcare sector. Corruption is influenced by adverse agent selection, lack of mechanisms to detect corruption and a failure to sanction those involved in corrupt activities. We conclude that appropriate legislation is a necessary, but not sufficient intervention to reduce corruption. We propose that mechanisms to reduce corruption must include the political will to run corruption-free health services, effective government to enforce laws, appropriate systems, and citizen involvement and advocacy to hold public officials accountable. Importantly, the institutionalization of a functional bureaucracy and public servants with the right skills, competencies, ethics and value systems and whose

Growing inequities in maternal health in South Africa: a comparison of serial national household surveys.

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Wabiri, Njeri; Chersich, Matthew; Shisana, Olive; Blaauw, Duane; Rees, Helen; Dwane, Ntabozuko

2016-09-01

Rates of maternal mortality and morbidity vary markedly, both between and within countries. Documenting these variations, in a very unequal society like South Africa, provides useful information to direct initiatives to improve services. The study describes inequalities over time in access to maternal health services in South Africa, and identifies differences in maternal health outcomes between population groups and across geographical areas. Data were analysed from serial population-level household surveys that applied multistage-stratified sampling. Access to maternal health services and health outcomes in 2008 (n = 1121) were compared with those in 2012 (n = 1648). Differences between socio-economic quartiles were quantified using the relative (RII) and slope (SII) index of inequality, based on survey weights. High levels of inequalities were noted in most measures of service access in both 2008 and 2012. Inequalities between socio-economic quartiles worsened over time in antenatal clinic attendance, with overall coverage falling from 97.0 to 90.2 %. Nationally, skilled birth attendance remained about 95 %, with persistent high inequalities (SII = 0.11, RII = 1.12 in 2012). In 2012, having a doctor present at childbirth was higher than in 2008 (34.4 % versus 27.8 %), but inequalities worsened. Countrywide, levels of planned pregnancy declined from 44.6 % in 2008 to 34.7 % in 2012. The RII and SII rose over this period and in 2012, only 22.4 % of the poorest quartile had a planned pregnancy. HIV testing increased substantially by 2012, though remains low in groups with a high HIV prevalence, such as women in rural formal areas, and from Gauteng and Mpumalanga provinces. Marked deficiencies in service access were noted in the Eastern Cape ad North West provinces. Though some population-level improvements occurred in access to services, inequalities generally worsened. Low levels of planned pregnancy, antenatal clinic access and having a

Governance, violence and the struggle for economic regulation in South Sudan: the case of Budi County (Eastern Equatoria

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Anne Walraet

2008-10-01

Full Text Available This article analyses how Budi County in Eastern Equatoria State (South Sudan was governed during the 1990s and up to mid-2007. Because its capital Chukudum was the SPLM/A headquarters almost throughout that period, it provides us with an interesting case from which to explore how the SPLM/A governed during the war and how this impacts on the post-war peace. One observation is that the war, besides a period of devastation and human suffering, was also a time of economic opportunities and social differentiation. For that reason this article will also explore livestock trade as a new mode of wealth appropriation and the changing nature of cattle raiding, and how this interferes with the struggle for regulatory power and governable “spaces”. This means that we comprehend the economy as a political terrain. At the same time we leave room for sociological perspectives, to complement the more restricted “competition for resources and gains” approach to conflict and violence. The article is written in three sections. In the first section we briefly clarify why in 1999 there was an uprising in Budi County against SPLM/A rule and why it engendered massive local support. In the second section we examine one of the most destructive manifestations of violence that affect Budi county: cattle raiding. We look at it from a perspective that has been under-researched in the eld: that of trans-border trade. In the last section we look at how, after the peace of 2005, newly appointed local government authorities are (reclaiming do- mains of state regulation that previously lay rmly in the hands of the military. Particular attention is given to the capacity of the local authorities to guarantee security and provide protection. Key words: governance, violent conflict, regulatory power, trans-border trade, South Sudan Eastern Equatoria

Spatial accessibility to basic public health services in South Sudan

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Peter M. Macharia

2017-05-01

Full Text Available At independence in 2011, South Sudan’s health sector was almost non-existent. The first national health strategic plan aimed to achieve an integrated health facility network that would mean that 70% of the population were within 5 km of a health service provider. Publically available data on functioning and closed health facilities, population distribution, road networks, land use and elevation were used to compute the fraction of the population within 1 hour walking distance of the nearest public health facility offering curative services. This metric was summarised for each of the 78 counties in South Sudan and compared with simpler metrics of the proportion of the population within 5 km of a health facility. In 2016, it is estimated that there were 1747 public health facilities, out of which 294 were non-functional in part due to the on-going civil conflict. Access to a service provider was poor with only 25.7% of the population living within one-hour walking time to a facility and 28.6% of the population within 5 km. These metrics, when applied sub-nationally, identified the same high priority, most vulnerable counties. Simple metrics based upon population distribution and location of facilities might be as valuable as more complex models of health access, where attribute data on travel routes are imperfect or incomplete and sparse. Disparities exist in South Sudan among counties and those with the poorest health access should be targeted for priority expansion of clinical services.

A time for new north–south relationships in global health

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Kim, Jin Un; Oleribe, Obinna; Njie, Ramou; Taylor-Robinson, Simon D

2017-01-01

The modern concept of globalization in health care and clinical research often carries a positive message for the “Global South” nations of Africa, South America and Southeast Asia. However, bioethical abuse of participants in clinical trials still exists in the Global South. Unethical studies directed by the “Global North”, formed by the medically advanced nations in North America, Western Europe and Japan, have been hugely concerning. The issue between the Global North and South is a well-recognized socioeconomic phenomenon of globalization. Medical exploitation has its roots in the socioeconomic interactions of a postcolonial world, and solutions to reducing exploitation require a deeper understanding of these societal models of globalization. We explore the fundamental causes of imbalance and suggest solutions. Reflecting on the globalization model, there must be an effort to empower the Global South nations to direct and govern their own health care systems efficiently on the basis of equality. PMID:29158688

Drought Dynamics and Vegetation Productivity in Different Land Management Systems of Eastern Cape, South Africa—A Remote Sensing Perspective

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Valerie Graw

2017-09-01

Full Text Available Eastern Cape Province in South Africa has experienced extreme drought events during the last decade. In South Africa, different land management systems exist belonging to two different land tenure classes: commercial large scale farming and communal small-scale subsistence farming. Communal lands are often reported to be affected by land degradation and drought events among others considered as trigger for this process. Against this background, we analyzed vegetation response to drought in different land management and land tenure systems through assessing vegetation productivity trends and monitoring the intensity, frequency and distribution of the drought hazard in grasslands and communal and commercial croplands during drought and non-drought conditions. For the observation period 2000–2016, we used time series of 250 m Vegetation Condition Index (VCI based on the Moderate Resolution Imaging Spectroradiometer (MODIS Enhanced Vegetation Index (EVI and Climate Hazard Group InfraRed Precipitation with Station data (CHIRPS precipitation data with 5 km resolution. For the assessment of vegetation dynamics, we: (1 analyzed vegetation productivity in Eastern Cape over the last 16 years with EVI; (2 analyzed the impact of drought events on vegetation productivity in grasslands as well as commercial and communal croplands; and (3 compared precipitation-vegetation dynamics between the drought season 2015/2016 and the non-drought season 2011/2012. Change in total annual vegetation productivity could detect drought years while drought dynamics during the season could be rather monitored by the VCI. Correlation of vegetation condition and precipitation indicated areas experiencing significant vegetation productivity trends showing low and even negative correlation coefficients indicating other drivers for productivity change and drought impact besides rainfall.

Phylogeography of Eastern Grey Kangaroos, Macropus giganteus, Suggests a Mesic Refugium in Eastern Australia.

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Brett A Coghlan

Full Text Available Phylogeographic studies around the world have identified refugia where fauna were able to persist during unsuitable climatic periods, particularly during times of glaciation. In Australia the effects of Pleistocene climate oscillations on rainforest taxa have been well studied but less is known about the effects on mesic-habitat fauna, such as the eastern grey kangaroo (Macropus giganteus. The eastern grey kangaroo is a large mammal that is common and widespread throughout eastern Australia, preferring dry mesic habitat, rather than rainforest. As pollen evidence suggests that the central-eastern part of Australia (southeast Queensland and northern New South Wales experienced cycles of expansion in mesic habitat with contraction in rainforests, and vice versa during glacial and interglacial periods, respectively, we hypothesise that the distribution of the eastern grey kangaroo was affected by these climate oscillations and may have contracted to mesic habitat refugia. From 375 mitochondrial DNA control region sequences from across the distribution of eastern grey kangaroos we obtained 108 unique haplotypes. Phylogenetic analysis identified two clades in Queensland, one of which is newly identified and restricted to a small coastal region in southern Queensland north of Brisbane, known as the Sunshine Coast. The relatively limited geographic range of this genetically isolated clade suggests the possibility of a mesic habitat refugium forming during rainforest expansion during wetter climate cycles. Other potential, although less likely, reasons for the genetic isolation of the highly distinct clade include geographic barriers, separate northward expansions, and strong local adaptation.

Phylogeography of Eastern Grey Kangaroos, Macropus giganteus, Suggests a Mesic Refugium in Eastern Australia.

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Coghlan, Brett A; Goldizen, Anne W; Thomson, Vicki A; Seddon, Jennifer M

2015-01-01

Phylogeographic studies around the world have identified refugia where fauna were able to persist during unsuitable climatic periods, particularly during times of glaciation. In Australia the effects of Pleistocene climate oscillations on rainforest taxa have been well studied but less is known about the effects on mesic-habitat fauna, such as the eastern grey kangaroo (Macropus giganteus). The eastern grey kangaroo is a large mammal that is common and widespread throughout eastern Australia, preferring dry mesic habitat, rather than rainforest. As pollen evidence suggests that the central-eastern part of Australia (southeast Queensland and northern New South Wales) experienced cycles of expansion in mesic habitat with contraction in rainforests, and vice versa during glacial and interglacial periods, respectively, we hypothesise that the distribution of the eastern grey kangaroo was affected by these climate oscillations and may have contracted to mesic habitat refugia. From 375 mitochondrial DNA control region sequences from across the distribution of eastern grey kangaroos we obtained 108 unique haplotypes. Phylogenetic analysis identified two clades in Queensland, one of which is newly identified and restricted to a small coastal region in southern Queensland north of Brisbane, known as the Sunshine Coast. The relatively limited geographic range of this genetically isolated clade suggests the possibility of a mesic habitat refugium forming during rainforest expansion during wetter climate cycles. Other potential, although less likely, reasons for the genetic isolation of the highly distinct clade include geographic barriers, separate northward expansions, and strong local adaptation.

Socioeconomic status and self-reported tuberculosis: a multilevel analysis in a low-income township in the Eastern Cape, South Africa

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Jane Murray Cramm

2011-09-01

Full Text Available Few studies have investigated the interplay of multiple factors affecting the prevalence of tuberculosis in developing countries. The compositional and contextual factors that affect health and disease patterns must be fully understood to successfully control tuberculosis. Experience with tuberculosis in South Africa was examined at the household level (overcrowding, a leaky roof, social capital, unemployment, income and at the neighbourhood level (Gini coefficient of inequality, unemployment rate, headcount poverty rate. A hierarchical random-effects model was used to assess household-level and neighbourhood-level effects on self-reported tuberculosis experience. Every tenth household in each of the 20 Rhini neighbourhoods was selected for inclusion in the sample. Eligible respondents were at least 18 years of age and had been residents of Rhini for at least six months of the previous year. A Kish grid was used to select one respondent from each targeted household, to ensure that all eligible persons in the household stood an equal chance of being included in the survey. We included 1020 households within 20 neighbourhoods of Rhini, a suburb of Grahamstown in the Eastern Cape, South Africa. About one-third of respondents (n=329; 32% reported that there had been a tuberculosis case within the household. Analyses revealed that overcrowding (P≤0.05 and roof leakage (P≤ 0.05 contributed significantly to the probability of a household TB experience, whereas higher social capital (P≤0.01 significantly reduced this probability. Overcrowding, roof leakage and the social environment affected tuberculosis prevalence in this economically disadvantaged community. Policy makers should consider the possible benefits of programs that deal with housing and social environments when addressing the spread of tuberculosis in economically poor districts.

The prevalence of extreme Middle Eastern ideologies around the world.

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Loza, Wagdy; Abd-el-Fatah, Youssef; Prinsloo, Johan; Hesselink-Louw, Anni; Seidler, Katie

2011-02-01

The Belief Diversity Scale (BDS) was administered to Australian, Canadian, Egyptian, and South African participants of different religious backgrounds. The BDS is a 33-item, six subscale instrument that is designed to quantitatively measure Middle Eastern extremist ideologies on risk areas that are reported in the literature. Results demonstrated the reliability and validity of the BDS, thus suggesting that the BDS could be used as an objective tool to measure Middle Eastern extremist ideologies. Results also supported the hypothesis of prevalence of Middle Eastern extremist ideologies around different parts of the world.

Urbanisation and women's health in South Africa.

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Pick, W; Cooper, D

1997-03-01

For many decades the migrant labor system and the influx control legislation in South Africa exacerbated male-dominant patterns of migration typical of Africa. In recent years, however, and especially following the easing of influx control legislation in 1986, migration in South Africa has increasingly involved women. This paper reports on a study conducted in Khayelitsha, Cape Town, which explored the relationship between urbanisation and the health of women. The objectives were to relate age, migration, length of stay in urban areas, employment status, and occupation to the health, including reproductive health, of women living in Khayelitsha. Interviews with 659 women (61 households had no senior woman) revealed that women enjoyed considerable social support through their neighbours, church organisations, and women's organisations. Women who lived in the most deprived section of Khayelitsha enjoyed more support from their neighbours but reported less satisfaction with the area in which they lived. Child-care support was poor and a considerable proportion of the women were disempowered by their male partners. More than 90 percent of the women had access to antenatal care. Recent immigrants had more pregnancies, were less aware of screening for cervical cancer, less likely to have had a Pap smear, less knowledgeable about where to have a Pap smear done, and less likely to have heard AIDS. More women were aware of AIDS (86%) than Pap smears (45%). More than half of those of childbearing age used contraception, mainly intramuscular hormones (76%). A significant proportion (53%) of the women reported that they had had their first pregnancy as teenagers and younger, less educated women were more likely to have had adolescent pregnancies. Policy makers are confronted by a compelling need to redress well-known urban-rural inequalities in health care in South Africa. Policy attention must also be given to the increasing urbanisation of women and the growing health care

Globalisation and local power: influences on health matters in South Africa.

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Gilbert, Tal; Gilbert, Leah

2004-03-01

This paper reviews some of the multiple influences on health issues in South Africa, placing them in the context of globalisation. By examining the complexity of factors, both domestic and global, which impact on these issues, it questions the extent to which global patterns in areas such as health policy, HIV/AIDS, health care pluralism, and neo-liberal macroeconomic policy have played out in South Africa. The identification of some of the multiple and complex forces in each case reveals a relatively consistent story of global pressures interacting with domestic realities, with some recognizably local results. There is no doubt that a full and nuanced understanding of health in South Africa requires an appreciation of developments in the global political economy, international organizations such as the WHO and World Bank, and forces which operate outside of institutions. In each case, however, the specific opportunities available to actors within the country, as well as the relative power of those actors, should be given their due consideration in analysing their potential impact on health matters.

Electronic Health Records in the Cloud: Improving Primary Health Care Delivery in South Africa.

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Cilliers, Liezel; Wright, Graham

2017-01-01

In South Africa, the recording of health data is done manually in a paper-based file, while attempts to digitize healthcare records have had limited success. In many countries, Electronic Health Records (EHRs) has developed in silos, with little or no integration between different operational systems. Literature has provided evidence that the cloud can be used to 'leapfrog' some of these implementation issues, but the adoption of this technology in the public health care sector has been very limited. This paper aims to identify the major reasons why the cloud has not been used to implement EHRs for the South African public health care system, and to provide recommendations of how to overcome these challenges. From the literature, it is clear that there are technology, environmental and organisational challenges affecting the implementation of EHRs in the cloud. Four recommendations are provided that can be used by the National Department of Health to implement EHRs making use of the cloud.

Re-Emerging Vaccine-Preventable Diseases in War-Affected Peoples of the Eastern Mediterranean Region—An Update

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Rasha Raslan

2017-10-01

Full Text Available For the past few decades, the Eastern Mediterranean Region has been one area of the world profoundly shaped by war and political instability. On-going conflict and destruction have left the region struggling with innumerable health concerns that have claimed the lives of many. Wars, and the chaos they leave behind, often provide the optimal conditions for the growth and re-emergence of communicable diseases. In this article, we highlight a few of the major re-emerging vaccine preventable diseases in four countries of the Eastern Mediterranean Region that are currently affected by war leading to a migration crisis: Iraq, South Sudan, Syria, and Yemen. We will also describe the impact these infections have had on patients, societies, and national health care services. This article also describes the efforts, both local and international, which have been made to address these crises, as well as future endeavors that can be done to contain and control further devastation left by these diseases.

Ethics review of health research on human participants in South Africa.

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van Wyk, Christa

2010-06-01

In terms of South African legislation, all health research on human participants must be submitted to an accredited research ethics committee for independent ethics review. Health research covers a broad spectrum of research, including clinical trials. This article sets out the ethical-legal framework for the functioning and composition of such committees. It also deals with the newly created National Health Research Ethics Council, which registers and audits health research ethics committees. Special attention is given to the conduct of clinical trials. In conclusion, it is submitted that the National Health Act, the Draft Regulations Relating to Research on Human Subjects, and two sets of ethical guidelines adopted by the Department of Health provide a much needed and coherent ethical-legal framework for research in South Africa.

Health inequalities among rural and urban population of Eastern Poland in the context of sustainable development.

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Pantyley, Viktoriya

2017-09-21

The primary goals of the study were a critical analysis of the concepts associated with health from the perspective of sustainable development, and empirical analysis of health and health- related issues among the rural and urban residents of Eastern Poland in the context of the sustainable development of the region. The study was based on the following research methods: a systemic approach, selection and analysis of the literature and statistical data, developing a special questionnaire concerning socio-economic and health inequalities among the population in the studied area, field research with an interview questionnaire conducted on randomly-selected respondents (N=1,103) in randomly selected areas of the Lubelskie, Podkarpackie, Podlaskie and eastern part of Mazowieckie Provinces (with the division between provincial capital cities - county capital cities - other cities - rural areas). The results of statistical surveys in the studied area with the use of chi-square test and contingence quotients indicated a correlation between the state of health and the following independent variables: age, life quality, social position and financial situation (C-Pearson's coefficient over 0,300); a statistically significant yet weak correlation was recorded for gender, household size, place of residence and amount of free time. The conducted analysis proved the existence of a huge gap between state of health of the population in urban and rural areas. In order to eliminate unfavourable differences in the state iof health among the residents of Eastern Poland, and provide equal sustainable development in urban and rural areas of the examined areas, special preventive programmes aimed at the residents of peripheral, marginalized rural areas should be implemented. In these programmes, attention should be paid to preventive measures, early diagnosis of basic civilization and social diseases, and better accessibility to medical services for the residents.

Physical, Chemical, and Biological CTD and Bottle data from NATHANIEL B. PALMER in Eastern Tropical South Pacific Ocean near Peru/Chile from 2013-06-24 to 2013-07-22 (NCEI Accession 0128141)

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National Oceanic and Atmospheric Administration, Department of Commerce — This report contains data from R/V Nathaniel B. Palmer cruise NBP 1305 to the eastern tropical south pacific oxygen deficient zone. The objective of the cruise was...

Impacts of supplemental irrigation as a climate change adaptation strategy for maize production: a case of the Eastern Cape Province of South Africa

OpenAIRE

Ndhleve, S; Nakinand, MDV; Longo-Mbenza, B

2017-01-01

Dry spells and climatic hazards are responsible for maize output decline, sometimes to levels below potential yield levels. There is a pressing need to reduce the gap between actual and potential maize yield/ha, especially among farmers in semi-arid regions. This present study examines the potential role of supplemental irrigation and its differential impact on maize yield in the Eastern Cape Province of South Africa. In this study, maize yield data were generated from information recorded ov...

How Local Landholder Groups Collectively Manage Weeds in South-Eastern Australia

Science.gov (United States)

Graham, Sonia; Rogers, Sarah

2017-09-01

For two decades researchers and policy makers have been arguing that community-based collective action is needed to effectively control weeds. Yet there has been little social research into the ways that collective weed control emerges at local scales. The aim of this paper is to investigate the mechanisms through which three local landholder groups in south-eastern Australia collectively manage weeds and the measures they use to evaluate success. Semi-structured interviews were conducted with members of three Landcare groups—Jerrawa Creek/Upper Lachlan, MacLaughlin River and Towamba Valley—as well as government staff external to the groups. The results reveal that for all three groups collective weed control is about supporting individual weed control efforts as well as proactively engaging landholders with the worst infestations. The groups were seen to be successful because they focused on the common challenge that weeds pose to all landholders, thereby removing the shame associated with having weeds, and because they organised community events that were as much about building and maintaining social relationships as improving weed control. Groups were positive about what they had achieved as collectives of landholders, but also saw an important role for government in providing funding, engaging with landholders who were unwilling to engage directly with the group, and controlling weeds on public lands.

Culture and mental health of women in South-East Asia

Science.gov (United States)

NIAZ, UNAIZA; HASSAN, SEHAR

2006-01-01

This article reviews the impact of cultural factors on mental health of South Asian women. Marked gender discrimination in South Asia has led to second class status of women in society. Their mobility, work, self-esteem and self-image, in fact their worth and identity, seem to depend upon the male members of a patriarchal society. Women's lack of empowerment and both financial and emotional dependence have restricted their self-expression and choices in life. This, along with family, social and work pressures, has a definite impact on women's mental health. PMID:16946955

Intestinal Parasitic Infections and Nutritional Status among Primary School Children in Delo-mena District, South Eastern Ethiopia

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Begna TULU

2016-12-01

Full Text Available Background: Although there are efforts being underway to control and prevent intestinal parasitic infections (IPIs in Ethiopia, they are still endemic and responsible for significant morbidity. The aim of this study was to evaluate the prevalence of IPIs and their association with nutritional status among primary school children of Delo-Mena district, South Eastern Ethiopia.Methods: A cross-sectional study was conducted from April to May 2013. Demographic data was obtained, and IPIs was investigated in a single-stool sample by both direct stool examination and formol-ether concentration techniques. Anthropometric measurements were taken to calculate height for-age (HAZ, BMI-for-age (BAZ and weight-for-age (WAZ for the determination of stunting, thinness and underweight, respectively using WHO AntroPlus software. SPSS version 20 was used for statistical analysis and p value less than 0.05 was considered significant.Results: Among 492 children studied (51% boys, aged 6–18 years, mean 10.93 +2.4 an overall IPIs prevalence of 26.6% was found. The prevalence of S. mansoni, E. histolytica/dispar, H. nana, A. lumbricoides, G. lambilia, T. trichiura, S. stercolaris, E. vermicularis, Hookworms and Taenia spp were 9.6%, 7.7%, 5.3%, 3.7%, 2.0%, 1.6%, 1.4%, 1.2%, 0.8% and 0.2% respectively. Stunting and underweightedness were observed in 4.5% and 13.6% of children and associated with IPIs (P<0.001 and (P=0.001, respectively.Conclusion: IPIs and its associated malnutrition remain a public health concern in Delo-Mena district. Therefore, the overall health promotion activities coupled with snail control and de-worming to the students is crucial. Additionally, initiatives aimed at improving the nutritional status of school children are also important.

Building a sustainable Academic Health Department: the South Carolina model.

Science.gov (United States)

Smith, Lillian Upton; Waddell, Lisa; Kyle, Joseph; Hand, Gregory A

2014-01-01

Given the limited resources available to public health, it is critical that university programs complement the development needs of agencies. Unfortunately, academic and practice public health entities have long been challenged in building sustainable collaborations that support practice-based research, teaching, and service. The academic health department concept offers a promising solution. In South Carolina, the partners started their academic health department program with a small grant that expanded into a dynamic infrastructure that supports innovative professional exchange and development programs. This article provides a background and describes the key elements of the South Carolina model: joint leadership, a multicomponent memorandum of agreement, and a shared professional development mission. The combination of these elements allows the partners to leverage resources and deftly respond to challenges and opportunities, ultimately fostering the sustainability of the collaboration.

Health Inequalities in South Asia at the Launch of Sustainable Development Goals: Exclusions in Health in Kerala, India Need Political Interventions.

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Thresia, C U

2018-01-01

Despite substantial progress in social development during the post-colonial period, health inequalities in the South Asian countries were staggering, with reduced life expectancy, higher maternal and child mortality, and gender discrimination. Notably, even with the rapid economic growth during the neoliberal period, India fares below most of the South Asian countries in several health indicators. The Indian state of Kerala stands out with social sector gains; nevertheless, evidence indicates widening health inequalities, restricted public arenas, and undemocratic practices in health, particularly in the context of increasing market logic in the health and social arenas shaping health. The caste, class, gender, and ethnic ideologies and patriarchal power structure interwoven in the sociopolitical, cultural, moral, and health discourses similar to the South Asian context raise serious inequalities for health. At the launch of the United Nations' Sustainable Development Goals, the populations with lingering privations and forbidden freedoms for gaining better health in Kerala, similar to South Asia, were largely the dalits, ethnic and religious minorities, and women. This necessitates greater political interventions, recognizing the interacting effects of history, culture, social factors, politics, and policies on health. And public health research needs to underscore this approach.

Housing conditions and mental health of orphans in South Africa.

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Marais, Lochner; Sharp, Carla; Pappin, Michele; Lenka, Molefi; Cloete, Jan; Skinner, Donald; Serekoane, Joe

2013-11-01

Literature from the developed world suggests that poor housing conditions and housing environments contribute to poor mental health outcomes, although research results are mixed. This study investigates the relationship between housing conditions and the socio-emotional health of orphans and vulnerable children (OVC) in South Africa. The results of the study are mainly inconclusive, although it is suggested that methodological considerations play a vital role in explaining the mixed results. However, a positive relationship was found between living in informal settlements and better socio-emotional health of the OVC. We speculate that the historical context of informal settlement formation in South Africa helps to explain this unexpected result. © 2013 Elsevier Ltd. All rights reserved.

Achieving the health Millennium Development Goals for South Africa: challenges and priorities.

Science.gov (United States)

Chopra, Mickey; Lawn, Joy E; Sanders, David; Barron, Peter; Abdool Karim, Salim S; Bradshaw, Debbie; Jewkes, Rachel; Abdool Karim, Quarraisha; Flisher, Alan J; Mayosi, Bongani M; Tollman, Stephen M; Churchyard, Gavin J; Coovadia, Hoosen

2009-09-19

15 years after liberation from apartheid, South Africans are facing new challenges for which the highest calibre of leadership, vision, and commitment is needed. The effect of the unprecedented HIV/AIDS epidemic has been immense. Substantial increases in mortality and morbidity are threatening to overwhelm the health system and undermine the potential of South Africa to attain the Millennium Development Goals (MDGs). However The Lancet's Series on South Africa has identified several examples of leadership and innovation that point towards a different future scenario. We discuss the type of vision, leadership, and priority actions needed to achieve such a change. We still have time to change the health trajectory of the country, and even meet the MDGs. The South African Government, installed in April, 2009, has the mandate and potential to address the public health emergencies facing the country--will they do so or will another opportunity and many more lives be lost?

Health education on diabetes at a South African national science ...

African Journals Online (AJOL)

... with a major negative impact on the health and development of South Africans. ... To determine the effects of a health education programme on increasing ... models, word-search games, information leaflets and a computer-based quiz ...

Predicting the energy consumption of heated plastic greenhouses in south-eastern Spain

International Nuclear Information System (INIS)

Lopez, J. C.; Baile, A.; Bonachela, S.; Gonzalez-Real, M. M.; Perez-Parra, J.

2006-01-01

Measurements of heat consumption in a parral type greenhouse, equipped with an air-heating system, were carried out in south-eastern Spain (Almeria) during the 1998/99 winter. From the daily values of heat consumption (Qd, MJ m-2 d-1) recorded in five identical greenhouses heated to different night temperature set-points (Tc), and data of minimum outside air temperature (Te,min), relationships between Qd and the temperature difference ( Tmin = Tc . Te,min) were established. Linear regressions between Qd and delta Tmin gave satisfactory fits (R2 ranging from 0.75 to 0.83), considering that Te,min was the only input data for the model. When all data were pooled, the correlation was curvilinear, the best fit to a 2nd order polynomial being Qd = 0.049 deltaTmin 2 . 0.001 Tmin + 1.107 (R2 = 0.89). Validation of this model was performed using data obtained during other years, giving a fair agreement at the daily (R2 0.86), 10-day (R2 = 0.95) and yearly (R2 = 0.99) time scales. This simple model could be of interest to growers for decision-making related to the choice of set-point temperature and crop planning in heated greenhouses. (Author)

Determinants of health insurance ownership among South African women

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Mwabu Germano M

2005-02-01

Full Text Available Abstract Background Studies conducted in developed countries using economic models show that individual- and household- level variables are important determinants of health insurance ownership. There is however a dearth of such studies in sub-Saharan Africa. The objective of this study was to examine the relationship between health insurance ownership and the demographic, economic and educational characteristics of South African women. Methods The analysis was based on data from a cross-sectional national household sample derived from the South African Health Inequalities Survey (SANHIS. The study subjects consisted of 3,489 women, aged between 16 and 64 years. It was a non-interventional, qualitative response econometric study. The outcome measure was the probability of a respondent's ownership of a health insurance policy. Results The χ2 test for goodness of fit indicated satisfactory prediction of the estimated logit model. The coefficients of the covariates for area of residence, income, education, environment rating, age, smoking and marital status were positive, and all statistically significant at p ≤ 0.05. Women who had standard 10 education and above (secondary, high incomes and lived in affluent provinces and permanent accommodations, had a higher likelihood of being insured. Conclusion Poverty reduction programmes aimed at increasing women's incomes in poor provinces; improving living environment (e.g. potable water supplies, sanitation, electricity and housing for women in urban informal settlements; enhancing women's access to education; reducing unemployment among women; and increasing effective coverage of family planning services, will empower South African women to reach a higher standard of living and in doing so increase their economic access to health insurance policies and the associated health services.

Holocene fire activity and vegetation response in South-Eastern Iberia

Science.gov (United States)

Gil-Romera, Graciela; Carrión, José S.; Pausas, Juli G.; Sevilla-Callejo, Miguel; Lamb, Henry F.; Fernández, Santiago; Burjachs, Francesc

2010-05-01

Since fire has been recognized as an essential disturbance in Mediterranean landscapes, the study of long-term fire ecology has developed rapidly. We have reconstructed a sequence of vegetation dynamics and fire changes across south-eastern Iberia by coupling records of climate, fire, vegetation and human activities. We calculated fire activity anomalies (FAAs) in relation to 3 ka cal BP for 10-8 ka cal BP, 6 ka cal BP, 4 ka cal BP and the present. For most of the Early to the Mid-Holocene uneven, but low fire events were the main vegetation driver at high altitudes where broadleaved and coniferous trees presented a highly dynamic post-fire response. At mid-altitudes in the mainland Segura Mountains, fire activity remained relatively stable, at similar levels to recent times. We hypothesize that coastal areas, both mountains and lowlands, were more fire-prone landscapes as biomass was more likely to have accumulated than in the inland regions, triggering regular fire events. The wet and warm phase towards the Mid-Holocene (between ca 8 and 6 ka cal BP) affected the whole region and promoted the spread of mesophytic forest co-existing with Pinus, as FAAs appear strongly negative at 6 ka cal BP, with a less important role of fire. Mid and Late Holocene landscapes were shaped by an increasing aridity trend and the rise of human occupation, especially in the coastal mountains where forest disappeared from ca 2 ka cal BP. Mediterranean-type vegetation (evergreen oaks and Pinus pinaster- halepensis types) showed the fastest post-fire vegetation dynamics over time.

Mycoplasma gallopavonis in eastern wild turkeys.

Science.gov (United States)

Luttrell, M P; Eleazer, T H; Kleven, S H

1992-04-01

Serum samples and tracheal cultures were collected from eastern wild turkeys (Meleagris gallopavo sylvestris) trapped for relocation in South Carolina (USA) during 1985 to 1990. Sera were tested for Mycoplasma gallisepticum and M. synoviae by the rapid plate agglutination and hemagglutination inhibition tests and were found to be negative. Tracheal cultures were negative for all pathogenic Mycoplasma spp., including M. gallisepticum, M. synoviae, M. meleagridis, and M. iowae. However, M. gallopavonis was isolated from every group of wild turkeys tested in 1986 to 1990. These data suggest that M. gallopavonis, which is generally considered nonpathogenic, may be a common microorganism in eastern wild turkeys.

The nematode community in the Atlantic rainforest lizard Enyalius perditus Jackson, from south-eastern Brazil.

Science.gov (United States)

Barreto-Lima, A F; Toledo, G M; Anjos, L A

2012-12-01

Studies focusing on communities of helminths from Brazilian lizards are increasing, but there are many blanks in the knowledge of parasitic fauna of wild fauna. This lack of knowledge hampers understanding of ecological and parasitological aspects of involved species. Moreover, the majority of research has focused on parasitic fauna of lizards from families Tropiduridae and Scincidae. Only a few studies have looked at lizards from the family Leiosauridae, including some species of Enyalius. This study presents data on the gastrointestinal parasite fauna of Enyalius perditus and their relationships with ecological aspects of hosts in a disturbed Atlantic rainforest area in the state of Minas Gerais, south-eastern Brazil. Two nematode species, Oswaldocruzia burseyi [(Molineidae) and Strongyluris oscari (Heterakidae) were found. Nematode species showed an aggregated distribution in this host population, with O. burseyi being more aggregated than S. oscari. The present study extends the range of occurrence of O. burseyi to the Brazilian continental area.

Global health intervention from North to South: (Academic) preparation of students

DEFF Research Database (Denmark)

Singla, Rashmi; Rasmussen, Louise Mubanda

2018-01-01

psychiatry/ psychology (Fernando), culture-centered health communication (Dutta) and medical anthropology (Farmer, Nguyen & Lock). The course is framed around a critical conceptualization of globalisation covering spatial and ideological dimensions (Fassin). Today’s practice of global health interventions......Global health intervention from North to South: (Academic) preparation of students By Rashmi Singla & Louise Mubanda Rasmussen, Roskilde University, Denmark This chapter discusses how to conduct before- intervention preparation of students based on a pioneer course collaboration between...... the subjects Health Promotion and International Development Studies at Roskilde University. The focus is on agents of intervention from the Global North with Global South targets. The theoretical framework of the course includes, among others approaches from cultural psychological (Valsiner), critical...

Description and implementation of a surveillance network for bluetongue in the Balkans and in adjoining areas of south-eastern Europe.

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Dall'Acqua, F; Paladini, C; Meiswinkel, R; Savini, L; Calistri, P

2006-01-01

During the recent severe outbreaks of bluetongue (BT) in the Mediterranean Basin, the BT virus (BTV) spread beyond its historical limits into the Balkan region. One of the primary impacts of BT is the cessation in livestock trade which can have severe economic and social consequences. The authors briefly describe the development of the collaborative East-BTnet programme which aims to assist all affected and at-risk Balkan states and adjoining countries in the management of BT, and in the development of individual national surveillance systems. The beneficiary countries involved, and led by the World organisation for animal health (Office International des Epizooties) Collaborating Centre for veterinary training, epidemiology, food safety and animal welfare of the Istituto Zooprofilattico dell'Abruzzo e del Molise 'G. Caporale' in collaboration with the Institute for the Protection and the Security of the Citizen, the European Commission Joint Research Centre (IPSC-JRC), were Albania, Bosnia-Herzegovina, Bulgaria, Croatia, Cyprus, the Former Yugoslavia Republic of Macedonia, Kosovo, Malta, Romania, Serbia and Montenegro, Slovenia and Turkey. A regional web-based surveillance network is a valuable tool for controlling and managing transboundary animal diseases such as BT. Its implementation in the Balkan region and in adjoining areas of south-eastern Europe is described and discussed.

Human enteric bacteria and viruses in five wastewater treatment plants in the Eastern Cape, South Africa

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Olayinka Osuolale

2017-09-01

Full Text Available Monitoring effluents from wastewater treatment plants is important to preventing both environmental contamination and the spread of disease. We evaluated the occurrence of human enteric bacteria (faecal coliforms and Escherichia coli and viruses (rotavirus and enterovirus in the final effluents of five wastewater treatment plants (WWTPs in the Eastern Cape of South Africa. Human viruses were recovered from the effluent samples with the adsorption–elution method and detected with singleplex real-time RT–PCR assays. Rotavirus was detected in several effluents samples, but no enterovirus was detected. At WWTP-C, rotavirus titre up to 105 genome copies/L was observed and present in 41.7% of the samples. At WWTP-B, the virus was detected in 41.7% of samples, with viral titres up to 103 genome copies/L. The virus was detected once at WWTP-E, in 9% of the samples analysed. The viral titres at WWTP-A were below the detection limit in all 25% of the 1.25 L samples in which the virus was detected. Rotavirus was not observed at WWTP-D. Faecal coliform bacteria and E. coli were detected in all the WWTPs, but no correlation was established between the enteric bacteria and viruses studied. The occurrence of rotavirus in effluent samples discharged into surface waters highlights the importance of assessing viral contamination in the water sources used for domestic water use. Keywords: Rotavirus, Enterovirus, Wastewater, Eastern Cape, Effluent, Faecal coliforms and Escherichia coli

Floral diversity, composition and distribution in a montane wetland in hogsback, the eastern cape province, south africa

International Nuclear Information System (INIS)

Omar, M.Y.; Tol, J.J.V.; Maroyi, A.

2016-01-01

The objective of this study was to evaluate plant species diversity, composition and distribution in a montane wetland in Hogsback, Eastern Cape province, South Africa. Twenty four circular plots with radius of 2m were established between March and August 2013 within Hogsback montane wetland. Within each sample plot, the habitat information and species present were recorded including Braun-Blanquet cover-abundance values for all species present in the plot. A total of 41 species belonging to 19 families and 36 genera were recorded. Of the documented species, 7.3% were exotic and endemic to South Africa, indicating diversity and dynamic nature of Hogsback montane wetland flora. Plant families with the highest number of species were: Poaceae (11 species), Asteraceae (six species), Onagraceae and Cyperaceae (three species each) and Lamiaceae with two species. The low number of exotic plant species recorded in Hogsback wetland (three species in total) indicates limited anthropogenic influences. Unique species recorded in Hogsback montane wetland were three species that are endemic to South Africa, namely, Alchemilla capensis Thunb., Helichrysum rosum (P.J. Bergius) Lees and Lysimachia nutans Nees. Five main floristic associations were identified from the Hierarchical Cluster Analysis. The Canonical Correspondence Analysis (CCA) indicated that edaphic factors, particularly area covered with water, erosion category, organic matter content and water table depth were the most important environmental variables measured accounting for the vegetation pattern present in the Hogsback montane wetland. Montane wetlands have a relatively low species richness characterised by unique species compositions which are distinctive and habitat specific. (author)

Ensuring water supply for all towns and villages in the Eastern Cape ...

African Journals Online (AJOL)

Eastern Cape and Western Cape Provinces of South Africa. ER Hay1, K .... The current water balance (see Fig. 1) and the .... in selected towns in the Eastern and Western Cape. Town .... work in order to reduce the risk of failure in the water supply to the town. .... Asset management, to prolong the life of the infrastructure.

The Characteristics of Middle Eastern Respiratory Syndrome Coronavirus Transmission Dynamics in South Korea.

Science.gov (United States)

Kim, Yunhwan; Lee, Sunmi; Chu, Chaeshin; Choe, Seoyun; Hong, Saeme; Shin, Youngseo

2016-02-01

The outbreak of Middle Eastern respiratory syndrome coronavirus (MERS-CoV) was one of the major events in South Korea in 2015. In particular, this study pays attention to formulating a mathematical model for MERS transmission dynamics and estimating transmission rates. Incidence data of MERS-CoV from the government authority was analyzed for the first aim and a mathematical model was built and analyzed for the second aim of the study. A mathematical model for MERS-CoV transmission dynamics is used to estimate the transmission rates in two periods due to the implementation of intensive interventions. Using the estimates of the transmission rates, the basic reproduction number was estimated in two periods. Due to the superspreader, the basic reproduction number was very large in the first period; however, the basic reproduction number of the second period has reduced significantly after intensive interventions. It turned out to be the intensive isolation and quarantine interventions that were the most critical factors that prevented the spread of the MERS outbreak. The results are expected to be useful to devise more efficient intervention strategies in the future.

Mental Health Services in South Africa: Taking stock | Lund | African ...

African Journals Online (AJOL)

Mental Health Services in South Africa: Taking stock. ... This provides an opportunity to take stock of our mental health services. At primary care level key challenges include- training and ... on evaluating interventions. With current policy commitment, the time to act and invest in evidence-based mental health services is now.

Mental Health Services in South Africa: Scaling up and future ...

African Journals Online (AJOL)

“No health without mental health” has become a rallying call for the World Health Organization and numerous service providers, training institutions, health researchers, and advocacy groups around the world. It is timely to consider the implications of this call for South Africa. We review key evidence regarding the burden ...

Biodegradation of cyanide in groundwater and soils from gasworks sites in south-eastern Australia

Energy Technology Data Exchange (ETDEWEB)

Meehan, S.M.E.; Weaver, T.R.; Lawrence, C.R. [University of Melbourne, Parkvills, Vic. (Australia). School of Earth Sciences

1999-07-01

Groundwater from a gasworks site in south-eastern Australia has been found to contain high concentrations of cyanide (total), sulphate, and ammonia (1400 mg L{sup -1}, 6500 mg L{sup -1}, and 580 mg L{sup -1} respectively). Soil from another gasworks site has been found to contain 587 mg kg{sup -1} of cyanide (total), with concentrations of cyanide in the groundwater at this site being relatively low ({lt} 21 mgL{sup -1} CN(Total)). Experiments were conducted to determine the biodegradation rates of cyanide in groundwater and soils using samples from both sites. Column experiments and bioreactors were constructed to produce both aerobic and anaerobic conditions for the groundwater containing high concentrations of cyanide. Samples of water were taken periodically to analyse the pH, redox potential, temperature, and concentrations of cyanide (free and total), sulphate, ammonia, nitrate and dissolved organic carbon (DOC). Initial results indicate that concentrations of cyanide are declining in both aerobic and anaerobic conditions, with biodegradation one process producing degradation. 9 refs., 4 figs., 2 tabs.

Intimate partner violence as seen in post-conflict eastern Uganda: prevalence, risk factors and mental health consequences.

Science.gov (United States)

Kinyanda, Eugene; Weiss, Helen A; Mungherera, Margaret; Onyango-Mangen, Patrick; Ngabirano, Emmanuel; Kajungu, Rehema; Kagugube, Johnson; Muhwezi, Wilson; Muron, Julius; Patel, Vikram

2016-01-29

Conflict and post-conflict communities in sub-Saharan Africa have a high under recognised problem of intimate partner violence (IPV). Part of the reason for this has been the limited data on IPV from conflict affected sub-Saharan Africa. This paper reports on the prevalence, risk factors and mental health consequences of IPV victimisation in both gender as seen in post-conflict eastern Uganda. A cross-sectional survey was carried out in two districts of eastern Uganda. The primary outcome of IPV victimisation was assessed using a modified Intimate Partner Violence assessment questionnaire of the American Congress of Obstetricians and Gynaecologists. The prevalence of any form of IPV victimisation (physical and/or sexual and/or psychological IPV) in this study was 43.7 % [95 % CI, 40.1-47.4 %], with no statistically significant difference between the two gender. The factors significantly associated with IPV victimisation were: sub-county (representing ecological factors), poverty, use of alcohol, and physical and sexual war torture experiences. The mental health problems associated with IPV victimisation were probable problem alcohol drinking, attempted suicide and probable major depressive disorder. In post-conflict eastern Uganda, in both gender, war torture was a risk factor for IPV victimisation and IPV victimisation was associated with mental health problems.

National expenditure on health research in South Africa: What is the ...

African Journals Online (AJOL)

The Mexico (2004), Bamako (2008) and Algiers (2008) declarations committed the South African (SA) Ministry of Health to allocate 2% of the national health budget to research, while the National Health Research Policy (2001) proposed that the country budget for health research should be 2% of total public sector health ...

Deep-water chaunacid and lophiid anglerfishes (Pisces: Lophiiformes) off the south-eastern United States

Science.gov (United States)

Caruso, John H.; Ross, Steve W.; Sulak, K.J.; Sedberry, G.R.

2007-01-01

Recent research cruises to deep (80-910 m) reef habitats off the south-eastern U.S. and in the northern Gulf of Mexico have provided new information on the diagnostic characteristics, behaviours, colour patterns in life, bottom associations, distributions and maximum sizes of species of the anglerfish genera Chaunax, Lophiodes and Sladenia. Chaunax stigmaeus occurred much further south than previously known (Blake Plateau off South Carolina), and all C. stigmaeus observed were found associated with dense beds of dead coral (Lophelia pertusa) rubble or on broken hard bottom. In contrast, Chaunax suttkusi was found on soft bottoms. Chaunax stigmaeus and C. suttkusi appear to be sympatric over a major portion of their ranges. Because knowledge of pigmentation in live or freshly caught Chaunax is critical to distinguish some members of the genus, changes in the colouration of C. suttkusi were noted and documented photographically immediately after death and after fixation. The yellow spots found on some, but not all specimens, temporarily disappeared completely after death, but they reappeared after fixation, slowly disappearing thereafter along with other carotenoid pigments. Lophiodes beroe and Lophiodes monodi were collected for the first time off the Atlantic coast of the U.S., being previously known only from the Gulf of Mexico, Caribbean Sea and the northern coast of South America. For both species (L. beroe and L. monodi), the collections included the two largest known representatives of the species (400 and 325 mm standard length, respectively). Lophiodes beroe commonly occurred on L. pertusa rubble, and seemed to prefer this habitat. Occupying such a habitat that is deep and difficult to sample probably explains how this common species escaped detection. Only a single L. monodi was collected or observed, so this species appears to be uncommon in this geographic area or at least so on coral rubble habitat. Detailed aspects of the colour patterns of both species

Obesity and health problems among South African healthcare workers

African Journals Online (AJOL)

2011-01-08

Jan 8, 2011 ... prevalence of certain health risk behaviours, like smoking and not seeking ..... These findings may explain (or at least partly explain) the very high prevalence of obesity ... health, and preventing diseases and illnesses. However, ... could also affect the sizes to which they aspire.24 A study among rural South ...

Mental health, intimate partner violence and HIV | Woollett | South ...

African Journals Online (AJOL)

Intimate partner violence (IPV) and HIV are intersecting epidemics in South Africa (SA). Despite recognition that IPV and HIV are bidirectionally linked, less attention has been given to mental health – a key health condition that is at the nexus of both violence and HIV/AIDS. While SA healthcare professionals have made ...

Health Inequality in South Africa: A Systematic Review | Obuaku ...

African Journals Online (AJOL)

This study presents a review of key empirical studies on health inequalities in South Africa with the aim of contributing to a comparative examination of social inequalities in health across different countries in Europe and other parts of the World. Studies reviewed were identified through a computerised search of key words ...

Effectively addressing the health needs of South Africa's population: the role of health professions education in the 21st century.

Science.gov (United States)

van Heerden, B

2012-11-22

The causes of the poor health status of the South African population are probably multifactorial, but to be socially accountable we must ensure that the education and training of health professionals continue to be aligned with the population's health needs. The authors of a seminal report published in the Lancet in 2010 provide guidelines for the future training of health professionals. Since November 2010, this report, together with other guiding publications, informed a series of strategic initiatives undertaken by the Undergraduate Education and Training subcommittee of the Medical and Dental Professions Board of the Health Professions Council of South Africa (HPCSA). These initiatives seek to ensure alignment of the training of health professionals in South Africa (SA) with the health needs of the population and with international educational norms and standards. These initiatives are described and the role of the HPCSA in guiding the education and training of SA's health professionals is explored.

Impacts of Air Pollution on Health in Eastern China: Implications for future air pollution and energy policies

Science.gov (United States)

Wang, X.; Mauzerall, D.

2004-12-01

Our objective is to establish the link between energy consumption and technologies, air pollution and resulting impacts on public health in eastern China. We quantify the impacts that air pollution in the Shandong region of eastern China has on public health in 2000 and quantify the benefits in improved air quality and health that could be obtained by 2020, relative to business-as-usual, through the implementation of new energy technology. We first develop a highly-resolved emission inventory for the year 2000 for the Shandong region of China including emissions from large point, area, mobile and biogenic sources. We use the Sparse Matrix Operator Kernel Emissions Modeling System (SMOKE) to process emissions from this inventory for use in the Community Multi-scale Air Quality modeling system (CMAQ) which we drive with the NCAR/PSU MM5 meso-scale meteorology model. We evaluate the inventory by comparing CMAQ results with available measurements of PM10 and SO2 from air pollution indices (APIs) reported in various Chinese municipalities during 2002-2004. We use epidemiological dose-response functions to quantify health impacts and values of a statistical life (VSL) and years-of-life-lost (YLL) to establish a range for the monetary value of these impacts. To examine health impacts and their monetary value, we focus explicitly on Zaozhuang, a coal-intensive city in the Shandong region of eastern China, and quantify the mortalities and morbidities resulting from air pollutants emitted from this city in 2000, and in 2020 using business-as-usual, best-available control technology, and advanced coal gasification technology scenarios. In all scenarios most health damages arise from exposure to particulate matter. We find that total health damages due to year 2000 anthropogenic emissions from Zaozhuang accounted for 4-10% of its GDP. If all health damages resulting from coal use were internalized in the market price of coal, the year 2000 price would have doubled. With no new

Euastacus morgani sp. n., a new spiny crayfish (Crustacea, Decapoda, Parastacidae from the highland rainforests of eastern New South Wales, Australia

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Jason Coughran

2011-03-01

Full Text Available Euastacus morgani sp. n., is described from a highland, rainforest site in Bindarri National Park, in eastern New South Wales, Australia. Euastacus morgani is found living sympatrically with two more common species, E. dangadi Morgan, 1997 and E. neohirsutus Riek, 1956. Systematically, the species belongs in the ‘simplex’ complex of the genus that includes E. simplex Riek, 1956, E. clarkae Morgan, 1997, E. maccai McCormack and Coughran 2008 and E. morgani. This new species differs from its nearest congenor, E. simplex, inthree mesial carpal spines. A key to the ‘simplex’ complex is presented.

Overall satisfaction of health care users with the quality of and access to health care services: a cross-sectional study in six Central and Eastern European countries.

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Stepurko, Tetiana; Pavlova, Milena; Groot, Wim

2016-08-02

The measurement of consumer satisfaction is an essential part of the assessment of health care services in terms of service quality and health care system responsiveness. Studies across Europe have described various strategies health care users employ to secure services with good quality and quick access. In Central and Eastern European countries, such strategies also include informal payments to health care providers. This paper analyzes the satisfaction of health care users with the quality of and access to health care services. The study focuses on six Central and Eastern European countries (Bulgaria, Hungary, Lithuania, Poland, Romania and Ukraine). We use data on past experience with health care use collected in 2010 through uniform national surveys in these countries. Based on these data, we carry out a multi-country analysis to investigate factors associated with the satisfaction of health care users in the six countries. The results indicate that about 10-14 % of the service users are not satisfied with the quality of, or access to health care services they used in the preceding year. However, significant differences across countries and services are observed, e.g. the highest level of dissatisfaction with access to outpatient services (16.4 %) is observed among patients in Lithuania, while in Poland, the level of dissatisfaction with quality of outpatient and inpatient services are much lower than dissatisfaction with access. The study also analyses the association of users' satisfaction with factors such as making informal payments, inability to pay and relative importance of service attributes stated by the service users. These multi-country findings provide evidence for health policy making in the Central and Eastern European countries. Although the average rates of satisfactions per country are relatively high, the results suggest that there is ample room for improvements. Specifically, many service-users still report dissatisfaction especially those

Preliminary comparative study of middle Anisian vertebrate ichnoassociation from South-Eastern Alps

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Valdiserri, D.; Todesco, R.; Avanzini, M.

2009-04-01

Anisian vertebrate tracks from the south-eastern Alps are known since the first decades of 1900s (Abel, 1926). The sedimentary units yielding footprints are characterized by the alternation of limestone influenced by terrigenous supply with mere marine and volcanic layers allowing a precise dating. In this study, we compare four different ichnoassociations from three different outcrops in the South-Eastern Alps correlating them chronologically and sedimentologically. They were found to be subsequent in time from Lower Pelsonian (Bad Gfrill-Voltago Conglomerate; Todesco, 2007) through middle Pelsonian (Bad Gfrill- Giovo Formation) (Valdiserri et al., 2006) and basal Illyrian (Piz da Peres- Richthofen Conglomerate; Todesco et al., 2008) to the middle Illyrian (Val Duron-Morbiac Limestone; Avanzini et al., 2007). In all these ichno-associations, Rhynchosauroides, an ichno-genus referable to a lizard - like trackmaker well known in the European Anisian, is dominant. Within this group at least four different morphotypes are known, probably reflecting both intraspecific variation (i.e. sexual dimorphism) and different ichnospecies. Although the Chirotheridae group, referred to Archosaurian trackmakers Synaptichnium is represented in both Pelsonian ichnoassociation of the Bad Gfrill outcrop, while Chirotherium , Isochirotherium and Brachichirotherium are recognized both in Pelsonian and in Illyrian ichnosites with a incremental presence in the Illyrian The ichofamiliae Rotodactylidae und Procolophonidae seem well represented in the Pelsonian strata but absent in the Illyrian ones. The preliminarly comparative analysis of these four correlated ichnosites and the comparision with the yet known ones (Avanzini and Mietto 2008) pointed out the expected predominance of the Lepidosaurian-Archosaurian association typical for the middle Triassic ichnofauna. The incremental presence of the Chirotherian track in Illyrian and the presence of the Procolophonichium just in the

Exploration of the South-Eastern Alps lithosphere with 3D refraction seismics project Alp 2002 – data acquisition in Slovenia

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Andrej Gosar

2003-06-01

Full Text Available Using combined seismic refraction/wide-angle reflection method project Alp 2002 explored the contact zone between South-Eastern Alps, Dinarides and Pannonian basin. In a network of 12 profiles of 4100 km total length, which are spread over seven countries,1055 portable seismographs were deployed and 31 strong (300 kg explosions fired. In Slovenia 127 seismographs were deployed along five profiles totalling 575 km and two explosions fired near Vojnik and Gradin. The collected data will allow construction of athree-dimensional model of the lithosphere and will contribute to the understanding of the tectonics and geodynamics at the junction of European, Adriatic and Tisza plates.

Factors associated with self-rated health among North Korean defectors residing in South Korea.

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Wang, Bo-Ram; Yu, Shieun; Noh, Jin-Won; Kwon, Young Dae

2014-09-26

The number of North Korean refugees entering South Korea has increased recently. The health status of refugees is a significant factor in determining their success in resettlement; therefore, this study examined both the self-rated health status of North Korean defectors who have settled in South Korea and the factors associated with their self-rated health status. This study utilized data gained from face-to-face interviews with 500 North Korean defectors who arrived in South Korea in 2007. The interviews were structured and conducted by 'Yonsei University Research Team for North Korean defectors'. A stepwise multivariable linear regression was performed to determine the factors associated with their self-rated health status. North Korean defectors who were female, elderly, or had low annual household income, disability or chronic diseases reported lower health status. However, self-rated health status was higher among those who had settled in South Korea for 18 months or more, who were satisfied with government support or their current life, and who had experienced more traumatic events in North Korea. Government policies and refugee assistance programs should consider and reflect the factors relevant to the health status of North Korean defectors.

Agricultural chemical exposures and birth defects in the Eastern Cape Province, South Africa A case – control study

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Tyler Joanne

2003-10-01

Full Text Available Abstract Background South Africa is one of the major users of pesticides on the African continent. The Eastern Cape is the second largest province in South Africa. There has been growing concern about the occurrence of certain birth defects which seemed to have increased in the past few years. In this paper we investigate associations between exposure to agricultural chemicals and certain birth defects. Few such studies have been undertaken in the developing world previously. Methods Between September 2000 and March 2001 a case – control study was conducted among rural women in the area of the Eastern cape to investigate the association between women's exposure to pesticides and the occurrence of birth defects. Information on birth defects was obtained from the register of the Paediatrics Department at the Cecilia Makiwane Hospital in Mdantsane, one of the largest referral hospitals in the province. The cases were children who were diagnosed with selected birth defects. The controls were children born in the same areas as the cases. Exposure information on the mothers was obtained by interview concerning from their activities in gardens and fields. Data were analysed using conditional logistic regression. Results A total of 89 case mothers and 178 control mothers was interviewed. Babies with birth defects were seven times more likely to be born to women exposed to chemicals used in gardens and fields compared to no reported exposure (Odds Ratio 7.18, 95% CI 3.99, 13.25; and were almost twice as likely to be born to women who were involved in dipping livestock used to prevent ticks (OR 1.92, 95% CI 1.15, 3.14. They were also 6.5 times more likely to be born to women who were using plastic containers for fetching water (OR 6.5, 95% CI 2.2, 27.9. Some of these containers had previously contained pesticides (OR 1.87, 95% CI 1.06, 3.31. Conclusions These findings suggest a link between exposure to pesticides and certain birth defects among the

Trade Facilitation Indicators and their Potential Impact on Trade Between the Countries of South-Eastern Europe

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Toševska-Trpčevska Katerina

2016-11-01

Full Text Available In this paper we base our analysis on previous OECD findings and analysis of trade facilitation indicators for assessing relative economic and trade impact of specific trade facilitation measures for the countries of South-Eastern Europe. In the analysis we plan to include all CEFTA-2006 members, except Moldova, and other countries which are part of this region: Bulgaria, Romania and Greece. We plan to construct twelve trade facilitation indicators (TFIs that correspond to the main policy areas under negotiations at the WTO. The indicators are composed from seventy-eight variables, whose values are drawn from publicly available data. We plan to use these indicators in gravity model in order to estimate the impact of those policy areas on trade volumes between the countries of the region. The use of individual trade facilitation indicators should also enable countries to better assess which trade facilitation measures deserve priority.

Innovative financing for health: what are the options for South Africa?

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Robert J. Fryatt

2012-10-01

Full Text Available The paper assesses the options for additional innovative financing that could be considered in South Africa, covering both raising new funds and linking funds to results. New funds could come from: i the private sector, including the mining and mobile phone industry; ii from voluntary sources, through charities and foundations; iii and through further expanding health (sin levies on products such as tobacco, alcohol and unhealthy food and drinks. As in other countries, South Africa could earmark some of these additional sources for investment in interventions and research to reduce unhealthy behaviors and influence the determinants of health. South Africa could also expand innovative linking of funds to improve overall performance of the health sector, including mitigating the risks for non-state investment and exploring different forms of financial incentives for providers and patients. All such innovations would require rigorous monitoring and evaluation to assess whether intended benefits are achieved and to look for unintended consequences.

Elaphomyces appalachiensis and E. verruculosus sp. nov. (Ascomycota Eurotiales, Elaphomycetaceae) from eastern North America

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Michael A. Castellano; Gonzalo Guevara Guerrero; Jesus Garcia Jimenez; James M. Trappe

2012-01-01

We describe Elaphomyces verruculosus as new species from eastern North America, ranging from Quebec, Canada south along the eastern USA and along the Gulf Coast to northeastern México. E. verruculosus is similar in overall morphology to E. granulatus of Europe. In addition we re-describe E....

Sexual Debut and Mental Health Among South Korean Adolescents.

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Kim, Hyun Sik

2016-01-01

Numerous studies have demonstrated the negative influence of sexual debut during adolescence on mental health outcomes. This article contributes to this literature by investigating whether sexual debut has negative effects on mental health among South Korean adolescents and whether the timing of adolescent sexual debut matters. Drawing on longitudinal data from a nationally representative survey, we first predicted mental health outcomes at one year after high school graduation using first sexual intercourse that had occurred before the outcomes were measured. In a second statistical model, adolescent sexual debut was defined as first coitus that had occurred before high school graduation. Sexual debut was associated with an increase in problematic aggressive behaviors for both genders. In contrast, only girls experienced a rise in depressive symptoms after becoming sexually active. For girls, having sex before high school graduation was correlated with worse mental health outcomes to the extent that sexual debut even enhanced the risk of suicidal ideation. We concluded that the negative effects of sexual activity among South Korean adolescents are attributable mainly to the sexually conservative atmosphere and gendered sexuality in that country.

Health disparities among the western, central and eastern rural regions of China after a decade of health promotion and disease prevention programming.

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Zhang, Xi-Fan; Tian, Xiang-Yang; Cheng, Yu-Lan; Feng, Zhan-Chun; Wang, Liang; Southerland, Jodi

2015-08-01

Health disparities between the western, central and eastern regions of rural China, and the impact of national health improvement policies and programming were assessed. A total of 400 counties were randomly sampled. ANOVA and Logistic regression modeling were employed to estimate differences in health outcomes and determinants. Significant differences were found between the western, central and eastern rural regions in community infrastructure and health outcomes. From 2000 to 2010, health indicators in rural China were improved significantly, and the infant mortality rate (IMR), maternal mortality rate (MMR) and under 5 mortality rate (U5MR) had fallen by 62.79%, 71.74% and 61.92%, respectively. Central rural China had the greatest decrease in IMR (65.05%); whereas, western rural China had the greatest reduction in MMR (72.99%) but smallest reduction in U5MR (57.36%). Despite these improvements, Logistic regression analysis showed regional differences in key health outcome indicators (odds ratios): IMR (central: 2.13; western: 5.31), U5MR (central: 2.25; western: 5.69), MMR (central: 1.94; western: 3.31), and prevalence of infectious diseases (central: 1.62; western: 3.58). The community infrastructure and health outcomes of the western and central rural regions of China have been improved markedly during the first decade of the 21st century. However, health disparities still exist across the three regions. National efforts to increase per capita income, community empowerment and mobilization, community infrastructure, capacity of rural health facilities, and health literacy would be effective policy options to attain health equity.

Gender equity and health: evaluating the impact of Millennium Development Goal Three on women's health in South Asia.

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Shannon, Geordan D; Im, Dana D; Katzelnick, Leah; Franco, Oscar H

2013-01-01

Researchers evaluated the progress of Millennium Development Goal Three, which promotes gender equity and empowering women, by assessing the targets for education, employment, and government, and their relation to women's health in South Asia. Researchers obtained data from the United Nations, Inter-Parliamentary Union, International Labor Organization, World Bank, and World Health Organization. First, they performed a literature review including manuscripts that quantified a Millenium Development Goal Three outcome in South Asia and were published after 1991. They derived women's health outcomes from World Health Organization databases. Spearman's rank test was used to evaluate the relationship between change in gender parity and change in women's health outcomes. South Asia's average primary education Gender Parity Index (defined as the ratio of girls to boys enrolled in primary, secondary, and tertiary education and expressed as a value between 0 and 1.0) improved from 0.73 (SD 0.34) to 0.92 (SD 0.13) between 2000 and 2008. Secondary and tertiary education had a lower Gender Parity Index (average 2008 Gender Parity Index 0.87 (SD 0.21) and 0.59 (SD 0.23), respectively), but had also improved from 2000 (average Gender Parity Index = 0.77, SD 0.38) to 2008 (average Gender Parity Index = 0.52, SD 0.11). An average proportion of 22.1% (SD 12.58) of women participated in waged, non-agricultural employment and 16.6% (SD 10.3) in national parliaments. No clear association was found between change in gender equity and women's health in South Asia between 2000 and 2008. Some progress has been made toward gender equity in South Asia, although the results have been mixed and inequities persist, especially in employment and government. While gender equity does not appear to have been related to female health outcomes, both must be addressed simultaneously as priority development targets and remain prerequisites to achieving the overall Millennium Development Goals

A changed climate for mental health care delivery in South Africa ...

African Journals Online (AJOL)

Objective: Traditional health practice was recently mainstreamed in South Africa by the promulgation of the Traditional Health Practitioners Act, No. 35 of 2004. Due to the extent of integration of mental health in the legal definition of traditional health practice, promulgation of this Act also has significant implications for ...

Monitoring Coral Health to Determine Coral Bleaching Response at High Latitude Eastern Australian Reefs: An Applied Model for A Changing Climate

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Andrew G. Carroll

2011-09-01

Full Text Available Limited information is available on the bleaching susceptibility of coral species that dominate high latitude reefs along the eastern seaboard of Australia. The main aims of this study were to: (i monitor coral health and spatial patterns of coral bleaching response at the Solitary Islands Marine Park (SIMP and Lord Howe Island Marine Park (LHIMP, to determine variability of bleaching susceptibility among coral taxa; (ii predict coral bleaching thresholds at 30 °S and 31.5 °S, extrapolated from published bleaching threshold data; and (iii propose a subtropical northern New South Wales coral bleaching model from biological and physical data. Between 2005 and 2007 minor bleaching was observed in dominant coral families including Pocilloporidae, Poritidae and Dendrophylliidae in the SIMP and Pocilloporidae, Poritidae and Acroporidae (Isopora and Montipora spp. in the LHIMP, with a clear difference in bleaching susceptibility found between sites, both within and between locations. Bleaching susceptibility was highest in Porites spp. at the most offshore island site within the SIMP during summer 2005. Patterns of subtropical family bleaching susceptibility within the SIMP and LHIMP differed to those previously reported for the central Great Barrier Reef (GBR. These differences may be due to a number of factors, including temperature history and/or the coral hosts association with different zooxanthellae clades, which may have lower thermal tolerances. An analysis of published estimates of coral bleaching thresholds from the Caribbean, South Africa, GBR and central and northern Pacific regions suggests that the bleaching threshold at 30–31.5 °S ranges between 26.5–26.8 °C. This predicted threshold was confirmed by an extensive coral bleaching event on the world’s southernmost coral reef at Lord Howe Island, during the 2010 austral summer season. These results imply that dominant coral taxa at subtropical reefs along the eastern Australian

On the frontline of eastern Burma's chronic conflict--listening to the voices of local health workers.

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Footer, Katherine H A; Meyer, Sarah; Sherman, Susan G; Rubenstein, Leonard

2014-11-01

Globally, attacks on and interferences with health workers and healthcare delivery, including targeted violence towards providers, attacks on hospitals and delays and denial of health care, represent a serious humanitarian and human rights issue. However, gaps in research about these events persist, limiting the evidence base from which to understand and address the problem. This paper focuses on experiences of local health workers in eastern Burma's chronic conflict, including their strategies for addressing security and ensuring access to vulnerable ethnic communities in the region. Face-to-face in-depth interviews were conducted in June and August 2012 with 27 health workers from three health organizations that operate throughout eastern Burma, with their operational head quarters located in Mae Sot, Tak Province, Thailand. Qualitative analysis found that health workers in this setting experience violent and non-violent interferences with their work, and that the Burmese government's military activities in the region have severely impacted access to care, which remains restricted. Data show that innovative security strategies have emerged, including the important role of the community in ensuring securer access to health care. This study underscores health workers' concern for improved data collection to support the rights of health workers to provide health care, and the rights of community members to receive health care in conflict-affected settings. Findings will inform the development of an incident reporting form to improve systematic data collection and documentation of attacks on health in this setting. Copyright © 2014 Elsevier Ltd. All rights reserved.

The role of community health workers in supporting South Africa's ...

African Journals Online (AJOL)

Community health workers deployed around South Africa's primary health care clinics, supply indispensable support for the world's largest HIV/AIDS treatment programme. Interviews with these workers illuminated the contribution they make to anti-retroviral treatment (ART) of HIV/AIDS patients and the motivations that ...

STD care in the South African private health sector | Schneider ...

African Journals Online (AJOL)

Objectives. To establish the accessibility and quality of sexually transmitted disease (SID) care provided by private general practitioners (GPs) and workplace health services in South Africa. Design. Structured telephone interviews were conducted with a random national sample of 120 GPs and 244 occupational health ...

Inequalities in South African health care: Part I. The problem ...

African Journals Online (AJOL)

This exposition analyses and contextualises the complex problem of structural inequality in South African health care. Socio-econornic conditions, racial divisions and geographical location are isolated as the main determinants of inequality in the provision, allocation and distribution of health care; the prevailing inequalities ...

Sugar and health: a food-based dietary guideline for South Africa

African Journals Online (AJOL)

2013-04-12

Apr 12, 2013 ... Food-Based Dietary Guidelines for South Africa: Sugar and health: a food-based dietary guidelines for South Africa ... preferable, especially in those at risk of the harmful effects of sugar, e.g. people who are overweight, have prediabetes, ..... regarded as being synonymous with “junk food” into one.

Barriers and facilitators to recruitment of South Asians to health research: a scoping review

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Frimer, Leora; Janssen, Patricia A; Lamers, Yvonne

2017-01-01

Objectives People of South Asian ethnicity are under-represented in health research studies. The objectives of this scoping review were to examine the barriers and facilitators to recruitment of South Asians to health research studies and to describe strategies for improving recruitment. Design Scoping review Methods Using the Arksey and O’Malley framework for scoping reviews, we comprehensively searched electronic databases (MEDLINE via PubMed, Cochrane Library, CINAHL and PsycINFO). Studies that identified barriers and facilitators to recruitment, or recruitment strategies for South Asian populations were included. Recruitment barriers, facilitators and strategies were grouped thematically and summarised narratively. Synthesis Of 1846 potentially relevant articles, 15 met the inclusion criteria and were included in the thematic synthesis. Multiple facilitators and barriers to enrolment of South Asians in health research studies were identified; these most commonly related to logistical challenges, language and cultural barriers, concerns about adverse consequences of participating and mistrust of research. Several actionable strategies were discussed, the most common being engagement of South Asian communities, demonstration of cultural competency, provision of incentives and benefits, language sensitivity through the use of translators and translated materials and the development of trust and personal relationships. Conclusion There is a growing awareness of the barriers and facilitators to recruitment of South Asian participants to health research studies. Knowledge of effective recruitment strategies and implementation during the grant funding stages may reduce the risk of poor recruitment and representation of South Asians. PMID:28576896

Potential Risk Areas of Aedes albopictus in South-Eastern Iran: A Vector of Dengue Fever, Zika, and Chikungunya

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Jalil Nejati

2017-09-01

Full Text Available The possibility of the rapid and global spread of Zika, chikungunya, yellow fever, and dengue fever by Aedes albopictus is well documented and may be facilitated by changes in climate. To avert and manage health risks, climatic and topographic information can be used to model and forecast which areas may be most prone to the establishment of Ae. albopictus. We aimed to weigh and prioritize the predictive value of various meteorological and climatic variables on distributions of Ae. albopictus in south-eastern Iran using the Analytical Hierarchy Process. Out of eight factors used to predict the presence of Ae. albopictus, the highest weighted were land use, followed by temperature, altitude, and precipitation. The inconsistency of this analysis was 0.03 with no missing judgments. The areas predicted to be most at risk of Ae. albopictus-borne diseases were mapped using Geographic Information Systems and remote sensing data. Five-year (2011–2015 meteorological data was collected from 11 meteorological stations and other data was acquired from Landsat and Terra satellite images. Southernmost regions were at greatest risk of Ae. albopictus colonization as well as more urban sites connected by provincial roads. This is the first study in Iran to determine the regional probability of Ae. albopictus establishment. Monitoring and collection of Ae. albopictus from the environment confirmed our projections, though on-going field work is necessary to track the spread of this vector of life-threatening disease.

Population aging from 1950 to 2010 in seventeen transitional countries in the wider region of South Eastern Europe

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Mihajlo Jakovljevic

2015-12-01

Full Text Available Aim: Population aging has profoundly reshaped demographic landscapes in all South Eastern European (SEE countries. The aim of this study was to provide a thorough comparative inter-country assessment on the speed of population aging in the entire SEE region for the period 1950-2010. Methods: Descriptive observational analysis of long-term trends on core primary and composite indicators of population aging across seventeen countries of the wider SEE region, with panel data sets at a national level. Results: During the past six decades, the entire SEE region has experienced a rapid increase in the median age (from 25.2 years in 1950 to 37.9 years in 2010, with a simultaneous fall of fertility rates for two children per woman (from 3.55 children per each childbearing woman in 1950 to 1.49 in 2010, coupled with significant rise in the population of elderly citizens. The speed of population aging has vastly accelerated (with a 2.5 fold increase over the past three decades. The percentage of individuals over 65 years has doubled from 7% in 1950 to 14% in 2010. Conclusion: Complex national strategies are needed to cope with the shrinking labour force coupled with the growing proportion of the older population. With all likelihood, population aging will further accelerate in the near future. This profound long-term demographic transition will threaten financial sustainability of current health systems in all SEE countries.

Community/hospital indicators in South African public sector mental health services.

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Lund, Crick; Flisher, Alan J

2003-12-01

The need to balance resources between community and hospital-based mental health services in the post-deinstitutionalisation era has been well-documented. However, few indicators have been developed to monitor the relationship between community and hospital services, in either developed or developing countries. There is a particular need for such indicators in the South African context, with its history of inequitable services based in custodial institutions under apartheid, and a new policy that proposes the development of more equitable community-based care. Indicators are needed to measure the distribution of resources and the relative utilisation of community and hospital-based services during the reform process. These indicators are potentially useful for assessing the implementation of policy objectives over time. To develop and document community/hospital indicators in public sector mental health services in South Africa. A questionnaire was distributed to provincial mental health coordinators requesting numbers of full-time equivalent (FTE) staff who provide mental health care at all service levels, annual patient admissions to hospitals and annual patient attendances at ambulatory care facilities. The information was supplemented by consultations with mental health coordinators in each of the 9 provinces. Population data were obtained from preliminary findings of the 1996 census. The community/hospital indicator measuring staff distribution was defined as the ratio of staff employed in community settings to all staff, expressed as a percentage. The community/hospital indicator measuring patient service utilisation was defined as the ratio of the annual ambulatory care attendance rate per 100,000 population to the sum of this rate and the annual hospital admission rate per 100,000 population, expressed as a percentage. Of psychiatric public sector staff, 25% are located in community settings in South Africa (provincial range: 11-70%). If hospital outpatient

Prevalence of Taenia solium cysticercosis in swine from a community-based study in 21 villages of the Eastern Cape Province, South Africa.

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Krecek, R C; Michael, L M; Schantz, P M; Ntanjana, L; Smith, M F; Dorny, P; Harrison, L J S; Grimm, F; Praet, N; Willingham, A L

2008-06-14

The pork tapeworm, Taenia solium, causative organism of porcine cysticercosis and human neurocysticercosis is known to occur in areas of South Africa including Eastern Cape Province but, despite increasing reports of its occurrence throughout the subregion, the prevalence is yet to be clearly established. The parasite presents a potentially serious agricultural problem and public health risk in endemic areas. The human populations considered to be at highest risk of infection with this zoonotic helminth are people living in rural areas most of whom earn their livelihood wholly or partially through livestock rearing. Here we report on initial results of a community-based study of pigs owned by resource-poor, emerging pig producers from 21 villages in the Eastern Cape Province. Lingual examination (tongue palpation) in live pigs, two enzyme-linked immunosorbent assays (ELISAs), which detect parasite antigen (B158/B60 Ag-ELISA and HP10 Ag-ELISA) and an enzyme immunotransfer blot (EITB) assay, which detects antiparasite antibody, were used to verify endemicity and estimate apparent prevalence. In the absence of a gold standard true prevalence was obtained, using a Bayesian approach, with a model that uses both available data and prior information. Results indicate that the parasite is indeed present in the study villages and that true prevalence was 64.6%. The apparent prevalences as measured by each of the four tests were: 11.9% for lingual examination, 54.8% for B158/B60 Ag-ELISA, 40.6% for HP10 Ag-ELISA and 33.3% for EITB. This base-line knowledge of the prevalence of T. solium in pigs provides information essential to the design and monitoring of sustainable and appropriate interventions for cysticercosis prevention and control.

Intestinal Parasitic Infections and Nutritional Status among Primary School Children in Delo-mena District, South Eastern Ethiopia.

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Tulu, Begna; Taye, Solomon; Zenebe, Yohannes; Amsalu, Eden

2016-01-01

Although there are efforts being underway to control and prevent intestinal parasitic infections (IPIs) in Ethiopia, they are still endemic and responsible for significant morbidity. The aim of this study was to evaluate the prevalence of IPIs and their association with nutritional status among primary school children of Delo-Mena district, South Eastern Ethiopia. A cross-sectional study was conducted from April to May 2013. Demographic data was obtained, and IPIs was investigated in a single-stool sample by both direct stool examination and formol-ether concentration techniques. Anthropometric measurements were taken to calculate height for-age (HAZ), BMI-for-age (BAZ) and weight-for-age (WAZ) for the determination of stunting, thinness and underweight, respectively using WHO AntroPlus software. SPSS version 20 was used for statistical analysis and p value less than 0.05 was considered significant. Among 492 children studied (51% boys, aged 6-18 years, mean 10.93 +2.4) an overall IPIs prevalence of 26.6% was found. The prevalence of S. mansoni , E. histolytica/dispar , H. nana , A. lumbricoides , G. lambilia , T. trichiura , S. stercolaris , E. vermicularis , Hookworms and Taenia spp were 9.6%, 7.7%, 5.3%, 3.7%, 2.0%, 1.6%, 1.4%, 1.2%, 0.8% and 0.2% respectively. Stunting and underweightedness were observed in 4.5% and 13.6% of children and associated with IPIs ( P Mena district. Therefore, the overall health promotion activities coupled with snail control and de-worming to the students is crucial. Additionally, initiatives aimed at improving the nutritional status of school children are also important.

Impressions of health in the new South Africa: a period of convalescence.

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Kale, R

1995-04-29

The White minority population in South Africa long oppressed and disenfranchised the country's Black majority. The apartheid system, however, was finally put to rest with the election of Nelson Mandela as President of South Africa during April 27-29, 1994. During apartheid, the White minority enjoyed the best health care available among developed countries, while Blacks were forced to receive some of the worst care provided in the Third World. The doctor/patient ratios in 1981 for White and Black patients, respectively, were 330 and 91,000. In 1985, infant mortality for White infants was 13.1/1000 compared to 70/1000 for Blacks. The existence of fourteen separate health departments caused major duplication and waste. South Africa now has the opportunity to effect revolutionary changes in its health care. To that end, President Mandela announced free health care for pregnant women and children younger than age six years on May 24, 1994. A subsequent uptake in health service utilization was quickly observed in small towns. Structurally, a central health department with a provincial department for each of the four provinces replaced the redundant predemocracy system of fourteen health departments. This change, however, for now, exists only on paper and net financial gains from the reorganization have yet to be realized. Finally, there have been frequent strikes in hospitals throughout the country by health workers demanding better pay and working conditions.

Transforming rural health systems through clinical academic leadership: lessons from South Africa.

Science.gov (United States)

Doherty, J E; Couper, I D; Campbell, D; Walker, J

2013-01-01

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.

Phytosociological studies of the forests with sessile oak and Norway spruce from South-Eastern Transylvania

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Adrian Indreica

2011-02-01

Full Text Available The forests with sessile oak (Quercus petraea and Norway spruce (Picea abies from south-eastern Transylvania represent a peculiar type of phytocenoses, rather unusual for the present-day vegetation of Romania’s territory. Aim of the study is to provide a detailed description of the vegetation and to identify the phytosociological and typological units to which it could belong. Beside this, stand structure and regeneration status of the main tree species are illustrated. The studied area is located around Carpathian intermountain depressions Braşov and Ciuc, where vegetation had a peculiar history and today sessile oak forests on high altitude exists, interfering with spruce forests. The hypothesis of the process naturalness is supported by vegetation history in the area, climate, stand structure and peculiarities of herb layer composition (the mixture of relic of both mountain-boreal origin and south-European origin, like Vaccinium vitis-idaea, Pyrola rotundifolia and respectively Potentilla micrantha, Lathyrus venetus respectively. Sintaxonomically, studied phytocenoses with sessile oak and spruce belong mainly to acidophilus oak forests (Luzulo luzuloidis-Quercetum petraeae, but some of them resemble oak-hornbeam forests (Carici pilosae-Carpinetum, indicating a more recent change in stand structure and suggesting that not the soil, but the climate is the driving force of succession. Regeneration of sessile oak is at least satisfactory, but the expansion of spruce in such stands could seriously restrict the survival of sessile oak. A new typological unit will be appropriate,for a better management of sessile oak forests with spruce admixture.

Phytosociological studies of the forests with sessile oak and Norway spruce from South-Eastern Transylvania

Directory of Open Access Journals (Sweden)

Adrian Indreica

2011-06-01

Full Text Available The forests with sessile oak (Quercus petraea and Norway spruce (Picea abies from south-eastern Transylvania represent a peculiar type of phytocenoses, rather unusual for the present-day vegetation of Romania’s territory. Aim of the study is to provide a detailed description of the vegetation and to identify the phytosociological and typological units to which it could belong. Beside this, stand structure and regeneration status of the main tree species are illustrated. The studied area is located around Carpathian intermountain depressions Brasov and Ciuc, where vegetation had a peculiar history and today sessile oak forests on high altitude exists, interfering with spruce forests. The hypothesis of the process naturalness is supported by vegetation history in the area, climate, stand structure and peculiarities of herb layer composition (the mixture of relic of both mountain-boreal origin and south-European origin, like Vaccinium vitis-idaea, Pyrola rotundifolia and respectively Potentilla micrantha, Lathyrus venetus respectively. Sintaxonomically, studied phytocenoses with sessile oak and spruce belong mainly to acidophilus oak forests (Luzulo luzuloidis-Quercetum petraeae, but some of them resemble oak-hornbeam forests (Carici pilosae-Carpinetum, indicating a more recent change in stand structure and suggesting that not the soil, but the climate is the driving force of succession. Regeneration of sessile oak is at least satisfactory, but the expansion of spruce in such stands could seriously restrict the survival of sessile oak. A new typological unit will be appropriate, for a better management of sessile oak forests with spruce admixture.

Using Teacher Stories to Reveal Quality Educational Practice: An Eastern Cape Experience

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Paige, Kathryn; Chartres, Mike; Kenyon, Alan

2008-01-01

The University of Fort Hare Distance Education Project set out to improve qualifications of primary teachers in rural and township schools in the Eastern Cape of the Republic of South Africa. At the culmination of an 11-year AUSAid collaboration between the University of Fort Hare and University of South Australia a research project to reveal…

Insights into cancer surveillance in Central and Eastern Europe, Israel and Turkey.

Science.gov (United States)

Vrdoljak, E; Torday, L; Sella, A; Leyman, S; Bavbek, S; Kharkevich, G; Mardiak, J; Szczylik, C; Znaor, A; Wilking, N

2015-01-01

The current cancer landscape within transitional economies in central and Eastern Europe and the Mediterranean area is not particularly optimistic. Current perceptions are often based on extrapolations from other countries and regions; and hence the authors collaborated with the South Eastern Europe Oncology Group (SEEROG) to collect information on cancer registration in Central and Eastern Europe, Israel and Turkey. Healthcare authorities and specialist oncology centres in 21 countries in the region were contacted for information on cancer registries in their countries. Based on this information, the authors believe that the recording and reporting of data on cancer in the region is at an acceptable level. The authors discuss and compare institution- and population-based registries, and present opinions on elements of an 'ideal registry' based on the survey replies and comparisons with other registries. A comparison with the sources used for GLOBOCAN 2008 illustrates the need for consistent data to be communicated, published and utilised throughout the region and the oncology community. The authors conclude by considering the potential value of collaboration between health authorities across the region, as well as between the clinical and epidemiological communities, to ensure that cancer data are consistently collected, verified and made public. © 2013 John Wiley & Sons Ltd.

Health promotion capacity building in South Africa.

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Wills, Jane; Rudolph, Michael

2010-09-01

Health promotion in South Africa is in its early stages and while there is some institutional development and capacity building for managers, there has been relative disregard and lack of attention of the wider health promotion workforce who carry out community-based health promotion activities. This article describes one regional education and training programme for health promoters as well as the limited available evidence on the impact of the project on learners and organizations. Marked differences before and after the implementation of the training activities were reported in relation to behaviour change communication and project planning, in addition to self-reported positive change in knowledge, confidence and a high level of participant satisfaction. Investment in individual skills development needs to be accompanied by wider workforce development with organizational/institutional development and recognised competencies frameworks.

China’s foreign policy towards Central and Eastern Europe: The “16+1” format in the South–South cooperation perspective. Cases of the Czech Republic and Hungary

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Bartosz Kowalski

2017-04-01

Full Text Available This article discusses the “16+1” format initiated in 2012 as a platform for economic, trade, and cultural cooperation between Central and Eastern Europe (CEE and China. As Chinese authorities claim, the “16+1” initiative is complementary to the “New Silk Road” strategy, being a pragmatic formula without political goals, whose main rationale is to bring mutual benefits to all of its participants (win–win. However, despite the Chinese narratives concerning cooperation with the CEE countries as an economic bridgehead of the “One Road, One Belt” (OBOR initiative, some signs of the political dimension of the project can be noticed. Since at least the 1950s, active participation and promotion of the South–South cooperation has become an important component of China’s foreign relations. Although for Chinese policy makers Sino–South relations have been traditionally defined within the frame of, mostly postcolonial, developing countries of Southeast Asia, Central Asia, Africa, and Latin America, this article tries to examine the “South–South” pattern of China’s diplomacy towards Central and Eastern European states with a focus on the Czech Republic and Hungary.

The relationship between wellbeing indicators and teacher psychological stress in Eastern Cape public schools in South Africa

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Malik L.M. Vazi

2013-07-01

Research purpose: The main objective of this study was to assess the relationship between indicators of wellbeing and stress and to further assess the relative importance of these wellbeing indicators in explaining stress variance in a large sample of Eastern Cape primary and high school teachers in South Africa. Motivation for the study: The majority of teacher stress studies focus on the misfit between the individual’s resources and the environmental demands. There is a scarcity of studies reporting on protective factors in teaching and we know little about their possible role as possible protective factors against stress. This is important in developing stress prevention strategies. Research design, approach and method: A cross-sectional survey was used targeting public school teachers in the Eastern Cape. The sample size was 562 randomly selected teachers from both public primary and high schools. Main findings: The results revealed that stress is prevalent amongst teachers. Subjective and psychological wellbeing factors added significantly to the explained stress variance. Also, both negative affect and role problems had significant positive correlations with stress, whilst psychological wellbeing had a strong inverse relationship with stress. Practical/managerial implications: The results implied that interventions focusing on improving psychological wellbeing and reduction of negative affect can contribute to stress prevention. Contribution/value-add: The results contributed towards a better understanding of the relative importance of wellbeing constructs as protective factors against teacher stress.

Nitrous oxide production by nitrification and denitrification in the Eastern Tropical South Pacific oxygen minimum zone

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Ji, Qixing; Babbin, Andrew R.; Jayakumar, Amal; Oleynik, Sergey; Ward, Bess B.

2015-12-01

The Eastern Tropical South Pacific oxygen minimum zone (ETSP-OMZ) is a site of intense nitrous oxide (N2O) flux to the atmosphere. This flux results from production of N2O by nitrification and denitrification, but the contribution of the two processes is unknown. The rates of these pathways and their distributions were measured directly using 15N tracers. The highest N2O production rates occurred at the depth of peak N2O concentrations at the oxic-anoxic interface above the oxygen deficient zone (ODZ) because slightly oxygenated waters allowed (1) N2O production from both nitrification and denitrification and (2) higher nitrous oxide production yields from nitrification. Within the ODZ proper (i.e., anoxia), the only source of N2O was denitrification (i.e., nitrite and nitrate reduction), the rates of which were reflected in the abundance of nirS genes (encoding nitrite reductase). Overall, denitrification was the dominant pathway contributing the N2O production in the ETSP-OMZ.

Characterization of non-calcareous 'thin' red clay from south-eastern Brazil: applicability in wall tile manufacture

Energy Technology Data Exchange (ETDEWEB)

Sousa, S. J.G.; Holanda, J. N.F., [Grupo de Materiais Ceramicos - LAMAV-CCT, Universidade Estadual do Norte Fluminense Darcy Ribeiro, Campos dos Goytacazes, RJ (Brazil)

2012-04-15

In this work the use of 'thin' red clay from south-eastern Brazil (Campos dos Goytacazes, RJ) as raw material for the manufacture of wall tile was investigated. A wide range of characterization techniques was employed, including X-ray diffraction (XRD), X-ray fluorescence (XRF), scanning electron microscopy (SEM), grain-size analysis, and thermogravimetric analysis. The wall tile body was prepared by the dry process. The tile pieces were uniaxially pressed and fired between 1080 - 1180 deg C using a fast-firing cycle. The following technological properties were determined: linear shrinkage, water absorption, apparent density, and flexural strength. The development of the microstructure was followed by SEM and XRD analyses. It was found that the 'thin' red clay is kaolinitic type containing a substantial amount of quartz. The results also showed that the 'thin' red clay could be used in the manufacture of wall tiles, as they present properties compatible with those specified for class BIII of ISO 13006 standard. (author)

Mapping of SPI drought index in South-Eastern Europe, theory and practice

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Bihari, Z.; Szentimrey, T.; Lakatos, M.; Gregorič, G.; Likso, T.

2010-09-01

In recent decades drought has a major impact on the economy in South-Eastern Europe (SEE). The annual precipitation has decreased from the beginning of 20th century. Additional problem is that the intensity of precipitation increases in average. The part of runoff became larger, and greater part of the precipitation runs to the rivers, streamlets, and less part infiltrates into the soil. Therefore, the available water reduces for vegetation. Summarized, the drought tendency increases in the region. The Drought Management Centre for South East Europe was established to deal with these events and try to improve drought management and policy. One method to calculate the extent of a drought event is the application of drought indices. Several indices are used for this purpose, one of them is the Standard Precipitation Index (SPI) developed by McKee et al. The SPI is based only on precipitation and can be used to monitor conditions on a variety of time scales. The SPI calculation for any location is based on long-term precipitation record for a desired period. This long-term record is fitted to a gamma probability distribution, which is then transformed into the standard normal distribution. In the practice SPI is calculated mainly for 1, 3, 6 months. The SPI calculator which is offered on the project page of DMCSEE is applied for SPI calculations in this study. For the interpolation of SPI we use the MISH interpolation method developed at Hungarian Meteorological Service (Meteorological Interpolation based on Surface Homogenized Data Basis; Szentimrey, Bihari, 2007). The interpolation can be realized in to ways: 1. The SPI values are calculated in grid points after gridding (by gridding part of MISH) the station precipitation data series 2. The station based SPI values are interpolated by method MISH One of the main feature of MISH is that it use longtime data series for modelling of the necessary climate statistical parameters while the SPI calculations are also based

South America Monsoon variability on millennial to multi-centennial time scale during the Holocene in central eastern Brazil

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Strikis, N. M.; Cruz, F. W.; Cheng, H.; Karmann, I.; Vuille, M.; Edwards, R.; Wang, X.; Paula, M. S.; Novello, V. F.; Auler, A.

2011-12-01

A paleoprecipitation reconstruction based on high resolution and well-dated speleothem oxygen isotope records shows that the monsoon precipitation over central eastern Brazil underwent to strong variations on millennial to multi-centennial time-scales during the Holocene. This new record indicates that abrupt events of increase in monsoon precipitation are correlated to Bond events 6, 5 and 4 and also with 8.2 ky event during the early and mid-Holocene, with a mean amplitude of 1.5 % (PDB). The pacing and structure of such events are general consistent with variations in solar activity suggested by atmospheric Δ14 C records. In the late-Holocene, abrupt events of increase in monsoon precipitation peaking at 3.2, 2.7 and 2.3 ky B.P. are approximately synchronous with periods of low solar minima. In this regard, the most prominent event occurred during the late Holocene occurred at ~2.7 ky B.P. In addition, these positive anomalies of the precipitation recorded in central eastern Brazil are also in good agreement with variations in Titicaca lake level. The good correspondence between the speleothem and marine records imply that the variations in the north Atlantic sea surface temperature is the main forcing for abrupt millennial to multi-centennial precipitations variation within the region under influence of South American Monsoon.

Designing for scale: optimising the health information system architecture for mobile maternal health messaging in South Africa (MomConnect).

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Seebregts, Christopher; Dane, Pierre; Parsons, Annie Neo; Fogwill, Thomas; Rogers, Debbie; Bekker, Marcha; Shaw, Vincent; Barron, Peter

2018-01-01

MomConnect is a national initiative coordinated by the South African National Department of Health that sends text-based mobile phone messages free of charge to pregnant women who voluntarily register at any public healthcare facility in South Africa. We describe the system design and architecture of the MomConnect technical platform, planned as a nationally scalable and extensible initiative. It uses a health information exchange that can connect any standards-compliant electronic front-end application to any standards-compliant electronic back-end database. The implementation of the MomConnect technical platform, in turn, is a national reference application for electronic interoperability in line with the South African National Health Normative Standards Framework. The use of open content and messaging standards enables the architecture to include any application adhering to the selected standards. Its national implementation at scale demonstrates both the use of this technology and a key objective of global health information systems, which is to achieve implementation scale. The system's limited clinical information, initially, allowed the architecture to focus on the base standards and profiles for interoperability in a resource-constrained environment with limited connectivity and infrastructural capacity. Maintenance of the system requires mobilisation of national resources. Future work aims to use the standard interfaces to include data from additional applications as well as to extend and interface the framework with other public health information systems in South Africa. The development of this platform has also shown the benefits of interoperability at both an organisational and technical level in South Africa.

Gender relations and women's reproductive health in South Sudan

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Sumit Kane

2016-11-01

Full Text Available Background: In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. Design: A qualitative study was conducted to analyze how gendered social relations among the Fertit people affect women's ability to exercise control over their reproductive lives and thereby their sexual and reproductive health. Transcripts of 5 focus group discussions and 44 semi-structured interviews conducted with purposefully selected community members and health personnel were analyzed using Connell's relational theory of gender. Results: Women across all age groups report that they have little choice but to meet the childbearing demands of husbands and their families. Women, both young and old, and also elders, are frustrated about how men and society are letting them down and how they are left to bear the reproductive burden. The poverty and chronic insecurity in South Sudan mean that many men have few sources of pride and achievement; conformity and complicity with the hegemonic practices accord both security and a sense of belonging and privilege to men, often at the expense of women's reproductive health. Conclusions: Inequalities in the domestic, social, and economic spheres intersect to create social situations wherein Fertit women's agency in the reproductive realm is constrained. In South Sudan, as long as economic and social opportunities for women remain restricted, and as long as insecurity and uncertainty remain, many women will have little choice but to resort to having many children to safeguard their fragile present and future. Unless structural measures are taken to address these inequalities, there is a risk of both a widening of existing health inequalities and the emergence of new inequalities.

Gender relations and women's reproductive health in South Sudan

Science.gov (United States)

Kane, Sumit; Rial, Matilda; Matere, Anthony; Dieleman, Marjolein; Broerse, Jacqueline E.W.; Kok, Maryse

2016-01-01

Background In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. Design A qualitative study was conducted to analyze how gendered social relations among the Fertit people affect women's ability to exercise control over their reproductive lives and thereby their sexual and reproductive health. Transcripts of 5 focus group discussions and 44 semi-structured interviews conducted with purposefully selected community members and health personnel were analyzed using Connell's relational theory of gender. Results Women across all age groups report that they have little choice but to meet the childbearing demands of husbands and their families. Women, both young and old, and also elders, are frustrated about how men and society are letting them down and how they are left to bear the reproductive burden. The poverty and chronic insecurity in South Sudan mean that many men have few sources of pride and achievement; conformity and complicity with the hegemonic practices accord both security and a sense of belonging and privilege to men, often at the expense of women's reproductive health. Conclusions Inequalities in the domestic, social, and economic spheres intersect to create social situations wherein Fertit women's agency in the reproductive realm is constrained. In South Sudan, as long as economic and social opportunities for women remain restricted, and as long as insecurity and uncertainty remain, many women will have little choice but to resort to having many children to safeguard their fragile present and future. Unless structural measures are taken to address these inequalities, there is a risk of both a widening of existing health inequalities and the emergence of new inequalities. PMID:27900934

South Asian American Perspectives on Overweight, Obesity, and the Relationship Between Weight and Health

OpenAIRE

Tang, Joyce W.; Mason, Maryann; Kushner, Robert F.; Tirodkar, Manasi A.; Khurana, Neerja; Kandula, Namratha R.

2012-01-01

Introduction Compared with other racial groups, South Asian adults develop type 2 diabetes and cardiovascular disease at a lower body mass index (BMI). Perceptions of weight and the effect of weight on health can influence weight-loss attempts but are not well described in this population. The objective of this study was to examine perceptions of weight appropriateness and the effect of weight on health among South Asian Americans. Methods We recruited 75 South Asian American adults from a si...

West-directed thrusting south of the eastern Himalayan syntaxis indicates clockwise crustal flow at the indenter corner during the India-Asia collision

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Haproff, Peter J.; Zuza, Andrew V.; Yin, An

2018-01-01

Whether continental deformation is accommodated by microplate motion or continuum flow is a central issue regarding the nature of Cenozoic deformation surrounding the eastern Himalayan syntaxis. The microplate model predicts southeastward extrusion of rigid blocks along widely-spaced strike-slip faults, whereas the crustal-flow model requires clockwise crustal rotation along closely-spaced, semi-circular right-slip faults around the eastern Himalayan syntaxis. Although global positioning system (GPS) data support the crustal-flow model, the surface velocity field provides no information on the evolution of the India-Asia orogenic system at million-year scales. In this work, we present the results of systematic geologic mapping across the northernmost segment of the Indo-Burma Ranges, located directly southeast of the eastern Himalayan syntaxis. Early research inferred the area to have experienced either right-slip faulting accommodating northward indentation of India or thrusting due to the eastward continuation of the Himalayan orogen in the Cenozoic. Our mapping supports the presence of dip-slip thrust faults, rather than strike-slip faults. Specifically, the northern Indo-Burma Ranges exposes south- to west-directed ductile thrust shear zones in the hinterland and brittle fault zones in the foreland. The trends of ductile stretching lineations within thrust shear zones and thrust sheets rotate clockwise from the northeast direction in the northern part of the study area to the east direction in the southern part of the study area. This clockwise deflection pattern of lineations around the eastern Himalayan syntaxis mirrors the clockwise crustal-rotation pattern as suggested by the crustal-flow model and contemporary GPS velocity field. However, our finding is inconsistent with discrete strike-slip deformation in the area and the microplate model.

Canada's health care system: A relevant approach for South Africa ...

African Journals Online (AJOL)

Background. While countries such as the USA, South Africa and China debate health reforms to improve access to care while rationalising costs, Canada's health care system has emerged as a notable option. In the USA, meaningful discussion of the advantages and disadvantages of the Canadian system has been ...

Child and adolescent mental health in South Africa | Flisher | Journal ...

African Journals Online (AJOL)

Mental health problems in childhood and adolescence pose a major threat to public health. Epidemiological studies in high, middle and low income countries indicate that approximately one in five children and adolescents suffer from a mental disorder. In many instances these persist into adulthood. In South Africa, HIV ...

Health sector reform in South Asia: new challenges and constraints.

Science.gov (United States)

Islam, Anwar; Tahir, M Zaffar

2002-05-01

In early 1990s, Jamison, Mosley and others concluded that a profound demographic and consequent epidemiological transition is taking place in developing countries. According to this classical model, by the year 2015, infectious diseases will account for only about 20% of deaths in developing countries as chronic diseases become more pronounced. These impending demographic and epidemiological transitions were to dominate the health sector reform agenda in developing countries. Following an analysis of fertility, mortality and other demographic and epidemiological data from South Asian and other developing countries, the paper argues that the classical model is in need of re-evaluation. A number of new 'challenges' have complicated the classical interplay of demographic and epidemiological factors. These new challenges include continuing population growth in some countries, rapid unplanned urbanization, the HIV/AIDS pandemic in Sub-Saharan Africa (and its impending threat in South Asia), and globalization and increasing marginalisation of developing countries. While the traditional lack of investment in human development makes the developing countries more vulnerable to the vicissitudes of globalization, increasing economic weakness of their governments forces them to retreat further from the social sector. Pockets of poverty and deprivation, therefore, persist giving rise to three simultaneous burdens for South Asia and much of the rest of the developing world: continuing communicable diseases, increasing burden of chronic diseases, and increasing demand for both primary and tertiary levels of health care services. While these complex factors, on the one hand, underscore the need for health sector reform, on the other, they make the task much more difficult and challenging. The paper emphasizes the need to revisit the classical model of demographic and epidemiological transition. It is argued that the health sector in developing countries must be aware of and

Natural radioactivity in groundwater from the south-eastern Arabian Peninsula and environmental implications.

Science.gov (United States)

Murad, A; Zhou, X D; Yi, P; Alshamsi, D; Aldahan, A; Hou, X L; Yu, Z B

2014-10-01

Groundwater is the most valuable resource in arid regions, and recognizing radiological criteria among other water quality parameters is essential for sustainable use. In the investigation presented here, gross-α and gross-β were measured in groundwater samples collected in the south-eastern Arabian Peninsula, 67 wells in Unite Arab Emirates (UAE), as well as two wells and one spring in Oman. The results show a wide gross-α and gross-β activities range in the groundwater samples that vary at 0.01∼19.5 Bq/l and 0.13∼6.6 Bq/l, respectively. The data show gross-β and gross-α values below the WHO permissible limits for drinking water in the majority of the investigated samples except those in region 4 (Jabel Hafit and surroundings). No correlation between groundwater pH and the gross-α and gross-β, while high temperatures probably enhance leaching of radionuclides from the aquifer body and thereby increase the radioactivity in the groundwater. This conclusion is also supported by the positive correlation between radioactivity and amount of total dissolved solid. Particular water purification technology and environmental impact assessments are essential for sustainable and secure use of the groundwater in regions that show radioactivity values far above the WHO permissible limit for drinking water.

Basin-scale changes of total organic carbon profiles in the eastern South Atlantic

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X. A. Alvarez-Salgado

2001-03-01

Full Text Available Total organic carbon (TOC samples were collected at 6 stations spaced ~800 km apart in the eastern South Atlantic, from the Equator to 45°S along 9°W. Analyses were performed by high temperature catalytic oxidation (HTCO in the base laboratory. Despite the complex advection and mixing patterns of North Atlantic and Antarctic waters with extremely different degrees of ventilation, TOC levels below 500 m are quasi-constant at 55±3 µmol C l-1, pointing to the refractory nature of deep-water TOC. On the other hand, a TOC excess from 25 to 38 g C m-2 is observed in the upper 100 m of the permanently stratified nutrient-depleted Equatorial, Subequatorial and Subtropical upper ocean, where vertical turbulent diffusion is largely prevented. Conversely, TOC levels in the nutrient-rich upper layer of the Subantarctic Front only exceeds 9 g C m-2 the deep-water baseline. As much as 70% of the TOC variability in the upper 500 m is due to simple mixing of reactive TOC formed in the surface layer and refractory TOC in deep ocean waters, with a minor contribution (13% to oxygen consumption in the prominent subsurface AOU maximum at 200-400 m depth.

Global evolution of Equidae and Gomphotheriidae from South America.

Science.gov (United States)

Prado, José L; Alberdi, María T

2014-08-01

The contemporary South American mammalian communities were determined by the emergence of the Isthmus of Panama and by the profound climatic oscillations during the Pleistocene. Horses and gomphotheres were 2 very conspicuous groups of immigrant mammals from North America that arrived in South America during the Pleistocene. The present study compiles updated data on the phylogeny, systematics and ecology of both groups in South America. The horses in South America are represented by 2 genera, Hippidion and Equus, as are the gomphotheres, represented by Cuvieronius and Stegomastodon. Both genera of horses include small (Hippidion devillei, H. saldiasi, E. andium and E. insulatus) and large forms (Equus neogeus and H. principale), which dispersed into South America using 2 different routes. The possible model for this dispersion indicates that the small forms used the Andes corridor, while larger horses dispersed through the eastern route and through some coastal areas. In the case of gomphotheres, Cuvieronius and Stegomastodon reached South America in 2 independent dispersal events, and Cuvieronius dispersed across the Andean corridor, while large Stegomastodon spread along the eastern route. Horses and gomphotheres present values of δ(13) C from woodlands to C4 grasslands. Hippidion present lower values of δ(13) C than Equus in the late Pleistocene, whereas the gomphotheres diverge from value of δ(18) O, reflecting that Cuvieronius inhabited the Andean corridor and Stegomastodon dispersed through eastern plains. The gomphothere and horse species recorded in South America became extinct around the time that humans arrived. © 2013 International Society of Zoological Sciences, Institute of Zoology/Chinese Academy of Sciences and Wiley Publishing Asia Pty Ltd.

a survey of rice production and processing in south east nigeria

African Journals Online (AJOL)

A SURVEY OF RICE PRODUCTION AND PROCESSING IN SOUTH EAST NIGERIA. ... in South-Eastern Nigeria was carried out by investigative survey approach. ... labour and traditional approach in the production and processing of rice.

Prevalence of bovine herpes virus type 1 in small herds of young beef cattle in south-eastern Poland – a preliminary study

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Wernicki Andrzej

2015-12-01

Full Text Available The study was performed on nasal swabs, tracheal samples, and sera obtained from young beef heifers aged between 6 and 12 months, from farms in eastern and south-eastern Poland. The samples were evaluated using bovine herpesvirus 1 (BHV-1 ELISA kits (ELISA BHV1 antibody and ELISA BHV1 antigen and PCR. Among all the animals examined, 37 (32.2% were positive in the ELISA BHV1 antigen test. The presence of BHV-1 was confirmed by PCR in 42 (36.5% animals. In the ELISA BHV1 antibody test, 39 (33.9% seropositive animals were identified. The presence of BHV-1 positive samples was observed in all the examined breeds of young cattle. There were no significant differences (P ≤ 0.05 in BHV-1 positive samples. The results indicate that the incidence of BHV-1 infections in feedlot cattle herds studied was 32.2%-36.5%, which suggests that preventive measures should be implemented in order to limit transmission of the virus.

HealthSouth's inpatient rehabilitation facilities: how does their performance compare with other for-profit and nonprofit inpatient rehabilitation facilities?

Science.gov (United States)

McCue, Michael J; Thompson, Jon M

2010-05-01

To assess the financial and operational differences in freestanding inpatient rehabilitation facilities (IRFs) that are operated by HealthSouth Corporation relative to other for-profit and nonprofit system-affiliated ownership groups. Since 2003, when it faced fraud charges and financial penalties, HealthSouth has experienced new management and refocused its business strategy. Because HealthSouth is the largest provider of freestanding IRF services, it is important to understand how their performance may differ relative to other ownership groups. We used the Mann-Whitney U test to assess differences in median values for financial and operational variables of HealthSouth-owned IRFs compared with other for-profit system IRFs and nonprofit system IRFs. System-affiliated freestanding IRFs in the United States. Sixty-four HealthSouth IRFs, 18 nonprofit system-affiliated IRFs, and 18 for-profit system-affiliated IRFs. Not applicable. Net patient revenue per adjusted discharge, operating expense per adjusted discharge, salary expense per full-time equivalent, and cash flow margin. HealthSouth IRFs had significantly lower net patient revenue per adjusted discharge and operating expense per adjusted discharge; however, its cash flow margin was significantly higher than other comparison groups. HealthSouth IRFs treated a higher case mix of patients relative to these comparison groups. The financial and operating performance of HealthSouth IRFs is stronger than other ownership groups. Strong cash flow will enable HealthSouth to pay down long-term debt.

Seasonal and spatial variations of marine litter on the south-eastern Black Sea coast.

Science.gov (United States)

Terzi, Yahya; Seyhan, Kadir

2017-07-15

The south-eastern Black Sea coast in Turkey was evaluated for marine litter composition and density covering nine beaches during four seasons. The marine litter (>2cm in size), was collected from the coast and categorized into material and usage categories. The data analysis showed that plastic was the most abundant litter (≥61.65%) by count and weight followed by styrofoam and fabric. The marine litter density ranged from 0.03 to 0.58 with a mean (±SD) of 0.16±0.02 items/m 2 by count. Based on weight, it varied between 0.44 and 14.74g/m 2 with 3.35±1.63. The east side had a higher marine litter density than the west side with significant differences between beaches. The variations due to different seasons were not significant for any beach. The results of this study should provide baseline information about the coastal marine pollution and will assist the mitigation strategies. Copyright © 2017 Elsevier Ltd. All rights reserved.

Transport, environment and health in central and Eastern Europe. State of affairs and policy options

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-05-01

The report provides a review of the current state of affairs and development trends in the transport sector in Central and Eastern Europe including the associated environmental and health effects. Focus in the report is on the challenges and policy options for counteracting the negative effects from transport as well as integrating environmental and health aspects in transport policies. The report is undertaken as a desk study supplemented by two case studies in the Czech Republic and Bulgaria. (au)

Improving family and community health in eastern Europe--the lifecycle approach at WHO

DEFF Research Database (Denmark)

Lazarus, Jeff; Bjørk, Christina; Ostergren, Mikael

2006-01-01

There are great differences in the health status of young children in the European Region. Central Asia and the Caucasus are the worst-off areas. After reviewing under-five mortality in the eight countries of this part of Eastern Europe, a new WHO strategy to improve child survival is presented. ....... Adopted in late 2005, the strategy has four main principles: a lifecycle approach, youth participation, equity and intersectoral collaboration....

Genocide in Volhynia and Eastern Galicia 1943–1944

Directory of Open Access Journals (Sweden)

Paweł Naleźniak

2014-09-01

Full Text Available Ukrainian nationalists tried to de-polonize the South-Eastern Borderlands by means of mass genocide and they achieved this goal to a great extent. That, however, puts them on a par with the criminal regimes of Joseph Stalin and Adolf Hitler. The author of this article describes the genocide of Polish inhabitants in Volhynia and Eastern Galicia committed by the Organisation of Ukrainian Nationalists (Orhanizatsiya Ukrayins’kykh Natsionalistiv, OUN and the Ukrainian Insurgent Army (Ukrainska Povstanska Armiya, UPA between 1943 and 1944. These events in European history are not well-known.

A warm thermal enclave in the late Pleistocene of the south-eastern United States.

Science.gov (United States)

Russell, Dale A; Rich, Fredrick J; Schneider, Vincent; Lynch-Stieglitz, Jean

2009-05-01

Physical and biological evidence supports the probable existence of an enclave of relatively warm climate located between the Southern Appalachian Mountains and the Atlantic Ocean in the United States during the Last Glacial Maximum. The region supported a mosaic of forest and prairie habitats inhabited by a "Floridian" ice-age biota. Plant and vertebrate remains suggest an ecological gradient towards Cape Hatteras (35 degreesN) wherein forests tended to replace prairies, and browsing proboscideans tended to replace grazing proboscideans. Beyond 35 degreesN, warm waters of the Gulf Stream were deflected towards the central Atlantic, and a cold-facies biota replaced "Floridian" biota on the Atlantic coastal plain. Because of niche diversity and relatively benign climate, biodiversity may have been greater in the south-eastern thermal enclave than in other unglaciated areas of North America. However, the impact of terminal Pleistocene megafaunal extinctions may also have been shorter and more severe in the enclave than further north. A comparison with biotic changes that occurred in North America approximately 55 million years (ma) ago at the Paleocene-Eocene Thermal Maximum suggests that similar processes of change took place under both ice-house and greenhouse climates.

Mental health service use among South Africans for mood, anxiety ...

African Journals Online (AJOL)

Background. Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans. Design. A nationally representative survey of 4 351 adults. Twelve-month DSM-IV (Diagnostic and Statistical Manual, 4th edition) ...

Temperature sensitivity of extreme precipitation events in the south-eastern Alpine forelands

Science.gov (United States)

Schroeer, Katharina; Kirchengast, Gottfried

2016-04-01

How will convective precipitation intensities and patterns evolve in a warming climate on a regional to local scale? Studies on the scaling of precipitation intensities with temperature are used to test observational and climate model data against the hypothesis that the change of precipitation with temperature will essentially follow the Clausius-Clapeyron (CC) equation, which corresponds to a rate of increase of the water holding capacity of the atmosphere by 6-7 % per Kelvin (CC rate). A growing number of studies in various regions and with varying approaches suggests that the overall picture of the temperature-precipitation relationship is heterogeneous, with scaling rates shearing off the CC rate in both upward and downward directions. In this study we investigate the temperature scaling of extreme precipitation events in the south-eastern Alpine forelands of Austria (SEA) based on a dense rain gauge net of 188 stations, with sub-daily precipitation measurements since about 1990 used at 10-min resolution. Parts of the study region are European hot-spots for severe hailstorms and the region, which is in part densely populated and intensively cultivated, is generally vulnerable to climate extremes. Evidence on historical extremely heavy short-time and localized precipitation events of several hundred mm of rain in just a few hours, resulting in destructive flash flooding, underline these vulnerabilities. Heavy precipitation is driven by Mediterranean moisture advection, enhanced by the orographic lifting at the Alpine foothills, and hence trends in positive sea surface temperature anomalies might carry significant risk of amplifying future extreme precipitation events. In addition, observations from the highly instrumented subregion of south-eastern Styria indicate a strong and robust long-term warming trend in summer of about 0.7°C per decade over 1971-2015, concomitant with a significant increase in the annual number of heat days. The combination of these

Perceived Environmental Pollution and Its Impact on Health in China, Japan, and South Korea.

Science.gov (United States)

Kamimura, Akiko; Armenta, Bianca; Nourian, Maziar; Assasnik, Nushean; Nourian, Kimiya; Chernenko, Alla

2017-01-01

Environmental pollution is a significant global issue. Both objective (scientifically measured) environmental pollution and perceived levels of pollution are important predictors of self-reported health. The purpose of this study was to compare the associations between perceived environmental pollution and health in China, Japan, and South Korea. Data were obtained from the East Asian Social Survey and the Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (n=7938; China, n=3866; Japan, n=2496; South Korea, n=1576). South Koreans perceived environmental pollution to be the most severe, while Japanese participants perceived environmental pollution to be the least severe. Although the Japanese did not perceive environmental pollution to be very severe, their self-rated physical health was significantly related to perceived environmental pollution, while the analogous relationships were not significant for the Chinese or Korean participants. Better mental health was related to lower levels of perceived air pollution in China, as well as lower levels of perceived all types of pollution in Japan and lower levels of perceived noise pollution in South Korea. Physical and mental health and individual socio-demographic characteristics were associated with levels of perceived environmental pollution, but with different patterns among these three countries.

Perceived Environmental Pollution and Its Impact on Health in China, Japan, and South Korea

Directory of Open Access Journals (Sweden)

Akiko Kamimura

2017-05-01

Full Text Available Objectives Environmental pollution is a significant global issue. Both objective (scientifically measured environmental pollution and perceived levels of pollution are important predictors of self-reported health. The purpose of this study was to compare the associations between perceived environmental pollution and health in China, Japan, and South Korea. Methods Data were obtained from the East Asian Social Survey and the Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (n=7938; China, n=3866; Japan, n=2496; South Korea, n=1576. Results South Koreans perceived environmental pollution to be the most severe, while Japanese participants perceived environmental pollution to be the least severe. Although the Japanese did not perceive environmental pollution to be very severe, their self-rated physical health was significantly related to perceived environmental pollution, while the analogous relationships were not significant for the Chinese or Korean participants. Better mental health was related to lower levels of perceived air pollution in China, as well as lower levels of perceived all types of pollution in Japan and lower levels of perceived noise pollution in South Korea. Conclusions Physical and mental health and individual socio-demographic characteristics were associated with levels of perceived environmental pollution, but with different patterns among these three countries.

Health in South Africa: changes and challenges since 2009.

Science.gov (United States)

Mayosi, Bongani M; Lawn, Joy E; van Niekerk, Ashley; Bradshaw, Debbie; Abdool Karim, Salim S; Coovadia, Hoosen M

2012-12-08

Since the 2009 Lancet Health in South Africa Series, important changes have occurred in the country, resulting in an increase in life expectancy to 60 years. Historical injustices together with the disastrous health policies of the previous administration are being transformed. The change in leadership of the Ministry of Health has been key, but new momentum is inhibited by stasis within the health management bureaucracy. Specific policy and programme changes are evident for all four of the so-called colliding epidemics: HIV and tuberculosis; chronic illness and mental health; injury and violence; and maternal, neonatal, and child health. South Africa now has the world's largest programme of antiretroviral therapy, and some advances have been made in implementation of new tuberculosis diagnostics and treatment scale-up and integration. HIV prevention has received increased attention. Child mortality has benefited from progress in addressing HIV. However, more attention to postnatal feeding support is needed. Many risk factors for non-communicable diseases have increased substantially during the past two decades, but an ambitious government policy to address lifestyle risks such as consumption of salt and alcohol provide real potential for change. Although mortality due to injuries seems to be decreasing, high levels of interpersonal violence and accidents persist. An integrated strategic framework for prevention of injury and violence is in progress but its successful implementation will need high-level commitment, support for evidence-led prevention interventions, investment in surveillance systems and research, and improved human-resources and management capacities. A radical system of national health insurance and re-engineering of primary health care will be phased in for 14 years to enable universal, equitable, and affordable health-care coverage. Finally, national consensus has been reached about seven priorities for health research with a commitment to

Ephemeroptera, Plecoptera and Trichoptera in springs in Trentino (south-eastern Alps

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Luana SILVERI

2011-09-01

Full Text Available Within the CRENODAT project (Biodiversity assessment and integrity evaluation of springs of Trentino - Italian Alps - and longterm ecological research, 2004-2008 we studied a total of 90 springs in Trentino (south-eastern Alps, Italy, 75 of which were used for statistical analysis. The springs were grouped into seven different types and represented all the available lithologies in the study area. Macrozoobenthos (Ephemeroptera, Plecoptera and Trichoptera; EPT was collected from stones, bryophytes and sediments. We investigated which physical, chemical or environmental features were important in determining EPT assemblage metrics at sites, by calculating the Shannon-Wiener diversity index, and applying a one-way ANOVA test, ANOSIM and SIMPER analyses. Statistical results highlighted the island character of the springs, each spring having its specific history and abiotic characteristics, which select for unique community patterns. For the faunistic analyses, we considered all springs where EPT taxa were recorded; a total of 88 taxa. Highest species richness was recorded among the Trichoptera, followed by the Plecoptera and Ephemeroptera, with 52, 30 and 6 taxa respectively. Fifteen Trichoptera and three Plecoptera species were recorded as new for the Autonomous Province of Trento. Our results confirm that, in the harsh environment of the Alps, the mild and stable ecological conditions that characterize spring-fed brooks contribute to maintaining and enhancing the regional biodiversity. Springs act as refuge areas for stream biota, providing more favourable conditions during spates or droughts (common in Alpine headwaters, or for particular stages of the insect life cycles. Springs also provide specific habitats for strictly crenobiontic species.

Development of Ash Dieback in South-Eastern Germany and the Increasing Occurrence of Secondary Pathogens

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Heike D. Lenz

2016-02-01

Full Text Available Since its first identification in Poland in 2006, the ascomycete Hymenoscyphus fraxineus has caused massive dieback of Fraxinus excelsior in the countries of eastern, northern and central Europe. This work shows the development, expansion, and severity of the disease in south-eastern Germany for a period of four years, starting in 2010. Differences between habitats, as well as age classes have been captured. The presence and the amount of potentially resistant trees were proven over the years, to determine how high the resistance level might be. Typical disease symptoms are the wilting of leaves, necrotic lesions in the bark and reddish discolorations of branches and stems. In addition, stem necroses also appear by infection with species of Armillaria. Therefore, special attention has been given to Armillaria species in affected ash stands but also to other secondary pathogens, like ash bark beetles. It is shown that breeding galleries of Hylesinus fraxini are only found in trees that have recently died and thus Hylesinus fraxini is still acting as a secondary opportunistic pathogen. In contrast, Armillaria spp. can be considered as serious pathogens of weakened ash trees. In different ash stands, typical symptoms of infection can be found. A relationship between stem base necrotic lesions and vitality was examined. It is shown that necrotic lesions severely contribute to accelerating the mortality of ash trees. In addition to the high infection pressure by H. fraxineus, the high inoculum of Armillaria in the soil facilitates further infections and, thus, likewise endangers the survival of potentially resistant trees. In the following years, forest conversion and seed harvest in affected ash stands will have to be urgently considered to avoid tree gaps on a large scale. Furthermore, infection assays of potentially resistant trees with ensuing breeding programmes should be initially started for the conservation of this ecologically and

The prevalence of the Middle-Eastern extreme ideologies among some Canadians.

Science.gov (United States)

Loza, Wagdy

2011-05-01

A total of 183 Canadian participants of different religious backgrounds completed the Belief Diversity Scale (BDS). The BDS is an 80-item, 6-subscale instrument designed to quantitatively measure the religious attitudes, beliefs, and ideologies of Middle-Eastern extremists' on risk areas that are reported in the literature. The results demonstrated the reliability and validity of the BDS as well as indicated the prevalence of Middle-Eastern extremists' ideologies among Muslim Canadians. Results were similar to those obtained from similar study completed on South African participants. These findings suggested that the BDS has the potential to be used as an objective tool to measure Middle-Eastern religious extremism.

One Health in South Asia and its challenges in implementation from stakeholder perspective.

Science.gov (United States)

Dahal, Rojan; Upadhyay, Atul; Ewald, Benjamin

2017-12-01

One Health is a concept which fosters collaborative relationships between human health, animal health and environmental health partners. Diseases are emerging and re-emerging in South Asia due to poor sanitation, close proximity of people to livestock, deforestation, porous borders, climate change, changes in human behaviour and unhygienic food preparation and consumption practices. This review was completed in two stages. First, we conducted a review of peer-reviewed literature and grey literature available in Google search engine related to One Health in four countries (Bangladesh, Bhutan, India and Nepal). Second, we used a structured questionnaire completed by the key stakeholders working on One Health for the collection of information related to the challenges in implementing One Health. Most of the One Health activities in South Asia are determined by donor preferences. Bangladesh and India did considerable work in advancing One Health with limited support from the government agencies. Weak surveillance mechanisms, uncertain cost-effectiveness of One Health compared with the existing approach, human resources and laboratory capacity are some of the factors hindering implementation of the One Health concept. Implementation of One Health is growing in the South Asia region with limited or no government acceptance. To institutionalise it, there is a need for leadership, government support and funding. © British Veterinary Association (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Lifestyle factors and co-morbidities associated with obesity and overweight in Nkonkobe Municipality of the Eastern Cape, South Africa.

Science.gov (United States)

Otang-Mbeng, Wilfred; Otunola, Gloria Aderonke; Afolayan, Anthony Jide

2017-05-25

Obesity is a global epidemic that affects 500 million people worldwide and is predicted to increase to one billion people by 2030. The prevalence of obesity is increasing across populations in South Africa. However, questions still remain surrounding the predisposing factors and obesity-related health problems especially in the rural areas. This study evaluated several lifestyle factors such as dietary habits, physical activity, smoking, alcohol intake, co-morbidities and their association with the prevalence of obesity and overweight in Nkonkobe Municipality of the Eastern Cape. A cross-sectional, population-based survey was conducted among 118 residents in four rural/sub-urban townships of the study area. Measurements including weight, height, body mass index (BMI), physical activity and dietary habits were determined using a validated questionnaire. The overall prevalence of obesity and overweight was 38 and 19%, respectively. The highest prevalence of obesity (70%) was observed among those who do not undertake any physical activity. Close to half (48.48%) of the respondents who eat fast foods always were obese, and 30.30% were overweight; when combined, the prevalence for obesity is 78.78%. A negative association with obesity was observed among regular smokers (26.92%) and consumers of alcohol (4.00%). Arthritis, hypertension and tuberculosis were co-morbidities significantly (P fast and fried foods, low fruit and vegetable consumption as well as arthritis, hypertension and tuberculosis were significant risk factors of obesity in Nkonkobe Municipality.

Health promotion in South East Asia.

Science.gov (United States)

Mir, N S

1998-01-01

The countries of the South East Asia region, which includes Bangladesh, Bhutan, Pakistan, Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, and Thailand, have undertaken a variety of strategies to address the health challenges in the region. The ever-growing pressure of population in the region has allowed rapid transmission of communicable diseases like malaria, tuberculosis (TB), leprosy, and HIV/AIDS. One of the innovative community-based health initiatives in response to this problem is Indonesia's Primary Health Care Project. This project aimed to develop a sustainable health infrastructure by training medical staff, coordinators, village cadres, midwives and those working for TB programs; provision of ongoing guidance and education in this area; and provision of medicines and funds. The project has pioneered a process towards positive changes. Another strategy is the collaboration of youth groups, island development committees, and health workers in Maldives which has led to the declaration of two islands (Madifushi and Haa Alif Berinmadhoo) as 'no smoking' islands. In addition, Sarvodaya has successfully developed a methodology to involve Buddhist monks in AIDS prevention and control through "the Buddhist approach to AIDS prevention in Sri Lanka."

The female reproductive cycle of the neotropical snake Atractus pantostictus (Fernandes and Puorto, 1993) from south-eastern Brazil.

Science.gov (United States)

de Resende, F C; Nascimento, L B

2015-06-01

Data on reproductive activity of fossorial species are limited because the specimens are difficult to be observed and captured. Here in, we present the reproductive cycle of female Atractus pantostictus, a fossorial neotropical species, and the sexual maturity of males and females in south-eastern Brazil. The female reproductive cycle of A. pantostictus is seasonal, with vitellogenic follicles being found from September to April and eggs in November, February, March and April with the number varying between two and four. Spermatozoa were found in the lumen of the glandular and non-glandular uterus in females collected during the rainy season. Sperm storage tubules were found in the posterior infundibulum of the females, where the storage of sperm occurs for a short time. The storage may occur because mating and ovulation are dissociated. © 2014 Blackwell Verlag GmbH.

Health and human rights a South African perspective.

Science.gov (United States)

Naidoo, Sudeshni

2014-01-01

General statements of basic entitlements are established as a guide for potential laws and regulations protecting human rights. Human rights are those claimed to belong to every individual regardless of nationality or position within society. The historical evolution of human rights relative to health in the Republic of South Africa is discussed.

Post-conflict mental health in South Sudan: overview of common ...

African Journals Online (AJOL)

Post-conflict mental health in South Sudan: overview of common psychiatric disorders Part 1: Depression and post-traumatic stress disorder. ... PROMOTING ACCESS TO AFRICAN RESEARCH. AFRICAN JOURNALS ONLINE (AJOL) ...

Prevalence and Associated Factors of Obesity among South African Adults: A Cross-Sectional Study

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Owolabi EO

2017-07-01

Full Text Available BACKGROUND: Obesity contributes to the burden of chronic diseases and it is a public health challenge. The rate of overweight and obesity in South Africa is dramatically on the increase and disturbingly high. This study aimed at determining the prevalence and predictors of overweight and obesity among adults in Eastern Cape Province of South Africa; which information is lacking. METHODOLOGY: This cross-sectional survey utilised the WHO STEPwise approach in collecting data on demographic and behavioural factors from 1077 adults attending the three largest out-patient clinics in the Buffalo City Metropolitan municipality, Eastern Cape. Height and weight were measured in accordance with standard procedure. Obesity and overweight were defined according to WHO criteria. We performed bivariate and multivariate (logistic regression analyses to determine the significant predictors of obesity. RESULTS: The prevalence of overweight and obesity were 24% and 46%, respectively. The prevalence of obesity was higher among female (53.4% compared to males (27.4%. Obesity was strongly associated with pre-diabetes (250/54.7%, RR=2, 95% CI 1.6-2.6, p=0.001, diabetes (145/59.4%, RR=2.1, 95%CI 1.6-2.9, p=0.001 and hypertension (276/56.2%, RR=2.4, 95%CI 1.9-3.1, p=0.0001. In the multivariate analysis, after adjusting for confounding factors, only age (AOR= 2.0, 95%CI= 1.3-3.0, sex (AOR= 3.8, 95%CI= 2.7-5.3, being married (AOR=2.3, 95%CI= 1.7-3.2, hypertension (AOR=2.0, 95%CI= 1.5-2.8, diabetes (AOR=1.4, 95%CI=1.0-2.0 and no cigarette smoking (AOR= 2.8, 95%CI= 1.7-4.5 were the independent and significant predictors of obesity among the participants. CONCLUSION: The prevalence of obesity was high and strongly associated with cardiovascular risk factors. Health policies targeting obesity and cardiovascular risk factors should be prioritised by the Eastern Cape and South African government in order to mitigate the burden of non-communicable diseases.

Designing for scale: optimising the health information system architecture for mobile maternal health messaging in South Africa (MomConnect)

CSIR Research Space (South Africa)

Seebregts, C

2018-04-01

Full Text Available MomConnect is a national initiative coordinated by the South African National Department of Health that sends text-based mobile phone messages free of charge to pregnant women who voluntarily register at any public healthcare facility in South...

Exploring health providers’ and community perceptions and experiences with malaria tests in South-East Nigeria: a critical step towards appropriate treatment

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Ezeoke Ogochukwu P

2012-11-01

Full Text Available Abstract Background The adoption of ACT as the first line treatment for uncomplicated malaria in Nigeria has concentrated attention on the role of testing in appropriate malaria treatment. There are calls at both national and global level for malaria treatment to be based on test result, but it is still unclear how testing can be incorporated into treatment-seeking and practices of health providers. This study explored community members and health providers’ perceptions and experiences with malaria tests in south east Nigeria. Methods The study was conducted in urban and rural areas of Enugu state in south-eastern Nigeria. A total of 18 focus group discussions with 179 community members including sub-groups of primary caregivers, adult men and adult women aged 15 years and above. Twenty- six (26 In-depth interviews were held with public and private health providers involved in prescribing medicines at public and private health facilities in the study area. Results Both providers and community members were familiar with malaria tests and identified malaria tests as an important step to distinguish malaria from other illnesses with similar symptoms and as a means of delivering appropriate treatment. However, the logic of test-directed treatment was undermined by cost of test and a lack of testing facilities but above all concerns over the reliability of negative test results, with community members and providers observing inconsistencies between results and symptoms, and providers attributing inaccurate results to incompetencies of technicians. Recognition of malaria symptoms was deemed most important in determining the use of antimalarial drugs rather than the result of a malaria test. Conclusion The results highlight important areas of intervention to promote appropriate malaria treatment. If tests are to play a role in patient management, demand and supply side interventions are needed to change people’s attitude towards malaria test

Exploring perceptions of HIV risk and health service access among Zimbabwean migrant women in Johannesburg: a gap in health policy in South Africa?

Science.gov (United States)

Munyewende, Pascalia; Rispel, Laetitia C; Harris, Bronwyn; Chersich, Matthew

2011-01-01

We present qualitative data from a 2005 exploratory study, recently published studies, and an analysis of the Department of Health's strategic plan to highlight the need for a broader policy debate on health-care access for migrants in South Africa. We conducted in-depth interviews with 15 Zimbabwean women living in inner-city Johannesburg to document the special characteristics of this group of migrants, enquiring about their perceptions of HIV risk, and experiences of health services in South Africa. We identified access barriers, namely perceptions of relatively low HIV risk, severely constrained financial circumstances, uncertain legal status, and experiences of unresponsive health workers. We recommend that migrant-health rights be placed on South Africa's policy agenda, migrants be included in HIV prevention programs and that health workers be sensitized to the needs of migrants.

Individual- and Neighbourhood-Level Indicators of Subjective Well-Being in a Small and Poor Eastern Cape Township: The Effect of Health, Social Capital, Marital Status, and Income

Science.gov (United States)

Cramm, J. M.; Moller, V.; Nieboer, A. P.

2012-01-01

Our study used multilevel regression analysis to identify individual- and neighbourhood-level factors that determine individual-level subjective well-being in Rhini, a deprived suburb of Grahamstown in the Eastern Cape province of South Africa. The Townsend index and Gini coefficient were used to investigate whether contextual neighbourhood-level…

Integrating eHealth in HIV/AIDS intervention programmes in South Africa

Directory of Open Access Journals (Sweden)

Babasile D. Osunyomi

2015-03-01

Objective: The key aim of this article is to explore the status quo of the implementation of information and communication technologies (ICTs in selected intervention programmes in the South African HIV/AIDS care delivery value chain. The contribution of this article is the mapping of key intervention activities along an HIV care value chain and to suggest a roadmap towards the integration of ICTs in service delivery programmes. Method: 20 managers of HIV/AIDS intervention programmes were surveyed, followed by semi-structured in-depth interviews with these respondents. A further five in-depth interviews were conducted with experts in the ICT area for exploring the uses of and barriers to integrating ICTs in the HIV/AIDS care delivery value chain. Results: The researchers mapped the barriers to implementation and ICT tools utilised within the HIV/AIDS care delivery value chain, which proves to be a useful tool to explore the status quo of technology in such service delivery programmes. The researchers then considered the wider policy environment and provided a roadmap based on the analysis and the South Africa eHealth strategy for driving development in this sector. Conclusion: The authors found that South Africa’s eHealth environment is still nascent and that the South African eHealth strategy does not place enough emphasis on systems integration and stakeholder engagement or the planning and process of uptake of ICTs by target audiences.

Desmodium: A low-cost pasture for the eastern Cape coastal region ...

African Journals Online (AJOL)

Keywords: Animal production; Beef production; botany; Desmodium intortum; dryland; east london; Eastern Cape; economic evaluation; fertilizer; grasses; gross margin; Growth requirements; livestock; Management; maximum production; pasture; Pastures; Production costs; south africa; star grass; stocking rate; stocking ...

A study of mental health literacy among North Korean refugees in South Korea.

Science.gov (United States)

Noh, Jin-Won; Kwon, Young Dae; Yu, Sieun; Park, Hyunchun; Woo, Jong-Min

2015-01-01

This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

A Study of Mental Health Literacy Among North Korean Refugees in South Korea

Directory of Open Access Journals (Sweden)

Jin-Won Noh

2015-01-01

Full Text Available Objectives: This study aimed to investigate North Korean refugees’ knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees’ mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees’ knowledge of mental illnesses. In addition, the evaluations of North Korean refugees’ mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

The beach-seine and gill-net fisheries are South Africa's oldest ...

African Journals Online (AJOL)

spamer

Previous works on the South African gill-net and beach-seine ... catch and effort between four different regions along the South ... evaluate participation in and management of the ... mesh on the West Coast and the Southern and Eastern.

Ecology and distribution of large branchiopods (Crustacea, Branchiopoda, Anostraca, Notostraca, Laevicaudata, Spinicaudata of the Eastern Cape Karoo, South Africa

Directory of Open Access Journals (Sweden)

Annah Mabidi

2016-09-01

Full Text Available A survey of the large branchiopod fauna of the Eastern Cape Karoo region of South Africa was undertaken to provide baseline biodiversity information in light of impending shale gas development activities in the region. Twenty-two waterbodies, including nine dams and thirteen natural depression wetlands, were sampled during November 2014 and April 2015. A total of 13 species belonging to four orders were collected, comprising five anostracans, one notostracan, six spinicaudatans and one laevicaudatan. Cyzicus australis was most common, occurring in 46% of the waterbodies. Species co-occurred in 87% of the waterbodies, with a maximum number of six species recorded from the same waterbody. Our new distribution records for Lynceus truncatus, Streptocephalus spinicaudatus and S. indistinctus represent substantial expansions of the previously known ranges for these species. Tarkastad is now the westernmost record for S. spinicaudatus, while Jansenville now constitutes the southernmost record for S. indistinctus. Large branchiopod distribution data from previous Eastern Cape records were combined with our current data, demonstrating that a total of 23 large branchiopod species have been recorded from the region to date. As the Karoo is one of the few major shale basins in the world where the natural baseline is still largely intact, this survey forms a basis for future reference and surface water quality monitoring during the process of shale gas exploration/extraction.

Evidence-Informed Health Policies in Eastern Mediterranean Countries: Comparing Views of Policy Makers and Researchers

Science.gov (United States)

El-Jardali, Fadi; Lavis, John N.; Jamal, Diana; Ataya, Nour; Dimassi, Hani

2014-01-01

The objective of this paper is to conduct comparative analysis about the views and practices of policy makers and researchers on the use of health systems evidence in policy making in selected Eastern Mediterranean countries. We analysed data from two self-reported surveys, one targeted at policy makers and the other at researchers. Results show a…

Shale Gas characteristics of Permian black shales (Ecca group, Eastern Cape, South Africa)

Science.gov (United States)

Geel, Claire; Booth, Peter; Schulz, Hans-Martin; Horsfield, Brian; de Wit, Maarten

2013-04-01

This study involves a comprehensive and detailed lithological, sedimentalogical, structural and geochemical description of the lower Ecca Group in the Eastern Cape, South Africa. The Ecca group hosts a ~ 245 million year old organic-rich black shale, which has recently been the focus of interest of petroleum companies worldwide. The shale was deposited under anoxic conditions in a setting which formed as a consequence of retro-arc foreland basin development related to the Cape Fold Belt. This sedimentary/tectonic environment provided the conditions for deeply buried black shales to reach maturity levels for development in the gas window. The investigation site is called the Greystone Area and is situated north of Wolwefontein en route to Jansenville. The area has outcrops of the Dwyka, the Ecca and the lower Beaufort Groups. The outcrops were mapped extensively and the data was used in conjunction with GIS software to produce a detailed geological map. North-south cross sections were drawn to give indication of bed thicknesses and formation depths. Using the field work, data two boreholes were accurately sited on the northern limb of a shallow easterly plunging syncline. The first borehole reached 100m and the second was drilled to 292m depth (100m percussion and 192m core). The second borehole was drilled 200m south of the first, to penetrate the formations at a greater depth and to avoid surface weathering. Fresh core from the upper Dwyka Group, the Prince Albert Formation, the Whitehill Formation, Collingham Formation and part of the Ripon Formation were successfully extracted and a detailed stratigraphic log has been drawn up. The core was sampled during extraction and the samples were immediately sent to the GFZ in Potsdam, Germany, for geochemical analyses. As suspected the black shales of the the Whitehill Formation are high in organic carbon and have an average TOC value of 4.5%, whereas the Prince Albert and Collingham Formation are below 1%. Tmax values

Gender relations and women's reproductive health in South Sudan

NARCIS (Netherlands)

Kane, Sumit; Rial, Matilda; Matere, Anthony; Dieleman, Marjolein; Broerse, Jacqueline E W; Kok, Maryse

2016-01-01

Background: In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. Design: A qualitative study was conducted to analyze how gendered social relations among

Health system weaknesses constrain access to PMTCT and maternal HIV services in South Africa: a qualitative enquiry

Directory of Open Access Journals (Sweden)

Chersich Matthew F

2011-03-01

Full Text Available Abstract Background HIV remains responsible for an estimated 40% of mortality in South African pregnant women and their children. To address these avoidable deaths, eligibility criteria for antiretroviral therapy (ART in pregnant women were revised in 2010 to enhance ART coverage. With greater availability of HIV services in public health settings and increasing government attention to poor maternal-child health outcomes, this study used the patient's journey through the continuum of maternal and child care as a framework to track and document women's experiences of accessing ART and prevention of mother-to-child HIV transmission (PMTCT programmes in the Eastern Cape (three peri-urban facilities and Gauteng provinces (one academic hospital. Results In-depth interviews identified considerable weaknesses within operational HIV service delivery. These manifested as missed opportunities for HIV testing in antenatal care due to shortages of test kits; insufficient staff assigned to HIV services; late payment of lay counsellors, with consequent absenteeism; and delayed transcription of CD4 cell count results into patient files (required for ART initiation. By contrast, individual factors undermining access encompassed psychosocial concerns, such as fear of a positive test result or a partner's reaction; and stigma. Data and information systems for monitoring in the three peri-urban facilities were markedly inadequate. Conclusions A single system- or individual-level delay reduced the likelihood of women accessing ART or PMTCT interventions. These delays, when concurrent, often signalled wholesale denial of prevention and treatment. There is great scope for health systems' reforms to address constraints and weaknesses within PMTCT and ART services in South Africa. Recommendations from this study include: ensuring autonomy over resources at lower levels; linking performance management to facility-wide human resources interventions; developing

Drought preparedness, impact and response: A case of the Eastern Cape and Free State provinces of South Africa

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Makala J. Ngaka

2012-08-01

Full Text Available Drought is a major disaster in South Africa in terms of total economic loss and number of people affected. This study investigated and analysed the preparedness, impact of and response by the farming community to the 2007/2008 drought using the Eastern Cape and Free State provinces of South Africa as case studies. Both qualitative and quantitative approaches were used in this study. Primary data were collected through face-to-face interviews with sampled recipients of the 2007/2008 drought relief scheme. These were analysed using MedCalc® software and various statistical tests and correlations were performed to test for statistical differences on key variables. Major findings of this study included inadequacy of the extension support service, particularly as a vehicle for disseminating early-warning information. The most significant impact was livestock losses, and t-test results supported the hypothesis that there was a significant difference in terms of drought impact for the three categories of farmers (i.e. small, medium and large scale, particularly with regard to the proportion of livestock lost. A Logit analysis showed that the decision to reduce livestock during drought was influenced by access to land and race. The main constraint to the drought relief scheme, as perceived by the respondents, was the turnaround time − they felt that the relief was provided long after the disaster had occurred.

Cyclicality of bank capital buffers in South-Eastern Europe: endogenous and exogenous aspects

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Ana Kundid Novokmet

2015-06-01

Full Text Available The interdependence between the regulatory capital ratio and macroeconomic indicators, with reference to the phenomena cyclicality and pro-cyclicality is a widely emphasized disadvantage of the capital adequacy concept. Redesign of the aforementioned concept towards the countercyclical capital requirements is a kind of recognition of the creators of the Basel standards of the previous oversights in its development. This paper aims to explore empirically the direction, intensity and significance of endogenous and exogenous determinants of the changes in banks’ capital buffers by taking into consideration both the impact of the macroeconomic properties and the bank-specific characteristics of South-Eastern Europe. More than 80 commercial banks in the period from 2000-2010 have been encompassed by the research. Use of a dynamic panel analysis led to the conclusion that the bank capital buffers decreased during the observed period, with the exception of certain years during the economic expansion, which confirms the appropriateness of regulatory requirements considering the countercyclical capital buffers. Nevertheless, it might be that capital building and spending in the future will not follow the pattern from the last decade due to the specificities of the observed period, as well as the banking sector ownership transformations, economic and credit growth as well as asset prices growth in the post-transitional period, and finally, the real crisis which spilled over onto the financial sectors.

Reservoir characteristics of middle pliocene deposits and their role in the formation of oil gas deposits of Azerbaijan shelf of the south Caspian

International Nuclear Information System (INIS)

Veliyeva, V.A.; Kabulova, A. Ya.

2002-01-01

Full text :Lithology-stratigraphical peculiarities of deposits of lower stage of productive series (P S) of Middle Pliocene their reservoir properties, correlation of individual horizons within the uplifts of the south Caspian was studied. Analysis of arenosity of lower stage of PS was studied. Azerbaijan shelf of South Caspian is located within depression zone of sedimentation basin generally, of Pliocene and post-Pliocene period of time, when sedimentation was mostly intensive and occurred in conditions of more deep sea basin. Azerbaijan shelf of south Caspian covers mainly two oil-gasp-bearing region as Absheron archipelago (north, north-eastern part of region) and Baku archipelago (southern part). Analysis of arenosity along the areas of the studied region showed, that in south-eastern direction and on the south eastern subsidence of each fold, as well as on the north-eastern wing their sand percent considerably increase whereas reservoir properties of sandy interbeds are improved

South African Academic Health--the future challenge.

Science.gov (United States)

van Zyl, G J

2004-02-01

In South Africa, significant changes in Academic Health have taken place since the first democratic elections in 1994. Academic Health came from a separated academic hospital, departmental-based curriculum and research focussed on achievement, and an abundance of money, to a position of integrated service delivery with specific reference to primary health care, separation of service levels, a new integrated curriculum, research focussed according to the need and contract research, and financial constraints with limited budgets. The management of this change is a task challenging the manager in all fields of Academic Health. Leaders need to know their environment and organisation to be able to manage change. Academic Health centres are experiencing major changes as a result of the effects of managed care, reduced rate and growing expenditure on health services. In addition to restructuring of the clinical services, Academic Health centres are being challenged to sustain their academic mission and priorities in the face of resource constraints. In order to tackle these challenges, institutions need physicians in administrative positions at all levels who can provide leadership and thoughtful managerial initiatives. The future challenge for managers focuses on service delivery, research, health education and training, Academic Health management, professionalism and financial management.

ECONOMIC GROWTH IN SOUTH EASTERN EUROPE: AN INVESTIGATION FOR SIX EU CANDIDATE AND POTENTIAL CANDIDATE COUNTRIES

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Ileana Tache

2017-08-01

Full Text Available The South Eastern European region (SEE has seen major beneficial transformation in the recent years. Romania and Bulgaria in 2007 and Croatia in 2013 became members of the European Union and registered significant economic growth rates. This paper investigates some important factors that influence economic growth in 6 EU candidate and potential candidate countries (Albania, Bosnia and Herzegovina, Kosovo, Former Yugoslav Republic of Macedonia, Montenegro and Serbia and offers to policy makers in those countries key insights for stimulating the economy. The paper proposes a dynamic growth model which will be developed using the Quasi-maximum likelihood (QML estimation. This model is suited for this type of analysis because of the small T sample and also to cope with missingness. The results indicate that nine out of the fourteen variables were statistically significant. The number of non-resident tourists, the number of passenger cars, the number of children in pre-primary and primary-education are positive factors for economic growth. In contrast, government debt, inflation, all energy imports, railway transportation and primary production of coal and lignite are hindering development.

Dinitrogen Fixation Within and Adjacent to Oxygen Deficient Waters of the Eastern Tropical South Pacific Ocean

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Widner, B.; Mulholland, M. R.; Bernhardt, P. W.; Chang, B. X.; Jayakumar, A.

2016-02-01

Recent work suggests that planktonic diazotrophs are geographically more widely distributed than previously thought including relatively warm (14-23oC) aphotic oxygenated pelagic waters and in aphotic waters within oxygen deficient zones. Because the volume of aphotic water in the ocean is large and may increase in the future, if dinitrogen (N2) fixation is widely occurring at sub-euphotic depths, this could result in a dramatic upward revision of global nitrogen (N) inputs via this process. N2 fixation rates were measured during a cruise in the Eastern Tropical South Pacific using stable isotope tracer techniques that account for slow gas dissolution. Results are compared with light, nutrient, and oxygen gradients (and necessarily temperature gradients). In addition, rates of N2 fixation made in vertical profiles within and above oxygen deficient waters are compared with those measured in vertical profiles adjacent to oxygen deficient waters. Results suggest that while rates of N2 fixation were measurable in deeper anoxic waters, volumetric N2 fixation rates were higher in surface waters.

The October 2015 flash-floods in south eastern France: hydrological analyses, inundation mapping and impact estimations

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Payrastre, Olivier; Bourgin, François; Lebouc, Laurent; Le Bihan, Guillaume; Gaume, Eric

2017-04-01

The October 2015 flash-floods in south eastern France caused more than twenty fatalities, high damages and large economic losses in high density urban areas of the Mediterranean coast, including the cities of Mandelieu-La Napoule, Cannes and Antibes. Following a post event survey and preliminary analyses conducted within the framework of the Hymex project, we set up an entire simulation chain at the regional scale to better understand this outstanding event. Rainfall-runoff simulations, inundation mapping and a first estimation of the impacts are conducted following the approach developed and successfully applied for two large flash-flood events in two different French regions (Gard in 2002 and Var in 2010) by Le Bihan (2016). A distributed rainfall-runoff model applied at high resolution for the whole area - including numerous small ungauged basins - is used to feed a semi-automatic hydraulic approach (Cartino method) applied along the river network - including small tributaries. Estimation of the impacts is then performed based on the delineation of the flooded areas and geographic databases identifying buildings and population at risk.

Primary health services at district level in South Africa: a critique of the primary health care approach

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Dookie Sunitha

2012-07-01

Full Text Available Abstract Background The rhetoric of primary health care philosophy in the district health system is widely cited as a fundamental component of the health transformation process in post-apartheid South Africa. Despite South Africa’s progress and attempts at implementing primary health care, various factors still limit its success. Discussion Inconsistencies and poor understanding of primary care and primary health care raises unrealistic expectations in service delivery and health outcomes, and blame is apportioned when expectations are not met. It is important for all health practitioners to consider the contextual influences on health and ill-health and to recognise the role of the underlying determinants of ill-health, namely, social, economic and environmental influences. The primary health care approach provides a strong framework for this delivery but it is not widely applied. There is a need for renewed political and policy commitments toward quality primary health care delivery, re-orientation of health care workers, integration of primary health care activities into other community-based development, improved management skills and effective coordination at all levels of the health system. There should also be optimal capacity building, and skills development in problem-solving, communication, networking and community participation. Summary A well-functioning district health system is required for the re-engineering of primary health care. This strategy requires a strong leadership, a strengthening of the current district heath system and a greater emphasis on health promotion, prevention, and community participation and empowerment.

Liberalising trade in health services: constraints and prospects for South Asian countries.

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Khatun, Fahmida; Ahamad, Mazbahul

2015-01-01

This paper attempts to examine the prospects and challenges associated with liberalising trade in health services in five South Asian countries, namely Bangladesh, India, Nepal, Pakistan and Sri Lanka. Country-specific secondary information, a brief literature review of empirical studies and debriefing sessions with key stakeholders are employed to explore the issues related to liberalising health services trade. The health sectors in India, Nepal and Pakistan are scheduled under General Agreement on Trade in Services (GATS) classification, whereas those in Bangladesh and Sri Lanka are not. In Bangladesh, there is opportunity for investment in joint venture hospitals under Mode 3. Nonetheless, India is the largest trader in health services under all four modes. In Sri Lanka, cross-border trade in healthcare services is found to be insignificant. Moreover, expertise in eye treatment in Nepal could also attract foreign investment in medical services under Mode 3. In contrast, Pakistan exhibits no potential under Mode 4, because of a lack of healthcare professionals. In this view, the prospects of trade in health services within the South Asian region under the four GATS modes are constrained by infrastructural, regulatory, perception-related, logistical and cultural problems. Considering the level of development and commercial opportunities, regional integration in the health sector could be explored in such areas as telemedicine, medical tourism, cross-border investment and capacity building of health personnel. These developments call for stronger and pro-active government-to-government collaboration in the South Asian Association of Regional Cooperation (SAARC) region in a transparent and accountable manner. Copyright © 2013 John Wiley & Sons, Ltd.

World Network of Friends: Africa-Asia regional partnerships and South-South development cooperation

DEFF Research Database (Denmark)

Hansen, Annette Skovsted

in future world orders. Partners first introduced as participants and alumni of private sector training courses in Japan founded WNF in 1997. The members are alumni and alumni organizations in Africa, South Asia, Southeast Asia, and South America, but also from the Former Eastern Europe. WNF members...... exchange invitations to training courses and partnerships for the development of human resources. The structure of and focus on human resource development is inspired by experiences of ODA financed courses in Japan and, thereby, fits Shimomura and Wang’s argument that ‘the notable difference between...

Occupational Exposures during the U-Exploration Activities at Seila Area, South Eastern Desert, Egypt

International Nuclear Information System (INIS)

Abdel-Razek, Y.A.; Masoud, M.S.; Hanfi, M.Y.; El-Nagdy, M.S.

2017-01-01

Twenty trenches distributed over a shear zone at Seila area, South Eastern Desert of Egypt were chosen to study the occupational exposures during the U-exploration activities in these trenches. The average value of the activity concentration of "2'3"8 U, "2"3"2Th and "4"0K in the studied granites are 866 , 57 and 1380 Bq.kg"-"1 respectively. These values are higher than the worldwide average of 33, 45 and 412 Bq/kg. According to these activity concentrations , trenches are divided into the non-regulated and regulated categories. The average value of the annual effective dose due to the terrestrial radionuclides is 0.306 mSv for the non-regulated trenches and 0.958 mSv for the regulated trenches corresponding to the absorbed dose rate 219 nGy.h"-"1 for the non-regulated trenches and 684 nGy.h"-"1 for the regulated trenches. The average measured annual effective dose for non-regulated and regulated trenches is 0.81 and 1.42 mSv respectively. This difference is ascribed to the geometry of the studied trenches. However, the total annual effective dose in the non-regulated and the regulated trenches is lower than the recommended value of 20 mSv

Urban agglomerations in the function of regional integration of Serbia in South-Eastern Europe

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Tošić Dragutin

2005-01-01

Full Text Available In this article is analyzed the importance of urban agglomerations in the regional organization of Serbian space at one side, and on the other side they are taken as carriers of the future integration of the Serbian urban system into the urban of the South-Eastern Europe (SEE. In the regional configuration of Serbia, more different forms of territorial impacts of urbanization, urban areas and urban regions. High level of urban centralization is formed under the influence of the population density and functions of the metropolitan area of Belgrade. The problems of unbalanced disposition of population growth and qualitative transformation of urban centers are stressed and analyzed. Based on the role in integration process in the SEE, the metropolitan region of Belgrade is pointed out as its principal carrier and the metropolitan region of Niš as its secondary carrier, as well as the urban centers of importance for the cross-border regional cooperation. As the most suitable instrument of internal regional integration the model of Functional Urban Regions (FURs or Functional Urban Areas (FUAs is proposed, and for external regional integration is proposed the model of Metropolitan European Growth Areas (MEGAs. The coherent short-term and long-term development strategies for Serbian towns and their regions seem absent.

Quality assessment of published health economic analyses from South America.

Science.gov (United States)

Machado, Márcio; Iskedjian, Michael; Einarson, Thomas R

2006-05-01

Health economic analyses have become important to healthcare systems worldwide. No studies have previously examined South America's contribution in this area. To survey the literature with the purpose of reviewing, quantifying, and assessing the quality of published South American health economic analyses. A search of MEDLINE (1990-December 2004), EMBASE (1990-December 2004), International Pharmaceutical Abstracts (1990-December 2004), Literatura Latino-Americana e do Caribe em Ciências da Saúde (1982-December 2004), and Sistema de Informacion Esencial en Terapéutica y Salud (1980-December 2004) was completed using the key words cost-effectiveness analysis (CEA), cost-utility analysis (CUA), cost-minimization analysis (CMA), and cost-benefit analysis (CBA); abbreviations CEA, CUA, CMA, and CBA; and all South American country names. Papers were categorized by type and country by 2 independent reviewers. Quality was assessed using a 12 item checklist, characterizing scores as 4 (good), 3 (acceptable), 2 (poor), 1 (unable to judge), and 0 (unacceptable). To be included in our investigation, studies needed to have simultaneously examined costs and outcomes. We retrieved 25 articles; one duplicate article was rejected, leaving 24 (CEA = 15, CBA = 6, CMA = 3; Brazil = 9, Argentina = 5, Colombia = 3, Chile = 2, Ecuador = 2, 1 each from Peru, Uruguay, Venezuela). Variability between raters was less than 0.5 point on overall scores (OS) and less than 1 point on all individual items. Mean OS was 2.6 (SD 1.0, range 1.4-3.8). CBAs scored highest (OS 2.8, SD 0.8), CEAs next (OS 2.7, SD 0.7), and CMAs lowest (OS 2.0, SD 0.5). When scored by type of question, definition of study aim scored highest (OS 3.0, SD 0.8), while ethical issues scored lowest (OS 1.5, SD 0.9). By country, Peru scored highest (mean OS 3.8) and Uruguay had the lowest scores (mean OS 2.2). A nonsignificant time trend was noted for OS (R2 = 0.12; p = 0.104). Quality scores of health economic analyses

Understanding the recent trend of haze pollution in eastern China: roles of climate change

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H.-J. Wang

2016-04-01

Full Text Available In this paper, the variation and trend of haze pollution in eastern China for winter of 1960–2012 were analyzed. With the overall increasing number of winter haze days in this period, the 5 decades were divided into three sub-periods based on the changes of winter haze days (WHD in central North China (30–40° N and eastern South China (south of 30° N for east of 109° E mainland China. Results show that WHD kept gradually increasing during 1960–1979, remained stable overall during 1980–1999, and increased fast during 2000–2012. The author identified the major climate forcing factors besides total energy consumption. Among all the possible climate factors, variability of the autumn Arctic sea ice extent, local precipitation and surface wind during winter is most influential to the haze pollution change. The joint effect of fast increase of total energy consumption, rapid decline of Arctic sea ice extent and reduced precipitation and surface winds intensified the haze pollution in central North China after 2000. There is a similar conclusion for haze pollution in eastern South China after 2000, with the precipitation effect being smaller and spatially inconsistent.

Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective.

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Siddiqi, Sameen; Shennawy, Azza; Mirza, Zafer; Drager, Nick; Sabri, Belgacem

2010-01-01

Assessing trade in health services (TiHS) in developing countries is challenging since the sources of information are diverse, information is not accessible and professionals lack grasp of issues. A multi-country study was conducted in the Eastern Mediterranean Region (EMR)--Egypt, Jordan, Lebanon, Morocco, Oman, Pakistan, Sudan, Syrian Arab Republic, Tunisia, and Yemen. The objective was to estimate the direction, volume, and value of TiHS; analyze country commitments; and assess the challenges and opportunities for health services.Trade liberalization favored an open trade regime and encouraged foreign direct investment. Consumption abroad and movement of natural persons were the two prevalent modes. Yemen and Sudan are net importers, while Jordan promotes health tourism. In 2002, Yemenis spent US$ 80 million out of pocket for treatment abroad, while Jordan generated US$ 620 million. Egypt, Pakistan, Sudan and Tunisia export health workers, while Oman relies on import and 40% of its workforce is non-Omani. There is a general lack of coherence between Ministries of Trade and Health in formulating policies on TiHS.This is the first organized attempt to look at TiHS in the EMR. The systematic approach has helped create greater awareness, and a move towards better policy coherence in the area of trade in health services. Copyright (c) 2009 John Wiley & Sons, Ltd.

The emergence of a health insurance system in a developing country: the case of South Korea.

Science.gov (United States)

Cho, S

1989-12-01

In an attempt to understand the social forces and the economic and political conditions under which new social policies emerge in developing countries, this study outlines factors affecting the introduction of the health insurance system in South Korea. The emergence of the South Korean health insurance system was influenced by changing labor needs of the industrial sector, increasing social expectations, external and international pressures, increasing medical costs, and class conflict. These pressures compelled the South Korean government to respond to demands for the introduction of new social welfare policies in the 1970s. In the case of South Korea, the new health insurance system resulted from the government's attempts to cope with political, economic, and social pressures rather than from an ideological commitment to the well-being of the population. The resulting insurance system was a way to maintain the social order and legitimacy of the regime, and a means to promote the health of groups important to defense or production.

An electronic health record for infertility clinics | Coetsee | South ...

African Journals Online (AJOL)

Objective. To design a user-friendly electronic health record system for infertility clinics (EHRIC) to capture quality data that will allow advanced audit and practice analysis, and to use the captured data for the South African Register of Assisted Reproductive Techniques (SARA) database and as a clinical research function.

Migration and mental health: a study of low-income Ethiopian women working in Middle Eastern countries.

Science.gov (United States)

Anbesse, Birke; Hanlon, Charlotte; Alem, Atalay; Packer, Samuel; Whitley, Rob

2009-11-01

Few studies have explored influences on mental health of migrants moving between non-Western countries. Focus group discussions were used to explore the experiences of Ethiopian female domestic migrants to Middle Eastern countries, comparing those who developed severe mental illness with those remaining mentally well. Prominent self-identified threats to mental health included exploitative treatment, enforced cultural isolation, undermining of cultural identity and disappointment in not achieving expectations. Participants countered these risks by affirming their cultural identity and establishing socio-cultural supports. Mental health of migrant domestic workers may be jeopardized by stressors, leading to experience of social defeat.

Focus on CSIR research in pollution waste: The South African river health programme

CSIR Research Space (South Africa)

Hill, Liesl

2007-08-01

Full Text Available the design of the River Health Programme (RHP) to monitor the health of rivers in South Africa. The RHP forms part of a bigger initiative, the National Aquatic Ecosystem Health Monitoring Programme which will eventually cover all surface water resources...

Population health status of South Asian and African-Caribbean communities in the United Kingdom.

Science.gov (United States)

Calvert, Melanie; Duffy, Helen; Freemantle, Nick; Davis, Russell; Lip, Gregory Y H; Gill, Paramjit

2012-04-25

Population health status scores are routinely used to inform economic evaluation and evaluate the impact of disease and/or treatment on health. It is unclear whether the health status in black and minority ethnic groups are comparable to these population health status data. The aim of this study was to evaluate health-status in South Asian and African-Caribbean populations. Cross-sectional study recruiting participants aged ≥ 45 years (September 2006 to July 2009) from 20 primary care centres in Birmingham, United Kingdom.10,902 eligible subjects were invited, 5,408 participated (49.6%). 5,354 participants had complete data (49.1%) (3442 South Asian and 1912 African-Caribbean). Health status was assessed by interview using the EuroQoL EQ-5D. The mean EQ-5D score in South Asian participants was 0.91 (standard deviation (SD) 0.18), median score 1 (interquartile range (IQR) 0.848 to 1) and in African-Caribbean participants the mean score was 0.92 (SD 0.18), median 1 (IQR 1 to 1). Compared with normative data from the UK general population, substantially fewer African-Caribbean and South Asian participants reported problems with mobility, usual activities, pain and anxiety when stratified by age resulting in higher average health status estimates than those from the UK population. Multivariable modelling showed that decreased health-related quality of life (HRQL) was associated with increased age, female gender and increased body mass index. A medical history of depression, stroke/transient ischemic attack, heart failure and arthritis were associated with substantial reductions in HRQL. The reported HRQL of these minority ethnic groups was substantially higher than anticipated compared to UK normative data. Participants with chronic disease experienced significant reductions in HRQL and should be a target for health intervention.

Population health status of South Asian and African-Caribbean communities in the United Kingdom

Directory of Open Access Journals (Sweden)

Calvert Melanie

2012-04-01

Full Text Available Abstract Background Population health status scores are routinely used to inform economic evaluation and evaluate the impact of disease and/or treatment on health. It is unclear whether the health status in black and minority ethnic groups are comparable to these population health status data. The aim of this study was to evaluate health-status in South Asian and African-Caribbean populations. Methods Cross-sectional study recruiting participants aged ≥ 45 years (September 2006 to July 2009 from 20 primary care centres in Birmingham, United Kingdom.10,902 eligible subjects were invited, 5,408 participated (49.6%. 5,354 participants had complete data (49.1% (3442 South Asian and 1912 African-Caribbean. Health status was assessed by interview using the EuroQoL EQ-5D. Results The mean EQ-5D score in South Asian participants was 0.91 (standard deviation (SD 0.18, median score 1 (interquartile range (IQR 0.848 to 1 and in African-Caribbean participants the mean score was 0.92 (SD 0.18, median 1 (IQR 1 to 1. Compared with normative data from the UK general population, substantially fewer African-Caribbean and South Asian participants reported problems with mobility, usual activities, pain and anxiety when stratified by age resulting in higher average health status estimates than those from the UK population. Multivariable modelling showed that decreased health-related quality of life (HRQL was associated with increased age, female gender and increased body mass index. A medical history of depression, stroke/transient ischemic attack, heart failure and arthritis were associated with substantial reductions in HRQL. Conclusions The reported HRQL of these minority ethnic groups was substantially higher than anticipated compared to UK normative data. Participants with chronic disease experienced significant reductions in HRQL and should be a target for health intervention.

Radiation Oncology in the Developing Economies of Central and Eastern Europe.

Science.gov (United States)

Esiashvili, Natia

2017-04-01

Eastern Europe is represented by 22 countries of significant variability in population density and degree of economic development. They have been affected by past geopolitical isolation due to their association with the "Soviet Block." Currently, all Eastern European countries except Slovenia are low- or middle-income level and 10 of them are part of European Union. Health care systems in Central and Eastern Europe have been influenced by the legacy of centralized soviet-era governance; however, most countries, particularly in European Union zone, have gone through health care reforms directed toward modernizing infrastructure and staffing. The level of health financing available through health insurance has increased in the region, although still lags behind the Western European levels. After adjusting for differing population age structures, overall incidence rates in both sexes are lower in Eastern and Central Europe compared with the Northern and Western European countries; however, mortality remains higher. There is an ongoing shortage of oncology services in Eastern Europe, including radiotherapy equipment and personnel. Eastern European radiotherapy field is highly diverse with large differences among countries regarding staffing structure, training, accreditation, and defined roles and responsibilities. The rapid diffusion of technological innovations has been identified as one of the most important factors driving the escalating health care expenses, and the need for better cost-effective solutions applicable to the local health care systems and levels of economic development. Copyright © 2017 Elsevier Inc. All rights reserved.

E-health readiness assessment for e-health framework for Africa: a case study of hospitals in South Africa